超声检查在高血压肾血管病变中的诊断价值

晏萍

[摘要] 目的 探讨超声检查在高血压肾血管病变中的临床诊断价值。 方法 选取2017年5月～2019年5月收治的100例高血压肾血管病变患者为研究对象，均经过肾动脉造影诊断且确诊，均接受超声检查方法;以肾动脉造影作为“金标准”，分析高血压肾血管病变超声检查结果及检查诊断准确率。 结果 经超声检查结果可知，肾动脉狭窄占55.00%（55/100），肾动脉发育不良占11.00%（11/100），肾小动脉硬化占31.00%（31/100）;超声检查准确率为97.00%。 结论 在高血压肾血管病变中，实施超声检查方法，检出率较为准确，可以为临床制定治疗方案提供有效的参考辅助依据，值得推广应用。

[关键词] 超声检查;高血压;肾血管病变;肾动脉狭窄;肾动脉发育不良;肾小动脉硬化

[中图分类号] R445.1;R544.1;R692          [文献标识码] B          [文章编号] 1673-9701（2020）18-0118-03

Diagnostic value of ultrasound examination in hypertensive renal vascular lesions

YAN Ping

Department of Vasculocardiology， Hengyang No. 1 Peoples Hospital in Hu'nan Province， Hengyang   421002， China

[Abstract] Objective To explore the clinical diagnostic value of ultrasound examination in hypertensive renal vascular lesions. Methods 100 patients with hypertensive renal vascular lesions who were admitted from May 2017 to May 2019 were selected as the study subjects. All patients were diagnosed and confirmed by renal arteriography; all patients were given ultrasound examination methods; the renal arteriography was used as the "gold standard"， and the results of ultrasound examination of hypertensive renal vascular lesions and the accuracy of diagnosis were analyzed. Results According to the results of ultrasound examination， renal artery stenosis accounted for 55.00% （55/100）， renal artery dysplasia accounted for 11.00% （11/100）， and renal arteriosclerosis accounted for 31.00% （31/100） ）; the accuracy of ultrasound examination was 97.00%. Conclusion In hypertensive renal vascular lesions， the ultrasound examination method has a more accurate detection rate. It can be used to provide an effective reference and auxiliary basis for clinical treatment planning， which is worthy of popularization and application.

[Key words] Ultrasound examination; Hypertension; Renal vascular lesions; Renal artery stenosis; Renal artery dysplasia; Renal

arteriosclerosis

對近年来国内及国外的多项临床调查数据进行总结分析得知，作为临床常见疾病类型之一的高血压疾病，其临床发生率表现为持续升高趋势，而且越来越呈年轻化趋势。高血压疾病的临床致死率较高，而且在临床治疗过程中，依然存在众多问题。除此之外，临床相关文献报道指出，肾血管病变为临床较常见的高血压相关性诱发独立危险因素[1]。绝大多数确诊为肾血管病变患者经积极对症治疗后均可彻底治愈[2-3]。但是，由于临床诊断方法存在一定限制性，因而该疾病的检查误诊率、漏诊率均较高，并容易导致疾病治疗最佳时间被错过[4-5]。随着临床医学研究不断发展进步，近年来临床学者发现，高血压已逐步成为新时期常见病，而且其发生率高，疾病致死率高，临床治疗难度大。……