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[肾自体移植治疗肾血管性高血压]

[Kidney autotransplantation in the treatment of renovascular hypertension].

作者信息

Pereversew A S, Tscherbak A I

机构信息

Forschungsinstitut für Urologie und Nephrologie beim Ministerium für Gesundheitswesen der Ukrainischen Sowjetrepublik in Kiew.

出版信息

Z Urol Nephrol. 1988 Oct;81(10):623-7.

PMID:3071035
Abstract

75 patients with renovascular hypertension were treated by renal autotransplantation. This operation ist indicated in complicated disorders of the renal arteries in which an in situ reconstruction may be impossible. The operative technique and the methods of renal preservation are described in detail. The superior efficacy of renal autotransplantation is demonstrated by positive treatment results in 82.7% of the patients with renovascular hypertension. The prognosis of hypertension was unfavourable in patients with long-term history of the disease. Better treatment results are expected in fibromuscular renal artery stenosis, arteritis of renal arteries and renal artery aneurysms in comparison with atherosclerotic stenosis of renal arteries.

摘要

75例肾血管性高血压患者接受了自体肾移植治疗。该手术适用于肾动脉复杂病变,原位重建可能无法进行的情况。详细描述了手术技术和肾脏保存方法。肾血管性高血压患者82.7%的积极治疗结果证明了自体肾移植的卓越疗效。病程长的患者高血压预后不佳。与肾动脉粥样硬化性狭窄相比,纤维肌性肾动脉狭窄、肾动脉炎和肾动脉瘤有望获得更好的治疗效果。

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