Importance of hemogram parameters for predicting uterine scar dehiscence

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY
Yıldız Akdaş Reis, Erol Nadi Varlı, Sadullah Özkan, Murat Levent Dereli, Arife Akay, Harun Egemen Tolunay, Yaprak Engin Üstün
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引用次数: 0

Abstract

Objective: The pathophysiology of uterine scar dehiscence is not yet clear. The aim of this study was to investigate whether preoperative hemogram parameters can be used as predictive markers of uterine scar dehiscence, thus improving prediction and contributing to management of repeat Cesarean section.

Material and methods: Between 2015 and 2020, 36670 (47.6%) cesarean sections were delivered in our hospital and 16943 of them had a previous Cesarean section. All cases of uterine scar rupture detected during Cesarean section were identified, and a total of 40 patients were included after excluding cases with impairment of the systemic inflammatory response (SIR). Controls consisted of 40 randomly selected, age-and body mass index (BMI)-matched patients, and the groups were compared.

Results: Age, BMI, and gravidity were similar (p>0.05). Although the gestational week and Apgar scores were similar between the groups (p>0.05), the birth weight amongst controls was significantly higher than the uterine dehiscence group (p=0.028). Platelet-to-lymphocyte ratio, neutrophil-to-lymphocyte ratio, and other hemogram values were similar in both groups (p>0.05). Mean platelet volume (MPV) in the control group was significantly higher than in the uterine rupture group (p=0.049). Regression analysis found no significant result between hemogram parameters, birth weight, and dehiscence.

Conclusion: In this study, which set out to identify predictors of the risk of uterine scar dehiscence with SIR parameters, only the MPV value was lower in the dehiscence group.

血象参数对预测子宫瘢痕脱落的重要性。
目的:子宫瘢痕裂开的病理生理学尚未揭示。本研究旨在探讨术前血象参数是否可以作为子宫瘢痕裂开的预测标志,从而提高预测能力,并有助于管理重复剖宫产。材料和方法:2015年至2020年间,我院共剖宫产36670例(47.6%),其中16943例曾剖宫产。对剖宫产期间发现的所有子宫瘢痕破裂病例进行了测定,共有40名患者被纳入可能损害全身炎症反应(SIR)的排除标准。此外,40名年龄和BMI匹配的患者被随机分配到对照组,并对各组进行比较。结果:年龄、BMI和妊娠率相似(p>0.05)。尽管两组之间的孕周和Apgar评分相似(p>0.05),但对照组的出生体重显著高于子宫裂开组(p=0.028),两组的其他血象值相似(p>0.05)。对照组的MPV显著高于子宫破裂组(p=0.049)。回归分析发现血象参数、出生体重和裂开之间没有显著结果。结论:本研究试图用SIR参数预测子宫瘢痕裂开的风险,但只有裂开组的MPV值较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
56
期刊介绍: Journal of the Turkish-German Gynecological Association is the official, open access publication of the Turkish-German Gynecological Education and Research Foundation and Turkish-German Gynecological Association and is published quarterly on March, June, September and December. It is an independent peer-reviewed international journal printed in English language. Manuscripts are reviewed in accordance with “double-blind peer review” process for both reviewers and authors. The target audience of Journal of the Turkish-German Gynecological Association includes gynecologists and primary care physicians interested in gynecology practice. It publishes original works on all aspects of obstertrics and gynecology. The aim of Journal of the Turkish-German Gynecological Association is to publish high quality original research articles. In addition to research articles, reviews, editorials, letters to the editor, diagnostic puzzle are also published. Suggestions for new books are also welcomed. Journal of the Turkish-German Gynecological Association does not charge any fee for article submission or processing.
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