PEDİYATRİK HEMOFİLİKLERDE KRONİK SİNOVİT İÇİN YTTRIUM- 90 VE RHENIUM- 186 İLE RADYOİZOTOP SİNOVEKTOMİNİN UZUN SÜRELİ DEĞERLENDİRMESİ: AKDENİZ ÜNİVERSİTESİ DENEYİMİ

نویسندگان

چکیده

OBJECTIVE: This study aimed to evaluate the effect of radioisotope synovectomy with Yttrium-90 and Rhenium-186 on joints patients chronic hemophilic synovitis.MATERIAL AND METHODS: Retrospective analysis using in pediatric hemophilia treated Akdeniz University School Medicine between June 2005 September 2014 was carried out.RESULTS: Eighteen severe (mean age 12.55±4.93 years) underwent a total 32 procedures: 13 elbow (40.6%), nine knee (28.2%), tibiotalar 1 metatarsal (3.1%) joint. Ten (55.5%) had single joint; five (27.8%) simultaneous two joints. Three inhibitors procedures (15.6%). In 15 (83.3%), hemarthrosis reduced after no further treatment required. The other three (four joints) repeat mean 20.75±14.77 months. follow-up period our 8.81 ± 4.87 years [9.42 (min-max; 1-22.58)]. Uncontrolled bleeding, need for additional dose factor treatment, leakage, local inflammatory reaction were not observed during synovectomy.CONCLUSIONS: Radioisotope is an effective method that can be used prevent permanent joint damage reduce frequency bleeding use coagulation factors. Treatment should considered before progressive has developed.

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ژورنال

عنوان ژورنال: Kocatepe T?p Dergisi

سال: 2022

ISSN: ['1302-4612']

DOI: https://doi.org/10.18229/kocatepetip.930703