Letak pangkal appendik berdasarkan appendiko gram pada pasien-pasien appendisitis kronis di RS Dr. Sardjito Yogyakarta :: Juni 2002-April 2003

SARJANA, Tri, Dr. H. Marijata, Sp.,B.K.B.D

2003 | Tesis | PPDSI Ilmu Bedah

Tujuan penelitian ini adalah untuk menilai titik manakah yang lebih dekat dengan pangkal appendiks, apakah titik Mc Burney atau titik Lanz. Empat puluh pasien yang dilakukan pemeriksaaan appendikografi selama bulan Juni 2002 sampai dengan bulan April 2003 di evaluasi secara deskriptif. Diukur jarak antara pangkal appendiks ke titik Mc Burney dan jarak antara pangkal appendiks ke titik Lanz kemudian dibandingkan keduanya. Delapan pasien dikeluarkan karena pangkal appendiksnya terletak diatas garis inter-spinal, perbedaan antara titik Mc Burney ke pangkal appendiks (58,63 mm + 17,55 mm) dan jarak antara titik Lanz ke pangkal appendiks (27,88 mm + 13,69mm), adalah sangat bermakna secara statistik (t = -34,49 ; p < 0,001). Kata kunci : Appendisitis kronis,appendikografi, titik Lanz, titik Mc Burney

The goal of this study is to access whether Mc Burney point or Lanz point closer to appendiceal basis. Forty patients who underwent appendicography during June 2002 up to April 2003 were evaluated descriptively. The distance between Mc Burney point to appendiceal basis and Lanz point to appendiceal basis were measured and then compared. Eight patients were excluded as they were located above interspinous line.Approximately distance between Mc Burney point to appendiceal basis was 58.63 mm + 17.55 mm,whereas distance between Lanz point to appendiceal basis was 27.8 mm + 13.69 mm this difference was very significant statistically ( t=-34,49 ; p < 0.001).

Kata Kunci : Apendisitis AKut, Apendiko Gram, Letak Pangkal Appendix, Chronical appendicitis, Appendicography, Lanz point, Mc Burney point.