Yang J C, Rickman L S, Bosser S K
Department of Surgery, University of California, San Diego.
West J Med. 1991 Jul;155(1):47-52.
Assessing for the presence of splenomegaly is an important component of the physical examination. Although several methods of palpation and percussion of the spleen have been described, until recently they have not been validated by noninvasive imaging techniques such as ultrasonography, radionuclide scanning, and computed tomography that offer objective means to assess splenomegaly. We review the literature comparing various physical examination techniques with noninvasive imaging modalities and conclude that palpation and percussion of the spleen are complementary but frequently insensitive and that further studies are needed to evaluate the efficacy of specific diagnostic methods.
评估脾肿大的存在是体格检查的一个重要组成部分。尽管已经描述了几种脾脏触诊和叩诊方法,但直到最近,它们还没有通过超声、放射性核素扫描和计算机断层扫描等非侵入性成像技术进行验证,这些技术提供了评估脾肿大的客观手段。我们回顾了将各种体格检查技术与非侵入性成像方式进行比较的文献,并得出结论,脾脏触诊和叩诊是互补的,但常常不敏感,需要进一步研究来评估特定诊断方法的有效性。