Vai trò của phẫu thuật nội soi trong điều trị bưới giáp đơn nhân lành tính

thudng bi mat mau qua qua loc va day loc sau moi

Ian chay th$n, ddi song HC giam hon Trong khi

do, TPPM lien tuc ngoai trii khong lien quan true tiep

den viec mat m£u sau m6i Ian loc nen han che dupe

tinh trang thieu mau. Day cung la uu diem cua

phuang phap TPPM lien tuc ngoai tru. Ket qua nay

cung tuang tu nhu Michel Baum (8).

k £t lu a n

Tre duac dieu tri bing TPPM duy tri duac nong

do Hemoglobin, so luang HC, nong do albumin m3u

tot han TNT tuy nhien ty le t§ng huyet ap lai cao han

TNT

TAI LIEU THAM KHAO

1. Craig S Wong, MD , Bradley A Warady, MD.,

Tarak Srivastava, MD. (2013) “Clinical presentation and

evaluation of chronic kidney disease in children",

Uptodate; last updated: Jul 11, 2013

2 National Kidney Foundation (2002) “K/DOQI

clinical practice guidelines for chronic kidney disease:

evaluation, classification, and stratification' Am J Kidney

Dis; 39 S1-S266 (supp 1).

3 Oreopoulos DG, Katirtzoglou A. A/bus G. Cordy

P. “Dialysis and transplantation in young children' Br

Med J. 1999; 1:1628-1629.

4. Oreopoulos DG, Robson M, Izatts. Clayton S, de

Veber GA “ A simple and safe technique for continuous

ambulatory peritoneal dialysis’ . Trans Am Soc Artif

Intern Organs. 1978; 24: 484-487

5. Guideline] Task Force (1996)‘Update on the

1987 Task Force Report on High Blood Pressure in

Children and Adolescents a working group report from

the National High Blood Pressure Education Program

National High Blood Pressure Education Program

Working Group on Hypertension Contror,

Pediatrics;98(A Pt 1) 649-58

6. Michel Baum M D, David Powell M D et al (1982)

“Continuous Ambulatory Pentoneal Dialysis in children

compare with Hemodialysis', 307(25): 1537-1541

VAI TRO CUA PH&U THUAT NOI SOI

TRONG DIEU TRj Bl/tifU GIAP DON NHAN LANH TINH

TOM TAT

Budu gi&p la mot benh kha pho bien tren the giai

cung nhu d Viet Nam, chiem 7% dan so the gioi. O

Viet Nam, ty le bi buxyu giap thay doi tu 4% - 20%. Ve

dieu tri, co 2 phuong phap la: Phau thuat va khong

p h iu thuat. Trong dd, p h iu thuat giu• vai trd then

chot, gdp phan quan trong giai quyet triet de buxyu.

Vdi phuong phap nghien cuu hoi cuu, mo ta cSt

ngang tren 72 benh nhan buxyu giap don nhan lanh

tinh duxyc didu tri b in g p h iu thuat noi soi tai benh

vien Binh Dan tu nam 2007 - 2009 nhim tim dac

diem lam sang, can lam sang va danh gia ket qua

ciia p h iu that noi soi trong d iiu tri buou giap don

nhan lanh tinh. Ket qua cho th iy khong co chuyen

mo ho va khdng cd tu vong Day la phuong phap

p hiu thuat it dau, It bien chung. VS tinh tham my

100% khdng cd seo d co, 100% seo o nguc va nach

lanh tot Ket qua nghien cuu cung co them hieu qua

cua p hiu thuat noi soi trong dieu tri buou giap don

nhan lanh tinh, la co sd trong dao tao nhan luc. san

xuat dung cu p h iu thuat noi soi chuyen dung trong

didu tn buxyu giap don nhan lanh tinh.

Tif khoa: P hiu thuat noi soi. buou giap don

nhan lanh tinh.

SUMMARY

Thyroid tumor is a relatively common disease in

the world as well as in Vietnam, accounting for 7 % of

the world's population. In Vietnam, thyroid tumors

ratio change from 4 % - 20 %. The side of treatment,

there are 2 methods: surgical and non - surgical In

which, surgical is a key role, contnbuting important to

NGUYiN THANH BINH, LE QUANG NGHIA

Dai hoc Y duxyc thanh pho Ho Chi Minh

resolve philosophy tumors. With nostalgic study

methods, a cross-sectional study on 72 patients

solitary benign thyroid nodules be treated with

endoscopic surgery at Binh Dan Hospital from the

year 2007 to 2009, which find clinical and subclmical

symptom to evaluate results of endoscopic surgery in

the treatment of solitary benign thyroid nodules

Results showed no transfer the open surgery and no

mortality. This surgery is less pain, fewer

complications. The side of aesthetic 100 % no scar in

the neck, 100 % scar on the chest and armpit has

completely healed. The study results reinforce the

effectiveness of endoscopic surgery in the treatment

of solitary benign thyroid nodules that is the basis of

personel training, production dedicated endoscopic

surgery equipment in the treatment of solitary benign

thyroid nodules

Keywords: endoscopic surgery, solitary benign

thyroid nodules.

OAT VAN 0£

Budu giap la mot benh kha pho b iin tren the gid

cung nhu d Viet Nam, chiem 7% dan s6 the gidi 6

Viet Nam, ty le b| budu giap thay ddi tu 4% - 20% V&

dieu tri, co 2 phuang phap la Phiu thuat va kh6ng

phiu thuat. Trong do, phau thuat giu vai tro then

ch6t, gop phan quan trpng giai quyet tnet d i budu.

dac biet I trong budu gip dan nhn Inh tinh Y hoc

ngay cang tien bo, viec dieu tri khong chi dan thuin

la iiy het budu, ma con quan tam den ch it luang

song cua benh nhan nhu it dau, thdi gian n5m vien

ngin, it bien chung , quan tam den sue khoe tinh

36 V HOC THUC HANH <922i - SO 6 M U