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Amaç: Bu çalışmanın amacı, CE1 ve CE3a tipleri karaciğer kist hidatiklerinin perkütan tedavisinde kullanılan trokar ve modifiye Seldinger yöntemlerinin uzun dönem sonuçlarının karşılaştırılması oldu. Gereç ve Yöntem: Ocak 2015 ve Haziran 2019 tarihleri arasında kateterizasyon yöntemi ile tedavi edilmiş olan, CE1 ve CE3a kist hidatik hastalarının verileri geriye dönük olarak tarandı. Kist tipi, kist boyutu, lokalizasyonu, uygulanan tedavi yöntemi, kateterizasyon süresi, hastanede yatış süresi verileri kayıt edildi. Takip ultrasonografi raporları değerlendirilerek takip süresi, kistin son kontroldeki boyutu, inaktivasyon süresi listelendi. Bu değişkenlerin tamamı modifiye Seldinger ve trokar yöntemlerinde ayrı ayrı listelendi ve istatistiksel olarak karşılaştırıldı. Bulgular: Toplamda 126 CE1 ve CE3a hastanın verileri çalışmaya dahil edildi. Tedavide 36 hastada modifiye Seldinger yöntemi, 90 hastada trokar yöntemi uygulandı. Ortalama takip süresi 1185.36 ±426.02 gün oldu. Tedavi etkinliği modifiye Seldinger yönteminde %97.2, trokar yönteminde %97.7 oldu. Toplamda hastaların %2.3’ünde nüks görüldü. Modifiye Seldinger yöntemine kıyasla trokar yönteminde kateterizasyon ve hastanede yatış süresi anlamlı olarak düşük bulundu. Modifiye Seldinger yönteminde inaktivasyon süreci daha hızlı olmuştur. Sonuç: Modifiye Seldinger ve trokar yöntemlerinin her ikiside CE1 ve CE3a karaciğer kist hidatik tedavisinde güvenle kullanılabilicek etkin tedavi yöntemleridir.
Purpose: The outcomes of cemented, cementless and hybrid fixation options in total hip replacement are still controversial. The aim of our study is to evaluate the clinical and radiological results of our cementless total hip replacement cases compared with the literature. Materials and Methods: We evaluated 80 patients' 95 cementless total hip arthroplasties retrospectively. The minmum follow up periodwas 12 months. We used the Harris Hip Score (HHS) for clinical evaluation. We evaluated malposition, aseptic loosening, heterotopic ossification, dislocation and other complications by direct radiography. Results: Forty seven (58.7%) of the patients were female and 33 were male (41.3%). Mean age of the patients was 52.3
Purpose: The aim of this study was to compare the long-term results of the trocar and modified Seldinger techniques used in the percutaneous treatment of type CE1 and CE3a hepatic hydatid cysts. Materials and Methods: The data of the patients with CE1 and CE3a hydatid cysts, treated by the catheterization technique between January 2015 and June 2019 were reviewed retrospectively. Cyst type, cyst size and localization, treatment method applied, duration of catheterization and length of hospital stay were recorded. Follow-up period, cyst size at the last follow-up, and inactivation time were listed using the follow-up ultrasound reports. All of these variables were listed separately in the modified Seldinger and trocar techniques and compared statistically. Results: The data of 126 CE1 and CE3a patients were included in the study. The modified Seldinger technique was used in 36 patients, and the trocar technique was used in 90 patients. The mean follow-up period was 1185.36 ± 426.02 days. The efficacy of the treatment was at the rate of 97.2% in the modified Seldinger technique and 97.7% in the trocar technique. In total, recurrence was seen in 2.3% of the patients. The duration of catheterization and length of hospital stay were found to be significantly lower in the trocar technique compared to the modified Seldinger technique. The inactivation process was faster in the modified Seldinger technique. Conclusion: Both the modified Seldinger and trocar techniques are effective treatment modalities that can be used safely in the treatment of CE1 and CE3a hepatic hydatid cysts.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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