{"id":6111,"date":"2025-09-12T15:05:33","date_gmt":"2025-09-12T13:05:33","guid":{"rendered":"https:\/\/www.pezz.ch\/?page_id=6111"},"modified":"2026-04-21T12:47:12","modified_gmt":"2026-04-21T10:47:12","slug":"wachstumsprognose","status":"publish","type":"page","link":"https:\/\/www.pezz.ch\/fr\/fuer-fachpersonen\/wachstumsprognose\/","title":{"rendered":"Pr\u00e9vision de croissance"},"content":{"rendered":"
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PR\u00c9DICTION DE CROISSANCE<\/span><\/h1>\n<\/div>\n<\/div>\n<\/div>\n
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ANMERKUNGEN ZUR ZUVERL\u00c4SSIGKEIT<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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Bei der Beratung von Wachstumsproblemen (zu kleine oder zu grosse K\u00f6rpergr\u00f6sse, zu fr\u00fche oder zu sp\u00e4te Pubert\u00e4tsentwicklung) nimmt die Bestimmung des biologischen Alters (sog. Knochenalter) und die Berechnung der voraussichtlichen Erwachsenengr\u00f6sse (sog. Wachstumsprognosen) eine zentrale Rolle ein<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n

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BERECHNUNG DER VORAUSSICHTLICHEN ERWACHSENENGR\u00d6SSE F\u00dcR IHRE PATIENTEN\/INNEN<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n
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Wachstumsprognose auf dem Korrespondenzweg erstellt von Professor Dr. med. Urs Eiholzer<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Wenn immer m\u00f6glich, wird von Professor Dr. med. Urs Eiholzer das Knochenalter nach den Methoden von Greulich-Pyle und Tanner (TW2 und TW3) bestimmt und die Wachstumsprognosen nach Bayley-Pinneau, Roche und Tanner (TW2 und TW3) berechnet. Zus\u00e4tzlich nimmt er eine Beurteilung der klinischen Situation vor, soweit dies auf Grund der zur Verf\u00fcgung gestellten Daten m\u00f6glich ist.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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F\u00fcr eine Wachstumsprognose auf dem Korrespondenzweg gehen Sie folgendermassen vor:<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Formular downloaden<\/strong><\/a>, ausdrucken und ausf\u00fcllen und zusammen mit dem R\u00f6ntgenbild per Post einschicken. (Das Einscannen des R\u00f6ntgenbilds hat sich nicht bew\u00e4hrt, weil die Aufl\u00f6sung ungen\u00fcgend ist.)<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Ihr Patient (in der Schweiz) erh\u00e4lt eine Krankenkassen konforme Rechnung (dies gilt als technische \u00dcberweisung).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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QUELLE EST LA FIABILIT\u00c9 DES PR\u00c9VISIONS DE CROISSANCE ?<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n
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Une fois que l\u2019\u00e2ge biologique a \u00e9t\u00e9 d\u00e9termin\u00e9 \u00e0 l\u2019aide d\u2019une radiographie de la main, il est possible de pr\u00e9voir avec une certaine pr\u00e9cision la suite de la croissance et du d\u00e9veloppement biologique. On peut alors estimer quand la pubert\u00e9 et la pouss\u00e9e de croissance pubertaire commenceront, combien de temps la croissance durera et faire des pr\u00e9visions sur la taille adulte attendue. Il existe diff\u00e9rentes m\u00e9thodes pour r\u00e9aliser ces calculs.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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PR\u00c9CISION<\/span><\/h4>\n<\/div>\n<\/div>\n<\/div>\n
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Ihre Genauigkeit h\u00e4ngt davon ab, ob das weitere Wachstum einigermassen durchschnittlich weitergeht wie in etwa 80-90 % der F\u00e4lle. Nicht-durchschnittlich verl\u00e4uft das Wachstum zum Beispiel, wenn die K\u00f6rperproportionen sehr auff\u00e4llig sind, wie zum Beispiel bei sehr kurzen Beinen oder wenn das betreffende Kind als SGA, also als \u2018small for gestational age\u2019 auf die Welt gekommen ist.<\/span><\/p>\n

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Un pourcentage important d\u2019enfants SGA ne grandit pas exactement comme la majorit\u00e9 des autres enfants. Ils connaissent souvent une petite pouss\u00e9e de croissance vers 8\u201310 ans. Malheureusement, dans ces cas, la pouss\u00e9e de croissance pubertaire apporte moins de hauteur suppl\u00e9mentaire que pour la plupart des autres enfants. Cela conduit \u00e0 une taille adulte inf\u00e9rieure \u00e0 celle pr\u00e9vue initialement. Nous ne savons cela que depuis quelques ann\u00e9es, apr\u00e8s avoir analys\u00e9 les cas d\u2019enfants n\u2019ayant pas atteint la taille que nous avions initialement pr\u00e9vue.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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\u00c9VALUATION DE L\u2019\u00c2GE OSSEUX<\/span><\/h4>\n<\/div>\n<\/div>\n<\/div>\n
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Jusqu\u2019\u00e0 pr\u00e9sent, nous avons parl\u00e9 de trajectoires de croissance biologiquement particuli\u00e8res. Il existe une autre source d\u2019erreur, beaucoup plus fr\u00e9quente. Toutes les m\u00e9thodes de calcul des pr\u00e9visions de croissance d\u00e9pendent fortement de la pr\u00e9cision de l\u2019\u00e9valuation de l\u2019\u00e2ge osseux. D\u00e9terminer l\u2019\u00e2ge osseux n\u2019est pas une t\u00e2che facile. Il s\u2019agit d\u2019analyser la maturation de 13 ou 20 os de la main. <\/span>Il ne s\u2019agit donc pas de la taille ou de la longueur mesurable des os de la main, mais de l\u2019\u00e9valuation de leur forme tridimensionnelle, qui doit \u00eatre attribu\u00e9e \u00e0 diff\u00e9rents stades de maturation. <\/strong><\/p>\n

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Je erfahrener Derjenige ist, der das Handr\u00f6ntgenbild beurteilt, desto genauer sind die Wachstumsprognosen – und zwar unabh\u00e4ngig von der verwendeten Methode. Im Knochenalter-Lesen Erfahrene nutzen meist auch mehrere Methoden gleichzeitig, weil sie aus den Unterschieden der einzelnen Methoden wiederum Schl\u00fcsse auf die Zuverl\u00e4ssigkeit in einem konkreten Fall ziehen k\u00f6nnen. Die gr\u00f6sste Erfahrung im Knochenalter- Lesenfindet man in der Regel bei den Fach\u00e4rzten f\u00fcr p\u00e4diatrische Endokrinologie, den Fachleuten f\u00fcr Wachstum und Hormonst\u00f6rungen.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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JE NORMALER EIN KIND W\u00c4CHST, DESTO GENAUER SIND DIE WACHSTUMSPROGRNOSEN.<\/span><\/h4>\n<\/div>\n<\/div>\n<\/div>\n
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De mani\u00e8re g\u00e9n\u00e9rale, on peut \u00e9galement dire que plus un enfant grandit normalement, plus les pr\u00e9visions de croissance sont pr\u00e9cises. Cependant, les pr\u00e9visions de croissance int\u00e9ressent le plus souvent les enfants dont la croissance est atypique, et non ceux dont la croissance est moyenne. Les pr\u00e9visions de croissance sont une sorte de \u00ab\u202fsous-produit\u202f\u00bb de la d\u00e9termination de l\u2019\u00e2ge osseux. L\u2019objectif principal de cette \u00e9valuation est de savoir si un enfant pr\u00e9sente une maladie ou un trouble de croissance et, le cas \u00e9ch\u00e9ant, de quel type il pourrait s\u2019agir.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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<\/p>","protected":false},"excerpt":{"rendered":"

WACHSTUMSPROGNOSE ANMERKUNGEN ZUR ZUVERL\u00c4SSIGKEIT Bei der Beratung von Wachstumsproblemen (zu kleine oder zu grosse K\u00f6rpergr\u00f6sse, zu fr\u00fche oder zu sp\u00e4te Pubert\u00e4tsentwicklung) nimmt die Bestimmung des biologischen Alters (sog. Knochenalter) und die Berechnung der voraussichtlichen Erwachsenengr\u00f6sse (sog. Wachstumsprognosen) eine zentrale Rolle ein BERECHNUNG DER VORAUSSICHTLICHEN ERWACHSENENGR\u00d6SSE F\u00dcR IHRE PATIENTEN\/INNEN Wachstumsprognose auf dem Korrespondenzweg erstellt von Professor … Pr\u00e9vision de 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