射频消融治疗室上速162例临床疗效观察

Clinical Observation of Radiofrequency Catheter Ablation for 162 Cases with Supraventricular tachycardia

目的:探讨与分析射频消融治疗室上速的临床疗效。方法:选择2009年7月至2011年7月来我院就诊的阵发性室上性心动过速患者162例为研究对象,对其予以射频消融治疗,将临床疗效进行回顾性分析。结果:①162例阵发性室上性心动过速患者,成功消融157例,占96.91%。房室旁道共83例,成功79例,占95.18%。房室结折返性心动过速79例,均成功消融,成功率为100%。②cTnI术后的浓度与术前相比,P<0.05。③射频消融治疗后患者的GH、RP、PF、SF、RE、MH、VT及BP等各方面与术前相比,P<0.05。④本组共发生7例并发症,占4.32%,复发2例,占1.23%。结论:射频消融是治疗室上速的安全有效方法,并发症与复发率跟生理类型、解剖特点、消融靶点的位置相关。

Objective： To discuss and analyses the clinical effects of radiofrequency ablation in supraventrieular tachycardia treatment. Method： 162 paroxysmal supraventficular tachycardia cases were se- lected as the object of study,patients were treated with radiofrequency ablation,retrospectively analyzed the clinical efficacy of patients. Result： （1）162 paroxysmal supraventricular tachycardia patients with successful ablation in 157 cases, accounting for 96.91%. Total atrioventricular accessory pathway was 83 cases, and 79 cases were success, successful rate was 95.18%. All 79 atrioventricular node reentrant tachycardia patients with success heartbeat, the successful rate was 100%. （2）cTnI postoperative concentrations compared with before operation,the results has statistical significance （ P〈0.05 ）. （3）patients＇ GH, RP, PF, SF, RE, MH, VT and BP after radiofrequeney ablation therapy were significantly different with before operation （ P〈 0.05 ）. （4）7 cascs of complications, accounting for 4.32% , 2 cases of recurrence,about 1.23%. Conclusion： Radiofrequency ablation is a safe and effective method for the supraventricular tachycardia treatment, complications and recurrence rate are related with physiological, anatomical characteristics, types of the ablation target oosition.