疑似肾血管性高血压患者的肾动脉手术
Renal artery surgery in patients with presumptive renovascular hypertension.
作者信息
Baird R J, Wilson D R, Sider R C, Rapoport A
出版信息
Can Med Assoc J. 1967 May 13;96(19):1299-303.
The authors review their experience with 29 patients who were operated upon for renal artery stenosis and had been followed up for longer than one year postoperatively. The preoperative assessment should include an aortogram and split-function test. A bypass prosthesis was the most useful operative technique. One year following surgery 40% were cured, 40% significantly improved and 20% unchanged. The results in patients with a longer follow-up (to seven years) were similar.A plea is made for more frequent preoperative renal biopsies and a greater willingness to perform bilateral repairs at the time of the initial operation.
作者回顾了29例因肾动脉狭窄接受手术且术后随访超过一年患者的经验。术前评估应包括主动脉造影和分肾功能试验。旁路修复术是最有效的手术技术。术后一年，40%的患者治愈，40%显著改善，20%无变化。随访时间更长（至七年）的患者结果相似。文中呼吁更频繁地进行术前肾活检，并更愿意在初次手术时进行双侧修复。
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