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RÉSUMÉ
Objectif. Évaluer les demandes d’échographie thoracique au sein de l’Hôpital Jamot de Yaoundé. Matériels et méthodes Il s’agit d’une étude transversale descriptive quantitative, réalisée dans le service de radiologie et d’imagerie médicale menée de janvier 2015 à décembre 2018. Nous avons procédé à un échantillonnage consécutif non exhaustif des comptes rendus d’échographie thoracique et/ou pleurale pendant 03 ans. Résultats. Nous avons collecté les comptes rendus de 195 patients dont 123 hommes (63%). L’âge médian était de 39 ans. Le marquage était l’indication la plus retrouvée (90.3%). Les résultats étaient pathologiques dans 77,4% des cas (IC =95%). Les lésions étaient à droite dans 116 cas (59,6%). Les principales lésions étaient l’épanchement pleural cloisonné (31,1%) et l’épanchement pleural libre (30.5%). Conclusion. Au terme de cette étude nous pouvons conclure que l’échographie thoracique à l’Hôpital Jamot de Yaoundé se fait essentiellement pour le marquage de site de ponction d’épanchement pleural.
ABSTRACT
Objective. To evaluate the requests for chest ultrasound at the Jamot Hospital in Yaoundé. Materials and methods It was a cross-sectional descriptive study, carried out in the radiology and medical imaging department, from January 2015 to December 2018. We carried out a non-exhaustive consecutive sampling of thoracic non cardiac ultrasound reports and for three years. Results. We collected the reports of 195 (123 men, 63%). The median age was 39 years. Skin marking before puncture was the most common indication (90.3%). We found abnoramlities in 151 cases (77.4%). Lesions were right-sided in cases 116 patients (59.6%). Loculated pleural effusion (31.1%) and free pleural effusion (30.5%) were the most common abnormalities.. Conclusion. The chest ultrasound at the Jamot hospital in Yaoundé is mainly for the marking of pleural effusion puncture site.
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References
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- Bree RL, Benson CB, Bowie JD, Coleman BG, Hertzberg BS, Kurtz AB, et al. The role of radiology in the era of compact ultrasound systems: SRU Conference, October 14 and 15, 2003.
- Durand C, Piolat C, Nugues F, Bessaguet S, Alvarez S, Baudain P. Imagerie thoracique en urgence chez l’enfant. J Radiol 2005,86 :198-206.
- Bitchong Ekono Claire Francoise , Azoumbou Méfant Thérese , Ze Jean Jacques , Mballa Amougou Jean Claude , Massongo Massongo , Awana Armel Philippe. Profile of respiratory diseases of hospitalized patients at the pneumology unit of Jamot Hospital, Yaounde. The Journal of Medical Research 2018; 4(5): 245-248.
- Awana, A.P., Engoumou, A.M.S., Medza, J.O., Ndive, P.E., Zeh, O.F., Zogo, P.O. and Amvene S.N. (2018) Relevance of Chest CT Scan Requests in Two University Teaching Hospitals in a Developing Country. Open Journal of Radiology, 8, 84-90 .https://doi.org/10.4236/ojrad.2018.82010.
- Reddy, A.K., Kaup, S.B., Jayamohan, A.E., Lakshmanan, P.M., Nasappa, K. and Jean, A. (2017) Sonographic Evaluation of Pleural Effusion. Open Journal of Medical Imaging , 7, 77-88.https://doi.org/10.4236/ojmi.2017.73008
- Havelock, T., Teoh, R., Laws, D. and Gleeson, F. (2010) Pleural Procedures and Thoracic Ultrasound: British Thoracic Society Pleural Disease Guideline. Thorax ,65, i61-i76. https://doi.org/10.1136/thx.2010.137026
- ZEH Odile Fernande, AWANA Armel Philippe, GUEGANG GOUJOU Emilienne, ONGUENE MEDZA Julienne, ABOMO NGODO Claude Sandra Raissa, SEME ENGOUMOU Ambroise Merci, GONSU FOTSIN Joseph. Evaluation du recours au scanner thoracique dans deux Hôpitaux Universitaires de Yaoundé. Journal Africain d’Imagerie Médicale 2016.
- Inglis AJ, Nalos M, Sue KH, et al. Bedside lung ultrasound, mobile radiography and physical examination: a comparative analysis of diagnostic tools in the critically ill. Crit Care Resusc 2016;18:124
- Patel, A. and Choudhury, S. (2011) Tuberculous Pleural Effusion: Clinico-Radiological and Biochemical Features Observed in an Indian Region. Indian Journal of Medical Specialities , 2, 144-146. https://doi.org/10.7713/ijms.2011.0035
- Merci, S.E.A.,Maggy, M., Philippe, A.A., Edith, B.N.P.,Julienne, O. and Fernande, Z.O. (2019)Diagnostic Value of the Thoracic Ultrasonography Compared to Conventional ChestX-Rays in Pneumonia for Children between 0 to 15 Years: Case Study in Two Hospitalsin Yaoundé. Open Journal of Radiology, 9,10-19.https://doi.org/10.4236/ojrad.2019.91002
References
Manaker S, Weinberger SE. Diagnostic procedures in respiratory diseases. In: Fauci A, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson LJ, Loscalzo J (eds). Harrison’s Principles of Internal Medicine. 17th ed. NewYork, NY: McGraw-Hill; 2008:1593–1595.
Bree RL, Benson CB, Bowie JD, Coleman BG, Hertzberg BS, Kurtz AB, et al. The role of radiology in the era of compact ultrasound systems: SRU Conference, October 14 and 15, 2003.
Durand C, Piolat C, Nugues F, Bessaguet S, Alvarez S, Baudain P. Imagerie thoracique en urgence chez l’enfant. J Radiol 2005,86 :198-206.
Bitchong Ekono Claire Francoise , Azoumbou Méfant Thérese , Ze Jean Jacques , Mballa Amougou Jean Claude , Massongo Massongo , Awana Armel Philippe. Profile of respiratory diseases of hospitalized patients at the pneumology unit of Jamot Hospital, Yaounde. The Journal of Medical Research 2018; 4(5): 245-248.
Awana, A.P., Engoumou, A.M.S., Medza, J.O., Ndive, P.E., Zeh, O.F., Zogo, P.O. and Amvene S.N. (2018) Relevance of Chest CT Scan Requests in Two University Teaching Hospitals in a Developing Country. Open Journal of Radiology, 8, 84-90 .https://doi.org/10.4236/ojrad.2018.82010.
Reddy, A.K., Kaup, S.B., Jayamohan, A.E., Lakshmanan, P.M., Nasappa, K. and Jean, A. (2017) Sonographic Evaluation of Pleural Effusion. Open Journal of Medical Imaging , 7, 77-88.https://doi.org/10.4236/ojmi.2017.73008
Havelock, T., Teoh, R., Laws, D. and Gleeson, F. (2010) Pleural Procedures and Thoracic Ultrasound: British Thoracic Society Pleural Disease Guideline. Thorax ,65, i61-i76. https://doi.org/10.1136/thx.2010.137026
ZEH Odile Fernande, AWANA Armel Philippe, GUEGANG GOUJOU Emilienne, ONGUENE MEDZA Julienne, ABOMO NGODO Claude Sandra Raissa, SEME ENGOUMOU Ambroise Merci, GONSU FOTSIN Joseph. Evaluation du recours au scanner thoracique dans deux Hôpitaux Universitaires de Yaoundé. Journal Africain d’Imagerie Médicale 2016.
Inglis AJ, Nalos M, Sue KH, et al. Bedside lung ultrasound, mobile radiography and physical examination: a comparative analysis of diagnostic tools in the critically ill. Crit Care Resusc 2016;18:124
Patel, A. and Choudhury, S. (2011) Tuberculous Pleural Effusion: Clinico-Radiological and Biochemical Features Observed in an Indian Region. Indian Journal of Medical Specialities , 2, 144-146. https://doi.org/10.7713/ijms.2011.0035
Merci, S.E.A.,Maggy, M., Philippe, A.A., Edith, B.N.P.,Julienne, O. and Fernande, Z.O. (2019)Diagnostic Value of the Thoracic Ultrasonography Compared to Conventional ChestX-Rays in Pneumonia for Children between 0 to 15 Years: Case Study in Two Hospitalsin Yaoundé. Open Journal of Radiology, 9,10-19.https://doi.org/10.4236/ojrad.2019.91002