【摘要】 目的 评价经皮腔内肾动脉成形术(PTRA)治疗肾血管性高血压的价值。方法 82例全部行DSA检查，肾血管狭窄者行PTRA术或外科手术，观察其治疗效果。结果 82例患者行肾动脉造影后血管正常者49例，异常者33例，其中单侧肾萎缩5例行外科手术(肾动脉搭桥1例)，肾动脉狭窄28例行经皮腔内肾动脉成形术(PTRA)(血管内支架5例)，术后10例血压降至正常或基本正常，13例血压得到改善，5例无效，总有效率达82.1%。结论 DSA检查和PTRA术在诊断和治疗肾血管性高血压方面有明显的临床价值。

    【关键词】 高血压，肾血管性；数字减影血管造影术；经皮腔内肾动脉成形术

    Procedure of interventional DSA for the diagnosis and treatment of renovascular hypertension

    WANG Lian-xiang,ZHANG Li-ping,LI Shu-ying,et al.Center of Interventional Treatment,Qianfoshan Hospital,Jinan 250014,China

    【Abstract】 Objective To evaluate DSA and percutaneous transluminal renal arterioplasty (PTRA) for the treatment of renovascular hypertension.Methods 82 suspected patients with renovascular hypertension were given DSA examination.28 patients were treated by means of PTRA while another 5 cases with unilateral kidney atrophy treated surgically.Results 49 patients were normal,33 patients were abnormal,28 patients were treated by means of PTRA.Blood pressure (BP) had got to normal in 10 patients while in 13 patients BP dropped noticeably after PTRA.The overall benefit rate was 82.1%.Conclusion DSA and PTRA are clinically effective for the treatment of renovascular hypertension.PTRA is technically successful. ......