Predictive Value of Neutrophil/Lymphocyte Ratios in the Diagnosis of Acute Appendicitis

Muhammet AKYÜZ, Şadi Yenel İSAOĞULLARI, Bahadır ÖZ, Uğur TOPAL, Erdoğan Mütevelli SÖZÜER, Mustafa GÖK

Abstract

Objective: The debate on the value of laboratory tests in the diagnosis of acute appendicitis (AA) continues. In this study, we aimed toevaluate the blood count parameters and the diagnostic value of neutrophil/lymphocyte ratio in the diagnosis of acute appendicitis.Method: 851 patients who underwent appendectomy under emergency conditions were included in the study. Patients were divided into 2groups; Group 1 was negative appendectomy and Group 2 was acute appendicitis. In addition, they were divided into subgroups as 18-39years, 40-59 years, and 60 years and older. Neutrophil, platelet, lymphocyte count and Neutrophil/lymphocyte ratio were compared in groupsand subgroups.Results: There were 146 patients (17.1%) in Group 1 (negative appendectomy group) and 705 patients (82.9%) in Group 2 (acute appendicitisgroup). Male sex was dominant in Group 2 (p=0.049). Neutrophil count and neutrophil / lymphocyte ratio (NLR) were higher in Group 2(p

Özet

Amaç: Bu çalışmada akut apandisit tanısı koymada kan sayımı parametreleri ve nötrofil/lenfosit oranının tanısal değerini değerlendirmeyi amaçladık. Yöntem: Acil şartlarda appendektomi yapılan 851 hasta çalışmaya dahil edildi. Postoperatif patoloji bulhusuna göre hastalar Grup 1 negatif appendektomi; Grup 2 akut apandisit olmak üzere iki gruba ayrıldı. Ayrıca 18-39, 40-59, 60 yaş ve üstü olmak üzere subgruplara ayrıldı. Nötrofil, platelet, lenfosit sayısı ve Nötrofil/lenfosit oranı gruplarda ve subgruplarda karşılaştırıldı. p