Mối liên quan giữa tuổi phẫu thuật trên kết quả và chi phí điều trị tật lỗ tiểu thấp tại Bệnh viện Nhi Đồng 2

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Tác giả: Tấn Đức Phan, Đức Nhật Phùng

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2024

Mô tả vật lý: tr.41

Bộ sưu tập: Metadata

ID: 341718

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Đặt vấn đề: Tật lỗ tiểu thấp (LTT) là dị tật khá thường gặp, chiếm tỷ lệ 1/300 bé trai và cần phẫu thuật sớm để có kết quả điều trị tốt. Đối tượng - Phương pháp: Các bệnh nhân nhập viện để phẫu thuật lần đầu tật LTT từ tháng 03/2020 đến tháng 10/2020, nghiên cứu tiến cứu mô tả hàng loạt trường hợp. Kết quả: Trẻ từ 2 tuổi trở lên chiếm 60%, từ tỉnh 81,2%, dân tộc Kinh 97,6%. LTT thể sau chiếm 15,3%, thể giữa 51,8%, thể trước 32,9%. Ngày điều trị trung bình 9,12 +/- 2,6 ngày. Tổng chi phí (VNĐ) = 4.430.494 + 461.830* số ngày điều trị. Tỉ lệ thành công thể sau 38,5%, thể giữa 72,7% (OR = 4,15
1,08 - 15,96, p <
0,05), thể trước 96,4% (OR = 58,36
5,58 - 610,7, p = 0,001). Chưa phát hiện khác biệt chi phí điều trị nhóm phẫu thuật sớm và phẫu thuật muộn. Kết luận: Tỉ lệ thành công nhóm phẫu thuật muộn là 71,2%, nhóm mổ kịp thời là 81,8%. Chưa tìm thấy khác biệt về chi phí điều trị với thời điểm phẫu thuật. Kiến nghị nên tầm soát cộng đồng dị tật LTT để có can thiệp kịp thời.Abstract Introduction: Hypospadias is a common anomalia of 1 over 300 male children and needed to be treated early to get good result. Material - Method: Case series study on children admitted for operation of hypospadias on their first time to Pediatrics Hospital 2 during March to October, 2020. Result: Children from 2 years old comprised 60%, with 81.2% from outside of Ho Chi Minh city, Kinh ethnic 97.6%. Proximal, mid - shaft, and distal hypospadias comprised consecutively 15.3%, 51.8%, and 32.9%. Average treatment days 9.12 +/- 2.6. Total cost (VNĐ) = 4,430,494 + 461,830* days of treatment. Successful proportion in proximal hypospadias was 38.5%, compared to mid - shaft one (72,7% with OR = 4.15
1.08 - 15.96, p <
0.05), and distal one (96.4% with OR = 58.36
5.58 - 610.7, p = 0.001). There was no difference detected in cost of early and late treatment. Conclusion: Proportion of success in late treatment was 71.2%, and on time operation was 81.8%. No difference in cost of treatment detected between the two groups of early an late surgery. There should be a wide range screening in community to early detect hypospadias so that the children can get on time treatment. DOI: 10.59715/pntjmp.2.3.4

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