Journal of Reconstructive Urology

.: ORIGINAL RESEARCH
Çocuklarda Detrüsor Duvar Kalınlığı Ölçümünün İşeme Disfonksiyonunda Katkısı
The Contribution of Detrusor Wall Thickness Measurement in Voiding Dysfunction
Mustafa Devran AYBARa, Çağla Serpil DOĞANb, Meral TORUN BAYRAMb, Önder TURNAc
aRadyoloji Bölümü,
bNefroloji Bölümü, Şanlıurfa Çocuk Sağlığı ve Hastalıkları Hastanesi, Şanlıurfa, TÜRKİYE
cRadyoloji Bölümü, İstanbul Mehmet Akif Ersoy Göğüs Kalp ve Damar Cerrahisi Eğitim ve
Araştırma Hastanesi, İstanbul, TÜRKİYE
J Reconstr Urol. 2019;9(3):85-8
doi: 10.5336/urology.2019-71360
Article Language: TR
Full Text
ÖZET
 Amaç: Alt üriner sistem işlev bozukluğu olan çocuklarda mesane detrüsor duvar kalınlık ölçümlerinin ayırıcı tanıya olan katkısının araştırmasıdır. Gereç ve Yöntemler: Bu çalışma, Şanlıurfa Çocuk Sağlığı ve Hastalıkları Hastanesinde 2012-2014 yılları arasında ultrasonografi polikliniğine yönlendirilen, yaşları 5 ile 16 arasında değişen, 184 erkek, 116 kız olmak üzere 300 hastanın mesane detrüsor duvar kalınlıklarına bağlı verilerini içermektedir. Bulgular: Sağlıklı gruplarda yapılan ölçümlerde, erkeklerde detrüsor kalınlıklarının kızlara oranla daha fazla olduğu ve bunun istatistiksel olarak anlamlı olduğu gözlendi. Gruplara göre yapılan değerlendirmede, detrüsor kalınlığının; nörojen mesaneli grubun, işeme disfonksiyonlu ve sağlıklı çocuk gruplarına göre hem mesane boşken hem de dolu iken kalın olduğu ve bunun istatistiksel anlamlı olduğu saptandı. İşeme disfonksiyonlu grup ile sağlıklı bireyler karşılaştırıldığında ise hem mesane boşken hem de dolu iken işeme disfonksiyonlu grubun detrüsor kalınlığının daha fazla olduğu ve bunun istatistiksel anlamlı olduğu saptandı. Tüm gruplarda miksiyon sonrası detrüsor kalınlıklarının miksiyon öncesine oranla daha fazla olduğu ve bunun istatistiksel olarak anlamlı olduğu gözlendi. Sonuç: Mesane duvar kalınlık artışı kontrol grubu ile işeme disfonksiyonlu grubun ayırılmasında tanıya yardımcı olmaktadır. Mesane duvar kalınlığının ölçümünün geniş dağılım aralığından dolayı normal eşik değerini saptamak mümkün olmamaktadır.

Anahtar Kelimeler: İşeme disfonksiyonu; detrüsor duvar kalınlık ölçümü; ultrasonografi
ABSTRACT
 Objective: In this study we aimed the contribution of urinary bladder detrusor wall thickness measurement in children who have lower urinary system dysfunction. Material and Methods: This study contains between ages 5-16, 184 male, 116 female totally 300 patients urinary bladder detrusor wall thickness measurements who were directed to ultrasonography policlinic in Şanlıurfa Child Health and Disease Hospital between years 2012-2014. Results: Bladder wall thickness of the male patients is found statistically higher than females in healthy groups measurements. The measurements in neurogenic bladder are found to be statistically significantly higher than the other two groups both in full and empty measurements in bladder wall. When bladder wall thickness measurements are compared between voiding dysfunction and healty population groups, the measurements in voiding dysfunction are found to be statistically significantly higher than the healty group, both in full and empty measurements. In all groups detrusor wall thickness after voiding found statistically higher than before voiding. Conclusion: Urinary bladder detrusor wall thickness increase contributes differentiating voiding dysfuntion and control group. Due to the wide range of bladder wall thickness measurements with ultrasonography, a cut of value for normal range of bladder wall thickness can not be detected.

Keywords: Voiding dysfunction; detrusor wall thickness measurement; ultrasonography
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