ABSTRAK
Latar Belakang. Perkembangan teknologi dan meningkatnya peran penggunaantangan di bidang industri, rumah tangga dan perkantoran akan meningkatkanangka kejadian STK. Hal ini akan memiliki dampak negatif di bidang medis,sosial dan ekonomi. Pemeriksaan Ultrasonografi (USG) berguna sebagaipenunjang dalam mendiagnosis STK. Kemajuan dalam kualitas dan portabilitasUSG telah menempatkan USG sebagai alat pilihan dalam penelitian danpenerapan klinis di bidang neurologi. USG mudah dijumpai di pelayanankesehatan, memiliki biaya yang murah, waktu pemeriksaan yang singkat dan tidakinvasif, serta memiliki sensitivitas dan spesifisitas yang cukup baik dalammendiagnosis STKMetode. Desain penelitian berupa studi potong lintang. Subyek penelitian adalahpasien Poliklinik Neurologi RSCM yang memenuhi kriteria inklusi dan eksklusi.Subyek diperoleh secara konsekutif. Pada subyek dilakukan wawancara, pengisiankuesioner, pemeriksan fisik, elektroneurografi dan ultrasonografi di PoliklinikNeurologi RSCM. Dilakukan analisis data menggunakan perangkat SPSS 17.0Hasil. Diperoleh 58 subyek tangan yang masuk kriteria inklusi. Sensitivitas danspesifisitas kombinasi gambaran klinis dan USG adalah 86,04% dan 73,33%.Sedangkan akurasi kombinasi gambaran klinis dan USG sebesar 82,75%.Terdapat kesesuaian antara pemeriksaan kombinasi klinis dan USG dengankombinasi klinis dan elektroneurografi dalam mendeteksi STK (kappa = 0,70).Kesimpulan. Nilai sensitivitas kombinasi gambaran klinis dan USG sama denganelektroneurografi. Sedangkan spesifisitas kombinasi gambaran klinis dan USGlebih rendah daripada elektroneurografi. Kombinasi gambaran klinis dan USGdapat digunakan sebagai alternatif pemeriksan dalam mendiagnosis STK
ABSTRACT
Background. Technological development and the increased use of hands in thefields of industrial, household and office space will increase the prevalence ofCarpal Tunnel Syndrome (CTS). This will have a negative impact on medicalscience, social and economic. Ultrasonography (USG) is useful to supportdiagnosis of CTS. Progress in the quality and portability of ultrasound has placedultrasound as a chosen instrument in research and clinical application in the fieldof neurology. USG is easily found at the health centers, has a lower cost, a shortexamination time and not invasive, as well as having superior specificity andsensitivity is good enough in diagnosing CTS.Method. A cross-sectional sectional study was conducted. The research subjectwere patients of the Neurology Clinic of RSCM Hospital who meet all of theinclusion and exclusion criteria.Result. Fifthy eight hands were included in this study. The sensitivity andspecificity of the combination of clinical features and ultrasonography were86.04% and 73.33%. While, the accuracy of the combination of clinical featuresand ultrasonography was 82.75%. There is a conformity between the combinationof clinical features and ultrasound with a combination of clinical picture andelectroneurography in diagnosing CTS (kappa = 0.70)Conclusion. The combination of clinical features and ultrasonography has similarsensitivity with electroneurography. Meanwhile, the specificity of thecombination of clinical features and ultrasonography is inferior toelectroneurography. Thus, the combination of clinical features andultrasonography can be used as an alternative to electroneurography in diagnosingCTS. |
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