超声诊断肾动脉性高血压的研究进展

Ultrasonography for the Diagnosis of Renovascular Hypertension: Current States and Development

肾动脉狭窄(RAS)是继发性高血压常见的病因之一,RAS引起的高血压多为顽固性,且药物降压效果不好,因此尽早诊断和积极的临床干预,可明显降低心脏等重要器官发生并发症的概率,并可减少肾萎缩及终末期肾病的发生。超声虽然具有高度的操作者依赖性,但是作为一种无创、低成本且可以广泛应用的检查方法,近年来已被国内外公认为筛查RAS的首选方法。

Renal artery stenosis（RAS） is one of the common causes＇of secondary hypertension and RAS caused hypertension is mostly resistantto medication therapytherefore early diagnosis and active intervention, can significantly decrease the probability of the complications of heart and other vital organs, and reduce renal atrophy and end-stage renal disease. In recent years, ultrasonography has been established in the current international guidelines as the primary choice for the diagnosis of RAS due to its advantages of non-invasive, low cost, and easy wide spread, although ultrasound is highly operator-dependent.