论文部分内容阅读
Objective: To determine the diagnotic value of preoperative levels of interleukin- 6 (IL- 6), tumor necrosis factor- alpha (TNF- α ), interleukin- 8 (IL- 8), and E-selectin in patients with an adnexal mass who had surgery for ovarian torsion. Design: Prospective study. Setting: University hospital. Patient(s): Fifty consecutive women with adnexal mass who were admitted with a diagnosis of ovarian torsion. Intervention(s): All had a single preoperative measurement of IL- 6, IL- 8, TNF- α , and E- selectin by ELISA.Main Outcome Measure(s): To determine if a single preoperative serum sampling of IL- 6, IL- 8, TNF- α , and E- selectin by ELISA can diagnose ovarian torsion. Result( s): Thirteen patients had proven torsion of the ovary. Serum levels of IL- 6 were significantly higher in the 13 patients with proven ovarian torsion compared with the 37 without ovarian torsion. Patients with IL- 6 serum values ≥ 10.2 pg/mL had a 16 times higher risk of having ovarian torsion. No significant difference was found in TNF- α , IL- 8, and E- selectin between the two groups. Conclusion(s): The IL- 6 levels might assist in the prompt diagnosis of ovarian torsion and allow a timely surgical intervention.
Objective: To determine the predictive value of preoperative levels of interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), interleukin- 8 (IL- 8), and E-selectin in patients with an adnexal mass Setting: University hospital. Patient (s): Fifty consecutive women with adnexal mass who were admitted with a diagnosis of ovarian torsion. Intervention (s): All had a single preoperative measurement of IL-6, IL-8, TNF- [alpha], and E-selectin by ELISA. Main Outcome Measure (s): To determine if a single preoperative serum sampling of IL- 6, IL- 8, TNF- selectin by ELISA can diagnose ovarian torsion. Thirteen patients had proven torsion of the ovary. Serum levels of IL-6 were significantly higher in the 13 patients with proven ovarian torsion compared with the 37 without ovarian torsion. Patients with IL - 6 serum values ≥ 10.2 pg / mL had a 16 times higher risk of having ovarian torsion. No significan Conclusion (s): The IL-6 levels might assist in the prompt diagnosis of ovarian torsion and allow a timely surgical intervention.