Kết quả sớm sau điều trị u xơ tuyến vú bằng thiết bị sinh thiết có hỗ trợ hút chân không dưới hướng dẫn của siêu âm

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thu Hương Lại, Hồng Nhung Lưu, Duy Trinh Nguyễn, Thanh Thủy Nguyễn, Thị Hoa Nguyễn, Thị Ngọc Minh Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại: 611.69 Human anatomy, cytology, histology

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2022

Mô tả vật lý: 141-145

Bộ sưu tập: Metadata

ID: 498919

Thêm vào giỏ

Đánh giá kết quả sớm sau điều trị hút bỏ u xơ tuyến vú bằng thiết bị sinh thiết vú có hỗ trợ hút chân không dưới hướng dẫn của siêu âm. Đối tượng và phương pháp: Nghiên cứu tiến cứu và hồi cứu gồm 121 bệnh nhân với 163 tổn thương được thực hiện tại Trung tâm điện quang - Bệnh viện Bạch Mai từ 8/2018 đến 8/2021. Kết quả: Sau thủ thuật 99.4% các u xơ tuyến vú được lấy bỏ hoàn toàn. Các biến chứng hay gặp nhất là đau chiếm 94.5%, mức độ đau vừa và nhẹ, biến chứng máu tụ chiếm 87.1% số ca. Có mối tương quan tuyến tính thuận giữa kích thước máu tụ với kích thước u, số mảnh cắt và thời gian hút. Trong nghiên cứu, các u có kích thước >
25mm có nguy cơ tăng kích thước máu tụ >
15mm gấp 3.2 lần các u <
25mm, các u giàu mạch có nguy cơ tăng kích thước máu tụ >
15mm gấp 5.8 lần u không giàu mạch, các u xơ cách da ≤ 2mm có nguy cơ bầm tím gấp 3.4 lần các u có khoảng cách da >
2mm, các sự khác biệt này có ý nghĩa thống kê với p <
0.05. Kết luận: Điều trị loại bỏ u xơ tuyến vú bằng thiết bị sinh thiết có hỗ trợ hút chân không dưới hướng dẫn của siêu âm là phương pháp an toàn, hiệu quả và có tính thẩm mỹ cao. Kết quả sớm theo dõi sau thủ thuật cho thấy hầu hết các u xơ được hút bỏ hoàn toàn, rất ít biến chứng.To evaluate early results after excision of breast fibroadenoma by ultrasound-guided vacuum assisted breast biopsy device. Subjects and methods: This is a prospective and retrospective study of 121 patients with 163 breast fibroadenomas at the Radiology Center - Bach Mai Hospital from August 2018 to August 2021. Results: After the procedure, 99.4% of the fibroadenomas were completely removed. The most common complications were pain (accounting for 94.5%, moderate and mild pain) and hematoma (accounted for 87.1% of cases). There was a positive linear correlation between hematoma size and tumor size, number of fragments and aspiration time. In the study, tumors with size >
25mm had a risk of increasing hematoma size >
15mm 3.2 times higher than those <
25mm, rich vascular FA on Doppler mode had a risk of increasing hematoma size >
15mm, 5.8 times higher than non-vascular FA, the distance from the skin to FA ≤ 2mm had 3.4 times more risk of bruising than those with that distance >
2mm, these differences are statistically significant with p <
0.05. Conclusion: Exision of fibroadenomas by ultrasound-guided vacuum-assisted biopsy is a safe, effective and highly aesthetic method. The results of early follow-up after the procedure showed that most of fibroadenomas were completely removed, with very few complications.

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