Preview

Humans and their health

Advanced search

Ratio of spleen height to left kidney height in children and adolescents according to intravital imaging data

https://doi.org/10.21626/vestnik/2021-2/03

Abstract

Objective: to establish age and gender patterns of changes in the ratio of spleen height to left kidney height in children and adolescents of Orenburg region according to the data of intravital imaging.

Materials and methods. Abdominal CT scans of 75 children without visible pathology were examined. The surveyed were divided into 4 age groups: early childhood, first childhood, second childhood, adolescence. The study was performed on 16-slice computed tomographs with the determination of the height of the spleen and the left kidney and calculation of the ratio of these parameters. The obtained data were subjected to variation-statistical processing with the determination of the mean value (M), standard error (m) and the reliability of differences according to the Student's t-test.

Results. It was found that the indicator of the height of the spleen among all the examined changed from 7.1±0.3 cm in the 1st group to 10.2±0.3 cm in the 4th group (p=0.001). The height of the left kidney in the 1st group was 7.6±0.1 cm and increased by the 4th group to 10.2±0.1 cm (p=0.001). The smallest value of the ratio of the height of the spleen to the height of the left kidney among girls and boys was found in children of early childhood and was 0.90±0.10 and 0.93±0.04. The maximum value of the indicator among girls was 1.05±0.08 in children of the second childhood, and among boys, 1.05±0.07 in children of first childhood.

Conclusion. There are no significant differences between the indicators of the ratio of spleen height to left kidney height, depending on age, and there are no gender differences within the group.

About the Authors

Sergey V. Chemezov
Orenburg State Medical University
Russian Federation

Dr. Sci. (Med.), Professor, Head of the Department of Operative Surgery and Clinical Anatomy named after S.S. Mikhailov



Andrey S. Lozinskiy
Orenburg State Medical University
Russian Federation

Cand. Sci. (Med.), Associate Professor of the Department of Operative Surgery and Clinical Anatomy named after S.S. Mikhailov



References

1. Боев В.М., Карпенко И.Л., Бархатова Л.А., Суменко В.В., Верещагин А.И., Кряжев Д.А. Сравнительный анализ эхографических показателей селезенки здоровых детей, проживающих на территориях с различной антропогенной нагрузкой. Здоровье населения и среда обитания. 2015;1(262):19-21

2. Возгомент О.В., Пыков М.И., Зайцева Н.В. Новые подходы к ультразвуковой оценке размеров селезенки у детей. Ультразвуковая и функциональная диагностика. 2013;6:56-63

3. Возгомент О.В., Пыков М.И., Зайцева Н.В., Акатова А.А., Аминова А.И., Ивашова Ю.А. Нормативные критерии и способ оценки размеров селезенки у детей. Доктор.Ру. 2014;11(99):9-13

4. Дворяковский И.В., Сугак А.Б., Дворяковская Г.М., Скутина Л.Е., Горбунова М.О., Ларина К.А. Размеры и структура селезенки у здоровых детей по данным ультразвукового исследования. Ультразвуковая и функциональная диагностика. 2007;(1):20-29

5. Морозов С.В., Изранов В.А., Казанцева Н.В. Диагностические критерии спленомегалии (Обзор). Вестник Балтийского федерального университета им. И. Канта. Серия: естественные и медицинские науки. 2020;(2):89-100

6. Суменко В.В., Возгомент О.В., Пыков М.И. Нормативные эхографические показатели селезенки у здоровых детей Оренбургской области и факторы, влияющие на них. Детская больница. 2013;2(52):16-22

7. al-Imam O., Suleiman A., Khuleifat S. Ultrasound assessment of normal splenic length and spleen-to-kidney ratio in children. East Mediterr Health J. 2000;6(2-3):514-516.

8. Bezerra A.S., D'Ippolito G., Faintuch S., Szejnfeld J., Ahmed M. Determination of splenomegaly by CT: is there a place for a single measurement? AJR Am J Roentgenol. 2005;184(5):1510-1513. DOI: 10.2214/ajr.184.5.01841510

9. Duminda W.D., Pathirana K.G., Fernando M.U.J., Samarasinghe R.A.N.K.K., Ananda W.D.H.A., Silva K.S.P., Dissanayake C.K. et al. Ultrasonographic length of morphologically-normal kidneys in children presented to a premier tertiary healthcare setting of Sri Lanka. BMC Nephrol. 2019;20(1):183. DOI: 10.1186/s12882-019-1377-z

10. Eze C.U., Agwu K.K., Ezeasor D.N., Agwuna K.K., Aronu A.E. Sonographic determination of spleen to left kidney ratio among Igbo school age children of south east Nigeria. Afr Health Sci. 2014;14(1):246-254. DOI: 10.4314/ahs.v14i1.38

11. Linguraru M.G., Sandberg J.K., Jones E.C., Summers R.M. Assessing splenomegaly: automated volumetric analysis of the spleen. Acad Radiol. 2013;20(6):675-684. DOI: 10.1016/j.acra.2013.01.011

12. Loftus W.K., Metreweli C. Ultrasound assessment of mild splenomegaly: spleen/kidney ratio. Pediatr Radiol. 1998;28(2):98-100. DOI: 10.1007/s002470050304

13. Mohtasib R.S., Alshamiri K.M., Jobeir A.A., Sai-di F.M.A., Masawi A.M., Alabdulaziz L.S., Hussain F.Z.B. Sonographic measurements for kidney length in normal Saudi children: correlation with other body parameters. Ann Saudi Med. 2019;39(3): 143-154. DOI: 10.5144/0256-4947.2019.143

14. Otiv A., Mehta K., Ali U., Nadkarni M. Sonographic measurement of renal size in normal Indian children. Indian Pediatr. 2012;49(7):533-536. DOI: 10.1007/s13312-012-0120-7

15. Pozo A.L., Godfrey E.M., Bowles K.M. Splenomegaly: investigation, diagnosis and management. Blood Rev. 2009;23(3):105-111. DOI: 10.1016/j.blre.2008.10.001

16. Sonmez G., Ozturk E., Basekim C.C., Mutlu H., Kilic S., Onem Y., Kizilkaya E. Effects of altitude on spleen volume: sonographic assessment. J Clin Ultrasound. 2007;35(4):182-185. DOI: 10.1002/jcu.20346

17. Warnakulasuriya D.T.D., Peries P.P.U.C., Rathnasekara Y.A.C., Jayawardena K.T.M., Upasena A., Wickremasinghe A.R. Ultrasonographic parameters of the liver, spleen and kidneys among a cohort of school children in Sri Lanka. BMC Pediatr. 2017;17(1):192. DOI: 10.1186/s12887-017-0943-4


Review

For citations:


Chemezov S.V., Lozinskiy A.S. Ratio of spleen height to left kidney height in children and adolescents according to intravital imaging data. Humans and their health. 2021;24(2):21-26. (In Russ.) https://doi.org/10.21626/vestnik/2021-2/03

Views: 421


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1998-5746 (Print)
ISSN 1998-5754 (Online)