PTRA和STENT术治疗肾血管性高血压疗效观察  

Effects of Percutaneous Transluminal Renal Arterioplasty and Renal Artery Stenting for Treating Renovascular Hypertension

作　　者：吴照芝 涂小文[2] 徐劲松[2] 向红利 任海涛 叶慧珍 张妍 

机构地区：[1]广东省深圳市蛇口联合医院,深圳市518067 [2]中国人民解放军南京军区第94医院,南昌市330006

出　　处：《医药论坛杂志》2004年第9期14-16,共3页Journal of Medical Forum

摘　　要：目的　探讨经皮腔内肾动脉成形术 (PTRA)和肾动脉支架植入术 (STENT)治疗肾血管性高血压(RVH)的疗效及影响因素。方法　对 2 8例不同病因 (大动脉炎 1 0例 ,动脉粥样硬化 1 2例 ,肾动脉纤维肌性发育不良 6例 )致肾动脉狭窄患者行PTRA和植入支架。术后造影观察即时技术成功参数 ,复查血压 ,血清肌酐水平 ,并对其中 2 5例进行了随访 ,随访率 89 3% ,随访时间 0 8～ 7 1年 (3 8± 1 2 )。结果　即时技术成功率为 1 0 0 %(2 8/ 2 8) ,术后 2 8例高血压都得到明显改善 (1 0 0 % ) ,其中 1 8例 (6 5 % )降至正常 ,1 0例 (35 % )明显改善 ,1 9例肾功能得到改善 ,无严重并发症发生。结论　PTRA和肾动脉支架植入治疗RVH疗效良好 ,是一种安全有效的治疗方法 。Objective To evaluate effects of percutaneous transluminal renal arterioplasty (PTRA) and renal arterioplasty stenting (STENT) for treating renovascular hypertension (RVH) and the factors influencing the effect.Methods PTRA+stent was completed in 28 cases with RVH (10 arteritis, 12 atherosclerosis and 6 fibromuscular renal artery dysplasis). The successful rate was studied with angiography. Before and after PTRA+stent blood pressure and serum creatinine levels were examined to evaluate the clinical result. The follow up 25 cases (89 3%), the follow up period was 0 8～7 1(3 8±1 2) years.Results PTRA+stent was technically successful 100% (28/28) . After PTRA+stent, the overall benefit rate for hypertension was 28cases(100%),among which 18 cases (65%)were cured and 10(35%) were improved. Renal function improved in 19 patients. There was no severe side effect.Conclusion PTRA+stent is an effective and secure method for the management of patients with RVH. This method should be the first choice of revascularization for patients with RVH.

关 键 词：经皮腔内肾动脉成形术 支架 肾血管性高血压 治疗 

分 类 号：R544.14[医药卫生—心血管疾病]