摘要
目的:研究右心室间隔部起搏的安全性。方法:35例需起搏器植入的患者,随机分组,分别采用VVI或DDD起搏模式,其中17例行右心室间隔部位起搏(RVS组),18例行右心室心尖部起搏(RVA组),比较研究不同起搏部位的右心室电极在术中、术后1个月、术后3个月的电压阈值、阻抗、感知的差异,以及手术中右心室电极到位后所需的X线曝光时间的差异。并且通过超声心动图比较两组在术后3个月心功能参数的差异。结果:17例患者利用螺旋电极均成功地进行了右心室间隔部(RVS)的电极固定,未发生并发症;18例患者使用被动电极行右室心尖部(RVA)的电极植入,发生1例电极脱位,重新植入后随访3月起搏功能正常。右心室间隔部起搏时心室电极的电压阈值、阻抗和感知在术中、术后1个月、3个月与右室心尖部起搏比较没有显著性差异。术中电极到位的X线曝光时间也无明显差异。结论:与常规的右心室心尖部起搏比较,右心室间隔部起搏同样安全,操作简单易行。
Objective： To investigate the safety of fight ventricular septal pacing. Methods： Thirty-five patients were randomly divided into two group, 17 of which received right ventricular septal pacing（RVS group）, while 18 patients received right ventricular apex pacing （.RVA）. Results： All the patients came through the operation without serious complications.The threshold,impedance, sensitivity were measured during implantation, 1 month,3 months postimplantation and the time of X-ray exposure was observed during operation .There were no differences between the two groups. Conclusion：Compared with right ventricular apex pacing, right ventricular septal pacing is clinically feasible and safe.
出处
《南京医科大学学报（自然科学版）》
CAS
CSCD
北大核心
2006年第9期806-808,共3页
Journal of Nanjing Medical University(Natural Sciences)
关键词
心脏
起搏
螺旋电极
cardiac
pacing
screwed electrode
