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Normal Bireylerde Böbrek Volümü ile Vücut Parametreleri Arasındaki İlişki

Yıl 2019, Cilt: 72 Sayı: 2, 127 - 133, 02.10.2019

Ayşegül Gürsoy Çoruh

Öz

Amaç: Böbrek boyutlarının ve volümünün değerlendirilmesi böbrek hastalıklarının tanı, tedavi ve takiplerinde oldukça önemlidir. Böbrek
hastalıklarının takiplerinde ultrasonografi (US) diğer görüntüleme yöntemlerine üstündür. Biz bu çalışmamızda US ile, böbrek volümünün normal
bireylerdeki 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. Böbrekte
kitle, hidronefroz ve nefrolitiazis saptanan 16 kişi çalışma dışı bırakıldı. Vücut parametreleri [boy, kilo, Vücut kitle indeksi (VKİ) ve yaş] inceleme
öncesinde kaydedildi. Böbrek boyutlarının değerlendirilmesi, lateral dekübitis pozisyonunda, lomber bölgeden yapıldı. Böbrek boyutları longitudinal
ve 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 böbrek
ortalama volümü 134 mL olarak saptandı. Erkekler için bu değerler sağ böbrek ortalama volümü 149 mL; sol böbrek ortalama volümü 155 mL olarak
saptandı. Sağ ve sol böbrek volümleri arasında istatistiksel olarak anlamlı fark vardı. (p<0,05). Erkeklerde sağ böbrek volümü, sol böbrek volümü, sağ
böbrek parankim kalınlığı ve sol böbrek parankim kalınlığı kadınlara göre daha yüksekti ve bu fark istatistiksel olarak anlamlıydı (p<0,05). Ortalama
böbrek volümü ile olguların boyları arasında anlamlı ve pozitif korelasyon saptandı. Ortalama böbrek volümü ile kilo, VKİ ve VYA arasında da pozitif
ilişki vardı ancak bu oran boy ile olan korelasyona göre daha zayıftı. Vücut parametreleri arasında saptanan pozitif korelasyon arasındaki en kuvvetli
olanı hastanın boyu ile böbrek volümü arasındaki olarak belirlendi.

Sonuç: Böbrek fonksiyonunu değerlendirirken böbrek uzunluğunun önemli bir belirteç olduğunu ancak tek başına uzunluk ölçümünün yeterli
olmadığını düşünmekteyiz. Özellikle klinik ve radyolojik olarak rezidüel renal kapasitesi hakkında kesin kanıya varılamayan vakalarda böbrek
volümünün hesaplanması uygun olacaktır. Böbrek volümü değerlendirilirken böbrek volümünün vücut kitle indeksi, boy, kilo, VYA, ve yaşa bağlı
olarak farklılık gösterebileceği göz önünde bulundurulmalıdır.

Anahtar Kelimeler

Böbrek Volümü Ultrasonografi Ağırlık Boy Vücut Kitle İndeksi Vücut Yüzey Alanı

Etik Beyan

Etik Etik Kurul Onayı: Retrospektif. Hasta Onayı: Hasta onayı alınmıştır. Hakem Değerlendirmesi: Editörler kurulunun dışında olan hakemler tarafından değerlendirilmiştir.

Destekleyen Kurum

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Proje Numarası

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Teşekkür

-

Kaynakça

  • 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

Correlation Between the Kidney Volume and Body Parametres in Normal Adults

Yıl 2019, Cilt: 72 Sayı: 2, 127 - 133, 02.10.2019

Ayşegül Gürsoy Çoruh

Öz

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<0.05). Right and left kidney volume, right and left renal parenchymal thickness were ssignificantly higher in males
than females (p<0.05). There was a positive correlation between kidney volume and height, weight, BMI and BSA Abstract but the strongest positive
correlation was between height and kidney volume.

Conclusion: Although kidney length is an important diagnostic marker for evaluating renal function; measurement of kidney lengtfh alone might not
be sufficient. In cases where clinical and radiological residual renal capacity cannot be finalized, it is appropriate to calculate the renal volume. When
evaluating the renal volume, it should be considered that the renal volume may differ depending on the body mass index, height, weight, BMI, and age.

Anahtar Kelimeler

Kidney Volume Ultrasonography Weight Height Body Mass Index Body Surface Area

Proje Numarası

-

Kaynakça

  • 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
Toplam 40 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Radyoloji ve Organ Görüntüleme
Bölüm Makaleler
Yazarlar

Ayşegül Gürsoy Çoruh 0000-0002-8638-8688

Proje Numarası -
Yayımlanma Tarihi 2 Ekim 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 72 Sayı: 2

Kaynak Göster

APA Gürsoy Çoruh, A. (2019). Correlation Between the Kidney Volume and Body Parametres in Normal Adults. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 72(2), 127-133. https://doi.org/10.4274/atfm.galenos.2019.06078
AMA Gürsoy Çoruh A. Correlation Between the Kidney Volume and Body Parametres in Normal Adults. Ankara Üniversitesi Tıp Fakültesi Mecmuası. Ekim 2019;72(2):127-133. doi:10.4274/atfm.galenos.2019.06078
Chicago Gürsoy Çoruh, Ayşegül. “Correlation Between the Kidney Volume and Body Parametres in Normal Adults”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 72, sy. 2 (Ekim 2019): 127-33. https://doi.org/10.4274/atfm.galenos.2019.06078.
EndNote Gürsoy Çoruh A (01 Ekim 2019) Correlation Between the Kidney Volume and Body Parametres in Normal Adults. Ankara Üniversitesi Tıp Fakültesi Mecmuası 72 2 127–133.
IEEE A. Gürsoy Çoruh, “Correlation Between the Kidney Volume and Body Parametres in Normal Adults”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 72, sy. 2, ss. 127–133, 2019, doi: 10.4274/atfm.galenos.2019.06078.
ISNAD Gürsoy Çoruh, Ayşegül. “Correlation Between the Kidney Volume and Body Parametres in Normal Adults”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 72/2 (Ekim 2019), 127-133. https://doi.org/10.4274/atfm.galenos.2019.06078.
JAMA Gürsoy Çoruh A. Correlation Between the Kidney Volume and Body Parametres in Normal Adults. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2019;72:127–133.
MLA Gürsoy Çoruh, Ayşegül. “Correlation Between the Kidney Volume and Body Parametres in Normal Adults”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 72, sy. 2, 2019, ss. 127-33, doi:10.4274/atfm.galenos.2019.06078.
Vancouver Gürsoy Çoruh A. Correlation Between the Kidney Volume and Body Parametres in Normal Adults. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2019;72(2):127-33.
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