Yıl: 2015 Cilt: 6 Sayı: 5 Sayfa Aralığı: 596 - 600 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery

Öz:
Amaç: Bu çalışmada, basit kemik kisti nedeniyle lokal adjuvan terapi eklenmiş açık cerrahi ve steroid enjeksiyonu uygulanan hastaların sonuçlarını karşılaştırdık. Gereç ve Yöntem: Çalışmada, 1995-2011 yılları arasında basit kemik kisti tanısı ile steroid enjeksiyonu veya açık cerrahi uygulanan 73 hasta retrospektif olarak incelendi. Hastaların 23(%31.5)'ü bayan, 50(%68.5)'si erkekti. Ortalama yaş 9 yıl, ortalama takip süresi 4.71 yıldı. Olguların 49'una açık cerrahi, 24'üne ise steroid enjeksiyonu uygulandı. Açık cerrahi uygulanan hastalarda, ek olarak lokal adjuvan terapi tedaviye eklendi. İyileşme radyolojik olarak değerlendirildi. Kistik sahanın yeni kemikle dolum oranına göre; tam iyileşme, rezidüel iyileşme ve yetersiz iyileşme olmak üzere sonuçlar 3 grupta incelendi. Bulgular: Steroid enjeksiyonu uygulanan grupta; 5(%20.8) hastada tam iyileşme, 13(%54.1) hastada rezidüel iyileşme, 6(%25) hastada başarısız sonuç elde edildi. Ortalama iyileşme süresi 32 ay olarak bulundu. Açık cerrahi uygulanan grupta; 24(%48.9) hastada tam iyileşme, 20(%40.8) hastada rezidüel iyileşme, 5(%10.2) hastada yetersiz iyileşme elde edildi. Ortalama iyileşme süresi 15 ay olarak bulundu. Tartışma: Steroid enjeksiyonu kolay uygulanabilir minimal girişimsel bir yöntem olmasına karşın, lokal adjuvan terapi eklenmiş cerrahi tedavi ile karşılaştırıldığında başarı oranı daha düşüktür.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Basit Kemik Kisti Tedavisinde Steroid Enjeksiyonu İle Açık Cerrahinin Karşılaştırılması

Öz:
Aim: In this study we compared the clinical outcomes of the patients who underwent steroid injection and the ones who received additional local adjuvant therapy (cauterization + alcohol) following open surgery. Material and Method: The retrospective study included 73 patients who were diagnosed with unicameral bone cyst and underwent steroid injection or open surgery between 1995 and 2011. The patients comprised 23 (31.5%) females and 50 (68.5%) males, with a mean age of 9 years and mean follow-up period of 4.71 years. Open surgery was performed in 49 and steroid injection in 24 patients. In the open surgery group, local adjuvant treatment was added subsequently. In this group, healing was viewed radiologically. The patients were analyzed in three groups depending on the rate of the filling of the cystic area with a new bone: (I) complete healing, (II) residual healing, and (III) inadequate healing. Results: In the steroid injection group, complete healing was observed in 5 (20.8%), residual healing in 13 (54.1%), and complete failure in 6 (25%) patients. Average healing time was 32 months. In the open surgery group, complete healing occurred in 24 (48.9%), residual healing in 20 (40.8%), and complete failure in 5 (10.2%) patients. Average healing time was 15 months. Discussion: Steroid Injection is a practical and minimally-invasive method, yet it leads to a lower success rate when compared to open surgery combined with local adjuvant therapy.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ALEMDAR C, OZKUL E, GEM M, ATİÇ R, UÇAR B, KAPUKAYA A (2015). Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery. , 596 - 600.
Chicago ALEMDAR Celil,OZKUL EMIN,GEM Mehmet,ATİÇ Ramazan,UÇAR Bekir Yavuz,KAPUKAYA Ahmet Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery. (2015): 596 - 600.
MLA ALEMDAR Celil,OZKUL EMIN,GEM Mehmet,ATİÇ Ramazan,UÇAR Bekir Yavuz,KAPUKAYA Ahmet Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery. , 2015, ss.596 - 600.
AMA ALEMDAR C,OZKUL E,GEM M,ATİÇ R,UÇAR B,KAPUKAYA A Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery. . 2015; 596 - 600.
Vancouver ALEMDAR C,OZKUL E,GEM M,ATİÇ R,UÇAR B,KAPUKAYA A Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery. . 2015; 596 - 600.
IEEE ALEMDAR C,OZKUL E,GEM M,ATİÇ R,UÇAR B,KAPUKAYA A "Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery." , ss.596 - 600, 2015.
ISNAD ALEMDAR, Celil vd. "Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery". (2015), 596-600.
APA ALEMDAR C, OZKUL E, GEM M, ATİÇ R, UÇAR B, KAPUKAYA A (2015). Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery. Journal of Clinical and Analytical Medicine, 6(5), 596 - 600.
Chicago ALEMDAR Celil,OZKUL EMIN,GEM Mehmet,ATİÇ Ramazan,UÇAR Bekir Yavuz,KAPUKAYA Ahmet Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery. Journal of Clinical and Analytical Medicine 6, no.5 (2015): 596 - 600.
MLA ALEMDAR Celil,OZKUL EMIN,GEM Mehmet,ATİÇ Ramazan,UÇAR Bekir Yavuz,KAPUKAYA Ahmet Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery. Journal of Clinical and Analytical Medicine, vol.6, no.5, 2015, ss.596 - 600.
AMA ALEMDAR C,OZKUL E,GEM M,ATİÇ R,UÇAR B,KAPUKAYA A Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery. Journal of Clinical and Analytical Medicine. 2015; 6(5): 596 - 600.
Vancouver ALEMDAR C,OZKUL E,GEM M,ATİÇ R,UÇAR B,KAPUKAYA A Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery. Journal of Clinical and Analytical Medicine. 2015; 6(5): 596 - 600.
IEEE ALEMDAR C,OZKUL E,GEM M,ATİÇ R,UÇAR B,KAPUKAYA A "Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery." Journal of Clinical and Analytical Medicine, 6, ss.596 - 600, 2015.
ISNAD ALEMDAR, Celil vd. "Treatment of Unicameral Bone Cysts: A Comparison on the Use of Steroid Injection and Open Surgery". Journal of Clinical and Analytical Medicine 6/5 (2015), 596-600.