Ketepatan Diagnosis Apendisitis dengan USG Abdomen
DOI:
https://doi.org/10.21776/ub.jkb.2012.027.02.12Abstract
Apendisitis akut merupakan penyebab terbanyak dilakukannya operasi abdomen cito. Kekeliruan diagnosa apendisitis sekitar 8-30% berakibat dilakukan pemotongan apendiks yang normal. Ultrasonografi (USG) abdomen merupakan pemeriksaan yang penting dalam penegakan diagnosa apendisitis akut, mampu menunjukkan kemungkinan diagnosa  lain  pada pasien dengan nyeri perut kanan bawah dan menurunkan angka kejadian laparotomi negatif. Data pada penelitian ini didapatkan dari  data rekam medis pasien rawat inap dengan apendisitis, hasil USG dan histopatologi pasien apendisitis dari bulan Januari 2010 sampai bulan Desember 2011. Data menunjukkan pada tahun 2010-2011 ada 104 pasien UGD atau rawat jalan yang datang dengan keluhan nyeri perut kanan bawah dan pemeriksaan fisik dicurigai apendisitis. Sebanyak 104 pasien yang dicurigai apendisitis dilakukan pemeriksaan USG abdomen dan hasil USG yang positif  apendisitis 74 pasien (71,1%), negatif 30 pasien (28,8%). Penelitian ini menunjukkan sensitivitas dan spesifitas USG abdomen untuk diagnosis apendisitis yang cukup tinggi yaitu 84,1% dan 100%. Kata Kunci: Apendisitis, sensitivitas, spesifitas, USG abdomen
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