局解手术学杂志2017，Vol.26Issue(10)：738-741,4.DOI:10.11659/jjssx.05E017080
心脏瓣膜病手术同期射频消融治疗房颤的疗效分析
Efficacy analysis of radiofrequency ablation for atrial fibrillation in patients with cardiac valve disease
糜烨东 1张林飞 2单立梅 1郑翔翔 1李芝 1黄陈军 1秦建伟1
作者信息
- 1. 南京医科大学第一附属医院心脏大血管外科,江苏南京210029
- 2. 江阴市人民医院心胸外科,江苏江阴214400
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy and prognosis of bipolar radiofrequency ablation for atrial fibrillation in patients with cardiac valve disease.Methods Sixty patients with atrial fibrillation and valvular heart diseases who merely underwent cardiac valve surgery were selected as the control group,and seventy-five patients who underwent bipolar radiofrequency ablation modified Maze procedure along with concomitant cardiac valve surgery were selected as the observation group.The perioperative technological characteristics and postoperative restoration of sinus rhythm in different time-points of the two groups were retrospectively analyzed.Results There was no significant differences in terms of the surgical pathway and types of replaced cardiac valves (P ＞ 0.05),but the cardiopulmonary bypass time and aortic-cross clamping time of the observation group were significantly longer than those in the control group(P ＞ 0.05).Successful restoration of sinus rhythm in the observation group was significantly higher than that of the control group 3 months,6 months,and 1 year after operation respectively.Conclusion Bipolar radiofrequency ablation modified Maze procedure along with concomitant cardiac valve surgery is clinically effective during the short term for the patients with atrial fibrillation and valvular heart diseases.关键词
心房颤动/射频消融/外科手术/迷宫手术Key words
atrial fibrillation/radiofrequency ablation/surgery/Maze procedure分类
医药卫生引用本文复制引用
糜烨东,张林飞,单立梅,郑翔翔,李芝,黄陈军,秦建伟..心脏瓣膜病手术同期射频消融治疗房颤的疗效分析[J].局解手术学杂志,2017,26(10):738-741,4.
