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通过对20例经PTRA治疗的肾动脉狭窄性高血压患者进行长期随访。分析了影响PTRA术远期疗效的有关因素,表明PTRA术对病因为大动脉炎,且两侧肾静脉肾素比值≥1.5者,远期疗效较好。随访36个月的有效率为85%,7年的有效率为72.7%。手术后复发大部发生在术后36个月。如这一期间血压仍稳定,则远期疗效也较满意。
Twenty patients with renal artery stenosis treated with PTRA were followed up for a long time. Analysis of the factors that affect the long-term efficacy of PTRA surgery, indicating that PTRA surgery for the cause of arteritis, and both sides of the renal vein renin ratio of ≥ 1.5, long-term efficacy is better. The follow-up 36 months, the effective rate was 85%, 7-year effective rate was 72.7%. Most postoperative recurrence occurred 36 months after surgery. If the blood pressure during this period is still stable, the long-term efficacy is also more satisfactory.