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一、手术疗法手术对解除肾后性高血压尿路阻塞有效。对肾实质性高血压和难于作血流再建术的肾性高血压也可施行肾摘除术及肾部分切除。对肾血管性高血压,为了降压和维持、改善肾功能作血流再建术是可取的。血流再建术有许多术式,手术效果可因血管病变情况及手术术式而不同。近年来手术已较安全,效果也显著提高。1974年作者等统计全日本486例肾血管性高血压手术病例的结果,血压恢复正常者为51.2%,
First, surgery to relieve renal hypertension surgery after urinary tract obstruction effective. Renal parenchymal hypertension and renal hypertension, which is difficult to reconstruct blood flow, may also be performed for renal extirpation and partial nephrectomy. Renal vascular hypertension, in order to depressurization and maintenance, improve renal function for blood flow reconstruction is desirable. There are many surgical reconstruction of blood flow, the effect of surgery may be due to vascular disease and surgical procedures and different. Surgery in recent years has been more secure, the effect is also significantly improved. In 1974, the authors calculated the results of 486 cases of renal vascular hypertension in Japan. The blood pressure returned to normal was 51.2%