Aile hekimliği polikliniğinde ultrasonografi kullanımı ve sonuçlarının değerlendirilmesi
Yükleniyor...
Dosyalar
Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu preliminer tanımlayıcı çalışmada, birinci basamakta tanı amaçlı ultrasonografi (USG) kullanımı, hastalarda saptanan bulgular ve sosyodemografik değişkenlerin retrospektif olarak incelenmesi planlandı. Materyal ve Metot: Dicle Üniversitesi Tıp Fakültesi Aile Hekimliği AD polikliniğinde 2006 yılından itibaren tanı amaçlı USG kullanılmaktadır. Çalışma Mart 2006 ile Kasım 2007 tarihleri arasındaki 20 aylık dönemi kapsamakta olup, poliklinik hasta dosyası ve kayıtları veri kaynağı olarak kullanılmıştır. Çalışmada 3,5 mHZ konveks, 7.5 mHZ lineer problu Aloka SSD500 USG cihazı (Japonya) kullanılmıştır. Bulgular: Aile Hekimliği Polikliniğine toplam 2840 hasta başvurmuş olup 436 (%15.4) hastaya USG uygulanmıştır. Hastaların 197’si (%45.2) erkek, 239’u (%54.8) kadındır, ortalama yaşları ise 39.116.7’dır. En sık başvuru 18–45 yaş grubunda (n222, %50.9) ve kadın hastalarda (K/E144/78) olmuştur. Yapılan aylık ortalama USG sayısı 21.812.2’dir. Hastaların büyük kısmında tarama amaçlı USG uygulanırken (n286, %65.6), en sık batın USG (n329, %75.5) ve batın-pelvik USG (n69, %15.8) yapılmıştır (p0.0001). USG ile en sık saptanan bulgu ise GIS sistemine (n122, %27.9) aittir (p0.0001). Sonuç: Hekimlerin meslek pratiklerinde kısıtlı zamanda doğru ve kesin tanıya varması gerekmektedir. Bu çalışmada da tanı amaçlı USG kullanımının birçok hastada çözüme yardımcı olduğunu görmekteyiz. Bu nedenle Aile Hekimliğinde USG kullanımının doktor ve hastalara büyük fayda sağlayacağını düşünmekteyiz.
Aim: In this preliminary descriptive study, it was planned to retrospectively investigate of diagnostic usage of ultrasonography (USG), determined findings of patients and sociodemographic variations in primary health care. Material and method: Since 2006, USG is being used for diagnostic purposes in Family Practice Outpatient Clinic of Dicle University Medical Faculty. Present study was involved 20 months period between March 2006 and November 2007. Outpatient clinic files and records were used for the source of data. In this study, 3.5 mHZ convex, 7.5 mHZ linear probe Aloka SSD500 USG apparatus was used. Results: Of 2840 patients applied to the Family Practice Outpatient Clinic, 436 (15.4%) were undergone USG. 197 (45.2%) of them were male and 236 (54.8%) were female; mean ages were 39.1±16.7 years. USG was mostly applied to Female patients (F/M144/78) of 18-45 years age group (n222, 50.9%). Average number of USG applied per month was 21.8±12.2. USG was used primarily for detection (n286, 65.6%); abdominal USG (n329, %75.5) and abdominopelvic USG (n69, 15.8%) were most frequently used. (n69, 15.8%) (p<0.0001). The most detected ultrasonographic abnormalities were belong to gastrointestinal system (n122, 27.9%) (p<0.0001). Conclusion: Doctors have to diagnose the diseases definitively and accurately during a short and limited period. Also in this study, we saw that usage of USG for diagnostic purposes could help to solve problems in a lot of patients. For this reason, we thought that USG usage in family practice will be helpful for doctors and patients.
Aim: In this preliminary descriptive study, it was planned to retrospectively investigate of diagnostic usage of ultrasonography (USG), determined findings of patients and sociodemographic variations in primary health care. Material and method: Since 2006, USG is being used for diagnostic purposes in Family Practice Outpatient Clinic of Dicle University Medical Faculty. Present study was involved 20 months period between March 2006 and November 2007. Outpatient clinic files and records were used for the source of data. In this study, 3.5 mHZ convex, 7.5 mHZ linear probe Aloka SSD500 USG apparatus was used. Results: Of 2840 patients applied to the Family Practice Outpatient Clinic, 436 (15.4%) were undergone USG. 197 (45.2%) of them were male and 236 (54.8%) were female; mean ages were 39.1±16.7 years. USG was mostly applied to Female patients (F/M144/78) of 18-45 years age group (n222, 50.9%). Average number of USG applied per month was 21.8±12.2. USG was used primarily for detection (n286, 65.6%); abdominal USG (n329, %75.5) and abdominopelvic USG (n69, 15.8%) were most frequently used. (n69, 15.8%) (p<0.0001). The most detected ultrasonographic abnormalities were belong to gastrointestinal system (n122, 27.9%) (p<0.0001). Conclusion: Doctors have to diagnose the diseases definitively and accurately during a short and limited period. Also in this study, we saw that usage of USG for diagnostic purposes could help to solve problems in a lot of patients. For this reason, we thought that USG usage in family practice will be helpful for doctors and patients.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Düzce Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
11
Sayı
3
