中国临床新医学
中國臨床新醫學
중국림상신의학
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
2013年
8期
754-757
,共4页
脾脏%X线计算机体层摄影术%测量
脾髒%X線計算機體層攝影術%測量
비장%X선계산궤체층섭영술%측량
Spleen%X-ray computed tomography%Measurment
目的通过对正常成人脾脏在多层螺旋CT（MSCT）图像上一些指标的观测分析，提供相应的脾脏正常值范围，为临床和教学服务。方法收集腹部多层螺旋CT扫描正常脾脏160例，并行三维成像，观察脾脏上、下极及脾门中点平椎体的位置。测量脾脏上、下极及脾脏最左、右端、脾门中点距脊柱中线的距离；测量脾脏的长径、厚径及上下径；并对上述结果进行统计学处理。结果脾脏上、下极大部分分别平对T10椎体和L2椎体，脾门大部分平对L1椎体。脾脏的各项CT测量指标男性均＞女性，并且除了脾门-中线距、左端-中线距和右端-中线距和厚径之外，其他测量指标差异均有统计学意义（ P＜0.05）。随着年龄的增长，脾脏的各项CT测量指标均有缩小趋势。结论研究获得了正常成人脾脏的位置、大小、形态的数据，可供临床诊断、治疗以及教学参考。
目的通過對正常成人脾髒在多層螺鏇CT（MSCT）圖像上一些指標的觀測分析，提供相應的脾髒正常值範圍，為臨床和教學服務。方法收集腹部多層螺鏇CT掃描正常脾髒160例，併行三維成像，觀察脾髒上、下極及脾門中點平椎體的位置。測量脾髒上、下極及脾髒最左、右耑、脾門中點距脊柱中線的距離；測量脾髒的長徑、厚徑及上下徑；併對上述結果進行統計學處理。結果脾髒上、下極大部分分彆平對T10椎體和L2椎體，脾門大部分平對L1椎體。脾髒的各項CT測量指標男性均＞女性，併且除瞭脾門-中線距、左耑-中線距和右耑-中線距和厚徑之外，其他測量指標差異均有統計學意義（ P＜0.05）。隨著年齡的增長，脾髒的各項CT測量指標均有縮小趨勢。結論研究穫得瞭正常成人脾髒的位置、大小、形態的數據，可供臨床診斷、治療以及教學參攷。
목적통과대정상성인비장재다층라선CT（MSCT）도상상일사지표적관측분석，제공상응적비장정상치범위，위림상화교학복무。방법수집복부다층라선CT소묘정상비장160례，병행삼유성상，관찰비장상、하겁급비문중점평추체적위치。측량비장상、하겁급비장최좌、우단、비문중점거척주중선적거리；측량비장적장경、후경급상하경；병대상술결과진행통계학처리。결과비장상、하겁대부분분별평대T10추체화L2추체，비문대부분평대L1추체。비장적각항CT측량지표남성균＞녀성，병차제료비문-중선거、좌단-중선거화우단-중선거화후경지외，기타측량지표차이균유통계학의의（ P＜0.05）。수착년령적증장，비장적각항CT측량지표균유축소추세。결론연구획득료정상성인비장적위치、대소、형태적수거，가공림상진단、치료이급교학삼고。
Objective To observe and analyze the standards of the normal adult splenic multislice spiral CT (MSCT) imaging to provide relevant normal range for clinic and teaching .Methods One hundred and sixty cases with normal spleen were undergone abdominal MSCT , then 3D imaging was performed , the position of spleen distance between two poles of spleen ,the out edges of right and left of spleen ,the midpoint of the splenic hailar and the central line of the spine , the diameter of splenic portal vein and splenic length ,thickness and width were observed and meas-ured with statistics analysis.Results Almost splenic upper poles located at the T 10 level,lower poles located at the L2 level and the midpoint of the splenic hailar located at the L 1 level.The values measured on CT of spleen in men were larger than that in women .Except for the distance between the midpoint of the splenic hailar ,the out edges of right and left of spleen and the central line of the body and thick of spleen , the most values measured on CT were all of signifi-cant statistically(P<0.05).Along with age increasing, the values measured on CT of spleen in normal adult have a tendency of shrinking .Conclusion The data of normal adult splenic location , size and shape obtained in this study can be used as the values consulted by clinic diagnosis , treatment and teaching .
