Ishibashi H, Higuchi N, Shimamura R, Hirata Y, Kudo J, Niho Y
First Department of Internal Medicine, Kyushu University, Fukuoka, Japan.
J Clin Ultrasound. 1991 Jan;19(1):21-5. doi: 10.1002/jcu.1870190106.
Ultrasonography was used to evaluate spleen size in patients with various clinical conditions including those of the liver, blood, collagen, or autoimmune disease. To express spleen size, a spleen index (SI), the product of the transverse diameter and its perpendicular diameter measured on the maximum cross-sectional image of the spleen, was used. SI correlated well with the volumes of resected spleens. Splenomegaly was present in high percentages of patients with liver, blood, collagen, and autoimmune disease, even though a majority of these spleens were not large enough to palpate. By grading the SI, characteristic distributions of SI were obtained for patients with different types of diseases. Obtaining and grading the SI by the use of ultrasound appears to be a significant supplemental aid for evaluating spleen size, especially in patients whose spleens are not palpable.
超声检查用于评估患有各种临床病症的患者的脾脏大小，这些病症包括肝脏、血液、胶原或自身免疫性疾病。为了表示脾脏大小，使用了脾脏指数（SI），即脾脏最大横截面图像上测量的横径与其垂直径的乘积。SI与切除脾脏的体积相关性良好。在患有肝脏、血液、胶原和自身免疫性疾病的患者中，脾肿大的比例很高，尽管这些脾脏中的大多数不够大，无法触及。通过对SI进行分级，获得了不同类型疾病患者的SI特征分布。使用超声获取和分级SI似乎是评估脾脏大小的一项重要辅助手段，特别是对于脾脏无法触及的患者。
