{"id":281167,"date":"2024-08-15T11:21:52","date_gmt":"2024-08-15T04:21:52","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/lan-dau-tien-ket-hop-ky-thuat-noi-soi-kep-noi-soi-tan-soi-bang-ong-soi-mem-va-phau-thuat-noi-soi-mo-ong-mat-chu-lay-soi-chi-trong-mot-lan-mo-dieu-tri-soi-duong-mat-endoscopy-laparoscopy\/"},"modified":"2025-11-10T12:05:09","modified_gmt":"2025-11-10T05:05:09","slug":"lan-dau-tien-ket-hop-ky-thuat-noi-soi-kep-noi-soi-tan-soi-bang-ong-soi-mem-va-phau-thuat-noi-soi-mo-ong-mat-chu-lay-soi-chi-trong-mot-lan-mo-dieu-tri-soi-duong-mat-endoscopy-laparoscopy","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/lan-dau-tien-ket-hop-ky-thuat-noi-soi-kep-noi-soi-tan-soi-bang-ong-soi-mem-va-phau-thuat-noi-soi-mo-ong-mat-chu-lay-soi-chi-trong-mot-lan-mo-dieu-tri-soi-duong-mat-endoscopy-laparoscopy\/","title":{"rendered":"L\u1ea7n \u0111\u1ea7u ti\u00ean k\u1ebft h\u1ee3p k\u1ef9 thu\u1eadt n\u1ed9i soi k\u00e9p: N\u1ed9i soi t\u00e1n s\u1ecfi b\u1eb1ng \u1ed1ng soi m\u1ec1m v\u00e0 ph\u1eabu thu\u1eadt n\u1ed9i soi m\u1edf \u1ed1ng m\u1eadt ch\u1ee7 l\u1ea5y s\u1ecfi ch\u1ec9 trong m\u1ed9t l\u1ea7n m\u1ed5 \u0111i\u1ec1u tr\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt (Endoscopy – Laparoscopy)"},"content":{"rendered":"\n

B\u1eb1ng K\u1ef8 THU\u1eacT T\u00c1N S\u1eceI B\u1eb0NG \u1ed0NG SOI M\u1ec0M TRONG NI\u1ec6U KHOA V\u00c0O T\u00c1N S\u1eceI TRONG \u0110\u01af\u1edcNG M\u1eacT, K\u1ebeT H\u1ee2P GI\u1eeeA ENDOSCOPY – LAPAROSCOPY, Khoa Ngo\u1ea1i T\u1ed5ng Qu\u00e1t B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u1ed3ng Nai v\u1eeba th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng ca ph\u1eabu thu\u1eadt l\u1ea5y s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7, s\u1ecfi trong nh\u00e1nh gan tr\u00e1i, s\u1ecfi b\u00f9n t\u00fai m\u1eadt tr\u00ean b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh n\u1ec1n COPD.<\/em><\/p>\n\n\n

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\"\"<\/figure>\n<\/div>\n\n\n

B\u1ec7nh nh\u00e2n nam, N.V.N 85 tu\u1ed5i, t\u1eafc m\u1eadt do s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7, s\u1ecfi trong gan v\u00e0 ti\u1ec1n s\u1eed c\u00f3 b\u1ec7nh n\u1ec1n COPD. Tr\u01b0\u1edbc \u0111\u00e2y, b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n c\u0103n b\u1ec7nh l\u00fd COPD \u0111ang \u0111i\u1ec1u tr\u1ecb. Nh\u1eadp vi\u1ec7n v\u00ec \u0111au h\u1ea1 s\u01b0\u1eddn ph\u1ea3i, kh\u00f4ng s\u1ed1t, da v\u00e0ng d\u1ea7n kho\u1ea3ng 1 tu\u1ea7n.<\/p>\n\n\n\n

Qua th\u0103m kh\u00e1m, Ths.Bs. Ho\u00e0ng Thanh Ng\u00e2n \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n c\u00f3 da v\u00e0ng, k\u1ebft m\u1ea1c v\u00e0ng, d\u1ea5u hi\u1ec7u sinh t\u1ed3n \u1ed5n, b\u1ee5ng m\u1ec1m, \u1ea5n \u0111au h\u1ea1 s\u01b0\u1eddn ph\u1ea3i, \u0111\u1ec1 kh\u00e1ng (-).<\/p>\n\n\n\n

Sau \u0111\u00f3, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ee5p CT scan b\u1ee5ng, ph\u00e1t hi\u1ec7n s\u1ecfi kho\u1ea3ng 15mm \u1edf \u0111o\u1ea1n cu\u1ed1i \u1ed1ng m\u1eadt ch\u1ee7, s\u1ecfi \u1edf \u1ed1ng gan chung v\u00e0 nh\u00e1nh tr\u00e1i c\u1ee7a gan kho\u1ea3ng 12mm. \u0111\u01b0\u1eddng m\u1eadt trong v\u00e0 ngo\u00e0i gan gi\u00e3n, \u00edt s\u1ecfi b\u00f9n t\u00fai m\u1eadt. X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 Bilirubin to\u00e0n ph\u1ea7n v\u00e0 tr\u1ef1c ti\u1ebfp t\u0103ng chi\u1ebfm \u01b0u th\u1ebf.<\/p>\n\n\n\n

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Ph\u00e1t hi\u1ec7n s\u1ecfi \u1edf \u1ed1ng gan chung. \u1ea2nh: B\u1ec7nh vi\u1ec7n cung c\u1ea5p<\/mark><\/em><\/figcaption><\/figure>\n\n\n\n
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Ph\u00e1t hi\u1ec7n s\u1ecfi \u1edf cu\u1ed1i \u1ed1ng m\u1eadt ch\u1ee7. \u1ea2nh: B\u1ec7nh vi\u1ec7n cung c\u1ea5p<\/mark><\/em><\/figcaption><\/figure>\n<\/figure>\n\n\n\n

C\u00e1c b\u00e1c s\u0129 Khoa Ngo\u1ea1i T\u1ed5ng Qu\u00e1t B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 h\u1ed9i ch\u1ea9n, quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt n\u1ed9i soi, m\u1edf \u1ed1ng m\u1eadt ch\u1ee7 l\u1ea5y s\u1ecfi \u1edf \u1ed1ng m\u1eadt ch\u1ee7 v\u00e0 \u0111o\u1ea1n gan chung, s\u1ecfi trong gan.<\/p>\n\n\n\n

Qu\u00e1 tr\u00ecnh b\u01a1m r\u1eeda \u0111\u00e3 l\u1ea5y \u0111\u01b0\u1ee3c nhi\u1ec1u s\u1ecfi nh\u1ecf. Qua l\u1ed7 m\u1edf c\u1ee7a \u1ed1ng m\u1eadt ch\u1ee7, c\u00e1c B\u00e1c s\u0129 d\u00f9ng \u1ed1ng soi m\u1ec1m \u0111\u1ec3 ki\u1ec3m tra \u0111\u01b0\u1eddng m\u1eadt trong gan \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng c\u00f2n s\u1ecfi s\u00f3t l\u1ea1i.<\/p>\n\n\n

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\"\"<\/figure>\n<\/div>\n\n\n

S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt nh\u00e1nh gan tr\u00e1i. \u1ea2nh: B\u1ec7nh vi\u1ec7n cung c\u1ea5p<\/em><\/p>\n\n\n\n

Khi soi xu\u1ed1ng \u1ed1ng m\u1eadt ch\u1ee7, c\u00e1c B\u00e1c s\u0129 ph\u00e1t hi\u1ec7n v\u1eabn c\u00f2n m\u1ed9t vi\u00ean s\u1ecfi kho\u1ea3ng 15mm b\u1ecb k\u1eb9t \u1edf \u0111o\u1ea1n cu\u1ed1i \u1ed1ng m\u1eadt ch\u1ee7 v\u00e0 kh\u00f4ng th\u1ec3 l\u1ea5y b\u1eb1ng d\u1ee5ng c\u1ee5 Randal.<\/p>\n\n\n\n

K\u1ebft h\u1ee3p v\u1edbi m\u00e1y t\u00e1n s\u1ecfi laser, c\u00e1c B\u00e1c s\u0129 \u0111\u00e3 t\u00e1n v\u1ee5n vi\u00ean s\u1ecfi \u1edf \u0111o\u1ea1n cu\u1ed1i \u1ed1ng m\u1eadt ch\u1ee7, sau \u0111\u00f3 l\u1ea5y h\u1ebft s\u1ecfi v\u00e0 ki\u1ec3m tra c\u01a1 v\u00f2ng Oddi, th\u1ea5y th\u00f4ng t\u1ed1t v\u00e0 b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t th\u00eam m\u1ed9t \u1ed1ng d\u1eabn l\u01b0u Kehr v\u00e0o \u1ed1ng m\u1eadt ch\u1ee7.<\/p>\n\n\n\n

Ca ph\u1eabu thu\u1eadt di\u1ec5n ra trong 3 gi\u1edd, th\u00e0nh c\u00f4ng t\u1ed1t \u0111\u1eb9p v\u1edbi k\u1ef9 thu\u1eadt l\u1ea7n \u0111\u1ea7u ti\u00ean k\u1ebft h\u1ee3p n\u00e0y.<\/p>\n\n\n

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\"\"<\/figure>\n<\/div>\n\n\n

S\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7. \u1ea2nh: B\u1ec7nh vi\u1ec7n cung c\u1ea5p<\/em><\/p>\n\n\n\n

S\u1ef1 k\u1ebft h\u1ee3p n\u00e0y l\u00e0 m\u1ed9t th\u00e0nh c\u00f4ng \u0111\u00e1ng ghi nh\u1eadn trong l\u0129nh v\u1ef1c y khoa t\u1ea1i B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u1ed3ng Nai. S\u1ef1 th\u00e0nh c\u00f4ng n\u00e0y kh\u00f4ng ch\u1ec9 n\u00e2ng cao uy t\u00edn c\u1ee7a b\u1ec7nh vi\u1ec7n m\u00e0 c\u00f2n m\u1edf ra h\u01b0\u1edbng \u0111i m\u1edbi trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt.<\/p>\n\n\n\n

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\"\"<\/figure>\n<\/figure>\n\n\n\n

B\u1ec7nh nh\u00e2n n\u1eb1m vi\u1ec7n 7 ng\u00e0y sau ph\u1eabu thu\u1eadt. \u1ea2nh: B\u1ec7nh vi\u1ec7n cung c\u1ea5p<\/em><\/p>\n\n\n\n

<\/a>S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ee9c t\u1ea1p, c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 vi\u00eam t\u00fai m\u1eadt, vi\u00eam \u0111\u01b0\u1eddng m\u1eadt v\u00e0 t\u1eafc m\u1eadt.<\/p>\n\n\n\n

\u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt: S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n d\u01b0\u1edbi d\u1ea1ng m\u1ed9t ho\u1eb7c nhi\u1ec1u vi\u00ean, v\u1edbi k\u00edch th\u01b0\u1edbc t\u1eeb v\u00e0i mm \u0111\u1ebfn v\u00e0i cm. Ch\u00fang th\u01b0\u1eddng g\u1eb7p \u1edf \u1ed1ng m\u1eadt ch\u1ee7, \u1ed1ng m\u1eadt trong gan v\u00e0 t\u00fai m\u1eadt. T\u00ednh ch\u1ea5t c\u1ee7a s\u1ecfi bao g\u1ed3m s\u1ecfi cholesterol, s\u1ecfi s\u1eafc t\u1ed1 ho\u1eb7c h\u1ed7n h\u1ee3p.<\/p>\n\n\n\n

Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 tr\u1ea3i qua \u0111au b\u1ee5ng \u1edf v\u00f9ng th\u01b0\u1ee3ng v\u1ecb ho\u1eb7c h\u1ea1 s\u01b0\u1eddn ph\u1ea3i, c\u01a1n \u0111au c\u00f3 th\u1ec3 d\u1eef d\u1ed9i v\u00e0 k\u00e9o d\u00e0i. C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c bao g\u1ed3m v\u00e0ng da, v\u00e0ng m\u1eaft do t\u1eafc ngh\u1ebdn d\u00f2ng ch\u1ea3y c\u1ee7a m\u1eadt, s\u1ed1t v\u00e0 \u1edbn l\u1ea1nh l\u00e0 d\u1ea5u hi\u1ec7u vi\u00eam nhi\u1ec5m k\u00e8m theo, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, n\u01b0\u1edbc ti\u1ec3u \u0111\u1eadm m\u00e0u v\u00e0 ph\u00e2n b\u1ea1c m\u00e0u do m\u1eadt kh\u00f4ng v\u00e0o \u0111\u01b0\u1ee3c ru\u1ed9t.<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1eb1ng K\u1ef8 THU\u1eacT T\u00c1N S\u1eceI B\u1eb0NG \u1ed0NG SOI M\u1ec0M TRONG NI\u1ec6U KHOA V\u00c0O T\u00c1N S\u1eceI TRONG \u0110\u01af\u1edcNG M\u1eacT, K\u1ebeT H\u1ee2P GI\u1eeeA ENDOSCOPY – LAPAROSCOPY, Khoa Ngo\u1ea1i T\u1ed5ng Qu\u00e1t B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u1ed3ng Nai v\u1eeba th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng ca ph\u1eabu thu\u1eadt l\u1ea5y s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7, s\u1ecfi trong nh\u00e1nh gan tr\u00e1i, s\u1ecfi b\u00f9n t\u00fai […]<\/p>\n","protected":false},"author":16,"featured_media":281168,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1295],"tags":[],"class_list":["post-281167","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-dong-nai___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281167","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=281167"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281167\/revisions"}],"predecessor-version":[{"id":297450,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281167\/revisions\/297450"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/281168"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=281167"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=281167"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=281167"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}