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对于持续性心房颤动(AF),目前尚没有统一的消融策略。导管室的内科消融不管采取何种策略,消融成功率低。Cox外科迷宫手术治疗持续性AF成功率达95%,但创伤大,医患均难以接受。微创迷宫手术为外科消融治疗持续性AF提供了可接受的途径和机会。内外科消融可互相补充,克服各自的优缺点。内外科杂交消融有两种模式,一种是同时进行;另一种为先后进行,可根据病情采用不同的模式。内外科杂交消融可能是治疗持续性AF的较好选择。
For persistent atrial fibrillation (AF), there is no uniform ablation strategy. Catheter room medical ablation no matter what strategy to take, the success rate of ablation is low. Cox surgical maze surgical treatment of sustained success rate of 95% AF, but trauma, doctors and patients are unacceptable. Minimally invasive maze surgery provides acceptable avenues and opportunities for surgical ablation of persistent AF. Internal and external ablation can complement each other to overcome their strengths and weaknesses. There are two modes of internal and external hybrid ablation, one is at the same time; the other is carried out one after another, according to the disease using different modes. Internal and surgical hybrid ablation may be a better choice for the treatment of persistent AF.