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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 treatment of renal artery stenosis. Methods Thirty - six patients with renal artery stenosis underwent percutaneous transluminal angioplasty (PTA) or stent - graft. The therapeutic effect and restenosis of renal artery were observed. Results The success rate of PTA + stent implantation was 100%. The recent clinical improvement rate and follow-up clinical improvement rate were 75.9% and 69.0% respectively. The rate of restenosis after renal artery surgery was 33.3%. Conclusion PTA and stent implantation is a safe and effective method, which can be used as the first choice of treatment for renal artery stenosis.