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[肾血管性高血压肾自体移植的长期随访研究]

[Long-term follow-up study of renal autotransplantation in reno-vascular hypertension].

作者信息

Fukuda M, Aikawa I, Omori Y, Yoshimura N, Suzuki S, Yasumura T, Oka T

出版信息

Nihon Geka Gakkai Zasshi. 1987 Jun;88(6):761-7.

PMID:3306341
Abstract

Therapeutic effects of heterotopic renal transplantation for renovascular hypertension were evaluated in ten patients with a follow-up period of more than three years. These ten patients consisted of 4 males and 6 females with the range of age from 21 to 55. The causes of renovascular hypertension were fibromuscular dysplasia in five patients, atherosclerosis in 3 and aortitis syndrome in 2. All the ten patients had a unilateral stenosis of the renal artery. At 3 years after operation, the blood pressure fell to normal range without any medication in 9 patients (90%) and it could be controlled with antihypertensive drugs in the remaining one patient. Operative mortality or deterioration of graft function was not experienced in any of them. One of the female patients had three deliveries after operation. The heterotopic renal autotransplantation is a therapeutic method to be selected for renovascular hypertension, since excellent and stable long-term results can be achieved.

摘要

对10例肾血管性高血压患者进行了异位肾移植治疗效果评估,随访时间超过3年。这10例患者中,男性4例,女性6例,年龄在21岁至55岁之间。肾血管性高血压的病因包括:5例为纤维肌性发育不良,3例为动脉粥样硬化,2例为大动脉炎综合征。所有10例患者均为单侧肾动脉狭窄。术后3年,9例患者(90%)血压在未服用任何药物的情况下降至正常范围,其余1例患者的血压可用降压药物控制。所有患者均未出现手术死亡或移植肾功能恶化的情况。其中1例女性患者术后分娩3次。异位肾自体移植是治疗肾血管性高血压可供选择的一种治疗方法,因为可以获得优异且稳定的长期效果。

相似文献

1
[Long-term follow-up study of renal autotransplantation in reno-vascular hypertension].[肾血管性高血压肾自体移植的长期随访研究]
Nihon Geka Gakkai Zasshi. 1987 Jun;88(6):761-7.
2
Percutaneous transluminal angioplasty improves blood pressure and renal function in renovascular hypertension.经皮腔内血管成形术可改善肾血管性高血压患者的血压和肾功能。
Q J Med. 1987 May;63(241):393-403.
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Percutaneous transluminal renal angioplasty in renovascular hypertension due to atheroma or fibromuscular dysplasia.经皮腔内肾血管成形术治疗动脉粥样硬化或纤维肌性发育异常所致的肾血管性高血压。
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[The long-term results on arterial pressure and kidney function after the percutaneous transluminal dilatation of renal artery stenosis].经皮腔内肾动脉狭窄扩张术后动脉血压及肾功能的长期结果
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[Clinical evaluation of renal autotransplantation in renal vascular hypertension].[肾血管性高血压中自体肾移植的临床评估]
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