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影像学在肾血管性高血压评估中的进展

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肾血管性高血压是继发性高血压最常见的原因之一,是指由肾动脉狭窄引起的高血压。绝大多数肾动脉狭窄是由动脉粥样硬化或纤维肌肉发育不良引起。随着影像学检查技术的快速发展,该疾病的早期检出率不断升高。尤其是各种无创性影像学检查技术在肾动脉狭窄的诊疗过程中起到了至关重要的作用,可早期识别肾动脉、肾脏结构及功能的异常,帮助患者实现早期诊断及获得早期充分治疗。现就影像学在肾动脉狭窄评估中的应用进展进行综述。
Imaging Assessment of Renovascular Hypertension
Renovascular hypertension is one of the most common causes of secondary hypertension,which is caused by renal artery stenosis(RAS).Most RAS is caused by atherosclerosis or fibromuscular dysplasia.With the rapid development of imaging technology,the early detection rate of this disease has been increasing.In particular,various non-invasive imaging techniques play a crucial role in the diagnosis and treatment of RAS,which can early identify abnormalities of renal artery,renal structure and function,and help patients achieve early diagnosis and obtain early adequate treatment.This article reviews the application progress of imaging in the evaluation of RAS.

Renovascular hypertensionRenal artery stenosisImagingComputed tomography angiographyMagnetic resonance imaging

林志勇、邱建星

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北京大学第一医院医学影像科,北京 100034

肾血管性高血压 肾动脉狭窄 影像学 CT血管成像 磁共振成像

2024

心血管病学进展
成都市心血管病研究所,成都市第三人民医院

心血管病学进展

CSTPCD
影响因子:0.932
ISSN:1004-3934
年,卷(期):2024.45(3)
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