平均血小板体积在儿童急性阑尾炎诊断中的应用
Mean platelet volume in diagnosis of acute appendicitis in children.
作者信息
Bilici S, Sekmenli T, Göksu M, Melek M, Avci V
机构信息
Department of Pediatric Surgery, Medical Faculty, Yuzuncu Yil University, Van, Turkey.
出版信息
Afr Health Sci. 2011 Sep;11(3):427-32.
Abstract
BACKGROUND
The clinical diagnosis of acute appendicitis (AA) in children is still problematic in status.
OBJECTIVES
To investigate the diagnostic value of mean platelet volume (MPV) in acute AA at childhood.
METHODS
One hundred patients diagnosed as AA patients and 100 healthy individuals. Laboratory tests were studied in the hematology laboratory of the hospital.
RESULTS
The MPV was found to be lower than normal in 48 cases in the AA group, and it was normal or higher than normal in 52 cases. In the control group, while MPV was found to be lower than normal in 13 cases, it was normal or higher than normal in 87 cases. The MPV was significantly lower in the AA group compared to the control group (p<0.001).
CONCLUSION
Our study indicated that MPV significantly decreased in pediatric AA patients. Hence, we believe that taking the MPV decrease into consideration along with the White Blood Cell Count elevation would be beneficial in patients with suspicion of AA.
摘要
背景
儿童急性阑尾炎（AA）的临床诊断目前仍存在问题。
目的
探讨平均血小板体积（MPV）在儿童急性AA诊断中的价值。
方法
选取100例确诊为AA的患者和100名健康个体。在医院血液学实验室进行实验室检查。
结果
AA组48例患者MPV低于正常，52例患者MPV正常或高于正常。对照组中，13例患者MPV低于正常，87例患者MPV正常或高于正常。AA组的MPV显著低于对照组（p<0.001）。
结论
我们的研究表明，儿童AA患者的MPV显著降低。因此，我们认为，对于疑似AA的患者，在考虑白细胞计数升高的同时，考虑MPV降低将有助于诊断。
相似文献
1
Mean platelet volume in diagnosis of acute appendicitis in children.
Afr Health Sci. 2011 Sep;11(3):427-32.
2
Mean platelet volume: a new predictor in confirming acute appendicitis diagnosis.
Clin Appl Thromb Hemost. 2011 Aug;17(4):362-6. doi: 10.1177/1076029610364520. Epub 2010 May 11.
3
Mean platelet volume and total white blood cells as diagnostic biomarkers for acute appendicitis at Omdurman military hospital: a cross-sectional study - 2021.
BMC Gastroenterol. 2023 Dec 16;23(1):444. doi: 10.1186/s12876-023-03091-w.
4
Evaluation of Platelet Indices and Red Cell Distribution Width as New Biomarkers for the Diagnosis of Acute Appendicitis.
J Invest Surg. 2018 Apr;31(2):121-129. doi: 10.1080/08941939.2017.1284964. Epub 2017 Feb 16.
5
Diagnostic accuracy of laboratory markers for diagnosis of acute appendicitis in children.
Wien Med Wochenschr. 2022 Oct;172(13-14):303-307. doi: 10.1007/s10354-021-00898-8. Epub 2022 Jan 10.
6
Evaluation of the diagnostic value of platelet indices in pediatric acute appendicitis.
J Int Med Res. 2020 Sep;48(9):300060520946515. doi: 10.1177/0300060520946515.
7
Neutrophil-lymphocyte ratio and mean platelet volume can be a predictor for severity of acute appendicitis.
Ulus Travma Acil Cerrahi Derg. 2016 Mar;22(2):163-8. doi: 10.5505/tjtes.2015.89346.
8
Role of mean platelet volume-to-lymphocyte ratio in the diagnosis of childhood appendicitis.
Arch Argent Pediatr. 2019 Dec 1;117(6):375-380. doi: 10.5546/aap.2019.eng.375.
9
Mean platelet volume and the ratio of mean platelet volume to platelet count in the diagnosis of acute appendicitis.
Am J Emerg Med. 2019 Mar;37(3):411-414. doi: 10.1016/j.ajem.2018.05.075. Epub 2018 May 30.
10
Mean Platelet Volume and Platelet Distribution Width as Markers in the Diagnosis of Acute Gangrenous Appendicitis.
Dis Markers. 2015;2015:542013. doi: 10.1155/2015/542013. Epub 2015 Nov 25.
引用本文的文献
1
Evaluation of computed tomography (CT) appendicitis score and laboratory parameters in acute appendicitis with and without CT-detected appendicolith.
Ulus Travma Acil Cerrahi Derg. 2025 Jul;31(7):651-660. doi: 10.14744/tjtes.2005.75502.
2
Utility of Platelet Indices as Prognostic Markers of Sepsis: A Medical Intensive Care Unit-Based Cross-Sectional Study at a Rural Setup.
Cureus. 2024 Feb 19;16(2):e54490. doi: 10.7759/cureus.54490. eCollection 2024 Feb.
3
Evaluation of the systemic immune inflammation index and the systemic inflammatory response index as new markers for the diagnosis of acute appendicitis in children.
Ann Saudi Med. 2023 Sep-Oct;43(5):329-338. doi: 10.5144/0256-4947.2023.329. Epub 2023 Oct 5.
4
Is the prognosis of traumatic critically ill pediatric patients predictable? : A multicenter retrospective analysis.
Wien Klin Wochenschr. 2023 Nov;135(21-22):639-645. doi: 10.1007/s00508-023-02269-2. Epub 2023 Sep 8.
5
The pathophysiological impact of intra-abdominal hypertension in pigs.
PLoS One. 2023 Aug 28;18(8):e0290451. doi: 10.1371/journal.pone.0290451. eCollection 2023.
6
Bibliometric analysis of the African Health Sciences' research indexed in Web of Science and Scopus.
Afr Health Sci. 2022 Jun;22(2):704-716. doi: 10.4314/ahs.v22i2.80.
7
Mean platelet volume is the most valuable hematologic parameter in differentiating testicular torsion from epididymitis within the golden time.
Transl Androl Urol. 2022 Sep;11(9):1282-1291. doi: 10.21037/tau-21-1112.
8
A mean platelet volume in inflammatory bowel disease: A systematic review and meta-analysis.
PLoS One. 2022 Aug 30;17(8):e0273417. doi: 10.1371/journal.pone.0273417. eCollection 2022.
9
Mean Platelet Volume in the Diagnosis of Acute Appendicitis in the Pediatric Population: A Systematic Review and Meta-Analysis.
Diagnostics (Basel). 2022 Jun 30;12(7):1596. doi: 10.3390/diagnostics12071596.
10
Predictive Value of Red Blood Cell Distribution Width, Mean Platelet Volume and Platelet Distribution Width in Children with Acute Appendicitis.
Children (Basel). 2021 Nov 11;8(11):1041. doi: 10.3390/children8111041.
本文引用的文献
1
Mean platelet volume: a new predictor in confirming acute appendicitis diagnosis.
Clin Appl Thromb Hemost. 2011 Aug;17(4):362-6. doi: 10.1177/1076029610364520. Epub 2010 May 11.
2
Total leucocyte count, C-reactive protein and neutrophil count: diagnostic aid in acute appendicitis.
Saudi J Gastroenterol. 2009 Apr;15(2):117-20. doi: 10.4103/1319-3767.48969.
3
An overlooked indicator of disease activity in ulcerative colitis: mean platelet volume.
Platelets. 2009 Jun;20(4):277-81. doi: 10.1080/09537100902856781.
4
Mean platelet volume in neonatal respiratory distress syndrome.
Pediatr Int. 2009 Apr;51(2):314-6. doi: 10.1111/j.1442-200X.2009.02820.x.
5
Mean platelet volume in children with familial Mediterranean fever.
Clin Rheumatol. 2009 Aug;28(8):975-8. doi: 10.1007/s10067-009-1148-5. Epub 2009 Mar 13.
6
The appendicitis inflammatory response score: a tool for the diagnosis of acute appendicitis that outperforms the Alvarado score.
World J Surg. 2008 Aug;32(8):1843-9. doi: 10.1007/s00268-008-9649-y.
7
Mean platelet volume (MPV) as an inflammatory marker in ankylosing spondylitis and rheumatoid arthritis.
Joint Bone Spine. 2008 May;75(3):291-4. doi: 10.1016/j.jbspin.2007.06.016. Epub 2008 Apr 9.
8
Reticulated platelet levels in patients with ulcerative colitis.
Int J Colorectal Dis. 2007 Dec;22(12):1429-35. doi: 10.1007/s00384-007-0330-y. Epub 2007 Jun 5.
9
The use of white blood cell count and left shift in the diagnosis of appendicitis in children.
Pediatr Emerg Care. 2007 Feb;23(2):69-76. doi: 10.1097/PEC.0b013e31802d1716.
10
Diagnostic value of blood inflammatory markers for detection of acute appendicitis in children.
BMC Surg. 2006 Nov 28;6:15. doi: 10.1186/1471-2482-6-15.
Zotero 插件