Nghiên cứu chỉ định phẫu thuật nội soi điều trị viêm túi mật cấp do sỏi tại Bệnh viện Đa khoa tỉnh Thái Bình=Study the indications of laparoscopy of acute calculous cholecystitis patients at Thai Binh general hospital in 2023

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Tác giả: Minh An Nguyễn, Đình Hoan 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.308-313

Bộ sưu tập: Metadata

ID: 252651

Thêm vào giỏ

Nghiên cứu chỉ định phẫu thuật nội soi điều trị viêm túi mật cấp do sỏi tại bệnh viện đa khoa tỉnh Thái Bình giai đoạn từ 6/2022 – 6/2023. Phương pháp nghiên cứu: Mô tả cắt ngang 54 bệnh nhân viêm túi mật cấp do sỏi được điều trị bằng phẫu thuật nội soi tại bệnh viện đa khoa Tỉnh Thái Bình. Kết quả nghiên cứu: Tuổi trung bình là 60,5 ± 17,2
Tỷ lệ Nữ/nam = 1,35
Tiền sử: 59,3% bệnh nhân mắc bệnh nội khoa kết hợp, tiền sử phẫu thuật chiếm 11,1%
Triệu chứng cơ năng: 85,2% bệnh nhân đau hạ sườn phải, đau âm ỉ chiếm 96,3%
Thực thể: điểm đau túi mật chiếm 94,4%, túi mật to sờ chạm là 13,0%, phản ứng hạ sườn phải là 18,5%
Kết quả xét nghiệm trước phẫu thuật: 55,6% bạch cầu tăng trên 10 G/l. Tăng bilirubin chiếm 31,5%. Tăng men gan chiếm 16,7%
Siêu âm trước mổ: Túi mật to chiếm 81,5%, dày thành túi mật 100% và biểu hiện viêm quanh túi mật chiếm 24,1%. Về số lượng sỏi trên siêu âm: 1 viên chiếm 31,5%, nhiều viên chiếm 68,5%, vị trí sỏi cổ, ống túi mật chiếm 22,2%. Kết luận: Kết quả nghiên cứu chỉ định phẫu thuật nội soi điều trị viêm túi mật cấp do sỏi cho 54 bệnh nhân tại bệnh viện đa khoa tỉnh Thái Bình cho thấy: Tuổi trung bình là 60,5 ± 17,2, Siêu âm trước mổ: Túi mật to chiếm 81,5%, dày thành túi mật 100% và biểu hiện viêm quanh túi mật chiếm 24,1%. Số lượng sỏi 1 viên chiếm 31,5%, nhiều viên chiếm 68,5%.To study the indication of laparoscopy of acute calculous cholecystitis patients at Thai Binh general hospital from June 2022 - June 2023. Methods: Cross-sectional description of 54 patients with acute calculous cholecystitis undergone laparoscopy at Thai Binh General Hospital. Results: The average age was 60.5 ± 17.2
Female/male ratio was 1.35
History: 59.3% of patients had combined medical diseases, surgical history was 11.1%
Functional symptoms: 85.2% of patients had right upper quadrant pain, 96.3% had dull pain
Entity: gallbladder pain score was 94.4%, gallbladder enlargement to touch was 13.0%, right upper quadrant reaction was 18.5%
Pre-operative test results: 55.6% white blood cells increased over 10 G/l. Increased bilirubin was 31.5%. Increased liver enzymes was 16.7%
Pre-operative ultrasound: Gallbladder enlargement was 81.5%, thickening gallbladder wall was 100%, and pericholecystitis signs was 24.1%. The number of stones on ultrasound: 1 stone was 31.5%, many stones was 68.5%, cervical stone location, gallbladder duct was 22.2%. Conclusion: Research of indication of laparoscopy of acute calculous cholecystitis for 54 patients at Thai Binh general hospital showed: Average age was 60.5 ± 17.2, Ultrasound Before surgery: Gallbladder enlargement was 81.5%, thickening gallbladder wall thickening was 100%, and pericholecystitis was 24.1%. The number of stones: 1 stone was 31.5%, many stones was 68.5%.

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