Đặc điểm xét nghiệm EXTEM ở bệnh nhân ung thư biểu mô tế bào gan nguyên phát=Features of EXTEM in patients with hepatocellular carcinoma

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Thanh Hải Nguyễn, Thị Tuyết Mai Nguyễn, Thúy Phượng Nguyễn, Cẩm Phương Phạm, Minh Phương Vũ

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.744-751

Bộ sưu tập: Metadata

ID: 478358

Thêm vào giỏ

Đánh giá tình trạng đông cầm máu qua xét nghiệm EXTEM ở bệnh nhân ung thư biểu mô tế bào gan. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 96 bệnh nhân ung thư biểu mô tế bào gan nguyên phát chẩn đoán lần đầu tại bệnh viện Bạch Mai từ tháng 2 đến tháng 7 năm 2024 Kết quả nghiên cứu: Tuổi trung bình của nhóm bệnh nhân nghiên cứu là 59,28 ± 11,79
65,9% bệnh nhân ở lứa tuổi 50-70
bệnh nhân là nam giới chiếm tỷ lệ 89%
kích thước khối u trung bình là 6,4 ± 4,34 cm
46% bệnh nhân thuộc phân loại BCLC – A
70,5% bệnh nhân có nhiễm virus viêm gan B
28,2% bệnh nhân có huyết khối tĩnh mạch cửa. Các thông số xét nghiệm EXTEM ở nhóm bệnh nhân nghiên cứu có giá trị trung bình nằm trong giới hạn bình thường, khi so sánh các thông số giữa nhóm có huyết khối và không có huyết khối không thấy sự khác biệt có ý nghĩa thống kê, khi so sánh biên độ cục đông giữa các nhóm BCLC thấy nhóm bệnh nhân BCLC – B có xu hướng tăng đông. Kết luận: Thông số biên độ cục đông của xét nghiệm EXTEM ở nhóm BCLC – B có xu hướng tăng đông lớn nhất so với các nhóm khác.Evaluation of hemostasis in patients with hepatocellular carcinoma by EXTEM test. Subjects and methods: cross-sectional descriptive study on 96 patients with hepatocellular carcinoma at Bach Mai Hospital from February to July 2024. Results: The average age of the study group of patients was 59.28 ± 11.79
65.9% of patients were aged 50-70
89% of patients were male
the average tumor size was 6.4 ± 4.34 cm
46% of patients were classified as BCLC – A
70.5% of patients were infected with hepatitis B virus
28.2% of patients had portal vein thrombosis. The mean values of the EXTEM test parameters in the study group of patients were within normal limits. When comparing the parameters between the group with and without thrombosis, there was no statistically significant difference. When comparing the clot amplitude between the BCLC groups, the BCLC-B patient group had a tendency to increase clotting. Conclusion: The clot amplitude parameter of the EXTEM test in the BCLC-B group had the largest tendency to increase clotting compared to the other groups.

1. Đọc trực tuyến

1. Đọc trực tuyến

Tạo bộ sưu tập với mã QR