{"id":16893,"date":"2026-11-04T13:28:31","date_gmt":"2026-11-04T06:28:31","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=16893"},"modified":"2026-11-04T13:28:33","modified_gmt":"2026-11-04T06:28:33","slug":"phat-hien-som-ung-thu-thuc-quan-nho-noi-soi-nbi-dieu-tri-thanh-cong-bang-ky-thuat-noi-soi-esd","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=16893","title":{"rendered":"PH\u00c1T HI\u1ec6N S\u1edaM UNG TH\u01af TH\u1ef0C QU\u1ea2N NH\u1edc N\u1ed8I SOI NBI, \u0110I\u1ec0U TR\u1eca TH\u00c0NH C\u00d4NG B\u1eb0NG K\u1ef8 THU\u1eacT N\u1ed8I SOI ESD"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Khoa N\u1ed9i soi &#8211; Th\u0103m d\u00f2 ch\u1ee9c n\u0103ng, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng k\u1ef9 thu\u1eadt c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c qua n\u1ed9i soi (ESD &#8211; Endoscopic Submucosal Dissection) cho ng\u01b0\u1eddi b\u1ec7nh nam 47 tu\u1ed5i \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 th\u1ef1c qu\u1ea3n giai \u0111o\u1ea1n s\u1edbm t\u1ea1i 1\/3 d\u01b0\u1edbi th\u1ef1c qu\u1ea3n trong qu\u00e1 tr\u00ecnh n\u1ed9i soi ki\u1ec3m tra.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/11\/noi-soi-1024x576.jpg\" alt=\"\" class=\"wp-image-16894\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/11\/noi-soi-1024x576.jpg 1024w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/11\/noi-soi-300x169.jpg 300w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/11\/noi-soi-768x432.jpg 768w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/11\/noi-soi-1536x864.jpg 1536w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/11\/noi-soi-348x196.jpg 348w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/11\/noi-soi-600x338.jpg 600w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/11\/noi-soi.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">T\u1ed5n th\u01b0\u01a1ng c\u00f3 k\u00edch th\u01b0\u1edbc kho\u1ea3ng 10\u00d715 mm, n\u1eb1m c\u00e1ch cung r\u0103ng 33 &#8211; 35 cm. Tr\u00ean n\u1ed9i soi ph\u00f3ng \u0111\u1ea1i k\u1ebft h\u1ee3p \u00e1nh s\u00e1ng h\u1eb9p NBI (Narrow Band Imaging), t\u1ed5n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n h\u00ecnh \u1ea3nh vi m\u1ea1ch b\u1ea5t th\u01b0\u1eddng d\u1ea1ng B1 theo ph\u00e2n lo\u1ea1i c\u1ee7a Hi\u1ec7p h\u1ed9i N\u1ed9i soi th\u1ef1c qu\u1ea3n Nh\u1eadt B\u1ea3n (JES), g\u1ee3i \u00fd ung th\u01b0 c\u00f2n khu tr\u00fa \u1edf l\u1edbp ni\u00eam m\u1ea1c v\u00e0 ch\u01b0a c\u00f3 d\u1ea5u hi\u1ec7u x\u00e2m l\u1ea5n s\u00e2u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sau khi \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n chuy\u00ean m\u00f4n, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng k\u1ef9 thu\u1eadt ESD d\u01b0\u1edbi g\u00e2y m\u00ea. To\u00e0n b\u1ed9 t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf nguy\u00ean kh\u1ed1i (en bloc) c\u00f9ng ph\u1ea7n ni\u00eam m\u1ea1c xung quanh, gi\u00fap \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c r\u00eca c\u1eaft v\u00e0 m\u1ee9c \u0111\u1ed9 x\u00e2m l\u1ea5n tr\u00ean gi\u1ea3i ph\u1eabu b\u1ec7nh. Th\u1ee7 thu\u1eadt di\u1ec5n ra thu\u1eadn l\u1ee3i, kh\u00f4ng ghi nh\u1eadn bi\u1ebfn ch\u1ee9ng trong v\u00e0 sau can thi\u1ec7p. B\u1ec7nh ph\u1ea9m \u0111\u01b0\u1ee3c l\u1ea5y nguy\u00ean kh\u1ed1i v\u1edbi k\u00edch th\u01b0\u1edbc 18\u00d720 mm v\u00e0 gi\u1ea3i ph\u1eabu b\u1ec7nh cho k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7t c\u0103n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>N\u1ed9i soi NBI &#8211; Ph\u00e1t hi\u1ec7n nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 th\u1ef1c qu\u1ea3n r\u1ea5t s\u1edbm<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ung th\u01b0 th\u1ef1c qu\u1ea3n l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd \u00e1c t\u00ednh \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u00f3 ti\u00ean l\u01b0\u1ee3ng n\u1eb7ng v\u00e0 t\u1ef7 l\u1ec7 t\u1eed vong cao n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n mu\u1ed9n. \u0110\u00e1ng l\u01b0u \u00fd, b\u1ec7nh th\u01b0\u1eddng ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m trong giai \u0111o\u1ea1n \u0111\u1ea7u, v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u ho\u1eb7c ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. Do \u0111\u00f3, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi kh\u1ed1i u \u0111\u00e3 x\u00e2m l\u1ea5n s\u00e2u ho\u1eb7c di c\u0103n, l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 c\u01a1 h\u1ed9i \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a n\u1ed9i soi ti\u00eau h\u00f3a hi\u1ec7n \u0111\u1ea1i \u0111\u00e3 mang l\u1ea1i c\u01a1 h\u1ed9i ph\u00e1t hi\u1ec7n ung th\u01b0 th\u1ef1c qu\u1ea3n ngay t\u1eeb giai \u0111o\u1ea1n s\u1edbm. Trong \u0111\u00f3, n\u1ed9i soi ph\u00f3ng \u0111\u1ea1i k\u1ebft h\u1ee3p \u00e1nh s\u00e1ng h\u1eb9p NBI \u0111\u00f3ng vai tr\u00f2 \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng. So v\u1edbi n\u1ed9i soi \u00e1nh s\u00e1ng tr\u1eafng th\u00f4ng th\u01b0\u1eddng, NBI gi\u00fap l\u00e0m n\u1ed5i b\u1eadt c\u1ea5u tr\u00fac ni\u00eam m\u1ea1c v\u00e0 h\u1ec7 th\u1ed1ng vi m\u1ea1ch tr\u00ean b\u1ec1 m\u1eb7t th\u1ef1c qu\u1ea3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1eefng bi\u1ebfn \u0111\u1ed5i r\u1ea5t nh\u1ecf c\u1ee7a vi m\u1ea1ch, d\u1ea5u hi\u1ec7u \u0111\u1eb7c tr\u01b0ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng ti\u1ec1n ung th\u01b0 ho\u1eb7c ung th\u01b0 giai \u0111o\u1ea1n s\u1edbm, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c nh\u1eadn di\u1ec7n r\u00f5 r\u00e0ng h\u01a1n v\u00e0 tr\u00e1nh b\u1ecf s\u00f3t c\u00e1c t\u1ed5n th\u01b0\u01a1ng nh\u1ecf kh\u00f3 ph\u00e1t hi\u1ec7n b\u1eb1ng n\u1ed9i soi th\u00f4ng th\u01b0\u1eddng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>N\u1ed9i soi ESD &#8211; \u0110i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 th\u1ef1c qu\u1ea3n giai \u0111o\u1ea1n s\u1edbm, b\u1ea3o t\u1ed3n th\u1ef1c qu\u1ea3n<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kh\u00f4ng ch\u1ec9 gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm, n\u1ed9i soi c\u00f2n m\u1edf ra c\u01a1 h\u1ed9i \u0111i\u1ec1u tr\u1ecb \u00edt x\u00e2m l\u1ea5n b\u1eb1ng k\u1ef9 thu\u1eadt c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c qua n\u1ed9i soi (ESD).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tr\u01b0\u1edbc \u0111\u00e2y, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 th\u1ef1c qu\u1ea3n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt c\u1eaft th\u1ef1c qu\u1ea3n, m\u1ed9t ph\u1eabu thu\u1eadt l\u1edbn v\u1edbi nguy c\u01a1 bi\u1ebfn ch\u1ee9ng cao (r\u00f2 mi\u1ec7ng n\u1ed1i, nhi\u1ec5m tr\u00f9ng, vi\u00eam ph\u1ed5i, suy dinh d\u01b0\u1ee1ng) v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ng\u00e0y nay, \u0111\u1ed1i v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n s\u1edbm v\u00e0 c\u00f2n khu tr\u00fa, ESD cho ph\u00e9p c\u1eaft b\u1ecf tr\u1ecdn t\u1ed5n th\u01b0\u01a1ng qua \u0111\u01b0\u1eddng n\u1ed9i soi, b\u1ea3o t\u1ed3n th\u1ef1c qu\u1ea3n, gi\u1ea3m \u0111au, r\u00fat ng\u1eafn th\u1eddi gian n\u1eb1m vi\u1ec7n v\u00e0 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh ph\u1ee5c h\u1ed3i nhanh h\u01a1n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u00e0nh c\u00f4ng c\u1ee7a ca b\u1ec7nh cho th\u1ea5y vai tr\u00f2 quan tr\u1ecdng c\u1ee7a n\u1ed9i soi ph\u00f3ng \u0111\u1ea1i NBI trong ph\u00e1t hi\u1ec7n s\u1edbm nh\u1eefng bi\u1ebfn \u0111\u1ed5i vi m\u1ea1ch \u0111\u1eb7c tr\u01b0ng c\u1ee7a ung th\u01b0 th\u1ef1c qu\u1ea3n, \u0111\u1ed3ng th\u1eddi kh\u1eb3ng \u0111\u1ecbnh hi\u1ec7u qu\u1ea3 c\u1ee7a k\u1ef9 thu\u1eadt ESD trong \u0111i\u1ec1u tr\u1ecb tri\u1ec7t c\u0103n c\u00e1c t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 giai \u0111o\u1ea1n s\u1edbm. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p gi\u00fap b\u1ea3o t\u1ed3n c\u01a1 quan, h\u1ea1n ch\u1ebf t\u1ed1i \u0111a x\u00e2m l\u1ea5n v\u00e0 tr\u00e1nh \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt l\u1edbn cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u1ec7c t\u1ea7m so\u00e1t v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm c\u00f3 \u00fd ngh\u0129a quy\u1ebft \u0111\u1ecbnh \u0111\u1ed1i v\u1edbi k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 th\u1ef1c qu\u1ea3n. Khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u1edf giai \u0111o\u1ea1n s\u1edbm, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng ch\u1ec9 c\u00f3 c\u01a1 h\u1ed9i \u0111i\u1ec1u tr\u1ecb kh\u1ecfi cao h\u01a1n m\u00e0 c\u00f2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00ean ti\u1ebfn, \u00edt x\u00e2m l\u1ea5n, g\u00f3p ph\u1ea7n duy tr\u00ec ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng l\u00e2u d\u00e0i.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Li\u00ean h\u1ec7 Khoa N\u1ed9i soi &#8211; Th\u0103m d\u00f2 ch\u1ee9c n\u0103ng, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh: 0283 841 2692, b\u1ea5m ti\u1ebfp 230.<\/p>\n\n\n\n<p class=\"has-text-align-right wp-block-paragraph\"><strong><em>TS.BS L\u00ea \u0110\u00ecnh Quang, Khoa N\u1ed9i soi &#8211; Th\u0103m d\u00f2 ch\u1ee9c n\u0103ng, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Khoa N\u1ed9i soi &#8211; Th\u0103m d\u00f2 ch\u1ee9c n\u0103ng, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng k\u1ef9 thu\u1eadt c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c qua n\u1ed9i soi (ESD &#8211; Endoscopic Submucosal Dissection) cho ng\u01b0\u1eddi b\u1ec7nh nam 47 tu\u1ed5i \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 th\u1ef1c qu\u1ea3n giai \u0111o\u1ea1n s\u1edbm t\u1ea1i 1\/3 d\u01b0\u1edbi [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":16894,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"inline_featured_image":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[56],"tags":[],"class_list":["post-16893","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.10 - aioseo.com -->\n\t<meta name=\"description\" content=\"Khoa N\u1ed9i soi - Th\u0103m d\u00f2 ch\u1ee9c n\u0103ng, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng k\u1ef9 thu\u1eadt c\u1eaft t\u00e1ch d\u01b0\u1edbi ni\u00eam m\u1ea1c qua n\u1ed9i soi (ESD - Endoscopic Submucosal Dissection) cho ng\u01b0\u1eddi b\u1ec7nh 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