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肾血管性高血压(RVH)是一种最常见的继发性高血压。目前,它的诊断和治疗方法仍存在争议。新近发展起来的筛选检查包括卡托普利肾动态显像(CRS)、彩色多普勒超声检查、磁共振血管成像(MRA)、肾动脉血管造影和三维重建(CTA)具诊断灵敏度和特异度高,对RVH的筛选和诊断有重要意义。目前国内外缺少大规模远期随机临床试验说明药物治疗、介入治疗和手术治疗的疗效差异以及对预后的影响有何不同。
Renal vascular hypertension (RVH) is one of the most common secondary hypertension. At present, its diagnosis and treatment methods are still controversial. Newly developed screening tests include the diagnostic sensitivity and specificity of captopril renal dynamic imaging (CRS), color Doppler sonography, magnetic resonance angiography (MRA), renal angiography and three-dimensional reconstruction (CTA) High, RVH screening and diagnosis of great significance. At present, the lack of large-scale randomized clinical trials at home and abroad shows the difference between the curative effect of drug treatment, interventional therapy and surgical treatment and prognosis.