射频消融治疗三尖瓣环游离壁起源室性心律失常的临床效果

Clinical effect of radiofrequency ablation in the treatment of ventricular arrhythmias originating from the tricuspid annulus

目的探讨射频消融治疗三尖瓣环游离壁起源室性心律失常的临床效果。方法选取2019年1月至2020年6月抚顺市中医院收治的60例三尖瓣环游离壁起源室性心律失常患者作为研究对象,采用随机数字表法,分为大弯组(20例)、小弯组(20例)、对照组(20例),大弯组采用“大弯法”导管贴靠治疗方法,小弯组采用“小弯法”导管贴靠治疗方法,对照组采用常规药物治疗。比较大弯组和小弯组的射频消融情况,比较三组患者的诊疗效果。结果大弯组和小弯组的建模时间、X线曝光时间、放电时间、总手术时间及放电次数比较,差异无统计学意义(P>0.05)。三组患者治疗总有效率比较,差异有统计学意义(P<0.05);大弯组、小弯组治疗总有效率均高于对照组,差异有统计学意义(P<0.017);大弯组和小弯组治疗总有效率比较,差异无统计学意义(P>0.05)。结论对三尖瓣环游离壁起源室性心律失常患者行射频消融治疗,能帮助患者缓解、消除心悸等临床症状,且无论是“大弯法”还是“小弯法”导管贴靠治疗,均可帮助患者达到较好的临床疗效,临床应用安全度较高,治疗总有效率高于常规药物治疗,值得推广应用。

Objective To investigate the clinical effect of radiofrequency ablation in the treatment of ventricular arrhythmias originating from the tricuspid annulus.Methods A total of 60 patients with ventricular arrhythmias originating from the tricuspid annulus treated in Fushun Hospital of Traditional Chinese Medicine from January 2019 to June 2020 were selected as the research object.They were randomly divided into the big bend group(20 cases),the small bend group(20 cases)and the control group(20 cases).The big bend group was treated with"big bend method"and the small bend group was treated with"small bend method",the control group was treated with conventional drugs.The radiofrequency ablation effects of the big bend group and the small bend group were compared,and the diagnosis and treatment effects of the three groups were compared.Results There were no stastically significances in modeling time,X-ray exposure time,discharge time,total operation time and discharge times between the big bend group and the small bend group(P>0.05).There were stastically significance of the total effective rates among the three groups(P<0.05).The total effective rates of the big bend group and the small bend group were higher than the control group,the differences were stastically significant(P<0.017).The total effective rates between the big bend group and the small bend group were not stastically significant(P>0.05).Conclusion Radiofrequency ablation for patients with ventricular arrhythmias originating from the tricuspid annulus can help them alleviate and eliminate clinical symptoms such as palpitation,"big bend method"and"small bend method"catheter attachment treatment can help patients achieve better clinical efficacy.The safety of clinical application is high,and the total effective rate is higher than that of conventional drug treatment,which is worthy of popularization and application.