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Journals / Perinatoloji Dergisi / 2017 / Cilt: 25 - Sayı: 1

A new marker for the prediction of mean platelet volume, placenta previa and placental invasion anomalies

Ortalama trombosit hacmi, plasenta previa ve plasenta invazyon anomalilerini öngörmede yeni bir belirteç

Oya SOYLU KARAPINAR
İlay GÖZÜKARA
Ali Ulvi HAKVERDİ
Arif GÜNGÖREN
Pages
32–37
DOI
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AI Summary & Key Takeaways

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

Among these parameters, MPV seems to be the most potent predictor.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study is to evaluate the relationship between some parameters of complete blood count and placenta previa and placental invasion anomalies.
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Key Findings & Data:Methods: In this study, 70 cases with placenta previa and 70 control cases who admitted to the Department of Obstetrics and Gynecology of Mustafa Kemal University between September 2015 and December 2016 were reviewed retrospectively.
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Conclusion & Impact:Among these parameters, MPV seems to be the most potent predictor.
🔬Design:Review & Systematic Survey
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study is to evaluate the relationship between some parameters of complete blood count and placenta previa and placental invasion anomalies. Methods: In this study, 70 cases with placenta previa and 70 control cases who admitted to the Department of Obstetrics and Gynecology of Mustafa Kemal University between September 2015 and December 2016 were reviewed retrospectively. The sociodemographic data and the numbers of previous cesarean section of the patients were recorded. Before the cesarean section, the counts of preoperative lymphocyte, neutrophil and platelet, mean platelet volume (MPV), neutrophil/lymphocyte rate, platelet/lymphocyte rate, and hemoglobin and hematocrit values were recorded. It was analyzed whether these parameters were able to predict placenta previa and placental invasion anomalies or not. Results: There was no difference between two groups in terms of sociodemographic (age, gravida, parity, living fetus and the number of previous cesarean section) data. The week of gestation during delivery and birth weight were significantly low in placenta previa group. Postoperative hemoglobin and hematocrit values were also significantly low in previa group. Considering the complete blood parameters, MPV was significantly low in previa group (p=0.042). Placental invasion anomaly was confirmed histopathologically in 24 of 27 cases in previa group who underwent cesarean hysterectomy. When the group with invasion anomaly was compared to the control group, MPV was also significantly low (p=0.047). Conclusion: In addition to the ultrasound images, simple blood count parameters can be used to confirm placenta previa and placental invasion anomalies in particular. Among these parameters, MPV seems to be the most potent predictor.

Özet

Amaç: Bu çalışmanın amacı bazı tam kan say›m› parametreleri ile plasenta previa ve plasenta yapışma anomalileri arasındaki ilişkiyi değerlendirmektir. Yöntem: Bu çalışmada Eylül 2015 – Aral›k 2016 tarihleri arasında Mustafa Kemal Üniversitesi Kadın Hastalıkları ve Doğum Kliniği’ne başvuran 70 plasenta previa ve 70 kontrol olgusu retrospektif olarak tarandı. Hastaların sosyodemografik özellikleri, önceki sezaryen sayıları kaydedildi. Sezaryen öncesi tüm olguların preoperatif lenfosit sayısı, nötrofil sayısı, trombosit sayısı, ortalama trombosit hacmi (MPV), nötrofil/lenfosit oranı, trombosit/lenfosit oran›, hemoglobin ve hematokrit değerleri kaydedildi. Bu parametrelerin plasenta previa ve plasenta yapışma anomalilerini öngörüp öngöremeyeceği analiz edildi. Bulgular: Her iki grupta olguların sosyodemografik (yaş, gravida, parite, yaşayan, geçirilmiş sezaryen sayısı) verileri açısından fark yoktu. Doğumdaki gestasyonel yaş ve doğum ağrıları plasenta previa grubunda anlamlı düflük bulundu. Postoperatif hemoglobin ve hematokrit değerleri previa grubunda anlamlı düflük idi. Tam kan parametrelerine bakıldığında previa grubunda MPV anlamlı düflük bulundu (p=0.042). Previa grubundaki sezaryen histerektomi uygulanan 27 olgunun 24 tanesinde histopatolojik olarak plasenta invazyon anomalisi konfirme edildi. ınvazyon anomalisi olan grup ile kontrol grubu karşılandığında MPV yine anlamlı düşük bulundu (p=0.047). Sonuç: Sonografik görüntülere ek olarak basit kan sayımı parametreleri plasenta previa ve özellikle de plasenta invazyon anomalilerini konfirme etmek için kullanılabilir. Bu parametreler içinde MPV en güçlü prediktör gibi görünmektedir.

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Cite This Article

KARAPINAR, O. S., GÖZÜKARA, İ., HAKVERDİ, A. U., GÜNGÖREN, A. (2017). A new marker for the prediction of mean platelet volume, placenta previa and placental invasion anomalies. Perinatoloji Dergisi, Cilt: 25 - Sayı: 1, 32–37. https://ajindex.com/articles/300326

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