Tesis

Hubungan Derajat Hidronefrosis dan Leukosit Urin terhadap Komplikasi Demam dan Retropulsi pada Batu Non-opaque yang Dilakukan Ureteroskopik Lithotripsi di RSUD Dr. Fauziah Bireuen = Relationship between Grade of Hydronephrosis and Urine Leucocyte with Fever and Retropulsion as Complication of Ureteroscopic Lithotripsy in Patients with Non-opaque Stone.

Tujuan penelitian ini adalah mengetahui hubungan derajat hidronefrosis dan leukosit urin dengan kejadian komplikasi demam dan retropulsi pada pasien batu non-opaque yang menjalani URS. Penelitian ini bersifat prospektif, deskriptif analitik di RSUD dr. Fauziah Bireun Aceh selama Oktober-Desember 2016. Terdapat 42 pasien dengan didominasi laki-laki (73,8%), rata-rata berusia 47 tahun, 61,9% dengan batu di ureter proksimal, dan 76,2% diantaranya mengalami hidronefrosis sedang serta 28,5% mengalami leukosit urin ≥15/LPB. Komplikasi demam terjadi pada 11,9% pasien dan retropulsi batu sebanyak 7,1%. Derajat hidronefrosis dan leukosit urin merupakan faktor yang mempengaruhi terjadinya demam paska operasi. Kadar leukosit urin tidak mempengaruhi kejadian retropulsi.
Kata kunci: hidronefrosis, leukosit urin, retropulsi, URS


The purpose of this research is to know the relationship between degree of hydronephrosis, urinary leukocytes with incidence of fever and retropulsion as complication of non-opaque stone patients underwent URS. This was prospective, analytical descriptive research in dr.Fauziah Bireun Hospital Aceh during October-December 2016. From 42 patients, 73.8% were male with mean age 47y.o, 61.9% had proximal ureter stone, 76.2% had moderate hydronephrosis, 28.5% had urinary leucocytes ≥15/HPF. Fever occurred in 11.9% and retropulsion in 7.1% patients. Degree of hydronephrosis and urine leukocyte affect the incidence of post-operative fever significantly. Urine leukocyte levels do not affect the incidence of retropulsion.
Keywords: hydronephrosis, urine leucocyte, retropulsion, URS