{"id":13203,"date":"2026-01-15T14:32:35","date_gmt":"2026-01-15T07:32:35","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=13203"},"modified":"2026-01-15T14:32:35","modified_gmt":"2026-01-15T07:32:35","slug":"benh-vien-nhan-dan-gia-dinh-co-so-2-chi-nhanh-sai-gon-dieu-tri-thanh-cong-soi-tui-mat-soi-chong-soi-chi-trong-1-lan-phau-thuat","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=13203","title":{"rendered":"B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH C\u01a0 S\u1ede 2 (CHI NH\u00c1NH S\u00c0I G\u00d2N) \u0110I\u1ec0U TR\u1eca TH\u00c0NH C\u00d4NG S\u1eceI T\u00daI M\u1eacT \u201cS\u1eceI CH\u1ed2NG S\u1eceI\u201d CH\u1ec8 TRONG 1 L\u1ea6N PH\u1eaaU THU\u1eacT"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p><strong>B\u00e0 V.T.H (72 tu\u1ed5i, ng\u1ee5 ph\u01b0\u1eddng La Gi, t\u1ec9nh L\u00e2m \u0110\u1ed3ng) m\u1eafc s\u1ecfi t\u00fai m\u1eadt k\u00e8m s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7, t\u00ecnh tr\u1ea1ng \u201cs\u1ecfi ch\u1ed3ng s\u1ecfi\u201d ph\u1ee9c t\u1ea1p, v\u1eeba \u0111\u01b0\u1ee3c B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng ch\u1ec9 v\u1edbi 1 l\u1ea7n can thi\u1ec7p duy nh\u1ea5t. To\u00e0n b\u1ed9 qu\u00e1 tr\u00ecnh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng n\u1ed9i soi, \u00edt \u0111au, h\u1ed3i ph\u1ee5c s\u1edbm, quy tr\u00ecnh nhanh g\u1ecdn v\u00e0 an to\u00e0n cho ng\u01b0\u1eddi b\u1ec7nh cao tu\u1ed5i.<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>     Ng\u00e0y 06\/01\/2026, b\u00e0 V.T.H nh\u1eadp Khoa Ngo\u1ea1i T\u1ed5ng h\u1ee3p, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) trong t\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng d\u1eef d\u1ed9i \u1edf v\u00f9ng h\u1ea1 s\u01b0\u1eddn ph\u1ea3i. Qua th\u0103m kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh b\u1eb1ng CT-Scan \u1ed5 b\u1ee5ng c\u1ea3n quang k\u1ebft h\u1ee3p MRCP, c\u00e1c b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh ng\u01b0\u1eddi b\u1ec7nh m\u1eafc t\u00ecnh tr\u1ea1ng \u201cs\u1ecfi ch\u1ed3ng s\u1ecfi\u201d, g\u1ed3m s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7 g\u00e2y t\u1eafc ngh\u1ebdn, gi\u00e3n \u0111\u01b0\u1eddng m\u1eadt v\u00e0 s\u1ecfi t\u00fai m\u1eadt.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"975\" height=\"699\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-5.png\" alt=\"\" class=\"wp-image-13204\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-5.png 975w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-5-300x215.png 300w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-5-768x551.png 768w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-5-600x430.png 600w\" sizes=\"auto, (max-width: 975px) 100vw, 975px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>     \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh cao tu\u1ed5i, vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u00edt x\u00e2m l\u1ea5n nh\u01b0ng mang l\u1ea1i hi\u1ec7u qu\u1ea3 cao l\u00e0 y\u1ebfu t\u1ed1 then ch\u1ed1t. C\u00e1c b\u00e1c s\u0129 Khoa Ngo\u1ea1i T\u1ed5ng h\u1ee3p \u0111\u00e3 tri\u1ec3n khai th\u00e0nh c\u00f4ng quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb \u0111a m\u00f4 th\u1ee9c, ph\u1ed1i h\u1ee3p gi\u1eefa n\u1ed9i soi m\u1eadt t\u1ee5y ng\u01b0\u1ee3c d\u00f2ng (ERCP) v\u00e0 ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1eaft t\u00fai m\u1eadt, gi\u00fap gi\u1ea3i quy\u1ebft tri\u1ec7t \u0111\u1ec3 b\u1ec7nh l\u00fd ch\u1ec9 trong 1 l\u1ea7n ph\u1eabu thu\u1eadt duy nh\u1ea5t.<\/p>\n\n\n\n<p>     \u1ede b\u01b0\u1edbc \u0111\u1ea7u ti\u00ean, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ERCP nh\u1eb1m l\u1ea5y s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7, gi\u1ea3i ph\u00f3ng t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt. B\u00e1c s\u0129 s\u1eed d\u1ee5ng \u1ed1ng n\u1ed9i soi m\u1ec1m \u0111i qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a \u0111\u1ebfn nh\u00fa Vater, ti\u1ebfn h\u00e0nh c\u1eaft c\u01a1 v\u00f2ng Oddi v\u00e0 l\u1ea5y s\u1ecfi b\u1eb1ng d\u1ee5ng c\u1ee5 chuy\u00ean d\u1ee5ng. Can thi\u1ec7p n\u00e0y gi\u00fap h\u1ea1 \u00e1p l\u1ef1c \u0111\u01b0\u1eddng m\u1eadt, d\u1eabn l\u01b0u d\u1ecbch m\u1eadt \u1ee9 \u0111\u1ecdng, \u0111\u1ed3ng th\u1eddi ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 vi\u00eam \u0111\u01b0\u1eddng m\u1eadt c\u1ea5p ho\u1eb7c vi\u00eam t\u1ee5y c\u1ea5p. Sau th\u1ee7 thu\u1eadt, t\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t.<\/p>\n\n\n\n<p>     Sau khi \u0111\u01b0\u1eddng m\u1eadt \u0111\u01b0\u1ee3c khai th\u00f4ng, c\u00e1c b\u00e1c s\u0129 ti\u1ebfp t\u1ee5c x\u1eed l\u00fd tri\u1ec7t \u0111\u1ec3 ngu\u1ed3n g\u1ed1c h\u00ecnh th\u00e0nh s\u1ecfi b\u1eb1ng ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1eaft t\u00fai m\u1eadt. Ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n qua c\u00e1c l\u1ed7 trocar nh\u1ecf tr\u00ean th\u00e0nh b\u1ee5ng, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh \u00edt \u0111au, s\u1edbm v\u1eadn \u0111\u1ed9ng, h\u1ed3i ph\u1ee5c nhanh v\u00e0 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng h\u1eadu ph\u1eabu, \u0111\u1eb7c bi\u1ec7t ph\u00f9 h\u1ee3p v\u1edbi ng\u01b0\u1eddi cao tu\u1ed5i.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"975\" height=\"731\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-6.png\" alt=\"\" class=\"wp-image-13205\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-6.png 975w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-6-300x225.png 300w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-6-768x576.png 768w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-6-600x450.png 600w\" sizes=\"auto, (max-width: 975px) 100vw, 975px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>     Sau 2 ng\u00e0y h\u1eadu ph\u1eabu, ng\u01b0\u1eddi b\u1ec7nh ho\u00e0n to\u00e0n h\u1ebft \u0111au b\u1ee5ng, c\u00e1c ch\u1ec9 s\u1ed1 sinh t\u1ed3n \u1ed5n \u0111\u1ecbnh, n\u1ed3ng \u0111\u1ed9 bilirubin v\u00e0 men t\u1ee5y tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng, ch\u1ee9c n\u0103ng ti\u00eau h\u00f3a th\u00edch nghi t\u1ed1t. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe \u1ed5n \u0111\u1ecbnh v\u00e0 s\u1edbm tr\u1edf l\u1ea1i sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"975\" height=\"689\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-7.png\" alt=\"\" class=\"wp-image-13206\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-7.png 975w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-7-300x212.png 300w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-7-768x543.png 768w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/01\/image-7-600x424.png 600w\" sizes=\"auto, (max-width: 975px) 100vw, 975px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>     Theo BS.CK2 Nguy\u1ec5n Ng\u1ecdc S\u01a1n, Qu\u1ea3n l\u00fd \u0111i\u1ec1u h\u00e0nh Khoa Ngo\u1ea1i T\u1ed5ng h\u1ee3p, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n), \u0111\u1ec3 ph\u00f2ng ng\u1eeba s\u1ecfi t\u00fai m\u1eadt, ng\u01b0\u1eddi d\u00e2n c\u1ea7n x\u00e2y d\u1ef1ng ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng khoa h\u1ecdc, t\u0103ng c\u01b0\u1eddng ch\u1ea5t x\u01a1, \u01b0u ti\u00ean c\u00e1c lo\u1ea1i ch\u1ea5t b\u00e9o l\u00e0nh m\u1ea1nh, h\u1ea1n ch\u1ebf cholesterol v\u00e0 ch\u1ea5t b\u00e9o x\u1ea5u, u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc m\u1ed7i ng\u00e0y, duy tr\u00ec t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, t\u1ea9y giun \u0111\u1ecbnh k\u1ef3 v\u00e0 gi\u1eef c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd. \u0110\u1eb7c bi\u1ec7t, vi\u1ec7c t\u1ea7m so\u00e1t s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 th\u00f4ng qua si\u00eau \u00e2m \u1ed5 b\u1ee5ng v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m c\u1ea7n thi\u1ebft \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng m\u1eadt. <\/p>\n\n\n\n<p>     T\u1eeb ng\u00e0y 01\/01\/2026, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh ch\u00ednh th\u1ee9c v\u1eadn h\u00e0nh v\u1edbi 2 c\u01a1 s\u1edf kh\u00e1m, ch\u1eefa b\u1ec7nh h\u1ea1ng I c\u00f9ng c\u1ea5p chuy\u00ean s\u00e2u. Trong \u0111\u00f3, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) t\u1ea1i s\u1ed1 125 L\u00ea L\u1ee3i, ph\u01b0\u1eddng B\u1ebfn Th\u00e0nh, TP.HCM \u0111\u01b0\u1ee3c \u0111\u1ecbnh h\u01b0\u1edbng ph\u00e1t tri\u1ec3n th\u00e0nh trung t\u00e2m c\u1ea5p c\u1ee9u chuy\u00ean s\u00e2u, \u0111\u1ed3ng th\u1eddi \u0111\u1ea9y m\u1ea1nh m\u00f4 h\u00ecnh \u0111i\u1ec1u tr\u1ecb trong ng\u00e0y, ph\u1eabu thu\u1eadt trong ng\u00e0y, g\u00f3p ph\u1ea7n n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi d\u00e2n v\u00e0 du kh\u00e1ch t\u1ea1i khu v\u1ef1c trung t\u00e2m th\u00e0nh ph\u1ed1. <\/p>\n\n\n\n<p>B\u00ean c\u1ea1nh \u0111\u00f3, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) s\u1ebd tri\u1ec3n khai \u0111\u1ea7y \u0111\u1ee7 c\u00e1c k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt n\u1ed9i soi t\u1eeb c\u01a1 b\u1ea3n \u0111\u1ebfn chuy\u00ean s\u00e2u, \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 nhi\u1ec1u nh\u00f3m b\u1ec7nh l\u00fd ph\u1ee9c t\u1ea1p. Trong \u0111\u00f3 bao g\u1ed3m ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh ung th\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a nh\u01b0 ung th\u01b0 d\u1ea1 d\u00e0y, ung th\u01b0 \u0111\u1ea1i tr\u00e0ng, c\u00e1c b\u1ec7nh l\u00fd ti\u1ebft ni\u1ec7u v\u1edbi k\u1ef9 thu\u1eadt n\u1ed9i soi t\u00e1n s\u1ecfi, ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb, c\u0169ng nh\u01b0 c\u00e1c k\u1ef9 thu\u1eadt n\u1ed9i soi ch\u1ec9nh h\u00ecnh v\u00e0 n\u1ed9i soi kh\u1edbp, \u0111\u00e1p \u1ee9ng nhu c\u1ea7u kh\u00e1m ch\u1eefa b\u1ec7nh ch\u1ea5t l\u01b0\u1ee3ng cao c\u1ee7a ng\u01b0\u1eddi d\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0 V.T.H (72 tu\u1ed5i, ng\u1ee5 ph\u01b0\u1eddng La Gi, t\u1ec9nh L\u00e2m \u0110\u1ed3ng) m\u1eafc s\u1ecfi t\u00fai m\u1eadt k\u00e8m s\u1ecfi \u1ed1ng m\u1eadt ch\u1ee7, t\u00ecnh tr\u1ea1ng \u201cs\u1ecfi ch\u1ed3ng s\u1ecfi\u201d ph\u1ee9c t\u1ea1p, v\u1eeba \u0111\u01b0\u1ee3c B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng ch\u1ec9 v\u1edbi 1 l\u1ea7n can thi\u1ec7p duy nh\u1ea5t. To\u00e0n 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