TY - JOUR T1 - PEDİATRIK YAŞ GRUBUNDA KARACİĞER, DALAK VE BÖBREK BOYUTLARININ ULTRASONOGRAFİK NOMOGRAMLARI TT - ULTRASONOGRAPHİC NOMOGRAMS OF LIVER, SPLEEN AND KIDNEY DIMENSIONS IN PEDIATRIC AGE GROUP AU - Üner, Çiğdem PY - 2019 DA - December Y2 - 2019 DO - 10.16899/jcm.651118 JF - Journal of Contemporary Medicine JO - J Contemp Med PB - Rabia YILMAZ WT - DergiPark SN - 2667-7180 SP - 378 EP - 383 VL - 9 IS - 4 LA - tr AB - ÖZETAmaç: Bu çalışmada Türktoplumunda 0-15 yaş arası çocuklarda karaciğer, böbrekler ve dalak standart boyutlarınınultrasonografik olarak yaş, cinsiyet, boy ve kiloya göre hesaplanmasıamaçlandı. Gereç ve Yöntem:Çalışma için sistematik veya organospesifik hastalığı olmayan 302 sağlıklıçocuğun karaciğer için sağ lob organ derinliği, böbrekler için longütudinaluzunluk, genişlik ve hilus-korteks derinliği, dalak için poller arası maksimumuzunluk ve hilus düzeyinde maksimum genişlik ölçümleri yapıldı. Ayrıcaçocukların yaş, cinsiyet, boy ve kilo değerleri kaydedildi. Bulgular: Karaciğerderinliği ortalamasının 100,49±18.46, sağ böbrek longitudinal uzunluğuortalamasının 80.04 ±14.33, sol böbrek longitudinal uzunluğu ortalamasının81.22±14.92, dalak longitudinal uzunluğu ortalamasının ise 81.24±15.51 olduğugözlendi. Bulunan değerler ile somatik morfometrik parametreler (boy, kilo) veyaş arasındaki lineer korelasyon değerleri anlamlı bulundu. Ölçülen her birparametre için iki cinsiyet arasında anlamlı fark saptanmadı. Sonuç: Karaciğer,dalak ve böbrek boyutlarının yaşa, boy ve kiloya bağlı değiştiği normaldeğerlerin bu özelliklere göre modifiye edilmesi gerektiği görüldü. Her yaşgrubunda Türk çocuklarda normal sınırlardaki değerler literatürde yer alançalışmalarla büyük oranda benzerlik gösteriyordu. KW - ultrasonografi KW - karaciğer KW - dalak KW - böbrek boyutları N2 - ABSTRACTAim: The aim of this study wasto determine the standard dimensions of liver, kidneys and spleen in childrenaged 0-15 years in Turkey by ultrasonography according to age, sex, height andweight.Material and Method: 302 healthy childrenwithout systemic or organ specific disease were measured for right lobe organdepth for liver, longitudinal length for kidney, width and depth ofhilus-cortex, maximum length of pole for spleen and maximum width of hilus forspleen. In addition, age, gender, height and weight values ​​of the childrenwere recorded.Results: Mean liver depth was100.49 ± 18.46, right renal longitudinal length was 80.04 ± 14.33, left renallongitudinal length was 81.22 ± 14.92, and splenic longitudinal length was81.24 ± 15.51. Linear correlation values ​​between somatic morphometric parameters(height, weight) and age were found to be significant. There was no significantdifference between the two genders for each parameter measured.Conclusion: It was seen that liver,spleen and kidney dimensions changed according to age, height and weight andnormal values ​​should be modified according to these characteristics. Thenormal range values ​​of Turkish children in each age group were highly similarto the studies in the literature. CR - 1. Sippel S, Muruganandan K, Levine A, Shah S. Use of ultrasound in the developing world. International journal of emergency medicine. 2011;4(1):1-11. CR - 2. Dhingra B, Sharma S, Mishra D, Kumari R, Pandey RM, Aggarwal S. Normal values of liver and spleen size by ultrasonography in Indian children. Indian pediatrics. 2010;47(6):487-92. CR - 3. Rosenberg H, Markowitz R, Kolberg H, Park C, Hubbard A, Bellah R. Normal splenic size in infants and children: sonographic measurements. AJR American journal of roentgenology. 1991;157(1):119-21. CR - 4. Carpentieri U, Gustavson L, Leach T. Liver size in normal infants and children. Southern medical journal. 1977;70(9):1096-7. CR - 5. Niederau C, Sonnenberg A, Müller J, Erckenbrecht J, Scholten T, Fritsch W. Sonographic measurements of the normal liver, spleen, pancreas, and portal vein. Radiology. 1983;149(2):537-40. CR - 6. Walker WA, Mathis RK. Hepatomegaly. An approach to differential diagnosis. Pediatric Clinics of North America. 1975;22(4):929-42. CR - 7. Mimouni F, Merlob P, Ashkenazi S, Litmanovitz I, Reisner SH. Palpable spleens in newborn term infants. Clinical pediatrics. 1985;24(4):197-8. CR - 8. Behrman A, Kliegman K, Jenson L. Nelson text book of pediatrics, 19th edn, Saunders. Elsevier; 2011. CR - 9. Rosenbaum DM, Korngold E, Teele RL. Sonographic assessment of renal length in normal children. American Journal of Roentgenology. 1984;142(3):467-9. CR - 10. Larson DB, Meyers ML, O'Hara SM. Reliability of renal length measurements made with ultrasound compared with measurements from helical CT multiplanar reformat images. American Journal of Roentgenology. 2011;196(5):W592-W7. CR - 11. Achim O, Vestemean I. Ultrasound relation between the dimension of the spleen and left kidney in children. Acta Medica Transilvanica. 2010;2(4):251-2. CR - 12. Atalabi OM, Umeh E, Adeniji-Sofoluwe AT, Adekanmi AJ. Normal sonographic dimensions for liver, spleen and kidneys in healthy South West Nigerian children-a pilot study. West African Journal of Ultrasound. 2015;16(1). CR - 13. Blane C, Bookstein FL, DiPietro M, Kelsch R. Sonographic standards for normal infant kidney length. American journal of roentgenology. 1985;145(6):1289-91. CR - 14. Holloway H, Jones T, Robinson A, Harpen M, Wiseman H. Sonographic determination of renal volumes in normal neonates. Pediatric Radiology. 1983;13(4):212-4. CR - 15. Konuş O, Ozdemir A, Akkaya A, Erbaş G, Celik H, Işik S. Normal liver, spleen, and kidney dimensions in neonates, infants, and children: evaluation with sonography. AJR American journal of roentgenology. 1998;171(6):1693-8. CR - 16. da Rocha SMS, Ferrer APS, de Oliveira IRS, et al. Determinação do tamanho do fígado de crianças normais, entre 0 e 7 anos, por ultrassonografia. Radiologia Brasileira. 2009;42(1):7-13. CR - 17. Amatya P, Shah D, Gupta N, Bhatta NK. Clinical and ultrasonographic measurement of liver size in normal children. The Indian Journal of Pediatrics. 2014;81(5):441-5. CR - 18. Thapa N, Shah S, Pradhan A, Rijal K, Basnet S. Sonographic assessment of the normal dimensions of liver, spleen, and kidney in healthy children at tertiary care hospital. Kathmandu University Medical Journal. 2015;13(4):286-91. CR - 19. Özdikici M. The relationship between splenic length in healthy children from the Eastern Anatolia Region and sex, age, body height and weight. Journal of ultrasonography. 2018;18(72):5. CR - 20. Megremis S, Alegakis A, Koropouli M. Ultrasonographic spleen dimensions in preterm infants during the first 3 months of life. Journal of ultrasound in medicine. 2007;26(3):329-35. CR - 21. Vujic A, Kosutic J, Bogdanovic R, Prijic S, Milicic B, Igrutinovic Z. Sonographic assessment of normal kidney dimensions in the first year of life—a study of 992 healthy infants. Pediatric Nephrology. 2007;22(8):1143-50. CR - 22. Otiv AS, Mehta K, Ali U, Nadkarni M. Sonographic measurement of renal size in normal Indian children. Indian pediatrics. 2012;49(7):533-6. CR - 23. Zuzuárregui J-RP, Mallios R, Murphy J. The effect of obesity on kidney length in a healthy pediatric population. Pediatric Nephrology. 2009;24(10):2023-7. CR - 24. Megremis SD, Vlachonikolis IG, Tsilimigaki AM. Spleen length in childhood with US: normal values based on age, sex, and somatometric parameters. Radiology. 2004;231(1):129-34. CR - 25. Rousan LA, Fataftah J, Al-Omari M, Hayajneh W, Miqdady M, Khader Y. Sonographic assessment of liver and spleen size based on age, height, and weight: evaluation of jordanian children. Minerva pediatrica. 2015. CR - 26. Dittrich M, Milde S, Dinkel E, Baumann W, Weitzel D. Sonographic biometry of liver and spleen size in childhood. Pediatric radiology. 1983;13(4):206-11. CR - 27. Holder LE, Strife J, Padikal TN, Perkins PJ, Kereiakes JG. Liver size determination in pediatrics using sonographic and scintigraphic techniques. Radiology. 1975;117(2):349-53. CR - 28. Kim J-H, Kim M-J, Lim SH, Kim J, Lee M-J. Length and volume of morphologically normal kidneys in Korean children: ultrasound measurement and estimation using body size. Korean journal of radiology. 2013;14(4):677-82. CR - 29. Friis H, Ndhlovu P, Mduluza T, et al. Ultrasonographic organometry: liver and spleen dimensions among children in Zimbabwe. Tropical Medicine & International Health. 1996;1(2):183-90. CR - 30. Han BK, Babcock DS. Sonographic measurements and appearance of normal kidneys in children. American Journal of Roentgenology. 1985;145(3):611-6. CR - 31. Assadamongkol K, Phuapradit P, Udompanich O, Varavithya W. Liver size and serum alkaline phosphatase in normal Thai school-aged children. Journal of the Medical Association of Thailand= Chotmaihet thangphaet. 1989;72:88-93. CR - 32. Bacopoulos C, Papahatzi-Kalmadi M, Karpathios T, Thomaidis T, Matsaniotis N. Renal-vertebral index in normal children. Archives of disease in childhood. 1981;56(5):390-1. UR - https://doi.org/10.16899/jcm.651118 L1 - https://dergipark.org.tr/tr/download/article-file/955417 ER -