Gross G W, Boal D K
Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107.
J Urol. 1988 Oct;140(4):784-6. doi: 10.1016/s0022-5347(17)41812-x.
Periodic assessment of upper urinary tract anatomy and renal size is an important component in the urological management of children with myelodysplasia (spina bifida). As a correlation to a previous study of renal growth in children with spina bifida determined by excretory urography, we evaluated 297 renal ultrasonographic examinations in 145 patients with spina bifida and compared the renal size and growth pattern to those of normal children. Patients with known vesicoureteral reflux (grade 2 or greater), congenital renal anomalies, hydronephrosis, renal scarring or urinary tract surgery were excluded. Mean values and standard deviations for sonographically determined renal length were calculated. In general, mean renal length for each age group was below mean values for normal children. A normal renal growth curve for children with spina bifida, based on sonographic renal measurements, is developed for clinical use.
对上尿路解剖结构和肾脏大小进行定期评估是脊髓发育不良（脊柱裂）患儿泌尿外科管理的重要组成部分。作为对先前一项通过排泄性尿路造影确定脊柱裂患儿肾脏生长情况的研究的相关性研究，我们对145例脊柱裂患者的297次肾脏超声检查进行了评估，并将肾脏大小和生长模式与正常儿童进行了比较。排除已知有膀胱输尿管反流（2级或更高）、先天性肾脏异常、肾积水、肾瘢痕或尿路手术的患者。计算超声测定的肾脏长度的平均值和标准差。一般来说，每个年龄组的平均肾脏长度低于正常儿童的平均值。基于超声肾脏测量结果，为脊柱裂患儿制定了正常的肾脏生长曲线以供临床使用。
