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[移植肾肾动脉狭窄的治疗结果]

[Results of the treatment of renal artery stenosis in transplanted kidneys].

作者信息

Benoit G, Hiesse C, Icard P, Bensadoun H, Bellamy J, Charpentier B, Jardin A, Fries D

机构信息

Service d'Urologie, Hôpital Universitaire de Bicêtre, Le Kremlin-Bicêtre.

出版信息

Ann Urol (Paris). 1987;21(6):409-15.

PMID:2963584
Abstract

Fifty-six renal artery stenoses involving transplanted kidneys among a series of 819 renal transplants performed from 1978 to 1986 were treated. Forty-two patients underwent surgery. Surgery was the initial treatment in 38 cases and followed failed or complicated dilatation in four cases. Surgical treatment ensured successful control of hypertension in 85% of cases with a mean time lag of 26 months. Recurrence rate was 12%. Two patients died in the perioperative period. Percutaneous dilatation was performed in 18 renal artery stenoses and ensured control of hypertension in 61% of cases with a mean time lag of 19.6 months and a 33% recurrence rate.

摘要

在1978年至1986年进行的819例肾移植手术中,对56例涉及移植肾的肾动脉狭窄进行了治疗。42例患者接受了手术。手术是38例患者的初始治疗方法,另外4例患者是在扩张治疗失败或出现并发症后接受手术。手术治疗使85%的病例成功控制了高血压,平均延迟时间为26个月。复发率为12%。2例患者在围手术期死亡。对18例肾动脉狭窄进行了经皮扩张治疗,61%的病例血压得到控制,平均延迟时间为19.6个月,复发率为33%。

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