Doll M, Schölmerich J, Spamer C, Volk B A, Gerok W
Dtsch Med Wochenschr. 1986 Jun 6;111(23):887-91. doi: 10.1055/s-2008-1068550.
In 502 patients, length, thickness and width of the spleen as well its location with respect to the ipsilateral kidney were determined by means of ultrasonography, and a relationship was established with the incidence of diseases accompanied by enlargement of the spleen. A significant correlation to the incidence of such diseases was found only with respect to spleen thickness. The probability of a corresponding disease was 80% for a spleen thickness of 5 cm, 90% for 6 cm and 100% for more than 7 cm. A comparison between palpation and ultrasonography supported the fact that enlargement of the spleen can, in many cases, not be ascertained by palpation, but that palpation findings are indeed positive in splenic enlargement of minor degree. The most suitable parameter for ultrasonographic detection of splenomegaly is thus spleen thickness, for which a limit value of 5 cm should be assumed. If the spleen is found to exceed this value, further examinations are indicated to clarify the underlying disease.
对502例患者采用超声检查测定脾脏的长度、厚度、宽度及其相对于同侧肾脏的位置，并将其与伴有脾脏肿大的疾病发生率建立联系。仅发现脾脏厚度与这类疾病的发生率存在显著相关性。脾脏厚度为5 cm时，相应疾病的发生率为80%；6 cm时为90%；超过7 cm时为100%。触诊与超声检查的比较证实，在许多情况下，脾脏肿大无法通过触诊确定，但在轻度脾脏肿大时触诊结果确实为阳性。因此，超声检测脾肿大最合适的参数是脾脏厚度，应假定其限值为5 cm。如果发现脾脏超过此值，则需进一步检查以明确潜在疾病。
