Latour H, Ferrière M, Méry D, Baissus C
Arch Mal Coeur Vaiss. 1978 Jul;71 Spec No:60-70.
The Cardiac Clinic reports its experience of 16 cases having unilateral curative renal surgery for hypertension in the adult, and has found a particularly high incidence (8 per cent of all cases). A study has been made of the lesions in the malformed and dysplastic renal arteries on the one hand, and of the correspondingly ischaemic and atrophic renal parenchyma on the other. Attention is drawn to the cases of unilateral renal atrophy (50 per cent of cases), the commonest involving gross lymphoplasia of congenital arterial origin. The other cases are of stenotic dysplasias, and special points to notice are the spread of the dysplasia towards the parenchyma, the presence of multiple aneurysms which militate towards nephrectomy, and the relative frequency of dysplasia of the intima (2 cases out of 8).
心脏科诊所报告了其对16例成人高血压患者进行单侧根治性肾脏手术的经验，并发现发病率特别高（占所有病例的8%）。一方面对畸形和发育异常的肾动脉病变进行了研究，另一方面对相应的缺血性和萎缩性肾实质进行了研究。值得注意的是单侧肾萎缩病例（占病例的50%），最常见的是先天性动脉起源的严重淋巴组织增生。其他病例为狭窄性发育异常，需要特别注意的是发育异常向实质的蔓延、存在多个有利于肾切除术的动脉瘤，以及内膜发育异常的相对频率（8例中有2例）。
