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Diagnostic value of the neutrophil‐to‐lymphocyte and platelet‐to‐lymphocyte ratios in adnexal torsion cases
Author(s) -
Kinay Tugba,
Akgul Mehmet A.,
Kiykac Altinbas Sadiman,
Tapisiz Omer L.,
Kayikcioglu Fulya,
Moraloglu Tekin Ozlem
Publication year - 2021
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14715
Subject(s) - medicine , adnexal mass , neutrophil to lymphocyte ratio , lymphocyte , receiver operating characteristic , ovarian torsion , gastroenterology , mean platelet volume , torsion (gastropod) , surgery , platelet , gynecology
Aim To evaluate if the neutrophil‐to‐lymphocyte ratio (NLR) and the platelet‐to‐lymphocyte ratio (PLR) could be used to diagnose adnexal torsion. Methods A retrospective study reviewed medical records of women who underwent surgery due to an adnexal mass between January 2012 and December 2017 at a tertiary referral center in Turkey. According to the surgical findings, the women were divided into a torsion group and a control group. NLR and PLR were compared between women who had adnexal torsion and those who did not. Results A total of 201 women were included in the study: 67 in the torsion group and 134 in the control group. Mean WBC count (9584.0 ± 3080.8 vs. 6678.2 ± 1886.1 h/mm 3 ), mean NLR (5.9 ± 4.3 vs. 2.1 ± 0.8), and mean PLR (210.5 ± 132.7 vs. 147.9 ± 48.7) were higher in the torsion group than in the control group ( p < 0.001). According to the ROC curve analyses, the optimal cut‐off value for NLR and PLR were 2.51 (sensitivity, 72%; specificity, 78%) and 154.4 (sensitivity, 61%; specificity, 64%) in the diagnosis of adnexal torsion, respectively. Conclusion NLR and PLR have been found useful hematological markers for the diagnosis of adnexal torsion. NLR and PLR could be helpful in cases, which is difficult to make a definitive diagnosis with patients' symptom and the ultrasonographic examination.