Komplike apandisitler ile lökosit sayısı arasında herhangi bir ilişki var mı?
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Tarih
2016
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info:eu-repo/semantics/openAccess
Özet
Öz:Amaç: Komplike apandisitlerde lökosit sayısının inflamasyonun şiddetine göre arttığını göstermeyi amaçladık. Gereç ve Yöntem: Prospektif çalışmaya apandektomi yapılan 174 hasta dahil edildi. Hasta onamları alındı. Apandisit tipleri; apandisit olmayan, non-komplike apandisit ve komplike apandisit şeklinde guruplandırıldı. Lökosit sayısı ise; 6000/uL ve altında olan (L1), 600112000/uL (L2), 12001-16000/uL (L3) ve 16001/uL'den büyük (L4) şeklinde gruplandırıldı. Apandisit tipleri lökosit sayılarıyla karşılaştırıldı. P<0,05 değeri anlamlı kabul edildi. Bulgular: Toplam 174 hasta prospektif olarak değerlendirildi. Hasta sayıları sırasıyla Apandisit olmayan 15 (%8,62), non-komplike apandisit olan 135 (%77,58) ve komplike apandisit olan 24'tü (%13,79). L1'de 4 (%2,29), L2'de 78 (%44,82), L3'de 43 (%24,71) ve L4grubunda 49 (%28,16) hasta bulunuyordu. Akut apandisit tanısında lökosit sayısı duyarlılığı %69,7 ve özgüllüğü %80 idi. Komplike apandisitler ile lökosit grupları karşılaştırıldı. L1grubunda komplike apandisit sayısı 0 (%0) iken, L2'de 6 (%7,69), L3'te 8 (%18,60), L4'te 10 (%20,40) bulundu. Komplike apandisitlerle lökosit sayısı artışı arasında anlamlı bir ilişki vardı (P<0,03). Sonuç: Erişkin hastalardaki apandiks inflamasyon şiddetinin belirlenmesinde, lökosit sayısının da değerli olduğu kanısına vardık.
Abstract:Aim: We aim to show the increasing in leucocyte count according to severity of inflammation in complicated appendicitis. Materials and Methods: 174 patients who had appendectomy were included in this prospective study. Patient consents were taken. Types of appendicitis were categorized as negative appendicitis, non-complicated appendicitis, and complicated appendicitis. Groups were formed according to leucocyte count as 6000/uL and below (L1), 600112000/ uL (L2), 12001-16000 /uL (L3), and 16001/ uL and higher (L4). Types of appendicitis were compared with leucocyte counts. P <0,05 value was considered positive. Results: All 174 patients were evaluated prospectively. Number of negative appendicitis was 15 (8,62%), non-complicated appendicitis was 135 (77,58%), and complicated appendicitis was 24 (13,79%). There were 4 patients (2,29%) in L1 group, 78 patients (44,82%) in L2, 43 patients (24,71%) in L3, and 49 patients (28,16%) in L4. The sensitivity and specificityof leucocyte counts were 69,7% and 80% in diagnosis of acute appendicitis. Complicated appendicitis cases were compared with leucocyte groups. Complicated appendicitis count was 0 (0%) in L1 group, 6 (7,69%) in L, 8 (18,60%) in L3, and 10 (20,40%) in L4. There was a positive relationship between complicated appendicitis and increasing in leucocyte count (P<0,03). Conclusion: We have concluded that leucocyte count can be helpful in detecting severity of appendix inflammation in adults.
Abstract:Aim: We aim to show the increasing in leucocyte count according to severity of inflammation in complicated appendicitis. Materials and Methods: 174 patients who had appendectomy were included in this prospective study. Patient consents were taken. Types of appendicitis were categorized as negative appendicitis, non-complicated appendicitis, and complicated appendicitis. Groups were formed according to leucocyte count as 6000/uL and below (L1), 600112000/ uL (L2), 12001-16000 /uL (L3), and 16001/ uL and higher (L4). Types of appendicitis were compared with leucocyte counts. P <0,05 value was considered positive. Results: All 174 patients were evaluated prospectively. Number of negative appendicitis was 15 (8,62%), non-complicated appendicitis was 135 (77,58%), and complicated appendicitis was 24 (13,79%). There were 4 patients (2,29%) in L1 group, 78 patients (44,82%) in L2, 43 patients (24,71%) in L3, and 49 patients (28,16%) in L4. The sensitivity and specificityof leucocyte counts were 69,7% and 80% in diagnosis of acute appendicitis. Complicated appendicitis cases were compared with leucocyte groups. Complicated appendicitis count was 0 (0%) in L1 group, 6 (7,69%) in L, 8 (18,60%) in L3, and 10 (20,40%) in L4. There was a positive relationship between complicated appendicitis and increasing in leucocyte count (P<0,03). Conclusion: We have concluded that leucocyte count can be helpful in detecting severity of appendix inflammation in adults.
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İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi
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KANLIÖZ M,EKİCİ U,TATLI F,KARATAŞ T,İNAN T (2016). Komplike apandisitler ile lökosit sayısı arasında herhangi bir ilişki var mı?. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 23(2), 152 - 155.
