de Góes G M, Lucon A M
J Urol. 1981 Jul;126(1):14-6. doi: 10.1016/s0022-5347(17)54356-6.
Renal autotransplantation was performed on 15 subjects with renovascular hypertensive disease owing to unilateral renal artery stenosis. Kidney survival was achieved in 14 cases. Followup for a minimum of 6 months showed 50 per cent of the patients to be cured, 28 per cent improved and 22 per cent unchanged according to the criteria described herein. There was an 85 per cent cure rate among a subgroup of patients less than 35 years old, with less than 20 months of hypertension and non-atherosclerotic lesions. Plasma renin assay was not found to be a good prognostic indicator as reported previously. In our hands the method showed only a 70 per cent correlation with the final results. Non-atherosclerotic lesions had a better prognosis.
对15例因单侧肾动脉狭窄所致肾血管性高血压疾病的患者实施了自体肾移植。14例患者的肾脏存活。根据本文所述标准，至少随访6个月显示，50%的患者治愈，28%的患者病情改善，22%的患者病情未变。在年龄小于35岁、高血压病程小于20个月且无动脉粥样硬化病变的患者亚组中，治愈率为85%。血浆肾素测定并未如先前报道的那样是一个良好的预后指标。在我们的研究中，该方法与最终结果的相关性仅为70%。无动脉粥样硬化病变的患者预后较好。
