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肾动脉内支架置入治疗肾血管性高血压
引用本文:杨林,官泳松,周翔平,刘源,李肖,贺庆. 肾动脉内支架置入治疗肾血管性高血压[J]. 川北医学院学报, 2006, 21(3): 274-275
作者姓名:杨林  官泳松  周翔平  刘源  李肖  贺庆
作者单位:四川大学华西医院放射科,四川,成都,610041;川北医学院附院放射科,四川,南充,637007;四川大学华西医院放射科,四川,成都,610041
摘    要:目的探讨肾动脉内支架置入术(percutaneous translum inal renal artery stenting,PTRAS)治疗肾血管性高血压的疗效。方法对9例肾动脉狭窄(renal artery stenosis,RAS)患者进行了肾动脉支架置入术,并观察手术对患者血压的影响。结果9例患者均成功置入肾动脉支架。患者收缩压由术前的186.1±45.6 mmHg降至术后的139.4±15.4 mmHg(p<0.05),舒张压由术前的114.2±27.1 mmHg降至术后的89.4±17.9 mmHg(p<0.05),服用降压药物种类由术前的2.2±0.8种减少为术后的1.4±0.7种(p<0.05)。结论PTRAS技术成功率高,可有效降低肾血管性高血压患者血压。

关 键 词:肾动脉狭窄  支架  高血压
文章编号:1005-3697(2006)03-0274-02
收稿时间:2005-11-10
修稿时间:2005-11-10

Stent Placement to Treat Renovascular Hypertension
YANG Lin,GUAN Yong-song,ZHOU Xiang-ping,LIU Yuan,LI Xiao,HE Qing. Stent Placement to Treat Renovascular Hypertension[J]. Journal of North Sichuan Medical College, 2006, 21(3): 274-275
Authors:YANG Lin  GUAN Yong-song  ZHOU Xiang-ping  LIU Yuan  LI Xiao  HE Qing
Abstract:Objective To study the effect of stent placement in patients with hypertension caused by renal artery stenosis.MethodsNine patients with severe renal artery stenosis for poorly controlled hypertension were treated with stents.Their blood pressure levels were measured at baseline and during follow-up.ResultsStents were performed on 9 patients successfully.After the procedure,the mean systolic blood pressure of the patients was reduced from 186.1±45.6 mmHg to 139.4±15.4 mmHg(p<0.05),the mean diastolic blood pressure was reduced from 114.2±27.1 to 89.4±17.9 mmHg(p<0.05).The number of hypotensive drug sorts was reduced from 2.2±0.8 to 1.4±0.7(p<0.05).ConclusionsRenal artery stenting for renal artery stenosis has a beneficial effect on blood pressure control.
Keywords:Renal artery stenosis  Stent  Hypertension
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