治疗心房纤颤的两类导管消融术研究进展-医学信息.PDFVIP

医学信息2018 年11 月第31 卷第21 期 Medical Information Nov. 2018 Vol. 31 No.21 综述 疗心房纤颤的两类导管消融术研究进展 1 2 2 1 2 愿强 赵璐露 杜映荣 赵 玲 渊1.昆明市第三人民医院心内科云南 昆明 650041 曰 2.昆明医科大学第一附属医院心内科云南 昆明 650032冤 摘 要 心房纤颤在临床心律失常上很常见 有较高的致死率及致残率 其引发的一系列症状及其并发症严重影响人们的生活 质量及寿命遥射频导管消融术是最常用的肺静脉隔离治疗方法 而最新出现的冷冻球 导管消融术有取而代之的优势遥 本文着 重于论述这两种最常用导管消融术的最新研究进展 两种能源治疗房颤的损伤机制 二者之间的临床安全性和有效性对比 以 及最新出现的联合消融治疗方法遥 关键词 心房纤颤曰导管射频消融术曰冷冻球 导管消融术 中图分类号 R541.75 文献标识码 A DOI 10.3969/j .issn.1006-1959.2018.21.011 文章编号 1006-1959渊2018冤21-0037-04 Progress in Two Types of Catheter Ablation for the Treatment of Atrial Fibrillation HE Yuan-qiang1,2 2 1 2 ,ZHAO Lu-lu ,DU Ying-rong ,ZHAO Ling (1.Department of Cardiology,Kunming Third Peoples Hospital,Kunming 650041,Yunnan,China; 2.Department of Cardiology,the First Affiliated Hospital of Kunming Medical University, Kunming 650032,Yunnan,China) Abstract Atrial fibrillation is a common arrhythmia, with a high mortality rate and disability rate. The series of symptoms and complications caused by it seriously affect peoples quality of life and longevity. Radiofrequency catheter ablation is the most commonly used treatment for pulmonary vein isolation, and the latest emerging balloon catheter ablation has the advantage. This article focuses on the latest advances in the two most commonly used treatments, their mechanisms of treatment for atrial fibrillation, the clinical safety and efficacy of the two, and the latest emerging ablation treatments. Key words Atrial fibrillation;Catheter radiofrequency ablation;Cryo-balloon catheter ablation 房颤（atrial fibrillation ，AF ）是临床最常见的心 疗阵发性房颤的随机对