Gross G W, Thornburg A J, Bellinger M F
AJR Am J Roentgenol. 1986 Mar;146(3):615-7. doi: 10.2214/ajr.146.3.615.
Optimum urologic management of children with myelodysplasia includes periodic assessment of upper tract anatomy and renal growth. To investigate the perception that many children with spina bifida but without a history of intrinsic renal disease have small kidneys when compared with age-matched standard renal growth charts, 212 children with spina bifida were studied retrospectively, measuring renal length on excretory urograms. Patients with known vesicoureteric reflux of grade 2 or greater, congenital renal anomalies, hydronephrosis, renal scarring, or urinary diversion were excluded. For 95 patients aged 2 days to 19 days, 249 urograms were available for evaluation. Renal lengths were measured on the supine 5-min urogram. Mean values and standard deviations were calculated for each age group. Mean renal length for each age group fell below the mean of the standard curves devised by Hodson and Currarino, with increasing deviation from the mean with age.
脊髓发育不良患儿的最佳泌尿外科管理包括对上尿路解剖结构和肾脏生长进行定期评估。为了研究许多患有脊柱裂但无先天性肾病病史的儿童与年龄匹配的标准肾脏生长图表相比肾脏较小这一观点，我们对212例脊柱裂患儿进行了回顾性研究，通过排泄性尿路造影测量肾脏长度。排除已知存在2级或以上膀胱输尿管反流、先天性肾异常、肾积水、肾瘢痕或尿路改道的患者。对于95例年龄在2天至19天的患者，有249份尿路造影可供评估。在仰卧位5分钟尿路造影上测量肾脏长度。计算每个年龄组的平均值和标准差。每个年龄组的平均肾脏长度均低于Hodson和Currarino设计的标准曲线的平均值，且随着年龄增长与平均值的偏差越来越大。
