摘要
目的:总结分析经导管射频消融(RFCA)治疗快速型心律失常的效果及并发症,以进一步指导临床治疗。方法:对我院行RFCA治疗快速型心律失常1 268例的临床资料进行回顾性分析。结果:本组1 268例中,房室折返性心动过速682例,房室结折返性心动过速453例,室性心动过速和室性期前收缩62例,房性心动过速18例,心房扑动17例,心房颤动36例。RFCA总成功率为97.5%,并发症发生率为0.79%。术中出现一过性房室传导阻滞10例,其中2例因并发永久性Ⅲ度房室传导阻滞予安置永久性心脏起搏器,发生心包填塞、气胸、下肢动脉栓塞及深静脉血栓形成各1例;术后发生假性动脉瘤1例。均经相应处理后治愈,未出现瓣膜损伤、感染等并发症,无与RFCA相关的死亡病例。结论:RFCA治疗快速型心律失常具有安全、有效、成功率高、并发症发生率低等优点,如术前认真准备、术中仔细操作、术后细心观察可提高手术的成功率,减少并发症的发生。
Objective ：To analyze the clinical therapeutic experience and incidence rate of complications of radiofrequency catheter ablation（ RFCA）and provide guidelines for further clinical work. Methods：The clinical efficacy of RFCA for 1 268 patients with tachyarrhythmia was retrospectively analyzed in our hospital. Results： There were 682 cases of atrioventricular reentrant taehycardias （ AVRT）, 453 cases of atrioventrieulax nodal reentrant tachyeaxdia（AVNRT）. In addition, there were 62 cases of ventricular tachyaxrhythmia, 18 cases of atrial taehycardia（ AT）, 17 cases of atrial flutter（AFL） and 36 cases of atrial fibrillation（AF）. The overall success rate was 97.5%. Incidence rate of complications was 0. 79% （ 10/1 268）. In 10 cases,during the procedure there were 1 case of contemporary atrioventricular block,2 cases with Ⅲ degree atrialventriculax block after RFCA implanted with permanent cardiac pacemakers, 1 with PT, 1 with PX, 1 with artery embolism, 1 with venous embolization and 1 with postoperative FA. All cases were cured without valve damage, infections, complications and RFCA associated deaths. Conelusion：RFCA can be performed effectively and safely in patients with tachyarrhythmia, with lower rate of complications and higher rate of success, if well-prepared, carefully performed and closely observed after operation.
出处
《临床误诊误治》
2008年第12期1-3,共3页
Clinical Misdiagnosis & Mistherapy
关键词
导管消融术
心动过速
手术后并发症
Catheter ablation, radiofrequency
Taehyarrhythmia
Postoperative complications
