Perkütan tedavi edilmiş karaciğer kist hidatik olgularının retrospektif değerlendirilmesi
Yükleniyor...
Tarih
2020
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Van Yüzüncü Yıl Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: Amacımız perkütan tedavi edilen karaciğer kisthidatik olgularını değerlendirmek, tedavi etkinliğini,komplikasyon oranını ve tedaviye yanıt vermemişhastalarda başarısızlık nedenlerini araştırmaktır.Materyal ve Metod: Çalışmamız retrospektif bir çalışmaolup girişimsel radyoloji birimimizde Ocak 2012- Kasım2018 tarihleri arasında perkütan tedavi uygulanmış vetedavi sonrası takibi kendi kliniğimizce yapılmış hastalarçalışmaya dahil edilmiştir.Hastalar yaş, cinsiyet, karaciğerde kistin yerleşimlokalizasyonu, işlem yapılan kist sayısı, kist tipleri ve kistboyutu açısından değerlendirilmiştir. Başarısız işlemkriterlerimiz; septasyon-kalsifikasyon izlenmeksizin kistboyutunda artış, kist evresinde değişiklik olmaması,ekstravazasyon ve nüks varlığıdır.Bulgular: Çalışmamızda yaş aralığı 4-72 arasında değişen38’i (%36,5) erkek, 66’sı (%63,5) kadın olmak üzeretoplam 104 hastaya 119 işlem yapılmıştır. Perkütan tedaviyapılan kistlerin boyutları 4-16 cm arası olup ortalamaçap 7,8 cm idi. Kistlerin 92’si (%77) tip 1, 25’i (%21) tip2 ve 2’si (%1,6) tip 3 kist hidatik ile uyumluydu. Yapılan101 işlem (%85) başarılı olup; 18 işlem (%15) başarılıolmadı. Başarılı olmayan işlemlerin 5’inde (%28) safrakaçağı, 2’sinde (%11) ekstravazasyon, 3’ünde (%17)yetersiz medikal tedavi ve 8’inde (% 44) nüks mevcuttu.Sonuç: Kist hidatik olgularında perkütan tedavi aynıseansta birden çok kiste uygulanabilen, komplikasyonoranı düşük oldukça etkili bir yöntemdir.
Objective: Our aim was to evaluate percutaneous treatment of hydatid cyst cases of liver and to evaluate the efficacy, complication rate of percutaneous treatment and the reasons for failure in patients who did not respond to treatment. Material and Methods: Our study is a retrospective study and percutaneous treatment of hydatid cyst cases of liver was performed in our interventional radiology unit between January 2012 and November 2018 and the patients who were followed up by our clinic were included in the study. Patients were evaluated in terms of age, sex, localization of the cyst in the liver, number of cysts treated, cyst types and cyst size. Our unsuccessful treatment criteria are; increased cyst size without septation-calcification, no change in cyst stage, extravasation and recurrence. Results: In our study, a total of 119 percutaneous treatment was applied to 104 patients [38 (36.5%) males and 66 (63.5%) females]. The percutaneous cysts were 4- 16 cm in diameter and the average diameter was 7,8 cm. Ninety two (77%) cysts were compatible with type 1, 25 (21%) type 2 and 2 (1.6%) type 3 cyst hydatid. One hundred one treatment (85%) were successful; 18 treatment (15%) were not successful. Five (28%) of the unsuccessful treatment had cystobiliary fistulization, 2 (11%) had extravasation, 3 (17%) had inadequate medical treatment and 8 (44%) had recurrence. Conclusion: Percutaneous treatment in hydatid cyst is a highly effective method because of can be applied in more than one cyst in the same session and low complication rate.
Objective: Our aim was to evaluate percutaneous treatment of hydatid cyst cases of liver and to evaluate the efficacy, complication rate of percutaneous treatment and the reasons for failure in patients who did not respond to treatment. Material and Methods: Our study is a retrospective study and percutaneous treatment of hydatid cyst cases of liver was performed in our interventional radiology unit between January 2012 and November 2018 and the patients who were followed up by our clinic were included in the study. Patients were evaluated in terms of age, sex, localization of the cyst in the liver, number of cysts treated, cyst types and cyst size. Our unsuccessful treatment criteria are; increased cyst size without septation-calcification, no change in cyst stage, extravasation and recurrence. Results: In our study, a total of 119 percutaneous treatment was applied to 104 patients [38 (36.5%) males and 66 (63.5%) females]. The percutaneous cysts were 4- 16 cm in diameter and the average diameter was 7,8 cm. Ninety two (77%) cysts were compatible with type 1, 25 (21%) type 2 and 2 (1.6%) type 3 cyst hydatid. One hundred one treatment (85%) were successful; 18 treatment (15%) were not successful. Five (28%) of the unsuccessful treatment had cystobiliary fistulization, 2 (11%) had extravasation, 3 (17%) had inadequate medical treatment and 8 (44%) had recurrence. Conclusion: Percutaneous treatment in hydatid cyst is a highly effective method because of can be applied in more than one cyst in the same session and low complication rate.
Açıklama
Anahtar Kelimeler
Kist hidatik, Perkütan tedavi, PAIR, Hydatid cyst, Percutaneous treatment
Kaynak
Van Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
27
Sayı
3
Künye
Deniz, M. A., Deniz, Z. T., Hattapoğlu, S. ve Çetinçakmak, M. G. (2020). Perkütan tedavi edilmiş karaciğer kist hidatik olgularının retrospektif değerlendirilmesi. Van Tıp Dergisi, 27(3), 267-273.
