Preoperative Neutrophil Lymphocyte Ratio in Prediction of Adnexal Mass Torsion.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Asmita Ghimire, Sailaja Ghimire, Asmita Shrestha, Samriddha Raj Pant, Nilam Subedi, Padam Raj Pant
{"title":"Preoperative Neutrophil Lymphocyte Ratio in Prediction of Adnexal Mass Torsion.","authors":"Asmita Ghimire,&nbsp;Sailaja Ghimire,&nbsp;Asmita Shrestha,&nbsp;Samriddha Raj Pant,&nbsp;Nilam Subedi,&nbsp;Padam Raj Pant","doi":"10.1155/2023/3585189","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims: </strong>Adnexal torsion commonly affects reproductive age group females. Prompt diagnosis and early management help in the preservation of fertility. However, its diagnosis is challenging. Preoperative diagnosis can be suspected in only 23-66% of the cases and half of the patients operated for adnexal torsion have different diagnosis. This article thus aims to identify the diagnostic value of preoperative neutrophil lymphocyte ratio in adnexal torsion in comparison with other untwisted unruptured ovarian cysts.</p><p><strong>Methods: </strong>This was a retrospective study conducted in the duration of five years from 1st January 2016 to 1st January 2020. The data about demographic parameters, hematological parameters, operative approach, operative technique, and histopathological reports were derived from an electronic database and documented on proforma. SPSS was used for statistical analysis. Logistic regression analysis and influence of each factor on preoperative diagnosis of Adnexal torsion was evaluated.</p><p><strong>Results: </strong>A total of 125 patients were included in the article (adnexal torsion group <i>n</i> = 25, untwisted unruptured ovarian cyst group <i>n</i> = 100). There was no statistically significant difference in comparison to age, parity, and abortion between both groups. Most patients had undergone laparoscopic surgery which was based on surgeon's skill and preference. Nineteen (78%) patients in the adnexal torsion group underwent oophorectomy while infarcted ovary was seen in only 4 cases. Among the blood parameters, only neutrophil-lymphocyte ratio (NLR) >3 was found to be statistically significant under logistic regression analysis. Most common adnexal pathology to undergo torsion was serous cyst.</p><p><strong>Conclusion: </strong>Preoperative neutrophil-lymphocyte ratio can be a predictive marker for diagnosis of adnexal torsion and can differentiate it from untwisted unruptured ovarian cysts.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985499/pdf/","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obstetrics and Gynecology International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2023/3585189","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 2

Abstract

Aims: Adnexal torsion commonly affects reproductive age group females. Prompt diagnosis and early management help in the preservation of fertility. However, its diagnosis is challenging. Preoperative diagnosis can be suspected in only 23-66% of the cases and half of the patients operated for adnexal torsion have different diagnosis. This article thus aims to identify the diagnostic value of preoperative neutrophil lymphocyte ratio in adnexal torsion in comparison with other untwisted unruptured ovarian cysts.

Methods: This was a retrospective study conducted in the duration of five years from 1st January 2016 to 1st January 2020. The data about demographic parameters, hematological parameters, operative approach, operative technique, and histopathological reports were derived from an electronic database and documented on proforma. SPSS was used for statistical analysis. Logistic regression analysis and influence of each factor on preoperative diagnosis of Adnexal torsion was evaluated.

Results: A total of 125 patients were included in the article (adnexal torsion group n = 25, untwisted unruptured ovarian cyst group n = 100). There was no statistically significant difference in comparison to age, parity, and abortion between both groups. Most patients had undergone laparoscopic surgery which was based on surgeon's skill and preference. Nineteen (78%) patients in the adnexal torsion group underwent oophorectomy while infarcted ovary was seen in only 4 cases. Among the blood parameters, only neutrophil-lymphocyte ratio (NLR) >3 was found to be statistically significant under logistic regression analysis. Most common adnexal pathology to undergo torsion was serous cyst.

Conclusion: Preoperative neutrophil-lymphocyte ratio can be a predictive marker for diagnosis of adnexal torsion and can differentiate it from untwisted unruptured ovarian cysts.

Abstract Image

术前中性粒细胞淋巴细胞比例预测附件肿块扭转。
目的:附件扭转常见于育龄女性。及时诊断和早期治疗有助于保留生育能力。然而,它的诊断是具有挑战性的。术前诊断可怀疑的病例仅占23-66%,而手术治疗附件扭转的患者中有一半有不同的诊断。本文旨在探讨术前中性粒细胞淋巴细胞比值对附件扭转的诊断价值,并与其他未扭转未破裂卵巢囊肿进行比较。方法:回顾性研究,时间为2016年1月1日至2020年1月1日,为期5年。有关人口统计学参数、血液学参数、手术入路、手术技术和组织病理学报告的数据来源于电子数据库,并以形式记录。采用SPSS软件进行统计分析。通过Logistic回归分析,评价各因素对术前诊断附件扭转的影响。结果:共纳入125例患者,其中附件扭转组25例,未扭转未破裂卵巢囊肿组100例。两组在年龄、胎次和流产方面无统计学差异。大多数患者都接受了腹腔镜手术,这取决于外科医生的技能和偏好。附件扭转组19例(78%)行卵巢切除术,卵巢梗死仅4例。经logistic回归分析,血液参数中只有中性粒细胞-淋巴细胞比值(NLR) >3有统计学意义。最常见的附件病变是浆液囊肿。结论:术前中性粒细胞/淋巴细胞比值可作为诊断附件扭转的预测指标,并可与未扭转、未破裂的卵巢囊肿相鉴别。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Obstetrics and Gynecology International
Obstetrics and Gynecology International OBSTETRICS & GYNECOLOGY-
CiteScore
3.60
自引率
0.00%
发文量
26
审稿时长
19 weeks
期刊介绍: Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信