文档介绍：RFCA治疗快速性心律失常1 268例临床分析
(作者:___________单位: ___________邮编: ___________)
作者:丁超何振山李俊峡崔俊玉于富军齐书英李洁杨丽
【摘要】目的分析总结经导管射频消融(RFCA)治疗快速性心律失常的疗效,以进一步指导临床工作。方法对我科开展射频消融治疗快速性心律失常16年的工作进行总结,对1 268例患者的治疗结果进行回顾性分析。结果房室折返性心动过速(AVRT) 患者682例,计有旁道691条,其中左侧旁道542例,右侧旁道140例,其中双旁道9例,房室结双径路合并房室旁道12例。房室结折返性心动过速(AVNRT)453例。室性心动过速和室性早搏62例,房性心动过速18例,心房扑动17例,心房颤动36例。%,%。%。 %,其中2例患者并发永久性III°房室传导阻滞而安置永久性心脏起搏器。结论射频消融治疗快速性心律失常安全、有效、成功率高、并发症发生率低。适合于各类人群, 以AVRT和AVNRT的效果最佳。
【关键词】射频消融; 心动过速; 并发症
【Abstract】 Objective To analyze the clinical therapeutic experience of radiofrequency catheter ablation (RFCA) and provide guidelines for further clinical work. Methods The clinical efficacy of RFCA f
or 1 268 patients with tachyarrhythmia was retrospectively analyzed in our hospital for 16 years. Results There were 682 cases of atrioventricular reentrant tachycardias (AVRT) with 691 accessory pathways,including 542 left accessory pathways,140 right accessory pathways,9 doubleaccessory pathways,and 12 accessory pathways itant with dual atrioventricular were 453 cases of atrioventricular nodal reentrant tachycardia (AVNRT).In addition, there were 62 cases of ventricular tachyarrhythmia,18 cases of atrial tachycardia (AT),17 cases of atrial flutter (AFL) and 36 cases of atrial fibrillation (AF).The overall ess rate was %,in which RFCA of supraventricular tachycardias mediated by dual atrioventricular nodes and leftsided accessory pathway had an high ess rate (%),whereas the ess rate of atrial tachyarrhythmias ablation was the lowest. The recurrence rate after RFCA was %(31/1268).The incidence rate plications was % (10/1268).Permanent cardiac pacemakers were implanted in 2 patients with III degree atrialventricular block after RFCA can be performed effectively and safely in patients with tachyarrhythmia,especially in patients with AVRT and AVNRT.

【Key words】 Radiofrequency ablation;plicat