Zhang J, Dong Z, Yu H
Capital University of Medical Sciences, Beijing.
Zhonghua Wai Ke Za Zhi. 1996 Jul;34(7):427-9.
79 cases of reno-vascular hypertension were treated with percutaneous transluminal angioplasty (PTRA) during 1981-1994. Athrosclerosis as the etiology of renal artery lesions was noted in 14 cases (17.7%), arteritis in 57 (72.2%), and fibro-muscular dysplasia in 8 (10.1%). The success rate of PTRA was 94.8%. The morbidity rate was 3.8%. There was no mortality in this series. The cure-improvement rate after average follow-up of 44.8 months was 73.4%. It was 75.4% in the group of arteritis. We conclude that PTRA should be considered as the first choice for the treatment of renovascular hypertension, especially to the arteritis patients.
1981年至1994年期间,对79例肾血管性高血压患者进行了经皮腔内血管成形术(PTRA)治疗。肾动脉病变的病因中,动脉粥样硬化14例(17.7%),动脉炎57例(72.2%),纤维肌性发育不良8例(10.1%)。PTRA的成功率为94.8%。发病率为3.8%。该系列无死亡病例。平均随访44.8个月后的治愈改善率为73.4%。动脉炎组为75.4%。我们得出结论,PTRA应被视为肾血管性高血压治疗的首选方法,尤其是对动脉炎患者。