Linear morphometric parameters of the spleen of children and adolescents according to the data of intravital imaging
https://doi.org/10.34215/1609-1175-2021-1-42-45
Abstract
Objective: The analysis of the age and gender patterns of the linear parameters of the spleen of children and adolescents on the basis of intravital imaging.
Methods: Sizes of spleens on the level of the middle of bodies' vertebras ThXI-LIII were defined on computer tomograms of abdomens of 75 children and adolescents divided into 4 groups (early childhood, first childhood, second childhood, and adolescence).
Results: There was a growth of the long axis of the spleen on the level of ThXII among boys from 2nd and 4th age groups, among girls - only in the 4th group. The reliable difference of this parameter on the level of LI was observed only among boys from the 2nd group. The long axis of the boys turned out to be bigger than girls' on the level of ThXII in 1st and 2nd groups. With age a significant growth of the diameter of the organ was defined among girls from the 4th group on levels of ThXII and LI. The reliable increase of this parameter was noticed among boys from the 2nd group on the level of ThXII and from the 4th group on levels of ThXII and LI. The differences in the average indexes of the diameter of the organ between girls and boys were defined in the 2nd group on the level of ThXII. Significant increase of the diameter of spleen was defined among boys from 2nd and 4th groups in comparison with previous age periods.
Conclusions: Among boys the size of the spleen significantly increased statistically in groups of 1st childhood and among adolescents. Among girls the reliable increase of the long axis and diameter of spleen was registered among adolescents. There was no reliable increase in height in any group (in comparison with previous ages). The long axis of spleen was significantly bigger among boys, than among girls in early and 1st childhood age, spleen diameter - in 1st childhood age. The reliable differences in the indexes of the height of spleen between girls and boys within age groups weren't identified.
About the Authors
S. V. ChemezovRussian Federation
Sergey V. Chemezov, MD, PhD, professor, head of the Department of Operative Surgery and Clinical Anatomy.
6 Sovetskaya St., Orenburg, 460000
A. S. Lozinskiy
Russian Federation
Andrey S. Lozinskiy, MD, PhD, associate professor, Department of Operative Surgery and Clinical Anatomy.
6 Sovetskaya St., Orenburg, 460000
A. К. Urbanskiy
Russian Federation
Andrey K. Urbanskiy, MD, PhD, associate professor, Department of Operative Surgery and Clinical Anatomy.
6 Sovetskaya St., Orenburg, 460000
References
1. Gajvoronskij IV, Lazarenko VA, Kotiv BN, Alekseev VS, Nichiporuk GI, Gorjacheva IA. Morphometric characteristics of the spleen ligaments and their topographic and anatomical relationships with the branches of the splenic artery and the tail of the pancreas. Kursk Scientific and Practical Bulletin “Man and his health”. 2015;2:66-73 (In Russ).
2. Zheleznov LM, Galeeva JeN, Popov GA, Titov VG, Veprince-va OT. Topographic and anatomical patterns of the formation of the thymus and spleen in the intermediate fetal period. Journal of Anatomy and Histopathology. 2017;2(6):94-6 (In Russ).
3. Badran DH, Kalbouneh HM, Al-Hadidi MT, Shatarat AT, Tarawneh ES, et al. Ultrasonographic assessment of splenic volume and its correlation with body parameters in a Jordanian population. Saudi Med J. 2015;36(8):967-72.
4. Khan SA, Yasmeen S, Adel H, Adil SO, Huda F, Khan S. Sonographic evaluation of normal liver, spleen, and renal parameters in adult population: A Multicenter Study. J Coll Physicians Surg Pak. 2018;28(11):834-9.
5. Eze CU, Agwu KK, Ezeasor DN, Agwuna KK, Aronu AE. Sonographic determination of spleen to left kidney ratio among Igbo school age children of south east Nigeria. Afr Health Sci. 2014;14(1):246-54.
6. Nemati M, Hajalioghli P, Jahed S, Behzadmehr R, Rafeey M, Fou-ladi DF. Normal values of spleen length and volume: an ultrasonographic study in children. Ultrasound Med Biol. 2016;42(8):1771-8.
7. Warnakulasuriya DTD, Peries PPUC, Rathnasekara YAC, Jay-awardena KTM, Upasena A, Wickremasinghe AR. Ultrasonographic parameters of the liver, spleen and kidneys among a cohort of school children in Sri Lanka. BMC Pediatr. 2017;17:192. doi: 10.1186/s12887-017-0943-4
8. Abdullahi SU, Hassan-Hanga F, Ibrahim M. Ultrasonographic spleen size and haematological parameters in children with sickle cell anaemia in Kano, Nigeria. Niger Postgrad Med J. 2014;21(2):165-70.
9. Song MK, Park BB, Uhm JE. Understanding splenomegaly in myelofibrosis: association with molecular pathogenesis. Int J Mol Sci. 2018;19(3):898. doi: 10.3390/ijms19030898
10. Cruz-Romero C, Agarwal S, Abujudeh HH, Thrall J, Hahn PF. Spleen volume on CT and the effect of abdominal trauma. Emerg Radiol. 2016;23(4):15-23.
11. Boev VM, Karpenko IL, Barhatova LA, Sumenko VV, Vereshhagin AI, Krjazhev DA. Comparative analysis of the echographic parameters of the spleen ofhealthy children living in areas with different anthropogenic load. Public Health and Habitat. 2015;1:19-21 (In Russ).
12. ozgoment OV, Pykov MI, Zajceva NV, Akatova AA, Aminova AI, Ivashova JuA. Normative criteria and method for assessing the size of the spleen in children. Doctor. Ru. 2014;11:9-13 (In Russ).
13. Dvorjakovskij IV, Sugak AB, Dvorjakovskaja GM, Skutina LE, Gorbunova MO, Larina KA. The size and structure of the spleen in healthy children according to ultrasound data. Ultrasound and Functional Diagnostics. 2007;1:20-9 (In Russ).
14. Rousan LA, Fataftah J, Al-Omari M, Hayajneh W, Miqdady M, Khader Y. Sonographic assessment of liver and spleen size based on age, height, and weight: Evaluation of Jordanian children. Minerva Pediatr. 2019;71(1):28-33.
Review
For citations:
Chemezov S.V., Lozinskiy A.S., Urbanskiy A.К. Linear morphometric parameters of the spleen of children and adolescents according to the data of intravital imaging. Pacific Medical Journal. 2021;(1):42-45. (In Russ.) https://doi.org/10.34215/1609-1175-2021-1-42-45