Nghiên cứu các phương pháp phẫu thuật và kết quả của ung thư vị trí 1/3 trên dạ dày

cae ehi tieu hda sinh da dUde cai thien rd ret so vdi

cdc nhdm VT ehi dUdc tieu dpc hoac chi cat Ipc. Theo

chiing tdi, day Id hieu qua tdng hdp cua ede bien

phap xCr trf: tieu doe, cat Ipc va tac dung eua kem

Herbavera.

Thanh phan eua kem gdm cd cao 16 hpi, cao cd

lao, eao bd edng anh, eao ddn kim. Tac dung rieng re

cua cae loai thao dUde nay eung da dUde mpt sd tdc

gia trong vd ngoai nUde nghien ciru tren dpng vat thUe

nghiem.

Kem Herbavera cd cac thanh phan chdng viem,

khang khua'n, chdng xung huyet [3]. CDA la chat dpc

gay dan maeh manh lam cho cac td chire ndi tiep xiic

vdi chat dpc bi phu ne, xua't huyet. Ld ed lao ed trong

thanh phan cija kem Heravera, mot loai thue vat dUde

chimg minh Id cd hoat cha't gay eo mach, cam mdu

tdt. Cao la cd lao ed cdc hoat chat flavonoid cd tde

dung han che phii ne, xua't huyet, chdng viem, lam

giam tdn thUdng tai VT [4].

Ngodi ra, trong thdnh phan eua kem Herbavera

cdn CO Id hpi, bd edng anh va ddn kim. NgUdi ta da

xdc djnh dUde Id hpi, bd cdng anh, ddn kim deu ed

chira nhdm flavonoid [2;5;7]. Day la nhdm chat ed tae

dung lam ben vung thanh maeh, chdng viem, quet

saeh gde tu do trong cd the va dn dinh mang te bao.

Kem Herbavera lam giam tdn thUdng tai chd do chat

dpc CDA tu dd lam giam tdn thUdng toan than, trong

dd cd gan, than va ede enzym chuyen hda glucid,

lipid. Ngodi ra, khi ngam vao ed the Herbavera eung

ed tae dung todn than. NhU vay, theo chiing toi eac

thdnh phan eua kem Herbavera vUa lam han che tdn

thUdng tai chd vUa gdp phan lam giam tdn thUdng

todn thdn do CDA.

KET LUAN

Qua nghien cifu vet thUdng phan mem bi nhiim

CDA tren thd va hieu qua cua cac bien phap xif tri,

chiing tdi da dUa ra ket luan sau:

Hoat dp AST, ALT huye't thanh tdng cao d ngay

thif 1, 10 vd 20, ham lUdng ure, creatinin, glucose

tang cao d ngdy thur 1 va 10 sau nhiim dpc d nhdm

thd c6 vet thUdng phan mem bi nhiim CDA so vdi

nhom ddi chimg.

Tieu dpc vet thUdng sdm d thdi diem 2 phiit hodc

cat Ipe vet thUdng d phiit thif 10 sau nhiim dpc da cai

thien rd ret dupc cae chi tieu hda sinh. Tieu ddc mupn

d thdi diem 10 phiit sau nhiim dpc khdng cai thien

dUde cae chi tieu nay.

Oieu trj kit hdp bang each tieu dpc vet thUdng cl

thdidiem 2 phut, eat Ipe vet thUdng 6 phiit thiT 10 sau

nhiim dpc vd bdi vet thUdng bang kem Herbavera,

eae chi tieu hda sinh d ngay thU 10 va 20 sau nhiim

doe deu tha'p hdn so vdi nhdm thd chi tieu dpc hodc

ehi cat Ipc vet thUdng.

TAI LIEU THAM KHAO

1. Nguyin Bang Quyen va CS (2002J, Dpc hgc va

phdng xa quan su. NXB qudn dpi nhan dan, tr 57-67.

2. Pham Cdng Dodn, Nguyin Ngpc Hanh...(2008).

Ke't qua budc dau khao sat thanh phan hda hpc cay bo

cdng anh. Tap chi khoa hoc 9/2008, TrUdng Dai hoc Can

Thd, tr 227-231.

3. Nguyin Vdn Long vd CS (2009), Nghien cifu bao

che vi dinh gii tic dung dieu tri vet thuong vet bong

ciia kem Herbavera, Bao cao tdng ke't de tai KCB￾04.02.02.

4. Nghiem Dinh Phdn (1992), Gdp phan nghien cifu

tic dung tai chd cCia cao li co lie tren vet thuong phan

mem nhiim khuan va vet thuang phan mem lau lien,

Luan an PTS khoa hpc Y DUdc, Ha Npi, tr 90-120.

5. Pham Vdn VUdng, Vu Manh Hung, Nguyin

Hodng Ngdn (2007), Nghien ciru tac dung giam dau

chdng viem tren thUc nghiem cua Bp 1 chiet xuat tU cay

Ddn kim (Bidens pilosa L.,), Tap chi Duac hoc, sd

379/2007 tr 9-13.

6. Goldman M, Dacre J.C (1989), Levi/isite: its

chemistry, toxicology, biological effects. Rev Environ

Contam Toxicol, 110, tr 75-115.

7. ZhanHai Yu, Che Jin. Ma Xin (2009), Effect of

Aloe vera polysaccharides on immunity and antioxidant

activities in oral ulcer animal models, Carbonhydrate

polymers, 75 (2), pp 307-311.

NGHIEN CUU CAC PHlTONG PHAP PHAU THUAT VA KET QUA

CUA UNG THI/ VI TR11/3 TREN DA DAY

LE QUOC PHONG, LE LOC, LE MANH HA, DLTONG MANH HUNG,

OANG NGOC HUNG, HOANG TRONG NHAT PHL/ONG

Benh vien Trung u&ng Hue

DANG VAN TH6| : Trudng Cao dang ky thuat Y tell - Da NSng

TOM TAT

Tir thing 3.2005-3.2010, chung tdi nghien ciru 41

bgnh nhan ung thw 1/3 tren da day gom 75,6% tim vj,

12,5%, tim-phinh vj, 12,5%, phinh vj. Tuoi trung binh la

60,48. Cat cgc tren da day chiem 46,34%o, thdi gian mo

trung binh 177,37 phut. Cat toan bg da day chiim

26,83%,, thdi gian mo tmng binh 215,45 phut. Ti Ig cat

dwgc u li 73,17%o, viem mieng noi 63,33%o, tai phat

mieng noi 13,33%, khdng cd biin chimg sau mo.

Tir khda: ung thw 1/3 tren da diy

SUMMARY

RESEARCH ON THE IVIETHOD OF SURGERY AND

RESULT OF CANCER IN THE UPPER THIRD OF THE,,

STOMACH

Background: Gastric cancer is a common malign

disease, the first position in digestive cancer and the

68 Y HOC THl/C HANH (727) - SO 7/2010