{"id":24608,"date":"2023-05-16T00:33:32","date_gmt":"2023-05-15T17:33:32","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=24608"},"modified":"2023-05-16T00:33:32","modified_gmt":"2023-05-15T17:33:32","slug":"vai-tro-cua-eus-trong-dieu-tri-ung-thu-tuy","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/16\/vai-tro-cua-eus-trong-dieu-tri-ung-thu-tuy\/","title":{"rendered":"Vai tr\u00f2 c\u1ee7a EUS trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y"},"content":{"rendered":"

Ung th\u01b0 t\u1ee5y l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh nguy hi\u1ec3m v\u00e0 c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao. \u0110\u00e2y l\u00e0 m\u1ed9t d\u1ea1ng ung th\u01b0 kh\u00f3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb, v\u00ec n\u00f3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng s\u1edbm v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n mu\u1ed9n. Trong \u0111\u00f3, EUS (Endoscopic Ultrasound)<\/a> l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi k\u1ebft h\u1ee3p gi\u1eefa si\u00eau \u00e2m v\u00e0 n\u1ed9i soi ti\u00eau h\u00f3a, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 chu\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd ti\u00eau h\u00f3a. EUS \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn trong vi\u1ec7c chu\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y.<\/strong><\/p>\n

\"\"<\/p>\n

1. EUS l\u00e0 g\u00ec?<\/h2>\n

EUS (Endoscopic Ultrasound) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi k\u1ebft h\u1ee3p gi\u1eefa si\u00eau \u00e2m v\u00e0 n\u1ed9i soi ti\u00eau h\u00f3a, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 chu\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd ti\u00eau h\u00f3a. EUS \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn trong vi\u1ec7c chu\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y. EUS cho ph\u00e9p b\u00e1c s\u0129 xem qua c\u00e1c c\u1ea5u tr\u00fac n\u1ed9i t\u1ea1ng v\u00e0 m\u00f4 m\u1ec1m g\u1ea7n ung th\u01b0 t\u1ee5y \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u00edch th\u01b0\u1edbc, h\u00ecnh d\u1ea1ng, \u0111\u1eb7c \u0111i\u1ec3m v\u00e0 v\u1ecb tr\u00ed c\u1ee7a kh\u1ed1i u. EUS c\u0169ng c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 x\u00e2m l\u1ea5n c\u1ee7a kh\u1ed1i u v\u00e0 n\u1ebfu c\u1ea7n, s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt FNA (Fine Needle Aspiration) \u0111\u1ec3 l\u1ea5y m\u1eabu t\u1ebf b\u00e0o c\u1ee7a kh\u1ed1i u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u1ea1i ung th\u01b0. Ngo\u00e0i ra, EUS c\u00f2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y. B\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt EUS-guided celiac plexus block, b\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1ea3m \u0111au v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

2. Vai tr\u00f2 c\u1ee7a EUS trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y<\/h2>\n

D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c vai tr\u00f2 ch\u00ednh c\u1ee7a EUS trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y:<\/p>\n

    \n
  • Chu\u1ea9n \u0111o\u00e1n ung th\u01b0 t\u1ee5y: EUS l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 ch\u00ednh x\u00e1c \u0111\u1ec3 chu\u1ea9n \u0111o\u00e1n ung th\u01b0 t\u1ee5y. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh k\u00edch th\u01b0\u1edbc, h\u00ecnh d\u1ea1ng, v\u1ecb tr\u00ed v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a kh\u1ed1i u v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 x\u00e2m l\u1ea5n c\u1ee7a n\u00f3. N\u1ebfu c\u1ea7n, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt FNA \u0111\u1ec3 l\u1ea5y m\u1eabu t\u1ebf b\u00e0o c\u1ee7a kh\u1ed1i u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u1ea1i ung th\u01b0. \u0110i\u1ec1u n\u00e0y gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/li>\n
  • H\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y: EUS c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y. B\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt EUS-guided celiac plexus block, b\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1ea3m \u0111au v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. N\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i cho c\u00e1c b\u1ec7nh nh\u00e2n ung th\u01b0 t\u1ee5y giai \u0111o\u1ea1n mu\u1ed9n v\u00e0 kh\u00f4ng ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/li>\n
  • Gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng: EUS kh\u00f4ng \u0111\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng, gi\u00fap gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u00e0 gi\u1ea3m th\u1eddi gian ph\u1ee5c h\u1ed3i sau ph\u1eabu thu\u1eadt. \u0110i\u1ec1u n\u00e0y gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 m\u1ed9t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb an to\u00e0n v\u00e0 \u00edt \u0111au \u0111\u1edbn h\u01a1n.<\/li>\n<\/ul>\n

    3. \u01afu \u0111i\u1ec3m c\u1ee7a EUS trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y<\/h2>\n

    EUS c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y, bao g\u1ed3m:<\/p>\n

      \n
    • \u0110\u1ed9 ch\u00ednh x\u00e1c cao: EUS cho ph\u00e9p b\u00e1c s\u0129 xem qua c\u00e1c c\u1ea5u tr\u00fac n\u1ed9i t\u1ea1ng v\u00e0 m\u00f4 m\u1ec1m g\u1ea7n ung th\u01b0 t\u1ee5y \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u00edch th\u01b0\u1edbc, h\u00ecnh d\u1ea1ng, \u0111\u1eb7c \u0111i\u1ec3m v\u00e0 v\u1ecb tr\u00ed c\u1ee7a kh\u1ed1i u, \u0111\u1ed3ng th\u1eddi x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 x\u00e2m l\u1ea5n c\u1ee7a kh\u1ed1i u. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao h\u01a1n so v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nh\u01b0 si\u00eau \u00e2m ho\u1eb7c CT.<\/li>\n
    • Kh\u00f4ng \u0111\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng: EUS kh\u00f4ng \u0111\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng, gi\u00fap gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u00e0 gi\u1ea3m th\u1eddi gian ph\u1ee5c h\u1ed3i sau ph\u1eabu thu\u1eadt. \u0110i\u1ec1u n\u00e0y gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 m\u1ed9t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb an to\u00e0n v\u00e0 \u00edt \u0111au \u0111\u1edbn h\u01a1n.<\/li>\n
    • Ti\u1ebft ki\u1ec7m th\u1eddi gian: EUS c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong m\u1ed9t l\u1ea7n \u0111i\u1ec1u tr\u1ecb, gi\u00fap ti\u1ebft ki\u1ec7m th\u1eddi gian cho b\u1ec7nh nh\u00e2n v\u00e0 gi\u1ea3m t\u1ed1n k\u00e9m cho h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe.<\/li>\n
    • \u0110\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 x\u00e2m l\u1ea5n c\u1ee7a kh\u1ed1i u: EUS c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 x\u00e2m l\u1ea5n c\u1ee7a kh\u1ed1i u v\u00e0 n\u1ebfu c\u1ea7n, s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt FNA (Fine Needle Aspiration) \u0111\u1ec3 l\u1ea5y m\u1eabu t\u1ebf b\u00e0o c\u1ee7a kh\u1ed1i u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u1ea1i ung th\u01b0.<\/li>\n
    • H\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y: EUS c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y. B\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt EUS-guided celiac plexus block, b\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1ea3m \u0111au v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n

      4. M\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf c\u1ee7a EUS<\/h2>\n

      M\u1eb7c d\u00f9 EUS (Endoscopic Ultrasound) l\u00e0 m\u1ed9t c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn v\u00e0 c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m trong chu\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf, bao g\u1ed3m:<\/p>\n

        \n
      • Ph\u1ee5 thu\u1ed9c v\u00e0o k\u1ef9 n\u0103ng c\u1ee7a b\u00e1c s\u0129: Vi\u1ec7c th\u1ef1c hi\u1ec7n EUS \u0111\u00f2i h\u1ecfi k\u1ef9 n\u0103ng v\u00e0 kinh nghi\u1ec7m c\u1ee7a b\u00e1c s\u0129, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 x\u00e2m l\u1ea5n c\u1ee7a kh\u1ed1i u v\u00e0 l\u1ea5y m\u1eabu t\u1ebf b\u00e0o. N\u1ebfu b\u00e1c s\u0129 kh\u00f4ng c\u00f3 \u0111\u1ee7 kinh nghi\u1ec7m, c\u00e1c sai s\u00f3t trong qu\u00e1 tr\u00ecnh EUS c\u00f3 th\u1ec3 x\u1ea3y ra, d\u1eabn \u0111\u1ebfn k\u1ebft qu\u1ea3 kh\u00f4ng ch\u00ednh x\u00e1c ho\u1eb7c bi\u1ebfn ch\u1ee9ng.<\/li>\n
      • Kh\u00f3 kh\u0103n trong vi\u1ec7c th\u1ef1c hi\u1ec7n: EUS l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi ph\u1ee9c t\u1ea1p, \u0111\u00f2i h\u1ecfi b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c ti\u00eam thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 \u0103n u\u1ed1ng \u00edt trong m\u1ed9t th\u1eddi gian d\u00e0i tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m cho vi\u1ec7c th\u1ef1c hi\u1ec7n EUS tr\u1edf n\u00ean kh\u00f3 kh\u0103n \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n.<\/li>\n
      • Chi ph\u00ed cao: EUS l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u1eaft ti\u1ec1n, \u0111\u00f2i h\u1ecfi chi ph\u00ed cao v\u1ec1 trang thi\u1ebft b\u1ecb v\u00e0 \u0111\u00e0o t\u1ea1o b\u00e1c s\u0129. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 khi\u1ebfn chi ph\u00ed \u0111i\u1ec1u tr\u1ecb t\u0103ng cao, l\u00e0m cho n\u00f3 tr\u1edf n\u00ean kh\u00f3 kh\u0103n \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n.<\/li>\n
      • Bi\u1ebfn ch\u1ee9ng: M\u1eb7c d\u00f9 hi\u1ebfm, EUS c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 nhi\u1ec5m tr\u00f9ng ho\u1eb7c ch\u1ea3y m\u00e1u. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t c\u00f3 th\u1ec3 x\u1ea3y ra khi s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt FNA \u0111\u1ec3 l\u1ea5y m\u1eabu t\u1ebf b\u00e0o c\u1ee7a kh\u1ed1i u.<\/li>\n<\/ul>\n

        T\u00f3m l\u1ea1i, EUS l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 h\u1eefu hi\u1ec7u trong vi\u1ec7c chu\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y. N\u00f3 c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c, \u0111\u00e1nh gi\u00e1 s\u00e2u v\u00e0 ph\u00e2n lo\u1ea1i ung th\u01b0 t\u1ee5y, h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y v\u00e0 gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n. EUS l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi ti\u00ean ti\u1ebfn v\u00e0 c\u00f3 t\u00ednh \u1ee9ng d\u1ee5ng cao trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y.<\/p>\n","protected":false},"excerpt":{"rendered":"

        Ung th\u01b0 t\u1ee5y l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh nguy hi\u1ec3m v\u00e0 c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao. \u0110\u00e2y l\u00e0 m\u1ed9t d\u1ea1ng ung th\u01b0 kh\u00f3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb, v\u00ec n\u00f3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng s\u1edbm v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n mu\u1ed9n. Trong \u0111\u00f3, EUS (Endoscopic Ultrasound) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi k\u1ebft h\u1ee3p gi\u1eefa […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"\nVai tr\u00f2 c\u1ee7a EUS trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y - Vinmec<\/title>\n<meta name=\"description\" content=\"EUS (Endoscopic Ultrasound) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi k\u1ebft h\u1ee3p gi\u1eefa si\u00eau \u00e2m v\u00e0 n\u1ed9i soi ti\u00eau h\u00f3a, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ung th\u01b0 t\u1ee5y \u0111\u1ec3 ...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vai tr\u00f2 c\u1ee7a EUS trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y - 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