摘要
目的探讨分析三维标测引导房室结折返性心动过速射频消融的效果及其优势。方法选择在该院进行治疗的房室结折返性心动过速(AVNRT)患者72例,选择时间为2016年5月—2019年5月,将患者随机分为普通组和实验组,普通组行常规治疗,实验组行三维标测引导治疗,比较分析两组患者在不同时间的射线剂量、X线曝光时限、手术时间及手术成功率。结果两组患者放置标测导管的射线剂量、X线曝光时限差异无统计学意义(t=0.400、0.403,P>0.05)。相比较普通组,实验组患者操作消融导管及整个手术过程的射线剂量更少,曝光时限更短,差异有统计学意义(t=16.061、14.826、13.520、10.816,P<0.05)。普通组患者手术时间为(53.17±12.36)min,手术成功率为91.67%(33例);实验组患者手术时间为(39.48±11.91)min,手术成功率为100.00%(36例),两组患者手术时间差异有统计学意义(χ~2=4.785,P<0.05),普通组患者手术成功率虽低于实验组,但差异无统计学意义(χ~2=3.130,P>0.05)。结论通过三维标测射频消融术对房室结折返性心动过速患者进行治疗,可对手术中的射线剂量及曝光时限进行有效降低,对手术时间进行缩短,提高治疗成功率,呈现出显著的治疗效果,具有一定的治疗优势。
Objective To investigate the effect and advantages of three-dimensional mapping for guiding radiofrequency ablation of atri-oventricular nodal reentry tachycardia.Methods A total of 72 patients with atrioventricular nodal reentrant tachycardia(AVNRT)who underwent treatment in our hospital were selected.The selection time was From May 2016 to May 2019.Patients were randomLy di-vided into the general group and the experimental group,the general group was routinely treated,and the experimental group was guided by three-dimensional mapping.The radiation dose,X-ray exposure time,operation time and surgical success rate of the two groups were compared.Results There was statistically no significant difference in the radiation dose and X-ray exposure time limit(formerly dose and time)between the two groupsthe difference wasnot statistically significant(t=0.400,0.403,P>0.05).Compared with the normal group,the experimental group had less radiation dose and shorter exposure time during the operation of the ablation catheter,and the difference was statistically significant(t=16.061,14.826,13.520,10.816,P<0.05,).The operation time of the patients in the general group was(53.17±12.36)min,the success rate was 91.67%(33 cases).The operation time of the experimental group was(39.48±11.91)min,and the success rate was 100.00%(36 cases).There was significant difference in the operation time between the patients the difference was statistically significant(χ~2=4.785,P<0.05).The success rate of the patients in the general group was lower than that in the experimental group,but the difference was not statistically significant(χ~2=3.130,P>0.05).Conclusion The treatment of patients with atrioventricular nodal reentry tachycardia by three-dimensional radiofrequency ablation can effectively re-duce the radiation dose and exposure time during surgery,shorten the operation time and improve the success rate of treatment,showing remarkable results.The therapeutic effect has certain therapeutic advantages.
作者
李文屏
LI Wen-ping(Department of Cardiology,the Second People's Hospital of Qujing,Qujing,Yunnan Province,655000 China)
出处
《世界复合医学》
2020年第1期30-32,共3页
World Journal of Complex Medicine
关键词
射频消融
房室结折返性心动过速
三维标测
Radiofrequency ablation
Atrioventricular nodal reentry tachycardia
Three-dimensional mapping
作者简介
李文屏(1978-),女,云南曲靖人,本科,副主任医师,主要从事心血管内科临床工作。
