CartoUnivu與Carto3指導(dǎo)射頻消融治療快速心律失常的X線受照劑量的比較研究
發(fā)布時(shí)間：2019-04-24 04:52
【摘要】：目的:通過比較CartoUnivu系統(tǒng)與Carto3系統(tǒng)指導(dǎo)經(jīng)導(dǎo)管射頻消融治療快速心律失常患者的X線受照劑量、X線曝光劑量,探討CartoUnivu系統(tǒng)的應(yīng)用優(yōu)勢(shì)。方法:連續(xù)入選2016年3月至2017年3月在廣西醫(yī)科大學(xué)第一附屬醫(yī)院住院為陣發(fā)性室上性心動(dòng)過速(PSVT)及室性早搏和/或室性心動(dòng)過速(PVC/VT)并行經(jīng)導(dǎo)管射頻消融治療的快速心律失�；颊�,PSVT患者和PVC/VT患者按手術(shù)日期以1:1的比例各分為Carto Univu組(CU組)和Carto3組(C3組)。分別比較CU組和C3組的手術(shù)成功率、并發(fā)癥發(fā)生率、手術(shù)時(shí)間、X線曝光時(shí)間、X線曝光劑量、患者4個(gè)部位X線受照劑量(甲狀腺、左背部、會(huì)陰部、左上臂)、術(shù)者10個(gè)部位X線受照劑量(眼睛、甲狀腺鉛圍脖內(nèi)、甲狀腺鉛圍脖外、左胸部鉛衣內(nèi)、左胸部鉛衣外、會(huì)陰部鉛衣內(nèi)、會(huì)陰部鉛衣外、左手小指、右手小指、左腳踝)的差異。結(jié)果:快速心律失�；颊�58例,其中,PSVT 42例(CU組21例,C3組21例),PVC/VT 16例(CU組8例,C3組8例),全部消融成功,無(wú)嚴(yán)重并發(fā)癥發(fā)生。PSVT射頻消融治療,CU組與C3組比較,手術(shù)時(shí)間、X線曝光時(shí)間、X線曝光劑量、患者4個(gè)部位X線受照劑量、術(shù)者10個(gè)部位X線受照劑量均相似,無(wú)顯著差異(P0.05)。PVC/VT射頻消融治療,CU組與C3組比較,手術(shù)時(shí)間、患者左背部X線受照劑量、術(shù)者7個(gè)部位(甲狀腺鉛圍脖內(nèi)、甲狀腺鉛圍脖外、左胸部鉛衣內(nèi)、左胸部鉛衣外、會(huì)陰部鉛衣內(nèi)、會(huì)陰部鉛衣外、左手小指)X線受照劑量均無(wú)顯著差異(P0.05),X線曝光時(shí)間、X線曝光劑量、患者3個(gè)部位(甲狀腺、會(huì)陰部、左上臂)X線受照劑量、術(shù)者3個(gè)部位(眼睛、左手小指、左腳踝)X線受照劑量均明顯減少(P0.05)。術(shù)后隨訪6±2個(gè)月兩組均無(wú)復(fù)發(fā)臨床快速心律失常。結(jié)論:應(yīng)用CartoUnivu系統(tǒng)指導(dǎo)射頻消融治療PVC/VT優(yōu)于Carto3系統(tǒng),顯著減少了X線曝光時(shí)間、X線曝光劑量、患者和術(shù)者X線受照劑量。
[Abstract]:Aim: to compare the X-ray irradiation dose and X-ray exposure dose of CartoUnivu system and Carto3 system in guiding radiofrequency catheter ablation for patients with tachyarrhythmia, and to explore the advantages of CartoUnivu system in application. Methods: from March 2016 to March 2017, patients with paroxysmal supraventricular tachycardia (PSVT), ventricular premature beat (PVC/VT) and / or ventricular tachycardia (PVC/VT) were admitted to the first affiliated Hospital of Guangxi Medical University. Patients with tachyarrhythmia treated with frequent ablation, Patients with PSVT and PVC/VT were divided into Carto Univu group (CU group) and Carto3 group (C3 group) at 1:1 according to the operation date. The successful rate of operation, complication rate, operation time, X-ray exposure dose and X-ray exposure dose (thyroid, left back, perineum, left upper arm) in CU group and C3 group were compared. X-ray irradiation dose (eyes, thyroid lead neck, left chest lead coat, perineal lead coat, left small finger, right hand little finger) were exposed to X-ray at 10 sites (eyes, thyroid lead neck, left chest lead coat, perineal lead coat, left hand small finger, right hand small finger). The difference between the left ankle and the left ankle. Results: among 58 patients with tachyarrhythmia, 42 were PSVT (CU 21, C3 21), 16 PVC/VT (CU 8, C3 8). Compared with C3 group, the operation time, X-ray exposure dose, X-ray exposure dose at 4 sites, and X-ray exposure dose at 10 sites were similar in CU group and C3 group, and there was no significant difference between the two groups (P0.05). Compared with C3 group, the time of operation, the dose of X-ray irradiation on the left back of the CU group were compared with those of the C3 group. The 7 sites of the patients (thyroid lead neck, left chest, perineum and perineum) were compared with those in the C3 group, the operation time and the dose of X-ray irradiation on the left back of the patient were compared. There was no significant difference in X-ray dose (P0.05), X-ray exposure time, X-ray exposure dose, X-ray exposure dose in 3 sites (thyroid, perineum, left upper arm) of the patients, and 3 sites (eyes, eyes) of the patients, but no significant difference was found in the X-ray exposure dose of the left small finger (P0.05). The dose of X-ray irradiation of left small finger and left ankle was significantly decreased (P0.05). After 6 鹵2 months follow-up, there was no recurrence of tachyarrhythmia in both groups. Conclusion: the radiofrequency ablation with CartoUnivu system is superior to Carto3 system in the treatment of PVC/VT, and the time of X-ray exposure, the dose of X-ray exposure of the patients and the surgical patients are significantly reduced.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R541.7
本文編號(hào)：2464118
[Abstract]:Aim: to compare the X-ray irradiation dose and X-ray exposure dose of CartoUnivu system and Carto3 system in guiding radiofrequency catheter ablation for patients with tachyarrhythmia, and to explore the advantages of CartoUnivu system in application. Methods: from March 2016 to March 2017, patients with paroxysmal supraventricular tachycardia (PSVT), ventricular premature beat (PVC/VT) and / or ventricular tachycardia (PVC/VT) were admitted to the first affiliated Hospital of Guangxi Medical University. Patients with tachyarrhythmia treated with frequent ablation, Patients with PSVT and PVC/VT were divided into Carto Univu group (CU group) and Carto3 group (C3 group) at 1:1 according to the operation date. The successful rate of operation, complication rate, operation time, X-ray exposure dose and X-ray exposure dose (thyroid, left back, perineum, left upper arm) in CU group and C3 group were compared. X-ray irradiation dose (eyes, thyroid lead neck, left chest lead coat, perineal lead coat, left small finger, right hand little finger) were exposed to X-ray at 10 sites (eyes, thyroid lead neck, left chest lead coat, perineal lead coat, left hand small finger, right hand small finger). The difference between the left ankle and the left ankle. Results: among 58 patients with tachyarrhythmia, 42 were PSVT (CU 21, C3 21), 16 PVC/VT (CU 8, C3 8). Compared with C3 group, the operation time, X-ray exposure dose, X-ray exposure dose at 4 sites, and X-ray exposure dose at 10 sites were similar in CU group and C3 group, and there was no significant difference between the two groups (P0.05). Compared with C3 group, the time of operation, the dose of X-ray irradiation on the left back of the CU group were compared with those of the C3 group. The 7 sites of the patients (thyroid lead neck, left chest, perineum and perineum) were compared with those in the C3 group, the operation time and the dose of X-ray irradiation on the left back of the patient were compared. There was no significant difference in X-ray dose (P0.05), X-ray exposure time, X-ray exposure dose, X-ray exposure dose in 3 sites (thyroid, perineum, left upper arm) of the patients, and 3 sites (eyes, eyes) of the patients, but no significant difference was found in the X-ray exposure dose of the left small finger (P0.05). The dose of X-ray irradiation of left small finger and left ankle was significantly decreased (P0.05). After 6 鹵2 months follow-up, there was no recurrence of tachyarrhythmia in both groups. Conclusion: the radiofrequency ablation with CartoUnivu system is superior to Carto3 system in the treatment of PVC/VT, and the time of X-ray exposure, the dose of X-ray exposure of the patients and the surgical patients are significantly reduced.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R541.7
【參考文獻(xiàn)】
相關(guān)期刊論文 前5條
1 錢咿嬌;吳近近;李?yuàn)^;;三維電解剖標(biāo)測(cè)及磁導(dǎo)航系統(tǒng)在兒童快速性心律失常射頻消融治療中的應(yīng)用[J];國(guó)際心血管病雜志;2015年03期
2 徐健;蘇浩;孫賢林;朱紅軍;李鎮(zhèn);朱靜;汪貴忠;嚴(yán)激;;線性消融治療長(zhǎng)程持續(xù)性房顫的療效分析[J];臨床心電學(xué)雜志;2012年04期
3 顏紅兵;;減少放射線損傷也是心血管醫(yī)師的職責(zé)[J];中國(guó)介入心臟病學(xué)雜志;2009年01期
4 蔣文平,吳寧;室上性快速心律失常治療指南[J];中華心血管病雜志;2005年01期
5 吳書林;CARTO系統(tǒng)的標(biāo)測(cè)技術(shù)及應(yīng)用價(jià)值[J];中國(guó)心臟起搏與心電生理雜志;2000年01期
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