Diagnostic value of the neutrophil‐to‐lymphocyte and platelet‐to‐lymphocyte ratios in adnexal torsion cases

• DOI: 10.1111/jog.14715
• Publication Date: 2021-03-02T01:01:35Z
• Authors: Tugba Kinay; Mehmet A. Akgul; Sadiman Kiykac Al...; Omer L. Tapisiz; Fulya Kayikcioglu; Ozlem Moraloglu T...
• Keywords: Blood Platelets; Ovarian Torsion; Turkey; Neutrophils; Platelet Count; Prognosis; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Humans; Female; Lymphocyte Count; Lymphocytes; Retrospective Studies

AbstractAimTo evaluate if the neutrophil‐to‐lymphocyte ratio (NLR) and the platelet‐to‐lymphocyte ratio (PLR) could be used to diagnose adnexal torsion.MethodsA 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.ResultsA 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/mm3), 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.ConclusionNLR 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.