Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment

KURT, Aydın; KARAOĞLANOĞLU, Mustafa; SAYİT TANRIVERMİS, Asli; ipek, ali; AKDOĞAN, Melek

Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment

Melek AKDOĞAN, (SB Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Ankara, Türkiye)

Ali İPEK, (Sağlık Bakanlığı, Ankara Atatürk Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Ankara, Türkiye)

Aydın KURT, (Sağlık Bakanlığı, Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Radyoloji Anabilim Dalı, Ankara, Türkiye)

Asli SAYİT TANRIVERMİS, (Sağlık Bakanlığı, Gazi Devlet Hastanesi, Radyoloji Kliniği, Samsun, Türkiye)

Mustafa KARAOĞLANOĞLU (Sağlık Bakanlığı, Ankara Atatürk Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, Ankara, Türkiye)

Eurasian Journal of Medicine

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Yıl: 2015 Cilt: 47 Sayı: 2 Sayfa Aralığı: 85 - 90 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment

Öz:

Amaç: Bu çalışmanın amacı fetal renal arter kan akımını renkli Doppler ultrasonografi ile değerlendirmek olup polihidramniyos saptanantüm fetuslarda konservatif tedavi öncesinde ve sonrasında fetal renalarter pulsatilite indeksleri ölçüldü. Konservatif tedavi sonrası amniyotik sıvı indeksi normale dönen fetuslarda renal arter pulsatilite indeksi yeniden ölçüldü. Gereç ve Yöntem: Bu prospektif çalışmaya 26-36. gestasyonel haftalar arasında polihidramniyosu olan 39 fetus dahil edildi. Tüm fetusların tedavi öncesinde fetal gelişim parametreleri, sağ ve sol renal arterpulsatilite indeksleri ve amniyotik sıvı indeksi ölçüldü. Bu hastaların19u konservatif tedaviye yanıt vermiş olup tedavi sonrası amniyo- tik sıvı indeksi normale döndü. Bu 19 fetusun renal arter pulsatiliteindeksi tedavi öncesi ve sonrasında istatistiksel olarak değerlendirilmiştir. Bulgular: Çalışmaya polihidramniyosu olup konservatif tedavi sonrası tedaviye yanıt veren 19 hasta ile devam edildi. Bu fetuslardamean fetal renal arter pulsatilite indeksi ilk sonografik incelemede2,08 (range 1,5-3,0) ölçülmüş olup tedavi sonrasında 1,94 (range1,53-2,69) olarak saptandı. Ancak bu iki grup arasında istatistikselolarak anlamlı fark saptanmadı (p=0,117). Sonuç: Çalışmamızda polihidramniyosu olan hastalarda tedavi öncesi ve tedavi sonrasında fetal renal arter pulsatilite indeksi arasındaanlamlı fark saptanmadı. Bu da bize renal arter kan akımının renalarter pulsatilite indeksi üzerinde etkisi olmayabileceğini gösterdi.Dolayısıyla renal arter pulsatilite indeksini polihidramniyos değerlendirilmesinde bir belirteç olarak kullanmak çok doğru değildir.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Polihidramniyoslu Hastalarda Konservatif Tedavi Öncesi ve Sonrası Fetal Renal Arter Doppler Bulguları

Öz:

Objective: The aim of this study was to evaluate the foetal renalblood flow with colour Doppler ultrasonography. Patients with polyhydramnios were investigated for the foetal renal artery pulsatilityindex (PI) at the beginning of the treatment, and after the conservative treatment in those who reached the normal amniotic fluid index. Materials and Methods: In this prospective study, 39 foetuses withpolyhydramnios were evaluated at gestational weeks 26 to 36. Thefoetal development parameters, right and left foetal renal artery PIs,and amniotic fluid index were measured at the beginning of the treatment in all of these patients. Of these patients, 19 who responded tothe conservative treatment were also revaluated when their amnioticfluid index reached normal levels, and statistical analyses were performed for the renal artery PIs before and after the treatment. Results: In this study, 19 patients fulfilled the inclusion criteria aspatients with polyhydramnios who responded to conservative treat- ment. For these patients, the mean foetal renal artery PI was 2.08(range 1.5-3.0) at the first sonographic examination, and the meanfoetal renal artery PI was 1.94 (range 1.53-2.69) after the conservativetreatment. However, there was no statistically significant differencebetween these two groups (p=0.117). Conclusion: In this study, no statistically significant difference wasfound in the foetal renal artery PIs of the patients with polyhydramnios before and after the conservative treatment. These results suggest that the renal artery blood flow may not have any effect on therenal artery PI; therefore, these findings indicate that the renal arteryPI cannot be used as a marker in the evaluation of polyhydramnios.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	AKDOĞAN M, ipek a, KURT A, SAYİT TANRIVERMİS A, KARAOĞLANOĞLU M (2015). Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment. , 85 - 90.
Chicago	AKDOĞAN Melek,ipek ali,KURT Aydın,SAYİT TANRIVERMİS Asli,KARAOĞLANOĞLU Mustafa Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment. (2015): 85 - 90.
MLA	AKDOĞAN Melek,ipek ali,KURT Aydın,SAYİT TANRIVERMİS Asli,KARAOĞLANOĞLU Mustafa Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment. , 2015, ss.85 - 90.
AMA	AKDOĞAN M,ipek a,KURT A,SAYİT TANRIVERMİS A,KARAOĞLANOĞLU M Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment. . 2015; 85 - 90.
Vancouver	AKDOĞAN M,ipek a,KURT A,SAYİT TANRIVERMİS A,KARAOĞLANOĞLU M Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment. . 2015; 85 - 90.
IEEE	AKDOĞAN M,ipek a,KURT A,SAYİT TANRIVERMİS A,KARAOĞLANOĞLU M "Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment." , ss.85 - 90, 2015.
ISNAD	AKDOĞAN, Melek vd. "Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment". (2015), 85-90.

APA	AKDOĞAN M, ipek a, KURT A, SAYİT TANRIVERMİS A, KARAOĞLANOĞLU M (2015). Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment. Eurasian Journal of Medicine, 47(2), 85 - 90.
Chicago	AKDOĞAN Melek,ipek ali,KURT Aydın,SAYİT TANRIVERMİS Asli,KARAOĞLANOĞLU Mustafa Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment. Eurasian Journal of Medicine 47, no.2 (2015): 85 - 90.
MLA	AKDOĞAN Melek,ipek ali,KURT Aydın,SAYİT TANRIVERMİS Asli,KARAOĞLANOĞLU Mustafa Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment. Eurasian Journal of Medicine, vol.47, no.2, 2015, ss.85 - 90.
AMA	AKDOĞAN M,ipek a,KURT A,SAYİT TANRIVERMİS A,KARAOĞLANOĞLU M Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment. Eurasian Journal of Medicine. 2015; 47(2): 85 - 90.
Vancouver	AKDOĞAN M,ipek a,KURT A,SAYİT TANRIVERMİS A,KARAOĞLANOĞLU M Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment. Eurasian Journal of Medicine. 2015; 47(2): 85 - 90.
IEEE	AKDOĞAN M,ipek a,KURT A,SAYİT TANRIVERMİS A,KARAOĞLANOĞLU M "Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment." Eurasian Journal of Medicine, 47, ss.85 - 90, 2015.
ISNAD	AKDOĞAN, Melek vd. "Renal Artery Doppler Findings in the Patients with Polyhydramnios before and after the Conservative Treatment". Eurasian Journal of Medicine 47/2 (2015), 85-90.