Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy
Yıl: 2018 Cilt: 24 Sayı: 4 Sayfa Aralığı: 333 - 336 Metin Dili: İngilizce DOI: 10.5505/tjtes.2017.23693 İndeks Tarihi: 08-03-2019
Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy
Öz: BACKGROUND: Normal physiologic changes during pregnancy result in similar laboratory and symptomatology changes as thoseduring acute appendicitis (AA), making the diagnosis extremely difficult. The aim of the present study was to analyze the efficacy ofconventional laboratory and radiologic tests in the diagnosis of AA according to different stages of pregnancy.METHODS: Twenty-five pregnant patients with pathologically confirmed AA operated at our department between 2012 and 2017were retrospectively analyzed in terms of changes in conventional laboratory parameters as well as neutrophil-to lymphocyte (NLR)and platelet-to-lymphocyte (PLR) ratios to aid the diagnosis of AA according to different stages of pregnancy.RESULTS: There were no significant changes in C-reactive protein levels, leukocyte and neutrophil counts, and accuracy of ultrasonographybetween patients in the first (group 1) and second + third trimesters (group 2) (p>0.05). Lymphocyte count was significantlylower (p>0.05), whereas NLR and PLR were significantly higher in group 2 (p<0.05).CONCLUSION: Laboratory values change significantly during pregnancy, and NLR and PLR seems to be valuable tools for evaluatingAA in a stage-specific manner in pregnant patients.
Anahtar Kelime: Konular:
Gebeliğin evresine göre ultrasonografi ve laboratuvar testlerin akut apandisit tanısına etkisi
Öz: AMAÇ: Gebelik sürecinde olan fizyolojik değişiklikler akut apandisit semptom bulgular ile benzerlik gösterdiği için tanıyı zorlaştırmaktadır. Bu sebeple gebelik süresince tanıya yardımcı olabilecek özgün radyolojik ve laboratuvar testleri yoktur. Bu çalışmada amacımız gebelik trimesterlerine göre laboratuvar ve radyolojik testlerin hangi evrede daha etkili olduğunu araştırmaktır. GEREÇ VE YÖNTEM: 2012–2017 yılları arasında kliniğimizde ameliyat edilen ve patoloji raporlarıyla onaylı akut apandisit tanısı alan gebe hastaların laboratuvar verilerinden nötrofil lenfosit oranı (NLO), platelet lenfosit oranı (PLO) analiz edilerek gebeliğin hangi evrelerinde daha anlamlı olduğu araştırıldı. BULGULAR: Ortalama yaş 25 (19–38) yıl. Ortalama gebelik haftası 17 (6–31) ortalama lenfosit sayısı 12.4 (6.3–22.4) hücre/m3 ultrasonografi %60 hastada apandisit ile uyumlu bulgular saptandı. Lenfosit sayıları, C-reaktif protein değerleri, nötrofil sayıları ve ultrasonografi değerleri açısından 1. tirmester (grup 1) ve 2 ve 3 üncü trimester (grup 2) hastalar arasında anlamlı bir fark saptanmadı (p>0.05). Lenfosit sayısı grup 2’de belirgin düşük izlendi (p>0.05). Nötrofil lenfosit oranı ve PLO oranları grup 2’de belirgin yüksek izlendi (p<0.05). TARTIŞMA: Gebelik süresince önemli laboratuvar değişiklikleri olmaktadır. Nötrofil lenfosit oranı ve PLO akut apandisit değerlendirmesinde ve gebeliğin evresine göre tanıya kolay ulaşmak için önem kazanmaktadır.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | BAŞKIRAN A, ince v, Çiçek E, ŞAHİN T, Dirican A, BALIKÇI ÇİÇEK İ, IŞIK B, YILMAZ S (2018). Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy. , 333 - 336. 10.5505/tjtes.2017.23693 |
| Chicago | BAŞKIRAN ADİL,ince volkan,Çiçek Egemen,ŞAHİN TEVFİK TOLGA,Dirican Abuzer,BALIKÇI ÇİÇEK İPEK,IŞIK Burak,YILMAZ Sezai Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy. (2018): 333 - 336. 10.5505/tjtes.2017.23693 |
| MLA | BAŞKIRAN ADİL,ince volkan,Çiçek Egemen,ŞAHİN TEVFİK TOLGA,Dirican Abuzer,BALIKÇI ÇİÇEK İPEK,IŞIK Burak,YILMAZ Sezai Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy. , 2018, ss.333 - 336. 10.5505/tjtes.2017.23693 |
| AMA | BAŞKIRAN A,ince v,Çiçek E,ŞAHİN T,Dirican A,BALIKÇI ÇİÇEK İ,IŞIK B,YILMAZ S Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy. . 2018; 333 - 336. 10.5505/tjtes.2017.23693 |
| Vancouver | BAŞKIRAN A,ince v,Çiçek E,ŞAHİN T,Dirican A,BALIKÇI ÇİÇEK İ,IŞIK B,YILMAZ S Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy. . 2018; 333 - 336. 10.5505/tjtes.2017.23693 |
| IEEE | BAŞKIRAN A,ince v,Çiçek E,ŞAHİN T,Dirican A,BALIKÇI ÇİÇEK İ,IŞIK B,YILMAZ S "Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy." , ss.333 - 336, 2018. 10.5505/tjtes.2017.23693 |
| ISNAD | BAŞKIRAN, ADİL vd. "Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy". (2018), 333-336. https://doi.org/10.5505/tjtes.2017.23693 |
| APA | BAŞKIRAN A, ince v, Çiçek E, ŞAHİN T, Dirican A, BALIKÇI ÇİÇEK İ, IŞIK B, YILMAZ S (2018). Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy. Ulusal Travma ve Acil Cerrahi Dergisi, 24(4), 333 - 336. 10.5505/tjtes.2017.23693 |
| Chicago | BAŞKIRAN ADİL,ince volkan,Çiçek Egemen,ŞAHİN TEVFİK TOLGA,Dirican Abuzer,BALIKÇI ÇİÇEK İPEK,IŞIK Burak,YILMAZ Sezai Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy. Ulusal Travma ve Acil Cerrahi Dergisi 24, no.4 (2018): 333 - 336. 10.5505/tjtes.2017.23693 |
| MLA | BAŞKIRAN ADİL,ince volkan,Çiçek Egemen,ŞAHİN TEVFİK TOLGA,Dirican Abuzer,BALIKÇI ÇİÇEK İPEK,IŞIK Burak,YILMAZ Sezai Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy. Ulusal Travma ve Acil Cerrahi Dergisi, vol.24, no.4, 2018, ss.333 - 336. 10.5505/tjtes.2017.23693 |
| AMA | BAŞKIRAN A,ince v,Çiçek E,ŞAHİN T,Dirican A,BALIKÇI ÇİÇEK İ,IŞIK B,YILMAZ S Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(4): 333 - 336. 10.5505/tjtes.2017.23693 |
| Vancouver | BAŞKIRAN A,ince v,Çiçek E,ŞAHİN T,Dirican A,BALIKÇI ÇİÇEK İ,IŞIK B,YILMAZ S Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(4): 333 - 336. 10.5505/tjtes.2017.23693 |
| IEEE | BAŞKIRAN A,ince v,Çiçek E,ŞAHİN T,Dirican A,BALIKÇI ÇİÇEK İ,IŞIK B,YILMAZ S "Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy." Ulusal Travma ve Acil Cerrahi Dergisi, 24, ss.333 - 336, 2018. 10.5505/tjtes.2017.23693 |
| ISNAD | BAŞKIRAN, ADİL vd. "Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy". Ulusal Travma ve Acil Cerrahi Dergisi 24/4 (2018), 333-336. https://doi.org/10.5505/tjtes.2017.23693 |
