Acil Serviste Çocuk Hastalarda Üriner Sistem Taş Tanısında Ultrason Ve Düşük Doz Bilgisayarlı Tomografinin Karşılaştırılması

Comparison of Ultrasonography and Low-Dose Computed Tomography for the Diagnosis of Pediatric Urolithiasis in the Emergency Department

Abstract

Objective: This study aimed to compare ultrasonography (US) and low-dose computed tomography (LDCT) for diagnosing pediatric urolithiasis in the emergency department.Materials and Methods: This retrospective study was approved by our institutional ethics committee, and informed consent was waived. From March 2016 to March 2017, 100 consecutive patients met the selection criteria and were enrolled in the study. Patients were randomly selected in a 1:1 ratio and were allocated to one of the following two imaging groups: US or abdominal LDCT. LDCT examinations were performed using a 320-detector row CT. Radiation dose analysis was performed using Radimetrics. US examinations were performed using the Aplio 500 ultrasound system. The presence of urolithiasis, anatomical location of urolithiasis, and measurements of renal stones were evaluated and recorded.Results: There were statistically significant differences between US and standard-dose CT (SDCT) with respect to the diagnosis of urolithiasis, anatomical location of urolithiasis, and measurements of renal stones (p

Özet

Amaç: Bu çalışmamızda acil serviste çocuk hastalarda üriner sistem taş tanısında ultrason (US) ve düşük doz bilgisayarlı tomografinin (DDBT) karşılaştırılması.Gereç ve Yöntemler: 2016 Mart ve 2017 Mart tarihleri arasında toplam 100 hasta çalışmaya dahil edildi. Hastalar 1e 1e oranında US ve DDBT grubuna seçildi. BT incelemeleri 320 kesitli BT cihazı ile gerçekleştirildir. Radyasyon dozları Radimetrics programı kullanılarak hesaplandı. US incelemeleri Aplio 500 cihazında gerçekleştirildi. Taş varlığı, taş lokalizasyonu ve taş boyutları ölçüldü.Bulgular: Taş varlığı, taş lokalizasyonu ve taş boyutlarında US ve standard dose BT (SBT) arasında istatistiksel fark vardı (p