肾动脉狭窄的介入治疗

The interventional therapy for renal arterial stenosis

目的探讨介入治疗肾动脉狭窄的临床价值。方法36例肾动脉狭窄患者进行经皮腔内成形术(PTA)或内支架植入术,观察其疗效和肾动脉的再狭窄情况。结果PTA+支架植入术的成功率100%;近期临床改善率和随访临床改善率分别为75·9%和69·0%;术后肾动脉再狭窄率33·3%。结论PTA和支架植入术是一种安全、有效的方法,可作为肾动脉狭窄的首选疗法。

Objective To investigate the clinical value of interventional therapy for renal arterial stenosis.Methods PTA or stent implanting were performed in 36 patients with renal arterial stenosis,and therapeutic effect of which and restenosis of renal artery were evaluated.Results The success rate of PTA and stent implanting was 100%;the shortterm and follow-up clinical improvement rate were 75.9%and 69.0%,respectively;the restenosis rate of renal artery after operation was 33.3%.Conclusion PTA and stent implanting should be regarded as the preferred therapy for renal artery stenosis because of its safety and effectivity.