医学临床研究
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医学临床研究  2019, Vol. 36 Issue (7): 1291-1292    DOI: 10.3969/j.issn.1671-7171.2019.07.015
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心脏超声相关参数定量对房颤射频消融术后再发的评估价值
樊钟泽, 宋建琼, 魏国李, 郑小雪
达州市中心医院功能科,四川 达州 635000
Value of Cardiac Ultrasound-related Parameters in the Evaluation of Postoperative Recurrence of Atrial Fibrillation Radiofrequency Ablation
FAN Zhong-ze, SONG Jian-qiong, WEI Guo-li,et al
Department of Functional , Dazhou Central Hospital,Dazhou Sichuan,635000
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摘要 【目的】探讨心脏超声的相关参数对房颤射频消融(RAOAF)术后再发中的评估价值。【方法】选择2016年2月至2018年1月在本院诊治的66例RAOAF患者,依据术后是否复发分为复发组(观察组)和未复发组(对照组),比较两组心脏超声的相关参数,Cox 回归分析RAOAF术后再发房颤的影响因素。【结果】66例患者有32例患者复发,占48.48%。观察组左房大小、二尖瓣瓣环收缩期收缩峰值速度( s′)显著大于对照组,二尖瓣瓣环舒张晚期峰值速度(A′),舒张早期峰值速度(E′)显著小于对照组,其差异均有统计学意义(P<0.05),但两组左室射血分数(LVEF)、左心室大小、左心室后壁厚度及右心室前后径比较差异无统计学的意义(P>0.05)。多因素Cox回归分析显示:A′是RAOAF术后再发的独立预测因子。【结论】心脏超声的相关参数中A′对RAOAF术后再发的评估有一定的参考价值,值得临床重视。
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樊钟泽
宋建琼
魏国李
郑小雪
关键词 心房颤动/诊断导管消融术复发超声检查    
Abstract【Objective】To study the value of cardiac ultrasonography-related parameters in the evaluation of recurrence after radiofrequency ablation of atrial fibrillation (RAOAF). 【Methods】A total of 66 patients with RAOAF who were treated in our hospital from February 2016 to January 2018 were enrolled in the recurrence group (observation group) and the non-recurrent group (control group). Cox regression analysis were performed to reveal the influencing factors of recurrent atrial fibrillation after RAOAF.【Results】 Of the 66 patients, 32 had recurrence, accounting for 48.48%. The left atrial size and systolic peak velocity of the mitral annulus (s') in the observation group were significantly greater than those of the control group, while the peak velocity of the mitral annulus at late diastolic phase (A'), and the peak of early diastolic velocity (E') were significantly smaller than those of the control group. The differences were statistically significant (P<0.05). There were no significant differences in left ventricular ejection fraction (LVEF), left ventricular size, left ventricular posterior wall thickness, and right ventricular anteroposterior diameter between the two groups (P>0.05). Multivariate Cox regression analysis showed that A′peak value was an independent risk factor of recurrence after RAOAF. 【Conclusion】Among the parameters related to cardiac ultrasound, A′peak value has certain reference value for the evaluation of postoperative recurrence of RAOAF, and is worthy of special attention.
Key wordsAtrial Fibrillation/DI    Catheter Ablation    Recurrence    Ultrasonography
收稿日期: 2018-08-03     
PACS:  R541.75  
通讯作者: E-mail:2695521198@qq.com   
引用本文:   
樊钟泽, 宋建琼, 魏国李, 郑小雪. 心脏超声相关参数定量对房颤射频消融术后再发的评估价值[J]. 医学临床研究, 2019, 36(7): 1291-1292.
FAN Zhong-ze, SONG Jian-qiong, WEI Guo-li,et al. Value of Cardiac Ultrasound-related Parameters in the Evaluation of Postoperative Recurrence of Atrial Fibrillation Radiofrequency Ablation. JOURNAL OF CLINICAL RESEARCH, 2019, 36(7): 1291-1292.
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