{"id":11297,"date":"2025-08-31T09:00:00","date_gmt":"2025-08-31T02:00:00","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=11297"},"modified":"2025-08-29T15:53:06","modified_gmt":"2025-08-29T08:53:06","slug":"benh-vien-nhan-dan-gia-dinh-phau-thuat-tri-bang-laser-it-dau-hoi-phuc-nhanh-song-khoe-tu-tin","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=11297","title":{"rendered":"B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH PH\u1eaaU THU\u1eacT TR\u0128 B\u1eb0NG LASER: \u00cdT \u0110AU – H\u1ed2I PH\u1ee4C NHANH – S\u1ed0NG KH\u1eceE T\u1ef0 TIN"},"content":{"rendered":"\n

BS.CK2 Chung Ho\u00e0ng Ph\u01b0\u01a1ng, khoa Ngo\u1ea1i ti\u00eau h\u00f3a<\/strong><\/p>\n\n\n\n

Khoa Ngo\u1ea1i Ti\u00eau h\u00f3a, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng 2 ca ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser cho anh H.V.N (47 tu\u1ed5i, tr\u0129 n\u1ed9i \u0111\u1ed9 II ch\u1ea3y m\u00e1u) v\u00e0 ch\u1ecb \u0110.T.T.M (34 tu\u1ed5i, tr\u0129 h\u1ed7n h\u1ee3p). Sau can thi\u1ec7p, c\u1ea3 hai ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 tho\u00e1t kh\u1ecfi nh\u1eefng \u0111au \u0111\u1edbn, kh\u00f3 ch\u1ecbu l\u00e2u nay do b\u1ec7nh tr\u0129 g\u00e2y ra, tr\u1edf l\u1ea1i sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng v\u00e0 c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/p>\n\n\n

\n
\"\"<\/figure><\/div>\n\n\n

Ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng Laser<\/strong> (LHP): Gi\u1ea3i ph\u00e1p hi\u1ec7n \u0111\u1ea1i, ph\u1ee5c h\u1ed3i nhanh, \u00edt \u0111au cho b\u1ec7nh tr\u0129<\/p>\n\n\n\n

B\u1ec7nh tr\u0129 l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn g\u00e2y kh\u00f3 ch\u1ecbu, \u0111au \u0111\u1edbn v\u00e0 ch\u1ea3y m\u00e1u, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean th\u1ebf gi\u1edbi. Trong khi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb truy\u1ec1n th\u1ed1ng th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi n\u1ed7i lo v\u1ec1 \u0111au \u0111\u1edbn v\u00e0 th\u1eddi gian h\u1ed3i ph\u1ee5c k\u00e9o d\u00e0i, ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser <\/a>\u0111\u00e3 n\u1ed5i l\u00ean nh\u01b0 m\u1ed9t \u201cgi\u1ea3i ph\u00e1p ti\u00ean ti\u1ebfn, \u00edt x\u00e2m l\u1ea5n v\u00e0 hi\u1ec7u qu\u1ea3\u201d, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh nhanh ch\u00f3ng quay l\u1ea1i cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n

V\u1eady, \u0111\u00e2u l\u00e0 nh\u1eefng \u01b0u \u0111i\u1ec3m n\u1ed5i b\u1eadt gi\u00fap ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser tr\u1edf th\u00e0nh l\u1ef1a ch\u1ecdn h\u00e0ng \u0111\u1ea7u cho nhi\u1ec1u ng\u01b0\u1eddi b\u1ec7nh?<\/strong><\/p>\n\n\n\n

*  T\u00ednh x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u v\u00e0 b\u1ea3o t\u1ed3n t\u1ed1i \u0111a c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu<\/em>:<\/p>\n\n\n\n

    – Ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt kh\u00f4ng c\u1ea7n v\u1ebft r\u1ea1ch l\u1edbn, ch\u1ec9 y\u00eau c\u1ea7u m\u1ed9t v\u1ebft ch\u1ecdc kim nh\u1ecf \u0111\u1ec3 \u0111\u01b0a \u0111\u1ea7u d\u00f2 laser v\u00e0o. \u0110i\u1ec1u n\u00e0y gi\u00fap b\u1ea3o t\u1ed3n t\u1ed1i \u0111a c\u00e1c m\u00f4 xung quanh v\u00e0 c\u1ea5u tr\u00fac \u0111\u1ec7m h\u1eadu m\u00f4n, v\u1ed1n r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 duy tr\u00ec ch\u1ee9c n\u0103ng \u0111\u1ea1i ti\u1ec7n b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n

    – N\u0103ng l\u01b0\u1ee3ng laser t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp v\u00e0o b\u00ean trong b\u00fai tr\u0129, l\u00e0m \u0111\u00f4ng m\u00e1u v\u00e0 co r\u00fat b\u00fai tr\u0129, \u0111\u1ed3ng th\u1eddi g\u00e2y x\u01a1 h\u00f3a \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh b\u00fai tr\u0129 v\u00e0o th\u00e0nh ru\u1ed9t m\u00e0 kh\u00f4ng c\u1ea7n c\u1eaft b\u1ecf.<\/p>\n\n\n\n

*   Gi\u1ea3m \u0111au \u0111\u00e1ng k\u1ec3 sau ph\u1eabu thu\u1eadt<\/em>:<\/p>\n\n\n\n

    – \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng l\u1ee3i \u00edch l\u1edbn nh\u1ea5t c\u1ee7a ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser. Ng\u01b0\u1eddi b\u1ec7nh sau ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 \u00edt \u0111au h\u01a1n r\u00f5 r\u1ec7t so v\u1edbi ph\u1eabu thu\u1eadt c\u1eaft tr\u0129 truy\u1ec1n th\u1ed1ng (Milligan-Morgan – MM).<\/p>\n\n\n\n

    – L\u00fd do l\u00e0 ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser kh\u00f4ng c\u1eaft b\u1ecf m\u00f4 b\u00ean d\u01b0\u1edbi \u0111\u01b0\u1eddng l\u01b0\u1ee3c, n\u01a1i t\u1eadp trung nhi\u1ec1u s\u1ee3i th\u1ea7n kinh c\u1ea3m gi\u00e1c \u0111au. Ng\u01b0\u1eddi b\u1ec7nh c\u0169ng \u00edt c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au h\u01a1n sau m\u1ed5.<\/p>\n\n\n\n

*   Th\u1eddi gian h\u1ed3i ph\u1ee5c nhanh ch\u00f3ng v\u00e0 n\u1eb1m vi\u1ec7n ng\u1eafn<\/em>:<\/p>\n\n\n\n

    – Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng ch\u1ec9 trong v\u00e0i ng\u00e0y (trung b\u00ecnh 2 – 7 ng\u00e0y), so v\u1edbi nhi\u1ec1u tu\u1ea7n c\u1ee7a ph\u1eabu thu\u1eadt truy\u1ec1n th\u1ed1ng.<\/p>\n\n\n\n

    – H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser \u0111\u1ec1u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 m\u1ed9t th\u1ee7 thu\u1eadt trong ng\u00e0y (day case), ngh\u0129a l\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 v\u1ec1 nh\u00e0 ngay trong ng\u00e0y ph\u1eabu thu\u1eadt, gi\u00fap r\u00fat ng\u1eafn \u0111\u00e1ng k\u1ec3 th\u1eddi gian n\u1eb1m vi\u1ec7n.<\/p>\n\n\n\n

*   Gi\u1ea3m thi\u1ec3u bi\u1ebfn ch\u1ee9ng sau ph\u1eabu thu\u1eadt<\/em>:<\/p>\n\n\n\n

   – Gi\u1ea3m ch\u1ea3y m\u00e1u: Laser gi\u00fap c\u1ea7m m\u00e1u hi\u1ec7u qu\u1ea3 th\u00f4ng qua c\u01a1 ch\u1ebf \u0111\u00f4ng m\u00e1u, d\u1eabn \u0111\u1ebfn l\u01b0\u1ee3ng m\u00e1u m\u1ea5t trong v\u00e0 sau ph\u1eabu thu\u1eadt \u00edt h\u01a1n \u0111\u00e1ng k\u1ec3.<\/p>\n\n\n\n

   – Gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng: V\u1ebft th\u01b0\u01a1ng nh\u1ecf v\u00e0 t\u00e1c d\u1ee5ng di\u1ec7t khu\u1ea9n c\u1ee7a laser g\u00f3p ph\u1ea7n l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 nhi\u1ec5m tr\u00f9ng.<\/p>\n\n\n\n

   – Gi\u1ea3m b\u00ed ti\u1ec3u: T\u1ef7 l\u1ec7 b\u00ed ti\u1ec3u sau m\u1ed5 \u1edf nh\u00f3m ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser th\u1ea5p h\u01a1n \u0111\u00e1ng k\u1ec3.<\/p>\n\n\n\n

    –  \u00cdt \u0111\u1ec3 l\u1ea1i s\u1eb9o v\u00e0 t\u1ed5n th\u01b0\u01a1ng: Kh\u00f4ng c\u00f3 v\u1ebft r\u1ea1ch l\u1edbn gi\u00fap gi\u1ea3m nguy c\u01a1 h\u1eb9p h\u1eadu m\u00f4n v\u00e0 t\u1ed5n th\u01b0\u01a1ng c\u01a1 th\u1eaft h\u1eadu m\u00f4n, v\u1ed1n l\u00e0 nh\u1eefng bi\u1ebfn ch\u1ee9ng \u0111\u00e1ng lo ng\u1ea1i c\u1ee7a ph\u1eabu thu\u1eadt truy\u1ec1n th\u1ed1ng.<\/p>\n\n\n\n

    –  C\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng kh\u00e1c r\u1ea5t hi\u1ebfm g\u1eb7p.<\/p>\n\n\n\n

*   Hi\u1ec7u qu\u1ea3 v\u00e0 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng cao<\/em>:<\/p>\n\n\n\n

    – Ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser c\u00f3 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng cao, gi\u00fap l\u00e0m co b\u00fai tr\u0129 v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng hi\u1ec7u qu\u1ea3. C\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ch\u1ea3y m\u00e1u, \u0111au, ng\u1ee9a v\u00e0 sa b\u00fai tr\u0129 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 ho\u1eb7c lo\u1ea1i b\u1ecf \u1edf 83.6% – 100% ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

    – Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c coi l\u00e0 gi\u1ea3i ph\u00e1p l\u00e2u d\u00e0i cho nhi\u1ec1u ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

Ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser ho\u1ea1t \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/p>\n\n\n\n

Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng ch\u00f9m tia laser h\u1ed9i t\u1ee5 \u0111\u1ec3 t\u00e1c \u0111\u1ed9ng v\u00e0o m\u00f4 tr\u0129. N\u0103ng l\u01b0\u1ee3ng laser l\u00e0m co r\u00fat v\u00e0 \u0111\u00f4ng m\u00e1u c\u00e1c m\u1ea1ch m\u00e1u b\u00ean trong b\u00fai tr\u0129, c\u1eaft \u0111\u1ee9t ngu\u1ed3n c\u1ea5p m\u00e1u \u0111\u1ebfn khu v\u1ef1c b\u1ecb \u1ea3nh h\u01b0\u1edfng, khi\u1ebfn b\u00fai tr\u0129 teo nh\u1ecf ho\u1eb7c bi\u1ebfn m\u1ea5t theo th\u1eddi gian.<\/p>\n\n\n\n

Ai l\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng ph\u00f9 h\u1ee3p?<\/strong><\/p>\n\n\n\n

Ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh tr\u0129 \u0111\u1ed9 II v\u00e0 III c\u00f3 tri\u1ec7u ch\u1ee9ng c\u0169ng nh\u01b0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p tr\u0129 t\u00e1i ph\u00e1t ho\u1eb7c kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa. \u0110\u1ed1i v\u1edbi tr\u0129 \u0111\u1ed9 IV, ph\u1eabu thu\u1eadt tr\u0129 b\u1eb1ng laser c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ecdn l\u1ecdc b\u1edfi c\u00e1c ph\u1eabu thu\u1eadt vi\u00ean gi\u00e0u kinh nghi\u1ec7m, \u0111\u00f4i khi k\u1ebft h\u1ee3p v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt b\u1ed5 tr\u1ee3.<\/p>\n\n\n\n

Quy tr\u00ecnh k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt tr\u0129 laser nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/p>\n\n\n\n

a. Kh\u00e1m v\u00e0 \u0111\u00e1nh gi\u00e1 tr\u01b0\u1edbc th\u1ee7 thu\u1eadt:<\/strong><\/p>\n\n\n\n

Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c b\u00e1c s\u0129 chuy\u00ean khoa h\u1eadu m\u00f4n – tr\u1ef1c tr\u00e0ng th\u0103m kh\u00e1m \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 tr\u0129 \u0111\u1ed9 t\u1eeb II – IV c\u00f3 tri\u1ec7u ch\u1ee9ng, n\u1ed9i soi tr\u1ef1c tr\u00e0ng ho\u1eb7c \u0111\u1ea1i tr\u00e0ng \u0111\u1ec3 lo\u1ea1i tr\u1eeb b\u1ec7nh l\u00fd kh\u00e1c. N\u1ebfu ph\u00f9 h\u1ee3p, s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt laser diode.<\/p>\n\n\n\n