肾动脉狭窄的病理形态学观察  

MORPHOLOGICAL STUDY OF RENAL ARTERY STENOSIS

作　　者：周本成[1] 吕军[1] 李从仁[1] 

机构地区：[1]中国人民解放军广州军区广州总医院病理科,哈尔滨医科大学病理教研室

出　　处：《中国循环杂志》1995年第1期40-42,共3页Chinese Circulation Journal

摘　　要：光镜观察了２９例肾动脉狭窄标本。１例（３．４％）为动脉粥样硬化，２例（６．９％）为纤维肌性结构不良，２６例（８９．７％）为大动脉炎。结果显示，我国肾动脉狭窄的原因主要是大动脉炎。外科手术治疗肾血管性高血压时，动脉（肾动脉、髂内动脉等）的病理活检对术后治疗方案的选择是重要的。Twenty-nine cases of renal artery stenosis were studied with light microscope. Among the 29 cases, one(3.4%) was due to atherosclerosis,two(6.9%) fibromuscular dysplasia, and twenty-six(89.7%) aortitis syndrome. The results revealed that the leading cause of renal artery stenosis in Chinese is aortitis syndrome. The pathological features and differential diagnosis of renal artery stenosis resulting from aortitis syndrome were discussed. When treating renovascular hypertension by surgery,biopsy of the morbid renal artery and the homolateral internal iliac artery is important for the determination of the postoperative treatment. The internal iliac arteries of patients underwent kidney autotransplantation may reveal early pathologic changes of aortitis syndrome,long-term follow-up of the outcome is necessary.

关 键 词：肾动脉狭窄 组织病理学 

分 类 号：R692.160.2[医药卫生—泌尿科学]