Giá trị của siêu âm, chụp cắt lớp vi tính và siêu âm nội soi trong chẩn đoán viêm tụy mạn thể canxi hóa

phan dam trong mau dn djnh nha't, hau nhU khdng

phu thupc vSo che dp an hoac nhi/ng thay ddi sinh ly

ma chi phu thupc vao kha nang dSo thai ciia than. Khi

cau than bj ton-thudng, ndng dp creatinin mau tang

sdm hdn ure.

Trong nghien ciiru cua chiing tdi, creatinin trong

mSu thd sau 4 tuan udng vien nang Thdng ta yeu

phUdng d ca 2 lieu 0,28g/kg va 0,84g/kg deu tang vS

cd y nghTa thdng ke so vdi 16 ehirng. Nhu vay, vien

nang Thdng ta yeu phUdng neu sif dung dSi ngay can

than trpng vi cd the anh hudng tdi chife nang lpc cua

cau than.

KET LUAN

Vien nang Thdng ta yeu phUdng vdi lieu

0,28g/kg/ngSy (lieu tUdng dUdng vdi lieu diing tren

ngUdi) va 0,84g/kg/ngay (ga'p 3 lan lieu diing tren

ngudi) udng lien tue 4 tuan: Ta't ca cac chi sd theo doi

ve chife nang gan (hoat dp SGPT, SGOT, ndng do

Bilimbin toSn phan, Protein) deu nam trong gidi han

binh thudng, khdng cd su khac biet ro ret so vdi Id

chirng.

Vien nang Thdng ta yeu phUdng vdi lieu

0,28g/kg/ngay (lieu tUdng dUdng vdi lieu diing tren

ngudi) vS 0,84g/kg/ngay (gap 3 lan lieu dimg tren

ngudi) udng lien tue 4 tuan ed chi sd theo doi ve chife

nang than (Creatinin) tSng cao hdn so vdi nhdm

chiimg, nen can than trpng khi sif dung thudc dSi

ngSy.

T AI LIEU THAM KHA O

1. Bp y te (1996), Hudng din kem theo quyet

djnh sd 371/BYT-QO ngay 12/3/1996 ve xSc djnh dp

an toan cho thudc cd truyen Bp Y te.

2. Giang Khac Minh, Bao IVIinh Hue. Gian minh

phUdng te tif dien (Tai ban lan 2). NXB Khoa hpe ky

thuat ThUdng Hai, 2002: 502 (tieng Trung).

3. Luu Cong Vong. PhUdng t l hoc. NXB Hoa Ha,

2001: 1274 (tieng Trung).

GIA TRI CUA SIEU AM, CHUP CAT LQTP VI TINH VA SIEU AM NOI SOI

TRONG CHAN DOAN VIEM TUY MAN THE CANXI HdA

DAO VA N LONG, NGUYI N TRl/dNG SON

Benh viin Bach Mai

DANG HLTONG GIANG, Dai hgc Y Hi Noi

TOM TAT

Ngiy nay nhd nhCfng tien bd trong linh vUc thim

do hinh anh, cae phuang phap chan doin hinh anh

hien dai nhu sieu am (SA), sieu am ndi soi (SANS),

chup cit idp vi tinh (CLVT), ... ra ddi khdng chi cho

phep chan doan viem tuy man mdt each chinh xie

han ma con dinh gii duac sd lugng, vi tn, kieh thudc

cOa s6i tuy, nhOng thay ddi bat thudng eCia nhu md vi

he thdng dng tuy. Muc tieu: 1- Tim hidu gii tri ciia

sieu im, chup cit Idp vi tinh va sieu am ndi soi trong

chin doin viem tuy man thS canxi hda. 2 - Nghien

cUu die diim lam sang, can iam sang eiia viem tuy

man thi canxi hda. Ddi tuang vi phwong phap

nghien ciiu: Nghien eifu tien cifu, md ta, cit ngang

tren 34 benh nhan duac ehan doan viem tuy man thi

canxi hda (VTM). Ket qua nghien cdu: Tuoi hay gip

nhat tif 40 - 49 tudi T^ le nam nd 3,8. Benh nhin ed

tien 5(3" udng ruau nhiiu ehiem fj? le 44%. Cae trieu

chdng iam sang xuat hien diu tien nhir. Dau bung

viing thugng vi, ehiem 85,3%o, sut can 82,3%o. Dudng

mau mOc trung binh 16,7±8,3. V4 mit chin doin hinh

anh: SA cd kha ning chin doan VTM ehiem 94,2%o.

CLVT vi SANS chin doan VTM lOOYo, Ket luin:

Nam gip nhieu han nif. LUa tudi gip nhieu nhat ciia

viem tuy man tinh thi canxi hda tif 40 - 49 tudi. Cic

trieu chifng iam sang thudng gip nhat la dau thugng

vi, silt can, rdi loan tieu hoi. Dii thio dudng ehiem

50%o. SANS vi CLVT ed gia tri chin doin cao han

SA thudng, ngoii ra CLVT va SANS ed kha ning

phit hien eie tdn thuang gian dng tuy, nang gia tuy

tdt han so vdi SA nhat la vi tri ma SA khd quan sit

nhu dudi tuy.

Tir khoa: Viem tuy man tinh thi canxi hda, sieu

am 0 bung, sieu am ndi soi, chup cit Idp vi tinh.

Tif Viet tat: SA: Sieu am d bung, CLVT: Chup cit

Idp vi tinh, SANS: Sieu am ndi soi, VTM: Viem tuy

man thi canxi hda

SUMMARY

Nowday, there are many modern Image Diagnosis

methods such as: Ultrasound, Computer

Tomography, and Ultrasound Endoscopic ..., can

accurate not chronic pancreatic diagnosis only the

number of stones, the size of stones, pancreatic

structure change and Ductal Structures. Objects: -

The value of Ultrasound, Computer Tomography, and

Endoscopic Ultrasound in the Diagnosis of Patients

with type of stone chronic Pancreatitis. - To

investigate clinieai and paraelinicai characteristic of

Patients with type of stone chronic Pancreatitis.

Patients and Methods: It is was a cross - sectional

study carried out on 34 patients were Patients with

type of stone chronic Pancreatitis. Results: the ages

with the most finding are from 40 - 49 year of age.

Feature clinieai are bellyache, to loss weight, and

diabetic is 50%,. accurate diagnosis Ultrasound is

94.2%o, Endoscopic Ultrasound and Computer

Tomography are more accurate diagnosis pancreatic

34 Y HOC THirC HANH (729) - SO 8/2010