肾动脉支架术治疗肾动脉狭窄的长期疗效Long term outcomes of percutaneous renal interventional therapy in patients with severe renal artery stenosis
倪钧,张瑞岩,胡健,张宪,郑爱芳,沈卫峰
摘要(Abstract)：
目的评价肾动脉支架术治疗肾动脉狭窄的长期疗效。方法连续134例显著肾动脉狭窄患者接受肾动脉支架术。记录患者术前、术后24小时、1年和2年的血清肌酐和血压变化情况。结果134例患者均成功置入支架,术后24小时肌酐较术前升高[(109.8±24.6)μmolL比(99.4±27.8)μmolL],肾小球滤过率较术前降低[(57.6±19.3)mLmin比(68.5±18.9)mLmin],但术后1年和2年的平均肌酐和术前比较差异无统计学意义。肾动脉介入治疗术后6个月,64例血压得到改善,其平均血压为(148.6±22.6)mmHg(1mmHg=0.133kPa),与术前比较差异有统计学意义。术后1年和2年分别有56例(50.9%)和50例(49.6%)患者获益。结论肾动脉支架术治疗肾动脉狭窄的远期疗效较好,且长期随访结果满意。
关键词(KeyWords)： 动脉硬化;肾动脉梗阻;支架
基金项目(Foundation):
作者(Author): 倪钧,张瑞岩,胡健,张宪,郑爱芳,沈卫峰
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