McGrath B P, Clarke K
Vascular Medicine and Hypertension Unit, Monash Medical Centre, Clayton.
Med J Aust. 1993 Mar 1;158(5):343-6. doi: 10.5694/j.1326-5377.1993.tb121796.x.
To provide an overview of the current approaches to management of renovascular disease.
A literature review was performed and key references are provided relating to diagnostic tests, particularly captopril renography and renal duplex scanning. Options for treatment are reviewed from published series to December 1991. We also draw on the experience of our own Unit.
Data and opinions from five general reviews of renovascular disease, 10 articles on diagnostic tests and five articles relating to therapeutic approaches are summarised.
There is no simple screening test for renovascular hypertension that can be applied to an unselected population of hypertensive subjects. The diagnosis depends on judicious use of non-invasive screening tests in those subjects in whom one suspects, on clinical grounds, that there may be an underlying renovascular lesion. Captopril renography and duplex scanning of renal arteries are the most reliable non-invasive screening tests. A team approach with collaboration of hypertension specialist/vascular physician, vascular surgeon and experienced interventional radiologist is important for rational management and we would emphasise the importance of audit procedures.
概述当前肾血管疾病的管理方法。
进行了文献综述，并提供了与诊断测试相关的关键参考文献，特别是卡托普利肾图和肾双功扫描。从已发表的系列研究中回顾了截至1991年12月的治疗选择。我们还借鉴了我们科室自身的经验。
总结了五篇关于肾血管疾病的综合综述、十篇关于诊断测试的文章以及五篇关于治疗方法的文章中的数据和观点。
对于肾血管性高血压，没有一种简单的筛查测试可应用于未经选择的高血压患者群体。诊断取决于对那些基于临床理由怀疑可能存在潜在肾血管病变的患者明智地使用非侵入性筛查测试。卡托普利肾图和肾动脉双功扫描是最可靠的非侵入性筛查测试。由高血压专家/血管内科医生、血管外科医生和经验丰富的介入放射科医生合作的团队方法对于合理管理很重要，并且我们强调审核程序的重要性。
