Đánh giá mật độ xương, tình trạng loãng xương ở nam giới đái tháo đường TýP 2 từ 50 tuổi trở lên

TCNCYH 68 (3) - 2010

harmonic versus electrcsurgery in lapardsccpic myomectomy in the management of uterine

myomectomy. Fertil Steril. 2009 Oct 9. Epub myomas: a prospective study. Am j Obstet Gyne￾ahead of print. col. 200(2): 144.e1 - 6. Epub 2008 Nov 1 8.

4. Peacock K, Hurst BS (2006). Laparoscopic 6. Sinha R, Hegde A, Mahajan C, Dubey N,

Myomectomy. Surg Technol Int. 15: 141- Sundaram M. (2008). Laparoscopic myomectomy:

5.javascript: PopUpMenu2_Set (Menul 70291 74); do size, number, and location of the myomas fdrm

5. Prapas Y, Kalogiannidis I, Prapas N. (2009). ''"^'^'"8 ^^^^"'^ ^°' laparoscopic myomectomy. J

Laparoseopy vs laparoscopieally assisted Minim Invasive Gynecol. 1 5 (3): pp. 292 - 300.

Summary

EVALUATION ON THE EFFECTIVENESS OF LAPAROSCOPIC MYOMECTOMY IN

2008 AT NATIONAL HOSPITAL FOR OBSTETRICS - GYNECOLOGY

Objective: evaluate the effectiveness of lapardscopic myomectomy in 2008 in National hospital for

obstetrics - gynecology. Methods: 62 medical files were selected. Data processing and analysis by the

software SPSS 11.5. Results: average age of 34.7 ± 5.54, 28.6% patients are non pregnant before, 44 cases

laparoscopic myomectomy, 18 eases switched to laparotomy due to difficulties. 81.8% cases were done by

laparoscopic suture with an average 2.5 sutures one patient. Two eases touch uterin cavity during

myomectomy Discussion: age of patient, who suffer from fibrome need myomectomy. Hysteroscopie

myomectomy requires high skilled experiences, operation times, rate of comeomplicatJon similar to other

studies. Conclusion: laparoscopic myomectcmy is the safe, efficient and ccmestJe method for young

patients who want to be treated myoma with uterin conservation.

Keywords: laparoseopy, myomectomy

DANH GIA MAT DO XL/ONG, TIN H TRANG LOANG XL/ONG 6

NAM GI61 DAI THAO Dl/CJNG TYP 2 TL/ 50 TUOI TR 6 LEN

Le Tien VUOng\ D6 Thi Khanh Hy^ Pham Thlng^

'Bdnh vien Ddng Da; ^Trddng Dai hoc Y Ha Ndi; ^Benh vien Lao khoa Trung dang

Dal thdo dddng (DTD), la benh thddng gap nhat trong sd cac benh ndi tiet. Mot trong cac bie'n

chdng cua DTD la lodng xdang (LX) thd phat. Muc tieu: ddnh gia mat do xdang (MDX), hnh trang

lodng xdang d nam gidi DTD typ 2 td 50 tudi trd len. Dd'i tugng va phuang phap nghien cdu: md ta cdt

ngang, ta't ca dd'i tdang nghien cdu ddac dinh Idang dddng mau, do mat do xdang theo phdang phdp

DXA, benh nhan dai thdo dddng ddac do ndng do insulin mau, 70 benh nhan nam gidi dai thdo dddng

vd 70 nam gidl nhdm chdng. Ke't qua: mat do xdang cot sdng thdt Idng, co xdang dui d benh nhan nam

ddi thao dddng typ 2 td 50 tudi trd len Id 0,83 ± 0,18 (g/cm^) vd 0,81 ±0,16 (g/cm'), giam ban so vdi

nhdm chdng (0,90 ± 0,24 va 0,90 ± 0,26 g/cm^) vdi p < 0,05. Ty le giam mat do xdang, loang xdang

cpf sdng thdt Idng va cd xdang dui d benh nhan nam DTD nhdm nghien cdu deu cao han so vdi nhdm

chdng vdi p < 0,05. Nhdm BN cd ndng do insulin mdu tha'p < 2,6 pU/ml cd MDX CSTL va CXD thd'p

ban nhdm benh nhan cd ndng do Insulin mdu binh thddng vdi p < 0,05. Ke't luan: d nhdm ddi thdo

dddng, mat do xdang giam, ty le lodng xdang tdng, ddc biet d nhdm cd nong do insulin thd'p.

Jii khoa: DTD, MDX, loang xUOng, DXA, Insulin

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