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[肾动脉纤维发育不良性动脉瘤择期治愈对高血压患者的价值]

[Value of elective cure of fibrodysplastic aneurysms of the renal artery in hypertensive patients].

作者信息

Desgrandchamps F, Lagneau P

机构信息

Service de Chirurgie Vasculaire, Hôpital Saint-Michel, Paris.

出版信息

Prog Urol. 1993 Feb;3(1):32-9.

PMID:8485592
Abstract

Renal artery aneurysms (RAA) are rare lesions, often associated with hypertension. In order to evaluate the benefit in terms of blood pressure of elective cure of a fibrodysplastic renal artery aneurysm in hypertensive patients, 22 patients were studied retrospectively. With a mean follow-up of 66 months, correction or improvement of hypertension was obtained in all patients with an isolated aneurysm or an aneurysm associated with haemodynamic lesions of the renal artery, treated at the same time, but only 40% of cases when the aneurysm was associated with non-heamodynamic lesions. Direct criteria attributing the hypertension to the aneurysm were generally absent.

摘要

肾动脉动脉瘤(RAA)是罕见的病变,常与高血压相关。为了评估对高血压患者择期治愈纤维发育不良性肾动脉动脉瘤在血压方面的益处,对22例患者进行了回顾性研究。平均随访66个月,所有孤立性动脉瘤或同时合并肾动脉血流动力学病变的动脉瘤患者的高血压均得到纠正或改善,但动脉瘤合并非血流动力学病变时仅40%的病例如此。通常不存在将高血压归因于动脉瘤的直接标准。

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