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超声消融去肾神经术治疗高血压应用现状与临床前景

Ultrasound renal denervation to treat hypertension: current status and clinical prospects

  • 摘要: 近年来去肾神经术(RDN)作为一种创新的微创治疗方法,在技术发展和临床研究方面取得了显著进展,成为高血压临床治疗的三驾马车之一。本文综述了超声消融RDN的器械技术特征,包括环周消融导管系统、平面超声导管系统及体外聚焦超声系统,并分析了相关临床试验的疗效与安全性。超声消融RDN具有组织穿透性强、治疗精准性高等优势,但也面临技术挑战。未来发展方向包括神经标测技术的整合和无创治疗的优化等。

     

    Abstract: In recent years, renal denervation (RDN), as an innovative minimally invasive treatment method, has made remarkable progress in technological development and clinical research, becoming one of the “three carriages” in the clinical treatment of hypertension. This paper reviews the technical characteristics of ultrasound ablation RDN devices, including circumferential ablation catheter systems, planar ultrasound catheter systems, and extracorporeal focused ultrasound systems, and analyzes the efficacy and safety of related clinical trials. Ultrasound ablation RDN has advantages such as strong tissue penetrability and high treatment precision, but it also faces technical challenges. Future development directions include the integration of nerve mapping technology and the optimization of non-invasive RDN treatment.

     

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