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作者比较了17与19例分别接受过开胸与导管射频消融术(RFCA)治疗阵发性室上性心动过速(PSVT)患者的临床效应、投入的人、财、物等参数.结果:RFCA能有效治疗包括房室结(AVNRT)与房室(AVRT)折返的PSVT患者;对于AVRT,二者成功率、复发率与并发症发生率无显著差异(P>0.05);与开胸手术比较,RFCA操作时间短,参加人数少,住院天数包括术前准备与术后恢复以及术后陪床天数均明显缩短,P<0.05;而二者住院费无显著差异(P>0.05),所需最低设备投入费大致相等.提示RFCA治疗PSVT具有适应证宽、快捷、高效、安全、损伤小,易被患者接受等优点.但与开胸术比较,RFCA显著增加(P<0.05)的X线曝光量则提示:开展RFCA,需有充分的医患防护意识和良好的防护设备.
The authors compared the clinical effects and the human, financial, and physical parameters invested in 17 and 19 patients with paroxysmal supraventricular tachycardia (PSVT) undergoing open-chest and catheter radiofrequency catheter ablation (RFCA), respectively.Results: RFCA can effectively treat patients with PSVT including atrioventricular node (AVNRT) and atrioventricular (AVRT) reentry; for AVRT, the success rate, recurrence rate and complication rate have no significant difference (P> 0.05) Compared with the other two groups, there was no significant difference (P> 0.05) in the length of hospital RFCA operation, the small number of participants, the number of days of hospitalization including preoperative preparation and postoperative recovery, The lowest equipment input costs are roughly equal.It is indicated that the RFCA treatment of PSVT has the advantages of wide, rapid, efficient, safe, small injury, easy to be accepted by the patients.However, compared with open thoracotomy, RFCA significantly increased (P <0.05) Exposure is Tip: To carry out RFCA, there must be adequate awareness of patient protection and good protective equipment.