岭南现代临床外科2025，Vol.25Issue(5)：312-317,6.DOI:10.3969/j.issn.1009-976X.2025.05.005
心脏瓣膜置换术同期双房双极射频消融治疗心脏瓣膜病并发心房颤动的效果及对超声心动图参数的影响
Effect of simultaneous bi-atrial bipolar radiofrequency ablation during heart valve replacement in the treatment of valvular heart disease complicated with atrial fibrillation and the impact on echocardiographic parameters
翟少峰 1王永生 1安卓翌1
作者信息
- 1. 河南科技大学第一附属医院心血管外科,河南 洛阳 471003
- 折叠
摘要
Abstract
Objective To compare the effects of simultaneous bi-atrialbipolar radiofrequency ablation and simultaneous unipolar radiofrequency ablation during heart valve replacement in the treatment of patients with valvular heart disease complicated with atrial fibrillation,and the impact on echocardio-graphic parameters.Methods Using random number table method,90 patients with valvular heart dis-ease complicated with atrial fibrillation who were scheduled to undergo surgical treatment in the hospital from February 2022 to January 2025 were assigned to the bipolar group and the unipolar group,with 45 cases in each group.Both groups underwent heart valve replacement,and bi-atrial bipolar radiofrequency ablation and unipolar radiofrequency ablation were performed in the same period,respectively.The situation of sinus rhythm conversion at different time points after surgery was compared between the two groups.Echocardiographic parameters[left atrial diameter(LAD),left ventricular ejection fraction(LVEF),left ventricular fractional shortening(LVFS)and right atrial diameter(RAD)]of the two groups before surgery and at 3 months after surgery were compared.Postoperative complications observed in the two groups were recorded.Results The ablation time in the monopolar group was shorter than that in the bipolar group(P<0.05);the sinus rhythm conversion rate in the bipolar group was higher than that in the monopolar group at 1 and 3 months post-operation(both P<0.05);at 3 months post-operation,there was no statistically significant difference in left ventricular fractional shortening(LVFS)between the two groups(P>0.05);the bipolar group had lower left atrial diameter(LAD)and right atrial diameter(RAD)than the monopolar group,and higher left ventricular ejection fraction(LVEF)than the monopolar group(all P<0.05);the postoperative complication rate in the bipolar group was lower than that in the monopolar group(P<0.05).Conclusion Concomitant biatrial bipolar radiofrequency ablation during cardiac valve replacement surgery can significantly improve cardiac function in patients with valvular heart disease combined with atrial fibrillation,reduce postoperative complications,and increase the postoperative sinus rhythm conversion rate.关键词
心脏瓣膜病/心脏瓣膜置换术/双房双极射频消融/心房颤动/超声心动图Key words
valvular heart disease/heart valve replacement/bi-atrial bipolar radiofrequency abla-tion/atrial fibrillation/echocardiogram分类
临床医学引用本文复制引用
翟少峰,王永生,安卓翌..心脏瓣膜置换术同期双房双极射频消融治疗心脏瓣膜病并发心房颤动的效果及对超声心动图参数的影响[J].岭南现代临床外科,2025,25(5):312-317,6.
