冷冻球囊前庭扩大消融治疗阵发性心房颤动患者的安全性和有效性  

To investigate the efficacy and safety of cryoballoon pulmonary vein antrum enlarged ablation in the treatment of paroxysmal atrial fibrillation

作　　者：王群[1] 邸成业[1] 林文华[1] WANG Qun;DI Cheng-ye;LIN Wen-hua(Teda International Cardiovascular Hospital,Tianjin 300457,China)

机构地区：[1]泰达国际心血管病医院心内一科,天津300457

出　　处：《中国心脏起搏与心电生理杂志》2024年第1期27-29,共3页Chinese Journal of Cardiac Pacing and Electrophysiology

基　　金：天津市医学重点学科(专科)建设项目(TJYXZDXK-020A)。

摘　　要：目的探讨冷冻球囊(CBA)前庭扩大消融治疗阵发性心房颤动(简称房颤)患者的有效性及安全性。方法选择本院拟行CBA的阵发房颤患者共161例。根据不同的手术方式将其分为CBA常规消融(对照)组(n=81)与CBA常规消融+前庭扩大消融(试验)组(n=80)。术后第1、3、6、12个月,进行门诊或电话随访。对比两组患者不同时间房颤复发率,以及手术并发症发生率。结果两组术后3、6、12个月房颤复发率比较,差异均无统计学意义(分别为6.2%vs 5.0%、11.1%vs 8.8%、18.5%vs 15%,P均>0.05)。两组患者术后并发症发生率分别为7.4%(6/81)、10.0%(8/80),差异无统计学意义(P>0.05)。结论对于阵发性房颤患者,CBA在常规消融的基础上行前庭扩大补充消融并未改善患者房颤复发率,两者安全性无明显差异。Objective Exploring the effectiveness and safety of pulmonary vein antrum enlarged ablation with cryoablation in paroxysmal atrial fibrillation(AF).Methods A total of 161 patients with paroxysmal AF,who were to undergo cryoablation were selected.According to different surgical methods,they were divided into conventional treatment group(control group,n=81) and conventional treatment and pulmonary vein antrum enlarged ablation group(experimental group,n=80).Outpatient or telephone follow-up was performed at 1,3,6,and 12 months after surgery.The recurrence rate of AF at different time and the incidence of surgical complications were compared between the two groups.Results There was no significant difference in the recurrence rate of AF between the two groups at 3,6 and 12 months after surgery(6.2% vs 5.0%,11.1% vs 8.8%,18.5% vs 15%,respectively,P> 0.05).The incidence of postoperative complications in control group and experimental group was 7.4%(6/81) and 10.0%(8/80),respectively,with no statistical significance( P>0.05).Conclusion For patients with paroxysmal AF,pulmonary vein antrum enlarged ablation with cryoballoon on the basis of conventional ablation dose not improve the recurrence rate of patients with AF,and there is no significant difference in safety between the two groups.[Chinese Journal of Cardiac Pacing and Electrophysiology,2024,38(1):27-29]

关 键 词：心血管病学 冷冻球囊消融术 阵发性心房颤动 心房扑动 肺静脉电隔离术 

分 类 号：R541.75[医药卫生—心血管疾病] R454.1[医药卫生—内科学]