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目的对导管射频消融治疗快速心律失常的疗效进行评价。方法 190例的快速心律失常患者通过接受射频消融术治疗术后,在随访的1～48个月中(24±18)个月,术后成功率、术后复发率以及术后并发症都加以记录。结果 190例随访患者,房室结性心动过速(AVNRT)有55例;房室折返性心动过速(AVRT)有104例,左旁道有54例,右旁道有50例;其中显性预激(WPW)有22例,A型8例,B型14例;频发特发性的右心室流出道室早(RVOT-VPC)有9例。射频的消融成功率97.8%,术后复发率2.37%,并发症3.67%。结论通过导管射频消融法治疗快速心律失常的成功率高,复发率低,并发症少,可靠安全,是现行临床治疗快速心律失常较为常用的优异方法。
Objective To evaluate the efficacy of catheter ablation for tachyarrhythmia. Methods A total of 190 patients with tachyarrhythmia received radiofrequency ablation and were followed up for 1 to 48 months (24 ± 18) months. The success rate, recurrence rate and postoperative complications were all increased recording. Results A total of 55 cases of AVNRT were found in 190 patients. AVRT was found in 104 cases, in 54 cases in the left accessory path and in 50 in the right accessory path. Among them, There were 22 cases of WPW, 8 cases of type A and 14 cases of type B. Nine cases had idiopathic right ventricular outflow tract (RVOT-VPC). Radiofrequency ablation success rate of 97.8%, postoperative recurrence rate 2.37%, complications 3.67%. Conclusions The rapid success rate, low recurrence rate, less complications, reliable and safe treatment of tachyarrhythmia by catheter radiofrequency ablation are the most commonly used clinical methods to treat tachyarrhythmias.