Talhar Shweta Sudhakar, Waghmare Jwalant E, Paul Lipika, Kale Sushilkumar, Shende Moreshwar R
Assistant Professor, Department of Anatomy, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India.
Associate Professor, Department of Anatomy, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India.
J Clin Diagn Res. 2017 Jun;11(6):AC04-AC08. doi: 10.7860/JCDR/2017/25275.10010. Epub 2017 Jun 1.
Knowledge of normal range of size and volume of abdominal organs plays a vital role in clinical practices as various medical conditions affects the abdominal organs causing alteration in their dimensions.
The present retrospective study was done to establish the normal range of renal volume in study population and to see the correlation between renal volume and body weight of an individual.
Computed tomographic evaluations of kidneys were performed on 140 kidneys of 70 individuals who had undergone abdominal CT scan for indications other than renal disease. We also excluded the patients diagnosed to have renal cysts, hydronephrosis or other renal diseases on CT examination. Renal length, width and depth were measured. Renal volume of both the kidneys was calculated by formula Kidney Volume (KV) =Л/6 x Renal length (L) x Renal width (W) x Renal depth (D). Various body parameters like age, weight, sex were also recorded in the data sheet.
Mean renal volume for the right kidney was 83.26±18.33 cm for females (33 females out of 70) and 103.92±23.27 cm for males (37 males out of 70). However, mean renal volume for the left kidney was 89.17±19.41 cm in females and 106±26.79 cm in males. Left renal volume was apparently more than right renal volume, though statistically insignificant. In males, mean kidney volume was found to be 104.96 cm whereas in females, it was found to be 86.21 cm. Kidney volume was found to be significantly greater in males than females among study population (t=3.79, p=0.0001). Renal volume significantly correlated with age and body weight of an individual.
This study is a sincere attempt to establish a normograms of renal volume in study population. For the clinical assessment of renal pathologies, knowledge of renal volume is a vital parameter. In study group, most significant parameter associated with renal volume is body weight which can be used as an adjunct while evaluating renal pathological conditions. Of all the radiological imaging techniques, abdominal coronal computed tomography scan provides most accurate renal measurements.
了解腹部器官的正常大小和体积范围在临床实践中起着至关重要的作用,因为各种医疗状况会影响腹部器官,导致其尺寸发生改变。
本回顾性研究旨在确定研究人群中肾体积的正常范围,并观察个体肾体积与体重之间的相关性。
对70名因非肾脏疾病指征接受腹部CT扫描的个体的140个肾脏进行了计算机断层扫描评估。我们还排除了在CT检查中被诊断患有肾囊肿、肾积水或其他肾脏疾病的患者。测量了肾脏的长度、宽度和深度。通过公式肾脏体积(KV)=π/6×肾脏长度(L)×肾脏宽度(W)×肾脏深度(D)计算双侧肾脏的体积。数据 sheet 中还记录了年龄、体重、性别等各种身体参数。
女性(70名中的33名)右肾平均体积为83.26±18.33 cm³,男性(70名中的37名)为103.92±23.27 cm³。然而,女性左肾平均体积为89.17±19.41 cm³,男性为106±26.79 cm³。左肾体积明显大于右肾体积,尽管在统计学上无显著差异。在男性中,平均肾脏体积为104.96 cm³,而女性为86.21 cm³。在研究人群中,男性的肾脏体积明显大于女性(t = 3.79,p = 0.0001)。肾体积与个体的年龄和体重显著相关。
本研究是在研究人群中建立肾体积正态图的一次真诚尝试。对于肾脏疾病的临床评估,肾体积的知识是一个至关重要的参数。在研究组中,与肾体积相关的最显著参数是体重,在评估肾脏病理状况时可作为辅助参数。在所有放射成像技术中,腹部冠状计算机断层扫描提供了最准确的肾脏测量。