| 多房室旁路的导管射频消蚀治疗 |
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| 引用本文： | 高连君,杨延宗.多房室旁路的导管射频消蚀治疗[J].中华心血管病杂志,1996,24(3):205-209. |
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| 作者姓名： | 高连君 杨延宗 |
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| 作者单位： | 大连医科大学附属第一医院心血管内科 |
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| 摘 要： | 本研究旨在对多房室旁路的术前判断、电生理特点及射频消蚀方法进行探讨。预激综合征伴房室折返性心动过速的多房室旁路患者共１５例，其中平时心电图有预激波１０例，心电图正常５例。只有７例为术前判断或怀疑有多旁路存在。采用先逐条消蚀显性旁路，之后在心室刺激下逐条消蚀隐匿性旁路的方法进行射频消蚀治疗。结果证实，本组共３１条旁路，其中双旁路１４例，三旁路１例。旁路组合以同侧、同性（指显性或隐匿性）多见。射频消蚀均成功地阻断了全部旁路，成功率１００％。本研究表明，多数多房室旁路是在心内电生理检查及射频消蚀术中发现，但详细的术前资料分析亦能发现有某些线索存在。采用“剥笋法”逐条消蚀房室旁路是避免遗漏旁路的可靠方法。
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| 关 键 词： | 心动过速，室上性 导管消融术 |
Radiofrequencycatheterablationofmultipleatrioventricularacesarypathways |
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| GaoLianjun,YangYanzong,ZhangShulong,et al..Radiofrequencycatheterablationofmultipleatrioventricularacesarypathways[J].Chinese Journal of Cardiology,1996,24(3):205-209. |
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| Authors: | GaoLianjun YangYanzong ZhangShulong |
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| Affiliation: | GaoLianjun,YangYanzong,ZhangShulong,etal.FirstAffiliatedHospital,DalianMedicalUniversity,Dalian116011 |
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| Abstract: | Thepurposeofthispaperistodiscusthepreprocedurediagnosis,thecharacteristicsofelectrophysiologyandthemethodofablationofmultipleatrioventricularaccessarypathways(APs).Materialandmethods:Fifteenpatients(malein11,femalein4)wereincluded.ThesurfaceECGshowedmanifestedprexcitationsyndromein10,concealedpreexcitationsyndromein5.ThemanifestedAPswereablatedonebyone,andthentheconcealedAPs.Results:Therewere31APsinalthesepatients(doubleAPsin14,tripleAPsin1).MostofthesecombinedAPsweresimilarinfeaturesandatthesameside.AloftheseAPsweresuccessfulyablatedwithoutcomplicationscocurred.TherewerenorecurenceofPSVTanddeltawaveofECGduringthefolow-upof2 12months.Conclusions:Radiofrequencycatheterablationwassafeandefectivetopatientswithatri-oventricularreentrytachycardiacausedbymultipleatrioventricularaccessarypathways.MostofthesemultipleAPscouldbefoundduringtheelectrophysiologystudyandradiofrequencycatheterab-lation.ThesurfaceECGcouldgivesomehintsofmultipleAPsbeforetheprocedure. |
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| Keywords: | tachycardia supraventricularcatheterablation |
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