Tổng quan về hình thái lâm sàng và kết quả phẫu thuật nội soi u nhầy xoang trán sàng

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Tác giả: Thành Luân Nguyễn, Trần Anh Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2022

Mô tả vật lý: tr.18-26

Bộ sưu tập: Metadata

ID: 337099

Thêm vào giỏ Liên kết toàn văn

Mục tiêu: Mô tả hình thái lâm sàng u nhầy xoang trán sàng và nhận xét kết quả phẫu thuật nội soi u nhầy xoang trán sàng. Phương pháp nghiên cứu: Phương pháp nghiên cứu được thực hiện theo hướng dẫn PRISMA-ScR. Cơ sở dữ liệu Pubmed/Medline được sử dụng để tìm kiếm các nghiên cứu trên thế giới. Kết quả: Trong 1017 kết quả tìm kiếm, có 21 nghiên cứu phù hợp với tiêu chuẩn lựa chọn. Kết quả tổng quan 21 nghiên cứu cho thấy u nhầy xoang trán đơn thuần có 10 nghiên cứu với 265 u nhầy, tiếp đến u nhầy xoang trán-sàng kết hợp có 9 nghiên cứu với 108 u nhầy và chỉ có 2 nghiên cứu về u nhầy xoang sàng đơn thuần với 74 u nhầy. Các phương pháp phẫu thuật điều trị u nhầy bao gồm phẫu thuật nội soi dẫn lưu (Marsupialization) được sử dụng phổ biến nhất, tiếp đến là phẫu thuật mở ngách trán, phẫu thuật đường phối hợp và phẫu thuật nạo sàng. Kết luận: U nhầy xoang trán đơn thuần là hình thái lâm sàng phổ biến nhất, tiếp đến là u nhầy trán-sàng kết hợp và u nhầy xoang sàng đơn thuần. Các phương pháp phẫu thuật nội soi cho thấy hiệu quả với tỷ lệ thành công cao và ít biến chứng sau phẫu thuật. Việc lựa chọn phương pháp phẫu thuật phù hợp vẫn nên được cá thể hóa từng trường hợp.Objectives: To describe manifestation of fronto-ethmoid sinus mucocele and results of endoscopic surgery. Methods: The research method was carried out according to PRISMAScR guidelines. The PubMed/Medline database was used to search for studies around the world. Results: Out of 1017 search results, there were 21 studies that matched the selection criteria. The results of a review of 21 studies showed that frontal mucocele had 10 studies with 265 cases, followed by fronto-ethmoid mucocele had 9 studies with 108 cases and ethmoidal mucocele had 2 studies with 74 cases. The common types of sinus surgery methods included endoscopic marsupialization, followed by endoscopic frontal recess surgery, Frontoethmoid surgery and Ethmoidectomy. Conclusion: Frontal mucocele were most mucocele, followed by fronto-ethmoid mucocele and the ethmoid mucocele. The methods showed few complications and were effective in treatment mucocele. The choice of the appropriate surgical method should still be individualized.

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