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肾栓塞用于治疗血透和肾移植后发生严重高血压的病人是有效的,亦用于少数肾血管性高血压患者,但尚无长期随访报告。本文报告8名肾血管性高血压病人肾栓寒治疗后5～49个月的随访结果。 8名病人(男5,女3,年龄7～64岁)的高血压病因包捂单肾发育不全、肾动脉粥样硬化性狭窄(>90％)、血栓形成及小叶内动脉狭窄等。他们虽接受降压药治疗,但血压仍高达160～240/100～140mmHg,已不能作血管成形术和外科分流术,肾全切或大部切除术具有高度危险性。根据血管病变部位,6名病人作总肾栓塞,2名小叶内动脉狭窄病人作受累血管栓塞。术后两
Renal embolization is effective in treating patients with severe hypertension after hemodialysis and renal transplantation and is also used in a minority of patients with renovascular hypertension but no long-term follow-up has been reported. This article reports the results of follow-up from 5 to 49 months after renal blockade in 8 patients with renovascular hypertension. Eight patients (male 5, female 3, age 7 to 64 years old) included hypertensive renal insufficiency, renal atherosclerotic stenosis (> 90%), thrombosis, and stenosis of the lobules. Although they receive antihypertensive drugs, their blood pressure is still as high as 160-240 / 100-140 mmHg. They can no longer be used for angioplasty and surgical shunts. Renal total or subtotal nephrectomy is highly dangerous. According to the vascular lesion, 6 patients were treated with total renal embolism and 2 with intralesional arterial embolism. Two after surgery