Đặc điểm lâm sàng của bệnh nhân u xơ tử cung có chỉ định cắt tử cung hoàn toàn qua nội soi tại Bệnh viện Phụ sản Hà Nội

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Tác giả: Tuấn Đạt Đỗ, Thị Thanh Thủy Hoàng

Ngôn ngữ: vie

Ký hiệu phân loại: 618.1 Gynecology

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

Mô tả vật lý: 118-122

Bộ sưu tập: Metadata

ID: 499274

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Chủ đề

Đặc điểm lâm sàng của bệnh nhân u xơ tử cung có chỉ định cắt tử cung hoàn toàn qua nội soi tại Bệnh viện Phụ sản Hà Nội. Phương pháp nghiên cứu: Nghiên cứu mô tả tiến cứu trên 120 bệnh nhân u xơ tử cung được chỉ định cắt tử cung hoàn toàn qua nội soi tại Bệnh viện Phụ sản Hà Nội từ tháng 08/2019 đến tháng 05/2020. Kết quả: Tuổi trung bình của đối tượng nghiên cứu là 48.1± 4.2, chủ yếu là nhóm tuổi 45-50, chiếm 42,5%. 100% bệnh nhân được chỉ đinh cắt tử cung đều đã có con. Tỷ lệ có sẹo mổ thành bụng là 13,4%. Nhóm bệnh nhân có kích thước tử cung trên lâm sàng to bằng tử cung có thai 8-12 tuần chiếm tỷ lệ cao nhất là 86,7%. Phần lớn bệnh nhân nhập viện đều không thiếu máu hoặc chỉ thiếu máu mức độ nhẹ. Kết luận: Phẫu thuật nội soi cắt tử cung hoàn toàn điều trị u xơ tử cung được tiến hành chủ yếu trên nhóm bệnh nhân 45-50 tuổi, đã đủ con. Mặc dù với sự phát triển của dụng cụ nội soi, các yếu tố trước phẫu thuật như sẹo mổ thành bụng, kích thước tử cung cũng như mức độ thiếu máu trên lâm sàng cũng cần cân nhắc khi chỉ định phẫu thuật nội soi.Features of leiomyoma patients undergoing total laparoscopic hysterectomy at Hanoi Obstetrics and Gynecology Hospital. Methods: This prospective study included 120 patients with uterine fibroids who underwent total laparoscopic hysterectomy at Hanoi Obstetrics and Gynecology Hospital from August 2019 to May 2020. Results: The mean age was 48,1 ± 4,2, mainly in the 45-50 group (42,5%). All of the patients who underwent surgery have had children. The prevalence of abdominal surgery scar is 13,4%. The group of uterine sizes as the size of an eight to twelve-week pregnancy was 86,7%. Most of the patients are neither anemic nor only mild anemia. Conclusion: Total hysterectomy of uterine fibroids by laparoscopic surgery was performed mainly on patients aged 45-50 and who had enough children. Despite the development of laparoscopic instruments, preoperative factors such as abdominal surgery scar, uterine size, and anemia are considered under specific circumstances.

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