彭景添,Michel Haissaguerre,Pierre Jais,Dipen C shah,Meleze Hocini

• 1:江西医学院第一附属医院心内科!330006
• 2:Hopital cardiologique du Haut-leveque
• 3:Hopital cardiologique du Haut-leveque
• 4:Hopital cardiologique du Haut-leveque

摘要(Abstract)：

目的对比普遍与灌注冷却射频消融电极在Ⅰ型心房扑动（ＣＡＦＬ）消融中的作用。方法６０例ＣＡＦＬ患者随机分为两组：普通射频消融电极治疗组（ＣＲＦ）和灌注冷却射频消融电极治疗组（ＩＲＦ），分别比较两组取得下腔静脉与三尖瓣环峡部双向阻滞的手术时间、Ｘ线照射时间、射频消融放电次数及放电时间、并观察消融时电能、阻抗以及温度的改变。结果ＩＲＦ组的手术时间、Ｘ线照射时间、射频消融时间均较ＣＢＦ组短（Ｐ＜０．０１），放电次数也少（Ｐ＜０．０５），ＩＲＦ组消融过程中阻抗变化小、电能稳定，温度差异不明显，而ＣＲＦ组则相反，且有１９例出现碳化现象，两组痛感差异无显著性，均无心包填塞、栓塞等并发症。结论灌注冷却射频消融电极在ＣＡＦＬ消融中优越于普通射频消融电极。

关键词(KeyWords)： 灌注冷却电极;射频消融;心房扑动

Abstract:

Keywords:

基金项目(Foundation): 国家留学基金管理委员会资助

作者(Author): 彭景添,Michel Haissaguerre,Pierre Jais,Dipen C shah,Meleze Hocini

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