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对27例纤维肌性结构不良(FMD)病人临床和血管造影特点进行分析讨论。年龄25±7(7~45)岁,高血压史2月~12年。24例血压呈持续性增高,3例呈波动状态。2例轻度心脏扩大,7例有腹部血管杂音。55%有低血钾存在。2例血清肌酐>2.0mg/dl。血管造影显示:27例均未见胸、腹主动脉病变,55.6%病变累及右肾动脉,累及左肾动脉和双侧肾动脉分别为29.6%和14.8%。病变多位于肾动脉中远段,2例为肾内动脉分支。29%呈典型的串珠样改变,2例肾动脉未显影。9例经手术标本病理检查证实。
The clinical and angiographic characteristics of 27 patients with fibromuscular dysplasia (FMD) were analyzed and discussed. Age 25 ± 7 (7 ~ 45) years old, history of hypertension in February ~ 12 years. 24 cases of blood pressure showed a sustained increase in 3 cases showed fluctuations. 2 cases of mild heart enlargement, 7 cases of abdominal vascular murmur. 55% have hypokalemia exist. 2 cases of serum creatinine> 2.0mg / dl. Angiography showed that none of the 27 cases had thoracic and abdominal aorta lesions, and 55.6% of the lesions involved the right renal artery, involving the left renal artery and the bilateral renal artery, with 29.6% and 14.8%, respectively. More lesions in the distal segment of the renal artery, 2 cases of renal artery branches. 29% showed a typical beaded change, 2 cases of renal artery was not developed. 9 cases confirmed by pathological examination of surgical specimens.