Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị bệnh nhân thủng ổ loét dạ dày tá tràng ở trẻ emNghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị bệnh nhân thủng ổ loét dạ dày tá tràng ở trẻ em

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Tác giả: Minh Xuân Đặng, Minh Ngọc Nguyễn, Ngọc Thạch Phạm, Quốc Việt Trần, Hữu Tùng Trịnh, Trường Nhân Vũ

Ngôn ngữ: vie

Ký hiệu phân loại: 616.33 *Diseases of stomach

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

Mô tả vật lý: 322-329

Bộ sưu tập: Metadata

ID: 500536

Thêm vào giỏ

Khảo sát kết quả phẫu thuật các trường hợp thủng ổ loét dạ dày tá tràng (DDTT) ở trẻ em. Phương pháp nghiên cứu: Mô tả hàng loạt trường hợp các trường hợp bệnh nhân đã phẫu thuật điều trị thủng ổ loét DDTT tại bệnh viện Nhi đồng 2 từ 1/2015 - 6/2021. Kết quả: Có 18 trường hợp bệnh nhân được đưa vào nghiên cứu. Tuổi trung bình: 13,8 ± 1,9 tuổi. Tỷ lệ nam/nữ lần lượt là 72,2% và 27,8%. Tỷ lệ 50% các trường hợp có chẩn đoán trước mổ là viêm ruột thừa cấp, 27,8% có tình trạng viêm phúc mạc, và 22,2% là thủng tạng rỗng. 100% các trường hợp được nội soi chẩn đoán, và 2 trường hợp chuyển mổ mở. Một trường hợp mổ mở có nhiễm trùng vết mổ. Tất cả các trường hợp đều cho kết quả tốt: không ghi nhận biến chứng nặng như tử vong, tắc ruột sau mổ, thủng tái phát. Kết luận: Thủng ổ loét DDTT là nguyên nhân không phổ biến gây đau bụng cấp ở trẻ em, tuy nhiên nên được nghĩ đến ở những bệnh nhân thiếu niên có biểu hiện đau bụng cấp và đặc biệt là có tràn khí màng bụng. Nội soi ổ bụng vừa giúp chẩn đoán vừa là phương pháp điều trị an toàn và hiệu quả.To study the surgical results of peptic ulcer perforation (PUP) in children. Methods: Description of a series of cases of patients who had surgery to treat PUP at Children's Hospital 2 from January 2015 to June 2021. Results: There were 18 consecutive charts of patients included in the study. Mean age: 13.8 ± 1.9 years old. The male/female ratio is 72.2% and 27.8%, respectively. The rate of 50% of cases with the preoperative diagnosis was acute appendicitis, 27.8% had peritonitis, and 22.2% was hollow visceral perforation. 100% of patients were diagnosed laparoscopically, and 2 cases were converted to open surgery. One patient of open surgery had a wound infection. All patients had good results: no severe complications, such as death, postoperative intestinal obstruction, or recurrent perforation were recorded. Conclusions: Peptic ulcer perforation is an uncommon cause of acute abdominal pain in children but should be considered in adolescent patients presenting with acute abdominal pain, especially with pneumoperitoneum. Laparoscopy is both a diagnostic aid and a safe and effective treatment method.

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