肾动脉狭窄血管腔内成形术治疗高血压:现状与展望
牛国晨,闫子光,张碧辉,杨敏,邹英华
摘要(Abstract):
<正>肾血管性高血压是由肾动脉狭窄造成的继发性高血压。肾动脉狭窄是继发性高血压最常见的原因之一。在重症高血压患者[即收缩压高于180mm Hg(1mm Hg=0.133k Pa)和(或)舒张压高于100mm Hg]、年轻高血压患者以及同时患有糖尿病的高血压患者中,肾动脉狭窄的患病率可达20%~80%~([1])。1978年Grüntzig等~([2])报道了第1例球囊扩张治疗肾动脉狭窄。由于腔内成形术治疗具有微创、可重复等优势,从20世纪90年代开始,腔内成形术逐渐代替外科手术成为治疗肾动脉狭窄的首选方法。
关键词(KeyWords): 肾动脉狭窄;高血压;腔内成形术
基金项目(Foundation):
作者(Author): 牛国晨,闫子光,张碧辉,杨敏,邹英华
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