肾动脉狭窄介入治疗的疗效观察

The clinical efficacy of interventional therapy in patients with renal artery stenosis

目的分析及评价肾动脉狭窄患者经介入治疗术后的临床疗效。方法选取2013年1月至2018年6月在本院入院治疗,完善相关检查后确诊为肾动脉狭窄的18例患者作为研究对象,针对不同患者的病情,应用单纯球囊扩张术或支架植入术进行治疗,治疗后随访1年。观察手术成功率,记录患者手术前、手术1年后的血压情况并比较,随访观察有无术后并发症。结果18例患者中,4例应用单纯球囊扩张术,14例应用肾动脉支架植入术;手术成功率100.0%,术后血压较术前降低,差异具有统计学意义(P<0.05);治疗效果总满意率88.9%(16/18)。术后随访1年均未发现明显并发症。结论肾动脉狭窄介入治疗有利于控制肾性高血压,有较高的技术成功率,较低的并发症,值得推广。

Objective To analyze and evaluate the clinical efficacy of interventional therapy in patients with renal artery stenosis.Methods 18 patients with renal artery stenosis diagnosed in our hospital from January 2013 to June 2018 were selected as the study subjects.According to the condition of each patient,balloon dilation or stent implantation was performed for treatment,followed up for one year after treatment.The success rate of operation was observed and the blood pressure changes and complications before and after treatment were recorded and compared.Results 4 cases underwent balloon dilation alone and 14 cases underwent renal artery stent implantation,with a success rate of 100.0%.The blood pressure after operation was significantly improved compared with that before operation(P<0.05),with a total satisfaction rate of 88.9%(16/18).No obvious complications were found.Conclusion Interventional treatment of renal artery stenosis is beneficial to the control of renal hypertension with high technical success rate and low complications,which is worth popularizing.