Temizkan M, Wijmenga L F, Ypma A F, Hazenberg H J
Department of Internal Medicine, Deventer Hospitals Foundation, Netherlands.
Neth J Med. 1995 Aug;47(2):61-5. doi: 10.1016/0300-2977(94)00095-q.
Four females were admitted with hypertension. Other causes of hypertension were excluded on clinical grounds. Digital substraction angiography performed in 3 patients revealed no stenosis of the renal arteries. The 99mTc-Mag3 renogram showed diminished perfusion and excretion on the affected side. Right-sided nephropexy was performed in all 4 cases via lumbotomy after which all 4 patients became normotensive. We conclude that nephroptosis is a considerable cause of renovascular hypertension and deserves particular attention in cases of possible renovascular hypertension when angiography shows no stenosis. We also conclude that renography is the preferred diagnostic method in the diagnosis of renovascular hypertension due to nephroptosis.
4名女性因高血压入院。基于临床原因排除了其他高血压病因。3例患者进行了数字减影血管造影，结果显示肾动脉无狭窄。99m锝-巯基乙酰三甘氨酸肾图显示患侧灌注和排泄减少。所有4例均通过腰部切口进行了右侧肾固定术，术后所有4例患者血压恢复正常。我们得出结论，肾下垂是肾血管性高血压的一个重要原因，在血管造影显示无狭窄的可能肾血管性高血压病例中值得特别关注。我们还得出结论，肾图是诊断肾下垂所致肾血管性高血压的首选诊断方法。
