Tian Yanjun,Su Zeli,Xing Xinran,et al.Prediction of testicular activity by platelet distribution width in children with testicular torsion[J].Journal of Clinical Pediatric Surgery,,22():961-965.[doi:10.3760/cma.j.cn101785-202211015-011]
Prediction of testicular activity by platelet distribution width in children with testicular torsion
- Abstract:
- Objective To explore the values of hematological parameters in predicting testicular activity in children with testicular torsion (TT).Methods The relevant clinical data were retrospectively reviewed for 66 TT children at Department of Pediatric Surgery from 2011 to 2022.According to actual operative procedures,they were assigned into two groups of reduction & fixation (n=21) and orchiectomy (n=45).The inter-group differences in course of disease,degree of TT and preoperative hematological parameters were compared.The variables with statistical differences in univariate analysis were included for multivariate Logistic analysis.And the parameters with statistical differences in factorial analysis were examined by receiver operating characteristic (ROC) curve.Results According to univariate analysis,significant inter-group differences existed in course of disease,TT,mean platelet volume (MPV) and platelet distribution width (PDW).In multivariate Logistic regression analysis,the duration of disease (OR=1.032,95%CI:1.011-1.055),testicular torsion (OR=1.006,95%CI:1.002-1.005) and PDW (OR=3.318,95%CI:1.004-9.749,0.049) were correlated positively with orchiectomy.ROC curves of course of disease,TT and PDW were analyzed.Area under the curve (AUC) was 0.651,0.745 and 0.681 respectively.Conclusion Preoperative PDW may be utilized as a predictive index for evaluating the activity of TT in children.
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Memo
收稿日期:2022-11-7。
基金项目:宁夏回族自治区重点研发计划(2021BEG02043)
通讯作者:杜勇,Email:niniduy@126.com