Cắt lớp vi tính 64 dãy trong chẩn đoán bệnh lý mạch vành

dai hay ngan khdng anh hUdng de'n tinh trang rdi loan

eUdng dUdng d nhdm benh nhan nay. Neu xet rieng

ve khia eanh benh hpe, chiing ta d i dang ly giai tang

huyet dp va tang md mau se anh hudng den qua trinh

eo that va gian nd eae mach mau eija dUdng vaL

Thieu mau ed the la yeu td gay nhieu tae dpng trong

qua trinh CUdng dUdng vat cua benh nhan.

KET LUAN

Nghien culi ve tinh trang rdi loan cUdng dUdng sir

dung chi sd IIEF d 120 benh nhan nam tudi tir 30-50

suy than man tfnh Ipe mau ehu ky va 40 nam khde

manh tudi tUdng dUdng, ehiing tdi rut ra mpt sd nhan

xet sau:

Benh nhan nhdm nghien ciru cd ehi sd IIEF trung

binh tha'p cd y nghTa thdng ke so vdi nhdm chifng vdi

p < 0,001, (38,63 ± 17,35 va 64,73 ± 4,59 diem). Ta't

ca 5 ITnh vUc trong rdi loan cUdng dUdng la: kha nang

CUdng eimg, kha nang ei/c khoai, ham mudn tinh due,

thda man trong giao hdp, va thda man chung, nhdm

benh nhan deu tha'p hdn nhdm chimg cd y nghTa

thdng ke vdi p < 0,01.

Ty le benh nhan rd'i loan cUdng dUdng la 78,33%.,

cd 11,67 % benh nhan rdi loan ra't nang (khong ed

ham mudn va khong hoat dpng tinh due).

Thieu mau, tang md mau, tang huyet dp ed the la

eae yeu td lam tang ty le rdi loan cUdng dUdng, khdng

tim tha'y mdi lien quan giifa thdi gian lpc mdu va rd'i

loan CUdng dUdng d benh nhan suy than man tinh lpc

mau chu ky.

T A I LIEU THAM KHAO

1. Ali ME et al. "Erectile dysfunction in chronic renal

failure patients undergoing hemodialysis in Egypt". Int J

Impot Res 2005; 17:180-5.

2. Arslan D et al. "Sexual dysfunction in male

patients on hemodialysis: assessment w/ith the

International Index of Erectile Function (IIEF)". 2002; 14:

539-42.

3. bellinghieri G et al. "Sexual dysfunction in chronic

renal failure". J Nephrol 2008; 21: S113-7.

4. Martin-diaz F et al. "Sexual function and quality of

life in hemodialysis male patients". Nefrologia 2006;

26(4): 452-60.

5. messina LE et al. "Erectile dysfunction in patients

with chronic renal failure". Int Braz J Urol 2007; 33(5):

673-8.

6. Naya Y et al. "Significant decrease of the

International Index of Erectile Function in male renal

failure patients treated with hemodialysis". Int J Impot

Res 2002; 14: 172-7.

7. rosas SE et al. " Prevalence and determinants of

erectile dysfunction in hemodialysis patients". Kidney Int.

2001;59:2259-66

CAT LOP VI TiNH 64 DAY TRONG CHAN DOAN DENH LY MACH VANH

NGUYI N QUOC DUNG

Khoa Chan doan Hinh anh - Benh vien Huu Nghi.

DAT VA N OE

• Cae benh If maeh vdnh: xd vCfa dpng maeh (hay

gdp nhat), bat thudng giai phdu he mach vanh, benh If

phinh mach vanh, thdng dpng mach vanh vdi cdc he

thdng mach khac.

• Mdy chup eat ldp vi tinh 64 day Id mpt phuong

tien chan dodn khdng xdm nhdp benh DMV da dupe dp

dgng tren th i gidi. CT64 dd dupc ddnh gid Id mpt

phuong tien chan dodn khd chinh xdc tdn thuong DMV

so vdi chgp DMV qua da hay sieu dm trong ldng ddng

mgch. Tgi Vipt Nam CT 64 day da dupc dp dgng lan ddu

tien vdo cudi nam 2005 tai thdnh phd Ho Chi Minh, sau

dd Id tgi BV Bgch Mai vd BV Hti-u Nghj

Van d l kha ndng chan dodn eua CT 64 so vdi chgp

DMV qua da cdn phai dupe ddnh gid diing mire xem xet

dp chinh xdc nhu th i ndo? Vi vdy ehiing tdi nghien ciru

d l tdi "Kha nang chan doan benh ly dgng mach vanh

ciia may CT64

D O I TU'O'NG VA PHLfONG PHA P NGHIEN CLfU:

1. Odi tu'O'ng nghien cifu:

- Ddi tupng nghien ciru bao gdm 50 benh nhdn (BN)

cd bilu hien hep it nhat 1 nhdnh DMV nang (>75%) tren

phim chgp CT64 hoac tdn thuong hep khdng ndng

nhung ed tripu chirng dau nguc tren lam sdng

2. Phuong phap nghien cifu:

- Nghien ciru md ta, tiln ciru

- Ddnh gid ede trieu ehirng ldm sdng, cdc dau hipu

xet nghiem vd benh ly kem theo cung nhu ede ylu to

nguy co cua benh DMV.

- Khao sat tren 10 dogn chinh eua DMV bao gdm:

Thdn chung DMV trdi (LM), ede doan gdn, dogn giu'a vd

doan xa eua cdc nhdnh lien that trude (LAD), nhdnh DM

mu (LCX), cdc dogn cua DMV phai (RCA). Tdng sd dogn

DMV dupc khao sat Id 488 dogn. Phdn logi tdn thuang

theo mirc dp hep nhe (30-<50%), vira (50-<75%) vd

ndng (>75% dudng kinh Idng mgch).

- So sdnh tirng dogn DMV chgp tren CT64 vd chup

DMV qua da, tir dd riit ra dp nhgy, dp ddc hieu, gid tri dy

bdo duong vd gid tri du bdo dm cua phuong phdp doi

vdi tirng doan DMV vd tirng mire dp tdn thuong khde

nhau.

- Xir ly sd lieu theo phan mIm SPSS 10.0

K^T QUA NGHIEN CI>U vA BA N LUAN:

1. Ddc diem chung

1.1. Tudi:

Tudi thap nhdt: 61

Tudi cao nhdt: 87

Tudi trung binh: 69,2

Lira tudi chiem ty le nhil'u nhat Id tir 60-69 tudi

(46%) vd it nhdt Id tir 80-89 tudi (10%)

1.2. Gidi:

BN chu yiu Id nam gidi vdi ty le nam/nif Id 12/1.

52 Y HOC THl/C HANH (727) - SO 7/2010