Neutrophil-to-lymphocyte ratio may help predict pediatric testicular torsion in chlidren with acute scrotal pain before surgery

Xianya HE; Chen Wang; Yongjun Yang; Junjie Chen; Xuecheng WU; Zhuo LI; Zhe Liu; Guangqing Song; Yili Teng; Jia Chen; Hongwei Wang; Huayi Zheng; Yuanwei LI; Qiang LU

Return

Neutrophil-to-lymphocyte ratio may help predict pediatric testicular torsion in chlidren with acute scrotal pain before surgery

VernacularTitle:中性粒细胞-淋巴细胞比值或可帮助术前预判急性阴囊疼痛患儿是否发生睾丸扭转
Author: Xianya HE ¹ ; Chen WANG ¹ ; Yongjun YANG ¹ ; Junjie CHEN ¹ ; Xuecheng WU ¹ ; Zhuo LI ¹ ; Zhe LIU ¹ ; Guangqing SONG ¹ ; Yili TENG ¹ ; Jia CHEN ¹ ; Hongwei WANG ² ; Huayi ZHENG ² ; Yuanwei LI ¹ ; Qiang LU ^{1
,

3}
Author Information

1. Department of Urology, Hunan Provincial People’s Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha 410007
2. Department of General Surgery and Urology, Hongjiang People’s Hospital, Hongjiang 420078, China
3. Department of General Surgery and Urology, Hongjiang People’s Hospital, Hongjiang 420078, China
Publication Type:Journal Article
Keywords: testicular torsion; neutrophil to lymphocyte ratio; children; epididymitis
From: Journal of Modern Urology 2024;29(9):785-789
CountryChina
Language:Chinese
Abstract: 【Objective】 To explore the feasibility and accuracy of neutrophil-to-lymphocyte ratio (NLR) in the prediction of testicular torsion (TT) in children with acute scrotal pain. 【Methods】 A retrospective case-control study was performed on 158 pediatric patients with ultrasound suspicion of TT who underwent surgical testicular examination during Jan.2017 and Jan.2024.The patients were divided into TT group and non-TT group.Clinical data and laboratory data at admission were analyzed.Sensitivity and specificity of NLR to TT were determined with the area under the curve (AUC) represented on the receiver operating characteristic (ROC) curves. 【Results】 There were with no statistically significant differences in clinical data between the two groups (P>0.05).The NLR was significantly higher in the TT group than in the non-TT group [ (4.82±2.37) vs.(2.85±0.75), P<0.05] .The optimal cut-off value of TT predicted by NLR was 2.07, the AUC was 0.809 (95%CI:0.709-0.909), and the sensitivity and specificity were 97.9% and 93.3%, respectively, which were significantly higher than other factors. 【Conclusion】 For suspicious ultrasound diagnosis of pediatric acute scrotal pain cases, NLR can be used to predict the possibility of TT and may help to evaluate the urgent surgical treatment in these patients.