The evaluation of association between body mass index and clinical parameters in women underwent myomectomy

Year 2020, Volume: 3 Issue: 1, 47 - 50, 15.01.2020

Buğra Çoşkun , Ali İrfan Güzel Bora Çoşkun , Demet Kokanalı , Coşkun Şimşir , Melike Doğanay

https://doi.org/10.32322/jhsm.650925

Cited By: 2

Abstract

ABSTRACT

Aim: To evaluate the
association between body mass ındex and clinical parameters in women underwent
abdominal myomectomy by using correlation analysis.

 

Material
and Method: In
this retrospective study a total of 273 women underwent abdominal myomectomy
during the study period.  The patients
were classified into two groups according to BMI (≤30 kg/m² and >
30 kg/m²). Risk factors recorded involved were; age, body mass index
(BMI), gravidity, parity, diameter of the fibroid (DOF), preoperative and
postoperative hemoglobin (hb) levels, white blood cell and trombocyte count,
neutrophil-lymphocyte ratio (NLR), Ca125, Ca15-3, Ca19-9, CEA, AFP levels,
duration of postoperative hospital stay and postoperative complications.  Pearson correlation analysis was used to
evaluate the association between body mass index and clinical
parameters.

 

Results: The obese
group consisted of 64 patients and the nonobese group consisted of 209
patients. In obese group, DOF was larger postoperative hb was lower, length of
hospital stay was longer, level of AFP and the presence of complications was
higher than in nonobese group. According to the correlation analysis, there
were positive correlation between BMI and DOF 
and AFP levels, while there were negative correlation between BMI and postoperative
hb level and length of hospital stay.

Conclusion: We think that obesity adversely affects the clinical
outcomes of patients underwent abdominal myomectomy.

Keywords

Fibroid, abdominal myomectomy, obesity, correlation analysis

Myomektomi uygulanan kadınlarda vücut kitle indeksi ile klinik parametreler arasındaki ilişkinin değerlendirilmesi

Abstract

ÖZ

Amaç: Abdominal
myomektomi uygulanan kadınlarda vücut kitle indeksi ile klinik parametreler
arasındaki ilişkiyi korelasyon analizi kullanarak değerlendirmek.

 

Gereç ve Yöntem:
Çalışmamıza abdominal myomektomi yapılan toplam 273 kadın dahil edildi. Hastalar
vücut kitle indeksi (VKİ) ‘ne göre (≤30 kg / m² ve > 30 kg / m²)
iki gruba ayrıldı. Yaş, VKİ, gravida, parite, myom çapı, preoperatif ve
postoperatif hemoglobin (hb) düzeyleri, beyaz kan hücresi ve trombosit sayısı,
nötrofil-lenfosit oranı (NLR), Ca125, Ca15-3 , Ca19-9, CEA, AFP düzeyleri,
postoperatif hastanede kalış süresi ve postoperatif komplikasyonlar gibi
değişkenler retrospektif olarak incelendi. Vücut kitle indeksi ve klinik
parametreler arasındaki ilişkiyi değerlendirmek için Pearson korelasyon analizi
kullanıldı.

 

Bulgular:
Obez grup 64, obez olmayan grup 209 hastadan oluştu. Obez grupta myom
boyutu, ameliyat sonrası hb daha düşük, hastanede yatış süresi daha uzun, AFP
düzeyi ve komplikasyon varlığı obez olmayan gruba göre daha yüksekti. Korelasyon
analizine göre, VKİ ile myom boyutu ve AFP düzeyleri arasında pozitif
korelasyon varken; VKİ ile postoperatif hb düzeyi ve hastanede kalış süresi
arasında negatif korelasyon vardı.

Sonuç: Obezitenin,
abdominal myomektomi uygulanan hastaların klinik sonuçlarını olumsuz
etkilediğini düşünüyoruz.

Keywords

Myom, abdominal myomektomi, obezite, korelasyon analizi

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