ULTRASONOGRAFİ AKUT APPENDİSİTİN PREOPERATİF TANISINDA RUTİN OLARAK İSTENMESİ GEREKEN BİR TETKİK MİDİR?

Yıl 2013, Cilt: 17 Sayı: 2, 117 - 124, 01.06.2013

Ozgen Isık Cem Oruc Oytun Saffet Kahyaoğlu Orhan Ureyen

Öz

Akut apandisit en yaygın cerrahi hastalıklardan birisidir. Bu çalışmanın amacı batın ultrasonunun US akut apandisitin pre-operatif tanısında klinisyene ne kadar yardımcı olduğunu araştırmaktır. Çalışmaya 1 Ocak 2011 ile 31 Mart 2012 tarihleri arasında İdil Devlet hastanesinde akut apandisit ön tanısı ile appendektomi uygulanan 67 hasta dahil edildi. Hastaların demografik verileri, US sonuçları, lökosit WBC değerleri ve histopatolojik inceleme sonuçları dosyaları retrospektif olarak kaydedildi. 67 hastanın 35’i %52,2 erkek, yaş ortalamaları ise 27,31’di. Toplam 32 %47,8 hastaya preoperatif US yapılmıştı. US 10 hastada %38.5 akut appendisiti gostermekte basarisiz olurken, 4 hastada %66.7 ise yalanci pozitifti. US bulguları ile histopatolojik veriler arasında istatistiksel olarak bir ilişki saptanmadı. Gelisen tibbi teknolojiye ragmen akut apandisit tanısının temelini hala anamnez ve fizik muayene oluşturmaktadır. US ise preoperatif akut apandisit tanısında rutin kullanılan bir yöntem olmaktan ziyade, tanı güçlüğü yaşanan seçilmiş olgularda yararli olabilir

Anahtar Kelimeler

Akut Appendisit, ultrason, preoperatif Tanı

SHOULD ULTRASONOGRAPHY BE A ROUTINE TEST IN PREOPERATIVE DIAGNOSIS OF ACUTE APPENDICITIS?

Öz

Acute appendicitis is a common surgical problem. This study reviews if abdominal ultrasonography US is convenient for the clinicians in preoperative diagnosis of acute appendicitis. 67 patients who underwent an appendectomy in İdil State Hospital between January 01th 2011 and March 31th 2012 included to the study. Patient demographics, US results, white blood cell counts WBC and histopathological results documented retrospectively. 35 52.2% of the 67 patients were male. Average age was 27.31, 32 47.8% patients underwent a preoperative US. US failed to show acute appendicitis in 10 patients 38.5% , and it was falsely positive in 4 patients 66.7% . We could not determine statistically significant difference between US and histopathological examination results. Anamnesis and physical examination are still basic diagnostic for acute appendicitis diagnosis despite developing medical technology. US may be helpful in selected cases with diagnostic difficulty, rather than a routine method in the preoperative diagnosis of acute appendicitis

Anahtar Kelimeler

Acute appendicitis, ultrasonography, preoperative diagnosis

Kaynakça

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• İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi,2013;17:117-124