CORRELATION OF RENAL B-MODE ULTRASONOGRAPHIC FINDINGS WITH DIABETIC NEPHROPATHY STAGE
Husnu Tokgoz, Ozlem Turksoy, Eda Elverici, Sule Dilman, Enis Yuksel
article (Uluslararası, Hakemli) | Yazar(lar): Husnu Tokgoz, Ozlem Turksoy, Eda Elverici, Sule Dilman, Enis Yuksel | Yıl: 2008 | Dergi/Kurum: MARMARA MEDICAL JOURNAL | İndeks: WOS.ESCI | Anahtar Kelimeler: Diabetes, type-2, nephropathy, B-mode ultrasonography — Özet: Aim: We aimed to investigate the renal morphological
Aim: We aimed to investigate the renal morphological features detected by B-mode ultrasonography (US) in various clinical stages of diabetic nephropathy by means of a control group.
Methods: As control group, 20 healthy person were selected. As study group, 69 patients with type-2 diabetes were included. All cases in both groups were evaluated with B-mode US in terms of renal length, parenchymal thickness and echogenicity. Diabetic patients were divided into 3 groups according to 24-hour urinary albumin excretion ratios ( AER) (Group-1: AER< 30 mg/day; Group-2: AER 30-300 mg/day; Group3: AER > 300 mg/day); and mean renal parenchymal thickness and length were measured. By SPSS programme, mean values were compared between groups.
Results: When mean renal length was compared between the control and study groups, a significant difference was noticed; but when mean renal parenchymal thickness was compared, no significant difference was demonstrated between the two groups. When study groups were compared, no statistically significant difference was seen. Cortical hyperechogenicity ratios; mean serum BUN and creatinine clearance rates, were correlated with nephropathy stage.
Conclusion: With the progression of nephropathy in diabetic patients, renal parenchymal thickness does not significantly differ; but hyperechogenicity and a decrease in renal dimensions (control versus the study group) are observed.