| 郭志祥,张成鑫,葛圣林.瓣膜置换同期改良迷宫射频消融术治疗瓣膜性心脏疾病合并房颤的临床效果评价[J].安徽医药,2020,24(4):743-746. |
| 瓣膜置换同期改良迷宫射频消融术治疗瓣膜性心脏疾病合并房颤的临床效果评价 |
| The clinical evaluation of open?heart valve replacement combined with modified Maze radiofrequency ablation in the treatment of valvular heart disease with atrial fibrillation |
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| DOI：10.3969/j.issn.1009?6469.2020.04.027 |
| 中文关键词: 心脏瓣膜疾病/外科学 心房颤动 导管消融术 心脏瓣膜假体植入 心脏瓣膜成形术 |
| 英文关键词: Heart valve diseases/ surgery Atrial fibrillation Catheter ablation Heart valve prosthesis implantation Cardi? ac valve annuloplasty |
| 基金项目:安徽医科大学第一附属医院横向课题项目( 8224)；安徽医科大学校级质量工程项目( 3147)；安徽医科大学校级质量工程项目( 3166)；安徽省省级大学生创新创业计划项目( 201610366095) |
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| 中文摘要: |
| 目的探讨心脏瓣膜置换同期改良迷宫射频消融术治疗瓣膜性心脏疾病合并房颤( atrial fibrillation，AF)的效果。方法2016年 1月至 2018年 12月，安徽医科大学第一附属医院 66例心脏瓣膜病合并房颤的病人接受了心脏瓣膜置换联合双极射频消融术。术前心电图确诊房颤心律，超声心动图确诊为心脏瓣膜疾病。比较病人术前及术后心电图、超声心动图资料。结果无围手术期死亡病人。窦性心律术后即时为 100％(66／66)出院时为 90.9％(60／66)术后六个月时为 84.8％(56／66)。术后病人左房内径( 45.3±4.8)mm、左室内径( 47.3±3.5)mm减小明显(，P＜0.05)，射血分数明显，升高( 60.8±3.1)(P＜0.05)，心功能明显改善( 45/21)(P＜0.05)。结论心脏瓣膜置换同期行改良迷宫射频消融术治疗心脏瓣膜病合并心房颤动安全简便且近期效果满意，值得临床推广。 |
| 英文摘要: |
| Objective To investigate the impact of combined valve replacement and modified Maze radiofrequency ablation on pa?tients with valvular heart disease and atrial fibrillation.Methods FromJanuary 2016 to December 2018，66 patients of valvularheart disease with atrial fibrillation underwent valve replacement combined with modified Maze radiofrequency ablation in The FirstAffiliated Hospital of Anhui Medical University.Preoperative electrocardiogram confirmed atrial fibrillation and transthoracic echo?cardiography showed valvular heart disease.The data of preoperative electrocardiogram and transthoracic echocardiography werecompared with the postoperative ones.Results No perioperative death was found. Sixty?six(100%)patients maintained sinus rhythm immediately after surgery.Sixty(90.9%)patients maintained sinus rhythm at discharge.With 6?month follow?up，fifty?six(84.8%)patients maintained sinus rhythm.After surgery left atrial diameter(LAD) and left ventricular end?diastolic dimension(LVEDD)of the patients decreased significantly(45.3±4.8mm，47.3±3.5mm，respectively；P＜0.05).The ejection fraction(60.8±3.1)and cardiac function of the patients(45/21)were significantly increased(both P＜0.05).Conclusion Open?heart valve re? placement combined with modified Maze radiofrequency ablationhas the advantages of safety，convenience，and affirmative short? term effect，which is worthy of clinical promotion. |
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