【摘要】 目的 探讨经皮经腔肾动脉成形术治疗肾血管性高血压的疗效。 方法 回顾分析我院自1981年10月～2003年1月采用经皮经腔肾动脉成形术(PTA)治疗113例肾血管性高血压的临床疗效。 结果 113例肾血管性高血压病人中动脉硬化28例(24.8%)，大动脉炎77例(68.1%)，纤维肌肉发育不良8例(7.1%)。本组肾动脉扩张成功率93.1%;本组随访平均51.8月，治愈改善率76.9%，大动脉炎治愈改善率75.4%，取得良好的治疗效果。 结论 PTA治疗肾血管性高血压疗效满意。特别是大动脉炎所致的肾血管性高血压，肾动脉成形术应作为首选的治疗方法。

    关键词 肾血管性高血压 大动脉炎 经皮经腔肾动脉成形术

    Reno-vascular hypertension treated with percutaneous transluminal angioplasty:a report of113cases

    Yu Hengxi，Zhang Jian，Dong Zongjun，et al.

    Vascular Department of Xuanwu Hospital，Institute for Uascular Surgery of Capital University of Medical Science，Beijing100053.

    【Abstract】 Objective To investingate the113cases clinical effects of percutaneous transluminal angioplasty(PTA)in reno-vascular hypertension from1981.10to2003.1in Xuanwu hospital.Methods and Results 113cas-es of reno-vascular hypertension were treated with PTA.Athrosclerosis as the etiology of renal artery lesions was in28cases(24.8%) ......