Nhận xét sự thay đổi chỉ số doppler ống tĩnh mạch ở thai chậm phát triển trong tử cung so với thai bình thường ở tuổi thai từ 32 đến 33 tuần

VIETNAM MEDICAL JOURNAL N°1 - FEBRUARY - 2018

ne du'di 1 tuan ty le hai Idng cao hdn han nhdm

tren 1 tuan (80% so vdi 44,4%), siT khac biet cd

y nghTa thdng ke. Dieu nay chu'ng td rang sdng

ne keo dai la dau hieu khd chju nhat eua benh

nhan sau PTTM mi dUdi.

Seo phan Ofng cang keo dai thi ty le hai long

CLia benh nhan cang it: seo phan u'ng du'di 1

thang cd ty le hai Idng dat 68,8% trong khi seo

phan u'ng keo dai tren 1 thang ty le hai long chi

dat 41,7%. Tuy su' khac biet chu^ dii^y nghTa

thong ke, song cung tu'dng tu" nhu" bien chu'ng

su'ng ne, seo phan u'ng khdng chi lam cho benh

nhan khd chju ve mat cd nang ma cdn la dau

hieu lam giam tham my, cung dong nghTa vdi

viec khdng dat vdi ky vpng ciia benh nhan.

V. KET LUAN

- Ddi tu'dng cd nhu a u PTTM mi du'di chii

yeu la gidi niJ, bat dau d dp tuoi tren 35, nhu'ng

cao nhat la tren 50 tud'i; Nhij'ng doi tu'dng thu'c

hien PTTM mi du'di d Viet Nam chu yeu la vifa

thii^ da, VLte thii'a md mi du'di; thiia da mi du'di

ket hdp thiici da mi tren va loai ranh le chii yeu

thuoc loai 3.

- Ket qua PTTM mi du'di 6Mc danh gia theo

benh nhan dat 57,1%, trong do phu'dng phap

du'dc danh gia dat cao nhat la mo thifa md ddn

thuan mi du'di (66,7%).

- Thdi gian hau phau cang dai, ty le danh gia

SLT hai Idng eua benh nhan cang cao;

- Mpt so bien chuhg thu'dng xay ra sau mo:

tu mau, sutig ne va phan li'ng seo, trong dd, ty

le tu mau thap nhat (25%) va thdi gian tu mau

khong qua 1 thang; Su'ng ne pho bien trong

vdng tii 1 tuan - 1 thang; Phan li'ng seo sau mo

phd bien trong thdi gian tii 1- 3 thang; Hai yeu

td su'ng ne va seo eu'ng da anh hu'dng den sir

hai Idng cua benti nhan.

TAI LIEU THAM KHAO

1. M. Professor Paolo Santoni-Rugiu va M,

Philip J. Sykes (2007). A history of plas&c

surgery, Heidelberg, Germany,

2. M. Mohammed G. Turkmani (2017). New

Oassilicatk3n System /&r Tea/- Trough Defyimty,

Wolters Kluwer Health, Inc., Saudi Arabia, 26. Andrew

P. Tmssler va Rod 1 Rohrlch (2008). Blepharoplasty.

f^astic and Reconstructive Surgery, 121(1),

3. Andrew P. Tnissls- v^ Rod 2. Rohridi (2008).

Blepharoplasty. Fiasdc and ReconstnxSve Surgery, 121(1),

4. David A. Hidalgo (2011). An Integrated

Approach to Lower Blepharoplasty, New York, N.Y,

5. N. Subramanian (2008). Blepharoplasty. Indian

Journal of Plastic Surgery, Indian, 41,

6. R. Manner (2014). Patient information ^ctsfieet,

University Hospital Southampton,

NHAN XET s y THAY DOI CHI SO DOPPLER ONG TINH MACH

(y THAI CHAM PHAT TRIEN TRONG TCT CUNG SO Vai

THAI BINH THiraNG 6" TUOI THAI TIT 32 DEN 33 TUAN

TOM TAT

Sieu am Doppler ong tinh mach cd vai trd quan

trpng trang viec danh gia lu'u lu'dng tuan hoan thai.

Myc tieu; Nhan xet su' thay ddi chi so Doppler ong

tinh mach d thai cham phat trien trong til cung so vdi

thai binh thu'dng. Doi tu'dng va phu'dng phap

nghien cu'u: 125 thai phu mang thai trong dd cd 85

thaibinh thu'dng va 40 thai cham phat tnen trong tir

cung cd tuoi thai tir 32-33 tuari du'dc sieu am do chi

so Doppler dng tinh mach. Phu'dng phap nghien CLTU;

MD ta cat ngang. Ket qua: thai binh thu'dng c6 gia tri

trung binh ciia chi so xung: 0,73±0,13 chi so trd

*TrWdng Dai hoc YDifdc Thai Nguyen

**Benh vien da khoa fim Anh

***Binh vien Phu San Trung L/dng

Chiu trach nhiem chinh: Nguyen Thi Hong

Email: dmguyenthihong77@gmail.com

Ngay nhan bai: 7/1/2018

Ngay phan bien khoa hoc: 28/1/2018

Ngay duyet b^i:3/2/20i8

Nguyen Thi Hong*, L€ Hoang**

Phan Trirong Duyet***

khang: 0,68±0,16, ti le S/a :2,21±0,56. Cac chi so

tren deu thay doi doi vdi thai cham phat trien trong

tii cung, cu the chi so xung; l,i4±0,29 chi so trtf

khang: 0,73±0,13, ti le S/a: 3,75±1,15 su" ttiay M

khac biet co y nghTa thong ke vdi p <0,001. Ket

luan: Chi so xung, chi so trd khang, ti le S/a d thai

cham phat trien trong tu" cung tang cao hdn so v6i

thai binh thu'dng.

Tit khoa: Ong tTnh mach, sieu am, Doppler, dii sS^

Doppler, thai, cham phat trien trong tir cung.

SUMMARY

OBERVATION OF CHANGE IN DUCTUS VENOSUS

DOPPLER INDICES IN INTRAUTERINE GROWTH

RESTRICnON COMPARED TO NORMAL FETUSES

AT 32 TO 33 WEEKS' GRESTATION

The ductus venosus Doppler ultrasound plays an

important role in evaluation of fetal circulatioi^

Objectives: To obsen/e a change in the DV Dopplq

indices In intrautenne growth restriction compared ra

normal fetuses at 32 to 33 weeks' gestation!