ALVARDO SCORE AND COMPUTED TOMOGRAPHY FOR PREVENT FROM NEGATIVE APPENDECTOMY

Year 2023, Volume: 30 Issue: 1, 107 - 110, 14.03.2023

Hüseyin Fahri Martlı Yasir Keçelioğlu

https://doi.org/10.17343/sdutfd.1184859

Cited By: 1

Abstract

Objective
The functionality of computed tomography and
Alvarado score were investigated to prevent negative
appendectomy.
Material and Method
Patients who had appendectomy surgery at Niğde
Ömer Halisdemir University Training and Research
Hospital between June 2020 and March 2021 were
retrospectively scanned. Correlations with pathology
results were made.
Results
A positive correlation was found between the high
Alvarado score and the diagnosis of appendicitis in
computed tomography. The lower alvarado score
of those without appendicitis than those with acute
appendicitis; It was found statistically significant that
those with acute appendicitis were lower than those
with perforated-gangrene-plastrone appendicitis.
Conclusion
Alvarado scoring system is less specific than computed
tomography and it is possible to reduce the negative
appendectomy rate with radiological examinations.

Keywords

Appandicitis, Alvarado Score, computed tomograpy

NEGATİF APPENDEKTOMİYİ ÖNLEMEDE ALVARADO SKORU VE BİLGİSAYARLI TOMOGRAFİ

Abstract

Amaç
Negatif apepndektomiyi engellemk için bilgisayarlı tomografi
ve Alvarado skorunun işlevselliği araştırıldı.
Gereç ve Yöntem
Niğde Ömer Halisdemir Üniversitesi E.A.H.’de Haziran
2020 ve Mart 2021 tarihleri arasında appendektomi
operasyonu olan hastalar retrospektif olarak tarandı.
Patoloji sonuçları ile korelasyonları yapıldı.
Bulgular
Alvarado skoru yüksekliği ile bilgisayarlı tomografide
apandisit tanısı arasında pozitif yönde korelasyon
bulunmuştur. Apandisiti olmayanların alvarado skorunun
akut apandisiti olanlara göre düşük olması; akut
apandisiti olanların perfore-gangrene-plastrone apandisiti
olanlara göre düşük olması istatistiksel olarak
anlamlı bulunmuştur.
Sonuç
Alvarao Skorlama sistemi bilgisayarlı tomografiye
göre daha düşük oranda spesifiktir ve negative appendektomi
oranını radyolojik tetkikler ile azaltmak
mümkündür.

Keywords

Apandisit, Alvarado Skoru, Bilgisayarlı tomografi

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