Điều trị u nang buồng trứng ở trẻ em và tuổi vị thành niên bằng phẫu thuật nội soi tại bệnh viện phụ sản Trung Ương trong 2 năm 2005 và 2006

DIEU TRj U NANG BUONG TRQNG DTRE EM VA TUOI Vj THANH NIEN BANG PHAU THUAT

NOI SOI TAI BENH VIEN PHU SAN TRUNG U0NG TRONG 2 NAM 2005 VA 2006

TOM TAT :

Miic tieu nghien ciru: Nhpn xet ve nhOng chi dinh

vi ket qui dieu tri u nang buong trirng (UNBT) a tre em

vi tuoi vi thanh nien bang phau thupt ngi soi (PTNS) tpi

BV PSTW trong 2 nam 2005 vi 2006. Doi twgng va

phwong phap nghien ciru: Nghien cii'u hoi cdu md ta

tren 79 tmong hgp UNBT cd dg tuoi ft> 7 - 19 tuoi dirge

PTNS tpi Bpnh vipn Phtj san Tmng uong (BV PSTlf)

trong 2 nam 2005 va 2006. Ket qua nghien cii'u: Tuoi

thap nhat duoc dieu tri PTNS li 7 tuoi, kich thwdc khoi u

tmng binh la 8,15 ± 3,19cm, kich thuoc tan nhat 18,6cm.

Khdng cd truong hgp nio PTNS that bpi. Ty lp bao ton

dtrgc mgt phan buong tning lanh chiem ti lp cao 92,4%.

PTNS mang Ipi hipu qui lan vi an toin dpc bipt doi vdi

tre em gai vi phtj nir tre vi thinh nien. Ket lu$n: Tpi

BVPSTlf, chi dinh PTNS dieu tri. UNBT da du^rc thi/c

hipn a tuoi thap nhat li 7 tuoi. PTNS UNBT tren tre em

vi vi thinh nien la an toan, it bien chung, nit ngan thdi

gian nam vipn. Phtrang phap niy cung mang Ipi tinh

tham my cao nhat li cic tre gii chua Ipp gia dinh.

Tir khoa: u nang buong tning, tre em

SUMMARY

Treatment ovarian cysts in children and

adolescents laparoscopy in the National hospital of

gyneco-obstetrics (NHGO) in 2 years 2005-2006

Objectives: Review of indications and treatment

results ovarian cysts in children and adolescents by

laparoscopy in NHGO in 2005-2006. Subjects and

research methods: The study describes research on

recovery 79 cases of ovarian cysts aged 7-19 years old

are lapamscopy in the NHGO in 2005-2006. Results:

Age lowest patient is 7 years old, the average tumor size

was 8,15±3.19 cm, 18.6 cm in greatest dimension. No

case lapamscopy failure. Conservation rate is a healthy

ovaries high pmportion 92.4%. Laparoscopy bring

greater efTiciency and safety particulariy for giris and

female adolescents. Conclusion: In NHGO, appointed

laparoscopy ovarian cyst treatment was done at least 7

years old. Laparoscopy on children and adolescents is

safe, fewer complications, shorter hospitalization time.

This method also offers high aesthetics especially

unmarried giris.

Keywords: ovarian cysts, children, adolescents

DAT VAN oe

0 Vipt Nam, PTSN dd dypc dp dyn^ rpng rdi trong

dilu trj nhilu logi b#nh ly vd mang Igi nhieu thdnh qui to

Idn. Odi vdi dieu trj UNBT d ngydi Idn, tgi BV PSTLT,

PTNS dd trd thdnh phyang phdp thydng quy dypc lya

ehpn diu tidn. Tuy nhidn, ddi vdi dieu trj UNBT d tre em,

vipc dp dyng phyang phdp dieu trj PTNS cdn de dgt vd

mpt so vln dl cin dypc bdn ludn. Xuat phdt tir nhO'ng ly

do trgn, chung tdi tiln hdnh nghien cu'u ndy vdi myc

dich nhgn xdt ve nhO'ng chi djnh vd kit qua dilu trj

UNBT a tre em vd tudi vj thdnh nien bdng PTNS tgi BV

PSTLC trong 2 ndm 2005 vd 2006.

OANG TH! MINH NGUYET, DANG QUANG HUNG

BVPhy San trung wcmg, Trirong dpi hgc YHa Ngi;

0 6 l TU'Q'NG vA PHLfONG PHA P NGHIEN CLFU

Ddi tu'p'ng nghien cii'u: 79 benh dn ciia nhO'ng

bpnh nhdn UNBT dype PTNS tgi Benh vipn Phy san

Trung yang tu' thdng 1/2005 den thdng 12/2006 du-pc

lya chpn.

- Phyong phap nghien cii'u: Phu'Ong phap hdi cu'u

mo ta.

Thu thgp thdng tin: tudi, lam sdng vd sieu dm, kit

qua phdu thugt, kit qua mo bpnh hpe.

K^T QUA NGHIEN CLFU

1. Dac dilm chung

1.1. Phan bdtheo tudi. Bang 1.

Nh6m

tu6i

< 1 0 10-1 3 1 4- 15

15

16-1 7

19

18-1 9

32

Tyl9% I 5,1 I 11,4 19 I 24,1 j 40,5

Tgi nghien ciru ndy, tuoi thdp nhit la 7 tuoi cd 1

bpnh nhan. Cung cd th i ed nhO'ng bpnh nhdn nhd tudi

han di n phau thugt tgi bpnh vipn Nhi trung u-ang.

Tudi trung binh: 16,1 ±2,8.

1.2. Tinh hinh kinh nguypt

Bpnh nhan da hdnh kinh chiem ti lp: 83,5%.

1.3. Hoan canh phat hipn bpnh. Bang 2

Tri$u

chirng

Ty s6'

thay u

Byng to

|gn

Dau

bgng

53

Roi logn

kinh

Kh^m

phij khoa

13

Tyl$% I 2,5 I 3,8 | 67,1 | 10,1 | 16,5

67,1% so bpnh nhdn ed bien chirng mdi tdi vipn.

Biln chirng ed th i ggp Id: Dau byng do xoln, chen ep,

khdi u d byng to...

2. Dac diem lam sang va sieu am lien quan vdi

kha nang phlu thugt npi soi

2.1. Tinh di dpng cua khdi u tren tham kham lam

sang

Bang 3. Tinh di dpng cua khdi u

Di ggng

Khong di dpng

Khong ghi

71

Ty lg (%)

89,9

2,5

7,6

Hau het cdc khdi u di dpng dype khi tham kham lam

sdng, gpi y khdi u khdng dinh.

2.2. Kich thu'dc khdi u tren sieu am. Bang 4.

Kich thu'dc khoi u

N

Ty 1? %

< 5cm

10

12,7

5 - Scm

37

46,87

> Scm i

32

40,5

Kich thyde khdi u trung binh Id 8,15 ± 3,19em, nhd

nhit la 1,1cm, Idn nhdt la 18,6cm.

2.3. Mgt dp am vang cua UNBT tren sieu am

Bang 5.

N

Dang long Dgng dgc Dgng h5n hpp Co v^ch

47

59,5 7,6

25

31,6

1

Ty 1$ % , ^ . 1,3

Dgng hdn hpp chiem 31,6%, trong dd hgu het Id u bi ,

3 trydng hpp ngng dan gian, dgng Idng chilm ty lp cao

nhat 59,5% vd chu yl u Id u bi vd u thanh djch.

Y HOC THVC HANH (755) - S6 3/2011 13