KORELASI LUND-MACKAY DENGAN HARVARD STAGING SYSTEM PADA GAMBARAN CT RHINOSINUSITIS KRONIS

CAECILIA S, Prof. Dr. Arif Faisal Sp.Rad (K), DHSM.; dr. Anita Ekowati, Sp.Rad (K)

2020 | Tesis | MAGISTER ILMU KEDOKTERAN KLINIS

Latar Belakang: Rhinosinusitis kronis di Indonesia mempunyai angka kesakitan cukup tinggi. Suatu pemeriksasan CT scan dengan penilaian staging diperlukan dalam memberikan informasi bagi dokter THT untuk pemilihan terapi, memperkirakan luasnya tindakan dan memperkirakan keluaran post tindakan. Staging sistem Lund-Mackay dan Harvard merupakan staging yang tidak memerlukan software khusus dan diharapkan dapat dipergunakan dalam praktek sehari-hari. Tujuan: Untuk mengetahui korelasi Lund - Mackay dengan Harvard staging system pada gambaran CT rhinosinusitis kronis. Bahan dan Metode: Penelitian observasional cross sectional retrospektif ini menggunakan data pasien yang telah melaksanakan CT scan paranasal pada tahun 2017-2018 dan dilakukan staging. Hasil staging dilakukan uji analisis kolerasi. Hasil:Subjek penelitian berjumlah 51, 30 berjenis kelamin perempuuan dan 20 laki-laki. Kejadian rhinosinusitis kronis lebih banyak pada sisi kiri sejumlah 45 subjek (88,2 %). Uji korelasi Lund - Mackay dengan Harvard staging system didapatkan nilai koefisien korelasi (r) 0,764 dan nilai signifikansi (p) 0,000. Kesimpulan: Terdapat hubungan signifikan antara Lund -Mackay dengan Harvard staging system dengan kategori kuat dan menunjukkan hubungan yang searah.

Background: Chronic rhinosinusitis in Indonesia has a high morbidity rate. A CT scan with staging assessment is required to provide ENT physicians with information on the choice of therapy, estimate the extent of treatment and estimate post-treatment outcomes. The Lund-Mackay and Harvard staging system are staging system that does not require special software and is expected to be used in daily practice. Objective: To determine the correlation between Lund - Mackay with Harvard staging system on CT images of chronic rhinosinusitis. Materials and Methods: This retrospective cross-sectional observational study used data from patients who had performed paranasal CT scans in 2017-2018 and performed staging. The results of staging were tested for correlation analysis. Results: The research subjects were 51, 30 were female and 20 were male. The incidence of chronic rhinosinusitis was more on the left side of 45 subjects (88.2%). The Lund - Mackay correlation test with the Harvard staging system obtained a correlation coefficient (r) of 0.764 and a significance value (p) of 0.000. Conclusion: There is a significant relationship between Lund -Mackay and the Harvard staging system which is categorized as strong and shows a unidirectional relationship.

Kata Kunci : CT, Rhinosinusitis kronis,Lund-Mackay, Harvard, Chronic Rhinosinusitis