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[血管性肾性高血压外科治疗中的重建手术]

[Reconstructive operations in surgical treatment of vasorenal hypertension].

作者信息

Kniazev M D, Krotovskiĭ G S, Gavrilenko A V

出版信息

Kardiologiia. 1976 May;16(5):26-32.

PMID:950751
Abstract

The experience of 313 reconstructive operations performed in 289 patients with renovascular hypertension is analysed. The importance of choosing the surgical procedure with due regard of the etiology and extent of the pathological process is emphasized. The most effective and frequently employed reconstructive procedures consisted in the author's original technique of transaortic endarterectomy (232 operations), resection of the renal artery with reimplantation of the ostium into the aorta (19 operations), renal artery resection with an end-to-end anastomosis (23 operations). In cases of bilateral lesions of the renal arteries two-stage procedures are recommended, spaced 3-4 months apart. Reconstructive interventions on the single renal artery are described.

摘要

分析了289例肾血管性高血压患者进行的313例重建手术的经验。强调了根据病理过程的病因和范围选择手术方法的重要性。最有效且最常用的重建手术包括作者原创的经主动脉内膜切除术(232例手术)、肾动脉切除并将开口重新植入主动脉(19例手术)、肾动脉切除并端端吻合(23例手术)。对于双侧肾动脉病变,建议分两阶段进行手术,间隔3 - 4个月。描述了对单一肾动脉的重建干预。

相似文献

1
[Reconstructive operations in surgical treatment of vasorenal hypertension].[血管性肾性高血压外科治疗中的重建手术]
Kardiologiia. 1976 May;16(5):26-32.
2
[Anastomosis of the aorta and renal artery in the treatment of renal artery stenoses near the aorta in patients with hypertension].
Chirurg. 1968 Feb;39(2):94-6.
3
[Thromboendarterectomy of the aorta and renal arteries in vaso-renal hypertension].[血管性肾性高血压的主动脉及肾动脉血栓内膜切除术]
Vestn Khir Im I I Grek. 1975 Sep;114(9):3-9.
4
[Our experience with the surgical treatment of renovascular hypertension].[我们对肾血管性高血压外科治疗的经验]
Vestn Khir Im I I Grek. 1984 Nov;133(11):9-13.
5
[Current problems of reconstructive surgery in patients with lesions of the visceral branches of the abdominal aorta].[腹主动脉内脏分支病变患者重建手术的当前问题]
Vestn Akad Med Nauk SSSR. 1990(10):28-32.
6
Transaortic endarterectomy of renal visceral artery lesions in association with infrarenal aortic surgery.肾内脏动脉病变与肾下主动脉手术联合进行经主动脉内膜切除术。
J Vasc Surg. 1990 Dec;12(6):697-703; discussion 703-4. doi: 10.1067/mva.1990.24826.
7
Changing concepts in renovascular hypertension.肾血管性高血压观念的转变
Surg Clin North Am. 1974 Feb;54(1):257-69. doi: 10.1016/s0039-6109(16)40248-3.
8
[Nonspecific aortoarteritis and vasorenal hypertension].[非特异性主动脉动脉炎与肾血管性高血压]
Grud Serdechnososudistaia Khir. 1990(6):23-7.
9
Ten years experience with the surgical management of renovascular hypertension.肾血管性高血压外科治疗的十年经验
Ann Surg. 1973 Jun;177(6):755-66. doi: 10.1097/00000658-197306000-00015.
10
Renovascular hypertension: 1979.肾血管性高血压:1979年。
Surg Annu. 1979;11:313-61.