BRONKOPULMONER DİSPLAZİ TANILI YENİDOĞAN HASTALARIN AKCİĞER ULTRASONOGRAFİSİ BULGULARI

OZET AMAC: Akcigerlerin degerlendirilmesinde oneme sahip olan ultrasonografinin, yenidoganda kullanimi son yillarda artmistir. Bu calismada akciger ultrasonografisinin bronkopulmoner displazi tanili yenidogan hastalardaki bulgulari degerlendirildi. GEREC VE YONTEM: Calismaya yenidogan kliniginde takip edilen, hafif BPD(10 olgu), orta BPD(10 olgu) ve agir BPD(10 olgu) klinigi olan toplam 30 olgu alindi. Tum olgular akciger ultrasonografisi ile degerlendirildi. Ultrasonografik bulgular kaydedildi. BULGULAR: Calismaya alinan 30 vakanin(14 kiz ve 16 erkek) gebelik haftasi ortalamasi 28,1±1,5(26-31) hafta, dogum agirliklari ortalamasi 1161,2±313,1(670-1950) gramdi. Hastalarin akciger ultrasonografik incelemesinde tum gruplarda (Hafif BPD, orta BPD ve agir BPD) B cizgileri, alveolar interstisyel sendrom, konsolidasyon, sinirli normal alanlar ve plevral cizgi duzensizlikleri tespit edilirken normal akciger dokusundaki A cizgilerinde azalma bulgulari goruldu. Konsolidasyon, sinirli normal alanlarin dagilimi ve plevral cizgi duzensizligi acisindan gruplar arasinda anlamli fark yokken, BPD kliniginin agir oldugu olgularda B cizgilerinde artisla birlikte A cizgilerinde azalma (p=0,014) ve alveolar interstisyel sendromda artis (p=0,008) tespit edildi. SONUC: Akciger ultrasonografisinin direk grafi gibi radyasyon icermemesi, yatakbasi tekrarlayan kez uygulanabilmesi, pratik ve kolay ulasilabilir olmasi onemli avantajlaridir. Yararlari goz onune alindiginda akciger ultrasonografisinin bronkopulmoner displazinin tani ve takibinde kullanilmasi faydali olacaktir. Bu amacla yenidogan yogun bakim servislerinde daha sik akciger ultrasonografisi kullanimi onerilmektedir. Anahtar kelimeler: Akciger ultrasonografisi, Bronkopulmoner displazi, Yenidogan, Bulgular ABSTRACT PURPOSE: Ultrasonography has an important role in the evaluation of the lungs and the use of ultrasound has increased in recent years. In this study, the findings of lung ultrasonography in newborn patients with bronchopulmonary dysplasia were evaluated. MATERIAL AND METHODS: A total of 30 cases with mild BPD (10 cases), moderate BPD (10 cases) and severe BPD (10 cases) clinics followed in the neonatal intensive care unit were included in the study. All cases were evaluated by lung ultrasonography. Ultrasonographic findings have been recorded. RESULTS: The mean gestational week of 30 cases (14 girls and 16 boys) was 28.1 ± 1.5 (26-31) weeks, and the mean birth weight was 1161.2 ± 313.1 (670-1950) gram. B lines, alveolar interstitial syndrome, consolidation, spared areas, pleural line abnormality and decrease in A lines were detected in ultrasonographic examination of all groups (mild BPD, moderate BPD and severe BPD). There was no significant difference between the groups in terms of consolidation, spared areas and pleural line abnormality. In cases correlation with severety of BPD, we detected increase of B lines and decrease in A lines (p=0.014) and also increase in alveolar interstitial syndrome(p=0.008). CONCLUSION: Lung ultrasonography has important advantages as easily accessible, practical, nonionizing unlike chest radiography and it can be applied repeatedly at the bedside. When evaluated with its benefits, it will be useful to use lung ultrasonography in the diagnosis and follow-up of bronchopulmonary dysplasia. For this purpose, more frequent use of lung ultrasonography is recommended in neonatal intensive care units. Keywords: Lung ultrasound, bronchopulmonary dysplasia , newborn, findings.