Öz
Amaç
Kombine kalça ve sistemik ultrasonografinin, bebeklerde gelişimsel kalça displazisi (GKD) ve diğer tesadüfi patolojilerin erken tespitindeki tanısal değerini değerlendirmek.
Yöntemler
Kalça ve sistemik sonografi incelemeleri yapılan bebekler için retrospektif bir dosya taraması gerçekleştirildi. Bebekler iki gruba ayrıldı: grup 1 (normal) ve grup 2 (GKD olan). Veri analizi, GKD ile ilişkili risk faktörlerini, kalça tiplerini ve sistemik sonografi bulgularını içermektedir.
Bulgular
Taranan 496 kalçadan 336’sı (%67,7) normal (grup 1) olarak sınıflandırıldı, Hastaların 160’ı (%32,3) GKD tanısı aldı (grup 2). Grup 2’deki kalça tiplerinden 2a 75 hastada (%15), 2b 58 hastada (%11,7), 2c 18 hastada (%3,6), 3 ise 7 hastada (%1,4) ve 4, 2 hastada (%0,4) saptandı. Toplamda 63 (%25) hastada tesadüfi patoloji tespit edildi; bunlardan 35’i (%14) baş ve boyun, 26'sı (%10,5) ise karın ile ilgiliydi. Çoğu risk faktörü gruplar arasında anlamlı bir fark göstermemekle birlikte, cinsiyet (p=0,004) ve ailede GKD olması öyküsü (p<0,001) önemli belirleyiciler olarak saptanmıştır.
Sonuç
Bebeklerde kalça ve diğer organ sistemlerinin kapsamlı ultrasonografik muayenesi, GKD ve diğer tesadüfi bulgular da dahil olmak üzere patolojilerin erken tespiti için değerli bir araç olabilir.
Anahtar Kelimeler: Kalça gelişimsel displazisi, bebek, ultrasonografi, retrospektif çalışmalar, tesadüfi bulgular
Kaynakça
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