Ultrasonografi ile Çocuklarda Apendiks Boyutlarının Değerlendirilmesi‡

Yıl 2008, Cilt: 25 Sayı: 1, 1 - 4, 29.12.2009

Berna Aralan Tan Meltem Ceyhan Muzaffer Elmalı İlkay Koray Bayrak Nevzat Gürmen

Öz

Evaluation of Normal Appendix Size in Children by Ultrasonography
The aim of this study was to determine detectability and size of appendix in different pediatric age groups by ultrasonography.
We included 100 children without abdominal pain between 1 and 14 years of age (51 male, 49 female, mean age: 8,36 year) to whom andominal ultrasonograpy was performed for routine controls, recurrent urinary tract infection, enuresis, anemia, Hepatitis B and ureterovesical junction obstruction. Children were divided into 3 groups according to their ages as 1-5, 6-10 and 11-14 years of age. In those children localization and the diameter of appendix was recorded.
Appendix was detected in 47% (29 male, 18 female) of children. Mean diameter of appendix was 3,46±0,77 (1,7-5,4 mm). No difference in detectability and in size of appendix among three age groups were seen. We concluded that in children normal appendix could be detected by ultrasonography and diameter of it does not show significant change with age. We tought that this knowledge is important in differential diagnosis of acute appendicitis by ultrasonography.


Pediyatrik yaş grubunda apendiksin sonografik olarak saptanabilme ve boyutlarının yaşa göre dağılımının belirlenmesi.
Nisan 2005-Haziran 2006 tarihleri arasında karın ağrısı olmayan, farklı nedenlerle (tekrarlayan idrar yolu enfeksiyonu, enürezis, anemi, hepatit B, opere UV darlık, rutin kontrol) batın ultrasonografisi yapılan 1-14 yaşları arasında toplam 100 çocuk (51 erkek, 49 kız, ortalama yaş 8,36 yıl) çalışmaya alındı. Yaşlarına göre olgular 1-5, 6-10, 11-14 yaş olmak üzere üç gruba ayrıldı. Bu olgularda apendiks çapı ve yerleşimi değerlendirildi. Olguların %47'sinde apendiks görüldü (29 erkek, 18 kız). Apendiks ortalama çapı 3,46±0,77 (1,7-5,4 mm) olarak bulundu. Yaş ile apendiks saptanabilirliği ya da apendiks çapı arasında ilişki saptanmadı.
Çalışmamızda pediyatrik yaş grubunda ultrasonografi ile normal apendiksin görüntülenebildiği ve yaşa göre çap farkı göstermediği tespit edilmiştir. Bu bilgilerle ultrasonogra-finin akut apandisit tanısında önemli bir görüntüleme yöntemi olduğu düşünüldü.

Anahtar Kelimeler

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Kaynakça

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