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題 名 | Long Term Results of Radiofrequency Catheter Ablation in Patients with Wolff-Parkinson-White Syndrome=沃爾夫-巴金森-懷特氏症候群患者經導管電燒術治療--長期結果 |
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作 者 | 陳亦仁; 陳適安; 江晨恩; 戴慶泰; 李世煌; 邱春旺; 翁國昌; 溫斯企; 余文鍾; 黃金隆; 馮安寧; 張茂松; | 書刊名 | 中華醫學雜誌 |
卷 期 | 59:2 1997.02[民86.02] |
頁 次 | 頁78-87 |
分類號 | 415.3026 |
關鍵詞 | 附加徑路; 導管電燒術; Accessory pathways; Radiofrequency ablation; |
語 文 | 英文(English) |
中文摘要 | 背景:導管電燒治療具有附加徑路病患的長期結果,不同位置的附加徑路之電氣生理特性,單一和多發性附加徑路間的差異並未完全清楚;本篇即為探討這些主題。方法從1989年7月1日至1996年6月31日期間,931位具有附加徑路的病人接受電氣生理學的研究以及導管電燒術治療。研究分兩組,第一組 856位(91.9%)病人具有單一附加徑路,第二組75位(8.1%)病人具有多發性附加徑路;研究追蹤的時間為 48 ± 37個月(最短 2個月,最長 84個月)。結果成功的電燒治療 913 例(98.1%),1.5%的患者有併發症。在第一組,電燒心臟左壁區附加徑路較其他位置附加徑路需較少的電燒能量釋放次數,較短的操作時間,以及較短的放射線照射時間,第二組則比第一組有較多的逆向型房室迴旋性頻脈(13%比3%,p < 0.05)以及較多的心房顫動╱撲動(37%比26%,p < 0.05),且需要較多的電燒能量釋放次數(8.7 ± 7.8比5.5 ± 7.7,p < 0.001),較長的操作時間(3.3 ± 1.4比2.1 ± 1.0時,p < 0.05),較長的放射線照射時間(49 ± 27 比 29 ± 19 分, p < 0.001)以及較高的復發率( 10.6% 比 3.3%,p<0.005 )。36 位(4%)發生附加徑路傳導復發的病人比未復發者具有較多的右側附加徑路。再則 ,困難的電燒(需較長的操作時間,較多的電燒能量釋放次數)會有較高的復發率。 結論:經過長時間的追蹤,發現導管電燒術治癒具有附加徑路的患者可以達到高成功率,低復發率以及低併發症。 |
英文摘要 | Background: Information about the long-term results of radiofrequency catheter ablation, electrophysiologic characteristics of differently located accessory pathways, and the difference between a single accessory pathway and multiple accessory pathways was limited. Methods: Nine hundred and thirty-one patients with 1016 accessory pathways (APs) received electrophysiologic study and radiofrequency catheter ablation between July 1, 1989 and June 31, 1996. Group 1 included 856 (91.9%) patients with a single AP and Group 2 included 75 (8.1%) patients with multiple APs. The follow-up period was 48 +/- 37 months (range, 2 to 84 months). Results: Nine hundred and thirteen patients (98.1%) had successful ablation with a complication rate of 1.5%. In Group 1, left free wall pathways were ablated with fewer radiofrequency pulses, shorter procedure time, shorter radiation exposure time and a lower recurrence rate than those at other locations. Comparisons between Group 1 and Group 2 showed that the latter had higher incidences of antidromic tachycardia (3% vs 13%, p < 0.05) and atrial flutter/fibrillation (26% vs 37%, p < 0.05). Regarding radio-frequency catheter ablation, Group 2 needed more radiofrequency pulses (8.7 +/- 7.8 vs 5.5 +/- 7.7, p < 0.001), longer procedure time (3.3 +/- 1.4 vs 2.1 +/- 1.0 hours, p < 0.05) and radiation time (49 +/- 27 vs 29 +/- 19 minutes, p < 0.001), and a higher recurrence rate (10.6 % vs 3.3%, p < 0.005) than those in Group 1. Thirty-six patients (4%) with recurrence had more right-side pathways than those without recurrence. In addition, difficult ablation (longer procedure time, longer radiation time and more radiofrequency pulses) was associated with a higher recurrence rate. Conclusions: These findings demons-trated that a high success rate with a low recurrence and low complication rate of radiofrequency catheter ablation could be achieved in a large population with APs during a long follow-up period. |
本系統中英文摘要資訊取自各篇刊載內容。