Geleto Gemechu, Getnet Wondim, Tewelde Tsegaye
Department of Radiology, College of Health Sciences, Jimma University, Ethiopia.
Department of Epidemiology and Biostatistics, College of Health Sciences, Jimma University, Ethiopia.
Ethiop J Health Sci. 2016 May;26(3):237-42. doi: 10.4314/ejhs.v26i3.6.
Mean portal vein diameter is considered as the best indicator for portal hypertension. However, the cutoff point differs from study to study (above 10-15 mm) despite the existence of normal mean portal vein diameter between 10-15 mm in different settings.This implies the existence of limited evidence on normal portal vein diameter for all populations in all countries prior to setting the cutoff points. Therefore, the aim of this study was sonographic assessment of normal mean portal vein diameter among patients referred to The Department of Radiology in Jimma University Hospital.
A facility based cross-sectional study was conducted from November to December 2014 at Jimma University Hospital on a total of 195 clients. Data about portal vein diameter for eligible clients were collected by radiologists using Sonography. Data were edited manually, entered and analyzed using SPSS version 16.
Data were collected from a total of 195 participants. Among these, 121(62.1%) were males and the median age of the participants was 35 years. The study revealed a normal mean portal vein diameter of 10.6 mm ±1.8 SD with a respirophasic variation of 25.6%. Likewise, the normal mean portal vein diameter seemed to have varied significantly by age and sex.
The study revealed a normal mean portal vein diameter ranging below 13 mm. Hence, decisions made in clinical settings should base on these findings. Besides, there is a need for large scale study to determine portal vein diameter variation by age and sex, controlling other confounders.
门静脉平均直径被认为是门静脉高压的最佳指标。然而,尽管在不同情况下正常门静脉平均直径在10 - 15毫米之间,但不同研究的临界值却有所不同(超过10 - 15毫米)。这意味着在设定临界值之前,对于所有国家的所有人群,关于正常门静脉直径的证据有限。因此,本研究的目的是对转诊至吉马大学医院放射科的患者进行正常门静脉平均直径的超声评估。
2014年11月至12月在吉马大学医院进行了一项基于机构的横断面研究,共纳入195名患者。符合条件的患者的门静脉直径数据由放射科医生使用超声检查收集。数据进行手动编辑,使用SPSS 16版软件录入并分析。
共收集了195名参与者的数据。其中,121名(62.1%)为男性,参与者的年龄中位数为35岁。研究显示正常门静脉平均直径为10.6毫米±1.8标准差,呼吸相变化为25.6%。同样,正常门静脉平均直径似乎因年龄和性别而有显著差异。
该研究显示正常门静脉平均直径低于13毫米。因此,临床决策应基于这些发现。此外,需要进行大规模研究,以确定年龄和性别对门静脉直径的影响,并控制其他混杂因素。