Đánh giá kết quả điều trị phẫu thuật gãy xương thuyền

- MOt so bien phap lam gi5m t9 le mac berth:
+ Tien hanh truyen thong giao duc ye can berth nay
de' mei nguiii phu nit 15-49 tut)) not chung va có gia
dinh not rieng y thus ye can berth.
+ Thilang xuyen di kham benh dinh k9 de phat hien
dieu tri that de benh. BO thoi quen ye sinh kh6ng hdp
ye sinh nhi/ ngam trong chau, cho tay vao am dao.
Dung bang ve sinh phit hop, thdc hien k6 hoach hoa
gia dinh, chi nen sinh 1-2 con va cAi thien nguon Hunt
sit dung. Tranh diing nude be mat ma dung nuUc
ngem hop ve sinh
TAI LIEU THAM KHAO
1. BO Y te (2001) "Chien krdc
gia ye cham sot
bac) ye sift khoe giai doan 2001- 2010", NXB Quan dei
nhan clan Tr 3 -22.
2. Nguy8n Hal COc.(2001), "Tinh hinh mac benh phu
khoa cila phu nit tai 4 xa huyen Kim Bang, Ha Nam",
Luan van tot nghiep chuyen khao cap II, twang Dai hoc Y
Ha Nei.
3. Doan Thi Hanh (2010), "Thdc tang viem nhi8rn
&king sinh duc ditoi va cac yeu to" lien quan if phu nit 1953 tu6i co ch6ng quan H6ng Bang H5i Phong nam 2010",
Luan van t6t nghiep bac s9 chuyen khoa cap II, DHY H5i
Phong.
4. Wong Tien Hoa (2000), "Nhi8m khuen diking sinh
s5n va sitc khoe phu nit', Tap chi Khoa hoc ye phy nit,
Trung tam Khoa hoc Xa hei va Nhan van Qucic gia Tr 4652.

5. Vu Quang Kh5i (2007), "Tinh hinh viem nhi8rt
&tong sinh duc dikti a phy nit trong dQ tuCii sinh de do
thong tai huyen Thanh Ha, tinh Hai along". Luan van

that sy Y te tong tong, tri/Ong Dai hoc Y H5i Ph6ng.
6. Khoa Y tong d6ng, trilang DO hoc Y HA NOi,
"Silt khoe sinh san".
7. Dao Van Lan (2009), "Thyc trang viem nhi8m
&Ong sinh duc dud thiteng gap va cat ye'u tO lien quan
chinh d phy nit 18-52 tu6i tai Kien An". Luan van that s9 Y
hoc. Dai hoc Y Hai PhOng.
8. Cac Van Tiern (2011), "Thdc trang viem nhi6-m
&tong sinh duc dikti va kien thOt thut hanh tl phu nit co
thong trong do tu6i sinh de tai huyen An Lao thanh ph/5
Hai Ph6ng nam 2011". Luan van bac s9 chuyen khoa cap
II, Dai hoc Y Thai Binh.
9. Tniong Thi Van (2005), "Thdc trang va mot so" yeu
VS lien quan den benh phu khoa a phi/ nit 15-49 tu6i c6
thong tai huyen Gia Lam Ha Nei". Luan van that s9 Y
tong tong-DHY Ha Nei.
10. Amsel, totte PA, Spiegel Ca (1983), "Nonspecific
vaginalitis", Aj Med74, PP14-22.
11.Caiyan X et al (2012), "Prevalence and risk factors
of lower genital tract infections among women in Beijing
China". J Obstet Gynaecol, 38(1): 310-5.
12. Kane Degutis Saywward Onofri (2004),
"Compliance with the Centre for Disease Control and
Prevention recommendation for the diagnosis and
treatment of sexually transmitted disease". Acoad Emrg
Med 11,317.

MINH GIA Kb' QUA Tutu TR! PHAU THUAT GAY XMING THUYEN
MA NGOC THANH, TRAN TRUNG DUNG

Dai hoc Y Ha NO
NGUYEN Dt:IC PHUC - Benh vien Da khoa Tinh Hai Duong
TOM TAT

Oat van de: Gay xuong thuyen hay gap trong gay
Axing vung c6 tay, ce trieu chiing lam sang ngheo nan
nen de bi be set, de nhern vdi cac chin thuung day
chang veing c6 tay.
Muc fiat, nghien cifu: 1) NW )(et (lac diem 15m
sang va Xquang benh nhan gay miring thuyen; 2)
Danh gia kat qua dieu tri phau thuat gay xuting thuyen.
D6i tuUng va phuong phap nghien ciiu: Nghien cat'
m6 to hei car 32 benh nhan dtipc chen doan va di& tri
pilau thuat gay xuung thuyen tai Vien CTCH Benh vien
HN Viet Dix to 6/2008-6/2012. M6 to ciao diem lam
sang, phan 100 gay xuung theo vi tri giai pheu va
Trojan Russe. Ghep Wring mao chau hoac dau dUdi
xuting quay. Danh gia ket qua theo bang diem dm
Mayo.
Kat qua: TO thang 6 nam 2008 den thang 6 nam
2012 da m6 cho 32 benh nhan. Tuo'i: De tuei gap
nhieu nhlt là 20-30 tu6i, chiem 68,8%.Gi6i: nam chiem
ty le 93,8%. Ten thuung gian tiep gap 27 benh nhan
(84,4%). Gay ngang eo chiem 71,9%. Kat qua: tot va
rift kit 27 benh nhan (84,4%).
Ket Juan: Gay Wring thuyen thuting de bi be set do
trieu chung lam sang ngheo nan, can ce cac to the'
chup phim dac biet, co the chan thuting hay gap la

52

gian tiep. Chen dean va dieu tri sem mang lai ket qua
kha quan hon.
TrAhod: Gay xuong thuyen.
SUMMARY

THE RESULTS OF SURGICAL TREATMENT FOR
SCAPHOID FRACTURE
Introduction: Scaphoid fracture appears commonly
in carpal fracture. Fractures of the scaphoid occur most
commonly from a fall on the outstretched hand (indirect
mechanism). There are a few symptoms.
Objectives: 1) Describe the clinical and
radiographic characters of scaphoid fracture; 2)
Evaluate the result of surgical treatment for scaphoid
fracture.
Material and Method: Retro-observational study
basing on records of 32 patients diagnosed scaphoid
fracture and surgical treatment by fixation and bones
graft or not at Viet Duc University hospital from June
2008 to June 2012. Describing the characteristics of
clinical, Radiographic grade was classified according to
anatomical position Trojan Russe. Bone graft was
performed at iliac crest and distal radius. Using Mayo
score to evaluate results.
Results: We has performed 32 patients in surgical
treatment. The age occur most commonly from 20-30

Y HOC THU'C HANH (957) - SO 4/2015

years old (68.8%). Male amount of 93.8%. Mechanism
appears 27 patients of indirection. Xray: scaphoid
fracture at waist in 71.9%. Exellent and good is 84.4%
(27 patients).
Conclusion: Fracture of the scaphoid often
overlooked boat so poor clinical symptoms, should
have taken the stance particularly Xray, common
mechanism of injury is indirect. Early diagnosis and
early treatment brings better results.
Keywords: Scaphoid fracture.
D4T VAN of
Gay xuong thuy6n la loai hay gap nhgt trong s6 cac
twang hdp gay xuong vung co tay, &mg thu' hai sau
gay du dual xuong quay. Gay xudng thuy6n thuting
gap a nhung banh nhan nam co tuOi tit 20-30 [1], [2].
Gay Wong thuy6n có Mau chtlng lam sang ngheo nan
nen khi chgn thudng ngUoi banh thuang nghi don glen
la bong gan vling co tay. Dieu tri muan co the' gap cac
bin chUng: Khoo gia, hoai tit, mat vimg co' tay, hai
chung ang cob tay, hit khop gay anh Wang clan chitc
nang co' ban tay va chat luring cuac sang cOa banh
nhan. Gay wong thuy6n thutng do co cha chgn
thudng gian bap: Nga ch6ng tay voi c6 tay dual qua
mit co the' gap trong khi bi tai nan the thao, tai nan
giao th6ng hoac tai nan lao dung. Tren the" gidi a co
nhieu tong trinh nghien cau v6 di6u tri gay )(acing
thuyen, do brat la cac phuong phap phau thuat cita:
Adams (1928), Leyshon A, Iveland J (1984), Stark A,
Bostrom L.A, Svartengren (1987), Herbert (1990)...

Cac phUcIng phial) dieu tri nay dau mang lai kat qua
kite quan [6], [7, [8]. a Woo to nghien cau v6 gay
xuong vling c6 ban tay can chua dulc quan tam mat
cach thich dang. Tai Vign CTCH 134nh vien HN Vi6t
DUc dieu tri gay )(acing thuy6n nhi6u nam nay. Tuy
nhien chua thgy co bao cao nao tong kat, danh gia
tong nhutheo doi kat qua digu tri gay xudng thuy6n de
duo ra met phac de di6u tri higu qua nhgt. Tit do,
chung toi nghien cOu de tai nay nh5m muc tieu:
Nhan xet dac diem lam sang va X quang gay
wring thuyen.
Danh gia kg qua dieu to ph& thuat gay xuting
thuyen.
061TUDING VA PHUONG PHAP NGHIEN CUU
1.Dal Wong nghien cau
Tign hanh nghien cOU 32 b4nh nhan duoc chgn
doan gay xuong thuyen mai, CO va khOp gia xudng
thuygn disc di6u tri bang phuung phap KHX kern theo
ghep Along hoac kh6ng tai Vign Chgn thudng ch]nh
hinh Bgnh vign HEM nghi Vigt DUc tit thang 6 nam 2008
dgn thang 6 nam 2012.
2. Phuong phap nghien cau: Phudng phap
nghien a:1u m6 to hoi
3. Phuong phap phAu thuat
• Outing md'vao xtiOng thuyen 121171
Evang m' vao xudng thuygn tren h6 lao giai
phau:Rach da 3cm doc ten horn lao giai phau, bec le
horn lao. Rath can doc theo &fang rach da giira gan
duoi dai va duoi nggn ngen cal. Wing farabeuf keo can
va gan duel dai, duoi ng5n ngen cai sang hai ben se

thgy cac nhanh cua deng mach quay va than kinh

Y HOC THVC HANH (957) - SO 4/2015

quay. Pilau tich va keo chung sang 1 ben dg bec to
bao khdp. M6 doc vao khap co' tay
bec le midng
thuy6n.
* Ke'l hQp min: Lam sach O gay, dat lai xitiOng
theo dung giai phau va kgt hop xudng bang kim
Kirschner, vit AO.
*
Ghep Wong x6p tit ngugn xuring
x6p mao chair hoac dau dUUi xUang quay.
4. Tap phyc
chac nang: Bang cac bai tap co
gi5n co' tay.
5. Danh gia kat qui digu V]: Theo hg thong bang
digm caa Mayo.
KET QUA NGHIEN CUU
Tugi: Do tugi gap nhigu nhgt la 20-30 kr& chigm
68,8%. Do tuOi chigm t9 16 thgp nh'gt la < 20 Wei,
chigm 3,1%.
Giai: Nam chiam t9 la 93,8%.
Thai gian tit khi bi chin thudng dgn khi phAu
thuat: CO 18 b6nh nhan di:0c phau thugt trong 4 tugn
dau, chigm t910 56,4%.
Digu tri talc phau thuat: T910 lagnh nhan d5 &lc
di6u tri bang thu6c nam IA 43,8%. Co 25% biOnh nhan
dudc be bet trudc khi vao vi4n va 31,2% chua duoc

digu tri.
DOc digm lam sang va Xquang: Nguyen nhan va
co chg chgn thudng: n le) bOnh nhan do TNGT la cao
nh'at chigm 53,1%, sau do dgn tai nan the thao chi6m
31,3%.
Cd ch6 chgn thUdng: Chu ygu gap cd ch6 gian
tip (27 trUang hdp, chigm 84,4%).
Dac digm hinh anh XQ: Phan loai Ming gay theo
vi tri giai phau: Vi tri gay gap nhi6u nhgt IA gay ngang
eo chigm 71,9%. Gay cuc xa chigm t9 14 thgp nhgt
9,3%.
Phan loai Wang gay xudng theo Trojan, Russe:
Gay ngang hay gap nhgt chigm 56,3%, rgi dgn gay
theo chigm 40,6%, thgp nhgt IA gay doc chigm 3,1%.
Cac ten thudng xuong ph6i hop: T9 16 bgnh nhan
co On thudng phei hop va trot xudng nguygt la cao
nhgt, chigm 34,4%. Co 15,6% bgnh nhan co kern gay
mom tram quay.
Bang 1: Cac kv thuat phau thuat
cac k9 thuat phSu thuat
S6 benh nhan
-11io %
Kim Kirschner
23
71,9
Vit AO
7
21,8
Phuang phap khac
2

6,3
T6ng
32
100
_Kg qui gin: Khong co bign chUng trong
sau
phau thuat. XQ sau mg: lit ca cac trudng hop mO
KHX dgu dat xudng dung vi tri giai phau, kh6i phut tet
mai quan h4 thuygn-nguy4t.
Ban 2: Kgt qua xa theo bang diem Ma 0
Kgt qua
S6 banh nhan
Tje la %
Rat ttit
7
21,9
T6t
20
62,5
Trung binh
3
9,4
Xau
2
6,2
T6ng
32
100

53

Kgt qua lien zutIng teen phim XQ: CO 96,4%
banh nhan lign Along sau khi kham lai.
Mat s6 ygu t6 anh hUang d6n k6t qua phau thugt:
Thai diem phau thugt va k6t qua pilau thugt: Nhom
lognh nhan c6 the,' diem phau thuat tU khi chin thuang
d6n khi mo dual 4 tun c6 ka qui phau thugt tot kin
cat nh6m bgnh nhan khac. CO 18/18 banh nhan có k6t
qua rgt tot va tot, khong có bgnh nhan có_kgt qua
khOng toot. PhVong phap KHX va MI qua pilau thuat:
Bgnh nhan &pc phau thuat bang bign phap vit AO co
6/7 Wang hop dat k6t qu5 toot. Banh nhan duck phau
thuat clang kim Kirschner co 21/23 truang hop dat ka
qua t6t. Phuc h6i chac nang sau phau thugt: CO 14/14
bgnh nhan phut h6i tai vign co kgt qua t6t va 10/12
banh nhan tap phut h6i chac nang tai nha tfch cut c6
ka qua tot.

Hinh 1: KHX bang vit AO

Hinh 2: KHX bang kim Kirschner
(co tre't Wong nguyet)

BAN LUAN
Nguyen nhan: Gay xuang thuygn do tai nan giao
thong chigm ti la cao nhat (53,1%), con lai la do chin
thuang the thao (31,3%). 19 la nay cling pha hop vii
cac nghign tau caa Nguyen Thuc Bai Chau [1]. Trong
cat tai nan giao thong gay gay Wong thuy6n dau lien

quan dgn xe may, nga ch6ng tay (17/ 17 truing hOp),
chung toi cho rang day la dac diem Hang caa cat nUac
dang phat trien, khi xe may dang la phuang tign phO
bin de di lai. Khac vai cac nghign cau coa nuoc ngoai,
nguygn nhan do chgn thuong trong the thao la cao
nhgt rgi mai dgn tai nan giao thong. Theo Filan S.L,
Herbert T.J [6], qua nghign cal 413 trUang hop gay
xuang thuy6n thy nguygn nhan do chin thuang the
thao chigm 45% va do tai nan giao thong chigm 30%.
Gay )(acing thuygn do co ch6 chgn thuong gian tigp
chigm ti le cao (84,4%). Nga ch6ng tay vii cob tay duoi
qua mac.
Trong 32
Thai gian tit khi gay Wong den khi
twang hop nghign cau caa chung toi trUang hop c6
thai gian nggn nhat la 4 ngay va dai nhgt la > 3 nam.
Theo Chapmann, Michael W.[5]: Gay xuang thuy6n
cang dUcfc phan loai theo khoang the,' gian giaa chin
thuong va chin doan, gay Wong mai la khi duoc than
doan trong 3- 4 tun dgu, chain lien hoac kh6ng Ifen
duac chin doan trong kho5ng 4- 6 thang tuy nhign
khoang thai gian nay van con dang tranh cai, con

54

khong lign &too chin doan khi gay xuong ten 6 thang.
Theo phan loaf caa Herbert T.J, Filan S.L [6]: Gay
Wong thuygn mai la gay Wong &roc chin doan < 6
tugn, con gay khong lien Wang la gay duoc then doan
man tren 6 tugn.

Phuang phap phiu thu5t: Phau thuat KHX thuy6n
t9 la nhigu nhgt la dung kim Kirschner (71,9%), kim
Kirschner c6 nhigu uu diem nha: Gia thanh re, de lam,
de kigm, rat linh hoat, de clang cher' vao, de dang lgy
ra. N6 co the xuygn qua da hoac qua duang rach da,
du gift yang )(Long gay dac biat no duoc dung cho
nhang twang hop manh gay nha kh6ng the KHX bang
vit. Tuy nhign kim Kirschner cang bac la nhang nhuoc
diem nha: Gay nhiem tang than dinh, Tau dinh co vao
da gay dau va khOng co dinh yang chgc bang vit [1],
[6]. Con KHX vai vit ngobi nhang uu diem la co" dinh
Wong yang chgc thi vit c6 nhang nhuOc diem: Kho tim,
k9 thugt dat vit phai chinh xac
tranh cac bign chang
chain lanh hoac khong lanh xuang.
Thai digm phiu thu5t: Ka qua tot a nhorn bath
nhan có thai diem phau thugt tit khi chat thing dgn
khi mob dual 4 tun co kgt qu5 phau thuat tot kin cac
nh6m bath nhan khac. Co 18/18 banh nhan co kgt
qua rgt tot va t6t, khong co banh nhan c6 kgt qua
kh6ng tot. Banh nhan phau thuat sau khi gay tren 6
thang co kgt qua di6u tri thgp nhgt. 4/7 bgnh nhan cal
ka qu5
va 3/7 banh nhan c6 kgt qua kh6ng tot. St,
khac nhau nay co 9 nghia th6ng kg vaf p = 0,017 (<
0,05).
KEY LUAN
05c digm lam sang va hinh 5nh XQ cua gay
xuang thuygn
Nguyen nhan chin thuang, thuang do tai nan giao

thong (53,1%) vai cd chgn thuong cho ygu la nga
ch6ng tay vai co' tay du6i (84,4%). Cac dgu higu lam
sang thilang gap: Dau horn lao (76,7%), dau khi d6n
ngon cal (50%). Sung tai ham lao (43,8%), sung toan
Ix)
tay (56,2%). Trgn phim Xquang: vi tri &tang gay
thitang gap: Gay ngang eo (71,9%), gay ngang chgo
(56,3%) (theo phan loaf cila Trojan, Russe).
Ket qu5 dieu tri
ChOng toi dua vao hg thgng thang diem caa MayO
dinh gia, kgt qu5 thu duck nhu sau: Ka qua tot va
rgt tot chigm 84,4%. 5 bgnh nhan dat kgt qu5 trong
binh va )(au dgu flan trong nhorn mO muan, khong
tuan WI dung thai gian 1)6 bat va qua trinh phut h6i
chat nang. Di& tri pilau thugt miring thuy6n co t9 I§
lign xuang cao (96,4%).
TAI LIN THAM KHAO
1. Nguyen -Wm Bai Chau (2002), Dieu tri gay ca
xuong thuyen bang phuang phap xuyen kim va ghat)
xuung, Lugn van CK II truting OH Y Duoc TP H6 chi Minh.
2. Bui Van Dim (2010), "Gay ;clang thuygn", Chen
thutmg chinh hinh chi tren, NXB The duc the thao, tr. 429-

540.
3. Amadio P.C, Moran S.L (1999), "Fractures of the
carpal bones", Green's operative hand surgery, chapter
17, pp. 809-837.
4. Bucholz, Robert W. Heckman, James D.; CourtBrown, Charles M. (2006), "Fractures and dislocations of

Y HOC THUG HANH (957) - SO 4/2015

the capus", Rockwood & Greens fractures in Adults, pp.
816.
5. Chapman, Michael W (2001), "Fractures of the
carpal bones", Chapman'n Orthopaedic Surgery, ad
Edition, Chapter 42, pp. 1359-1367.
6. Filan S.L., Herbert T.J. (1996), "Herbert screw
fixation of scaphoid fractures", The Journal of Bone and
Joint Surgery, 78B, pp. 519-529.
7. Herbert TJ (1990), "The fractured scaphoid", St.
Louis: Quality Medical Publisshing.

8. Leyshon A., Ireland J., Trickey E. L. (1984), "The
traitment of delayed union of the carpal scaphoide by
screw fixation", The Journal of bone and Joint surgery66B, no1.
9. Stark H.H, Rickard T.A, Zemel N.P (1988),
"Treament of ununited of the scaphoid by iliac bone grafts
and Kirschner wire fixation", The Journal of bone and Joint
surgery, 70A, pp. 982-991.
10. Wolfe SW (2004), "Fractures of the carpus:
scaphoid fractures", In: Berger RA, Weiss APC, eds.
Hand surgery, vol 1. Philadelphia, London, Tokyo:
Lippincott Williams & Wilkins, pp. 381-408.

DANH GIA HET QUA NGHIEN Clkl AP DUNG CAT AMIDAN BANG COBLATOR
NGUYEN CONG HOANG
Be men Tai Mui Hong DO hoc Y Duoc Thai Nguyen
TOM TAT
Qua nghlen cim 14 trudng hdp tchnh ly Amidan

chi dinh phau thuat cho they: Tudi nh6 nhat le 7, Idn
nhet la 55 tu6i. Tr* cht:mg lam sang hay ghp la dau
hong: 100%, nu6t vudng 64%; Amidan qua phat hai
ben: 58%, cac bleu chimg khac it ghp hon. Nhu vay,
nghien cuu cho they trihu chi/iv Amidan c6 chi dinh
pilau thuat: amidan viem man tinh, qua phat hai ben,
gay dau hong, sot nhieu
Phuung phap pilau thuat cat amidan bang
COBLATOR cho they: COBLATOR c6 the cat amidan
trong cac chi dinh nhu: viem nhieu Ian, viem sau tay,
ap xe, chinh hinh man hhu, ladi ga„ u amidan. SO' ngay
dung thu6c sau md trung binh: 6,5 ngay. ThOi gian
nem vien trung binh: 1,8 -3,6 ngay. Thdi gian hei phuc:
7,5 ngay. H6c and 100% Gen trie'n tot sau ngay thti 14.
Gia thanh phhu thuat thep. Ket qua (ran cho they: Cat
amidan bang CBLATOR cb thd tier, hanh 6 moi lua tu67
va an loan.
Takhea: Amidan, COBLATOR.
SUMMARY
EVALUATION OF RESULTS OF
TONSILLECTOMY BY COBLATOR METHOD IN THAI
NGUYEN CENTRAL, GENERAL HOSPITAL
By studying 14 cases of tonsils with surgical
indications, we found that the minimum age was 7, the
largest was 55 years old. Common clinical symptoms
were sore throat: 100%, difficult swallowing: 64%; The
tonsils developing in both sides: 58%, other symptoms
were less common. Thus, the study showed that
symptoms of tonsils with surgical indications included:
chronic inflammation of the tonsils, so developing in

both sides, causing sore throat, fever of many times.
Tonsillectomy by COBLATOR showed that
COBLATOR could be applied in cases such as lows:
inflammation of many times, inflammation after
swelling, abscesses, faucial orthopedics, reed, tumor
of tonsils. Mean days of using drugs after surgery: 6.5
days. The average length of hospital stay: 1.8 - 3.6
days. Recovery time: 7.5 days. For hallow of operation,
100% was a good progress after 14 days. Cost for
operation was low. Above results showed that

Y HOC THVC HANH (957) - S6 4/2015

tonsillectomy by COBLATOR could be done in all age
groups and safety.
Keywords: Tonsils, COBLATOR.
DAT VAN DE
Phu thuat cat Amidan la can thiet, hien nay la

phau thuat ph6 bien nhat trong
nganh Tai M CA
Hong. CO nhi6u phudng phap cat Amidan:
Phudng phap kinh dien: Bang dung cu Sluder :Ballanger, thong long. Phudng phap hien dai nhu: Cat
bang dao dien cao tan luting cac (Bipolar), Laser,
Coblation, dao sieu am (Ultrassound - Harmonic
Skalpel)...
Phudng phap phau thuat cat Amidan bang
Coblation dudc thuc hien Ian dau tien tren the gidi vao
nem 1997, Viet Nam ap dung vao khoang nhirrig nem
2000. Do có Uu the trong giam thdi gian va lUdng mau

mat khi phau thuat, de thUc hien nen TA tra thanh
phildng phap ph6 bien 6 tuyen trung Udng nhUng chtla
&roc ap dung rang raj tai dia phu'dng. V&i mac dich
gop phan nghien cau thilc day ang dung k9 thuet mdi
trong chuyen nganh tai mui hong tai benh vien tuyen
tinh. Chung t6i tin hanh thuc hien d6 tai: "Danh gia kat
qua nghien ceiu ap dung cat Amidan bang Coblator".
Muc tieu: M6 to hinh thai lam sang cue Amidan cb
chi dinh phau thuat va danh gia ket qua phuong phap
cat amidan bang Coblator tai khoa Tai mui hong Bhnh
vien Da khoa Trung acing Thai Nguyen.
DOI TUONG VA PHUCJNG PHAP NGHIEN CUU
1. D6i tuvng nghien cau: La nhimg benh nhan c6

chi dinh cat Amidan.
MAu nghien cUu: G6m 14 benh nhan &roc chi dinh
phau thuat cat amidan bang Coblation
- Thai gian va dia diem nghien cau: Nghien cifu
&pc ben hanh tai Khoa TMH BVEKTUTN, tU thang
8/2014 den thang 12/2014.
- lieu chuan chon benh nhan:
+ Benh nhan bi viem amidan man tinh.
+ Kham co chi dinh phau thuat (Theo quy dinh cue
nganh).
+ CO day h6 sd benh an.

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