老年患者肾动脉狭窄的经皮腔内成形术及支架术治疗Angioplasty and stenting in elderly patients with renal artery stenosis
沈珠军,何世华
摘要(Abstract):
目的 观察老年病人动脉粥样硬化所致的肾动脉狭窄经皮球囊腔内成形术及支架术的疗效。方法 2 4例老年病人肾动脉狭窄行球囊扩张 ,并植入支架 ,观察术后情况以及临床和血管造影随访结果。结果 手术成功率 10 0 %。临床平均随访一年余 ,6 8%的高血压病人的血压术后易于控制。 71%的病人肾功能保持平稳 ,17%的病人肾功能得到明显改善 ,12 %的病人肾功能继续恶化。 13个病人的 15支血管术后 6个月血管造影随访均无再狭窄。结论 对老年病人动脉粥样硬化所致的肾动脉狭窄 ,经皮球囊腔内成形术及支架术治疗是安全并且有效的
关键词(KeyWords): 肾动脉狭窄;经皮腔内成形术;支架术
基金项目(Foundation):
作者(Author): 沈珠军,何世华
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