Over Kist Rüptürü Ve Akut Apandisit Ayırıcı Tanısında Labaratuar Parametrelerinin Kullanımı

Öz

Amaç: Çalışmanın amacı acil servise sağ alt kadran ağrısı ile gelen kadın hastalarda sağ alt kadran kaynaklı akut apandisit ve over kist rüptrünün ayrıcı tanısında laboratuvar parametreleri tanı koymadaki gücünü analiz etmek Metod: 2016-2021 yılları arası akut, sağ alt kadran ağrısı ile acil servise başvuran, çekilen abdominal tomografi ve post-operatif patoloji sonuçları ile akut apandisit veya over kist rüptürü tanısı konulan 200 kadın hasta çalışmaya alındı. Hastaların laboratuvar parametreleri analiz edildi. Elde edilen sonuçların ayırıcı tanıdaki rolü araştırıldı. Bulgular: Çalışmaya alınan kadın hastalar için akut apandisit ve over kist rüptrü tanıları 1:1 randomize edildi. Gruplar, demografik özellikler benzer olacak şekilde modellendi. Hastaların inflamasyonu gösteren parametreleri nötrofil, lenfosit, lökosit, mpv, platelet, crp değerleri analiz edildi. Nötrofil/lenfosit ve platelet/lenfosit oranları hesaplandı. Akut apandisit olan hastalarda inflamasyona ait parametreler, N/L veP/L oranları anlamlı yüksek bulundu. Laboratuvar verileri ile gösterilen yüksek inflamasyon bulguları akut apandisiti desteklemektedir. Tartışma: Akut apandisit tanılı hastalarda daha güçlü bir inflamatuar reaksiyon görülmektedir. Yüksek inflamatuar markırlar apandisit lehine yorumlanır. Acil servise, sağ alt kadran ağrısı ile gelen kadın hastaların ayırıcı tanısında laboratuvar parametreleri klinik karar vermeyi kolaylaştırır ve ön tanıyı destekler.

Anahtar Kelimeler

• Over kist rüptürü
• Apandisit
• Laboratuvar Pareametreleri.

Use of laboratory parameters in the differential diagnosis of ovarian cyst rupture and acute appendicitis

Öz

The study aimed to analyze the diagnostic power of laboratory parameters in the differential diagnosis of acute appendicitis and ovarian cyst rupture originating from the right lower quadrant in female patients presenting to the emergency department with right lower quadrant pain. Between 2016 and 2021, 200 female patients who presented to the emergency department with acute right lower quadrant pain and were diagnosed with acute appendicitis or ovarian cyst rupture by abdominal tomography and post-operative pathology results were included in the study. Laboratory parameters of the patients were analyzed. The role of the obtained results in the differential diagnosis was investigated. The diagnoses of acute appendicitis and ovarian cyst rupture were randomized 1:1 for the female patients included in the study. The groups were modeled to have similar demographic characteristics. Neutrophil, lymphocyte, leukocyte, leukocyte, MPV, platelet, and CRP values were analyzed. Neutrophil/lymphocyte and platelet/lymphocyte ratios were calculated. Inflammation parameters, N/L, and P/L ratios were significantly higher in patients with acute appendicitis. High inflammation findings shown by laboratory data support acute appendicitis. Patients with acute appendicitis have a stronger inflammatory reaction. High inflammatory markers are interpreted in favor of appendicitis. Laboratory parameters facilitate clinical decision-making and support the preliminary diagnosis in the differential diagnosis of female patients presenting to the emergency department with right lower quadrant pain.

Anahtar Kelimeler

• Ovarian cyst rupture
• Appendicitis
• Laboratory Parameters.

Kaynakça

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