Kadın hastalarda negatif apendektomi ile jinekolojik patolojiler arasındaki ilişki
Küçük Resim Yok
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Maltepe Üniversitesi
Erişim Hakkı
Attribution-NonCommercial-NoDerivs 3.0 United States
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Amaç: Akut apandisit her yaş grubunda görülebilen, erişkinde akut karın hastalıklarının yarısından fazlasını oluşturan bir hastalıktır. Kadın hastalarda jinekolojik patolojilerin akut apandisiti taklit etmesi nedeniyle bu oran daha da yükselmektedir. Bu çalışmada, akut apandisit ön tanısıyla ameliyat edilen ve normal apendiks saptadığımız kadın hastalarda tespit ettiğimiz jinekolojik patolojilerin tedavi yaklaşımlarını ve oranlarını sunmayı amaçladık. Yöntem: Ocak 2008 Ocak 2010 tarihleri arasında kliniğimize başvuran ve akut apandisit ön tanısıyla opere edilen 420 hasta retrospektif olarak incelendi. Hastaların tanıları fizik muayene, laboratuar bulgular ve radyolojik bulgulara göre konulmuştur. Hastalarımızda peroperatif apendiksin durumu ve jinekolojik patoloji makroskobik olarak değerlendirilmiştir. Bulgular: Hastaların 260'ı (%61,9) erkek, 160'ı (%38,1) kadındı. Tüm hastaların 28'inde (%6,6) ameliyat esnasında normal apendiks saptandı. Bu hastaların 19'u (%67) kadındı. Negatif apendektomi oranı kadınlarda erkeklere göre istatistiksel olarak anlamlı bir şekilde daha yüksekti (p<0.01). Normal apendiks tespit edilen 19 kadın hastanın 9'unda (%47,4) başka bir patoloji ile karşılaşılmamıştır. On olguda (%52,6) ise jinekolojik patoloji ile karşılaşılmıştır. Bu hastaların 4'ünde (%40) korpus hemorajikum kist rüptürü, 4'ünde (%40) pelvik inflamatuar hastalık, 1'sinde (%10) over kisti, 1'sinde (%10) over torsiyonu tespit edilmiştir. Sonuç: Negatif apendektomilerin kadın hastalarda istatistiksel olarak anlamlı biçimde yüksek olması, karın ağrısı olan kadın hastaların daha dikkatli değerlendirilmesini ve jinekolojik patolojilerin de akut apandisiti taklit edebileceğinin akılda tutulmasını gerektirir.
Objective: The rate of acute appendicitis is rather than half of the acute abdominal pain and can be seen in all age groups. It is more often in female patients because of the look likes of gynecological pathologies with acute appendicitis. In this study, we aimed to present the rates and the treatment of gynecological pathologies in women who were operated with diagnosis of acute appendicitis but having normal appendix. Material and methods: Between January 2008 and 2010, we retrospectively evaluated 420 patients who were operated with the preoperative diagnosis of acute appendicitis. The patients were evaluated with physical examination, laboratory analysis and radiologic examinations. The diagnosis of acute appendicitis and gynecological pathology were made during the operation by macroscopic examination. Results: There were 260 (61.9%) male and 160 (38.1%) female patients. There were normal appendices in 28 (6.6%) patients peroperaitvely. In 28 negative appendectomy cases there were 19 females (67%). Negative appendectomy rates were statistically more common in females than in males (p<0.01). Of the 19 females with negative appendectomies 9 (47.4%) had no other pathologies and 10 (52.6%) had gynecological pathologies. The gynecological pathologies were corpus hemorrhagicum cyst rupture in 4 (40%), pelvic inflammatory disease in 4 (40%), ovarian cyst in 1 (10%) and, ovarian torsion in 1 (10%) cases. Conclusions: Negative appendectomy rates were more common in females. As a result, physicans must be more careful in female patients with abdominal pain, we should remember that gyncological pathologies can be presented as acute appendicitis clinics.
Objective: The rate of acute appendicitis is rather than half of the acute abdominal pain and can be seen in all age groups. It is more often in female patients because of the look likes of gynecological pathologies with acute appendicitis. In this study, we aimed to present the rates and the treatment of gynecological pathologies in women who were operated with diagnosis of acute appendicitis but having normal appendix. Material and methods: Between January 2008 and 2010, we retrospectively evaluated 420 patients who were operated with the preoperative diagnosis of acute appendicitis. The patients were evaluated with physical examination, laboratory analysis and radiologic examinations. The diagnosis of acute appendicitis and gynecological pathology were made during the operation by macroscopic examination. Results: There were 260 (61.9%) male and 160 (38.1%) female patients. There were normal appendices in 28 (6.6%) patients peroperaitvely. In 28 negative appendectomy cases there were 19 females (67%). Negative appendectomy rates were statistically more common in females than in males (p<0.01). Of the 19 females with negative appendectomies 9 (47.4%) had no other pathologies and 10 (52.6%) had gynecological pathologies. The gynecological pathologies were corpus hemorrhagicum cyst rupture in 4 (40%), pelvic inflammatory disease in 4 (40%), ovarian cyst in 1 (10%) and, ovarian torsion in 1 (10%) cases. Conclusions: Negative appendectomy rates were more common in females. As a result, physicans must be more careful in female patients with abdominal pain, we should remember that gyncological pathologies can be presented as acute appendicitis clinics.
Açıklama
Anahtar Kelimeler
akut apendektomi, apendiks, jinekolojik patolojiler, acute appendectomy, appendix, gynecological pathologies
Kaynak
Maltepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
3
Sayı
3
Künye
Çitgez, B., Yetkin, G., Akgün, İ., Uludağ, M., Velidedeoğlu, M. ve Akçakaya,A. (2011). Kadın hastalarda negatif apendektomi ile jinekolojik patolojiler arasındaki ilişki / The relationship between negative appendectomy and gynecological pathologies in female patients. Maltepe Tıp Dergisi. 3(3), s. 10-12.
