Đánh giá kết quả điều trị viêm mũi xoang mạn tính có polyp mũi bằng phẫu thuật nội soi mũi xoang tại Bệnh viện Tai mũi họng năm 2015-2017

TAP CHi Y HOC VlgT NAM TAP 463 - THANG 2 - SO 1 - 2018

V. KET LUAN

- Cac yeu td nguy cd nhu' can nang, ty le tang

huyet ap, ehi sd, ty le tang BMI, VB, WHR va ty

le ft van dpng d nhdm benh eao hdn so vdi nhdm

chu'ng, khac biet ed y nghTa thdng ke {p < 0,05).

- Ty le RLDNG va DTD d nhdm benh cao hdn

so vdi nlidm chu'ng, khac biet ed y nghTa thdng

ke (p<0,001). Trong nhdm benh ed 28,7% DTD

va nhdm chu'ng cd 23,7% RLDNG.

- Dau hieu TMCT, phi dai that trai (tang LVM

va LVI^I) d nhdm benh cao hdn nhdm chirng, d

phan nhdm DTD va RLDNG cao hdn phan nhdm

DNGBT, khac biet cd y nghTa thong ke (p<0,01).

- Ty le BVMN, BVMTTS, Gunn dd I, Gunn do

II va DTTT d nhdm benh cao hdn nhdm chiing,

Ty le Gunn dp I, Gunn dp II cao nhat d phan

nhdm DTD, d^n phan nhdm RLDNG va thap

nhat d phan nhdm DNGBT, khac biet cd y nghTa

thong ke (p < 0,05).

KIEN NGHj

- Can lam nghiem phap dung nap glucose

mau cho cae benh nhan ed yeu td nguy ed, vi cd

28,7% DTD trong nhdm RLGLD va 23,7%

RLDNG d nhdm khdng ed RLGLD khdng du'dc

phat hien, bd sdt neu khdng lam nghiem phap

dung nap glucose.

- Bien chirng tim maeh va mat chiem ty le

kha cao trong nhdm benh tien DTD, vi vay ddi

vdi nhu'ng benh nhan tien DTD can du'dc tham

kham tim maeh va mat, ke ca khi chu'a cd bieu

hien tren lam sang.

TAI UEU THAM KHAO

1. Ta Van Binh va cs (2005), Thut tranp benh dai thao

dudng va cac yeu to nguy cdd4 thanh pho Idn cua

VigtNam, Y hoc thUc hanh,.(507, 508), tr 37-51,

i.. Do Thanh Binh, Nguyen Thj To Nga (2012),

Tien dai thao dWdng, Hoi nghi noi tiet va dai thao

du'dng toan quoc fan thif VI, 1, tr. 28-32.

J. Tran HSu Dang (2010), Tien dai thao du'dng, Hpi

nghi noi tiet - dai thao du'dng - roi loan cfiuyen

hoa mien trung md rong lan thu" VII, tr. 17-21.

4. Deedwfania PC, Fonseca VA. (2005), "Diabetes,

preijiabetes and cardiovascular nsk: Shifting the

paradigm", Am J Med, 118(9), pp, 939-947.

5. Ford ES, Zhao G, Li C. (2010), "Pre-diabetes and

the nsk for cardiovascular disease: A systematic

review of the evidence", J Am Coll Cardiol, 55(13),

pp. 1310-1317.

w. Grundy SM. (2012), "Pre-diabetes, metabolic

syndrome, and cardiovascular risk, J Am Coll

Cardiol, 59(7)", pp. 635-643.

Garber AJ, Handelsman Y, Einhorn D,

Bergman DA, Bloomgarden ZT, Fonseca V, et

al. (2008), "Diagnosis and management of

prediabetes in the conbnuum of hyperglycemia:

When do the risks of diabetes begin? A consensus

statement from the Amencan College of

Endocrinology and the Amencan Association of

Clinical Endocnnologists", Endocr Pract, 14(7),

pp.933-946.

DANH GIA KET QUA DIEU TRI VIEM MUI XOANG MAN TINH

CO POLYP MUI BANG PHAU THUAT NOI SOI MUI XOANG

TAI BENH VIEN TAI MUI HONG NAM 2015-2017

TOM TAT

Dat van fl'e: Viem mui xoang man tinh (VMXI^T)

cd polyp mui la benh ly mui xoang ttiu'dng g3p nhutig

cd che benh smh hinh thanh polyp mui van^chu^ xac

djnh ro va si/ tim kiem giai phap dieu tri van la muc

tieu quan trong. Phau thuat ngi soi mui xoang la

phu'dng phap dieu tn hieu qua VI^XI«1T cd polyp mui

that bai vdi dieu tri ndi. MIJC tieu nghign cOfu: Danh

gia ket qua dieu tri VMXMT cd polyp mui tai Benh vien

(BV) Tai MUI Hong C3n Thd. Do'l tu'dng vS phu'dng

phap nghien cii'u: Nghien ciiu md ta cat ngang, tien

eiru 140 benh nhSn VMXMT ed polyp miji du'dc phau

*Benh vien Tai Mui Hong Can Thd

Chju b3eh nhiem chfnh: Chau Chieu Hda

Email: [email protected]

Ngay nhan bai: 30.11.2017

Ngay phan bien khoa hgc: 3.12.2017

Ngay duyet bai: 8.01.2018

Chau Chieu Hoa*

thuat noi soi mui xoang tir thang 4/2015 den 7/2017.

Ket qua: 140 benh nhan (83 nam, 57 nQ', tuoi trung

binh: 42,1±12,55) dUdc^phau thuat noi soi cat polyp

thda tieu chuan chon mau. Tat ca cac tneu chiTng cd

nang chinh ve mui deu cai thien sau phau thuat:

84,3% khong cdn tneu chirng chay mui, khong cdn

tneu chii'ng roi loan khiTu giac la 77,1%, Npi soi sau

phau thuat 3 thang: 90% ho mo sach khong co polyp.

Bien chirng sau phau thuat thu'dng gap nhat la hien

tUdng dinh chiem 5%, chii yeu xay ra dinh giu'a cuon

mui giij'a va vach ngan. Khong co tru'dng hdp nao eo

bien chimg nang nhU chay dich nao tiiy, chay mau

sau nhan cau, song thi hay mil mat. Sau 3 thang co

88,6% dat ket qua tot, 8,6% ket qua trung binh va

2,8% dat ket qua xau. Ket luan: Phlu thuat noi soi

(Tiui xoang la phlu thuat an toan va mang tai hieu qua

trong dieu tri benh VMXMT ed polyp mui.

Tiy khoa: viem mui xoang man tinh, polyp miJi,

phlu thuat npi soi.