永久起搏电极植入途径及起搏类型的探讨

Discussion on methods of electronode implation and types of pacemakers

目的 :评价起搏电极的植入途径及永久起搏器的类型。方法 :选择 1 987～ 1 999年安置的 80例永久起搏器患者。结果 :经颈外静脉植入电极 6例 ,手术时间为 2 56± 75分 ;经头静脉植入电极 48例 ,手术时间为 2 4 7± 65分 (P >0 0 5) ;经锁骨下静脉途径植入电极 2 6例 ,手术时间为 1 1 8± 35分 (P均 <0 0 1 )。其中 ,AAI型 3例 (4% ) ,DDD型 5例 (6 % ) ,VVI型 72例 (90 % )。结论 :经锁骨下静脉植入起搏电极 ,方法简单 ,组织损伤小 ,手术时间短 ,优于其它途径。

Objective:To evaluate methods of electronode implation and types of pacemakers.Methods:Eighty patients with permanent pacemakers were chosen from 1987 to 1999.Results:Six patients with permanent pacemakers were implanted via the jugular extra,operation time was 256±75 min;48 patients,via the cephalic vein,operation time was 247±65 min (P>0 05);26 patients,via the subclavian vein,operation time was 118±35 min (P all<0 01).AAI 2 cases (4%),DDD 5 cases (6%),VVI 72 cases (90%).Conclusions:The method of permanent pacemaker implation via the subclavian vein is simpler,less injured,and its operation time is shorter than other methods.VVI is still an essential type of permanent pacemaker in our country.