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Öğe Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Traditional Physiotherapy in Myofascial Trigger Points(2022) Güler, Kadir; Güler, Hayal; Yıldızgören, Mustafa Turgut; Seyfettin, Ayça; Karazincir, Sinem; Turhanoğlu, Ayşe DicleObjective: The main purpose of this study is to compare the\refficacy of radial-extracorporeal shock wave therapy (r-ESWT) and traditional physiotherapy (TP) in the treatment of myofascial trigger points in\rthe upper trapezius muscle. Material and Methods: A total of 74 patients\rwith myofascial trigger points were randomly separated into the ESWT\r(n=37) group and the TP (n=37) group. The groups received treatment for\r2 weeks. A total of 66 (r-ESWT, n=30; TP, n=36) patients completed the\rstudy. Neck pain and disability were evaluated with Visual Analogue Scale\r(VAS), Quick-Disabilities of Arm, Shoulder and Hand Questionnaire (QDASH), and the Nottingham Health Profile (NHP). Active trigger points\rwere evaluated using ultrasound shear wave elastography (SWE). All outcome measurements were assessed before treatment, then at 2 weeks, and 1\rmonth after the completion of the treatment. Results: Significant improvements of VAS, Q-DASH, NHP, and SWE scores were observed at all time\rpoints after treatment in both treatment groups. When the change levels were\rcompared between the groups, the decrease in VAS, and the improvement\rin Q-DASH and NHP scores were significantly higher in the TP group than\rin the ESWT group. There was no significant difference between the groups\rin terms of the amount of change in SWE. Conclusion: The both methods\rwere useful in alleviating pain, improving function, and reducing shear modulus in myofascial trigger points, although TP seemed to be more effective\rthan ESWT.Öğe Osteoid Osteomanın Tedavisinde Bilgisayarlı Tomografi Eşliğinde Perkütan Radyofrekans Ablasyon Tedavisinin Orta Dönem Sonuçları(2022) Kayalı, Alperen; Seyfettin, Ayça; Soydan, İbrahim Barışcan; Koç, Ali; Doğramacı, YunusAmaç: Çalışmamızda klinik ve radyolojik olarak osteoid osteoma tanısı alan bilgisayarlı tomografi kılavuzluğunda radyofrekans ablasyon (RFA) tedavisi uyguladığımız hastalardaki tedavi başarısını araştırmayı amaçladık. Gereç Yöntem: Ocak 2018-Şubat 2021 tarihleri arasında RF ablasyon tedavisi uygulanmış olan 13 hasta çalışmaya dahil edildi. Arşiv görüntüler ve klinik notlar retrospektif olarak incelendi. Takiplerde vizuel analog skala (VAS) kullanılarak yapılmış olan ağrı skorlarına göre klinik tedavi başarıları değerlendirildi. Bulgular: İşlem sonrası VAS skorunda 11 hastada tam, 2 hastada da tama yakın azalma sağlandı. Klinik başarı %100 olarak hesaplandı. Hiçbir hastada komplikasyon izlenmedi. Sonuç: Osteoid osteomalı hastalarda bilgisayarlı tomografi eşliğinde RF ablasyon minimal invaziv, güvenilir ve etkili bir tedavi yöntemidir.Öğe Pediatrik apandisit olgularında ultrasonografinin tanısal duyarlılığı(2022) Korkmaz, İnan; Seyfettin, Ayça; Çelikkaya, Mehmet EminAmaç: Bu çalışmada pediatrik yaş grubunda ultrasonografinin apandisit tanısındaki duyarlılığının araştırılması amaçlanmıştır. Yöntem: Operasyon sonucu apandisit tanısı alan, preoperatif USG tetkiki gerçekleştirilmiş olan ve akut batın sebebi olabilecek ek patolojisi bulunmayan 87 pediatrik olgu çalışmaya dahil edildi. Olguların USG raporları retrospektif olarak incelenerek USG’ nin apandisit tanısındaki duyarlılığı araştırıldı. Ayrıca olguların lökosit sayıları, nötrofil oranları ve CRP değerleri hastane arşivinden ve varsa BT tetkikleri PACS sisteminden incelendi. Bulgular: Olguların % 71’i akut apandisit, %29’u perfore apandisitti. Olguların %74’ünün USG’si apandisit ile uyumlu olup USG’nin tanı duyarlılığı %74’dü, %16 olguda USG’de sekonder apandisit bulguları izlenirken %10 olguda USG tetkiki tamamen normaldi. USG ile tanı konulamayan %26 olgudan %10’unun tanısı BT ile konulmuştu. %16 olguda tanıya klinik bulgularla gidilmişti. Olguların %62’sinde lökositoz, %84’ünde nötrofil oranında artış (sola kayma), %86’sında ise CRP yüksekliği bulunmaktaydı ve olguların tamamında bu parametrelerin en az biri yüksekti. Sonuç: Ultrasonografi her durumda tanı koymak için yeterli olmasa da bu çalışmada ulaşılan yüksek duyarlılık oranı, ultrasonografinin akut apandisit şüphesi bulunan pediatrik hastalarda ilk seçenek tanı aracı olarak kullanılabileceği bilgisini desteklemektedir.Öğe Splenic Artery Aneurysm Rupture In Children: Imaging Findings And Treatment Protocols(2022) Çelikkaya, Mehmet Emin; Atıcı, Ahmet; Korkmaz, İnan; Seyfettin, Ayça; Ersoy, Cigdem; Akçora, BülentSplenic artery aneurysm, although rare, is the third most common intraabdominal aneurysm and follows aortic and iliac artery aneurysms. Although the prevalence of splenic artery aneurysm in the general population is not known clearly, studies show that splenic artery aneurysms occur in 1-10% of health individuals and the incidence increases with age. The importance of splenic arteryaneurysm is the potential rupture and life-threatening bleeding risk of 10-25% in non-pregnant patients and up to 70% in pregnancy. There are few reports on the incidence and rupture of splenic artery aneurysms in children. Pediatric arterial aneurysms are rare and underlying processes are frequently associated with liver failure, infection, connective tissue diseases, non-infectious arteritis, and congenital malformations. Early detection of splenic artery aneurysms is important because of the spontaneous rupture and life-threatening bleeding. Splenic artery aneurysms, although rarely seen in pediatric patients, are a serious life-threatening condition in case of rupture and can occurarious reasons. Children with hepatic insufficiency should be monitored closelydue to the possibility of rupture and inability to apply elective treatment methods in case of delay, and it should be kept in mind in the differential diagnosis of hypovolemic children admitted to the emergency department with abdominal pain. Here, a cesepresenting with spontaneous rupture of splenic artery aneurysm and imaging findings and treatment options of splenic artery aneurysm will be discussed.Öğe Splenic Artery Aneurysm Rupture In Children: Imaging Findings And Treatment Protocols(Logos Medical Publishing, 2022) Çelikkaya, Mehmet Emin; Atıcı, Ahmet; Korkmaz, İnan; Seyfettin, Ayça; Ersoy, Cigdem; Akçora, BülentSplenic artery aneurysm, although rare, is the third most common intraabdominal aneurysm and follows aortic and iliac artery aneurysms. Although the prevalence of splenic artery aneurysm in the general population is not known clearly, studies show that splenic artery aneurysms occur in 1-10% of health individuals and the incidence increases with age. The importance of splenic arteryaneurysm is the potential rupture and life-threatening bleeding risk of 10-25% in non-pregnant patients and up to 70% in pregnancy. There are few reports on the incidence and rupture of splenic artery aneurysms in children. Pediatric arterial aneurysms are rare and underlying processes are frequently associated with liver failure, infection, connective tissue diseases, non-infectious arteritis, and congenital malformations. Early detection of splenic artery aneurysms is important because of the spontaneous rupture and life-threatening bleeding. Splenic artery aneurysms, although rarely seen in pediatric patients, are a serious life-threatening condition in case of rupture and can occurarious reasons. Children with hepatic insufficiency should be monitored closelydue to the possibility of rupture and inability to apply elective treatment methods in case of delay, and it should be kept in mind in the differential diagnosis of hypovolemic children admitted to the emergency department with abdominal pain. Here, a cesepresenting with spontaneous rupture of splenic artery aneurysm and imaging findings and treatment options of splenic artery aneurysm will be discussed. © Cocuk Cerrahisi Dergisi 2022.Öğe Superselective vesical artery embolisation of bleeding associated with bladder cancer(2022) Kayalı, Alperen; Soydan, İbrahim Barışcan; Görür, Sadık; Seyfettin, AyçaSuperselective vesical artery embolization is used in the control of bleeding due to bladder cancer. However, there are few studies with a small number of patients. The current study aimed to investigate the efficacy, complications, and short-mid-term results of super-selective transarterial embolization in the treatment of persistent hematuria associated with bladder cancer. A retrospective examination was made of 13 patients with bladder cancer-related persistent hematuria who were applied with selective vesical artery embolization in the interventional radiology unit. The patients were evaluated in terms of the success of the treatment, the patients' need for additional interventional procedures, and the complications related to the procedure. Superselective superior vesical artery embolization was applied to a total of 13 patients with a mean age of 78.85±11.76 years and a median follow-up of 181 days. The time without bleeding was determined as a median of 159 days (min: 15, max:1410 days). The short-term clinical success was calculated as 84.6%. In the long-term follow-up of the patients in this study, the clinical success was determined to be 76.9% and no major complications were observed in any patient. Superselective embolization of vesical arteries is an effective and reliable treatment method for bladder cancer-related bleeding with high clinical success rates and low complication rates.
