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手术直视射频消融治疗房颤的疗效及影响因素的研究

, PP. 496-499

Keywords: 心房纤颤,手术直视射频消融术,疗效

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Abstract:

目的观察手术直视射频消融术后的疗效,并探讨影响因素。方法分析46例手术直视房颤射频消融术患者临床资料并随访3个月,术后及随访期间复查心电图,了解手术直视射频消融术的疗效。结果46例中术毕为窦性心律32例,房颤心率8例,房扑心率2例,死亡4例。随访3个月后,29例为窦性心律,10例仍为房颤心率,3例为房扑心率。总治愈率63.04%(29/46)。患者术后房颤复发和死亡的主要原因为年龄较大、房颤病史过长、左房过大、术后未及时应用抗心律失常药物。结论术前选择年龄相对较小、房颤病史短、左房内径较小的患者,术后及时应用抗心律失常药物,可提高手术直视射频消融术的成功率。

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