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The Relationship between Splenic Length and Age in Adult Nigerians 被引量:1
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作者 Peter E. Chime Bibiana Oti Wilfred O. Okenwa 《Journal of Biosciences and Medicines》 2020年第4期121-127,共7页
Background: The relationship between splenic size and age has been well studied in children but reports on adults have been inconsistent. In Nigeria, the relationship between splenic size and age as well as the inter-... Background: The relationship between splenic size and age has been well studied in children but reports on adults have been inconsistent. In Nigeria, the relationship between splenic size and age as well as the inter-decade changes in splenic length in adults has not been adequately studied. Objectives: This study aimed at determining the relationship between splenic length and age in adult Nigerians. Methods: This is a retrospective study in which sonographic splenic lengths of adult Nigerians aged 30 years and above were correlated with age. The relevant data were obtained from the medical records of those who had ultrasound splenic examination for the purposes of medical check-up between December 2016 and December 2017. Results: There were 50 cases aged between 34 and 57 years, with a mean age of 42.76 ± 7.73 years. Their spleens had normal shape and echotexture. The mean splenic length was 9.56 ± 1.37 cm. Splenic length correlated negatively with age and decreased from 9.79 ± 1.00 cm in the fourth decade to 9.49 ± 1.67 cm in the fifth decade and to 9.24 ± 1.63 cm in the sixth decade. The mean splenic length of 9.56 recorded in these cases was relatively small when compared to the results by other workers who studied subjects of much younger age groups. Conclusion: The studied cases which were in the fourth, fifth and sixth decades of life had a relatively small mean splenic length. There was no significant change in splenic length with increasing age. 展开更多
关键词 splenic length Age splenic VOLUME
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门静脉流速、血小板计数与脾脏长径比值对乙型肝炎肝硬化食管胃底静脉曲张的预测价值
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作者 牛丽娜 宋贺卫 +4 位作者 赵金库 李鑫贺 钟浩义 徐强 王晓忠 《肝脏》 2024年第10期1225-1229,共5页
目的探讨门静脉流速(PVV)、血小板计数与脾脏长径比值(PC/SD)对乙型肝炎肝硬化患者发生食管胃底静脉曲张(EGV)的预测价值。方法选取2021年6月—2023年4月于新疆维吾尔自治区中医医院就诊的临床资料完整并行电子胃镜、肝胆脾+门静脉彩超... 目的探讨门静脉流速(PVV)、血小板计数与脾脏长径比值(PC/SD)对乙型肝炎肝硬化患者发生食管胃底静脉曲张(EGV)的预测价值。方法选取2021年6月—2023年4月于新疆维吾尔自治区中医医院就诊的临床资料完整并行电子胃镜、肝胆脾+门静脉彩超的乙型肝炎相关肝硬化患者127例,按电子胃镜检查结果分为EGV组75例和无EGV组52例。对EGV组的影响因素行单因素分析,再以二元logistic回归分析EGV的无创预测指标,并绘制受试者工作特征(ROC)曲线评价各指标预测EGV的价值。计算曲线下面积(AUC)及其截断值以及相应敏感性、特异性、阳性预测值(PPV)、阴性预测值(NPV)。结果单因素分析发现EGV组与无EGV组的PVV(t=-4.421)、PC(Z=-5.654)、SD(t=-5.163)、PC/SD(Z=5.585)、AST(Z=-4.005)、CHE(t=6.864)、Alb(t=7.248)、TBil(t=-6.668)、INR(t=-8.889)、APRI指数(Z=-6.372)、肝硬化分期(χ^(2)=52.307)、腹水(χ^(2)=26.057)、肝性脑病(χ^(2)=7.435)、Child-Pugh分级(χ^(2)=83.923)比较差异均有统计学意义(均P<0.001);使用二分类logistic回归分析结果显示PVV(OR:1.426,95%CI:1.172~1.735)是乙型肝炎肝硬化合并EGV的独立危险因素;PC/SD(OR:0.148,95%CI:0.065~0.337)是乙型肝炎肝硬化合并EGV的保护因素[1];PVV预测乙型肝炎肝硬化合并EGV的AUC为0.718,截断值为21.5时,其预测敏感性为77.3%,特异性为44.2%,阳性预测值为66.7%,阴性预测值为57.5%;PC/SD预测EGV的AUC为0.812,截断值为0.721时,其预测敏感性为84.0%,特异性为57.7%,阳性预测值为74.1%,阴性预测值为71.4%。结论PVV、PC/SD均对乙型肝炎肝硬化合并EGV具有较好的预测价值。 展开更多
关键词 食管胃底静脉曲张 乙型肝炎肝硬化 门静脉流速 血小板计数 脾脏长径
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体质量指数与脾长径对脾切除联合贲门周围血管离断术效果的影响 被引量:3
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作者 潘建民 刘丹 +1 位作者 刘松平 孙军萍 《中华普通外科学文献(电子版)》 2019年第2期148-152,共5页
目的探讨腹腔镜脾切除联合贲门周围血管离断术对于不同体质量指数(BMI和脾长径患者的可行性和安全性。方法回顾性分析2014年3月至2017年6月海南省第三人民医院实施腹腔镜脾切除联合贲门周围血管离断微创手术的194例患者,将患者分为肥胖... 目的探讨腹腔镜脾切除联合贲门周围血管离断术对于不同体质量指数(BMI和脾长径患者的可行性和安全性。方法回顾性分析2014年3月至2017年6月海南省第三人民医院实施腹腔镜脾切除联合贲门周围血管离断微创手术的194例患者,将患者分为肥胖组(BMI>25 kg/m^2)108例和非肥胖组(BMI≤25 kg/m^2)86例。根据术前超声、CT和(或)MRI测量脾脏长径的结果将患者分为AC>20 cm组和AC≤20 cm组。结合脾AC线长度进行亚组分析,统计并比较各组患者的手术情况以及并发症发生情况。结果 (1)肥胖组患者的平均手术时间和中转开腹手术比例均显著高于非肥胖组,差异有统计学意义[(184.43±40.72)min vs(158.31±37.65)min,t=2.372,P<0.05;36.11%vs 13.95%,χ~2=4.831,P<0.05];脾AC线>20 cm的患者中,肥胖组的平均手术时间和中转开腹手术比例均显著高于非肥胖组,差异有统计学意义[(224.16±41.38)min vs(167.26±31.54)min,t=2.408,P<0.05;25.00%vs 9.30%,χ~2=4.627,P<0.05]。肥胖组内脾AC>20 cm的患者明显比AC≤20 cm的患者手术时间更长[(224.16±41.38)min vs(151.23±43.17)min,t=2.453,P<0.05],中转开腹手术比例更高(25.00%vs 11.12%,χ~2=4.168,P<0.05)。(2)肥胖组患者并发症总发生率显著高于非肥胖组,差异有统计学意义(37.96%vs11.63%,χ~2=5.024,P=0.025)。脾AC>20 cm的患者中,肥胖组的并发症发生率显著高于非肥胖组(49.06%vs 17.50%,χ~2=4.236,P=0.023)。肥胖组内脾AC>20 cm与AC≤20 cm的患者术后并发症总发生率比较,差异无统计学意义(49.06%vs 27.27%,χ~2=3.857,P=0.053)。结论 BMI过高延长了脾脏切除联合贲门周围血管离断微创手术的操作时间,脾长径>20 cm时增加了中转开腹手术和并发症发生的可能性。严格掌握脾脏切除贲门周围血管断流术的手术适应证,选择合适的手术时机,能够有效降低术后并发症的发生率,提高患者的预后质量。 展开更多
关键词 体质量指数 脾长径 脾切除术 贲门周围血管离断术
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