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[不同类型肾血管性高血压的外科治疗]

[Surgical treatment of different forms of renovascular hypertension].

作者信息

Cierpka L, Król R, Budziński G, Duraj M, Kołodziejczyk A, Szczerba H

机构信息

I Katedry i Kliniki Chirurgii Ogólnej Slaskiej Akademii Medycznej Katowicach.

出版信息

Wiad Lek. 1997;50 Suppl 1 Pt 2:51-4.

PMID:9424926
Abstract

24 patients with renovascular hypertension were operated from 1995 to 1997. Patients were divided into three groups: group I-atherosclerotic stricture of renal arteries with or without aorta stenosis (13), group II-fibromuscular dysplasia (8), group III-stricture of vascular anastomosis after renal transplantation (5). All patients were disqualified from PTA. Operations of reanastomosis of renal arteries to aorta or prosthesis and TEA dominated in group I, the operation of choice in groups II and III was plastic procedure with patch or venous graft. Authors conclude that surgical treatment of renovascular hypertension is an efficient method of treatment in case of disqualification from PTA and the way of reconstruction should be dependent on the reason of renovascular hypertension.

摘要

1995年至1997年期间,对24例肾血管性高血压患者进行了手术。患者被分为三组:第一组——有或无主动脉狭窄的肾动脉粥样硬化性狭窄(13例),第二组——纤维肌性发育异常(8例),第三组——肾移植后血管吻合口狭窄(5例)。所有患者均不适合进行经皮腔内血管成形术(PTA)。第一组以肾动脉与主动脉或人工血管重新吻合及肾动脉内膜切除术为主,第二组和第三组的首选手术是采用补片或静脉移植物的整形手术。作者得出结论,对于不适合PTA的患者,肾血管性高血压的外科治疗是一种有效的治疗方法,重建方式应取决于肾血管性高血压的病因。

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