Kết quả phẫu thuật điều trị ung thư tuyến giáp thể nhú tại Bệnh viện Đa khoa Tâm Anh từ 01/2021 đến 03/2024=Evaluating the results of surgical treatment of papillary thyroid carcinoma: The Tam Anh General Hospital experience from 2021 to 2024

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thanh Tùng Hồ, Anh Dũng Hoàng, Văn Lượng Lê, Văn Đạt Lưu, Sỹ Thanh Nam Ngô, Dương Hùng Nguyễn, Hữu Hùng Nguyễn, Văn Chiến Nguyễn, Văn Trường Nguyễn, Đức Hùng Trần, Thái Sơn Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.140-148

Bộ sưu tập: Báo, Tạp chí

ID: 243893

Thêm vào giỏ

Đánh giá kết quả phẫu thuật điều trị ung thư tuyến giáp thể nhú tại Bệnh viện Đa khoa Tâm Anh từ 01/2021 đến 03/2024. Phương pháp nghiên cứu: Nghiên cứu hồi cứu, mô tả cắt ngang. Kết quả: Có 58 người bệnh được nghiên cứu, trong đó độ tuổi trung bình là 44,95 ± 12,54 tuổi, tỷ lệ nữ/nam là 3,81/1. 64,91% bệnh nhân được chẩn đoán ung thư tuyến giáp trước mổ. Kích thước khối u trung bình là 7,7 ± 4,5mm. Tỷ lệ sô bệnh nhân có khối u di căn hạch hoặc xâm lấn vỏ là 48,28%. Phẫu thuật mổ mở chiếm 72,41%, chủ yếu là mổ cắt toàn bộ tuyến giáp. Thời gian mổ trung bình là 145,1±32,8 phút. Thời gian nằm viện trung bình sau mổ là 3,97 ± 1,04 ngày. Hạ canxi máu sau mổ tạm thời chiếm tỷ lệ 32,76%, tổn thương thần kinh quặt ngược thanh quản tạm thời chiếm 12,07%, tụ máu sau mổ chiếm 3,45%. Không có trường hợp nào rò bạch huyết sau mổ. Kết luận: Phẫu thuật điều trị ung thư tuyến giáp thể nhú là phương pháp hiệu quả, an toàn, tỷ lệ biến chứng ít. Phẫu thuật nội soi đường tiền đình miệng được áp dụng mang lại hiệu quả tương đương mổ mở, làm tăng mức độ hài lòng của người bệnh.Our study was conducted to evaluate the results of surgery in the treatment of papillary thyroid carcinoma at Tam Anh General Hospital from 01/2021 to 03/2024. Method: Retrospective and cross-sectional descriptive study. Results: There were 58 patients in our study, of which the average age was 44.95 ± 12.54 years old, the female/male ratio was 3.81/1. 64.91% of patients were diagnosed with thyroid cancer before surgery. The average tumor size was 7.7 ± 4.5mm. The proportion of patients with tumors that have metastasized to lymph nodes or invaded the cortex is 48.28%. Open surgery accounts for 72.41%, mainly total thyroidectomy. The average surgery time was 145.1±32.8 minutes. The average hospital stay after surgery was 3.97 ± 1.04 days. Temporary postoperative hypocalcemia accounts for 32.76%, temporary recurrent laryngeal nerve damage accounts for 12.07%, and postoperative hematoma accounts for 3.45%. There were no case of lymphatic leakage after surgery. Conclusion: Surgical treatment of papillary thyroid cancer is an effective, safe method with a low complication rate. Endoscopic oral vestibular surgery is applied to be as effective as open surgery, increasing patient satisfaction.

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