肾动脉狭窄诊断方法的研究进展

Development of diagnostic methods of renal artery stenosis

随着医学科技的发展，肾动脉狭窄的筛查和诊断手段也在不断更新。一般而言，彩色多普勒超声的应用最为广泛，其次是多层螺旋CT血管成像、磁共振血管造影以及放射性核素显像。目前，肾动脉造影术是比较可靠的诊断技术，同时也是指导介入治疗的必不可少的手段。该文主要从以上几种检查方法的诊断标准、特异度、灵敏度和优缺点等方面进行了阐述，并对放射性核素SPECT肾动态显像的发展作了一些展望。

With the incessant development of medical technology, the methods of screening and diagnosis for renal artery stenosis are constantly updated. In general, the most widely used method is color doppler ultrasound, and then the multi-slice spiral CT angiography, MRI and the radionuclide imaging. Renal artery angiography is not only one kind of reliable diagnostic technique, but also an absolutely necessary means to guide the interventional treatment. This review mainly describes the above methods from diagnosis standards, specificity, sensitivity, advantages and disadvantages. Furthermore, it also offers some forward-looking visions from the development of the radionuclide imaging by SPECT.