[1]谭秀娟,张帆,郭静萱①,等.肾动脉狭窄支架植入术的临床疗效观察[J].中国微创外科杂志,2005,05(12):1055-1057.
　Tan Xiujuan*,Zhang Fan*,Guo Jingxuan,et al.Percutaneous stenting for renal artery stenosis[J].Chinese Journal of Minimally Invasive Surgery,2005,05(12):1055-1057.
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肾动脉狭窄支架植入术的临床疗效观察()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年12期
页码:
1055-1057
栏目:
出版日期:
2005-12-30

文章信息/Info

Title:
Percutaneous stenting for renal artery stenosis
作者:
谭秀娟; 张帆; 郭静萱①; 李选②
北京大学第三医院老年内科,北京,100083
Author(s):
Tan Xiujuan*;  Zhang Fan*;  Guo Jingxuan;  et al.*
Department ofGeriatrics, Peking UniversityThirdHospital, Beijing100083, China
关键词:
肾动脉狭窄; 介入治疗; 肾动脉内支架植入术
Keywords:
Renal artery stenosis; 　Interventional therapy; 　Renal artery stenting
分类号:
R654.3;R815
文献标志码:
A
摘要:
目的探讨肾动脉狭窄支架植入术的临床疗效.方法1997年1月～2004年12月,我院行支架介入治疗肾动脉狭窄27例.对27例术前、术后及随访期内血压、肾功能以及生活质量进行评估,并与同期单纯药物治疗肾动脉狭窄27例进行比较.结果介入组27例植入支架40枚,手术成功24例(88.9%,24/27),失败3例(11.1%,3/27),手术并发症5例(18.5%,5/27).术后在血压下降(包括收缩压舒张压)肌酐下降,肾小球滤过率增加方面,介入组获益率明显优于药物组,两组比较差异均有显著性,术后随访6个月～8年6个月,中位数为1年9个月,介入组有19例能比较健康的生活和工作,药物组仅12例能维持生活和工作.结论支架介入治疗较单纯药物治疗肾动脉狭窄疗效显著.
Abstract:
Objective　To evaluate the effect of percutaneous stenting for renal artery stenosis.　M ethods　Stent implantationwas conducted in 27 patients (InterventionalGroup) with renalartery stenosis from January1997 toDecember2004 in this hospita.l Patients'blood pressure, renal functions, and quality of life were recorded and compared with another group of 27 patients receivingmedical treatment (MedicalGroup) during this time.　Results　The procedure of renal artery stentingwas superior to the medical treatment in antihypertensive effect, renal function improvement, raise of life quality, and increase of survival rate. The procedure offered a high success rate (88·9%, 24/27) and low re-stenosis rate (12·5%, 3/24) and an incidence of complications (18·5%, 5/27). The Interventional Group was remarkably superior to the Medical Group with respect to the decrease of blood pressure and creatinine and the increase ofglomerular filtration rate, with significantdifferences. Follow-ups for6 months ~ 8 years and 6 months (median, 1 year and 9 months) revealed that normal daily activities and works were achieved in 19 patients in the InterventionalGroup and in 12 patients in theMedicalGroup.　Conclusions　Percutaneous renal artery stenting in the treatment of renal artery stenosis is effective.

参考文献/References:

[1]张培华,主编.临床血管外科学.北京:北京科学出版社,2003.371-372.
[2]叶任高,主编.内科学.第5版.北京:人民卫生出版社,2001.258-259.
[3]Rundback JH, Sacks D, Kent KC , et al. Guidelines for the reporting of renal artery revascularization in clinical trials. Circulation, 2002,106:1572 - 1585.
[4]陈香美,王晓雄.肾动脉狭窄的诊断及治疗.中华内科杂志,2000,39:419-420.
[5]Harding MB, Smith LR, Himmelstei SI, et al. Renal artery stenosis:prevalence and associated risk factor in patients undergoing routing cardiac catheterization. J Am Soc Nephrol, 1992, 2:1608 -1616.
[6]陈水龙,王焱,王挹青,等.动脉粥样硬化性肾动脉狭窄的早期发现.中国动脉硬化杂志,2004,2(1):93-95.
[7]Rimmer JM, Gennari FJ. Atherosclerotic renovascular disease and progressive renal failure. Ann Intern Med, 1993, 118:712 -719.
[8]Blum U, Krumme B, Flugel P, et al. Treatment of ostial renal artery stenosis with Vascular endoprosheses after unsuccessful bolloon angioplasty. N Engl J Med, 1997,336:459 - 465.

备注/Memo

备注/Memo:
①心内科②介入治疗科
更新日期/Last Update: 2014-04-29