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肾动脉狭窄与肾素-血管紧张素-醛固酮系统(RAAS)有一定的相关性,且肾素活性变化明显的患者行肾动脉狭窄再开通术后的疗效较佳,尤其是狭窄侧肾静脉肾素浓度/非狭窄侧肾素浓度(RVRR)≥1.5。通过RAAS系统预测肾动脉狭窄再开通术后的疗效有一定的临床价值,但目前相关的文献报道不多,尚有一些问题有待更多研究的论证。收集近几十年国内外发表的关于RAAS系统与肾动脉狭窄或狭窄再开通的相关文献进行综述,对肾动脉狭窄再开通术后疗效评估的预测价值。
Renal artery stenosis and the renin - angiotensin - aldosterone system (RAAS) have some correlation, and changes in renin activity in patients with renal artery stenosis reoperation after the better curative effect, especially in the narrow side of renal vein kidney Concentration / non-stenosis lateral renin concentration (RVRR) ≥1.5. It is of clinical value to predict the therapeutic effect of reopening of renal artery stenosis by RAAS system. However, there are not many reports in related literatures at present. There are still some problems to be verified by more studies. To summarize the literature about the RAAS system and renal artery stenosis or stenosis reopened in recent decades, the prediction value of reoperation of renal artery stenosis after surgery was collected.