Chỉ định và kết quả phẫu thuật bệnh basedow / Chỉ định và kỹ thuật điều trị gãy xương sườn do chấn thương bằng nẹp vis tại Bệnh viện Hữu nghị Việt Tiệp

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Tác giả: Đức Thắng Đỗ, Quốc Hưng Đoàn, Anh Công Lê, Công Định Lê, Minh Sơn Lê, Công Huy Nguyễn, Thế May Nguyễn, Văn Đại Nguyễn, Quốc Hoa Phạm

Ngôn ngữ: vie; Vie

Ký hiệu phân loại: 610617 Medicine and health

Thông tin xuất bản: Nghiên cứu y học, Phẫu thuật Tim mạch và Lồng ngực Việt Nam, 20132020

Mô tả vật lý: 77-83, 21-28

Bộ sưu tập: Metadata

ID: 484135

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The objective of this study was to analyze the indications of surgical treatment for Basedow's disease. The mean age of the patients was 37 years old Ninety percent (90 percent) of patients with Basedow's disease were women, and 50 percent ot the patients had medical treatment for Basedow's disease for more than 2 years. Results: Indications for corrective surgery included failure of medical treatment (50 percent), big goiter (35 percent), exophthalmos (20 percent), nodular goiter (20 percent), complications from medical treatment (20 percent), and pregnant willingness (15 percent). 95 percent of the cases underwent total thyroidectomy. Postoperatively, temporary hypocalcemia was seen in 55 percent of the patients. In conlusion, Corrective surgical therapy is one of the options that provided good long-term results with few complications.Điều trị phẫu thuật gãy xương sườn (XS)do chấn thương bằng nẹp vis là một phương pháp mới được thực hiện tại Bệnh viện Hữu nghị (BVHN) Việt Tiệp. Đối tượng vàphương pháp: 10 BN (BN) điều trị tại BVHN Việt Tiệp từ5/2019 đến 04/2020. Phương pháp nghiên cứu mô tả hồi cứu. Kết quả: BN được chỉ định mổ đều có triệu chứng đau ngực nhiều kèm các tổn thương như tràn khí khoang màng phổi, tràn máu khoang màng phổi, giập phổi, và gãy nhiều XS di lệch trên X quang ngực thẳng và CT scan ngực có dựng hình XS . Số vị trí XS gãy di lệch nhiều trung bình trên X quang ngực thẳng là 2,3 ± 0,68và trên CT ngực là 3 ± 1,05. Với kỹ thuật tiếp cận tới vị trị XS gãy cho thấy: vị trí gãy cung bên gặp nhiều nhất là 20, vị trí gãy cung sau là 10 và thấp nhất là vị trí gãy cung trước là 1. Do vậy trong phẫu thuật cố định XS bằng nẹp vis, đa phần các trường hợp lựa chọn tiếp cận vị trí gãy cung bên của XS để can thiệp.

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