心内直视房颤射频消融术前危险因素与术后转律关系

目的探索心内直视房颤射频消融术前危险因素与术后转律之间的关系。方法随机选取2008年6月至2011年6月期间在我院就诊的64例风湿性心脏病合并永久性房颤同期行瓣膜置换术加房颤射频消融术的患者,对这64例患者进行术后随访,来统计患者在术后病情能否转为窦性心律情况,分析手术成功情况。术后随访时间必须大于半年。结果在术后随访的过程中共有47例患者的病情最终变为窦性心律,即73.4%的患者手术成功。结论对慢性房颤患者的治疗,瓣膜置换术同期行房颤射频消融术是极有效的。房颤双极射频消融成功率会因患者病情的不同程度结果也不同。

Objective To explore the open heart atrial fibrillation before radiofrequency ablation of the relationship between the risk factors associated with postoperative cardioversion. Method randomly selected from the period June 2008 to June 2011 in our hospital,64 cases of rheumatic heart disease plus atrial fibrillation in patients with radiofrequency ablation combined with permanent AF underwent valve replacement surgery,these 64 patients postoperative follow - up, statistical ability to sinus rhythm, patients in the postoperative condition analysis of surgical success. The postoperative follow - up time must be greater than six months. Results A total of 47 patients the disease eventually becomes sinus rhythm in the postoperative follow -up process,that is,73.4% of patients with successful surgery. Conclusion The treatment of patients with chronic atrial fibrillation, valve replacement surgery concomitant atrial fibrillation radiofrequency ablation is highly effective. The atrial fibrillation bipolar radiofrequency ablation success rate have different results due to the different degrees of the patient＇s condition.