Testis Torsiyonu ile Ortalama Trombosit Hacminin İlişkisi

Yıl 2019, Cilt: 4 Sayı: 4, 454 - 463, 31.12.2019

Engin Kölükçü Serhat Koyuncu

https://doi.org/10.26453/otjhs.480490

Öz

Bu çalışmada testis torsiyonlu hastalarda ortalama trombosit
hacminin (MPV) klinik öneminin araştırılması amaçlanmıştır. Bu retrospektif
çalışmada iki çalışma grubu analiz edildi. Grup 1; skrotal eksplorasyon ile
testis torsiyonu tanısı konulan 31 hastadan oluşmaktaydı. Grup 2; kontrol grubu
olarak belirlendi. Kontrol grubuna; üroloji polikliniğine rutin kontrol
amacıyla başvuran ve tamamen sağlıklı 38 erkek hasta dahil edildi. Grup 1 ve 2
arasındaki MPVdeğerleri istatiksel olarak karşılaştırıldı. Çalışmaya alınan 69
hastanın yaş ortalaması 10,87±8,99 yıl idi. Grup 1 ve 2 için MPV değerleri
sırası ile 8,33±1,08 ve 9,7±1,49 olarak hesaplandı. Grup 1’de hesaplanan MPV
değerleri Grup 2 ile karşılaştırıldığında istatiksel olarak anlamlı olarak
düşük olarakizlendi (p<0,001). Testis torsiyonlu hastalarda MPV değeri
önemli ölçüde azalmaktadır. Dolayısıyla MPV değerinin testis torsiyonu
tanısında destekleyici bir kriter olarak kullanabileceğini düşünmekteyiz.

Anahtar Kelimeler

Testis, torsiyon, ortalama, trombosit hacmi

TThe Role of Mean Platelet Volume in the Diagnosis of Testicular Torsion

Öz

The aim of this
study is to examine the clinical importance of mean platelet volume (MPV) in
patients with testicular torsion. In this retrospective study, two study groups
were analyzed. Group I consisted of 31 patients diagnosed with testicular
torsion following scrotal exploration. Group II was determined as control
group. A total of 38 healthy male patients visited the urology clinic for their routine controls were included in the study. MPV
values between Groups I and II were compared statistically. The mean age of the
69 patients included in the study was 10.87±8.99 years. MPV values were
calculated as 8.33±1.08 and 9.7±1.49 for Group I and II, respectively. MPV
values in Group I were statistically lower than that in Group II (p<0.001).
The MPV value is significantly reduced in patients with testicular torsion.
Therefore, we think that MPV values can be used as a supporting criterion in
the diagnosis of testicular torsion.

Anahtar Kelimeler

Testicular, torsion, mean, platelet volume

Kaynakça

• Cuckow PM, Frank JD. Torsion of the testis. BJU Int. 2000;86(3):349-53 DOI: 10.1046/j.1464-410x.2000.00106.x6
• Bennett S, Nicholson M, Little T. Torsion of the testis: why is the prognosis so poor? Br Med J 1987;294:82
• Bartsch G, Frank S, Marberger, Mikuz G. Testicular torsion: late results with special regard to fertility and endocrine function. J Urol 1980;124(3):375-8 DOI: 10.1016/S0022-5347(17)55456-7
• Liu CC, Huang SP, Chou YH, Li CC, Wu MT, Huang CH et al. Clinical presentation of acute scrotum in young males. Kaohsiung J Med Sci. 2007;23(6):281-6. DOI: 10.1016/S1607-551X(09)70410-3
• Barada JH, Weingarten JL, Cromie WJ. Testicular salvage and age-related delay in the presentation of testicular torsion. J Urol. 1989 ;142(3):746-8. DOI: 10.1016/S0022-5347(17)38875-4
• Memik Ö, Kayıkçı A, Akyüz O, Yaşar M. Testicular Torsion: Case Report. Konuralp Medical Journal 2012;4(1):35-7
• Baker LA, Sigman D, Mathews RI, Benson I, Docimo SG, An analysis of clinical outcomes using color doppler testicular ultrasound for testicular torsion. Pediatrics 2000;105:604-7
• Güneş M, Umul M, Altok M, Akyuz M, İşoğlu CS, Uruc F et al. Predictive role of hematologic parameters in testicular torsion. Korean J Urol. 2015;56(4):324-9. DOI: 10.4111/kju.2015.56.4.324
• Incebiyik A, Seker A, Vural M, Hilali NG, Camuzcuoglu A, Camuzcuoglu H. May mean platelet volume levels be a predictor in the diagnosis of pelvic inflammatory disease? Wien Klin Wochenschr. 2014;126:422-6. DOI: 10.1007/s00508-014-0560-2.
• 10- Pyo JS, Sohn JH, Kang G. Diagnostic and prognostic roles of the mean platelet volume in malignant tumors: a systematic review and meta-analysis. Platelets. 2016;27(8):722-8. DOI: 10.3109/09537104.2016.1169265
• D'Andrea A, Coppolino F, Cesarano E, Russo A, Cappabianca S, Genovese EA et al. US in the assessment of acute scrotum. Critical Ultrasound Journal 2013;5(Suppl 1):S8. DOI: 10.1186/2036-7902-5-S1-S8
• Nöske HD, Kraus SW, Altinkilic BM, Weidner W. Historical milestones regarding torsion of the scrotal organs. J Urol. 1998;159(1):13-6
• Zhao LC, Lautz TB, Meeks JJ, Maizels M. Pediatric testicular torsion epidemiology using a national database: incidence, risk of orchiectomy and possible measures toward improving the quality of care. J Urol. 2011 Nov;186(5):2009-13. DOI: 10.1016/j.juro.2011.07.024.
• Schneck F and Bellinger M: Abnormalities of the testes and scrotum and their surgical management. In: Campbell-Walsh Urology, 9th ed. Edited by AJ Wein, LR Kavoussi, AC Novick et al. Philadelphia: Saunders-Elsevier 2007; vol 4, p 4592.
• Ciftci AO, Senocak ME, Tanyel FC, Büyükpamukçu N. Clinical predictors for differential diagnosis of acute scrotum. Eur J Pediatr Surg. 2004;14(5):333-8. DOI: 10.1055/s-2004-821210
• Yapanoğlu T, Aydın HR, Adanur Ş, Özkan P, Demirel A, Okyar G. Our Thirteenth-year Experience with Testicular Torsion in Children. The Eurasian Journal of Medicine 2007;39:164-8
• Sayan A, Can M. Our eight year experience with testicular torsion of children and adolescents. İzmir Dr. Behçet Uz Çocuk Hast. Dergisi 2016; 6(3):174-8. DOI:10.5222/buchd.2016.174
• Gasparyan AY, Ayvazyan L, Mikhailidis DP, Kitas GD. Mean platelet volume: a link between thrombosis and inflammation? Curr Pharm Des. 2011;17(1):47-58. DOI : 10.2174/138161211795049804
• Sandhaus LM, Meyer P. How useful are CBC and reticulocyte reports to clinicians? Am J Clin Pathol 2002;118: 787-93. DOI: 10.1309/CQGG-HY0U-LRKL-GLMP
• Pyo JS, Cho WJ. Mean Platelet Volume, Platelet Distribution Width, and Platelet Count in Varicocele: A Systematic Review and Meta-Analysis. Cell Physiol Biochem. 2016;38(6):2239-46. DOI: 10.1159/000445579.
• Beyazit Y, Sayilir A, Torun S, Suvak B, Yesil Y, Purnak T et al. Mean platelet volume as an indicator of disease severity in patients with acute pancreatitis. Clin Res Hepatol Gastroenterol. 2012;36(2):162-8. DOI: 10.1016/j.clinre.2011.10.003
• Yüksel O, Helvaci K, Başar O, Köklü S, Caner S, Helvaci N et al. An overlooked indicator of disease activity in ulcerative colitis: mean platelet volume. Platelets. 2009;20(4):277-81. DOI: 10.1080/09537100902856781.
• İncebıyık A, Uyanıkoğlu H. Is there a role mean platelet volume in the diagnosis of patients with adnexal torsion? Dicle Medical Journal 2017;44 (4) : 333-7 DOI: 10.5798/dicletip.362315
• Köleli I. Mean Platelet Volume in Early Diagnosis of Adnexal Torsion. Balkan Med J. 2015 ;32(4):410-3. DOI: 10.5152/balkanmedj.2015.151092
• Albayrak Y, Albayrak A, Albayrak F, Yildirim R, Aylu B, Uyanik A et al. Mean platelet volume: a new predictor in confirming acute appendicitis diagnosis. Clin Appl Thromb Hemost. 2011;17(4):362-6. DOI: 10.1177/1076029610364520
• Bilici S, Sekmenli T, Göksu M, Melek M, Avci V. Mean platelet volume in diagnosis of acute appendicitis in children. Afr Health Sci. 2011;11(3):427-32.