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肾动脉狭窄(RAS)占儿童全身性高血压病例的3％～10％。作者总结了1984～1994年16例20次经皮腔内血管成形术。男12例,女4例,年龄1～15岁。12例病因为纤维肌肉发育不良、1例神经纤维瘤病、2例Williams综合征、1例高安动脉炎。16例中11例为主干孤立性狭窄,内7例狭窄近开口部,4例距开口部1cm以上,大多数狭窄段较短(1～2mm);2例狭窄部位在节段动脉,有窄后扩张;3例为多发狭窄。在全麻下依肾动脉与主动脉走行的关系,9例经右股动脉、7例经左肱动脉插管,先行造影
Renal artery stenosis (RAS) accounts for 3% to 10% of children with systemic hypertension. The authors summarized 16 cases of 20 percutaneous transluminal angioplasty from 1984 to 1994. There were 12 males and 4 females, aged from 1 to 15 years old. Twelve cases were caused by fibromuscular dysplasia, 1 case of neurofibromatosis, 2 cases of Williams syndrome and 1 case of Gao’an arteritis. Of the 16 cases, 11 were isolated solitary stenoses, 7 were stenosed near the mouth, 4 were more than 1 cm from the opening, most were short (1 to 2 mm), 2 were stenosed with segmental arteries After expansion; 3 cases of multiple stenosis. Under general anesthesia according to the relationship between renal artery and aortic walking, 9 cases of the right femoral artery, 7 cases of left brachial artery catheterization, angiography