Normal Bireylerde Böbrek Volümü ile Vücut Parametreleri Arasındaki İlişki
Amaç: Böbrek boyutlarının ve volümünün değerlendirilmesi böbrek hastalıklarının tanı, tedavi ve takiplerinde oldukça önemlidir. Böbrekhastalıklarının takiplerinde ultrasonografi (US) diğer görüntüleme yöntemlerine üstündür. Biz bu çalışmamızda US ile, böbrek volümünün normalbireylerdeki değer aralıklarını ortaya koymayı ve fiziksel özelliklerden hangisi ile daha bağlantılı olduğunu bulmayı hedefledik.Gereç ve Yöntem: Haziran 2005 ile Aralık 2008 tarihleri arasında bölümümüzde rutin abdominopelvik US istenen 177 kişi çalışmaya alındı. Böbrektekitle, hidronefroz ve nefrolitiazis saptanan 16 kişi çalışma dışı bırakıldı. Vücut parametreleri [boy, kilo, Vücut kitle indeksi (VKİ) ve yaş] incelemeöncesinde kaydedildi. Böbrek boyutlarının değerlendirilmesi, lateral dekübitis pozisyonunda, lomber bölgeden yapıldı. Böbrek boyutları longitudinalve transvers plandan ölçüldü. Renal volümün hesaplanmasında ellipsoid formülü kullanıldı. Vücut yüzey alanı ve vücut kütle indeksi hesaplandı.Bulgular: Çalışmaya 69 (%42,8) erkek, 92 (%57,5) kadın toplam 161 kişi dahil edildi. Kadınlarda sağ böbrek ortalama volümü 125 mL; sol böbrekortalama volümü 134 mL olarak saptandı. Erkekler için bu değerler sağ böbrek ortalama volümü 149 mL; sol böbrek ortalama volümü 155 mL olaraksaptandı. Sağ ve sol böbrek volümleri arasında istatistiksel olarak anlamlı fark vardı. (p
Correlation Between the Kidney Volume and Body Parametres in Normal Adults
Objectives: Evaluation of kidney size and volume is very important in the diagnosis, treatment and follow-up of kidney diseases. Ultrasonography is the preferred imaging modality which provides a safe, reliable and affordable way of imaging the kidneys in the follow up of kidney diseases..In this study, we aimed to determine the kidney volume in normal adults and try to find out which of the physical features are more related with kidney volume. Materials and Methods: Between June 2005 and December 2008 177 patients referred for routine abdominopelvic ultrasonography (US) were included in the study. 16 patients who had renal masses, hydronephrosis and nephrolithiasis were excluded. Height, weight, body surface area (BSA) and body mass index (BMI) of the patients were recorded. Renal ultrasonography was performed and kidney sizes were evaluated in lateral decubitis position. Kidney sizes were measured on longitudinal and transverse scan. Ellipsoid formula was used to determine the kidney volume. Results: A total of 161 patients 69 (42,8%) male, 92 (57,5%) female were enrolled in the study. Mean kidney volume for right kidney was 125 mL and 134 mL for left kidney in women whereas it was 149 mL for right kidney and 155 mL for left kidney in men. There was a significant difference between right and left kidney volumes (p
___
- 1. Binkert CA, Debatin JF, Schneider E, et al. Can MR measurement of renal
artery flow and renal volume predict the outcome of percutaneous
transluminal renal angioplasty? Cardiovasc Intervent Radiol. 2001;24:233-
239.
- 2. Van den Dool SW, Wasser MN, de Fijter JW, et al. Functional renal volume:
quantitative analysis at gadolinium-enhanced MR angiography—feasibility
study in healthy potential kidney donors. Radiol. 2005;236:189-195.
- 3. Gandy SJ, Armoogum K, Nicholas RS, et al. Aclinical MRI investigation of
the relationship between kidney volume measurements and renal function
in patients with renovascular disease. Br J Radiol. 2007;80:12–20.
- 4. Landis MS. Renal roentgenology: relation of renal size to hypertension. J
Am Osteopath Assoc. 1965;64:1063-1067.
- 5. Stolpe Y, King LR, White H. The normal range of renal size in children. Invest
Urol 1967;4:600-7.
- 6. Fletcher EW, Lecky JW. The radiological size of renal transplants—a
retrospective study. Br J Radiol. 1969;42:892-898.
- 7. Dorph S, Oigaard A.Variations in renal size in the diagnosis of renovascular
hypertension. Br J Radiol. 1973;46:187-190.
- 8. Andersen MJ, Mogensen CE. Relationship between renal size and function
in normal subjects. Acta Radiol Diagn (Stockh). 1973;14:209-214.
- 9. Griffiths GJ, Cartwright G, McLachlan SF. Estimation of renal size from
radiographs: is the effort worthwhile? Clin Radiol. 1975;26:249-256.
- 10. Lewis E, Ritchie WG. A simple ultrasonic method for assessing renal size. J
Clin Ultrasound. 1980;8:417-420.
- 11. Claesson I, Jacobsson B, Riha M. Acomputerized system for handling renal
size measurements from urograms. Pediatr Radiol. 1987;17:459-462.
- 12. Konus OL, Ozdemir A, Akkaya A, et al. Normal liver, spleen, and kidney
dimensions in neonates, infants, and children: Evaluation with sonography.
AJR Am J Roentgenol. 1998;171:1693-1698.
- 13. Küpeli S, Küpeli B: Üriner obstrüksiyonlar. Temel Üroloji Kitabı. Güneş
kitabevi, 271-293, Ankara, 1998.
- 14. Hodson CJ, Drewe JA, Karn MN, et al. Renal size in normal and children: A
radiographic study during life. Arch Dis Child. 1962;37:616-622.
- 15. Batson PG, Keats TE. The Roentgenographic determination of normal adult
kidney size as related to vertebral height. Am J Roentgenol Radium Ther
Nucl Med. 1972;116:737-739.
- 16. Ninan VT, Thomas Koshi K, Niyamtullah MM, et al. A comparative study of
methods of estimating renal size in normal adults. Nephrol Dial Transplant.
1990;5:851-854.
- 17. Moskowitz PS, Carroll BA, McCoy JM. Ultrasonic renal volumetry in children:
accuracy and simplicity of the method. Radiology. 1980;134:61-64.
- 18. Kiw-Yong Kang, Young Joon Lee, Soon Chul Park, et al. A comparative study
of methods of estimating kidney length in kidney transplantation donors.
Nephrol Dial Transplant. 2007;22:2322-2327.
- 19. Safak AA, Simsek E, Bahcebasi T. Sonographic assessment of the normal
limits and percentile curves of liver, spleen, and kidney dimensions in
healthy school-aged children. J Ultrasound Med. 2005;24:1359-1364.
- 20. Soyupak SK, Narli N, Yapicioglu H, et al. Sonographic measurements of
the liver, spleen and kidney dimensions in the healthy term and preterm
newborns. Eur J Radiol. 2002;43:73-78.
- 21. Jones T, Riddick L, Harpen M, et al. Ultrasonographic determination of renal
mass and renal volume. J Ultrasound Med. 1983;2:151-154.
- 22. Griffitis G, Cartwright G, McLachlan M. Estimation of renal size from
radiographics: is the effort worthwhile? Clin Radiol. 1974;26:249-256.
- 23. Bakker J, Olree M, Kaatee R, et al. Renal volume measurements accuracy
and repeability of US Compared with that of MR Imaging. Radiology.
1999;211:623-628.
- 24. Widjaja E, Oxtoby J, Hale T. Ultrasound measured renal length versus low
dose CT volume in predicting single kidney glomerular filtration rate. Brit J
Radiol. 2204;77:759-764.
- 25. Emanian S, Nielsen M, Pedersen J, et al. Kidney Dimensions at Sonography:
Correlation with Age, Sex, and Habitus in 665 Adult Volunteers. AJR Am
Roentgenol. 1993;27:663-666.
- 26. Cohen E, Kelly S, Edye M et al. MRI Estimation of total renal volume
demonstrates significant association with healty donor weight. Eur J Radiol.
2009;283-287.
- 27. Chen JJ, Pugach J, Patel M, et al. The renal length nomogram: Multivariable
approach. J Urol. 2002;168:2149-2152.
- 28. Han BK, Babcock DS. Sonographic measurements and appearance of normal
kidneys in children. AJR Am J Roentgenol. 1985;145:611-616.
- 29. Holloway H, Jones TB, Robinson AE, et al. Sonographic determination of
renal volumes in normal neonates. Pediatr Radiol. 1983:13: 212-214.
- 30. Dinkel E, Ertel M, Dittrich M, et al. H. Kidney size in childhood. Sonographical
growth charts for kidney length and volume. Pediatr Radiol. 1985:15:38-43.
- 31. Mocan H, Ökten A, Gümele H, et al.Böbrek boylarının yaş, boy, ağırlık ve
kemik maturasyonu ile ilişkisi. Türk Diyaliz ve Transplantasyon Dergisi.
1992;1:22-27.
- 32. Uluocak N, Parlaktaş B, Erdemir F, et al. Sağlıklı okul çağı çocuklarında
böbrek boyutlarının vücut kitle indeksi ve cinsiyet ile olan ilişkisi. Türk Ürol
Derg. 2006;32:370-374.
- 33. Christophe C, Cantraine F, Bogaert C et al. Ultrasound: A method for kidney
size monitoring in children. Eur J Pediatr. 1986;145:532-538.
- 34. Schmidt IM, Main KM, Damgaard IN et al. Kidney growth in 717 healthy
children aged 0-18 months: A longitudinal cohort study. Pediatr Nephrol.
19:992-1003, 2004.
- 35. Dremsek PA, Kritscher H, Bohm G et al. : Kidney dimensions in ultrasound
compared to somatometric parameters in normal children. Pediatr Radiol.
17:285-290, 1987.
- 36. Mesrobian HG, Laud PW, Todd E et al. The normal kidney growth rate during
year 1 of life is variable and age dependent. J Urol. 1983;160:989-993
- 37. Rosenbaum DM, Korngold E, Teele RL: Sonographic assessment of renal
length in normal children. AJR Am J Roentgenol. 1984;142:467-469
- 38. Troell S, Berg U, Johansson B et al. Renal parenchymal volume in children.
Normal values assessed by ultrasonography. Acta Radiol. 1988;29:127-130
- 39. Peters H, Weitzel D, Humburg C et al. Sonographic determination of the
normal kidney volume in newborn infants and infants. Ultraschall Med.
1986;7:25-29
- 40. Weisenbach J, Horvath M, Jeges S et al. Normal percentiles of kidney size
in children as measured by ultrasonography. Orv Hetil. 2001;142:71-74