【摘要】 目的分析血管内支架成形术治疗缺血性卒中合并肾动脉狭窄的临床疗效及安全性,以及与缺血性卒中二级预防的相关性。方法对2008年8月—2015年9月广西百色市人民医院85例缺血性卒中合并肾动脉狭窄患者行血管内支架置入术,观察手术前后的各项指标情况。结果血压、肌酐和服药次数在术前比较差异无统计学意义(P>0.05),而在术后均得到显著改善(P<0.05)。结论血管内支架成形术治疗肾动脉狭窄能解除血管狭窄,改善血压,防止肾功能恶化,是一种安全有效的治疗方法,对预防缺血性卒中的复发可能有益。更多还原

【Abstract】 Objective To analyze the clinical efficacy and safety of angioplasty in the treatment of ischemic apoplexy combined with renal artery stenosis, and the correlation with secondary prevention of ischemic stroke. Methods The stent implantation was performed in 85 patients with ischemic stroke in Baise People’s Hospital from August 2008 to September 2015, and the indicators before and after the operation were observed. Results There was no significant difference in blood pressure, creatinine, and the number of drugs before surgery(P>0.05), and significantly improved after surgery(P<0.05). Conclusion Endovascular stents for treatment of renal artery stenosis can remove vascular stenosis, improve blood pressure, prevent the deterioration of renal function. It is a safe and effective treatment, and may be beneficial to the prevention of ischemic stroke recurrence.更多还原