Khảo sát tỉ lệ bệnh lý cầu thận và tìm hiểu chức năng thận người trưởng thành trong cộng đồng tại tỉnh Bắc Giang

TCNCYH PhtJ trWdng 62 (3) - 2009

the author during 1/2005 - 4/2009. Results: 140 patients with the symtomatic gallbladder stones or acute

complication and with gallbladder, polyps were performed the laparoscopic cholecystectomy with

intracorporeal ligation and bipolar coagulation. All of the patients were discharged on the 1st -7rd post

operative day, a infection of the umbilical incision represent 3.92%, the average operating times was

47.75 ± 17.74 minutes (25 - 155minutes), the post operative hospitalization was 2.28 ± 1.07 days (1 - 7

days). Conclusion: the laparoscopic cholecystectomy with intracorporeal ligation and bipolar coagulation's

a safe, effective. ,.!:•':,,,• ,

Keywords: laparoscopic cholecystectomy, intracorporeal ligation, bipolar coagulation

KHAO SAT TY LE BENH LY CAU THAN VA • • •

T I M HIEU CHLfC NAN G THAN NGU^CJl TRU^^NG THAN H

TRONG CON G DONG TAI TINH BAC GIANG

Dinh Thi Kim Dung\ D6 Gia Tuyen^ Le Danh Vinh^

^Benh vien Bach Mai, ^Trddng Dai hoc Y Ha Noi

Nghien cdu dich tS bdnh ly than Hit nieu da dugc Hin hinh d nhieu nUdc tren thi gidi nhim xic dinh

rd md hinh nhdrfi benh niy de xay dt/ng ke hoach dif phdng vi ap dung cac bidn phip diiu trj thich hgp

nhim ngan ngda sU Hin trien vi biin chdng ciia bdnh. Muc tieu: xic djnh ty le bdnh ly cau than ngUdi

trudng thinh trong cgng dong tai Bic Giang vi dinh gii chdc nang than d nhdng bdnh nhan neu tren. Doi

tugng va phuang phap nghien ciiu: Hen cdu, md ta dt ngang sing Igc tai cgng dong vdi sd luang 961 ngUdi,

d 3 huyen cua dnh Bic Giang. Kit qua: ty le mic benh ciu than tai BSc Giang li 5,7% va khdng khac bi$t

vi ty Id mic benh cau than gida 2 gidi. Mde Igc'cau than (MLCT) trung binh d nhdm cd protein nidu duang

tinh li 67,10 ± 21,4 ml/ph. Sd ngUdi cd protein nidu duang Hnh bj giam chdc nang thin chiem 34,6%. u

nhdm protein nidu duang Hnh cd THA thi MLCT trung binh la < 60ml/ph, xu hUdng tha'p hah nhdm khdng

THA. Kit luan: d Hnh Bac Giang, ty le mic bdnh cau thin vi sd ngUdi cd protein nidu duang Hnh vi giam

chdc nSng than la khi cao. Viec phit bidn sdm benh ly ciu than trong cgng dong thong qua vide phat hien

sang lgc protein nieu vi cic da'u hieu di kem la bet sdc quan trgng nham cd nhdng ki hoach theo ddi va

diiu trj liu dii cho nhdng ddi tugng nay.

Tii khoa: suy than, nghien cdu sang Ipc, b^nh If cau than ^

I. DAT VAN DE ntfdc dang phl t trien [1, 2, 5, 6, 7, 8, 10].

Hien nay md hinh benh ti t tren the gidi da cd Tai nUdc cd nen kinh te phat trien, ty le suy

nhieu thay ddi, xul't hien nhieu benh cd lien quan than giai doan cudi do benh tieu dtfdng va tang

de'n dieu kien sdng cung nhif thdi quen trong sinh huyet I p ddng hang dau [2, 9, 10]. Trong khi dd,

boat nhd; tang huye't Ip , tieu durdng va benh thi n d nhdng ntfdc cd nen kinh te chu'a phl t trien,

man tfnh Dieu nay da va dang trd thanh ci c van benh nhin suy thi n giai doan cudi (hay benh

de ldn mang tfnh xa hoi ma ci c ntfdc dang phi i thi n giai doan cudi) do benh ly cau thi n va do

ddi mat, ke c l ci c ntfdc phat trien cung nhU cac nhiim trung chien ty le cao nha't. Nghien cdu

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