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儿童肝脏、脾脏、胰腺和肾脏大小基于年龄的参考范围与腰围的关系

Reference Ranges of Age-Based Liver, Spleen, Pancreas, and Kidney Size in Conjunction with Waist Circumference in Children.

作者信息

Bayramoğlu Zuhal, Ayyıldız Hakan, Ersoy Berke

机构信息

Istanbul Medical Faculty, Radiology Department, Istanbul University, Istanbul, Turkey.

出版信息

Turk Arch Pediatr. 2022 Mar;57(2):175-185. doi: 10.5152/TurkArchPediatr.2022.21097.

DOI:10.5152/TurkArchPediatr.2022.21097
PMID:35383012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9366329/
Abstract

OBJECTIVE

In the initial phases of parenchymal diseases, the only finding would be an increase in organ size. We aimed to provide percentile charts of solid intraabdominal organ sizes by age for Turkish children on contrast-enhanced computed tomography images and reveal relative size ratios.

MATERIALS AND METHODS

A total of 800 abdominal computed tomography examinations of otherwise healthy children (468 males, 332 females) were enrolled. The transverse diameter and lengths of both liver lobes, the thickness of the pancreas, width and length of the spleen, and anteroposterior diameters and lengths of both kidneys were measured. Differences in mean diameters among ages were compared with the analysis of variance test. Pearson's correlation was assessed to depict the association of size with age and waist circumference.

RESULTS

Percentile charts for all measured size parameters that presented statistically significant positive correlations with age and waist circumference were provided. There were constant ratios of the right liver lobe to the left liver lobe (1.9 ± 0.37), right liver lobe to the right kidney (1.56 ± 0.26), left to the right kidney (1.03 ± 0.09), and spleen to the left kidney (1 ± 0.2) lengths in every age groups. Age (years)-dependant regression equation for waist circumference (mm) was depicted as "22 × age + 408."

CONCLUSION

Age-based percentile charts of solid intraabdominal organ diameters along with relative organ size ratios were provided.

摘要

目的

在实质性疾病的初始阶段，唯一的发现可能是器官大小增加。我们旨在通过对比增强计算机断层扫描图像，为土耳其儿童提供按年龄划分的腹内实性器官大小百分位数图表，并揭示相对大小比例。

材料与方法

纳入了800例健康儿童（468例男性，332例女性）的腹部计算机断层扫描检查。测量了肝两叶的横径和长度、胰腺厚度、脾脏宽度和长度以及双肾的前后径和长度。采用方差分析检验比较各年龄组平均直径的差异。评估Pearson相关性以描述大小与年龄和腰围的关联。

结果

提供了所有测量大小参数的百分位数图表，这些参数与年龄和腰围呈统计学显著正相关。在每个年龄组中，右肝叶与左肝叶（1.9±0.37）、右肝叶与右肾（1.56±0.26）、左肾与右肾（1.03±0.09）以及脾脏与左肾（1±0.2）的长度之比恒定。腰围（mm）的年龄（岁）依赖性回归方程表示为“22×年龄 + 408”。

结论

提供了基于年龄的腹内实性器官直径百分位数图表以及相对器官大小比例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff66/9366329/f80dab77922d/tap-57-2-175_f005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff66/9366329/01c80c62f499/tap-57-2-175_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff66/9366329/68702025942b/tap-57-2-175_f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff66/9366329/e13956b16059/tap-57-2-175_f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff66/9366329/22488e9fbf7a/tap-57-2-175_f004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff66/9366329/f80dab77922d/tap-57-2-175_f005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff66/9366329/01c80c62f499/tap-57-2-175_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff66/9366329/68702025942b/tap-57-2-175_f002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff66/9366329/e13956b16059/tap-57-2-175_f003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff66/9366329/22488e9fbf7a/tap-57-2-175_f004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff66/9366329/f80dab77922d/tap-57-2-175_f005.jpg

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