迷宫手术治疗慢性心房颤动的疗效判定  

Evaluating the Curative Effect of Maze Procedure for Atrial Fbrillation

作　　者：王凯[1] 

机构地区：[1]天津市胸科医院

出　　处：《中国心血管杂志》2002年第6期438-440,共3页Chinese Journal of Cardiovascular Medicine

摘　　要：心房颤动是一种常见的心律失常 ,对心脏功能有明显影响 ,且是脑卒中的主要原因。迷宫手术治疗心房颤动已有 10余年历史 ,美国、日本、以及欧洲的一些国家的医疗中心都已有数百例、甚至上千例的病例报道。但由于该手术比较复杂 ,在国内尚未广泛开展 ,对其疗效亦不甚明了。本文综述了迷宫手术在消除心房颤动 ,恢复窦性心律 ,保持房室同步运动 ,恢复心房收缩功能 ,减少血栓形成和脑栓塞危险等方面的效果 。Atrial fibrillation(AF) is the most common symptom of all sustained cardiac arrhythmiac. It compromises cardiac hemodynamics, promotes varying levels of congestive heart failure, and increases the possibility of thromboembolism in the left atrium and stroke attack. The Maze procedure invented by Cox for curing the AF.A large number of patients have undergone this operation since the first patient underwent the Maze procedure in 1987. The results indicate that the Maze procedure is safe and effective in controlling AF. The ideal ablation for AF should meet five goals. This article summarized these five criteria for evaluating the effect of Maze procedure.

关 键 词：迷宫手术 治疗 慢性心房颤动 疗效判定 

分 类 号：R654.2[医药卫生—外科学]