Kist hidatikte tanı ve tedavi: 120 hastaya ait sonuçlar
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Dosyalar
Tarih
2008
Dergi Başlığı
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Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Kist hidatik hem sosyal hem de coğrafik koşullar nedeniyle ülkemizde sık görülmektedir. Bu çalışmada kist hidatik nedeniyle tedavi edilen hastaların sonuçları değerlendirildi. Hastalar ve Yöntemler: Çalışmaya, kist hidatik nedeniyle tedavi edilen 120 hasta (35 erkek, 85 kadın; ort. yaş 40.7; dağılım 7-75) alındı. Hastaların tanısal araştırma, tıbbi ve cerrahi tedavi ve izlem bulguları geriye dönük olarak değerlendirildi. Bulgular: En sık rastlanan yakınmalar karın ağrısı, bulantı ve kusmaydı. Fizik muayenede 54 hasta normal bulundu. En sık rastlanan bulgular hepatomegali ve karında kitleydi. Yirmi bir hastada karaciğer dışı abdominal organ kistleri vardı. Hastaların 16’sına medikal tedavi, altısına PAIR (perkutan aspirasyon, injeksiyon, reaspirasyon) uygulandı. Cerrahi tedavide tercih edilen yöntem parsiyel kistektomiydi. Elli beş hastada cerrahiye ek medikal tedavi uygulanmıştı. En sık cerrahi komplikasyon (%12.8) yara enfeksiyonuydu. Olguların 16.3’ünde nüks görüldü. Sonuç: Kist hidatikte temel tedavi seçeneği olan cerrahide tercih edilen konservatif yaklaşım yeterli ve güvenli bir tedavi sağlamaktadır. Medikal ajanların tedaviye eklenmesiyle tedavi başarısının yükselmesi beklenmektedir.
Objectives: Hydatidosis is frequently seen in Turkey due to social and geographical conditions. The aim of this study was to evaluate the results of treatment in patients with hydatidosis. Patients and Methods: The study included 120 patients (35 males, 85 females; mean age 40.7 years; range 7 to 75 years) who underwent treatment for hydatidosis. Data on diagnostic evaluation, medical and surgical treatments, and follow-up results were reviewed. Results: The most frequent complaints were abdominal pain, nausea, and vomiting. Fifty-four patients were found normal on physical examination. The most frequent findings were hepatomegaly and abdominal mass. The cysts developed in other abdominal organs other than the liver in 21 patients. Treatment was medical in 16 patients, and six patients underwent PAIR (Percutaneous aspiration, injection, and reaspiration). The preferred surgical procedure was partial cystectomy. Medical treatment was added to surgery in 55 patients. The most frequent surgical complication was wound infection (12.8%). Recurrences were encountered in 16.3%. Conclusion: Conservative surgery which is the preferred option for main line of treatment is adequate and reliable for hydatidosis. Addition of medical agents may increase treatment success rate.
Objectives: Hydatidosis is frequently seen in Turkey due to social and geographical conditions. The aim of this study was to evaluate the results of treatment in patients with hydatidosis. Patients and Methods: The study included 120 patients (35 males, 85 females; mean age 40.7 years; range 7 to 75 years) who underwent treatment for hydatidosis. Data on diagnostic evaluation, medical and surgical treatments, and follow-up results were reviewed. Results: The most frequent complaints were abdominal pain, nausea, and vomiting. Fifty-four patients were found normal on physical examination. The most frequent findings were hepatomegaly and abdominal mass. The cysts developed in other abdominal organs other than the liver in 21 patients. Treatment was medical in 16 patients, and six patients underwent PAIR (Percutaneous aspiration, injection, and reaspiration). The preferred surgical procedure was partial cystectomy. Medical treatment was added to surgery in 55 patients. The most frequent surgical complication was wound infection (12.8%). Recurrences were encountered in 16.3%. Conclusion: Conservative surgery which is the preferred option for main line of treatment is adequate and reliable for hydatidosis. Addition of medical agents may increase treatment success rate.
Açıklama
Anahtar Kelimeler
Tıbbi Araştırmalar Deneysel, Ortopedi, Cerrahi
Kaynak
Trakya Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
25
Sayı
1
