Hızlı Arama
AKUT APANDİSİT TANISINDA PERİTONEAL ASPİRASYON SİTOLOJİSİNİN YERİ
Erol Kisli1, Ersin Özgören1, Hasan Arslantürk1, Metin Aydın1, Osman Güler2, İrfan Bayram11Yüzüncü Yıl Üniversitesi Tıp Faklütesi Genel Cerrahi Anabilim Dalı, Van, Turkey2Yüzüncü Yıl Üniversitesi Tıp Faklütesi Patoloji Anabilim Dalı, Van, Turkey
THE ROLE OF PERITONEAL ASPIRATION CYTOLOGY DIAGNOSIS OF ACUTE APPENDICITIS
Erol Kisli1, Ersin Özgören1, Hasan Arslantürk1, Metin Aydın1, Osman Güler2, İrfan Bayram11Yüzüncü Yıl Üniversitesi Tıp Faklütesi Genel Cerrahi Anabilim Dalı, Van, Turkey2Yüzüncü Yıl Üniversitesi Tıp Faklütesi Patoloji Anabilim Dalı, Van, Turkey
Background: The purpose of this study is to search the role of peritoneal aspiration cytology in acute appendicitis.
Methods: Peritoneal aspiration cytology was (PAC) conducted for fifty suspected acute appendicitis patients before their operations. PAC findings was compared with histopathologic results.
Results: Negative appendicectomy rate according to clinical diagnosis was 20%. PAC was positive in 32 and negative in 18 patients. 93.75% PAC (+) patients had acute appendicitis, 44.4% PAC (-) patients had normal appendices. The false positive rate was 6.2% and the false negative rate was 55.6%. The sensitivity, the specificity, the positive predictive value, the negative predictive value of PAC for the diagnosis of acute appendicitis were 75%, 80%, 93.8%, 44.4%, respectively and the accuracy was 76%.
Conclusion: PAC positive results support the diagnosis of acute appendicitis strongly. However, PAC (-) results don’t exclude the diagnosis of acute appendicitis.
Makale Dili: Türkçe