我国招飞体检人群脾脏的超声检查与正常值研究

发布时间：2018-07-17 03:35

【摘要】：目的探讨招飞体检者脾脏大小的正常值范围和检查方法。方法在空军招飞体检过程中,对东北、华北、西南地区共2071名年龄17～21岁健康男性高中毕业生采用常规超声检查测量脾脏的厚度、长度及脾静脉内径,所用超声诊断仪的探头频率为3.5MHz。受检者右侧卧位,探头置于左侧肋间斜切,切面完整清晰地显示脾门的最大纵切面时冻结,测量脾脏厚度、长度及脾静脉内径。分析处理时排除含有明显病理性改变的脾脏。结果2071名招飞体检者脾脏厚度3.74±0.41cm,长度9.79±2.76cm,脾静脉内径0.65±0.17cm。该人群相应指标的95%可信区间分别为:脾脏厚度2.8035～4.4393cm、脾脏长度7.2639～12.2116cm、脾静脉内径0.5191～0.8292cm;99%可信区间分别为:脾脏厚度2.7263～4.6964cm、脾脏长度5.8573～12.4833cm、脾静脉内径0.4704～0.8779cm。结论初步确定了招飞体检人群脾脏大小的正常值范围,并且证明超声检查是招飞体检中准确评估脏器大小与结构状况的最简便有效的方法。
[Abstract]:Objective to explore the normal range of spleen size and its examination methods. Methods the thickness, length and internal diameter of spleen were measured by routine ultrasound examination in 2071 healthy male high school graduates aged 1721 years in Northeast, North and Southwest of China. The probe frequency of the ultrasonic diagnostic instrument was 3.5 MHz. In the right lateral position, the probe was placed in the left intercostal oblique section. The maximum longitudinal section of the splenic hilum was displayed completely and clearly. The thickness, length and internal diameter of the splenic vein were measured. The spleen with obvious pathological changes was excluded from analysis and treatment. Results the thickness and length of spleen were 3.74 卤0.41 cm, 9.79 卤2.76 cm and 0.65 卤0.17 cm respectively. The 95% confidence intervals of the corresponding indices were: the thickness of spleen was 2.8035 ~ 4.4393cm, the length of spleen was 7.2639 ~ 12.2116 cm, the diameter of splenic vein was 0.5191 ~ 0.8292 cm ~ (99%), the thickness of spleen was 2.7263n ~ 4.6964cm, the length of spleen was 5.85733n 12.4833cm, the inner diameter of splenic vein was 0.4704 ~ 0.8779cm. Conclusion the normal range of spleen size was determined and the ultrasonic examination was proved to be the most simple and effective method to accurately evaluate the size and structure of organs.
【作者单位】：空军总医院超声科;军事医学科学院放射与辐射医学研究所;北京军区空军招飞体检中心;成都军区空军招飞体检中心;沈阳军区空军招飞体检中心;
【分类号】：R445.1;R85

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