右室流出道频发室性早搏射频消融治疗的临床疗效观察

刘增长; 殷跃辉; 佘强; 罗开良

doi:10.13406/j.cnki.cyxb.2003.06.040

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右室流出道频发室性早搏射频消融治疗的临床疗效观察

更新时间：2024-01-17

- 右室流出道频发室性早搏射频消融治疗的临床疗效观察
- Clinical observation on effects of radiofrequency ablation on frequent ventricular premature beats originating from the right ventricular outflow tract
- 重庆医科大学学报 2003年第6期页码：810-811
- 作者机构：
  
  1. 重庆医科大学第二临床学院心血管内科
  2. 重庆医科大学第二临床学院心血管内科,重庆,400010
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2003.06.040
  中图分类号： R541.7
- 纸质出版日期：2003，
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[1]刘增长,殷跃辉,佘强,罗开良.右室流出道频发室性早搏射频消融治疗的临床疗效观察[J].重庆医科大学学报,2003(06):810-811.

LIU Zengzhang, et al. Clinical observation on effects of radiofrequency ablation on frequent ventricular premature beats originating from the right ventricular outflow tract[J]. Journal of Chongqing Medical University, 2003,(6):810-811.
[1]刘增长,殷跃辉,佘强,罗开良.右室流出道频发室性早搏射频消融治疗的临床疗效观察[J].重庆医科大学学报,2003(06):810-811. DOI： 10.13406/j.cnki.cyxb.2003.06.040.

LIU Zengzhang, et al. Clinical observation on effects of radiofrequency ablation on frequent ventricular premature beats originating from the right ventricular outflow tract[J]. Journal of Chongqing Medical University, 2003,(6):810-811. DOI： 10.13406/j.cnki.cyxb.2003.06.040.

摘要

目的 :观察导管射频消融治疗右室流出道频发室性早搏（简称室早）的疗效及安全性。方法 :选择右室流出道频发室早患者 32例

随机分为常规标测组（16例）和冠状窦电极标测组（16例）

按常规方法进行射频消融

平均随访 2 2± 14月

观察射频消融的即刻和远期成功率及安全性和临床症状改善情况

并比较常规标测组与冠状窦电极标测组标测时间。结果 :①射频消融即刻和远期成功率分别为 10 0 %、93.8%

无 1例发生并发症 ;成功术后

由室早引起的症状消失。②冠状窦电极标测组标测时间明显少于常规标测组。结论 :右室流出道频发室早射频消融治疗成功率和安全性高 ;灵活应用常规导管引导标测可明显减少标测时间

亦即明显减少X射线的辐射能量。

Abstract

Objective:To investigate effects and reliability of catheter radiofrequency ablation of frequent ventricular premature beats(VPBs) originating from the right ventricular outflow tract(RVOT).Methods:32 patients with frequent VPBs originating from RVOT were randomly divided into conventional mapping group(16 patients) and coronary sinus electrode mapping group(16 patients).They were ablated with conventional metheds.During follow-up 22±14 months

radiofrequency ablation short-term successful rate and long-term successful rate

reliability

and the clinical symptoms were recorded.Mapping duration was compared between conventional mapping group and coronary sinus electrode mapping group.Results:(1)Radiofrequency ablation short-term successful and long-term successful rate were 100%

93.8% respectively.No complications occurred.The clinical symptoms caused by VPBs disappeared after successful ablation.(2)Mapping duration of coronary sinus electrode mapping group was shorter than that of conventional mapping group.Conclusion:Successful rate and reliability of radiofrequency ablation of VPBs originating from RVOT were higher.Mapping duration was decreased by smart application of conventional catheter

in other words

X-ray radiation energy was decreased.

关键词

射频消融频发室性早搏右室流出道

Keywords

radiofrequency ablationFrequent ventricular prematureRight ventricular outflow tract

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