心房颤动外科治疗的研究进展

Surgical treatment of atrial fibrillation

心房颤动是常见的心律失常之一,致残率和致死率较高,迷宫Ⅲ型手术是其外科治疗的金标准。以新型能源消融线路替代迷宫Ⅲ型手术"切与缝"线路的迷宫Ⅳ型手术,可降低手术对心脏造成的损伤,获得满意的窦性心律转复率,在临床应用日益广泛。近年来,随着医学技术的进步,改良迷宫手术、微创迷宫手术及杂交迷宫手术也在临床逐渐开展。本文就心房颤动外科治疗的研究进展综述如下。

Atrial fibrillation(AF) is one of the most common arrhythmias, with a high disability and fatality rate. Cox maze Ⅲ surgery is the gold standard for surgical treatment. With the advancement of medical technology, a new energy ablation circuit replaces the "cut and sew" circuit of maze Ⅲ operation, forming a maze Ⅳ operation. Because it can reduce the damage to the heart caused by maze Ⅲ operation, and obtain a satisfactory sinus rhythm conversion rate, it is increasingly widely used in clinical practice. In recent years, the surgical methods of atrial fibrillation have also changed from classic maze surgery to modified maze surgery, minimally invasive maze surgery and hybrid maze surgery. This paper reviews the surgical treatment of atrial fibrillation.