Bilgisayarlı Toraks Tomografisini gereğinden fazla mı istiyoruz?
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Tarih
2015
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info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada Göğüs hastalıkları polikliniğine başvurmuş hastalardan istenen Toraks Bilgisayarlı Tomografileri (BT)nin hangi nedenlerle istendiğini ve saptanan radyolojik anormallikleri araştırmak amaçlandı. Yöntem : Tıp Fakültesi Göğüs Hastalıkları polikli niğinde 3 ay boyunca bakılmış tüm hastalardan istenmiş Toraks BTler retrospektif olarak değerlendirildi. Bulgular: 3245 hastanın 215ìnden (%6.62) Toraks BT istenmişti. Yaş ortalamaları 5814.97 olan 215 hastanın 142sı erkek (%66) idi. International Clas sification of Diseases (ICD) kodlarına bakıldığında en sık 57 (%26.5) hastada öksürük, 49 (%22,8) hastada akciğerin tanısal görüntülenmesinde anormal bulgular ve 18 (%8.4) hastada da hemoptizi tanılarıyla Toraks BT istenmişti. İstenen tomografilerin 185 (% 86)sında patoloji saptanmıştı. En sık görülen radyolojik anormallikler sırasıyla lenfadenopati 69 (%32,1), nodül 60 (%27.9), fibrotik değişiklik 49 (%22.8) idi. Bronş kanseri tanısıyla istenen Toraks BTlerin %100 ünde klinik olarak önemli en az bir pato loji saptanmışken, göğüs ağrısı tanısıyla istenenlerin ise %55.6sında klinik olarak önemli patoloji saptanmamıştı. Sonuç : Üçüncü basamak bir göğüs hastalıkları polikliniğinden istenen Toraks BTlerin çoğunda patolojik bulgu saptandığı görüldü. ICD kodları nın hastanın tanısından çok şikayetine göre girildiği saptandı.
Objective : The aim of this study was to investigate Thoracic Computed Tomography (TCT) of the patients attended to the outpatient clinic of chest diseases regarding to reasons in which CT wa s prompted and which radiological abnormalities was found. Method : TCT of the patients attended to the outpatient clinic of chest diseases department of Faculty of Medicine was evaluated. Results : TCT was prompted 215 out of 3245 patients (%6.62). The mean age was 58±14.97 (142 male, %66). According to the International Classification of Diseases (ICD) the reasons for prompting TCT were cough in 57 (%26.5), abnormal radiological findings in chest PA film in 49 (%22.8), hemoptysis in 18 (%8.4) of patients. T here was at least one pathology in 185 of TCT (%86). The most common radiological abnormalities were lymphadenopathy in 69 (%32.1), nodüle in 60 (%27.9), fibrotic changes in 49 (%22.8) of 215 TCT. There was at least one pathology in TCT prompted in all patients with the diagnosis of broncheal carcinoma whereas there was no any pathology in %55.6 of patients with chest pain. Conclusion : There was any kind of radiological finding in most of TCT prompted from a chest disease polyclinic of tertiary hospital. The respiratory complaints were coded instead of ICD codes as a patient diagnosis.
Objective : The aim of this study was to investigate Thoracic Computed Tomography (TCT) of the patients attended to the outpatient clinic of chest diseases regarding to reasons in which CT wa s prompted and which radiological abnormalities was found. Method : TCT of the patients attended to the outpatient clinic of chest diseases department of Faculty of Medicine was evaluated. Results : TCT was prompted 215 out of 3245 patients (%6.62). The mean age was 58±14.97 (142 male, %66). According to the International Classification of Diseases (ICD) the reasons for prompting TCT were cough in 57 (%26.5), abnormal radiological findings in chest PA film in 49 (%22.8), hemoptysis in 18 (%8.4) of patients. T here was at least one pathology in 185 of TCT (%86). The most common radiological abnormalities were lymphadenopathy in 69 (%32.1), nodüle in 60 (%27.9), fibrotic changes in 49 (%22.8) of 215 TCT. There was at least one pathology in TCT prompted in all patients with the diagnosis of broncheal carcinoma whereas there was no any pathology in %55.6 of patients with chest pain. Conclusion : There was any kind of radiological finding in most of TCT prompted from a chest disease polyclinic of tertiary hospital. The respiratory complaints were coded instead of ICD codes as a patient diagnosis.
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