The Role of Neutrophil/Lymphocyte Ratio in Ovarian Torsions

Authors : Musa Büyük, Nagihan Karacar Büyük, Kamuran Suman, Ebru Gök, Murat Suman, Havva Kuşcu

Pages : 170-174

Doi:10.33631/sabd.1294713

View : 58 | Download : 85

Publication Date : 2024-05-22

Article Type : Research Paper

Abstract :Aim: Ovarian torsion is among the gynecological emergencies. Laboratory and imaging methods are used for diagnosis. Symptoms are generally nonspecific, making it difficult to differentiate from other acute abdominal emergencies. This study aims to investigate the diagnostic value of neutrophil-lymphocyte ratio (NLR) in addition to imaging methods for the diagnosis of ovarian torsion. Material and Methods: A total of 120 patients were included in the study. The study was planned retrospectively. The patients included in the study were analyzed in three different groups. Those with follicular cysts were in Group 1, those with simple cysts were in Group 2, and those with ovarian torsion were in Group 3. The groups were compared in terms of laboratory parameters and demographic characteristics. Results: When the groups were compared in terms of mean age, it was found that the mean age of Group 3 was significantly lower than Group 1 (p<0.05). When the WBC and NLR levels between the groups were compared, it was observed that the WBC and NLR levels of Group 3 were significantly higher than those of Group 1 and Group 2 (p<0.05). The sensitivity of NLR was found to be 91.00% and the specificity was 86,00%. The sensitivity of WBC was 86.00% and the specificity was 78.40%. Conclusion: We believe that NLR can be used as an easy and cost-effective diagnostic method in emergencies. We also believe that it could be a valuable parameter in addition to imaging in diagnosing ovarian torsion.
Keywords : Nötrofil lenfosit oranı, Over torsiyonu, Ultrason