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\u623f\u98a4\u7684\u53d1\u751f\u4e0e\u7ef4\u6301\u673a\u5236<\/p>\n
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\u56fe1 \u623f\u98a4\u7684\u53d1\u751f\u4e0e\u7ef4\u6301\u793a\u610f\u56fe<\/p>\n
\u4f20\u7edf\u623f\u98a4\u6d88\u878d\u7b56\u7565\u7684\u542f\u53d1<\/p>\n
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\u56fe2 CPVI+Lines+CFE\u6d88\u878d\u7684\u6210\u529f\u7387<\/p>\n
\u90a3\u4e48\u5728\u6301\u7eed\u6027\u623f\u98a4\u60a3\u8005\u4e2d\uff0c\u54ea\u4e9b\u60a3\u8005\u662f\u5355\u7eaf\u73af\u80ba\u9759\u8109\u9694\u79bb\u672f\uff08CPVI\uff09\u7684\u6700\u4f73\u83b7\u76ca\u4eba\u7fa4\uff1f\u5982\u679cCPVI\u672f\u540e\u65e0\u6cd5\u5b8c\u5168\u6210\u529f\uff0c\u4ecd\u9700\u8fdb\u884c\u989d\u5916\u7684\u6d88\u878d\u6cbb\u7597\uff0c\u90a3\u4e48\u5e94\u8be5\u53bb\u54ea\u4e9b\u533a\u57df\u6d88\u878d\uff1f\u8fd9\u4e9b\u90fd\u662f\u503c\u5f97\u6211\u4eec\u601d\u8003\u7684\u95ee\u9898\u3002<\/p>\n
\u6b63\u786e\u57fa\u8d28\u6539\u826f\u63d0\u9ad8\u623f\u98a4\u6d88\u878d\u6210\u529f\u7387<\/p>\n
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\u6309\u7167\u8fd9\u4e00\u601d\u8def\uff0c\u65e9\u671f\u9648\u6559\u6388\u56e2\u961f\u5f00\u5c55\u4e86STABLE-SR\uff08CPVI Plus Electrophysiological Substrate Ablation in the Left Atrium during Sinus Rhythm\uff09\u7814\u7a76\uff0c\u5728\u8fdb\u884cCPVI\u6d88\u878d\u540e\uff0c\u901a\u8fc7\u7aa6\u5f8b\u4e0b\u7684\u7535\u538b\u6807\u6d4b\uff0c\u6807\u8bb0\u51fa\u4ee3\u8868\u5fc3\u623f\u7ea4\u7ef4\u5316\u7684\u4f4e\u7535\u533a\u548c\u7aa6\u5f8b\u4e0b\u7684\u5f02\u5e38\u788e\u88c2\u7535\u4f4d\u533a\u57df\uff0c\u9488\u5bf9\u8fd9\u4e9b\u5b58\u5728\u5c40\u7076\u9a71\u52a8\u4e0e\u968f\u673a\u6298\u8fd4\u5f62\u6210\u6f5c\u5728\u5371\u9669\u7684\u75c5\u6001\u57fa\u8d28\u8fdb\u884c\u4e2a\u4f53\u5316\u3001\u9009\u62e9\u6027\u7684\u6d88\u878d\u3002\u7ed3\u679c\u663e\u793a\uff0c\u4e0e\u4f20\u7edf\u7684\u6b65\u8fdb\u5f0f\u6d88\u878d\u7b56\u7565\u76f8\u6bd4\uff0cSTABLE-SR\u7684\u6210\u529f\u7387\u660e\u663e\u63d0\u9ad8\u3002<\/p>\n<\/p>\n
\u56fe3 STABLE-SR\u7814\u7a76\u7ed3\u679c<\/p>\n
\u673a\u7406\u7814\u7a76\u53d1\u73b0\uff0c\u75c5\u53d8\u533a\u57df\uff08\u4f4e\u7535\u538b\u533a\uff09\u4e0d\u4ec5\u4e0e\u623f\u6251\u660e\u663e\u76f8\u5173\uff0c\u8fd8\u4e0e\u623f\u98a4\u9ad8\u5ea6\u76f8\u5173\u3002\u56e0\u6b64\uff0c\u5bf9\u4e8e\u6301\u7eed\u6027\u623f\u98a4\u60a3\u8005\uff0c\u5728\u73af\u80ba\u9759\u8109\u9694\u79bb\u672f\u540e\u8fd8\u5e94\u8be5\u5bf9\u4f4e\u7535\u538b\u533a\u8fdb\u884c\u6807\u6d4b\uff0c\u505a\u76f8\u5e94\u7684\u6539\u826f\u6d88\u878d\u3002<\/p>\n<\/p>\n
\u56fe4 \u673a\u7406\u7814\u7a76\u663e\u793a\u4f4e\u7535\u538b\u533a\u4e0e\u623f\u98a4\u9ad8\u5ea6\u76f8\u5173<\/p>\n
\u8fd9\u9879\u7814\u7a76\u53d1\u5e03\u4e4b\u540e\u5f15\u8d77\u4e86\u5168\u7403\u5173\u6ce8\u3002STABLE-SR\u4f5c\u4e3a\u4e00\u4e2a\u76f8\u5bf9\u7cbe\u51c6\u7684\u4e2a\u4f53\u5316\u6d88\u878d\u7b56\u7565\uff0c\u88ab\u4e94\u5927\u5fc3\u5f8b\u5931\u5e38\u5b66\u4f1a\u8054\u5408\u6307\u5357\u63a8\u8350\u3002\u610f\u5927\u5229\u8457\u540d\u7684\u7535\u751f\u7406\u4e13\u5bb6Fiorenzo Gaita\u5728\u8ff0\u8bc4\u4e2d\u5199\u9053\uff1a\u7aa6\u5f8b\u4e0b\u57fa\u8d28\u6539\u826f\uff0c\u662f\u623f\u98a4\u6cbb\u7597\u5386\u53f2\u4e0a\u7684\u91cd\u8981\u8fdb\u6b65\uff0c\u4f46\u9700\u8981\u591a\u4e2d\u5fc3\u4e34\u5e8a\u7814\u7a76\u9a8c\u8bc1\u3002\u56e0\u6b64\uff0c\u63a5\u4e0b\u6765\u5f00\u5c55\u4e86\u591a\u4e2d\u5fc3\u4e34\u5e8a\u7814\u7a76\u5bf9\u6b64\u6cbb\u7597\u7b56\u7565\u8fdb\u884c\u9a8c\u8bc1\u3002<\/p>\n
\u76f8\u5173\u7684RCT-1\u7ed3\u679c\u663e\u793a\uff0c\u4e0e\u4f20\u7edf\u7684STEPWISE\u6d88\u878d\u7b56\u7565\u76f8\u6bd4\uff0cSTABLE-SR\u624b\u672f\u65f6\u95f4\u7f29\u77ed30min\uff0cX\u7ebf\u66dd\u5149\u65f6\u95f4\u7f29\u77ed2 min\uff0c\u6d88\u878d\u653e\u7535\u65f6\u95f4\u7f29\u77ed15 min\uff0c\u4e14\u6210\u529f\u7387\u6709\u6240\u5347\u9ad8\u3002\u8bc1\u660e\u6b64\u6d88\u878d\u7b56\u7565\u662f\u53ef\u590d\u5236\u3001\u53ef\u63a8\u5e7f\u7684\u7406\u60f3\u65b9\u6cd5\u3002<\/p>\n<\/p>\n
\u56fe5 STABLE-SR RCT-1\u7814\u7a76\u7ed3\u679c<\/p>\n
\u8fd9\u9879\u4e34\u5e8a\u7814\u7a76\u62a5\u9053\u53d1\u5e03\u4ee5\u540e\uff0c\u56fd\u9645\u8457\u540d\u7535\u751f\u7406\u4e13\u5bb6J.Paul Mounsey\u5728\u8ff0\u8bc4\u4e2d\u8bc4\u4ef7\u9053\uff1a\u623f\u98a4\u57fa\u8d28\u6539\u826f\u4f7f\u623f\u98a4\u6d88\u878d\u66f4\u52a0\u667a\u6167\uff0c\u907f\u514d\u4e86\u8fc7\u5ea6\u6d88\u878d\u3002\u4e5f\u88abESC\u6307\u5357\u63a8\u8350\u4f5c\u4e3a\u4e00\u4e2a\u7406\u6027\u7684\u6d88\u878d\u7b56\u7565\u3002<\/p>\n
\u57fa\u4e8eRCT-1\u7814\u7a76\u672a\u83b7\u5f97\u7edf\u8ba1\u5b66\u9633\u6027\u7ed3\u679c\uff0c\u63a5\u4e0b\u6765\u7ee7\u7eed\u5f00\u5c55\u4e86STABLE-SR RCT-2\u591a\u4e2d\u5fc3\u4e34\u5e8a\u7814\u7a76\u3002\u7814\u7a76\u4e2d\u5165\u7ec4\u60a3\u8005\u5e73\u5747\u5e74\u9f84\u4e3a60\u5c81\uff0cSTABLE-SR\u7ec4\u548cCPVI\u7ec4\u7684\u6d88\u878d\u7b56\u7565\u8fdb\u4e00\u6b65\u5de9\u56fa\u4e86\u4e2a\u4f53\u5316\u3001\u7cbe\u51c6\u5316\u7684\u6d88\u878d\u7b56\u7565\u7406\u5ff5\uff0c\u7ed3\u679c\u663e\u793a\uff0c\u6301\u7eed\u6027\u623f\u98a4\u60a3\u8005\u5de6\u5fc3\u623f\u5065\u5eb7\u8005\uff0c\u5355\u7eafCPVI\u7684\u6210\u529f\u7387\u4e3a84.8%\uff0c\u5de6\u5fc3\u623f\u75c5\u53d8\u60a3\u8005\u7684\u4ec5\u4e3a60.9%\uff1bSTABLE-SR\u7ec4\u6210\u529f\u7387\u9ad8\u4e8eCPVI\u7ec4\u3002\u8bf4\u660e\u4f9d\u636e\u57fa\u8d28\u7684\u4e2a\u4f53\u5316\u6d88\u878d\u7b56\u7565\u7684\u786e\u80fd\u591f\u4f7f\u6301\u7eed\u6027\u623f\u98a4\u60a3\u8005\u83b7\u76ca\u3002<\/p>\n<\/p>\n
\u56fe6 STABLE-SR RCT-2\u7814\u7a76\u53ca\u5176\u7ed3\u679c<\/p>\n
\u4ece\u4ee5\u4e0a\u7ed3\u679c\u731c\u6d4b\u5de6\u623f\u75c5\u53d8\u76f8\u5bf9\u4e30\u5bcc\u7684\u4eba\u7fa4\u91c7\u7528\u57fa\u8d28\u6539\u826f\u6d88\u878d\u7b56\u7565\u53ef\u80fd\u83b7\u76ca\u66f4\u597d\uff0c\u56e0\u6b64\u9009\u62e9\u8001\u5e74\u9635\u53d1\u6027\u623f\u98a4\u60a3\u8005\u5f00\u5c55\u4e86STABLE-SR-\u2162\u7814\u7a76\uff0c\u8fd9\u9879\u7814\u7a76\u662f\u5168\u56fd\u591a\u4e2d\u5fc3\u968f\u673a\u5bf9\u7167\u7814\u7a76\uff0c\u5165\u7ec4\u60a3\u8005\u5e73\u5747\u5e74\u9f8470\u5c81\uff0c\u5de6\u623f\u75c5\u53d8\u4e3a\u4e2d\u7b49\u7a0b\u5ea6\u3002\u7ed3\u679c\u663e\u793a\uff0cCPVI+\u57fa\u8d28\u6539\u826f\u7684\u6210\u529f\u7387\u6bd4\u5355\u7eafCPVI\u9ad818%\uff0c\u800c\u4e14\u5de6\u623f\u6709\u75c5\u53d8\u60a3\u8005\u8fdb\u884c\u57fa\u8d28\u6539\u826f\u548c\u4e0d\u8fdb\u884c\u6539\u826f\u7684\u6210\u529f\u7387\u7684\u5dee\u5f02\u5ea6\u66f4\u5927\u3002\u5145\u5206\u8bf4\u660e\u53ea\u8981\u57fa\u8d28\u75c5\u53d8\u6bd4\u8f83\u4e30\u5bcc\uff0c\u9635\u53d1\u6027\u623f\u98a4\u4e5f\u80fd\u901a\u8fc7\u57fa\u8d28\u6539\u826f\u83b7\u76ca\u3002\u56fd\u5916\u4e13\u5bb6\u5728\u8bc4\u8ff0\u4e2d\u80af\u5b9a\u4e86\u6b64\u9879\u7814\u7a76\uff0c\u8868\u793a\u7814\u7a76\u4eba\u5458\u5bf9\u6f5c\u5728\u7684\u75c5\u7406\u751f\u7406\u673a\u5236\u8fdb\u884c\u4e86\u6df1\u523b\u601d\u8003\uff0c\u8fd9\u662f\u4ee5\u5047\u8bbe\u9a71\u52a8\u7814\u7a76\u7684\u6a21\u677f\uff0c\u4e5f\u627e\u5230\u4e86\u83b7\u76ca\u7684\u6700\u9002\u4eba\u7fa4\u3002\u4f46\u662f\u5bf9\u4e8e\u57fa\u8d28\u6807\u6d4b\u548c\u6d88\u878d\u76ee\u524d\u4e5f\u5b58\u5728\u4e89\u8bae\uff0c\u6bd4\u5982\u75a4\u75d5\u5982\u4f55\u5b9a\u4e49\uff0c\u5982\u4f55\u786e\u5b9a\u6d88\u878d\u65b9\u6cd5\u7b49\uff0c\u8fd9\u5747\u9700\u8981\u901a\u8fc7\u591a\u4e2d\u5fc3\u4e34\u5e8a\u7814\u7a76\u6765\u9a8c\u8bc1\u3002<\/p>\n<\/p>\n
\u56fe7 STABLE-SR-\u2162\u7814\u7a76\u7ed3\u679c<\/p>\n
\u5c0f\u7ed3<\/p>\n
\u9488\u5bf9\u623f\u98a4\u60a3\u8005\u57fa\u8d28\u6539\u826f\u7814\u7a76\u603b\u7ed3\u5982\u4e0b\u51e0\u4e2a\u8981\u70b9\uff1a<\/p>\n
\u25cf \u5fc3\u623f\u7ea4\u7ef4\u5316\u662f\u623f\u98a4\u7684\u91cd\u8981\u8bf1\u56e0<\/p>\n
\u25cf \u5fc3\u623f\u98a4\u52a8\u672c\u8eab\u53ef\u53cd\u5411\u4fc3\u8fdb\u5fc3\u623f\u7ea4\u7ef4\u5316<\/p>\n
\u25cf \u5fc3\u623f\u7ea4\u7ef4\u5316\u533a\u57df\u53ef\u4ee5\u901a\u8fc7MRI\u56fe\u50cf\u6a21\u6001\u6765\u63cf\u7ed8\uff0c\u5e76\u4e14\u53ef\u4ee5\u8f6c\u5316\u4e3a\u7535\u4fe1\u53f7\u5f02\u5e38<\/p>\n
\u25cf \u9488\u5bf9\u7ea4\u7ef4\u5316\u533a\u57df\u7684\u5bfc\u7ba1\u6d88\u878d\u6709\u52a9\u4e8e\u63d0\u9ad8\u623f\u98a4\u6d88\u878d\u6cbb\u7597\u7684\u603b\u4f53\u6210\u529f\u7387<\/p>\n<\/p>\n
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\u4e13\u5bb6\u7b80\u4ecb <\/p>\n
\u9648\u660e\u9f99 \u6559\u6388<\/p>\n
\u5357\u4eac\u533b\u79d1\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662<\/p>\n
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