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[非特异性主动脉动脉炎中肾血管性高血压的外科治疗]

[Surgical treatment of vasorenal hypertension in non-specific aorto-arteritis].

作者信息

Pokrovskiĭ A V, Spiridonov A A, Sultanaliev T A

出版信息

Vestn Khir Im I I Grek. 1979 Feb;122(2):3-7.

PMID:442401
Abstract

An injury to the renal arteries was found in 119 patients with non-specific aorto-arteritis and high arterial hypertension by means of angiography. 66 patients were operated upon (75 operations). The reconstruction of one renal artery was carried out upon 31 patients, 30 patients underwent the reconstruction of both renal arteries. 6 patients were subjected to the primary nephrectomy, and 6 others to the secondary one. The blood flow along the aorta and visceral arteries was restored in 31 cases in one-stage operation together with the reconstruction of the renal arteries. In recent years the postoperative mortality has constituted 4.3%. Excellent and good results have been obtained in 83.6% of cases.

摘要

通过血管造影术在119例非特异性主动脉动脉炎和重度动脉高血压患者中发现了肾动脉损伤。66例患者接受了手术(共75次手术)。31例患者进行了单肾动脉重建,30例患者进行了双肾动脉重建。6例患者接受了一期肾切除术,另外6例接受了二期肾切除术。在一期手术中,31例患者在重建肾动脉的同时恢复了主动脉和内脏动脉的血流。近年来,术后死亡率为4.3%。83.6%的病例取得了优良效果。

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