Yadav Rohtas K, Siwach S B, Sharma Anita, Yadav S P, Aggarwal H K, Sharma Nalin
Department of Radiology, Pt BD Sharma Postgraduate Institute of Medical Sciences, Rohtak.
J Indian Med Assoc. 2002 Jun;100(6):363-4, 366-8.
After a thorough dinical examination and laboratory investigations, ultrasonography (USG) followed by minute sequence urography (MSU) and aortography and/or selective renal angiography were done in 108 patients, clinically suspected of having renal hypertension of which 32 patients (29.6%) were found to be positive for renal/renovascular disease. Out of 82 patients, who were only young hypertensives, a definite diagnosis of renal/renovascular disease could be made in only 15 cases (18.3%), whereas the pick up rate increased to 65.4% in the rest of the 26 patients who had some other clinical criteria besides hypertension and it further increased up to 92.3% (out of these 26 patients) who had 2 or more than 2 clinical criteria of selection of patients besides hypertension. USG was useful in diagnosing renal parenchymal disease/ suggesting renal abnormalities in 30 cases and MSU was able to detect renal changes in 31 patients. Aortography and/or selective renal angiography could make a definite diagnosis of renovascular disease in 17 cases and renal agenesis in one case.
在对108例临床怀疑患有肾性高血压的患者进行全面的临床检查和实验室检查后，先进行超声检查（USG），随后进行微量序列尿路造影（MSU）以及主动脉造影和/或选择性肾血管造影，其中32例患者（29.6%）被发现存在肾/肾血管疾病阳性。在仅为青年高血压患者的82例患者中，仅15例（18.3%）能明确诊断为肾/肾血管疾病，而在其余26例除高血压外还有其他一些临床标准的患者中，检出率增至65.4%，在这26例除高血压外还有2项或2项以上患者选择临床标准的患者中，检出率进一步增至92.3%。USG在30例中有助于诊断肾实质疾病/提示肾脏异常，MSU在31例患者中能够检测到肾脏变化。主动脉造影和/或选择性肾血管造影在17例中能明确诊断肾血管疾病，在1例中诊断为肾缺如。
