心房颤动外科手术的发展与评价

随着电生理学对房颤机制的深入研究和新型标测技术消融能源的发展,房颤的外科治疗不断取得新的突破.由Cox迷宫手术的复杂术式逐渐向左迷宫、放射迷宫衍变.减少创伤提高治愈率,成为房颤外科治疗不断追求的新目标.本文概述了房颤外科治疗的各种术式设计原理和房颤根治术新消融技术的应用及其疗效评价.

Surgical intervention of atrial fibrillation: a review of development

With the in-depth research on the electrophysiological mechanism of atrial fibrillation(AF) and development of new mapping and ablation techniques, breakthroughs were frequently achieved in the surgical intervention for atrial fibrillation. From the complex Cox maze procedure to the left atrial maze procedure and radial maze procedure, the high successful rate and elimination of trauma have become the objective in the surgical intervention of atrial fibrillation. In this review we summarized the principle of all kinds of surgical procedures for atrial fibrillation and the application of new ablation technique for radical cure of AF and the effectiveness evaluation of these treatments.