Ayşe Öztürk, Ali Gürlek, Ahmet Arslan, Cemal Fırat, Alpay Fariz

Bası Yaralı Vakalardaki On Yıllık Klinik Deneyimlerimiz

Giriş: Bası-yatak yaraları hasta, hasta yakını ve hekim açısından büyük sıkıntı oluşturan yaralardır. Oluşması ve nüks etmesi, basit yöntemlerle önlenebilmesine rağmen modern tıp sık karşılaşılan bu klinik problemin insidansında önemli ölçüde bir azalma sağlayamamıştır. Gereç, Yöntem ve Bulgular: İnönü Üniversitesi Turgut Özal Tıp Merkezi'nde Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı'na Ağustos 1995 ile Kasım 2005 tarihleri arasında bası yarası nedeniyle başvuran vakalar incelendi. Vakalar; bulunan risk faktörleri, lokalizasyonları, tedavi yöntemleri ile ortaya çıkan komplikasyonlar açısından değerlendirildi. Bu çalışmada, 72 hastada toplam 123 bası yarası değerlendirilmiş olup, vakaların 48'i erkek, 24'ü ise bayan hasta idi. Değerlendirilmeye alınan hastaların en küçüğü 23 günlük erkek yeni doğan bebek, en yaşlısı ise 85 yaşında erkek olup, yaş ortalaması 43 idi. 123 bası yarasından 19'u konservatif yöntemlerle tedavi edilirken, 104'üne ise cerrahi tedavi uygulandı. Sonuç: Bası yaralarında en önemli nokta; bası yarası oluşumunun önlenmesi olup, böylelikle tedavisi güç olan bu önemli cerrahi sorunun getireceği finansal ve medikal maliyet en aza çekilebilir. Anahtar kelimeler: Bası yarası, Cerrahi ve konservatif tedavi, Rehabilitasyon.

Anahtar Kelimeler:

Bası yarası, Cerrahi ve konservatif tedavi, Rehabilitasyon.

Our Clinical Experiences in Pressure Sore in a period of 10 years

Background: Pressure sores are very big challenging wounds that affect patient, patient's family and surgeon. The incidance of this clinical problem couldn't be decreased by current modern medical methods, even though its occurrence and recurrence could be prevented easily. Material, Methods and Results: We reviwed the patients referred because of pressure sores from August 1995 to November 2005, at the Department of Plastic and Reconstructive Surgery, İnönü University. They have been rewieved and compared in literature with respect to risk factors, localization of wounds, treatment procedures, and complications. In this study, 123 pressure sores of 72 patients were evaluated; 48 of them men and 24 women. The mean age was 43 years (ranging from newborn to 85 years old. 19 pressure sores were treated conservatively and 104 surgically. Conclusion: The most important point of pressure sores is the prevention of the occurence of the pressure sores. The financial and medical cost of pressure sores causing this important and difficult problem, could be minimalized. Key words: Pressure sore, Surgical and conservative treatment, Rehabilitation.

Keywords:

Pressure sore, Surgical and conservative treatment, Rehabilitation.,

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