肾动脉狭窄的临床诊治进展

Progress in clinical diagnosis and treatment of renal artery stenosis

肾动脉狭窄是造成继发性高血压的常见原因,不及时干预将最终造成终末期肾病,故早期诊治十分关键。肾动脉狭窄诊断包括有创及无创两种,其中数字减影血管造影是金标准。肾动脉狭窄治疗方案尚未统一,临床主要采用药物治疗配合介入治疗,对于特殊病例可选择外科手术治疗。

Renal artery stenosis(RAS)is a common cause of secondary hypertension.Delayed intervention will eventually lead to end-stage renal disease(ESRD).So,early diagnosis and treatment are very critical.RAS includes invasive and non-invasive types.And digital subtraction angiography(DSA)is golden standard.The treatment plans of RAS have not been unified.Drug therapy combined with intervention therapy is mainly mainly in clinical practice.Surgical treatment can be selected for special cases.