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Lung parenchymal changes in patients with ankylosing spondylitis

World Journal of Radiology 2012年第5期4卷 215-219页

作者： Zehra Isik Hasiloglu Nuri Havan Aylin Rezvani mustafa akif sariyildiz Halil Eren Erdemli Ilhan Karacan Department of Radiology Istanbul University Cerrahpasa Medical School 34303 Istanbul Turkey Department of Radiology Bezmialem University Medical School 34303 Istanbul Turkey Department of Physical Medicine and Rehabilitation Bezmialem University Medical School 34303 Istanbul Turkey Istanbul University Cerrahpasa Medical School Istanbul University 34303 Istanbul Turkey

AIM: To assess lung parenchymal changes in ankylosing spondylitis (AS) using high resolution computed tomography (HRCT). METHODS: We included 78 AS patients whose average age was 33.87 (18-56) years with a ratio of 53 males to 25 females who were followed up for 3.88 (1-22) years on average. neumonia and tuberculosis were excluded. In a detailed examination of lung HRCT findings, we investigated the presence of parenchymal micronodules,parenchymal bands, subpleural bands, interlobular and intralobular septal thickening, irregularity of interfaces,ground glass opacity, consolidation, mosaic pattern,bronchial wall thickening, bronchial dilatation, tracheal dilatation, pleural thickening, emphysema, thoracic cage asymmetry, honeycomb appearance, structural distortion, apical fibrosis and other additional ***: In detailed HRCT evaluations, lung parenchymal changes were found in 46 (59%) of all patients. We found parenchymal bands in 21 (27%) cases, interlobular septal thickening in 9 (12%), emphysema in 9 (12%), apical fibrosis in 8 (10%), ground-glass opacities in 7 (9%), parenchymal micronodules in 5 (6%), irregularity in interfaces in 3 (4%), bronchial dilatation in 3 (4%), mosaic pattern in 2 (3%), pleural thickening in 2 (3%), consolidation in 1 (1%), bronchial wall thick ening in 1 (1%) and a subpleural band in 1 (1%) case. Furthermore, we detected subsegmental atelectasis in 2 patients and a cavitary lesion in 1 patient. CONCLUSION: Our study had the highest number of AS cases of all previous studies in evaluating lung paren chymal changes. The rate of lung parenchymal changes was slightly lower than that reported in recent literature.

关键词： Ankylosing spondylitis High-resolution com puted tomography Lung

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Higher Energy Does Not Mean Better Outcome Following Endovenous Laser Ablation of Great Saphenous Vein

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World Journal of Cardiovascular Surgery 2014年第11期4卷 200-205页

作者： Celalettin Karatepe mustafa Aldemir Bayer Cinar akif Onalan Halim Issever Onur S.Goksel Cardiovascular Surgery Department Medical FacultyMustafa Kemal UniversityAntakyaTurkey Cardiovascular Surgery Department School of MedicineAfyon Kocatepe UniversityAfyonkarahisarTurkey Cardiovascular Surgery Department Medical Park HospitalIstanbulTurkey Cardiovascular Surgery Department Istanbul Medical FacultyIstanbul UniversityIstanbulTurkey Biostatistics and Public Health Department Istanbul Medical FacultyIstanbul UniversityIstanbulTurkey

Background: Endovenous laser ablation is a relatively newer alternative to treat great saphenous vein insufficiency. We evaluated the efficiency and safety of treatment endovenous laser procedures on the different saphenous vein diameters with different energy levels. Methods: Data regarding endovenous laser ablation of symptomatic chronic great saphenous venous insufficiency in 209 patients were prospectively recorded. Patients were grouped into two main groups based on their diameters as 5 to 7 millimeters (Group A) or more than 7 millimeters (Group B). Patients in each group was randomized into two groups as >90 J/cm (A1 and B1) or 80-90 J/cm (A2 and B2). Postoperative outcome and complications were recorded during follow-ups at 1st week;1st, 3rd and 6th months to examine the venous reflux and recanalization. Results: Perioperative complaints as pain, cramps and ankle swelling were more commonly observed in A1 group. Fatigue was more common in A2 and B2 groups. No major complications as deep vein thrombosis or skin burns were observed. Conclusions: Endovenous laser ablation is a safe and effective procedure with a high satisfaction rate shortening hospitalization durations and early ambulant activity. Pain, ankle swelling and fatigue are the most common minor complaints in the early postoperative period.

关键词： Endovenous Laser Ablation Great Saphenous Vein Varices

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