Nghie n cu u ho i cu u tre n 28 be# nh nha n (BN) cha n thu o ng (CT) eo, tha n, uo i tuy u o #c ie u tri# no# i khoa. Mo ta ca c a# c ie m la m sa ng, ca# n la m sa ng va a nh gia ke t qua ie u tri# vo eo, tha n, uo i tu#y (Be n tra i bo ma#ch ma#c treo tra ng tre n). o i tu o #ng va phu o ng pha p nghie n cu u: Ta t ca nhu ng be# nh nha n u o #c cha n oa n vo eo,tha n, uo i tu#y, u o #c ie u tri# no# i khoa ta#i be# nh vie# n Vie# t u c. Tho i gian: 2011-2016. Ke t qua nghie n cu u: Co 28 BN, Nam 23/28 (82,1%), Nu 5/28 (17,9%)
Tuo i: TB = 32,7+13,14
- Nguye n nha n CT: Do tai na#n giao tho ng (TNGT): 17/28 (60,7%). Tai na#n lao o# ng (TNL ): 4/28 (14,3%), Tai na#n sinh hoa#t (TNSH) 7/28 (25%). 100% ca c BN u o #c chu#p CLVT o bu#ng. Ty le# pha t hie# n u o ng vo tu#y qua CLVT la 100%. - Kho ng co BN tu vong (TV), kho ng co BN na o chuye n mo ca p cu u. - Tho i gian ie u tri# trung bi nh la : 14,39 ± 16,93 (nga y). - 20 BN hoa n toa n he t au bu#ng, kho ng so t, bu#ng me m, ra vie# n. - 8 BN hi nh tha nh nang gia tu#y, trong o co 6/8 tru o ng ho #p pha i mo no i nang tu#y da# da y (mo sau khi a tha nh nang gia tu#y >
2 tha ng), 2 BN nang nho kho ng co trie# u chu ng la m sa ng. (khoa ng 2-3cm) ie u tri# no# i khoa. - Ty le# ie u tri# no# i tha nh co ng: 78,6% (22/28 bn) - Kho ng co TV. Ke t lua# n: + Cha n thu o ng eo, tha n, uo i tu#y (be n tra i bo ma#ch MTTT), o# I, II, III (AAST) co the ie u tri# no# i khoa ne u die n bie n la m sa ng o n i#nh va ca i thie# n, a p u ng vo i ie u tri#. Ty le# ie u tri# no# i khoa tha nh co ng la 78,6%, tho i gian ie u tri# TB: 14,39 ± 16,93 (nga y). + Sau ie u tri# no# i khoa cha n thu o ng tu#y co the hi nh tha nh nang gia tu#y o ca c vi# tri to n thu o ng kha c nhau Eo tu#y (3/3 BN,100%), tha n tu#y 2/20(10%), uo i tu#y 1/20(5,0%). + Mo muo# n sau ie u tri# no# i cha n thu o ng tu#y co ke t qua to t,die n bie n thua# n lo #i, ha# u pha u nhe# nha ng, ty le# bie n chu ng tha p (0% trong NC na y). Ty le# mo no i nang tu#y - da# da y cu a NC na y: 6/28 BN (11,4%)., To m ta t tie ng anh, Restrospective study to evaluate clinic features and the results of medical treatment of injury to the neck, body, tail of the pancreas. Patient and method: Retrospective study. Time: Jannuary 2011-december 2016. Results: There were 28 patients of pancreatic injury were observed in Vie# t- u c hospital. The mean age was 32,7, male 82,1%, female 17,9%. Reasons for pancreatic traumatisme: Traffic accident 60,7%, Labour accident 14,3%, others 25%. Abdominal CTScaner was performed in all the patients (100%) and detected the pancreatic lesions in 28 patients (100%). There were 22/28 patients (78,6%) had good result, 8 patients had pancreatic pseudocyst post traumatism, of them, 6 patients were operated by internal drainage (anastomosis gastro- pancreatic pseudocyst)
2 others patient had smal pseudocyst (<
3cm), and had no clinic symptom were observed. The the average duration of hospital stay:14,39 ± 16,93 (day). Conclusion: We conclude that. - Pancreatic Injury to the left of superior mesenteric artery (include: neck, body, tail of pancreas) had good results by medical treatment and observation. The successful propotion is 78,6% (of 28 patients with grade I, II, III of pancreatic injury arcording to AAST). - The pancreatic injury could become pancretic pseudocyst post medical treatment. (all the position: neck,body, tail of pacreas). Good results could be obtained by performing gastro-pancreatic pseudocyst annastomosis (about 2 months post injury). in our study, 6 of 28 patients had pancreatic pseudocyst post medical treatment. (of them: 3 patients had neck pancreatic injury, 2 patients had body pancreatic injury,1 had tail injury) All of them had gastro-pancreatic pseudocyst anastomosis operation and had good results. - The average hospital duration:14,39±16,93(day). - There was no death post operation.