Lawson J D, Hollifield J H, Foster J H, Rhamy R K, Dean R H
Am Surg. 1978 Oct;44(10):642-9.
In summary, we feel the results of this study support an aggressive approach toward the diagnostic evaluation and operative management of patients with renovascular hypertension secondary to complete occlusion of the renal artery. Further, the frequent presence of contralateral disease and the progressive nature of renal artery occlusions represent a significant threat to renal function. Since renal function is frequently compromised but potentially retrievable by revascularization, nephrectomy should be employed only when hypertension is difficult to control, revascularization is impossible, and excretory function in the affected kidney is minimal.
总之，我们认为本研究结果支持对继发于肾动脉完全闭塞的肾血管性高血压患者采取积极的诊断评估和手术治疗方法。此外，对侧疾病的频繁存在以及肾动脉闭塞的进展性对肾功能构成了重大威胁。由于肾功能经常受损，但通过血管重建有可能恢复，因此仅在高血压难以控制、无法进行血管重建且患肾的排泄功能极低时才应进行肾切除术。
