Diagnostic importance of Neutrophil to Lymphocyte Ratio NLR in the Diagnosis of acute Appendicitis

Abstract :

Introduction:Appendicitis is considered a surgical emergency and acute disorder and is common in widespread all over the world, which can present with specific and sometimes non- specific symptoms. Appendicitis means Inflammation of the Appendix followed by obstruction of Lumen of the Appendix, which is used various methods to diagnose it, including laboratory examination of the blood. It is said that 80 to 85 percent of Patients with Appendicitis have Leucocytosis and more than 75 to 78 percent of patients have Neutrophilia and Lymphopenia.Objective To determine of Neutrophil to Lymphocyte ratio in acute appendicitis.MethodAcross Sectional study was performed in which Deferential Leukocyte Count (DLC) of Patients suffering from appendicitis in Aliabad Teaching Hospital surgical service during the year (2018-2019), was studied the ratio of neutrophils to lymphocytes was determined.ResultsIn total the laboratory exam of 63 patients with appendicitis had been included for the evaluation and statistical analysis. The average ratio of N/L was found to be 3.8 0.1, that is higher than its normal value (2.06), So the results of this Study shows that the Ratio of Neutrophil to Lymphocyte in Patients with Appendicitis is too high, which might be a good Diagnostic criterion for these Patients.ConclusionAs the Ratio of Neutrophils to Lymphocytes increases in Patients with Appendicitis, it is suggested that this ratio be considered at the time of Diagnosis in addition to other diagnostic Examinations.

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