文章摘要
张俊杰,孙浩亮,顾嘉玺,郑 蕤,何珂帅,罗 明,邵永丰.杂交消融手术治疗房颤的研究进展[J].南京医科大学学报,2019,(3):448~452,464
杂交消融手术治疗房颤的研究进展
Recent advances of hybrid ablation for atrial fibrillation
投稿时间:2018-05-20  
DOI:10.7655/NYDXBNS20190328
中文关键词: 房颤  杂交消融  心内膜消融  心外膜消融
英文关键词: atrial fibrillation  hybrid ablation  endocardial ablation  epicardial ablation
基金项目:江苏省“333”工程项目[RA2014336(S14)]
作者单位
张俊杰 南京医科大学第一临床医学院江苏 南京 210029 
孙浩亮 南京医科大学第一附属医院心脏大血管外科江苏 南京 210029 
顾嘉玺 南京医科大学第一附属医院心脏大血管外科江苏 南京 210029 
郑 蕤 南京医科大学第一附属医院心脏大血管外科江苏 南京 210029 
何珂帅 南京医科大学第一临床医学院江苏 南京 210029 
罗 明 南京医科大学第一临床医学院江苏 南京 210029 
邵永丰 南京医科大学第一附属医院心脏大血管外科江苏 南京 210029 
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中文摘要:
      尽管目前临床上对房颤的治疗已经取得了较大进展,但是房颤仍然是心血管病发病和死亡的主要原因之一。尤其在老年人群以及合并基础疾病较多的人群中比较普遍。而且随着社会老龄化,房颤问题还加重了社会经济负担。心脏内外科医生都在逐渐认识房颤的发病机制和改良房颤的治疗方法,并通过加强合作共同提高房颤治愈率及降低手术相关并发症。在非阵发性房颤治疗方面,结合了心内膜和心外膜消融各自优势的杂交消融似乎有着更好的临床效果。所以本研究搜索相关文献,并根据已有的临床研究结果来综述房颤杂交消融的进展。
英文摘要:
      Despite considerable progress has made in the clinical treatment of atrial fibrillation currently,it still represents one of the major causes of cardiovascular morbidity and mortality worldwide. It has a great prevalence particularly in the elderly population and in patients with basic diseases. And with the aging of our society,the problem of atrial fibrillation has also increased the social and economic burden. Cardiologists and surgeons are gradually understanding the pathogenesis of it and ameliorating the therapeutic methods of it. And through strengthening cooperation,we can improve the cure rate of atrial fibrillation and reduce operation?related complications. In the treatment of non?paroxysmal atrial fibrillation,hybrid ablation which combined with respective advantages of endocardial and epicardial ablation seems to have a better clinical effect. Therefore,we searched relevant literature and summarized the progress of hybrid ablation in the treatment of atrial fibrillation according to the clinical findings.
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