中国动脉硬化杂志2011，Vol.19Issue(2)：128-130,3.
经皮肾动脉成形术对肾动脉狭窄患者血压和肾功能的影响
Effects of Percutaneous Transluminal Renal Arterioplasty on Blood Pressure and Renal Function in Patients with Renal Artery Stenosis
卢再鸣 1单明 1张军 1郑加贺 1刘兆玉 1郭启勇1
作者信息
- 1. 中国医科大学附属盛京医院放射科,辽宁省沈阳市,110004
- 折叠
摘要
Abstract
Aim To investigate the effect of percutaneous transluminal renal arterioplasty (PTRA) on blood pressure and renal function in patients with renal artery stenosis (RAS).Methods 23 patients with renal artery stenosis treated by PTRA were selected as the study subjects and their clinical data were retrospectively analyzed to observe the changes in blood pressure and renal function and to analyze the efficacy.Results 23 patients were successfully implanted the renal artery stent with no serious intraoperative and postoperative complications, the residual stenosis were less than 30％ and the surgical successful rate was 100％.Patients were followed up for 12 months, 3 cases were cured of hypertension, 17 cases improved, the total improvement rate was 86.9％; 6 cases were improved of renal function, 13 cases of stability, the total benefit rate was 82.6％.Systolic blood pressure (SBP) reduced from 180.3±35.6 mmHg to 131.2 ± 25.4 mmHg, diastolic blood pressure (DBP) reduced from 106.2 ±21.5 mmHg to 80.6 ± 14.2 mmHg, serum creatinine reduced from 286.4 ± 113.7 μmol/L to 166.5 ± 84.8 μmol/L, the difference between before and after surgery was significant (P ＜0.05).Conclusions PTRA and renal artery stenting for the treatment of RAS has high success rate.It can control the blood pressure and stabilize the renal function, while its long-term efficacy needs further investigation.关键词
经皮肾动脉成形术/肾动脉狭窄/血压/肾功能Key words
Percutaneous Transluminal Renal Arterioplasty/ Renal Artery Stenosis/ Blood Pressure/ Renal Function分类
医药卫生引用本文复制引用
卢再鸣,单明,张军,郑加贺,刘兆玉,郭启勇..经皮肾动脉成形术对肾动脉狭窄患者血压和肾功能的影响[J].中国动脉硬化杂志,2011,19(2):128-130,3.
