Abdel-Rahim I M, Ali Q M, Kardorff R, Franke D, Kaiser C, Ehrich J H, Doehring-Schwerdtfeger E
Department of Medicine, Faculty of Medicine, University of Gezira, Wedani, Sudan.
East Afr Med J. 1994 May;71(5):311-3.
Sonographic measurements of the liver, spleen and related blood vessels were performed in 87 healthy controls and in 50 patients with periportal fibrosis (pF) as well as in 52 patients with pF and at least one episode of gastro-oesophageal bleeding due to chronic Schistosoma mansoni infection. There was a progressing shrinkage of the liver paralleled by an increasing rate of patients with a larger left than right liver lobe as involvement of pF due to S. mansoni infection progressed. This was accompanied by an increasing percentage of pathological gallbladder wall enlargement, splenomegaly and an increasing portal vein diameter. It is suggested that organomorphometrical parameters of the liver and spleen can be used for sonographical evaluation of patients with S. mansoni infection as these may be useful for their clinical assessment of the progression of disease.
对87名健康对照者、50名门静脉周围纤维化（pF）患者以及52名因慢性曼氏血吸虫感染导致pF且至少有一次胃食管出血发作的患者进行了肝脏、脾脏及相关血管的超声测量。随着曼氏血吸虫感染所致pF进展，肝脏逐渐缩小，同时左肝叶大于右肝叶的患者比例增加。这伴随着病理性胆囊壁增厚、脾肿大的百分比增加以及门静脉直径增大。提示肝脏和脾脏的器官形态测量参数可用于曼氏血吸虫感染患者的超声评估，因为这些参数可能有助于对疾病进展进行临床评估。
