Goncalvesová E, Kovác A, Szántová M
I. interná klinika, Dérerova NsP, Bratislava.
Vnitr Lek. 1999 Jun;45(6):379-83.
Authors provide review on diffuse and focal splenic lesions, traumatic injuries, contribution of ultrasonography in staging of malignant lymphomas and ultrasound-guided percutaneous biopsy. Special attention is given to the question of normal spleen size and diagnosis of splenomegaly. In 230 patients (98 males) aged 18-72 years (median 34.2) witch underwent complex preventive examination, maximal longitudinal diameter (LDmax) of the spleen were measured. Using linear regression analysis relation of spleen size and body high, weigh and body mass index (BMI) was evaluated. Median LDmax was 10.1 cm, range 7.8-13.5 cm. As a reference limit authors accept 95% confidence interval of median: 7.9-12.3 cm. Statistically significant correlation (p < 0.01, r = 0.31) between LDmax and body high was found out. Ultrasonography because of diagnostic efficiency is suggested the method of choice in diagnosing pathologic involvement of the spleen.
作者对弥漫性和局灶性脾脏病变、创伤性损伤、超声检查在恶性淋巴瘤分期中的作用以及超声引导下经皮活检进行了综述。特别关注了正常脾脏大小及脾肿大诊断的问题。对230例年龄在18 - 72岁（中位数34.2岁）的患者（98例男性）进行了综合预防性检查，测量了脾脏的最大纵向直径（LDmax）。采用线性回归分析评估脾脏大小与身高、体重及体重指数（BMI）之间的关系。LDmax的中位数为10.1 cm，范围为7.8 - 13.5 cm。作者将中位数的95%置信区间7.9 - 12.3 cm作为参考限值。发现LDmax与身高之间存在统计学显著相关性（p < 0.01，r = 0.31）。由于诊断效率，超声检查被建议作为诊断脾脏病理受累的首选方法。
