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Premature Bebeklerde Retinopati (ROP) İnsidansı ve Risk Faktörlerinin Belirlenmesi

Determination Of Rop Incidence And Risk Factor For The Premature Babies

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2000

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
The goal of this study is to determine the risk factors and the incidence of carrying out a surgical treatment with laser and crioteraphy due to the premature having ROP incidence and thereshold disease ( stage 3 ) between the gestation week of 27 and 35. ( 1 June 1997 ~ 31 December 2000 ) Eye examination began when 283 babies who were in postnatal week 4 and 6, and were in gestation week of 35 and under at Zeynep Kamil Gynecology and Children Diseases Education and Research Hospital, Newborn Intensive Care Unit ( NICU). We liave found ROP incidence as %48 and the same incidence with the stage 3 and more has been found as %9.1 .There was a significant difference between the ROP and, the weight of birth and the gestation week ( p < 0.0001 ). Laser and crioteraphy have been carried out for 20 out of 26 babies who have been diagnosed for stage 3 ROP. The following items explains the reason for not decreasing the incidence of ROP: being a second biggest hospital providing service as a third level NICU, not enough antenatal follow-up, pragnant women applying to the hospital with having low social and economical conditions.
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Abstract (Original Language): 
Bu çalışmadaki amacımız gestasyon haftası 27 - 35 arasında olan preterm bebeklerde retinopati ( ROP) insidansını ve eşik hastalık ( Evre 3 ) nedeniyle lazer veya crioterapi ile cerrahi tedavi uygulanma sıklığını ve risk faktörlerini belirlemektir ( i Haziran 1997 - 31 Aralık 2000 ). Gestasyon haftası 35 ve altında olan I Zeynep Kamil Kadın Doğum ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi Yenidoğan Yoğun Bakım Ünitesinde (Y.D.Y.B.Ü.) izlenen bebeklerin 283 1 üne postnatal 4 - 6 hafta olduklarında göz muayenelerine başlandı . ROP insidansını % 48 ve evre 3 veya daha fazla olan ROP insidansı % 9.J olarak bulduk . Doğum ağırlığı ve gestasyon haftası ile ROP arasında ileri, derecede anlamlı fark bulundu (p < 0.0001 ) . Evre 3 ROP saptanan 26 bebekten 20' sine lazer veya crioterapi uygulandı. Şehirde 3. düzey Y.D.Y.B.Ü. olarak hizmet veren ikinci büyük devlet hastanesi olması ; antenatal takiblerinin yetersiz yapıldığı, sosyo-ekonomik düzeyi düşük gebelerin hastanemize başvurmaları nedeniyle ROP insidansımızda azalma olmamıştır .
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  • 3
5-11
  • Turkish

REFERENCES

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