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胃十二指肠-右肾动脉旁路转流术治疗肾动脉狭窄
引用本文:蒋米尔,张国强,陆民,黄新天,朱雯霞,田卓平,张培华.胃十二指肠-右肾动脉旁路转流术治疗肾动脉狭窄[J].中华普通外科杂志,1997(5).
作者姓名:蒋米尔  张国强  陆民  黄新天  朱雯霞  田卓平  张培华
作者单位:上海第二医科大学附属第九人民医院
摘    要:作者采用自体大隐静脉间置移植,作胃十二指肠动脉旁路转流术,治疗肾动脉狭窄、肾血管性高血压1例。术后随访1年,取得良好控制高血压疗效。作者认为,间置自体大隐静脉的内径不应小于0.4cm,吻合后移植大隐静脉段无张力。防止受压、成角、扭曲以及缩短缺血时间,是保护肾脏功能和使手术取得成功的关键。

关 键 词:肾动脉狭窄,肾血管性高血压,动脉重建术

Revasculirization of the right renal artery by the gastroduodenal artery for the treatment of renal artery stenosis
Jiang Mier,Zhang Guoqiang,Lu Min et al..Revasculirization of the right renal artery by the gastroduodenal artery for the treatment of renal artery stenosis[J].Chinese Journal of General Surgery,1997(5).
Authors:Jiang Mier  Zhang Guoqiang  Lu Min
Abstract:Revasculirization of the right renal artery by the gastroduodenal artery with a segment of autogenous saphenous vein interposition graft was performed in one patient suffering from renovascular hypertension. Excellent result was confirmed by follow-up of 1 year. The successful revascularization depends on short ischemic period,satisfactory anastomosis of saphenous vein graft without tension and kink. The diameter of the segment of saphenous vein must be at least 4 mm.
Keywords:Stenosis renal artery Hypertension Revascularization  
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