Đánh giá kết quả phẫu thuật thoát vị bẹn nghẹt tại Bệnh viện Hữu Nghị Đa khoa Nghệ An

thiy phiu thu^t bao ton kem theo xa tri cho k it qua

ngang bing vdi phiu thuSt doan nhQ ri&ng le.

Tuy nhibn, c6 mot so chong chi djnh cua phuang

phdp dieu tri ndy:

Cb hai hodc nhieu khoi u nim a cdc g6c phan tir

khde nhau cua vu.

Khoi u Ian toa, giai han khong rb.

Khoi u nim trong tuyen vu nho.

Khoi u nim a vj tri trung tdm cua vu.

Nao hach cung la mbt phin cua phiu thudt. Nhit

Id nao hach lympho vung ndch rit cin cho danh gid

tien luang.

Xa tri h5 tra

Xa trj Id mbt phin cua phuang phdp dieu tri bao

ton: tien hdnh sau phiu thudt c it u. Xa tri giup giam

nguy ca tdi phdt.

Xa tri sau doan nhu. Giam nguy ca tdi phdt cho

nhCrng benh nhdn nguy ca cao nhir b$nh nhdn c6

nhiiu hgch vung, b6nh nhdn c6 u nguyen phdt to.

T it ca cdc b£nh nhdn deu dirac diiu trj phii hap

h6a vd xg trj. Ti 10 tdi phdt sau 5 thdng Id 6, 8,9% so

v^i nghien cu-u tai b§nh vien ung bub>u Thdnh phi

H i Chi Minh Id 7,8%, trong d6 tdi phdt thdnh ngyc

chiem 42,88% so v&\ benh vi£n ung bu’b’u Thdnh phi

H i Chi Minh Id 47,4%.

Ngodi ra, biln chirng phu tay sau m i Iu6n Id mot

thdch thirc d ii vdi phiu thudt viSn, ti 1$ chung tbi dua

ra sau 2 ndm thu-c hien phiu thudt Id 9/102 taring

hop chiem 8,8% m§t ti l£ khd thip so v6i cdc thing

ke hien nay tuy ring thb’i gian theo dbi cua chung tbi

cbn nain so vbi cdc nghien cim khde.

KET LUAN

Qua phan tich tren 102 benh nhan dime thyc hi£n

phiu thudt tai khoa Ngoai Benh vien Bach Mai chung

tbi rut ra nhung k it ludn sau: Phiu thudt c it todn bo

tuyen vu k6m nao vet hach ndch dd dirge dp dyng cb

hi§u qua tit trong dieu tri ung thir vu. Ti le tai bien vd

bien chirng cip tinh cua phdu thuat thip, ddp yng du

cac tieu chuin ky thudt cua mot phiu thuat ung thir.

TAI LIEU THAM KHAO

1 Bontebal M et al (2005). ‘Phase II to III study

comparing doxorubicine and docetaxel with fluoruraal,

doxorubicine, cyclophosphamid as first- line

chemotherapy in patients with metastatic breast cancer’

J Clin Oncol 2005:23: 7081-7088

2 Brian Hoyle (2010), ’A Randomized phase III

study evaluating pelgylated liposomal doxorubicin (PLD)

versus capecitabine (CAP) as first- line therapy for

metastatic breast cancer”: Presented at ASCO.

3. Ellis G.K, Livingston R.B, Gralow J.R et al (2002),

"Dose-v Dense Anthracycline-Based Chemotherapy for

Node-Positive Breast Cancer*, Journal of Clinical

Oncology, Voi 20, 3637-3643

4. Harris L., Batist G , Belt R et al (2002),

“Liposome- encapsulated doxorubicin compared with

conventional doxorubicin in a randomized multicenter

trial as frist line therapy of metastatic breast carcinoma"

Cancer 2002; 94:25-36.

5. Cung thj Tuyet Anh, Ho Van Trung (2012); ”K4t

qua dieu trj da thyc ung thu* vu giai dogn sbm”, Tgp chi

Ung thir hoc Viet Nam 7/2012 trang 362- 368

6. Trin Van Cbng, Nguyen Bd Dye (1999), “Nhdn

xet tai phat, di can sau dieu tri phau thugt tia xg ung thu

bieu mo tuyen vu giai dogn II.IIIA tgi benh vien K(1989-

1992)”, Vien thdng tin y hoc tmng uong, tr. 151-153.

7. Tb Anh Dung (1996), “Dgc diem Idm sdng ung thu

bieu mb tuyen vu va ddnh gid mbt so yeu to ti&n luang",

Lugn van tot nghiep thgc sy khoa hoc y duxyc, tr 1-60.

8. Nguyen Van Djnh va cs (2012); ”Cgp nhdt cdc tien

bp gannday ve phau thudt trong ung thu vu”; Tgp chi

Ung thw hpc VN; So 1-2012, tr 331-340

9. Nguyen Bd Due, Nguyen Chin Hung va CS

(2004), ”Ket qua buac dau nghien cuu djch te hpc mb ta

mpt so benh ung thu a 6 vung dia ly Viet Nam giai dogn

2001-2003”, Tgp chi Y hpc thwchanh (489), tr.1-7.

10. Nguyin Ba Due, Nguyen Van Djnh, Trin Vdn

Thuan (2000), "Danh gid hieu qua phau thudt cdt buong

trung ket hpp vai Tamoxifen trong dieu trj bo trp ung thu

vu giai dogn II,III”, Tgp chi thdng tin Y duxyc, chuyen de

ung thw, tr.181-188.

DANH GIA KET QUA PHAU THUAT THOAT Vj BEN NGHET

TAI BENH VIEN HUU NGHJ DA KHOA NGHE AN

TOM TAT

Muc tieu: Ddnh gid ket qud cdc phuxyng phdp

phiu thu$t thodt vi ben nghet tgi Benh vi$n huv nghj

da khoa giai dogn 2009-2013.

Doi twang vd phuxyng phip nghien ciru:

Nghibn cwu hdi cwu, tw thdng 01/2009 den 12/2013,

56 bdnh nhdn thodt vj bgn nghet duxyc didu tri bdng

phiu thudt tgi B$nh vien huv nghi da khoa Nghe An.

Ket qud: Tuoi trung binh Id 59,1 ± 15,7(18 - 95)

tudi, 100% Id Nam gi&i. Tang thodt vi chu ydu Id rudt

non vd mge ndi l&n, phuxyng phdp phuc hdi thdnh

NGUYiN VAN Hl/ONG

bung chu ydu Id phuong phdp Bassini, th&i gian phiu

thudt trung binh 1a 60,1 ± 10,7 (45 - 125) phut. Th&i

gian ndm vien trung binh sau md 1a 4,5 ± 1,6(3 - 10)

ngdy. Khong cd tai bidn, bidn chCmg ndng hay tw

vong sau md. Kdt qud sau 3 thdng khdi bdnh 100%.

Ket ludn: P hiu thudt didu tri thodt vi bgn nghgt tgi

B$nh vi$n huu nghi da khoa Nghd An Id khd thi, an

todn vd hi$u qud.

TCr khda: Thodt vi b?n nghet, Bdnh vidn da khoa

Nghd An

62 Y HOC THUC HANH (907) - SO 3/2014