{"id":1329,"date":"2023-04-06T15:58:51","date_gmt":"2023-04-06T08:58:51","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1329"},"modified":"2023-04-13T09:57:35","modified_gmt":"2023-04-13T02:57:35","slug":"cat-dai-trang-phai-va-dai-trang-phai-mo-rong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/cat-dai-trang-phai-va-dai-trang-phai-mo-rong\/","title":{"rendered":"Quy tr\u00ecnh ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1eaft \u0111\u1ea1i tr\u00e0ng trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0"},"content":{"rendered":"<p><strong>C\u1eaft \u0111\u1ea1i tr\u00e0ng theo ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi d\u1eabn \u0111\u1ebfn kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i t\u1ed1t h\u01a1n, \u0103n u\u1ed1ng tr\u1edf l\u1ea1i s\u1edbm h\u01a1n, ch\u1ee9c n\u0103ng ru\u1ed9t nhanh tr\u1edf l\u1ea1i, y\u00eau c\u1ea7u gi\u1ea3m \u0111au th\u1ea5p v\u00e0 th\u1eddi gian n\u1eb1m vi\u1ec7n ng\u1eafn h\u01a1n so v\u1edbi ph\u1eabu thu\u1eadt m\u1edf.<\/strong><\/p>\n<h2>1. Nguy\u00ean t\u1eafc ung th\u01b0 h\u1ecdc<\/h2>\n<p>C\u00e1c nguy\u00ean l\u00fd c\u1ee7a ph\u1eabu thu\u1eadt ung th\u01b0 \u0111\u1ea1i tr\u00e0ng bao g\u1ed3m lo\u1ea1i b\u1ecf \u0111o\u1ea1n \u0111\u1ea1i tr\u00e0ng mang kh\u1ed1i u b\u1eb1ng c\u00e1ch c\u1eaft b\u1ecf m\u1ed9t m\u1ea1c treo c\u00f2n nguy\u00ean v\u1eb9n \u0111\u1ebfn g\u1ea7n g\u1ed1c c\u1ee7a m\u1ea1ch m\u00e1u nu\u00f4i d\u01b0\u1ee1ng ch\u00ednh.<\/p>\n<h3>1.1. Gi\u1ea3i ph\u1eabu m\u1ea1ch m\u00e1u<\/h3>\n<blockquote><p>\u0110\u1ed9ng m\u1ea1ch h\u1ed3i tr\u00e0ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n sau ho\u1eb7c tr\u01b0\u1edbc t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng tr\u00ean (SMV).<\/p>\n<p>\u0110\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng ph\u1ea3i, hi\u1ec7n di\u1ec7n \u1edf kho\u1ea3ng 60% s\u1ed1 ng\u01b0\u1eddi, h\u1ea7u nh\u01b0 lu\u00f4n xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc SMV.<\/p>\n<p>\u0110\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa th\u01b0\u1eddng t\u00e1ch th\u00e0nh c\u00e1c nh\u00e1nh ph\u1ea3i v\u00e0 tr\u00e1i.<\/p><\/blockquote>\n<p>\u0110\u1ec3 c\u1eaft b\u1ecf \u0111\u1ea1i tr\u00e0ng ph\u1ea3i ti\u00eau chu\u1ea9n cho c\u00e1c kh\u1ed1i u manh tr\u00e0ng ho\u1eb7c \u0111\u1ea1i tr\u00e0ng ph\u1ea3i, th\u1eaft \u0111\u1ed9ng m\u1ea1ch h\u1ed3i tr\u00e0ng, \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng ph\u1ea3i v\u00e0 nh\u00e1nh ph\u1ea3i c\u1ee7a \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa.<\/p>\n<p>\u0110\u1ed1i v\u1edbi c\u00e1c kh\u1ed1i u g\u00f3c gan, th\u1ef1c hi\u1ec7n c\u1eaft b\u1ecf \u0111\u1ea1i tr\u00e0ng ph\u1ea3i ti\u00eau chu\u1ea9n tr\u1eeb khi c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 h\u1ea1ch ngo\u00e0i nh\u00e1nh ph\u1ea3i c\u1ee7a \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa, trong tr\u01b0\u1eddng h\u1ee3p \u0111\u00f3 c\u1eaft b\u1ecf \u0111\u1ea1i tr\u00e0ng ph\u1ea3i m\u1edf r\u1ed9ng.<\/p>\n<p>Trong ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \u0111\u1ea1i tr\u00e0ng ph\u1ea3i m\u1edf r\u1ed9ng, th\u1eaft \u0111\u1ed9ng m\u1ea1ch h\u1ed3i tr\u00e0ng, \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng ph\u1ea3i v\u00e0 c\u1ea3 hai nh\u00e1nh c\u1ee7a \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa, ri\u00eang bi\u1ec7t ho\u1eb7c b\u1eb1ng c\u00e1ch th\u1eaft th\u00e2n \u0111\u1ea1i tr\u00e0ng gi\u1eefa.<\/p>\n<p>Th\u1eaft t\u0129nh m\u1ea1ch t\u01b0\u01a1ng t\u1ef1 nh\u01b0 trong ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \u0111\u1ea1i tr\u00e0ng ph\u1ea3i ti\u00eau chu\u1ea9n: t\u0129nh m\u1ea1ch h\u1ed3i tr\u00e0ng \u0111\u01b0\u1ee3c th\u1eaft l\u1ea1i khi n\u00f3 \u0111i v\u00e0o SMV, v\u00e0 t\u0129nh m\u1ea1ch \u0111ai tr\u00e0ng ph\u1ea3i tr\u00ean \u0111\u01b0\u1ee3c th\u1eaft l\u1ea1i khi n\u00f3 ch\u1ea3y v\u00e0o nh\u00e1nh v\u1ecb \u0111\u1ea1i tr\u00e0ng c\u1ee7a Henle. T\u0129nh m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa c\u0169ng \u0111\u01b0\u1ee3c th\u1eaft trong ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \u0111\u1ea1i tr\u00e0ng ph\u1ea3i m\u1edf r\u1ed9ng.<\/p>\n<h3>1.2. N\u1ea1o h\u1ea1ch<\/h3>\n<p>Qu\u00e1 tr\u00ecnh n\u1ea1o h\u1ea1ch bao g\u1ed3m c\u00e1c h\u1ea1ch d\u1ecdc theo m\u1ea1ch m\u00e1u m\u1ea1c treo tr\u00e0ng tr\u00ean v\u00e0 d\u1ecdc \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng. Theo Hi\u1ec7p h\u1ed9i Ung th\u01b0 \u0110\u1ea1i tr\u00e0ng v\u00e0 Tr\u1ef1c tr\u00e0ng Nh\u1eadt B\u1ea3n (JSCCR) ph\u00e2n 3 ch\u1eb7ng h\u1ea1ch: c\u00e1c h\u1ea1ch tr\u00ean th\u00e0nh v\u00e0 c\u1ea1nh \u0111\u1ea1i tr\u00e0ng, c\u00e1c h\u1ea1ch trung gian v\u00e0 c\u00e1c h\u1ea1ch ch\u00ednh.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-medium wp-image-1334\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/kt-qu-phu-thut-ni-soi-ct-i-trng-tri-cao-iu-tr-ung-th-i-trng-gc-lch-21-320-217x300.png\" alt=\"C\u00e1c nh\u00f3m h\u1ea1ch \u0111\u1ea1i tr\u00e0ng\" width=\"217\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/kt-qu-phu-thut-ni-soi-ct-i-trng-tri-cao-iu-tr-ung-th-i-trng-gc-lch-21-320-217x300.png 217w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/kt-qu-phu-thut-ni-soi-ct-i-trng-tri-cao-iu-tr-ung-th-i-trng-gc-lch-21-320-741x1024.png 741w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/kt-qu-phu-thut-ni-soi-ct-i-trng-tri-cao-iu-tr-ung-th-i-trng-gc-lch-21-320-768x1062.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/kt-qu-phu-thut-ni-soi-ct-i-trng-tri-cao-iu-tr-ung-th-i-trng-gc-lch-21-320.png 850w\" sizes=\"(max-width: 217px) 100vw, 217px\" \/><\/p>\n<h2>2. K\u1ef9 thu\u1eadt<\/h2>\n<h3>2.1. <a href=\"http:\/\/T\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n:\">T\u01b0 th\u1ebf b\u1ec7nh nh\u00e2n:<\/a><\/h3>\n<p>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u00ean b\u00e0n m\u1ed5 t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda.<\/p>\n<h3>2.2. <a href=\"http:\/\/V\u1ecb tr\u00ed \u0111\u1eb7t trocar:\">V\u1ecb tr\u00ed \u0111\u1eb7t trocar:<\/a><\/h3>\n<ul>\n<li>1 trocar 10 \u1edf r\u1ed1n (camera)<\/li>\n<li>1 trocar 5 mm d\u01b0\u1edbi s\u01b0\u1eddn tr\u00e1i<\/li>\n<li>1 trocar 5mm \u1edf h\u1ed1 ch\u1eadu tr\u00e1i<\/li>\n<li>1 trocar 10mm \u1edf d\u01b0\u1edbi s\u01b0\u1eddn ph\u1ea3i<\/li>\n<\/ul>\n<h3><strong>2.3. Quy tr\u00ecnh th\u1ef1c hi\u1ec7n:<\/strong><\/h3>\n<ul>\n<li>B\u1ed9c l\u1ed9 \u0111\u1ed9ng m\u1ea1ch h\u1ed3i manh tr\u00e0ng. Th\u1eaft v\u00e0 c\u1eaft \u0111\u1ed9ng m\u1ea1ch h\u1ed3i manh \u0111\u1ea1i tr\u00e0ng, ti\u1ebfp t\u1ee5c m\u1edf ph\u00fac m\u1ea1c v\u00e0 ph\u1eabu t\u00edch b\u00f3 m\u1ea1ch \u0111\u1ea1i tr\u00e0ng ph\u1ea3i. Ti\u1ebfp t\u1ee5c ph\u1eabu t\u00edch v\u00e0 g\u1ee1 d\u00ednh t\u00e1 tr\u00e0ng v\u00e0 m\u1ea1c treo \u0111\u1ea1i tr\u00e0ng ph\u1ea3i. Th\u1eaft v\u00e0 c\u1eaft \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng ph\u1ea3i.<\/li>\n<li>G\u1ee1 d\u00ednh ph\u00fac m\u1ea1c (m\u1ea1c Told) b\u1eaft \u0111\u1ea7u t\u1eeb ti\u1ec3u khung ngang m\u1ee9c v\u1edbi \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng.<\/li>\n<li>Ti\u1ebfp t\u1ee5c g\u1ee1 d\u00ednh ph\u00fac m\u1ea1c (m\u1ea1c Told) t\u1eeb \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng \u0111\u1ebfn \u0111\u1ea1i tr\u00e0ng g\u00f3c gan.<\/li>\n<li>H\u1ea1 \u0111\u1ea1i tr\u00e0ng g\u00f3c gan. D\u00f9ng d\u1ee5ng c\u1ee5 k\u00e9o \u0111\u1ea1i tr\u00e0ng l\u00ean v\u00e0 \u0111\u1ea1i tr\u00e0ng ngang xu\u1ed1ng d\u01b0\u1edbi. C\u1eaft d\u00e2y ch\u1eb1ng gan &#8211; \u0111\u1ea1i tr\u00e0ng v\u00e0 c\u1ea7m m\u00e1u.<\/li>\n<li>Ti\u1ebfp t\u1ee5c g\u1ee1 d\u00ednh gi\u1eefa m\u1ea1c treo \u0111\u1ea1i tr\u00e0ng v\u00e0 t\u00e1 tr\u00e0ng.<\/li>\n<li>Gi\u1ea3i ph\u00f3ng \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng \u0111\u1ee7 d\u00e0i \u0111\u1ec3 \u0111ua ra th\u00e0nh b\u1ee5ng tr\u01b0\u1edbc.<\/li>\n<li>R\u1ea1ch 4-6 cm th\u00e0nh b\u1ee5ng tr\u01b0\u1edbc (\u1edf h\u1ed1 ch\u1eadu ph\u1ea3i hay tr\u00ean r\u1ed1n).<\/li>\n<li>\u0110\u01b0a \u0111\u1ea1i tr\u00e0ng ph\u1ea3i v\u00e0 \u0111o\u1ea1n cu\u1ed1i h\u1ed3i tr\u00e0ng ra ngo\u00e0i \u1ed5 b\u1ee5ng. C\u1eaft v\u00e0 n\u1ed1i h\u1ed3i tr\u00e0ng &#8211; \u0111\u1ea1i tr\u00e0ng ngang b\u1eb1ng m\u00e1y ho\u1eb7c kh\u00e2u n\u1ed1i<\/li>\n<\/ul>\n<h3>2.4. Ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1eaft \u0111\u1ea1i tr\u00e0ng ph\u1ea3i m\u1edf r\u1ed9ng<\/h3>\n<p>Vi\u1ec7c b\u00f3c t\u00e1ch m\u1ea1ch m\u00e1u ti\u1ebfn h\u00e0nh nh\u01b0 trong ph\u1eabu thu\u1eadt, ngo\u1ea1i tr\u1eeb c\u00e1c nh\u00e1nh \u0111\u1ea1i tr\u00e0ng gi\u1eefa v\u00e0 \/ ho\u1eb7c th\u00e2n ch\u00ednh ph\u1ea3i \u0111\u01b0\u1ee3c ph\u1eabu t\u00edch k\u1ef9 v\u00e0 h\u00ecnh dung \u0111\u1ea7y \u0111\u1ee7 tr\u01b0\u1edbc khi th\u1eaft.<\/p>\n<h2>3. T\u00f3m t\u1eaft v\u00e0 khuy\u1ebfn ngh\u1ecb<\/h2>\n<p class=\"bulletIndent1\">C\u00e1c k\u1ef9 thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh hi\u1ec7u qu\u1ea3 v\u00e0 k\u1ebft qu\u1ea3 ung th\u01b0 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi ph\u1eabu thu\u1eadt m\u1edf.<\/p>\n<p class=\"bulletIndent1\">Gi\u1ea3i ph\u1eabu m\u1ea1ch m\u00e1u c\u1ee7a \u0111\u1ea1i tr\u00e0ng ph\u1ea3i c\u00f3 th\u1ec3 thay \u0111\u1ed5i. Ph\u00e2n t\u00edch c\u1ea9n th\u1eadn h\u00ecnh \u1ea3nh tr\u01b0\u1edbc ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 gi\u00fap m\u00f4 t\u1ea3 gi\u1ea3i ph\u1eabu m\u1ea1ch m\u00e1u n\u00e0y v\u00e0 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n b\u00f3c t\u00e1ch ph\u1eabu thu\u1eadt hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n.<\/p>\n<p class=\"bulletIndent1\">\u0110\u1ed1i v\u1edbi x\u1eed l\u00ed m\u1ea1ch m\u00e1u, ch\u00fang t\u00f4i th\u1eaft \u0111\u1ed9ng m\u1ea1ch h\u1ed3i tr\u00e0ng, \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng ph\u1ea3i v\u00e0 nh\u00e1nh ph\u1ea3i c\u1ee7a \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa. Ch\u00fang t\u00f4i th\u1eaft \u0111\u1ed9ng m\u1ea1ch h\u1ed3i tr\u00e0ng, \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng ph\u1ea3i v\u00e0 c\u1ea3 hai nh\u00e1nh c\u1ee7a \u0111\u1ed9ng m\u1ea1ch \u0111\u1ea1i tr\u00e0ng gi\u1eefa, ri\u00eang bi\u1ec7t ho\u1eb7c b\u1eb1ng c\u00e1ch th\u1eaft th\u00e2n \u0111\u1ea1i tr\u00e0ng gi\u1eefa ch\u00ednh \u0111\u1ec3 c\u1eaft b\u1ecf \u0111\u1ea1i tr\u00e0ng ph\u1ea3i m\u1edf r\u1ed9ng.<\/p>\n<p class=\"bulletIndent1\">\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m v\u00e0 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n \u0111i\u1ec1u tr\u1ecb v\u1ec1 ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1 <a class=\"contact-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/ung-buou-xa-tri\/thong-tin-suc-khoe\/ai-nen-tam-soat-ung-thu-dai-trang\/#\"><b class=\"link-in-body\">HOTLINE<\/b><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a class=\"appointment-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/ung-buou-xa-tri\/thong-tin-suc-khoe\/ai-nen-tam-soat-ung-thu-dai-trang\/#\"><b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/www.vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u1eaft \u0111\u1ea1i tr\u00e0ng theo ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi d\u1eabn \u0111\u1ebfn kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i t\u1ed1t h\u01a1n, \u0103n u\u1ed1ng tr\u1edf l\u1ea1i s\u1edbm h\u01a1n, ch\u1ee9c n\u0103ng ru\u1ed9t nhanh tr\u1edf l\u1ea1i, y\u00eau c\u1ea7u gi\u1ea3m \u0111au th\u1ea5p v\u00e0 th\u1eddi gian n\u1eb1m vi\u1ec7n ng\u1eafn h\u01a1n so v\u1edbi ph\u1eabu thu\u1eadt m\u1edf. 1. Nguy\u00ean t\u1eafc ung th\u01b0 h\u1ecdc C\u00e1c nguy\u00ean l\u00fd c\u1ee7a [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":1349,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Quy tr\u00ecnh ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1eaft \u0111\u1ea1i tr\u00e0ng trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/title>\n<meta name=\"description\" content=\"Ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1eaft \u0111\u1ea1i tr\u00e0ng ph\u1ea3i l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt hi\u1ec7u qu\u1ea3, qu\u00e1 t\u00ecnh h\u1eadu ph\u1eabu v\u00e0 gi\u1ea3m \u0111au ng\u1eafn h\u01a1n so v\u1edbi m\u1ed5 m\u1edf.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" 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