Varikoselli hastalarda fizik muayene bulguları ile skrotal termografi,renkli dopler ultrasonografi ve skrotal sintigrafinin karşılaştırılması

Abstract

BU ÇALIŞMA GAZİ ÜNİVERSİTESİ TIP FAKÜLTESİ ÜROLOJİ BÖLÜMÜNE İNFERTİLİTEYADA SKROTAL AĞRI ,SİŞLİK TESBİT EDİLEN HASTALARDA YAPILDI.FİZİK MUAYENEYİ TAKİBEN TÜM HASTALARA SKROTAL TERMOGRAFİ,RENKLİ DOPLER ULTRASONOGRAFİ VE TESTİKÜLER SİNTİGRAFİ YAPILDI VE HERBİR METODUN TANISAL DEĞERLERİ KARŞILAŞTIRILDI.46(%75) HASTAYA TESTİKÜLER SİNTİGRAFİ İLE TANI KONURKEN TÜM HASTALARA (%100)SKROTAL TERMOGRAFİ VE RENKLİ DOPLER ULTRASONOGRAFİ İLE VARİKOSEL TANISI KONDU.gRADELERLE İLGİLİ ORTALAMA KONKORDANS İSE TERMOGRAFİ İÇİN %67,3 RENKLİ DOPLER ULTRASONOGRAFİ İÇİN %76 TESTİKÜLER SİNTİGRAFİ İÇİNSE %73,9 BULUNDU.SONUÇ OLARAK VARİKOSELİN TESBİTİNDE FİZİK MUATENE SONRASI TERCİH EDİLECEK METOD RENKLİ DOPLER ULTRASONOGAFİ VE SKROTAL TERMOGRAFİ OLMALIDIR.

tHIS STUDY HAS BEEN CODUCTED İN A TOTAL OF 56 PATIENTS WHO HAVE BEEN REFERED TO UROLOGİCAL DEPARTMENT OF GAZİ üNİVERSTY MEDİCAL fACULTY WİTH VARİCOCELE WHO WERE PRESENTED THEMSELVES WITH İNFERTİLİTY OR SKROTAL PAİN AND/OR SWEELİNG.FOLLOWİNG PHYSİCAL EXAMİNATİON,SCROTAL THERMOGRAPHY,COLOR DOPPLER ULTRASONOGRAPHY AND TESTİCULAR SCİNTİGRAPHY HAVE BEEN PERFORMED İN ALL PATIENT AND DİAGNOSTİC VALUE OF EACH METHOD HAS BEEN COMPARATIVELY EVALUATED.OF THE 56 PATIENTS,DIAGNOSİS OF VARİCOCELE WAS MADE İN 46 PATIENTS(%75) BY TESTICULAR SCINTIGRAPHY AND BY SCROTAL THERMOGRAPHY OR COLOR DOPPLER ULTRASONOGRAPHY IN ALL PATIENTS (%100)THE MEAN CONCORDANCE BETWEEN PHYSICAL AND OTHER EXAMİNATION METHODS GRADES WAS %67,3 PER CENT FOR THERMOGRAPHY,%76 PER CENT FOR COLOR DOPPLER ULTRASONOGRAPHY AND %73,9 PER CENT FOR TESTICULAR SCINTIGRAPHY.IN CONCLUSİON;COLOR DOPPLER ULTRASONOGRAPHY AND SCROTAL THERMOGRAPHY SHOULD BE PREFERED AS THE METHODS OF CHOİCE TO DETECT VARICOCELE FOLLOWİNG PHISICAL EXAMİNATİON.