Hiệu quả điều trị móng chọc thịt bằng laser CO2

DIEN DAN Y HOC

NghiSn cii'u khoa hoc

Hieu qua dieu trj mong choc thjt

bang laser CO2

ThS. Pham Cao Kiem*

TOM TAT:

Muc tieu; (1). Danh gia hieu qua diiu tri mdng chgc thjt bang laser CO2 (2). Tim hidu cac ydu td

nguy cagiy mdng chgc thit. Bdi tirong.• nghien cdu tren 45 benh nhin bi mdng chgc thjt. Phirong phap:

md ta cat ngang, diet matrix bang laser C02 JZ 30A. Kdt qua; (1). Hieu qua; tdt 12 (26,5%), kha 28

(62,2%), trung binh 3 (6,7%) va xiu 2 (4,5%). (2). Ydu tdnguy ca: cat mdng sai 26 benh nhin (57,2%),

sau de 12 benh nhin (26,7%). Ra nhiiu mi hdi, di giiy chit, chin thuang, dj vit cd 8 trudng hgp

(17,8%). Kdt luan; (1). Sd dung laser CO2 dd diiu trj mdng choc thjt cd hieu qua cao vi 100% benh

nhin diu khdi benh. Kdt qua thanh cdng theo tieu chuin la 95,5%. (2). Cat tia mdng khdng hgp ly li

nguyen nhin hang diu giy mdng choc thjt, kdddn li sau de tang cin. Di giiy chit, tang tidt mi hdi...

chi la ydu td thd ydu gay mdng chgc thjt.

LDATVANDE

Mong chgc thit II hien tugng canh bSn ban

mong choc vao to chuc phan mSn d cuon mong

bSn lam t6n thuang t6 chirc nly gay nen do, sung

vl dau. CIc trieu chirng cd xu hudng xau ban khi

di giay, nhiem khuin vl mdng lien tuc phlt trien

chgc vao phan mem d cu6n mong ben .

Mdng choc thit gay khd khan cho benh nhan

khi di lai, dac biet la nhiing benh nhan can di giay

ml lai khong di dugc vi dau.

CIc ky thuat diSu tri mdng chgc thit kha da

dang vl cho ket qua khlc nhau tuy tiing tic gia.

Nhieu cong trinh nghiSn ciru cho thay laser CO2

CO hieu qua cao trong diSu tri mdng chgc thit.

Viet Nam da diSu tri can benh nay, nhung cho

dSn nay van chua cd mot nghiSn ciiu cd he thdng

nio ve mong choc thit, dac biet II laser trong dieu

tri mdng choc thjt. Vay vln de dieu tri can benh

*Vien Da liiu Quoc gia

nly bang laser CO2 d Viet Nam nhu thS nao? DS

gop phan tra Idi cau hdi tren chiing t6i tien hinh

nghien cuu de tii nay vdi muc tiSu.

1. Ddnh gid hieu qud diiu tri mdng chgc thit

bdng laser CO2 •

2. Tim hiiu cdc yiu td nguy cff gdy mdng

chgc thit.

W. DOI TUDNG VA PHVDNG PHAP NGHIEN CDU

1. Ddi tuOTig nghien cmi

Doi tugng nghiSn ciru gdm 45 benh nhan dugc

chan doan la m6ng chgc thjt va dugc diSu trj bang

laser CO2 tai Vien Da lieu Qu6c gia tu thing 01

nam 2003 dSn thing 10 nam 2004.

Tieu chudn lua chon benh nhdn

Chi dinh mo tuyet ddi: mdng chgc thit d giai

doan III, chi djnh tuang d6i: d giai doan II; chi

dinh mo ban hiru d giai doan I.

So 45 (Thang 10/2009) Y HOC LAM SANG i 5 5