Kết quả bước đầu phẫu thuật nội soi tuyến giáp qua đường tiền đình môi dưới tại Bệnh viện Trung ương Huế cơ sở II

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Tác giả: Văn Hiếu Lê, Thanh Xuân Nguyễn, Thị Hiền Nguyễn, Cảnh Duy Phan, Nhật Huy Trần

Ngôn ngữ: vie

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Thông tin xuất bản: Tạp chí Y học lâm sàng Bệnh viện Trung ương Huế, 2023

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Mục tiêu: Hiện nay phẫu thuật nội soi đường tiền đình môi dưới ngày càng được áp dụng nhiều trong điều trị bệnh lý tuyến giáp trên thế giới cũng như tại Việt Nam. Chúng tôi tiến hành nghiên cứu này nhằm mục đích đánh giá kết quả bước đầu phẫu thuật nội soi tuyến giáp qua đường tiền đình môi dưới. Đối tượng, phương pháp: Nghiên cứu tiến cứu trên 22 bệnh nhân được phẫu thuật nội soi qua đường tiền đình môi dưới tại Bệnh viện Trung Ương Huế cơ sở II trong thời gian từ 5/2022 đến 6/2023. Kết quả: Độ tuổi trung bình 29,05 tuổi
tất cả là nữ giới. Trên siêu âm kích thước trung bình khối u là 27,82 mm. Thời gian phẫu thuật trung bình 98,86 phút. Không có trường hợp chuyển mổ hở. Tất cả trường hợp đều không có biến chứng sau mổ. Thời gian sưng nề sau mổ trung bình 2,68 ngày. Không có trường hợp nào chảy máu sau mổ, nhiễm trùng, tổn thương thần kinh. 100% bệnh nhân hài lòng về kết quả thẩm mỹ. Kết luận: Phẫu thuật nội soi tuyến giáp qua ngả tiền đình môi dưới là phương pháp an toàn, hiệu quả và thẩm mỹ cao. ABSTRACT Evaluate the initial results of endoscopic thyroid surgery via transoral vestibular approach at Hue central hospital, base II Objective: Nowadays, endoscopic surgery via transoral vestibular approach is increasingly applied in the treatment of thyroid gland diseases worldwide as well as in Vietnam. We conducted this study to evaluate the initial results of endoscopic thyroid surgery via transoral vestibular approach. Methods: Prospective study on 22 patients who underwent endoscopic surgery via transoral vestibular approach at Hue Central Hospital, branch II during the period from 1/2022 to 12/2023. Results: The average age was 29.05, 100% were female. On ultrasound, the average tumor size was 27.82 mm. The average surgery time was 98.86 minutes. There were no cases of conversion to open surgery. All cases had no postoperative complications. The average postoperative swelling time was 2.68 days. There were no cases presented bleeding, infection, or nerve damage. 100% of patients were satisfied with the cosmetic results. Conclusion: Endoscopic thyroid surgery via transoral vestibular approach is a safe, effective and highly aesthetic treatment method.

1. Đọc trực tuyến

1. Đọc trực tuyến

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