Đánh giá kết quả điều trị sỏi thận bằng phương pháp tán sỏi qua da đường hầm nhỏ tại Bệnh viện Quân Y 103=The result of of kidney stones treatment by mini-PCNL technique at Military Hospital 103

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Tác giả: Huy Ngọc Lê, Quang Vinh Phạm, Văn Hinh 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.88-91

Bộ sưu tập: Metadata

ID: 253133

Thêm vào giỏ

Đánh giá kết quả tán sỏi qua da đường hầm nhỏ (mini-PCNL) tại Bệnh viện Quân y 103. Đối tượng, phương pháp nghiên cứu: nghiên cứu tiến cứu trên 289 bệnh nhân (BN) có chỉ định tán sỏi qua da đường hầm nhỏ tại Bệnh viện Quân y 103 từ 7/2017 đến 7/2019. Kết quả: Tỉ lệ sạch sỏi sau phẫu thuật là 80,42%. Phần lớn BN sót sỏi không phải điều trị bổ sung sau phẫu thuật (80,36%). Chảy máu và sốt sau tán sỏi là 2 tai biến – biến chứng (TBBC) gặp nhiều nhất với tỉ lệ lần lượt là 16,08% và 6,29%. Sau phẫu thuật tán sỏi, phần lớn BN không có TBBC, chiếm 77,62%. Hầu hết bệnh nhân có kết quả tốt trước khi ra viện, chiếm 78,89%. Có 3 BN (1,04%) thất bại chuyển mổ mở, xếp kết quả xấu. Kết luận: Tán sỏi qua da đường hầm nhỏ (mini-PCNL) là phương pháp hiệu quả và an toàn trong điều trị sỏi thận với tỉ lệ sạch sỏi cao và ít tai biến, biến chứng.To evaluate the results of treatment kidney stones by mini-PCNL technique at Military Hospital 103. Research subjects and methods: prospective study on 289 patients indicated for mini-PCNL at Military Hospital 103 from 7/2017 to 7/2019. Result: The stone-free rate after surgery is 80.42%. The majority of patients remaining stones did not require additional treatment after surgery (80.36%). Bleeding and fever after lithotripsy are the two most common complications with rates of 16.08% and 6.29%, respectively. After lithotripsy surgery, the majority of patients had no complications, accounting for 77.62%. Most patients had good results before leaving the hospital, accounting for 78.89%. There were 3 patients (1.04%) who failed and converted to open surgery, with bad results. Conclusion: mini-PCNL is an effective and safe method in treating kidney stones with a high stone clearance rate and few complications.

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