Mean platelet volume in early diagnosis of adnexal torsion

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dc.contributor.authorKöleli, Işıl
dc.date.accessioned2020-06-16T09:44:02Z
dc.date.available2020-06-16T09:44:02Z
dc.date.issued2015-10
dc.departmentİnönü Üniversitesien_US
dc.descriptionBALKAN MEDICAL JOURNAL Volume: 32 Issue: 4 Pages: 410-413en_US
dc.description.abstractBackground: Adnexal torsion (AT) is among the gynecological emergencies; more common in reproductive age, if diagnosed late, this can cause ovarian failure and infertility, but rarely thrombophlebitis and peritonitis. Despite these severe complications, preoperative diagnostic tests are not enough for early diagnosis. There are certain pieces of literature on the subject that reveal changes in mean platelet volume (MPV) values occur in inflammatory and ischemic diseases and that these changes have diagnostic and prognostic significance. However, there are no studies investigating this relationship with adnexal torsion. Aims: The aim of the study is to investigate the diagnostic and prognostic significance of the mean platelet volume value in the early diagnosis of patients with adnexal torsion. Study Design: Case-control study. Methods: Pre-operative demographic data, MPV, leukocyte count and neutrophils to lymphocytes (N/L) ratio in the blood samples of 51 patients, who were operated on preliminary adnexal torsion and diagnosed as adnexal torsion with a benign ovarian cyst (AT group) were retrospectively compared with those of 50 patients who were operated upon because of benign ovarian cysts and without torsion (control group) at this hospital between 2006 and 2014. Results: The mean MPV level was found to be 8.1 (7.1-10.7) fL in the AT group and 7.9 (6.6-10.2) fL in the control group; no statistically significant difference was found between the groups (p>0.05). Leukocyte count and N/L ratio in the AT group were, on average, 12x10(3)/mm(3) and 82% respectively and in control group; they were, on average, 7.2x10(3)/mm(3) and 59%, respectively. A statistically significant increase was found in the leukocyte count and N/L ratio of the AT group compared to the control group (p<0.001). The platelet count in the AT group was, on average, 253x10(3)/mm(3) and in the control group it was, on average, 280x10(3)/mm(3); no statistically significant difference was detected between these two groups (p>0.05). No correlation was detected between the MPV, platelet and leukocyte counts. The sensitivity of the leukocytosis to the AT cases was found to be 66.7%, and selectivity was 94%. Conclusion: The AT diagnostic and prognostic importance of MPV value has not been determined in this study.en_US
dc.identifier.citationKöleli, I. Mean Platelet Volume in Early Diagnosis of Adnexal Torsion. (2015). BALKAN MEDICAL JOURNAL.en_US
dc.identifier.doi10.5152/balkanmedj.2015.151092en_US
dc.identifier.endpage413en_US
dc.identifier.issn2146-3123
dc.identifier.issn2146-3131
dc.identifier.issue4en_US
dc.identifier.pmid26740902en_US
dc.identifier.scopus2-s2.0-84943572981en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage410en_US
dc.identifier.trdizinid197567en_US
dc.identifier.urihttps://doi.org/10.5152/balkanmedj.2015.151092
dc.identifier.urihttps://hdl.handle.net/11616/15781
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/197567
dc.identifier.volume32en_US
dc.identifier.wosWOS:000362846400012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGALENOS YAYINCILIK,en_US
dc.relation.ispartofBalkan Medical Journalen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectmean platelet volumeen_US
dc.subjectneutrophils to lymphocytes ratioen_US
dc.subjectAdnexal torsionen_US
dc.subjectleukocytosisen_US
dc.titleMean platelet volume in early diagnosis of adnexal torsionen_US
dc.typeArticleen_US

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