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[非特异性主动脉炎中头臂动脉和肾动脉联合病变的外科治疗原则]

[Principles of the surgical treatment of combined lesions of the brachiocephalic and renal arteries in nonspecific aorto-arteritis].

作者信息

Pokrovskiĭ A V, Spiridonov A A, Tsitsuashvili G A, Sultanaliev T A

出版信息

Vestn Khir Im I I Grek. 1979 Jun;122(6):9-15.

PMID:377772
Abstract

The presented work is founded on the analysis of the results of the surgical treatment of 43 patients with combined injuries to the brachycephalic and renal arteries, manifested clinically as syndromes of cerebral ischemia and vasorenal hypertension. 50 operations were carried out upon 43 patients. 45 of these 50 operations were reconstructive ones. 6 patients were subjected to several-stages operations both upon the brachycephalic and renal arteries. 80% of the patients showed good long-term results. An active surgical tactics allowed to diminish dramatically the percentage of nephrectomy in non-specific aorto-arteritis.

摘要

本研究基于对43例患有短头动脉和肾动脉联合损伤患者手术治疗结果的分析,这些患者临床上表现为脑缺血综合征和肾血管性高血压。对43例患者实施了50次手术。这50次手术中有45次是重建手术。6例患者接受了短头动脉和肾动脉的分期手术。80%的患者取得了良好的长期效果。积极的手术策略显著降低了非特异性主动脉动脉炎患者的肾切除率。

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