ALVARDO SCORE AND COMPUTED TOMOGRAPHY FOR PREVENT FROM NEGATIVE APPENDECTOMY

Öz

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.

Anahtar Kelimeler

• Appandicitis
• Alvarado Score
• computed tomograpy

NEGATİF APPENDEKTOMİYİ ÖNLEMEDE ALVARADO SKORU VE BİLGİSAYARLI TOMOGRAFİ

Öz

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.

Anahtar Kelimeler

• Apandisit
• Alvarado Skoru
• Bilgisayarlı tomografi

Kaynakça

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