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Normal Splenic Size in Adults: Ultrasonographic 2-D Index

正常成人脾臟大小:超音波二維指數

摘要


本研究目的在建立超音波二維指數,以作為國人成人脾臟大小之指標。共有495位病人,在台北榮總放射線部超音波接受檢查,其中包括324位男性和171位女性,脾臟的掃描方式由左下肋間作與肋間平行的斜向掃描,可掃得最長徑並可取得垂直於脾門之最厚徑,長徑與厚徑的乘積即為超音波二維指數。 20-29歲:男性,44.21+9.44(6位);女性,41.09+9.57(16位) 30-39歲:男性,45.01+11.78(58位);女性,43.27+11.69(22位) 40-49歲:男性,46.24+9.36(58位);女性,40.54+13.29(32位) 50-59歲:男性,42.14+8.60(58位);女性,44.28+10.11(42位) 60-69歲:男性,43.30+11.71(77位);女性,43.72+10.71(40位) 70-79歲:男性,42.18+10.78(62位);女性,40.26+9.55(17位) 80-89歲:男性,55.28+15.15(5位);女性50(2位) 超音波二維指數是評估成人脾臟大小簡單而有效的方法。

並列摘要


This study was conducted to establish a simple guideline for assessing normal splenic size in adults of different ages by using a real-time ultrasonographic 2-dimensional index (US2DI). A study of 495 consecutive adults, including 324 males and 171 females, was done. Their ages ranged from 20 to 90 years, and they were divided into 7 groups from the 3rd to the 9th decade. No patients had a history of disease related to the liver or spleen. The maximal length (L) of the spleen was obtained by oblique scan through the left posterior axillary line along the left lower intercostal spaces. The width (W) was measured perpendicularly from the hilum to the outer splenic capsule, and the US2DI was defined as the product of L and W. The following guidelines for US2DI were based on the product of the length and the width: 20-29 years: male, 44.21±9.44 (n=6) female, 41.09±9.57 (n=16) 30-39 years: male, 45.01±11.78 (n=58) female, 43.27±11.69 (n=22) 40-49 years: male, 46.24±9.36 (n=58) female, 40.54±13.29 (n=32) 50-59 years: male, 42.14±8.60 (n=58) female, 44.28±10.11 (n=42) 60-69 years: male, 43.30±11.71 (n=77) female, 43.72±10.71 (n=40) 70-79 years: male, 42.18±10.78 (n=62) female, 40.26±9.55 (n=17) 80-89 years: male, 55.28±15.15 (n=5) female, 50 (n=2) Overall (20-89 years): 43.10±11.60 (n=495) This US2DI may be used to assess splenic size in adults.

並列關鍵字

Spleen, size spleen, ultrasound

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