The Role of Neutrophil/Lymphocyte Ratio in Ovarian Torsions

Year 2024, , 170 - 174, 22.05.2024

Musa Büyük , Nagihan Karacar Büyük , Kamuran Suman , Ebru Gök , Murat Suman , Havva Kuşcu

https://doi.org/10.33631/sabd.1294713

Abstract

Aim: Ovarian torsion is among the gynecological emergencies. Laboratory and imaging methods are used for diagnosis. Symptoms are generally nonspecific, making it difficult to differentiate from other acute abdominal emergencies. This study aims to investigate the diagnostic value of neutrophil-lymphocyte ratio (NLR) in addition to imaging methods for the diagnosis of ovarian torsion.
Material and Methods: A total of 120 patients were included in the study. The study was planned retrospectively. The patients included in the study were analyzed in three different groups. Those with follicular cysts were in Group 1, those with simple cysts were in Group 2, and those with ovarian torsion were in Group 3. The groups were compared in terms of laboratory parameters and demographic characteristics.
Results: When the groups were compared in terms of mean age, it was found that the mean age of Group 3 was significantly lower than Group 1 (p<0.05). When the WBC and NLR levels between the groups were compared, it was observed that the WBC and NLR levels of Group 3 were significantly higher than those of Group 1 and Group 2 (p<0.05). The sensitivity of NLR was found to be 91.00% and the specificity was 86,00%. The sensitivity of WBC was 86.00% and the specificity was 78.40%.
Conclusion: We believe that NLR can be used as an easy and cost-effective diagnostic method in emergencies. We also believe that it could be a valuable parameter in addition to imaging in diagnosing ovarian torsion.

Keywords

Neutrophil-lymphocyte ratio, Ovarian torsion, Ultrasonography

Nötrofil/Lenfosit Oranının Over Torsiyonlarındaki Yeri

Abstract

Amaç: Over torsiyonu, jinekolojik bir aciller arasında yer alır. Tanıda laboratuar ve görüntüleme yöntemlerine başvurulur. Semptomları genelde nonspesifikdir. Bu yüzden akut batın yapan diğer acillerden ayırıcı tanısı oldukça zordur. Çalışmamız, over torsiyonunun tanısında görüntüleme yöntemine artı olarak nötrofil-lenfosit oranının (NLR) tanısal değerini araştırmayı amaçlamaktadır.
Gereç ve Yöntemler: Çalışmaya 120 hasta dahil edildi. Çalışma retrospektif olarak planlandı. Çalışmaya dahil edilen hastalar folikül kisti olan, basit kisti olan ve over torsiyonu olan hastalar olarak 3 farklı grup halinde incelendi. Folikül kisti olanlar Grup1, basit kisti olanlar Grup 2 ve over torsiyonu olan hastalar Grup 3 olarak belirlendi. Gruplar laboratuvar parametreleri ve demografik özellikleri açısından karşılaştırıldı.
Bulgular: Gruplar yaş ortalaması açısından karşılaştırıldığında Grup 3'ün ortalamasının Grup 1'e göre anlamlı olarak daha düşük olduğu görülmüştür (p<0,05). Gruplar arası NLR ve WBC oranlarına bakıldığında Grup 3 WBC ve NLR düzeyleri Grup 1 ve Grup 2 ye göre daha yüksek olduğu izlenmiştir (p<0,05). NLR'nin sensitivitesi %91,00, spesifisitesi %86,00 olarak bulunmuştur. WBC nin ise sensitivitesi %86,00 ve spesifisitesi %78,40 olarak tespit edilmiştir.
Sonuç: NLR’nin, acil durumlarda kolay ve ekonomik bir tanı yöntemi olarak kullanılabilir olduğunu düşünmekteyiz. Jinekolojik bir acil olan over torsiyonu tanısını koymada görüntülemeye ek olarak bakılabilecek bir değer olacağı kanısındayız.

Keywords

Nötrofil-lenfosit oranı, Over torsiyonu, Ultrason

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