The grading system for ultrasonographic assessment of Schistosoma mansoni morbidity is crucial for evaluation of control programs. This requires prior definition of normal liver organometric ranges in the population from the endemic area. A cross-sectional study was conducted in a S. mansoni endemic area in rural Cameroon. 1002 Participants were screened and 234 of them, free from all common liver-affecting diseases in the area (schistosomiasis, malaria, hepatitis B and C) and with no ultrasonographic signs of liver disease were selected and their liver parameters measured by ultrasonography. All statistics were considered significant for p-values < 0.05. Normal dimensions of livers lobe sizes, portal vein wall thickness and portal vein diameters are reported. The liver organometric data are presented for the entire study population as a whole and separately for males and females as prediction plots, with observed values and fitted regression line with 95% confidence. Reference ranges for liver parameters (size, portal vein thickness and diameter) adjusted for body height established in the current study are novel for Cameroon. The prediction plots generated should improve the accuracy of the assessment of liver morbidity by ultrasonography in the region.

译文

:曼氏血吸虫病发病率的超声评估评分系统对于评估控制程序至关重要。这需要从流行地区开始预先定义正常肝脏器官测量范围。在喀麦隆农村的曼氏葡萄球菌流行地区进行了横断面研究。筛选了1002例参与者,其中234例没有该地区所有常见的影响肝病的疾病(血吸虫病,疟疾,乙型和丙型肝炎),并且没有超声显示肝脏疾病的体征,并通过超声检查测量了他们的肝脏参数。对于p值<0.05,所有统计数据均被视为显着。报告了肝叶大小,门静脉壁厚度和门静脉直径的正常尺寸。整体显示了整个研究人群的肝脏器官测量数据,男性和女性分别作为预测图,具有观察值和具有95%置信度的拟合回归线。在本研究中建立的根据身高调整的肝脏参数(大小,门静脉厚度和直径)的参考范围对于喀麦隆来说是新颖的。生成的预测图应提高该区域通过超声检查评估肝病发病率的准确性。

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