Pape J F, Gudmundsen T E, Pedersen H K
Department of Internal Medicine, University Hospital, Tromsø, Norway.
Scand J Urol Nephrol. 1988;22(1):41-4. doi: 10.1080/00365599.1988.11690382.
Three hundred and twenty consecutive patients with hypertension were referred to examination with intravenous urography. Only 2 of the 320 urograms performed showed abnormalities possibly related to hypertension. Renal angiography was performed in 39 (12%) of the patients. Seventeen (7%) subjects had renal artery stenosis, of whom 8 (2.5%) were referred to surgery. Four became normotensive and the other 4 had a more treatable hypertension. Urography is an expensive and insensitive method for evaluation of patients with hypertension and should be abandoned. Proper treatment of renovascular hypertension demands the performance of renal angiography. We therefore suggest a program for primary use of renal angiography in the examination of patients with suspected renovascular hypertension.
320例连续性高血压患者接受了静脉尿路造影检查。320次尿路造影中仅有2次显示出可能与高血压相关的异常。39例（12%）患者接受了肾血管造影。17例（7%）受试者存在肾动脉狭窄，其中8例（2.5%）接受了手术治疗。4例血压恢复正常，另外4例的高血压更易于治疗。尿路造影是评估高血压患者的一种昂贵且不敏感的方法，应予以摒弃。对肾血管性高血压进行恰当治疗需要进行肾血管造影。因此，我们建议在疑似肾血管性高血压患者的检查中首先采用肾血管造影的方案。
