Kết quả điều trị người bệnh lạc nội mạc tử cung tại Bệnh viện Hữu Nghị Đa khoa Nghệ An năm 2023 - 2024=Results of treatment patients with endometriosis at Nghe An General Friendship Hospital in 2023

Kết quả điều trị người bệnh lạc nội mạc tử cung tại Bệnh viện Hữu Nghị Đa khoa Nghệ An năm 2023 - 2024=Results of treatment patients with endometriosis at Nghe An General Friendship Hospital in 2023 - 2024

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Tác giả: Văn Sinh Đinh, Thị Thanh Tâm Lê

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.189-193

Bộ sưu tập: Metadata

ID: 477995

Thêm vào giỏ

Nhận xét kết quả điều trị lạc nội mạc tử cung (LNMTC) tại Bệnh viện Hữu Nghị Đa khoa Nghệ An năm 2023-2024. Phương pháp: Nghiên cứu mô tả cắt ngang trên 42 bệnh nhân LNMTC từ 01/01/2023 đến 30/04/2024. Kết quả: Trong 42 bệnh nhân, 78,6% được điều trị ngoại khoa, chủ yếu bằng mổ nội soi (32/33 ca)
21,4% điều trị nội khoa. Trong 32 ca mổ nội soi, 56,3% có LNMTC tại buồng trứng, 43,7% tại cơ tử cung. Tỷ lệ cắt khối u buồng trứng là 55,6%, trong khi 100% trường hợp LNMTC tại cơ tử cung được chỉ định cắt tử cung. Thời gian mổ trung bình đối với buồng trứng là 83,33 ± 21,96 phút, và 120 ± 11,77 phút đối với cắt tử cung. Thời gian nằm viện trung bình là 6,69 ± 1,58 ngày. Tỷ lệ khỏi hoàn toàn sau điều trị là 59,5%, với 33,3% tái phát đau. Trong nhóm mổ nội soi, tỷ lệ khỏi đạt 68,8%, trong khi điều trị nội khoa chỉ có 2/9 ca khỏi bệnh. Kết luận: Phẫu thuật nội soi là phương pháp điều trị chính với kết quả khỏi bệnh cao hơn so với điều trị nội khoa.To evaluate the treatment outcomes of endometriosis at Nghe An General Friendship Hospital in 2023-2024. Methods: A cross-sectional descriptive study was conducted on 42 patients with endometriosis from January 1, 2023, to April 30, 2024. Results: Of the 42 patients, 78.6% underwent surgical treatment, primarily laparoscopic surgery (32/33 cases), while 21.4% received medical treatment. Among the laparoscopic cases, 56.3% had ovarian endometriosis, and 43.7% had uterine endometriosis. The ovarian mass resection rate was 55.6%, and 100% of uterine endometriosis cases were indicated for hysterectomy. The average surgery time was 83.33 ± 21.96 minutes for ovarian surgery and 120 ± 11.77 minutes for hysterectomy. The average hospital stay was 6.69 ± 1.58 days. Complete recovery was observed in 59.5% of patients, with a recurrence rate of 33.3%. Among laparoscopic cases, the complete recovery rate was 68.8%, while only 2/9 patients in the medical treatment group recovered. Conclusion: Laparoscopic surgery is the primary treatment method with higher recovery rates compared to medical treatment.

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