| 摘要: |
| ［摘要］ 目的 探讨瓣膜置换同期双极消融治疗心房纤颤（AF）的短期疗效。 方法 对14例瓣膜置换同期双极消融治疗心房纤颤的患者进行回顾性分析，观察其早期治疗效果。 结果 全组患者术前房颤时间（28.6±13.5）个月，转机时间（88.7±10.4）min，主动脉阻断时间（41.7±8.2）min，无围手术期死亡，患者出院时全部恢复窦性心律，无一例安置永久起搏器，随访3～6（4.7±1.2）个月，13例保持窦性心律，晚期死亡1例。结论 心脏瓣膜置换手术同期行双极射频消融术与传统的Cox迷宫治疗AF相比，能简化手术操作并缩短主动脉阻断时间，是一种简便、安全、有效的治疗方法，值得在临床推广应用。 |
| 关键词: 瓣膜置换 心房纤颤 双极射频消融术 |
| DOI：10.3969/j.issn.1674-3806.2011.03.08 |
| 分类号:R 541.7 |
| 基金项目: |
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| Short-term results of clinic treatment of atrial fibrillation association with valve disease by bipolar radiofrequency ablation |
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LIANG Sheng-jing,LIN Hui,LI Xiang-wei,et al.
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Department of Thoracic Surgery, the People′s Hospital of Guangxi Autonomous Region, Nanning 530021,China
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| Abstract: |
| ［Abstract］ Objective To observe the short-term results of patients who underwent valve replacement operation combined with bipolar radiofrequency ablation (RFA) modified Cox-Maze procedure.Methods From October 2009 to March 2010, 14 consecutive patients underwent valve replace operation combined with a modified Cox-Maze procedure with bipolar radiofrequency ablation for AF; the short-term results were analyzed retrospectively.Results The mean preoperative AF duration was （28.6±13.5）months.The mean perfusion and cross-clamp times were （88.7±10.4）min and （41.7±8.2） min, respectively.No preoperative death.No patient required implantation of a permanent pacemaker.During discharge, all patients were in sinus rhythm.Patients were followed up for a mean duration of （4.7±1.2）months (range: 3～6 months). During follow-up period, 13 patients (93.4%) remained in sinus rhythm,late death occurred in one patient.Conclusion Valve replace operation combined with bipolar radiofrequency ablation (RFA) modified cox maze procedure is a safe and efficient method to patients with valvular disease of the heart and atrial fibrillation. The use of bipolar RF energy significantly decreased cross-clamp times and simplified the procedure compared to the traditional Cox-Maze procedure, potentially increasing utilization of the procedure among cardiac surgeons. |
| Key words: Valve replace Atrial fibrillation Bipolar radiofrequency ablation |
