Akut apandisit hastalarında ortalama trombosit volümü (MPV) ve trombosit dağılım genişliği (PDW) düzeylerinin tanısal değeri
Loading...
Date
2021-11-19
Authors
Tortum, Fatma
Bayramoğlu, Atıf
Journal Title
Journal ISSN
Volume Title
Publisher
Bursa Uludağ Üniversitesi
Abstract
Bu çalışmada, acil servise karın ağrısı şikayetiyle başvuran, AA tanısı ile opere olan hastalar ile cerrahi tedavi yapılmadan taburcu edilen hastaların ayırıcı tanısında MPV ve PDW parametrelerinin rolü araştırılması amaçlanmıştır. AA tanısıyla yatırılan hastalar retrospektif olarak incelendi. Apendektomi olan ve patoloji raporları AA ile uyumlu olan hastalar AA (+), apendektomi olmayıp medikal tedavi sonr ası taburcu edilen hastalar AA (-) olarak gruplandırıldı. Hastaların, acil servise başvuru anındaki hemogram sonuçlarına elektronik hasta dosyalarından ulaşıldı. Verilerin istatistiği SPSS 20 paket programı ile yapıldı. Değerlendirilen hastaların (1061) %46.6’sı kadın (494), %53.4’ü (567) erkekti. Hastaların %83.6’sı (888) AA (+), %16.2’si (173) AA (-) grubundadır. Hastaların AA (+) gruptaki yaş ortalaması (35±16), AA (-) gruptaki yaş ortalamaları (35±16) bulundu. MPV değerleri her iki grupta da referans değerler aralığında ve her iki grup arası nda MPV değer- leri arasında anlamlı bir fark yoktu (P=0.717). PDW değerleri AA (+) hasta grubunda istatistiksel olarak anlamlı olup, düşük bulundu (P<0.05). AA (+) hasta grubu ile AA ( -) hasta grubunu birbirinden ayırmak için MPV’nin anlamsız olduğu görüldü. PDW değerleri AA (+) hasta grubunda düşük ve istatistiksel olarak anlamlı bulundu.
We aimed investigation of the role of MPV and PDW parameters in the differential diagnosis of patients who admitted to the emergency department with the complaint of abdominal pain, patients who were operated with the diagnosis of AA, and patients who were discharged without surgical treatment. Patients hospitalized with an AA diagnosis were analyzed retrospectively. Patients who underwent appendectomy and whose pathology reports were consistent with AA were grouped as AA (+), while patients who did not u ndergo appendectomy and were discharged after medical treatment were grouped as AA (-). The patients' first hemogram parameters at the emergency service were acquired from their electronic patient files. Statistical analysis of the data was performed using the SPSS 20 package software. Of the eveluated pa- tients, %83.6 (888) were in the AA (+) group, while %16.2 (173) were in the AA ( -) group. Of the evaluated patients, %46.6 (494) were female, and %53.4 (567) were male. The mean age of the patients in the AA (+) group (35±16) and the mean age in the AA (-) group (35±16) were found. There was no significant difference in MPV values between the two groups (P=0.717). PDW values were stati stically significant and lower in the AA (+) patient group (P<0.05). MPV was found to be insignificant in differentiating between the AA (+) patients and the AA (-) patients. In the AA (+) patient group, PDW values were lower and statistically significant.
We aimed investigation of the role of MPV and PDW parameters in the differential diagnosis of patients who admitted to the emergency department with the complaint of abdominal pain, patients who were operated with the diagnosis of AA, and patients who were discharged without surgical treatment. Patients hospitalized with an AA diagnosis were analyzed retrospectively. Patients who underwent appendectomy and whose pathology reports were consistent with AA were grouped as AA (+), while patients who did not u ndergo appendectomy and were discharged after medical treatment were grouped as AA (-). The patients' first hemogram parameters at the emergency service were acquired from their electronic patient files. Statistical analysis of the data was performed using the SPSS 20 package software. Of the eveluated pa- tients, %83.6 (888) were in the AA (+) group, while %16.2 (173) were in the AA ( -) group. Of the evaluated patients, %46.6 (494) were female, and %53.4 (567) were male. The mean age of the patients in the AA (+) group (35±16) and the mean age in the AA (-) group (35±16) were found. There was no significant difference in MPV values between the two groups (P=0.717). PDW values were stati stically significant and lower in the AA (+) patient group (P<0.05). MPV was found to be insignificant in differentiating between the AA (+) patients and the AA (-) patients. In the AA (+) patient group, PDW values were lower and statistically significant.
Description
Keywords
Akut apandisit, Akut batın, Ortalama trombosit volümü, Trombosit dağılım genişliği, Acute appendicitis, Acute abdomen, Mean platelet volüme, The platelet distribution width
Citation
Tortum, F. ve Bayramoğlu, A. (2021). "Akut apandisit hastalarında ortalama trombosit volümü (MPV) ve trombosit dağılım genişliği (PDW) düzeylerinin tanısal değeri". Uludağ Üniversitesi Tıp Fakültesi Dergisi, 47(3), 399-403.