Hidayati, Rizkilia Kamilah (2018) Perbandingan Akurasi USG dan CT Scan tanpa Kontras dalam Mendeteksi Batu Saluran Kemih. Sarjana thesis, Universitas Brawijaya.
Abstract
Urolithiasis atau batu saluran kemih merupakan suatu kondisi adanya batu di saluran kemih mulai dari kaliks hingga uretra. Terbentuknya batu saluran kemih diakibatkan karena adanya proses agregasi kristal di dalam urin yang sebagian besar mengandung kalsium oksalat. Pada tahun 2015 terdapat 216 pasien batu saluran kemih di RSUD Dr Saiful Anwar Malang. Dari 216 pasien tersebut, 119 pasien terdapat batu ginjal, 70 pasien batu ureter, dan 23 pasien terdapat batu buli-buli. Penelitian ini bertujuan untuk mengetahui perbandingan akurasi USG dan CT Scan tanpa kontras dalam mendeteksi batu ginjal dan batu buli-buli yang dikonfirmasi dengan temuan pada operasi. Pengambilan sampel dilakukan dengan metode consecutive sampling sehingga didapatkan 22 sampel dengan data USG, CT Scan tanpa kontras, dan data operasi. Hasil penelitian dianalisis menggunakan uji diagnostik untuk mencari akurasi, sensitivitas, spesifisitas, nilai duga positif, dan nilai duga negatif. Dari hasil uji diagnostik, didapatkan akurasi USG sebesar 68% dengan sensitivitas 68% dalam mendeteksi batu saluran kemih. Terdapat perbedaan akurasi dan sensitivitas USG pada batu ginjal dan batu buli yang mana batu ginjal memiliki akurasi dan sensitivitas sebesar 63% sedangkan pada batu buli didapatkan akurasi dan sensitivitas sebesar 72%. CT Scan tanpa kontras memiliki akurasi sebesar 100% dengan sensitivitas 100%. Sehingga dapat disimpulkan bahwa CT Scan tanpa kontras memiliki akurasi dan sensitivitas yang lebih tinggi dari pada USG dalam mendeteksi batu saluran kemih
English Abstract
Urolithiasis or urinary tract stones are conditions where there are stones in the urinary tract, starting from the calyx to the urethra. The formation of urinary tract stones is due to the process of aggregation of crystals in the urine which mostly contains calcium oxalate. In 2015 there were 216 patients with urinary tract stones in Dr. Saiful Anwar Hospital Malang. Of the 216 patients, 119 patients had kidney stones, 70 patients had ureteral stones, and 23 patients had bladder stones. This study aims to compare the accuracy of USG and CT scan without contrast in detecting kidney stones and bladder stones that were confirmed by findings in surgery. Sampling was done through consecutive sampling method, 22 samples were obtained with data namely USG, CT scan without contrast, and surgery data. The results of the study were analyzed using a diagnostic test to find accuracy, sensitivity, specificity, positive predictive value, and negative predictive value. From the results of the diagnostic test, it was found that USG accuracy was 68% with 68% sensitivity in detecting urinary tract stones. There are differences in the accuracy and sensitivity of USG in kidney stones and bladder stones where kidney stones have an accuracy and sensitivity of 63% while bladder stones have an accuracy and sensitivity of 72%. CT Scan without contrast has an accuracy of 100% with 100% sensitivity. Therefore, it can be concluded that CT without contrast has a higher accuracy and sensitivity than USG in the detection of urinary tract stones
Other obstract
-
| Item Type: | Thesis (Sarjana) |
|---|---|
| Identification Number: | SKR/FK/2018/607/051901180 |
| Uncontrolled Keywords: | CT Scan tanpa kontras, Urolithiasis, USG, CT scan without contrast (NCCT), Urolithiasis, USG |
| Subjects: | 600 Technology (Applied sciences) > 616 Diseases > 616.6 Diseases of urogenital system > 616.62 Diseases of bladder and urethra > 616.622 Urinary calculi / Urinary organs--Calculi > 616.622 075 722 Urinary organs--Calculi--Tomography |
| Divisions: | Fakultas Kedokteran > Pendidikan Dokter |
| Depositing User: | Nur Cholis |
| Date Deposited: | 23 May 2020 07:34 |
| Last Modified: | 21 Oct 2021 04:32 |
| URI: | http://repository.ub.ac.id/id/eprint/167933 |
Preview |
Text
Rizkilia Kamilah Hidayati.pdf Download (5MB) | Preview |
Actions (login required)
 |
View Item |