摘要
目的 评价冲洗射频消融改良迷宫Ⅲ手术 (IRFMM)在瓣膜置换手术中治疗心房颤动 (AF)的临床效果。方法 从 2 0 0 3年 12月开始为期 6个月中 ,采用美敦力公司的外科手术射频消融系统 ,在 5例瓣膜置换手术中用IRFMM治疗AF。在 18条迷宫Ⅲ手术切口中 ,5条采用外科手术的“切与缝”技术 ,13条采用冲洗射频消融线取代。结果 5例患者手术后AF全部消除 ,术后随访 1～ 5个月 ,4例维持窦性心律 ,1例为结性心律。结论 冲洗射频消融改良迷宫Ⅲ手术在治疗伴有AF的风湿性瓣膜病的瓣膜置换手术中 ,安全简便而且疗效确切 ,值得推广应用。
Objective To evaluate the outcomes of saline irrigated radiofrequency modified maze Ⅲ procedure (IRFMM) for treating atrial fibrillation with valve replacememt. Methods In 6 months from December 2003, Medtronic Cardioblate TM was used to perform IRFMM for 5 patients with valve replacement and atrial fibrillation (AF). In the modified maze Ⅲ procedure, 5 out of 18 incisions were “cut and suture” technique, 13 left were radiofrequency ablation lines. Results AF was disappeared in all 5 patients. In the 1 to 5 month follow-up, 4 patients remained in sinus rhythm and 1 in node rhythm. Conclusions Saline irrigated radiofrequency modified maze Ⅲ procedure is a safe, simple and effective method for treating AF combined with valve replacement for rheumatic valve diseases.
出处
《现代医学》
2004年第5期300-302,共3页
Modern Medical Journal
