Akut Apandisit Hastalarında Ortalama Trombosit Volümü (MPV) ve Trombosit Dağılım Genişliği (PDW) Düzeylerinin Tanısal Değeri

Abstract

Bu çalışmada, acil servise karın ağrısı şikayetiyle başvuran, AA tanısı ile opere olan hastalar ile cerrahi tedavi yapılmadan taburcu edilen hastaların ayırıcı tanısında MPV ve PDW parametrelerinin rolü araştırılması amaçlanmıştır. AA tanısıyla yatırılan hastalar retrospektif olarak incelendi. Apendektomi olan ve patoloji raporları AA ile uyumlu olan hastalar AA (+), apendektomi olmayıp medikal tedavi sonrası taburcu edilen hastalar AA (-) olarak gruplandırıldı. Hastaların, acil servise başvuru anındaki hemogram sonuçlarına elektronik hasta dosyalarından ulaşıldı. Verilerin istatistiği SPSS 20 paket programı ile yapıldı. Değerlendirilen hastaların (1061) %46.6’sı kadın (494), %53.4’ü (567) erkekti. Hastaların %83.6’sı (888) AA (+), %16.2’si (173) AA (-) grubundadır. Hastaların AA (+) gruptaki yaş ortalaması (35±16), AA (-) gruptaki yaş ortalamaları (35±16) bulundu. MPV değerleri her iki grupta da referans değerler aralığında ve her iki grup arasında MPV değerleri arasında anlamlı bir fark yoktu (P=0.717). PDW değerleri AA (+) hasta grubunda istatistiksel olarak anlamlı olup, düşük bulundu (P<0.05). AA (+) hasta grubu ile AA (-) hasta grubunu birbirinden ayırmak için MPV’nin anlamsız olduğu görüldü. PDW değerleri AA (+) hasta grubunda düşük ve istatistiksel olarak anlamlı bulundu.

Keywords

• : Akut apandisit
• akut batın
• ortalama platelet volümü
• trombosit dağılım genişliği

Diagnostic Value of Mean Platelet Volume (MPV) and Platelet Distribution Width (PDW) Levels in Patients with Acute Appendicitis

Abstract

We aimed investigation of the role of MPV and PDW parameters in the differential diagnosis of patients who admitted to the emergency department with the complaint of abdominal pain, patients who were operated with the diagnosis of AA, and patients who were discharged without surgical treatment. Patients hospitalized with an AA diagnosis were analyzed retrospectively. Patients who underwent appendectomy and whose pathology reports were consistent with AA were grouped as AA (+), while patients who did not undergo appendectomy and were discharged after medical treatment were grouped as AA (-). The patients' first hemogram parameters at the emergency service were acquired from their electronic patient files. Statistical analysis of the data was performed using the SPSS 20 package software. Of the eveluated patients, %83.6 (888) were in the AA (+) group, while %16.2 (173) were in the AA (-) group. Of the evaluated patients, %46.6 (494) were female, and %53.4 (567) were male. The mean age of the patients in the AA (+) group (35±16) and the mean age in the AA (-) group (35±16) were found. There was no significant difference in MPV values between the two groups (P=0.717). PDW values were statistically significant and lower in the AA (+) patient group (P<0.05). MPV was found to be insignificant in differentiating between the AA (+) patients and the AA (-) patients. In the AA (+) patient group, PDW values were lower and statistically significant.

Keywords

• Acute appendicitis
• acute abdomen
• mean platelet volume
• the platelet distribution width

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