| 米怀雪,张申.心脏复合手术患者同期行双极射频消融手术治疗房颤的临床疗效[J].济宁医学院学报,2020,43(1):24-26,31 |
| 心脏复合手术患者同期行双极射频消融手术治疗房颤的临床疗效 |
| The clinical efficacy of bipolar radiofrequency ablation for atrial fibrillation in patients undergoing combined cardiac surgery |
| 投稿时间：2019-06-10 |
| DOI：10.3969/j.issn.1000-9760.2020.01.006 |
| 中文关键词: 心脏复合手术;双极房颤射频消融手术;同期手术;临床疗效 |
| 英文关键词: Combined cardiac surgery;Bipolar atrial fibrillation radiofrequency ablation;Simultaneous surgery;Clinical efficacy |
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| 中文摘要: |
| 目的 分析心脏复合手术患者同期行双极射频消融手术治疗房颤的临床疗效。方法 选取2014年12月至2018年9月因冠心病、心脏瓣膜病合并房颤于我院行心脏复合手术（冠脉搭桥术、心脏瓣膜手术）同期行双极房颤射频消融手术患者96例。术后随访12个月。评价围手术期病死率、并发症、术后窦性转复率及心功能指标。结果 所有患者手术均顺利完成，无手术相关性死亡，无心包填塞、低心排综合征、恶性心律失常及感染性休克发生。术后当天、1周、3月、6月、12月窦性心律分别为62例（64.58%）、65例（67.71%）、70例（72.92%）、72例（75.00%）和67（69.79%）。随访中无患者死亡，术后6个月患者心功能指标较术前明显改善（P<0.05）。结论 心脏复合手术患者同期行双极射频消融手术治疗房颤是一种安全、有效的治疗方法，窦性心律转复率高，临床疗效强。 |
| 英文摘要: |
| Objective To summarize the clinical efficacy of bipolar radiofrequency ablation for atrial fibrillation in patients undergoing combined cardiac surgery.Methods From December 2014 to September 2018,96 patients with coronary heart disease,valvular heart disease and atrial fibrillation were underwent combined cardiac surgery(coronary artery bypass surgery,heart valve surgery) and bipolar radiofrequency ablation for atrial fibrillation at the same time.The follow-up time was 12 months.The perioperative mortality,complications,sinus recovery rate and cardiac function were evaluated.Results All the patients were successfully operated.There were no operative-related deaths,no pericardial tamponade,low cardiac output syndrome,malignant arrhythmia and complications of septic shock.Sinus rhythm on the day after operation,1 week after operation,3 months after operation,6 months after operation and 12 months after operation were found in 62 cases(64.58%),65 cases(67.71%),70 cases(72.92%),72 cases(75.00%) and 67 cases(69.79%),respectively.No patients died during follow-up.Cardiac function was significantly improved in 6 months after operation(P<0.05).Conclusion Bipolar radiofrequency ablation was a safe and effective treatment for atrial fibrillation in patients undergoing combined cardiac surgery.It had a high sinus rhythm conversion rate and a good clinical effect. |
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