The role of the PLR-NLR combination in the prediction of the presence of Helicobacter pylori and its associated complications.

IF 2
Mustafa Kaplan, Ihsan Ates, Mahmut Yuksel, Mehmet F Arikan, Gulden Aydog, Nesrin Turhan, Volkan Gökbulut, Ertugrul Kayacetin
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引用次数: 9

Abstract

Background/aim: The aim of this study was to investigate the role of the platelet-to-lymphocyte ratio (PLR)-neutrophil-to-lymphocyte ratio (NLR) combination, in the prediction of the presence of Helicobacter pylori (HP) and its associated complications in the gastrointestinal system.

Patients and methods: In all, 1289 patients who underwent esophagogastroduodenoscopy and biopsy for HP were included in the study.

Results: The ratio of patients with moderate and severe chronic gastritis was higher in HP (+) group than HP (-) group. The ratio of patients with levels 1-3 atrophy and intestinal metaplasia was higher in HP (+) group. Compared with HP (-) group, HP (+) had higher PLR and NLR levels. The ratio of HP (+) patients was higher in high-risk group compared with low- and medium-risk groups. HP invasion stage, the intestinal metaplasia level, and the ratio of patients with atrophy level "3" were higher in high-risk group compared with low- and medium-risk groups. Regression analysis showed that the PLR-NLR combination was an independent risk factor for both HP presence and moderate and severe chronic gastritis.

Conclusion: We found the PLR-NLR combination to be a good predictor of HP presence and gastrointestinal complications associated with HP.

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PLR-NLR联合在预测幽门螺杆菌及其相关并发症中的作用
背景/目的:本研究的目的是探讨血小板与淋巴细胞比值(PLR)-中性粒细胞与淋巴细胞比值(NLR)组合在预测胃肠道系统中幽门螺杆菌(HP)及其相关并发症中的作用。患者和方法:总共有1289例患者接受了食管胃十二指肠镜检查和HP活检。结果:HP(+)组出现中重度慢性胃炎的比例高于HP(-)组。HP(+)组1-3级萎缩和肠化生的比例较高。与HP(-)组相比,HP(+)组PLR和NLR水平较高。高危组HP(+)患者比例高于中、低危组。高危组HP侵袭期、肠化生水平、萎缩“3”级患者比例高于中、低危组。回归分析显示,PLR-NLR联合是HP存在和中重度慢性胃炎的独立危险因素。结论:我们发现PLR-NLR联合是HP存在和HP相关胃肠道并发症的良好预测指标。
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