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肾血管性高血压的手术方法有主——肾动脉架桥术,肾切除术或对狭窄段施行手术扩张术。其成功率为60～90％。死亡率为2～14％或零。作者对4例曾施行经皮穿刺插入动脉导管而扩张狭窄段肾动脉的治疗。所报告的病例皆经肾动脉造影及肾静脉肾素活性测定所确诊者。经治疗后,血压皆有显著降低,3例的术后肾静脉肾素活性的病/健肾的比值皆趋于正常范围,肾动脉造影随访检查,畅通、无狭窄。
Renal vascular hypertension surgical methods are the main - renal artery bypass surgery, nephrectomy or surgical treatment of stenosis. The success rate of 60 to 90%. Mortality is 2-14% or zero. The author of 4 cases had percutaneous catheterization and expansion of stenosis renal artery treatment. The reported cases were confirmed by renal artery angiography and renal vein renin activity test. After treatment, the blood pressure was significantly reduced, 3 cases of postoperative renal vein renin activity of the disease / kidney ratio tend to be within the normal range of renal artery angiography follow-up examination, smooth, no stenosis.