| 动脉粥样硬化性肾动脉闭塞的介入治疗 |
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| 引用本文： | 李建,徐克,肖亮. 动脉粥样硬化性肾动脉闭塞的介入治疗[J]. 介入放射学杂志, 2009, 18(8): 588-592 |
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| 作者姓名： | 李建 徐克 肖亮 |
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| 作者单位： | 中国医科大学附属第一医院放射科,沈阳,110001;中国医科大学附属第一医院放射科,沈阳,110001;中国医科大学附属第一医院放射科,沈阳,110001 |
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| 摘 要： | 目的 评价对动脉粥样硬化性肾动脉闭塞(ARAO)实施综合性介入治疗的疗效.方法 本组对16例ARAO患者(16支闭摩血管)行经皮肾动脉开通术、球囊扩张及支架置入术治疗.术后定期随访,根据超声和DSA复查结果判断肾动脉通畅情况,并对术后中、远期血压和肾功能指标进行统计学独立样本t检验.结果 16例患者中,15例(93.8%)开通成功,1例开通失败.15例随访9～24个月,其中3例死亡.根据随访终点结果,血压治愈者3例,改善者7例,无效者2例,临床获益为83.3%(10/12);肾功能改善者2例,保持稳定者6例,继续恶化者4例,治疗有效率为66.7%(8/12).结论 动脉粥样硬化性肾动脉闭塞的综合性介入治疗成功率高,可获得满意的降压效果,对肾功能也起到一定的保护作用.
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| 关 键 词： | 动脉粥样硬化 肾动脉闭塞 介入治疗 |
Interventional therapy of atherosclerotic renal artery occlusion |
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| LI Jian,XU Ke,XIAO Liang. Interventional therapy of atherosclerotic renal artery occlusion[J]. Journal of Interventional Radiology, 2009, 18(8): 588-592 |
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| Authors: | LI Jian XU Ke XIAO Liang |
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| Affiliation: | LI Jian,XU Ke,XIAO Liang.Department of Radiology,the First Affiliated Hospital of China Medical University,Shenyang 110001,China |
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| Abstract: | Objective To investigate the effectiveness of interventional therapy for the atherosclerotic renal artery occlusion (ARAO). Methods During the period of June 2001-Dec. 2007, 16 patients with ARAO (total of 16 occluded arteries) underwent interventional managements, including percutaneous endovascular renal artery revascularization, balloon dilatation angioplasty and stent placement. Follow-up survey was made at regular intervals. The patent condition of the renal artery was evaluated with ultrasonography an... |
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| Keywords: | atherosclerosis renal artery occlusion interventional therapy |
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