射频消融对房室结折返性心动过速的临床治疗价值分析(1)
[摘要] 目的 探討对房室结折返性心动过速患者选择射频消融方法治疗后获得的临床效果。方法 方便选择该院2018年3—11月收治的90例房室结折返性心动过速患者作为实验对象;依据常规对患者展开冠状静脉窦造影、常规心内电生理检查以及Koch三角测量，并且配合腔内电图对最佳消融靶点进行充分明确，利用温度控制方式于临床合理展开摄片消融治疗。结果 对于该次研究收治的90例房室结折返性心动过速患者，成功完成手术治疗患者89例(98.89%)，表现出并发症患者1例(1.11%);患者平均X线曝光时间为(13.39±10.25)min;平均手术时间为(35.59±10.25)min;平均放电部位更换次数为(2.49±1.25)次;平均放电次数为(2.49±1.49)次。结论 房室结折返性心动过速患者在接受治疗期间，射频消融术的有效应用，呈现出安全性显著、有效性显著以及成功率显著的特点，在手术过程中对患者实施Koch三角测量以及冠状静脉窦造影检查，对于并发症的出现可以有效减少，在配合腔内电图的条件下，可以使得消融成功率获得显著性提升。
[关键词] 射频消融;房室结折返性心动过速;临床效果
, http://www.100md.com
[中图分类号] R541 [文献标识码] A [文章编号] 1674-0742(2019)09(b)-0061-03
Clinical Value of Radiofrequency Ablation for Atrioventricular Nodal Reentry Tachycardia
ZHANG Min
Department of Cardiology， the Second People's Hospital of Qujing， Qujing， Yunnan Province， 655000 China
[Abstract] Objective To investigate the clinical effects of radiofrequency ablation in patients with atrioventricular nodal reentry tachycardia. Methods 90 patients with atrioventricular nodal reentry tachycardia admitted to our hospital from March to November 2018 were convenient selected as subjects. Coronary sinus angiography， conventional intracardiac electrophysiological examination and Koch triangle were performed according to routine. The measurement and the intracavitary electrogram are used to fully define the optimal ablation target， and the temperature control method is used to develop the clinical ablation treatment. Results Of the 90 patients with atrioventricular nodal reentry tachycardia admitted to the study， 89 patients(98.89%) were successfully treated with surgery， and 1 patients(1.11%) were complication patients. The average X-ray exposure time of patients (13.39±10.25) min; the average operation time was (35.59±10.25) min; the average number of discharge sites was (2.49±1.25) times; the average number of discharges was (2.49±1.49) times. Conclusion The effective application of radiofrequency ablation during the treatment of patients with atrioventricular nodal reentry tachycardia presents a significant safety， significant effectiveness， and significant success rate. Koch triangulation is performed on patients during surgery. Coronary sinus angiography can effectively reduce the occurrence of complications， and the ablation success rate can be significantly improved under the condition of intracavitary electrogram.
[Key words] Radiofrequency ablation; Atrioventricular nodal reentry tachycardia; Clinical effect, http://www.100md.com(张敏)
[关键词] 射频消融;房室结折返性心动过速;临床效果
, http://www.100md.com
[中图分类号] R541 [文献标识码] A [文章编号] 1674-0742(2019)09(b)-0061-03
Clinical Value of Radiofrequency Ablation for Atrioventricular Nodal Reentry Tachycardia
ZHANG Min
Department of Cardiology， the Second People's Hospital of Qujing， Qujing， Yunnan Province， 655000 China
[Abstract] Objective To investigate the clinical effects of radiofrequency ablation in patients with atrioventricular nodal reentry tachycardia. Methods 90 patients with atrioventricular nodal reentry tachycardia admitted to our hospital from March to November 2018 were convenient selected as subjects. Coronary sinus angiography， conventional intracardiac electrophysiological examination and Koch triangle were performed according to routine. The measurement and the intracavitary electrogram are used to fully define the optimal ablation target， and the temperature control method is used to develop the clinical ablation treatment. Results Of the 90 patients with atrioventricular nodal reentry tachycardia admitted to the study， 89 patients(98.89%) were successfully treated with surgery， and 1 patients(1.11%) were complication patients. The average X-ray exposure time of patients (13.39±10.25) min; the average operation time was (35.59±10.25) min; the average number of discharge sites was (2.49±1.25) times; the average number of discharges was (2.49±1.49) times. Conclusion The effective application of radiofrequency ablation during the treatment of patients with atrioventricular nodal reentry tachycardia presents a significant safety， significant effectiveness， and significant success rate. Koch triangulation is performed on patients during surgery. Coronary sinus angiography can effectively reduce the occurrence of complications， and the ablation success rate can be significantly improved under the condition of intracavitary electrogram.
[Key words] Radiofrequency ablation; Atrioventricular nodal reentry tachycardia; Clinical effect, http://www.100md.com(张敏)