摘要
目的分析小儿快速心律失常心电生理检查结果 ,探讨不同心律失常类型及不同年龄对射频导管消融术（RFCA）治疗小儿快速性心律失常效果的影响。方法选取经心电生理学检查确诊为快速性心律失常的患儿102例,依据心电生理学检查的结果,选择不同类型RFCA治疗方法,观察不同心律失常类型及不同年龄对RFCA治疗效果的影响。结果 102例中,房室折返性心动过速（AVRT）58例,房室结折返性心动过速（AVNRT）21例,室性心动过速/室性期前收缩（VT/PVC）16例,局灶性房性心动过速（FAT）5例,心房扑动/切口折返性房性心动过速（AF/IRAT）2例。射频导管消融治疗98例,成功94例。治疗AVRT 56例,成功55例,复发4例;治疗AVNRT 20例全部成功,复发1例;治疗VT/PVC 15例,成功13例,复发1例;治疗FAT 5例,成功4例,复发1例;治疗AF/IRAT 2例,均成功。射频导管消融治疗14例≤3岁患儿中,成功13例,复发1例;治疗27例3～7岁患儿中,成功26例,复发2例;治疗57例〉7岁患儿中,成功55例,复发4例。不同年龄组消融成功率与复发率无统计学差异,但≤3岁患儿消融失败率明显高于其他年龄组。结论射频消融术成功率高,复发率低,可作为小儿快速性心律失常的首选根治方法。
Objective To analyze the ECG physiology examination results of children＇s tachyarrhythmias, and to discuss the influence of different types and ages on the curative effects of radiofrequency catheter ablation（RFCA） on tachyarrhythmias. Methods 102 children who were diagnosed as tachyarrhythmias by ECG physiology examination were selected. According to the examination results, RFCA treatment methods were chosen for different types of tachyarrhythmias. Observation was made in the influence of different types and ages on the curative effects of RFCA. Results Among the 102 cases, there were 58 ones of atrioventricular reentrant tachycardia （AVRT）, 21 ones of atrioventricular nodal reentrant tachycardia （AVNRT）, 16 cases of ventricular tachycardia/ premature ventricualr contraction（VT/PVC）, 5 ones of focal atrial tachycardia （FAT）, and 2 ones of atrial flutter/incision reentrant atrial tachycardia （AF/IRAT）. RFCA treated 98 cases and was successful in 94 ones. Fifty six AVRT cases were treated by RFCA, and 55 ones were successful. Four cases had recurrence. Twenty AVNRT cases were treated by RFCA and all successful. Only one case had recurrence. Fifteen VT/PVC cases were treated, and 13 ones were successful. One case had recurrence. Five FAT cases were treated, and 4 cases were successful. One case had recurrence. Two AF/IRAT cases were treated and both successful. Among the 14 children ≤ 3 years old who were treated by RFCA, 13 cases were successful, and 1 case had recurrence. Among the 27 children aged between 3 to 7 years old, 26 cases were successful, and 2 ones had recurrence. Among the 57 children 〉7 years old, 55 cases were successful, and 4 ones had recurrence. There was no significant difference in the success rates and recurrence rates among the groups of different ages, but the ablation failure rate in children ≤3 years old was significantly higher than the other groups of different ages. Conclusion Radiofrequency ablation has a high success rate and low recurrence rate, whic
出处
《西南国防医药》
CAS
2015年第8期856-859,共4页
Medical Journal of National Defending Forces in Southwest China
关键词
心律失常
心电生理学
射频消融术
疗效
小儿
arrhythmias
ECG physiology
radiofrequency ablation
curative effect
children
