摘要
作者采用射频消融迷宫术治疗心房纤颤20例,其中19例合并风湿性二尖瓣病的患者,同时行瓣膜替换术,1例合并房间隔缺损患者进行修复。射频消融的路线采用小板井嘉夫的手术径路。术后16例恢复窦性心律,占80%,未恢复窦性心律的4例,2例为房颤,1例为房扑,另1例为结性心律。射频消融迷宫术耗时短,仅增加钳闭主动脉时间平均20.5分钟,无术后出血的潜在危险。但术后7~10天之内,有18例出现过房颤、房扑、房速等室上性心律失常,可能由于射频消融不均匀,干扰心房的心电活动所致。
From May.1994 to May .1996, 20 cases of atrial fibrillation were treated by means of Maze procedure by radiofrequenncy ablation, at the same time 19 cases of these patients were complicated with rheumatic heart valve disease and valve replacement operations were perfomned, in the other case atrial septal defect was repaired.Yoshio Kosakai's operation route was adopted in radiofrequency ablation procedure. After operation 16 patients of atrial fibrillation resumed sinus rhythm(80%),in 4 casess of atrial fibrillation sinus rhythm was unsuccessfully restored,two patients remained atrial fibrillation, one patient was of ftrial fruter, the other was of nodal rhythm.Short time was needed in radiofrequency ablation Maze procedure, average time increase of aortic clamping was 20.5 minutes, and there was no danger of hemorrhage related to this kinds of Maze procedure.During 7~10 days after operation, there appeared superventricular arrhythmiawhich might be related to illdistribution of radiofrequencyablation, and interference of atrial electric activity.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1997年第12期719-721,共3页
Chinese Journal of Surgery