SavedAdd your journal

Journals / GORM:Gynecology Obstetrics & Reproductive Medicine / 2015 / Cilt: 21 - Sayı: 3

Nötrofil Lenfosit Oranı Trombosit Lenfosit Oranı ve Ortalama Trombosit Hacmi: Pelvik Enflamatuvar Hastalık Tanısında Hangisi Daha Prediktif?

Neutrophil Lymphocyte Ratio, Platelet Lymphocyte Ratio and Mean Platelet Volume; which one is More Predictive in the Diagnosis of Pelvic Inflammatory Disease?

Kerem DOĞA SEÇKİN
MEHMET FATİH KARSLI
Burak YÜCEL
Burak ÖZKÖSE
Doğukan YILDIRIM
Berna ASLAN ÇETİN
Halil ASLAN
Pages
150–154
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It was concluded thatNLR could be used in addition to other CBC parameters for the diagnosis of PID

📌 3 Key Takeaways

🎯
Objective & Hypothesis:OBJECTIVE: In the present study, we aimed to assess and compare the utility of complete blood count(CBC) parameters and C-reactive protein (CRP) in the diagnosis of pelvic inflammatory disease (PID).
📊
Key Findings & Data:STUDY DESIGN: Sixty-six patients diagnosed with PID, and 200 healthy control subjects were includedin this case-control study.
💡
Conclusion & Impact:It was concluded thatNLR could be used in addition to other CBC parameters for the diagnosis of PID
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

OBJECTIVE: In the present study, we aimed to assess and compare the utility of complete blood count(CBC) parameters and C-reactive protein (CRP) in the diagnosis of pelvic inflammatory disease (PID). STUDY DESIGN: Sixty-six patients diagnosed with PID, and 200 healthy control subjects were includedin this case-control study. The groups were compared in terms of demographic properties such as age,parity, body mass index (BMI), hemoglobin value, neutrophil count, platelet count, neutrophil/ lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), mean platelet volume (MPV) and CRP. RESULTS: The groups were similar in terms of age, parity, BMI, hemoglobin and platelet count values(p>0.05). Neutrophil counts, CRP values, NLR and PLR were significantly higher and the MPV valueswere significantly lower in the study group (p<0.05). The parameter with highest sensitivity and specificity was NLR, which had similar diagnostic sensitivity and specificity as CRP.CONCLUSIONS: While the most commonly used laboratory tests for the diagnosis of PID are WBC,neutrophil and CRP, NLR should be considered as an even more sensitive marker. It was concluded thatNLR could be used in addition to other CBC parameters for the diagnosis of PID

Özet

AMAÇ: Bu çalışmada amacımız pelvik enflamatuvar hastalık (PID) teşhisinde, tam kan ve C-reaktif protein (CRP) parametrelerini kullanarak hangi parametrenin teşhis açısından daha faydalı olduğunun tespit edilmesidir. GEREÇ VE YÖNTEM: Bu vaka kontrol çalışmasına PID tanısı konularak yatırılmış 66 hasta ve sağlıklı 200 kadın dahil edildi. Gruplar, demografik özellikler (yaş, parite, vücut kitle indeksi), hemoglobin değerleri, nötrofil, platelet sayısı, Nötrofil/ lenfosit oranı (NLR), Platelet/lenfosit oranı (PLR), Mean platelet volüm (MPV) ve CRP düzeyleri açısından karşılaştırılmıştır. BULGULAR: Gruplar arasında yaş, parite, vücut kitle indeksi, hemoglobin ve platelet sayıları açısından anlamlı farklılık saptanmadı (p>0,05). Çalışma grubundaki hastaların nötrofil sayı- sı, CRP düzeyleri, NLR oranı ve PLR oranı kontrol grubuna gö- re anlamlı olarak yüksek bulunmuşken, MPV düzeyleri düşük olarak tespit edildi (p<0,05). Sensitivite ve spesifitesi en yüksek olarak bulunan parametre ise CRP'ye çok yakın değerlerle NLR oranıydı. SONUÇ: PID tanısında en sık kullanılan kan testleri WBC, nötrofil sayısı ve CRP iken, yine bir tam kan parametresi olan NLR'nin enflamatuvar yanıtta rol aldığı ve CRP gibi bir enfeksiyon markerına yakın spesifite ve sensitivitesi olan NLR'nin PID tanısında diğer tam kan parametrelerinin önüne geçebileceği gösterilmiştir.

🔖

Cite This Article

SEÇKİN, K. D., KARSLI, M. F., YÜCEL, B., ÖZKÖSE, B., YILDIRIM, D., ÇETİN, B. A., ASLAN, H. (2015). Nötrofil Lenfosit Oranı Trombosit Lenfosit Oranı ve Ortalama Trombosit Hacmi: Pelvik Enflamatuvar Hastalık Tanısında Hangisi Daha Prediktif?. GORM:Gynecology Obstetrics & Reproductive Medicine, Cilt: 21 - Sayı: 3, 150–154. https://ajindex.com/articles/198355

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Whiteman MK, Kuklina E, Jamieson DJ, Hillis SD, Marchbanks PA. Inpatient hospitalization for gynecologic disorders in the United States. Am J Obstet Gynecol 2010;202(6):541 e1-6. Loscalzo J, Andreoli TE, Cecil RL, Carpenter CA, Griggs RC. Cecil Essentials of Medicine. Philadelphia: W.B. Saunders 2001. Quan M. Pelvic inflammatory disease: diagnosis and man- agement. J Am Board Fam Pract 1994;7(2):110-23. Gradison M. Pelvic inflammatory disease. Am Fam Physician 2012;85(8):791-6.
  2. Romosan G, Valentin L. The sensitivity and specificity of transvaginal ultrasound with regard to acute pelvic in- flammatory disease: a review of the literature. Arch Gynecol Obstet 2014;289(4):705-14.
  3. Gaitan H, Angel E, Diaz R, Parada A, Sanchez L, Vargas C. Accuracy of five different diagnostic techniques in mild-to-moderate pelvic inflammatory disease. Infect Dis Obstet Gynecol 2002;10(4):171-80.
  4. Peipert JF, Boardman L, Hogan JW, Sung J, Mayer KH. Laboratory evaluation of acute upper genital tract infec- tion. Obstet Gynecol 1996;87(5 Pt 1):730-6.
  5. Hemila M, Henriksson L, Ylikorkala O. Serum CRP in the diagnosis and treatment of pelvic inflammatory disease. Arch Gynecol Obstet 1987;241(3):177-82.
  6. Mitchell C, Prabhu M. Pelvic inflammatory disease: cur- rent concepts in pathogenesis, diagnosis and treatment. Infect Dis Clin North Am 2013;27(4):793-809.
  7. Beyazit Y, Sayilir A, Torun S, 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.
  8. Seker A, Incebiyik A, Kucuk A. Mean platelet volume in patients with acute and chronic cholecystitis. Acta Med Mediter 2013;29:515-9.
  9. Incebiyik A, Seker A, Vural M, Gul Hilali N, Camuzcuoglu A, Camuzcuoglu H. May mean platelet vol- ume levels be a predictor in the diagnosis of pelvic in- flammatory disease? Wien Klin Wochenschr 2014;126 (13-14):422-6.
  10. Kopuz A, Turan V, Ozcan A, Kopuz Y, Toz E, Kurt S. A novel marker for the assesment of the treatment result in pelvic inflammatory disease. Minerva Ginecol 2014.
  11. Ozer S, Yilmaz R, Sonmezgoz E, et al. Simple markers for subclinical inflammation in patients with Familial Mediterranean Fever. Med Sci Monit 2015;21:298-303.
  12. Boyraz I, Koc B, Boyaci A, Tutoglu A, Sarman H, Ozkan H. Ratio of neutrophil/lymphocyte and platelet/lympho- cyte in patient with ankylosing spondylitis that are treat- ing with anti-TNF. Int J Clin Exp Med 2014;7(9):2912-5.
  13. Workowski KA, Berman S. Centers for Disease Control and Prevention (C