篇名 | Microvascular Reconstruction of Branch Renal Artery Stenosis and Autotransplantation for the Treatment of Renovascular Hypertension - A Case Report |
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卷期 | 3:1 |
並列篇名 | 腎血管分枝狹窄的顯微手術與自體腎肱移植用以治療腎血管性高血壓-病例報告 |
作者 | 謝輝和 、 江原正 |
頁次 | 718-721 |
關鍵字 | fibromuscular dysplasia 、 renovascular hypertension 、 autotransplantation 、 bench surgery 、 TSCI |
出刊日期 | 199203 |
一位患高血壓的廿九歲女性被診斷為相當嚴重的腎動脈分枝阻塞,伴生豐富的側枝循環。高血壓可以用兩種藥物來控制,但是病人不願意每天服藥。利用切割下來的腹下動脈及其分枝,在病患體外的手術台先做顯微手術來取代狹窄的腎動脈及其分枝,再做自體腎肱移植。引起高血壓的病因是肌肉纖維性血管增生不良。病患的血壓在手術後十八個月仍保持正常。
Severe branch renal artery stenosis with prominent collateral circulation was diagnosed in a 29 year-old female patient presented with hypertension. Hypertension was controlled by two medications, but the patient could not tolerate taking medications daily. By using a hypogastric artery branched autogenous graft for the diseased portion of renal artery and its branches, bench surgery with a microscope for the branches followed by antotransplantation of kidney was performed. Fidromuscular dysplasia as the cause of hypertension was cured 18 months postoperation.