Cộng hưởng từ động học tuyến vú

Cd 34 trifdng hop dupe nudi dy , ty 1$ du'ong finh la

23,5%, kit qua tuong ty nhu eua Hoang Thj Hiin 22,2%,

Nguyin Van Khang 22,6% va khac bi#t vdi cae tac gia

nudc ngoai Greenwald (1986) t? le 60% duong tinh,

Okada (1994) duong tinh tdi 96%, Hany W. Flynn va

cpng sy la 70%. Li do la d l liy dupe bgnh phim npi nhan

nudi d y thi b^nh nhan cua chung tdi phai nhgp vign lam

du cae xdt nghigm co ban, trong thdi gian nay bgnh nhan

da dupc dilu tri khang sinh toan than va tgi elid.

K^T LUAN

- Viem npi nhan npi sinh d tre em Viet Nam la mpt

b$nh ly ngng va hay ggp vdi diy du cac trigu ehUng eo

nang va thyc thi eua viem npi nhan Hiu hit bgnh nhan

vao vign vdi vao vign trong tinh trgng thi lyc eh? edn

phan bigt sang tdi tdi 31,1%, thi lye edn tu 1/10 trd len

la 3.34%.

- Khdng tim thiy bgnh toan than dac higu kit hpp d

tre nhd bj viem npi nhan npi sinh nhu 6 ngudi Idn, 6,4%

bgnh nhan cd nhiem khuln khdng dgc higu dudng hd hip.

- Tae nhan gay bgnh hay ggp nhit la vi khuln

Gram(-t-) chilm ty lg 35,6%, nhiem khuln Gram(-) it g§p

hon vdi ty lg 21,9 %, nhiem nim it gap nhit chi chilm

1,5%.

TAI LIEU THAM KHA O

1. Hoang Thi Hiin (2005), Nghien eiru dgc diem lim

sing va mgt so tic nhin gay viem ngi nhan ngi sinh,

Luan van thgc sy y hpe, Trudng dgi hpe y Hd Npi.

2. Nguyen Van Khang (2001),"Gdp phin nghien cuu

hinh thai lam sang viem mang bd dao ndi sinh d tre em",

Luin van thgc syy hgc, Trudng dgi hpc y Ha Npi.

3. Nguyin Minh Thi (2005),"Nhgn xet tinh hinh bgnh

nhan viem npi nhan npi sinh dilu tri tgi khoa Gloeom

bgnh vign mat trung uong", Khoa lugn tdt nghigp bac sy

da khoa, Trudng dgi hpe y Ha Npi.

4. Agnieszka Nagpal, MD Julie F. L, MD Nisha R.

Aeharya, MS. (2006),"Epidemiology of uveitis in

children", Intemational Ophthalmology Clinics, volume

48, number 3, 1-7.

5. Fan JC , Niederer R.L., Von Lany H.,

Polkinghome P.J (2008), "Infectious endophthalmitis:

clinical features, management and visual outcomes",

Clin Experiment Ophthalmol. 2008 Oct;36(7):631-637.

6. Greenwald M.J., Who LG, Sell CH.

(1986),"Metastatic bacterial endophthalmitis: a

contemporary reappraisal", Surv Ophthalmol, 31(2):

page 81-101.

CONG HUONG TUTDONG HOC TUYEN VU

NGUYIN TH; HL/ONG, BUI VAN LENH

B^nh vi^n Dai hgc Y Hi N^i

GI6 | THI$U Bf NH A N

B^nh nhan nir 45 tudi, khdng ed b§nh ly mgn tinh,

khdng dilu tri hooe mdn, ehu ky kinh nguygt 30 ngay,

diu, sd ngay cd kinh: 4. Sieu am djnh ky vdi chin dodn:

nhilu nang tuyln vii hai ben. Lam sang: nghi ngd ed

khdi d vil trai. Chgp Xquang vii vdi chin doan: not md

ed vdi hda nhd d gdc dudi trong vii trai theo ddi u ac

tinh (BIRADS_4)

Hinh 1: Hinh anh sieu am ed nhilu nang tuyln vui hai

b6n

P T

Hinh 2: Not md d vu trai 1/4 dudi trong cd vdi hoa

nhd (mui ten) tren phim chgp vii

Bgnh nhan dupe chgp cpng hudng tu ddng hpc

tuyln vil tgi bgnh vign Dgi hpc Y Ha npi vdi cac hudng

d t axial va sagital, cac chudi xung T1W, T2W FS va 3D

SPGR FS (three - dimensional spoiled gradient echo

acquisition with fat suppression) trudc tiem, 3D SPGR

FS sau tiem thudc lp, 2p, 3p, 4p, 5p, ed xoa nin

(subtraction), xay dyng dudng ngim thude (dd thi) cua

tdn thuong (CAD - computer aided detection). Thudc

Gadolinium 20ml va 30ml NaCI 0,9%, tdc dp tiem

2.5ml/s.

Y HOC THl/C HANH (751) - S6 2/2011 71