心内直视手术同期双极射频改良迷宫术治疗房颤的中远期临床疗效研究
发布时间：2018-10-05 09:21
【摘要】：目的:回顾性分析在我院行心内直视术同期双极射频改良迷宫术治疗房颤的患者的中远期临床疗效。方法:选取2012年至2014年所有在我院行心内直视手术和双极射频改良迷宫术治疗房颤的患者资料,用查询病案、电话、门诊随访等方法搜集患者住院期间以及出院后的心电图、心脏彩超等检查结果,了解术后恢复情况及生活质量,根据结果分析该手术方法的中远期临床疗效。结果:随访时间从2.5月至26.8月不等,平均随访13.4±6.35个月。总共64例中失访9例,随访率为85.94%。从心电图结果统计得到的资料显示CCU、出院前、术后3月、至今最近一次检查结果的房颤转复率分别为81.25%(52/64),50.00%(32/64),66.13%(41/62),72.72%(40/55)。术前、术后、术后3月、最近一次检查的心脏超声结果显示左房内径为57.10±7.27mm,49.24±8.27mm,44.07±5.41mm,43.71±6.18mm。术前NYHA心功能分布:I-II级1例,II级19例,III级40例,IV级4例,最近一次随访结果显示的心功能分布:I-II级48例,II级5例,III级2例。围术期死亡率为0,在访所有患者至今均无死亡及心脑血管意外发生。结论:我院行双极射频改良迷宫术治疗房颤,术后中远期临床疗效良好,安全性好,值得在临床上推广。
[Abstract]:Objective: to retrospectively analyze the mid-and long-term clinical effects of bipolar radiofrequency modified maze in the treatment of atrial fibrillation. Methods: from 2012 to 2014, all patients undergoing open heart surgery and bipolar radiofrequency modified maze for atrial fibrillation were selected. Electrocardiogram (ECG) of the patients during hospitalization and after discharge were collected by consulting medical records, telephone, outpatient follow-up and so on. The results of color Doppler echocardiography were used to understand the recovery and quality of life after operation, and to analyze the mid-and long-term clinical effect of the method. Results: the follow-up time ranged from 2.5 months to 26.8 months, with an average follow-up of 13.4 卤6.35 months. The follow-up rate was 85.94. The electrocardiographic data showed that the conversion rate of atrial fibrillation was 81.25% (52 / 64) 50.00% (32 / 64) 66.13% (41 / 62) and 72.72% (40 / 55) respectively. Before and three months after operation, the results of the latest echocardiography showed that the diameter of left atrium was 49.24 卤8.27 mm and 44.07 卤5.41 mm / 43.71 卤6.18 mm. Preoperative distribution of cardiac function in NYHA was 1 case, 1 case, grade II, 19 cases, grade III, 40 cases, grade IV, 4 cases, and the most recent follow-up showed that the distribution of cardiac function in 48 cases of grade 1, I II, grade II, and grade II, was 5 cases, grade III, 2 cases. The perioperative mortality rate was 0 and no cardiac and cerebrovascular accidents occurred in all the patients. Conclusion: Bipolar radiofrequency modified labyrinth is an effective and safe method for the treatment of atrial fibrillation.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R654.2
本文编号：2252847
[Abstract]:Objective: to retrospectively analyze the mid-and long-term clinical effects of bipolar radiofrequency modified maze in the treatment of atrial fibrillation. Methods: from 2012 to 2014, all patients undergoing open heart surgery and bipolar radiofrequency modified maze for atrial fibrillation were selected. Electrocardiogram (ECG) of the patients during hospitalization and after discharge were collected by consulting medical records, telephone, outpatient follow-up and so on. The results of color Doppler echocardiography were used to understand the recovery and quality of life after operation, and to analyze the mid-and long-term clinical effect of the method. Results: the follow-up time ranged from 2.5 months to 26.8 months, with an average follow-up of 13.4 卤6.35 months. The follow-up rate was 85.94. The electrocardiographic data showed that the conversion rate of atrial fibrillation was 81.25% (52 / 64) 50.00% (32 / 64) 66.13% (41 / 62) and 72.72% (40 / 55) respectively. Before and three months after operation, the results of the latest echocardiography showed that the diameter of left atrium was 49.24 卤8.27 mm and 44.07 卤5.41 mm / 43.71 卤6.18 mm. Preoperative distribution of cardiac function in NYHA was 1 case, 1 case, grade II, 19 cases, grade III, 40 cases, grade IV, 4 cases, and the most recent follow-up showed that the distribution of cardiac function in 48 cases of grade 1, I II, grade II, and grade II, was 5 cases, grade III, 2 cases. The perioperative mortality rate was 0 and no cardiac and cerebrovascular accidents occurred in all the patients. Conclusion: Bipolar radiofrequency modified labyrinth is an effective and safe method for the treatment of atrial fibrillation.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R654.2
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