Đánh giá hiệu quả sinh thiết các khối u gan chưa rõ bản chất dưới hướng dẫn siêu âm tại khoa ngoại Ung Bướu và Chăm sóc giảm nhẹ Bệnh viện Hữu Nghị Việt Tiệp=Outcome of percutaneous ultrasound guided biopsy in the diagnosis of indeterminate liver tumors in adults in oncology surgical and palliative care department at Viettiep Hospital

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thành Công Bùi, Đình Toàn Đỗ, Chí Thanh Nguyễn, Hoàng Nguyễn, Văn Linh Vũ

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.314-321

Bộ sưu tập: Metadata

ID: 245987

Thêm vào giỏ

Đánh giá hiệu quả sinh thiết các khối u gan chưa rõ bản chất. Đối tượng và phương pháp: Nghiên cứu mô tả được thực hiện trên 40 bệnh nhân mắc u gan không điển hình, trong thời gian từ tháng 1/2020 đến tháng 4/2024 tại khoa Ngoại ung bướu và chăm sóc giảm nhẹ, bệnh viện Hữu Nghị Việt Tiệp. Phân tích tỷ lệ các tai biến của thủ thuật và các yếu tố liên quan, kết quả mô bệnh học sinh thiết kim đối chiếu sau phẫu thuật. Kết quả: Tuổi trung bình 40 bệnh nhân u gan không điển hình là 57.3. Tỷ lệ nam/nữ là 1.95/1. Trong đó 24 trường hợp u gan lành tính (38.2%) và 44 u gan ác tính (64.7%). Tỷ lệ tai biến sớm sau sinh thiết là 2.9%, không đòi hỏi truyền máu hay phẫu thuật cấp cứu. Biến chứng cấy ghép u trên đường sinh thiết và thông động tĩnh mạch không ghi nhận trong thời gian 18 tháng sau sinh thiết. Đối chiếu kết quả mô bệnh học sau phẫu thuật, chẩn đoán trên mẫu mô sinh thiết kim có tỷ lệ chẩn đoán đúng 96.3%, độ phù hợp rất tốt với chỉ số Kappa 0.922. Kết luận: Sinh thiết kim qua da các tổn thương gan dưới hướng dẫn của siêu âm là một kỹ thuật can thiệp tối thiểu, có giá trị và tính an toàn cao, là cơ sở trong quản lý và điều trị các trường hợp u gan không điển hình.To evaluate the effectiveness of percutaneous biopsy of indeterminate liver tumors. Subjects and methods: A descriptive study was conducted on 40 patients with indeterminate liver tumors from January 2020 to April 2024 at the Oncology surgical and paliative care department, VietTiep Hospital. The analysis included the rate of surgical complications and related factors, as well as a comparative analysis of postoperative histopathological results of percutaneous biopsy. Results: The average age of the 40 patients with indeterminate liver tumors was 57.3 years. The male-to-female ratio was 1.95:1. Among them, 24 cases (38.2%) were benign liver tumors, and 44 cases (64.7%) were malignant. The early complication rate after percutaneous biopsy was 2.9%, without requiring blood transfusion or emergency surgery. Complications such as seeding of tumor on the biopsy tract and portal vein thrombosis were not observed within 18 months after the procedure. When comparing the postoperative histopathological results, the diagnostic accuracy on biopsy specimens was 96.3%, with very good agreement (Kappa index of 0.922). Conclusion: Ultrasound-guided percutaneous biopsy of liver tumors is a minimally invasive technique with high value and safety, serving as a basis for the management and treatment of indeterminate liver tumors.

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