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OVER TORSİYONLARINDA NÖTROFİL/LENFOSİT ORANININ TANISAL DEĞERİ

Amaç: Over torsiyonu nadir görülen ancak ciddi sonuçlara yol açabilecek jinekolojik acillerdenbirisidir. Over torsiyonu tanısında inflamasyon markırları ve görüntüleme yöntemleri sıklıkla kullanılmasına rağmen akut batın yapan diğer acillerden nonspesifik karın bulguları nedeniyle ayrımıoldukça zordur. Biz bu çalışmada over torsiyonunda nötrofil-lenfosit oranının (NLR) tanısal değerini araştırdık.Gereç ve Yöntem: Retrospektif olarak planlana çalışmaya toplamda 60 hasta dahil edildi. Hastalar eşit olarak 3 gruba ayrıldı: Grup 1 (follikül kist grubu), Grup 2 (basit kist grubu), Grup 3 (overtorsiyonu grubu). Hasta grupları demografik özellikleri ve laboratuar parametrelerine göre karşılaştırıldı.Bulgular: Grup3’ün yaş ortalaması Grup 1’e göre anlamlı olarak daha düşüktü (p=0.012). WBC veNLR oranları Grup 3’te diğer gruplara göre anlamlı bir şekilde daha yüksekti (p

Diagnostic Value of Neutrophil to Lymphocyte Ratio in Over Torsion

Purpose: Ovary torsion is one of the gynecologic emergencies which is rare but has a potential of serious complications. Although inflammation markers and imaging methods are commonly used in the diagnosis of ovary torsion, its differentiation from other causes of acute abdomen is quite difficult because of the nonspecific abdominal signs. In our study, we investigated the diagnostic value of neutrophil-lymphocyte ratio (NLR) in over torsion. Materials and Methods: A total of 60 patients were included in this retrospectively planned study. Patients were equally divided into three groups: Group 1 (follicule cyst group), Group 2 (simple cyst group), Group 3 (ovary torsion group). Patient groups were compared according to demographic characteristics and laboratory parameters. Results: The mean age of group 3 was significantly lower than group 1 (p=0,012). The WBC and NLR ratios were significantly higher in group 3 when compared to other groups (p

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Bekci T, Polat AV, Aslan K, Tomak L, Ceyhan Bilgici M, Danaci M. Diagnostic performance of diffusion-weighted MRI in the diagnosis of ovarian torsion: comparison of torsed and nonaffected ovaries. Clin Imaging. 2016;40(5):1029–33.
Albayram F, Hamper UM. Ovarian and adnexal torsion: spectrum of sonographic findings with pathologic correlation. J Ultrasound Med. 2001;20(10):1083–9.
Wilkinson C, Sanderson A. Adnexal torsion: a multimodality imaging review. Clin Radiol. 2012;67(5):476–83.
Chang HC, Bhatt S, Dogra VS. Pearls and pitfalls in diagnosis of ovarian torsion. Radiographics. 2008;28(5):1355–68.
Tobiume T, Shiota M, Umemoto M, Kotani Y, Hoshiai H. Predictive factors for ovarian necrosis in torsion of ovarian tumor. Tohoku J Exp Med. 2011;225(3):211–4.
Sasaki KJ, Miller CE. Adnexal torsion: review of theliterature. J Minim Invasive Gynecol. 2014;21(2):196–202.
Tanrikulu Y, Sen Tanrikulu C, Sabuncuoglu MZ, Kokturk F, Temi V, Bicakci E. Is the neutrophil-to-lymphocyte ratio a potential diagnostic marker for peptic ulcer perforation? A retrospective cohort study. Am J Emerg Med. 2016;34(3):403-6.
Nichols DH, Julian PJ. Torsion of the adnexa. Clin Obstet Gynecol. 1985;282(2):375-80.
Servaes S, Zurakowski D, Laufer MR, Feins N, Chow JS. Sonographic findings of ovarian torsion in children. Pediatr Radiol. 2007;37(5):446–451.
Oltmann SC, Fischer A, Barber R, Huang R, Hicks B, Garcia N. Cannot exclude torsion--a 15-year review. J Pediatr Surg. 2009;44(6):1212-6.
Oelsner G, Shashar D. Adnexal torsion. Clin Obstet Gynecol. 2006;49(3):459-63.
Sahlu Z, Negash S, Yusuf L. Adnexal torsion a five-years retrospective review in two hospitals. Ethiop Med J. 2014;52(4):155-64.
Nur Azurah AG, Zainol ZW, Zainuddin AA, Lim PS, Sulaiman AS, Ng BK. Update on the management of ovarian torsion in children and adolescents. World J Pediatr. 2015;11(1):35-40.
Kart C, Aran T, Guven S, Karahan SC, Yulug E. Acuteincrease in plasma D-dimer level in ovarian torsion: anexperimental study. Hum Reprod. 2011;26(3):564-8.
Black S, Kushner I, Samols D. C-reactive Protein. J Biol Chem. 200419;279(47):48487-90.
Chi CH, Shiesh SC, Chen KW, Wu MH, Lin XZ. C-reactive protein for the evaluation of acute abdominal pain. Am J Emerg Med. 1996;14(3):254–256.
Mazouni C, Bretelle F, Ménard JP, Blanc B, Gamerre M. Diagnosis of adnexal torsion and predictive factors of adnexal necrosis. Gynecol Obstet Fertil. 2005;33(3):102–6.
Ercan Ö, Köstü B, Bakacak M, Coşkun B, Tohma A, Mavigök E. Neutrophil to Lymphocyte ratio in the diagnosis of adnexal torsion. Int J Clin Exp Med. 2015;8(9):16095–10.
Tanrikulu CS, Tanrikulu Y, Sabuncuoglu MZ, Karamercan MA, Akkapulu N, Coskun F. Mean platelet volume and red cell distribution width as a diagnostic marker in acute appendicitis. Iran Red Crescent Med J. 2014;16(5):e10211.
Yilmaz H, Celik HT, Namuslu M, Inan O, Onaran Y, Karakurt F, et al. Benefits of the neutrophil-to-lymphocyte ratio for the prediction of gestational diabetes mellitus in pregnant women. Exp Clin Endocrinol Diabetes. 2014;122(1):39-43.
Guzel AI, Kokanali MK, Erkilinc S, Topcu HO, Oz M, Ozgu E, et al. Predictive role of the neutrophil lymphocyte ratio for invasion with gestational trophoblastic disease. Asian Pac J Cancer Prev. 2014;15(10):4203–6
Bhat T, Teli S, Rijal J, Bhat H, Raza M, Khoueiry G, et al. Neutrophil to lymphocyte ratio and cardiovascular diseases: a review. Expert Rev Cardiovasc Ther. 2013;11(1):55–9.
Arbel Y, Finkelstein A, Halkin A, Birati EY, Revivo M, Zuzut M, et al. Neutrophil/lymphocyte ratio is related to the severity of coronary artery disease and clinical outcome in patients undergoing angiography. Atherosclerosis. 2012;225(2):456–60.
Soysal S.,Baki R. Diagnostic value of neutrophil to lymphocyte ratio in differentiation of ruptured ovarian cysts and adnexal torsion Türk J Obstet Gynocol. 2018;15(2):91–4.
Tanrıkulu Y, Şen Tanrıkulu C, Sabuncuoğlu MZ, Temiz A, Köktürk F, Yalçın B. Diagnostic utility of the neutrophil-lymphocyte ratio in patients with acute mesenteric ischemia: A retrospective cohort study. Ulus Travma Acil Cerrahi Derg. 2016;22(4):344-9.
Varras M, Tsikini A, Polyzos D, Samara CH, Hadjopoulos G, Akrivis CH, et al. Uterine adnexal torsion: Pathologic and gray-scale ultrasonographic findings. Clin Exp Obstet Gynecol. 2004;31(1):34–8.
Köleli I. Mean Platelet Volume in Early Diagnosis of Adnexal Torsion. Balkan Med J. 2015;32(4):410–13.