Radyasyon kaynakları ile çalışan sağlık personelinde abdominal ultrasonografideki insidental bulgular

Year 2018, , 288 - 292, 01.09.2018

Elif Gündoğdu , Mahmut Kebapçı

https://doi.org/10.28982/josam.430050

Abstract

Amaç: Bu çalışmada radyasyon kaynakları ile çalışılan departmanlarda görevli sağlık personelinde ultrasonografi ile abdomen bölgesinde saptanan insidental lezyonların ve bu lezyonların klinik öneminin değerlendirilmesi amaçlanmıştır. 

Yöntemler: Radyasyon kaynakları ile çalışılan departmanlarda görevli 52 sağlık çalışanının ultrasonografi raporları hastane rapor kayıt sistemi üzerinden retrospektif olarak değerlendirildi. Elde edilen bulgular anatomik varyant, benign lezyon ve ileri araştırma gerektiren durumlar olarak sınıflandırıldı. 

Bulgular: 19 (%36,53) sağlık çalışanında ultrasonografi incelemeleri tamamen normaldi. 33 (%63,46) personelde lezyon ya da sonopatolojik durum tespit edildi. 13 (%25) çalışanda hepatobilier sistemde, 8 (%15,38) çalışanda genitoüriner sistemde ve 12 (%23,07) çalışanda ise hem genitoüriner hem hepatobilier sistemde bulgu saptandı. 6 ( %11,53 ) çalışanda anatomik varyant, 24 (%46,15) çalışanda benign lezyon veya durum, 26 (%50) çalışanda ise ileri araştırma gerektiren durum tespit edildi. 

Sonuç: Radyasyon kaynakları ile çalışılan departmanlarda görevli sağlık personelinde insidental bulgular yaygın olarak gözlenir. Bu bulguların bir kısmı benign iken önemli bir kısmı araştırılması gereken durumları içerir. Yaygın saptanan insidental bulguların bilinmesi gereksiz endişeyi önlerken, ileri araştırma gerektiren durumlara gerekli önemin verilmesini de sağlar. 

Keywords

İnsidental bulgular, Ultrasonografi, Sağlık personeli

Incidental findings at abdominal ultrasonography in health personnel working with radiation sources

Abstract

Aim: In this study; we aimed to evaluate the incidental lesions detected by ultrasonography in the abdomen and their clinical trials at health personnel working in departments using radiation sources. 

Methods: Ultrasonography reports on 52 health personnel working in departments using radiation sources were evaluated retrospectively, from the hospital report registry system. The findings were classified as anatomical variant, benign lesions and situations requiring further investigation. 

Results: In 19 (36.53%) of the workers, the ultrasonography was completely normal. In 33 (63.46%) of the workers, lesions or sonopathological conditions were detected. There were incidental findings in 13 (25%) patients in hepatobilier system, 8 (15.38%) patients in genitourinary system and 12 (23.07%) patients in both of them. 6 (11.53%) workers had a anatomic variant, 24 (46.15%) workers had a benign lesion or condition, and 26 (50%) workers required further examination. 

Conclusion: Incidental findings are widespread at health personnel working in departments using radiation sources. Some of the findings were benign, while a significant number of cases required further investigation. Knowing commonly detected lesions prevents unnecessary anxiety, while it can ensure that cases requiring further investigation are considered sufficiently.

Keywords

Incidental findings, Ultrasonography, Health personnel

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