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Sconfienza, Luca Maria, editor
"As it is quick, inexpensive, and non-invasive, ultrasound is the modality of choice for guidance of interventional procedures in the soft tissues. Furthermore, the rising mean age of the general population is being accompanied by increasing demand among patients for minimally invasive procedures to treat painful chronic and degenerative syndromes of the musculoskeletal system. This handbook is a clear, practical guide to ultrasound-guided minimally invasive treatments of musculoskeletal pain in the upper limb. Each chapter is clearly structured, with brief but comprehensive descriptions of the disease to be treated and of the materials and drugs needed. High-quality images and easy-to-follow schemes explain the best approach in each situation, and practical tips and tricks of value in daily clinical routine are provided."
Milan: Springer, 2012
e20420758
eBooks  Universitas Indonesia Library
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Sitti Balkis
"[Latar Belakang. Deteksi dini risiko pajanan ergonomi di tempat kerja
menggunakan instrumen skrining merupakan salah satu cara cepat dan mudah
yang dapat dilakukan. Instrumen RULA dan ceklis OCRA merupakan metode
penilaian semi-kuantitatif yang cukup banyak digunakan namun belum diketahui
penerapannya pada sektor informal. Penelitian ini bertujuan untuk mengetahui
kesesuaian hasil penilaian menggunakan instrumen OCRA dengan RULA untuk
skrining UE-WMSDs pada kelompok pekerja pengrajin logam informal.
Metode. Penelitian menggunakan disain potong lintang terhadap pengrajin logam
informal Citeureup, Kabupaten Bogor. Penilaian dilakukan dengan mengamati
aktivitas subyek selama delapan jam kerja per hari pada 17 bagian kerja kemudian
memberikan skor berdasarkan lembar ceklis. Hasil total skor dikategorikan
menjadi acceptable ( OCRA: ≤ 7,5; RULA: ≤ 2) dan berisiko (OCRA: ≥ 7,6;
RULA ≥ 3).
Hasil. Pada total subyek pekerja 78 orang didapatkan 52/78 (74,3%) subyek
berisiko untuk tangan kanan dan 15/78 (34,9%) subyek untuk tangan kiri pada
kedua metode. Berdasarkan tugas kerja didapatkan 13/17 bagian berisiko untuk
kanan dan 6/17 kiri. Perbedaan hasil OCRA dan RULA terutama pada bagian
bubut dan pemotongan (manual dan semi-automatis).Secara umum instrumen
RULA menilai lebih banyak risiko UE-WMSDs dibandingkan OCRA dengan
kesesuaian dari kedua metode ini rendah pada kedua ekstremitas (kappa (kanan):
0,07; kappa (kiri): 0,17).
Simpulan dan Saran. Metode RULA lebih dianjurkan sebagai instrumen
skrining UE-WMSDs pada pekerja logam informal. Dibutuhkan penelitian lebih lanjut terhadap instrumen skrining lain dan penilaian keseluruhan proses kerja untuk penentuan metode yang paling sesuai. ;Background. The use of screening instrument is considered as effective methods for
early detection of ergonomic risk exposure at workplace. RULA and OCRA-checklists
are semi-quantitative assessment methods that have been widely used, but not widely
applied particularly in the informal sector. This study determines the goodness of fit of
OCRA-checklists compared with RULA for screening UE-WMSDs on metalworkers
informal groups.
Method. This study used a cross-sectional design involving informal metalworkers
groups in Citeureup-Bogor . Subjects? assessments being done by observing eight-houractivity
per
day
for
each
subjects
in
17
workstation
and
by
scoring
checklist
sheets.
Total
score
results
were
categorized
into acceptable (OCRA: ≤ 7.5; RULA: ≤ 2) and high risk
(OCRA: ≥ 7.6; RULA ≥ 3).
Result. A total of 78 subjects, both methods showed 52/78(74.3%) subjects were at risk
for right hand and 15/78 (34.9%) subjects for left hand. Based on job task, 13/17 jobs
were high risk for the right and 6/17 for the left hand. There were result difference
between OCRA and RULA instruments especially for lathe and cutting (manual and
semi-automatic) jobs. Generally, RULA instrument assess more risks factors than OCRAchecklist
so that goodness of fit was low for both extremities (kappa score right: 0.07;
left: 0.17).
Conclusion and Recommendation. RULA method is more recommended as UEWMSDs
screening
instrument
for
informal metalworkers groups. Further research using
other type of screening instruments and overall tasks assessment is necessary to find most appropriate method. , Background. The use of screening instrument is considered as effective methods for
early detection of ergonomic risk exposure at workplace. RULA and OCRA-checklists
are semi-quantitative assessment methods that have been widely used, but not widely
applied particularly in the informal sector. This study determines the goodness of fit of
OCRA-checklists compared with RULA for screening UE-WMSDs on metalworkers
informal groups.
Method. This study used a cross-sectional design involving informal metalworkers
groups in Citeureup-Bogor . Subjects’ assessments being done by observing eight-houractivity
per
day
for
each
subjects
in
17
workstation
and
by
scoring
checklist
sheets.
Total
score
results
were
categorized
into acceptable (OCRA: ≤ 7.5; RULA: ≤ 2) and high risk
(OCRA: ≥ 7.6; RULA ≥ 3).
Result. A total of 78 subjects, both methods showed 52/78(74.3%) subjects were at risk
for right hand and 15/78 (34.9%) subjects for left hand. Based on job task, 13/17 jobs
were high risk for the right and 6/17 for the left hand. There were result difference
between OCRA and RULA instruments especially for lathe and cutting (manual and
semi-automatic) jobs. Generally, RULA instrument assess more risks factors than OCRAchecklist
so that goodness of fit was low for both extremities (kappa score right: 0.07;
left: 0.17).
Conclusion and Recommendation. RULA method is more recommended as UEWMSDs
screening
instrument
for
informal metalworkers groups. Further research using
other type of screening instruments and overall tasks assessment is necessary to find most appropriate method. ]"
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Baltimore: Williams & Wilkins , 1997
R 611.022 2 SOB
Buku Referensi  Universitas Indonesia Library
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Waldman, Steven D.
Philadelphia: PA Lippincott Williams &​ Wilkins, 2014
616.075 43 WAL c
Buku Teks SO  Universitas Indonesia Library
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Thoha Khaled
"Penggunaan laptop di kalangan mahasiswa khususnya mahasiswa S1 FKM UI memperlihatkan kecenderungan yang meningkat. Hal ini disebabkan tingkat kebutuhan mahasiswa dan harga laptop yang tidak jauh berbeda dengan harga PC. Perkembangan teknologi laptop selain memberikan dampak positif, juga memberikan dampak negatif. Disain keyboard yang menyatu dengan monitor membuat pengguna laptop pasti menggunakan postur janggal dalam aktifitasnya dengan laptop. Keluhan Muskuloskeletal merupakan efek yang paling sering Nampak pada aktifitas akibat penggunaan laptop. Faktor durasi, frekuensi, dan posisi kerja juga mempunyai peranan penting dalam mempengaruhi tingkat keluhan.
Skripsi ini membahas tentang hubungan antara risiko ergonomi dengan keluhan muskuloskeletal pada upper limb extrimities akibat penggunaan laptop pada mahasiswa S1 FKM UI. Penelitian ini merupakan penelitian dekriptif kuantitatif. Penelitian ini bertujuan untuk menilai risiko ergonomi dengan menggunakan metode RULA dan melihat hubungannya dengan keluhan muskuloskeletal. Untuk melihat hubungan antara risiko ergonomi dengan keluhan muskoloskeletal, peneliti menggunakan uji statistik, chi-square. Dan hasil penelitian menunjukkan bahwa tidak ada hubungan yang signifikan antara risiko ergonomi dengan keluhan muskuloskeletal. Hal ini disebabkan oleh faktor-faktor pengganggu yang terdapat dalam penelitian.
Berdasarkan hasil penelitian, peneliti menyarankan agar pengguna laptop dapat memilih posisi kerja yang ergonomis ketika menggunakan laptop. Biasakan untuk istirahat sejenak bila menggunakan laptop dalam durasi yang lama, baik dengan melakukan peregangan otot maupun dengan mengalihkan pandangan mata. Pihak fakultas dapat mengadakan health education dan menyediakan tempat yang ergonomis berkaitan dengan cara penggunaan laptop yang aman. Peneliti juga menyarankan untuk memasukkan variabel lain dalam penelitiannya, seperti factor pengganggu dan faktor-faktor risiko lainnya, seperti jenis kelamin, antropometri, kondisi lingkungan, tempat kerja, dan riwayat cedera.

Nowdays, the utilization of notebook in under-graduated Public Health Indonesian University students? communities shows an increasing phenomena. This phenomena has been happened because of the increasing needs of its undergraduated students and the price of notebooks that nowdays is not has significant gap price with the PC. The development of notebook technology is not only gives positive impacts but also its negatives. Keyboard design which is not separated with its monitor makes its user use wrong posture in their activities with their notebook. Muscolosceletal remonstrance is one of the most frequent impacts in several peoples with notebook?s activity. The duration factors, frequencies, and work positions are also have important roles in influencing remonstrance degrees.
This thesis envelopes/analyses about the ergonomical risk and muscolosceletal remonstrance in upper limb extrimities which is caused by notebooks? utilization in under-graduated Public Health Indonesian University students. This observation is a quantitative-descriptives studies to assess the ergonomical risk by using RULA method and to see its relation with muscolosceletal remonstrance. To see the relation between ergonomical risk with muscolosceletal remonstrance, the observer uses a statistical tools ; chi-square test. The result of this observation shows that there is not a relation between ergonomical risk with muscolosceletal remonstrance that it is caused by several error factor in its observation.
According to the result of this observation, the observer suggests to the users of the notebook to choose the ergonomical work position when they are using the notebook. It can be done by taking a little time to rest when using the notebook in along time by stretching the muscle or by mengalihkan pandangan mata. The faculty?s stakeholders can provide several health education program and provide some ergonomic places to make the notebook?s users become secure and health in using it. The observer also suggests to put some variabels into this observations, like confounding factors and other risk factors, like sex, antrophometric, environment condition, work places and injuries history."
Depok: Universitas Indonesia, 2009
S-Pdf
UI - Skripsi Open  Universitas Indonesia Library
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Franseda
"[Latar Belakang. Prevalensi UE-WRMSDs pada populasi pekerja masih tinggi dan kondisi ini menyebabkan kerugian bagi pekerja atau perusahaan serta menurunkan produktivitas kerja. Aspek terpenting pengendalian UE-WRMSDs adalah deteksi dini risiko pajanan di tempat kerja dengan menggunakan metode OCRA sebagai salah satu instrumen penapisan risiko. Penelitian ini bertujuan melihat hubungan antara faktor individu pekerja, faktor lingkungan kerja, faktor biomekanika kerja berbasis OCRA dengan kejadian UE-WRMSDs pada kelompok pekerja pengrajin logam informal.
Metode. Penelitian ini menggunakan disain potong lintang dan dilaksanakan pada Maret – Juni 2014 terhadap pengrajin logam informal Citeureup-Kabupaten Bogor. Pengumpulan data menggunakan kuesioner yang meliputi karakteristik sosiodemografi, analisis rekaman proses kerja dengan metode OCRA, pengukuran bising ambien dengan Sound Level Meter, pengukuran vibrasi segmental dengan Accelerometer serta stresor kerja dengan Survey Diagnosis Stres.
Hasil. Prevalensi UE-WRMSDs pada pengrajin logam informal sebesar 59.1%. Faktor pajanan di tempat kerja yang berisiko terhadap kejadian UE-WRMSDs adalah pajanan vibrasi segmental instrumen kerja (OR 5.79, 95% CI 1.14-29.49). Tidak didapatkan hubungan bermakna antara kejadian UE-WRMSDs dengan usia, IMT, kebiasaan aktivitas fisik, kebisingan ambien, kebiasaan merokok, skor indeks OCRA dan stresor kerja.
Simpulan dan Saran. Penanggulangan UE-WRMSDs ditentukan melalui deteksi dini, tatalaksana yang tepat dan kesadaran pekerja untuk segera berobat saat mengalami keluhan. Diperlukan suatu analisis menyeluruh selama waktu kerja menggunakan instrumen OCRA terhadap jenis pekerjaan yang bervariasi untuk hasil yang lebih akurat. , Background. UE-WRMSDs prevalence of working population is quite high and this condition causes harm to workers or the company as well as decreasing productivity. The most important aspect of UE-WRMSDs management is early detection of risk exposure in the workplace by using OCRA as risk screening instrument. This study examines the relationship between worker’s individual factors, working environment factors and biomechanical factors with UE-WRMSDs incidence of the metalworkers informal groups.
Method. This study used a cross-sectional design involving metalworkers informal groups in Citeureup-Bogor from March - June 2014. Data is collected using questionnaire included sociodemographic characteristics, analysis of recorded-working process with OCRA method. Measurements of ambient noise, segmental vibration and work stressors were using Sound Level Meter, accelerometer and Stress Diagnosis Survey questionnaire respectively.
Result. UE-WRMSDs prevalence on metal workers informal groups is 59.1%. The risk of workplace exposure for UE-WRMSDs is segmental vibration exposure of working instrument (OR 5.79, 95% CI 1.14-29.49). There were no statistically significant results between the incidence of the UE-WRMSDs with age, BMI, physical activity habits, ambient noise, smoking habits, OCRA index score and work stressors.
Conlusion and Recommendation. Management of UE-WRMSDs is determined through early detection and worker’s awareness to seek proper medical treatment immediately when experiencing complaints. Complete analysis of working process for various type of work using OCRA instrument are required for obtaining more accurate results.]"
Fakultas Kedokteran Universitas Indonesia, 2014
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Adnan Hasyim Malahela
"Backgrounds : Percutaneous nephrolithotomy (PCNL) is a standard procedure for treating renal stones. However, the optimal guidance method between ultrasound (US) and fluoroscopy remains debatable. The principle to reduce radiation exposure through ALARA principle is also heavily considered. This study aims to compare the efficacy and safety of US-guided versus fluoroscopy-guided PCNL in a single center over a 5-year period.
Methods: A retrospective cohort analysis of patients who underwent PCNL between 2018 and 2023 were conducted. Patients were categorized into two groups: US-guided and fluoroscopy-guided PCNL. Outcomes evaluated were stone-free rates (SFRs), fluoroscopy usage duration and intraoperative radiation.
Results: A total of 658 patients (US-guided, n=563; fluoroscopy-guided, n=95) were included. The SFRs were comparable between the two groups (p > 0.05). Meanwhile, significantly lower amounts of fluoroscopy usage duration, effective dose, and radiation exposure was found for the US-guided group (p < 0.05). Additionally, operative time was significantly faster in the US-guided procedure, despite requiring more punctures (p < 0.05). Complication rates were similar between both groups.
Conclusion: US-guided PCNL presents as an effective and safe alternative to fluoroscopy-guided PCNL with the added advantage of avoiding radiation exposure.

Latar Belakang: Nefrolitotomi perkutan (PCNL) adalah prosedur standar untuk tatalaksana batu ginjal. Namun, metode panduan yang optimal antara ultrasound (USG) dan fluoroskopi masih menjadi perdebatan. Prinsip untuk mengurangi paparan radiasi melalui prinsip ALARA juga sangat dipertimbangkan. Penelitian ini bertujuan untuk membandingkan efikasi dan keamanan PCNL yang dipandu USG versus PCNL yang dipandu fluoroskopi dalam satu pusat selama periode 5 tahun.
Metode: Analisis kohort retrospektif terhadap pasien yang menjalani PCNL antara tahun 2018 dan 2023 dilakukan. Pasien dikategorikan ke dalam dua kelompok: PCNL dengan panduan USG dan PCNL yang dengan panduan fluoroskopi. Hasil yang dievaluasi adalah angka bebas batu/stone free rate (SFR), durasi penggunaan fluoroskopi dan radiasi intraoperatif.
Hasil: Sebanyak 658 pasien (dipandu oleh USG, n = 563; dipandu oleh fluoroskopi, n = 95) diikutsertakan. SFR sebanding antara kedua kelompok (p > 0,05). Sementara itu, jumlah durasi penggunaan fluoroskopi, dosis efektif, dan paparan radiasi yang jauh lebih rendah ditemukan pada kelompok yang dipandu oleh AS (p <0,05). Selain itu, waktu operasi secara signifikan lebih cepat pada prosedur yang dipandu oleh US, meskipun membutuhkan lebih banyak tusukan (p <0,05). Tingkat komplikasi serupa antara kedua kelompok.
Kesimpulan: PCNL dengan panduan USG hadir sebagai alternatif yang efektif dan aman untuk PCNL dengan panduan fluoroskopi dengan keuntungan tambahan untuk menghindari paparan radiasi.
"
Fakultas Kedokteran Universitas Indonesia, 2024
SP-pdf
UI - Dokumentasi  Universitas Indonesia Library
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Muliyadi
"ABSTRAK
Latar belakang Akurasi triple diagnostic USG guided FNAB untuk menentukan keganasan pada kasus nodul tirodi masih belum diketahui. Hal tersebut penting untuk diketahui sehingga tindakan definitif dan jenis operasi dapat ditentukan tanpa harus dilakukan pemeriksaan potong beku.Metode Penelitian dilakukan pada 131 pasien dengan pembesaran kelenjar tiroid pada periode Januari 2014 ndash; Desember 2014 dengan menggunakan desain potong lintang. Penelitian ini menghitung nilai sensitivitas, spesifisitas, nilai prediksi positif, nilai prediksi negatif, akurasi triple diagnostic dengan USG guided FNAB dibandingkan dengan histopatologi.Hasil Hasil penelitian ini menunjukan triple diagnostic yang concordant ganas memiliki sensitivitas 81,17 , spesifisitas 96,55 , nilai prediksi positif 98,57 , nilai prediksi negatif 36,36 , dan akurasi 85,08 .Kesimpulan Tingginya nilai prediksi positif yang didapatkan dalam penelitian ini, sehingga triple diagnostic dapat digunakan untuk terapi definitif tanpa dilakukan pemeriksaan potong beku intra operatif.

ABSTRACT
Background The triple diagnostic accuracy with Ultrasound guided FNAB to determine the risk of malignancy in cases of thyroid nodules remains unknown. It is important to know so that definitive measures and types of operations can be determined without the need for a frozen section. Methods The study was conducted using cross sectional design on 131 patients with thyroid nodule in the period of January 2014 December 2014. This study calculated the values of sensitivity, specificity, positive predictive value, negative predictive value, triple diagnostic accuracy with ultrasound guided FNAB compared with histopathological result.Results This study show triple diagnostic with malignant concordant has sensitivity of 81.17 , specificity of 96.55 , positive predictive value of 98.57 , negative predictive value of36.36 , and 85.08 accuracy.Conclusions The high positive predictive values obtained in this study, show that triple diagnostic can be used for definitive therapy without intraoperative frozen section"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Edwin Goutama
"ABSTRAK
PENDAHULUAN: Teknik motor imagery diketahui berpengaruh terhadap fungsi motorik anggota gerak atas pasien stroke iskemik kronik. Meskipun demikian, belum diketahui pengaruh teknik motor imagery terhadap neuroplastisitas secara molekular pada pasien stroke iskemik kronik. Penelitian ini bertujuan mengetahui pengaruh teknik motor imagery terhadap fungsi anggota gerak atas dan neuroplastisitas pasien stroke iskemik kronik.
METODE: Kami melaporkan 3 kasus stroke iskemik kronik. Kasus pertama wanita usia 40 tahun dengan stroke pertama awitan 5 tahun dan komorbid systemic lupus erythematosus (SLE). Kasus kedua wanita usia 53 tahun dengan stroke pertama awitan 3 tahun, komorbid hipertensi dan diabetes mellitus tipe 2. Kasus ketiga pria usia 51 tahun dengan stroke berulang ketiga awitan 1 tahun, komorbid hipertensi dan hiperlipidemia. Kami melakukan intervensi teknik motor imagery 1 sesi per minggu selama 12 minggu, dengan durasi 20 menit per sesi, menggunakan panduan elektroensefalografi (EEG) elektroda tunggal portabel. Luaran fungsional dinilai dengan Chedoke Arm and Hand Activity Inventory-13 (CAHAI-13) sebelum dan sesudah intervensi. Parameter neuroplastisitas diukur dari kadar Brain Derived Neurotrophic Factor (BDNF) serum yang dinilai pada pra-intervensi, minggu ke-6, dan pasca-intervensi minggu ke-12
HASIL: Pemulihan fungsi anggota gerak atas yang bermakna secara klinis didapatkan pada kasus kedua dengan peningkatan skor CAHAI-13 sebesar 21 poin disertai peningkatan kadar BDNF serum pada minggu ke-6 yang relatif menetap pada pengukuran minggu ke-12. Pada kasus ketiga didapatkan peningkatan skor CAHAI-13 yang tidak bermakna secara klinis, sementara pada kasus pertama tidak didapatkan perubahan. Kadar BDNF pada kasus pertama dan ketiga memiliki kecenderungan yang sama, yaitu meningkat pada minggu ke-6, dan turun kembali pada minggu ke-12 dengan kadar yang masih lebih tinggi dibandingkan kadar pra-intervensi.
KESIMPULAN: Teknik motor imagery 1 sesi per minggu selama 12 minggu, durasi 20 menit per sesi, terbukti berpengaruh terhadap neuroplastisitas pasien stroke iskemik kronik, dan terhadap pemulihan motorik anggota gerak atas pasien stroke iskemik kronik serangan pertama awitan 3 tahun.

ABSTRACT
INTRODUCTION: Motor imagery is known to affect motor function of upper limbs in chronic ischemic stroke patients. However, the effect of motor imagery on molecular neuroplasticity in chronic ischemic stroke patients is not yet established. This study aims to determine the efect of motor imagery on upper limb function and neuroplasticity of chronic ischemic stroke patients.
METHODS: We reported 3 cases of chronic ischemic stroke. The first case was a 40-year-old woman with stroke onset 5 years and comorbid systemic lupus erythematosus (SLE). The second case was a 53-year-old woman with a first strokte of 3 years onset, comorbid hypertension and diabetes mellitus type 2. The third case was a 51-year-old with third recurrent stroke of 1 year onset, comorbid hypertension and hyperlipidemia. We performed motor imagery 1 session per week for 12 weeks, with a duration of 20 minutes per session, using single electrode portable electroencephalograph (EEG) guidance. Functional outcomes were assessed using the Chedoke Arm and Hand Activity Inventory-13 (CAHAI-13) before and after intervention. Neuroplasticity parameters were measured from serum Brain Derived Neurotrophic Factor (BDNF) levels which were assessed at pre-intervention, week 6, and week 12 post-intervention.
RESULTS: Clinically significant recovery of upper limb function was found in the second case with an increase in the CAHAI-13 score of 21 points, accompanied by an increase in serum BDNF levels at week 6 which was relatively stable at week 12. In the third case, there was an increase in the CAHAI-13 score which was not clinically significant, while in the first case there was no change. Serum BDNF levels in the first and third cases had the same tendency, which increased at week 6 and decreased at week 12, with the levels still higher than pre-intervention levels.
CONCLUSION: Motor imagery 1 session per week for 12 weeks, with the duration of 20 minutes per session, has been shown to have an effect on neuroplasticity of chronic ischemic stroke patients, and on motor recovery of limbs in patient with first chronic ischemic stroke of 3 years onset."
Depok: Fakultas Kedokteran Universitas Indonesia, 2021
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
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Eko Indra Pradono
"ABSTRAK
Percutaneous nephrolithotomy (PCNL) sebagai pendekatan untuk perawatan batu ginjal membutuhkan penggunaan fluoroskopi X-ray C-arm. Namun demikian, pemanfaatan X-ray C-arm sesuai standar sulit untuk dicapai di sebagian besar rumah sakit di Indonesia. Akses ginjal dengan panduan Ultrasonografi (USG) dalam tindakan PCNL menawarkan solusi untuk mengurangi paparan radiasi selama prosedur. Penelitian ini bertujuan untuk menggambarkan hasil operasi prosedur PCNL supine dengan panduan USG di Rumah Sakit Adam Malik, Medan. Sebanyak 13 pasien berturut-turut menjalani prosedur supine PCNL dengan panduan USG di Rumah Sakit Adam Malik Medan, Indonesia, dari bulan April hingga Juni 2018. Pasien dengan riwayat operasi batu ginjal terbuka, gangguan fungsi ginjal, dan urosepsis tidak disertakan dalam penelitian. Penelitian prospektif dilakukan dengan mencatat data pasien yang menjalani PCNL, termasuk karakteristik pasien dan batu ginjal, data intraoperatif, dan status batu sisa. Usia rata-rata pasien adalah 46,00 ± 12,92 tahun. Rasio pria-wanita pada pasien adalah 6 : 7. Lebih dari setengah pasien mempunyai batu ginjal kiri (61,54%). Ukuran rata-rata batu adalah 25,71 ± 13,17 mm. Terdapat 11 pasien (84,62%) yang menerima puncture sebanyak satu kali, sementara yang lain menerima 2 kali (1 pasien; 7,69%) dan tiga kali (1 pasien; 7,69%). Rata-rata waktu puncture hingga tindakan nefroskopi adalah 15,64 ± 3,14 menit. Tindakan dilatasi berhasil dilakukan dengan waktu rata-rata 11,46 ± 1,56 menit. Waktu rata-rata nefroskopi adalah 25 menit (18-62 menit), dan total durasi operasi adalah 85,92 ± 33,95 menit. Tingkat keberhasilan tanpa hidronefrosis, hidronefrosis ringan, sedang, dan berat masing-masing adalah 50%, 100%, 100%, dan 50%. Sepuluh pasien bebas batu setelah prosedur (tingkat keberhasilan 76,92%).USG-PCNL memiliki hasil yang memuaskan. Hal ini dapat menjadi pertimbangan bahwa USG-PCNL bisa menjadi alternatif yang baik untuk mengurangi paparan radiasi pada pasien dan ahli urologi.

ABSTRACT
Percutaneous nephrolithotomy (PCNL) as an approach to kidney stone treatment requires a C-arm X-ray fluoroscopy application. Nevertheless, the utilization of standardized C-arm X-ray is complicated to achieve in most of our country hospitals. Ultrasound (US)-guided renal access for PCNL offers the solution for reducing the radiation exposure in the procedure. The present study aims to describe the operation outcomes of US-guided supine PCNL procedure at Adam Malik Hospital, Medan.A total of 13 consecutive patients underwent US-guided supine PCNL procedure at Adam Malik Hospital Medan, Indonesia, from April until June 2018. Patients with a history of open renal stone surgery, impaired renal function, and urosepsis were excluded from the study. We prospectively recorded the data of patients undergoing PCNL, including patient and stone characteristics, intraoperative data, and residual stone status. The mean age of the patients was 46.00 ± 12.92 years. The male-to-female ratio of the patients was 6:7. More than half of the patients had left kidney stone (61.54%). The mean stone size was 25.71 ± 13.17 mm. There were 11 patients (84.62%) who received one-time successful puncture attempt, while the others received 2 (1 patient; 7.69%) and three attempts (1 patient; 7.69%). The mean puncture-to-nephroscope time was 15.64 ± 3.14 minutes. All patients had successful dilation with the mean dilation time was 11.46 ± 1.56 minutes. The median nephroscopy time was 25 (18-62) minutes, and the total operation duration was 85.92 ± 33.95 minutes. The success rates for no hydronephrosis, mild, moderate, and severe hydronephrosis were 50%, 100%, 100%, and 50% respectively. Ten patients were stone-free after the procedure (76.92% success rate). US-PCNL has satisfactory outcomes. It should be considered that US-PCNL could be a good alternative for reducing radiation exposure of the patient and urologist."
Depok: Fakultas Kedokteran Universitas Indonesia, 2019
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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