Mustafa Aydın Aysana ARMAĞAN, Alper BİTKİN, Lokman İRKILATA, Mevlüt KELEŞ, Emrah KÜÇÜK, Göksel BAYAR, Mustafa Kemal ATİLLA

Pelvikalisiyel Anatomik Ölçümlerin Değerlendirmesinde Bilgisayarlı Tomografi ile İntravenöz Piyelografinin Korelasyonu

Amaç: Pelvikalisiyel sistem anatomik ölçümlerinde bilgisayarlı tomografi (BT) ile referans görüntüleme olan intravenöz pyelografinin (İVP) karşılaştırılması.Gereç ve Yöntemler: Çalışmaya hastanemiz radyoloji kayıtlarında hem BT hem de İVP görüntüleri olan 47 hasta ve 59 renal ünit dahil edildi. Her bir böbreğin alt pol infundibulo- pelvik açı (İPA), infundibuler uzunluk (İU) ve infundibuler genişlik (İG) ölçümleri yapılarak sonuçlar BT ve İVP grupları arasında karşılaş- tırıldı.Bulgular: Çalışmaya alınan 47 hastanın 21’i kadın, 26’sı erkekti. Hastaların yaş ortalaması 42,87 idi. Elli dokuz renal ünitten 26’sı sol, 33’ü sağ böbrekti. Hastaların İVP ve BT ile ölçülen İPA, İU ve İG ölçümleri arasında istatistiksel fark saptanmadı (p=0.773, p=0.931, p=0.850). Her iki yöntemle de yapılan ölçümlerin birbirine korele olduğu görüldü.Sonuç: Pelvikalisiyel sistemin anatomik ölçümlerinde İVP ile benzer sonuçları ile BT, her- hangi bir sebeple İVP çekilemeyen hastalarda faydalı olabilir.

Anahtar Kelimeler:

pelvikalisiyel anatomi, bilgisayarlı tomografi, intravenöz piyelografi, infindibulopelvik açı, infundibuler uzunluk, infundibuler genişlik

Correlation of computerized tomography and intravenous pyelography in the evaluation of pelvicaliceal anatomical measurements

Objective: Comparison of computed tomography and reference imaging intravenous pyelography in anatomical measurements of pelvicalyceal system.Material and Methods: 47 patients and 59 renal units with both computed tomography and intravenous pyelography images were included in the study. The measurements of lower pole infundibulopelvic angle, infundibular length and infundibular width were performed in each kidney and the results were compared between computed tomography and intravenous pyelography groups.Results: Of the 47 patients who were taken to study, 21 were female and 26 were male. The mean age of the patients was 42.87. Of the 59 renal units, 26 were left, 33 were right kidney. There was no statistically significant difference between the infundibulopelvic angle, infundibular length and infundibular width measurements of the patients measured by computed tomography and intravenous pyelography (p = 0.773, p = 0.931, p = 0.850). It was seen that the measurements of both methods correlated to each other.Conclusion: With similar results to intravenous pyelography in the anatomical measurements of the pelvicalyceal system, computed tomography may be useful in patients who can not undergo intravenous pyelography imaging for any reason.

Keywords:

pelvicalyceal anatomy, intravenous pyelography, infundibular length and infundibular width, computed tomography, infundibulopelvic angle,

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