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目的:报道58例特发性永久性心房颤动(房颤)患者经药物、电复律、射频消融、起搏等多种方法治疗的结果。方法:药物、电复律、射频消融、起搏等方法治疗永久性房颤。结果:单纯药物复律30例,平均复律天数为8±5 d;电复律22例;药物及电复律不成功6例,占10%。随访期间临床治愈12例,显效19例,有效14例,无效8例,总有效率76%;复律组行肺静脉口射频消融18例,临床治愈4例,显效5例,有效5例,无效4例,总有效率78%,2例植入抗房颤起搏器有效。结论:药物、电复律、射频消融及起搏器联合应用明显提高特发性永久性房颤的疗效。
Objective: To report the results of 58 cases of idiopathic permanent atrial fibrillation (atrial fibrillation) by drugs, cardioversion, radiofrequency ablation, pacing and other methods. Methods: Drugs, electrical cardioversion, radiofrequency ablation, pacing and other methods of treatment of permanent atrial fibrillation. Results: Simple drug recovery in 30 cases, the average number of days of cardioversion was 8 ± 5 days; electrical cardioversion in 22 cases; drug and electrical cardioversion in 6 cases, accounting for 10%. During the follow-up period, 12 cases were clinically cured, 19 cases were markedly effective, 14 cases were effective, 8 cases were ineffective and the total effective rate was 76%. In the complex therapy group, 18 cases were treated by radiofrequency ablation of pulmonary veins, 4 cases were cured, 5 cases markedly effective, 5 cases effective, 4 cases, the total efficiency of 78%, 2 cases implanted anti-atrial fibrillation pacemaker effective. Conclusion: Drug, electrical cardioversion, radiofrequency ablation and pacemaker combination significantly improve the efficacy of idiopathic permanent atrial fibrillation.