Somatotypological features of topographic kidney anatomy of patients without any kidney and urinary tract diseases

Abstract

The conducted analysis of modern literature shows that most of the establishednormative parameters of the placement of kidneys in healthy people have not beensufficiently studied, with researchers practically do not take into account the constitutionalfeatures of the organism. The purpose of the study was to determine the topographicanatomical position of the kidneys in the frontal, sagittal and horizontal planes on thebasis of MRI in patients of different somatotypes without any kidney and urinary tractdiseases. Complex examination of 65 patients of the first and second mature age ofdifferent somatotypes, which did not have kidney and urinary tract diseases, wasperformed. To determine the somatotype, we used the mathematical scheme forB.Heath and J.Carter (1990), with the definition of the endomorphic, mesomorphic andectomorphic components of the somatotype. The renal topography was conducted ona Philips Intera-1.5T magnetic resonance imaging (standard magnetic resonance protocolincluded scanning in sagittal, frontal, and axial projections to obtain T1 weighted imaging).The angles of inclination were measured in the frontal, sagital and horizontal planes tomeasure spatial position of the kidneys. The statistical analysis of the obtained resultswas carried out using the "STATISTICA 5.5" program, using parametric and non-parametricmethods for evaluating the obtained results. It was established that the angle ofinclination of the kidney on the right side in the frontal and sagittal planes was greater in1.23-1.41 times than in men and in women of representatives of all somatotypes. Theangle between the axis and the line drawn through the middle of the vertebral bodiesdid not statistically significantly change, depending on the somatotype, sex and on theside of the study in a horizontal plane. The angles of inclination of the kidney axis aredefined in three planes: the frontal, horizontal, and sagittal in the patients, with thekidney axis directed downwards outward and forward. Representatives of allsomatotypes differed statistically significantly the angles of inclination of the left axisfrom the right kidneys in the frontal and sagittal planes

Prevention of Nephrolithias Recurrence in Patients After Nephrectomy

“…The use of performed accesses during percutaneous nephrolithotripsy to advance the retroperitoneoscope reduces traumatization. Fixation of the kidney in a physiological position ensures the absence of nephroptosis, which often accompanies a single kidney due to its hypertrophy after removal of the contralateral kidney, improves kidney function, prevents relapses of nephrolithiasis, nephrogenic hypertension [6].…”

Вдосконалення Лікування Нирковокам’яної Хвороби Єдиної Нирки

“…При сучасному розвитку діагностичних систем візуалізації внутрішніх органів пошуки закономірностей залежності морфологічних та інших параметрів від функціональних показників індивідуальних особливостей є СЕКЦІЯ XXIX. МЕДИЧНІ НАУКИ ТА ГРОМАДСЬКЕ ЗДОРОВ'Я перспективним для медичної антропології у визначенні норми, граничних станів та патології [12].…”