Adneksiyal Torsiyonlu Hastaların Tanısında Mean Platelet Volümün Rolü Var mıdır?

Is there a role mean platelet volume in the diagnosis of patients with adnexal torsion?

Özet

Amaç: Bu çalışmada amacımız adneksiyal torsiyonlu hastalara tanı koymada mean platelet volümün (MPV) diagnostik değerini araştırmaktır

Abstract

Objectives: Our aim in this study was to investigate whether mean platelet volume (MPV) value could be used as an early marker to predict adnexal torsion. Methods: A total of 21 patients with adnexal torsion were retrospectively included in the study. The control group consisted of 25 women who applied to the clinic for a routine gynaecological checkup. Owing to the fact that it would affect thrombocyte function, women who have the following conditions were excluded from the study: women who were taking anticoagulant therapy, oral contraceptives, nonsteroid anti-inflammatory medications and who had chronic diseases. The leukocyte count, platelet count, neutrophil ratio and MPV values were collected from adnexal torsion and the control group. Results: MPV values in patients with adnexal torsion were lower than those in the control group. While the MPV values of 18 patients in the adnexal torsion group were lower than normal, in the control group only 4 patients had values lower than normal. This reduction in MPV is statistically significant when the adnexal torsion group is compared with the control group (p<0.011). There was a negative correlation between platelet count and MPV values. That is to say, as the platelet count increased, MPV values decreased (p=0.022, r=-0.397). Conclusion: The morbidity increases with adnexal torsion when the delay in diagnosis and treatment. Since the MPV value was significantly decreased in patients with adnexal torsion, it may serve as an additional and valuable marker in the diagnosis of adnexal torsion.