Ultrasonografi untuk Prediksi Laserasi Parenkim Ginjal dan Hematoma Perirenal pada Pasien Trauma Tumpul Abdomen dengan Kecurigaan Trauma Ginjal  

Oleh:

Richata, Galuh ; Sugandi, Suwandi ; Haroen, Zulhardi ; Effendi, Mumuh M. ; Nugroho, Bambang S. ; Tjahjodjati ; Safriadi, Ferry

Jenis: Article from Journal - ilmiah nasional - terakreditasi DIKTI
Dalam koleksi: Jurnal Urologi Indonesia (Indonesian Journal of Urology) vol. 15 no. 01 (Jan. 2008), page 25-28.
Topik: ultrasound; renal parenchyma laceration; perineal hematoma; renal trauma

Ketersediaan

Perpustakaan FK Nomor Panggil: J33.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective : To evaluate the sensitivity and the spesificity of the ultrasound in predicting renal parenchyma laceration and perirenal hematoma in petients with abdominal blunt trauma with suspicion of renal trauma, as confirmed by operative findings in the explorative laparotomy. Material and Methods : From March 2005 to March 2006, we found 28 patients admitted to the emergency departement with abdominal blunt trauma with suspicion of renal trauma. Every patient was scanned sonografically to predict the presence of the renal parenchyma laceration and perineal hematoma. All those patients underwent laparotomy due to any certain indication, but not due to the ultrasound findings. The ultrasound findings then were confirmed by the operative findings in the laparotomy. Results : The sensitivity of the ultrasound in predicting renal parenchyma laceration is 53,8%, while its sensitivity in predicting perineal hematoma is 75%. the specificity of the ultrasound of both predicting renal parenchyma laceration and perineal hematoma is 100%. Conclusion : Ultrasound for kidney trauma is quite sensitive in predicting the presence of perineal hematoma, but not sensitive in predicting the presence of renal parenchyma laceration. Unltrasound is very specific in predicting the presence of both perineal hematoma and renal parenchyma laceration.

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