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Tuba ovarian abse: 61 olgunun değerlendirilmesi

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Abstract (2. Language): 
Objective: The Aim of this study is to evaluate clinical and laboratory results of tuboovarian abscess and to invastigate treatment modalities. Material and Methods: 61 cases admitted to department of obstetric and gynecology, medical faculty of Suleyman Demirel University between 1998 and 2011were analysed retrospectively. The clinical presentation, risk factors andEtreatment methodsEwere examined. Results: Untreated pelvic inflammatory disease history were observed in 54% (n=33) of the patients, before the diagnosis of tuboovarian abscess. Intrauterine device use was an average of 10±4,1 years. 60% (n=37) of patients were multipar. The mean diameters of tuboovarian abcess were 7,1±2,7 cm (r=2-15cm) according to ultrasound and computed tomography results in perioperative period and the time of the diagnosis. The elapsed time to go to surgery in cases which performed the operation after the diagnosis were found as 2,4±1,3 days. Conclusion: The tuboovarian abcess is an important disease in terms of mortality and morbidity in which patient's age, pregnancy desire and clinical state should be taken into account In order to select the optimal method of treatment.
Abstract (Original Language): 
Amaç: Tuba ovarayan abse'de klinik ve laboratuar sonuçlarını değerlendirmek, tedavi yöntemlerini incelemektir. Materyal ve metod: Mart 1998 - Aralık 2011 tarihleri arasında Süleyman Demirel Üniversitesi Tıp pakültesi Kadın Hastalıkları ve Doğum kliniğinde yatırılıp tedavisi yapılan 61 olgu retrospektif olarak incelendi. Olguların klinik özellikleri, risk faktörleri ve tedavi yöntemleri araştırıldı. Bulgular: Tuba ovarian abse öncesinde tedavi edilmemiş pelvik İnflamatuar hastalık öyküsüne %54 (n=33) hastada rastlandı. Rahim içi araç kullanım süresine bakıldığında ortalama 10±4,1 yıl olarak görüldü. Hastaların %60'nın (n=37) multipar olduğu izlendi. Tanı anında ve perioperatif dönemde yapılan ultrason ve bilgisayarlı tomografi sonuçlarına göre Tuba ovarian abse kitlelerinin çapları ortalama 7,1±2,7 cm olarak görüldü (r=2-15cm). Olguların tanı alıp operasyona alınma süresi incelendiğinde 2,4±1,3 gün olarak bulundu. Sonuçlar: Mortalite ve morbidite yönünden önemli bir hastalık olan Tuba ovarian absede hastanın yaşı, gebelik istemi ve klinik tablo göz önünde bulundurularak hastaya en uygun tedavi yöntemi seçilmelidir.
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