肾动脉狭窄性高血压的介入治疗临床观察

Clinical observation of interventional therapy for renal artery stenosis hypertension

目的:观察、研究肾动脉狭窄性高血压的介入治疗。方法:收治肾动脉狭窄性高血压(RAS)患者60例,收集DSA造影以及临床资料。结果:65支狭窄动脉行经皮腔内肾血管成形术(PTRA)40支,行支架植入(PTRAS)治疗23支,因为肾动脉几乎完全闭塞,使得微导丝没有通过狭窄部位,最后治疗失败2支。在本次研究中,治疗的成功率96.92%;AS性、FDM性、MA性RAS的治疗有效率分别是76.91%、88.12%、45.23%,再狭窄率分别为12.69%、24.45%、42.13%;治疗的总有效率83.33%。结论:对由不同病因所导致的RAS性高血压患者采取介入治疗能取得有效的治疗成效;其中FDM的治疗效果最好,其次是AS,MA治疗无法取得良好的疗效。

Objective:To observe and study the interventional treatment of renal artery stenosis hypertension.Methods:60 patientswith renal artery stenosis hypertension(RAS)were selected,DSA imaging and clinical data were collected.Results:40 branches of65 narrow arteries treated by percutaneous coronary angioplasty(PTRA),PTRAS was applied in the treatment of 23 cases,becausethe renal artery was almost completely occluded,the micro guide wire did not pass through the narrow part,and finally thetreatment failed in 2 cases.In this study,the success rate of treatment was 96.92%.The treatment efficiency of AS,FDM and MARAS were 76.91% ,88.12% and 45.23% respectively,the restenosis rates were 12.69% ,24.45% ,42.13% respectively.The totaleffective rate of treatment was 83.33% .Conclusion:Effective treatment outcome can be achieved by interventional therapy inpatients with RAS hypertension caused by different causes.Among them,the treatment effect of FDM is the best,followed by AS,MA treatment can not achieve good curative effect.