[1]刘晓宇,郑 杰,李库林,等.简化心房颤动冷冻消融方案对放射暴露的影响[J].介入放射学杂志,2026,(06):603-607.[doi:10.3969/j.issn.1008-794X.2026.06.005 ]
 LIU Xiaoyu,ZHENG Jie,LI Kulin,et al.The impact of simplified cryoablation protocol for atrial fibrillation on radiation exposure[J].J Intervent Med,2026,(06):603-607.[doi:10.3969/j.issn.1008-794X.2026.06.005 ]
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简化心房颤动冷冻消融方案对放射暴露的影响()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2026年06
页码:
603-607
栏目:
心脏介入
出版日期:
2026-06-17

文章信息/Info

Title:
The impact of simplified cryoablation protocol for atrial fibrillation on radiation exposure
文章编号:
1008-794X(2026)-006-0603-05
作者:
刘晓宇 郑 杰 李库林 尤华彦 党时鹏 赵晓溪 王 超 王如兴
214023 江苏无锡 南京医科大学附属无锡市人民医院心内科
Author(s):
LIU XiaoyuZHENG JieLI KulinYOU HuayanDANG ShipengZHAO XiaoxiWANG ChaoWANG Ruxing.
Department of Cardiology,Affiliated Wuxi Municipal People's Hospital,Nanjing Medical University,Wuxi,Jiangsu Province 214023,China
关键词:
心房颤动 冷冻消融 心血管介入 X射线
分类号:
R541.75
DOI:
10.3969/j.issn.1008-794X.2026.06.005
文献标志码:
A
摘要:
目的 比较简化冷冻消融方案和标准冷冻消融方案治疗阵发性心房颤动(房颤)的放射暴露情况和效果。方法 纳入2020年1月至2024年1月无锡市人民医院接受冷冻消融术的阵发性房颤患者255例,其中102例接受标准消融方案(标准组),153例采用简化消融方案(简化组)。比较两组患者手术时间、X线时间、术中在线随机参考点累积皮肤表面入射剂量(CD)和剂量面积乘积(DAP)等。结果 与标准组相比,简化组手术时间明显缩短,为(93.30±16.30)min比(78.0±12.9)min,X线时间缩短(22.5±6.7)min比(17.0±4.1)min,CD值减少(573.3±283.6)mGy比(444.1±213.1)mGy,DAP值也减少(49.9±24.7)Gy·cm2比(38.6±18.5)Gy·cm2,差异均有统计学意义(t=8.367、8.209、-4.019、-4.062,均P<0.001)。两组患者急性期肺静脉隔离成功率为101/102比152/153,随访期间维持窦性心律比例为88/102比136/153,差异无统计学意义(χ2=0.084、0.419,P=0.772、0.517)。结论 简化冷冻消融方案治疗阵发性房颤,可在不影响手术效果的同时减少医患双方的放射暴露风险。

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(收稿日期:2025-09-06)
(本文编辑:新 宇)

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备注/Memo

备注/Memo:
基金项目: 国家自然科学基金(82000317、82370342); 无锡市卫生健康委中青年拔尖人才资助(BJ2023006)
通信作者: 王如兴 Email:ruxingw@aliyun.com
更新日期/Last Update: 2026-05-25