Tüberküloz plörezili 128 olgunun değerlendirmesi
Yükleniyor...
Tarih
2007
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dicle Üniversitesi Tıp Fakültesi
Erişim Hakkı
Attribution-NonCommercial 3.0 United States
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Tüberküloz plörezi, ülkemizde en sık görülen ekstrapulmoner
tüberküloz formudur. Tüberküloz plörezili hastaların ortalama yaşları
endüstrileşmiş toplumlarda son 50 yılda ileri yaşlara doğru kayarken, az
gelişmiş toplumlarda erken yaşlarda kalmaya devam etmekledir. Bu çalışma
ile kliniğimizde 1999-2005 yılları arasında tüberküloz plörezi tanısı konmuş
128 olgunun klinik, radyolojik ve laboratuar özelliklerini ve tanı
yöntemlerini retrospektif olarak incelendi. Çalışmaya alınan 128 olgunun
76’sı (%59) erkek, 52’si(%41) kadındı. Olguların yaş ortalaması 39±12 (15-
74) yıl idi. Olgularda en sık görülen semptomlar göğüs ağrısı ve öksürük
şeklindeydi. Olguların %97.6’sında plörezi tek taraflıydı. Akciğer grafisinde
parankim lezyonu %18 oranında görüldü. En sık kullanılan tanı koyma
yöntemi (%82) kapalı plevra biyopsisi idi. Plevral sıvıda ADA düzeyine 19
olguda bakıldığı anlaşıldı ve ortalaması 62±23.7 IU/L idi. Sonuç olarak,
tüberküloz plörezi genç yaş grubunda görülmektedir. Tek taraflı plörezi
olarak karşımıza çıkmakta ve plevra biyopsisi kısa sürede ve yüksek oranda
tanı sağlanabilmektedir.
In our country, most common form of extrapulmonary tuberculosis is tuberculous pleurisy. The mean age of patients is increasing to older age in developed countries in last 50 years but tuberculosis is still the illness of early ages in developing countries. We aimed to evaluate retrospectively clinical, radiological and laboratory findings and diagnostic methods of 128 patients with tuberculous pleurisy who were diagnosed as tuberculosis, between 1999 and 2005 in this study. Seventy six patients of all (%59) were males and fifty two cases were females(41%) and mean age of all patients was 39±12 (15-74) year. Pleural adenosine deaminase level was evaluted in 19 patients and mean level of them was 62±23.7 IU/L. Most common symptoms were chest pain and cough. Tuberculosis pleurisy was unilateral in 97.6% of patients. Parenchymal infiltration on Chest X-ray was observed in 18 % of cases. Most common diagnostic method was (used) pleural biopsy in 82% of patients. In conclusion, tuberculosis pleurisy is usually the diseases of young adults. In almost all of the patients, pleural effusion was unilateral and closed pleural biopsy presented high rates of diagnosis in a short time.
In our country, most common form of extrapulmonary tuberculosis is tuberculous pleurisy. The mean age of patients is increasing to older age in developed countries in last 50 years but tuberculosis is still the illness of early ages in developing countries. We aimed to evaluate retrospectively clinical, radiological and laboratory findings and diagnostic methods of 128 patients with tuberculous pleurisy who were diagnosed as tuberculosis, between 1999 and 2005 in this study. Seventy six patients of all (%59) were males and fifty two cases were females(41%) and mean age of all patients was 39±12 (15-74) year. Pleural adenosine deaminase level was evaluted in 19 patients and mean level of them was 62±23.7 IU/L. Most common symptoms were chest pain and cough. Tuberculosis pleurisy was unilateral in 97.6% of patients. Parenchymal infiltration on Chest X-ray was observed in 18 % of cases. Most common diagnostic method was (used) pleural biopsy in 82% of patients. In conclusion, tuberculosis pleurisy is usually the diseases of young adults. In almost all of the patients, pleural effusion was unilateral and closed pleural biopsy presented high rates of diagnosis in a short time.
Açıklama
Anahtar Kelimeler
Plevral efüzyon, Tüberküloz plörezi, Pleural effusion, Tuberculous pleurisy
Kaynak
Dicle Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
34
Sayı
3
Künye
Akyıldız, L., Yıldız, T., Ateş, G., Gündoğuş, B. ve Topçu, F. (2007). Tüberküloz plörezili 128 olgunun değerlendirmesi. Dicle Tıp Dergisi, 34(3), 191-194.
