{"id":313,"date":"2025-09-09T14:12:54","date_gmt":"2025-09-09T07:12:54","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=313"},"modified":"2025-09-09T14:18:29","modified_gmt":"2025-09-09T07:18:29","slug":"khoa-chan-doan-hinh-anh","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=313","title":{"rendered":"Khoa Ch\u1ea9n \u0110o\u00e1n H\u00ecnh \u1ea2nh"},"content":{"rendered":"\n

       B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh l\u00e0 b\u1ec7nh vi\u1ec7n \u0111a khoa h\u1ea1ng I tr\u1ef1c thu\u1ed9c S\u1edf Y t\u1ebf, l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh vi\u1ec7n \u0111\u1ea7u ng\u00e0nh c\u1ee7a TPHCM v\u00e0 khu v\u1ef1c ph\u00eda Nam. C\u00f4ng t\u00e1c ch\u1ea9n \u0111o\u00e1n ban \u0111\u1ea7u, h\u1ed5 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb, hay cao c\u1ea5p h\u01a1n n\u1eefa l\u00e0 can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb r\u1ea5t c\u1ea7n nh\u1eefng b\u1eb1ng ch\u1ee9ng c\u1ee5 th\u1ec3 v\u1ec1 h\u00ecnh \u1ea3nh h\u1ecdc \u0111\u1ec3 n\u00e2ng cao t\u00ednh ch\u00ednh x\u00e1c, gi\u1ea3m thi\u1ec3u r\u1ee7i ro, v\u00ec v\u1eady l\u0129nh v\u1ef1c ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh ng\u00e0y c\u00e0ng c\u00f3 vai tr\u00f2 quan tr\u1ecdng. Khoa Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp n\u0103m 1997 v\u1edbi s\u1ef1 s\u00e1t nh\u1eadp t\u1eeb khoa X Quang v\u00e0 ph\u00f2ng si\u00eau \u00e2m. Th\u1eddi k\u1ef3 \u0111\u1ea7u, khoa ch\u1ec9 c\u00f3 v\u00e0i m\u00e1y X Quang \u0111\u01b0\u1ee3c trang b\u1ecb t\u1eeb tr\u01b0\u1edbc 1975, 02 m\u00e1y si\u00eau \u00e2m tr\u1eafng \u0111en. \u0110\u1ebfn nay khoa \u0111\u00e3 ph\u00e1t tri\u1ec3n v\u01b0\u1ee3t b\u1eadc, kh\u00f4ng ng\u1eebng \u0111\u01b0\u1ee3c \u0111\u1ea7u t\u01b0 trang thi\u1ebft b\u1ecb t\u1ed1i t\u00e2n \u0111\u1ec3 b\u1eaft k\u1ecbp n\u1ec1n y h\u1ecdc hi\u1ec7n \u0111\u1ea1i th\u1ebf gi\u1edbi<\/p>\n\n\n\n

      \u0110\u01a1n v\u1ecb X Quang can thi\u1ec7p \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp t\u1eeb n\u0103m 2009 v\u00e0 ch\u00ednh th\u1ee9c gia nh\u1eadp v\u00e0o khoa Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh t\u1eeb th\u00e1ng 07\/2016. T\u00ednh \u0111\u1ebfn th\u00e1ng 12\/2021, sau h\u01a1n 10 n\u0103m ho\u1ea1t \u0111\u1ed9ng, \u0110\u01a1n v\u1ecb \u0111\u00e3 th\u1ef1c hi\u1ec7n h\u01a1n 8000 ca ch\u1ee5p, can thi\u1ec7p m\u1ea1ch m\u00e1u \u0111a d\u1ea1ng t\u1eeb m\u1ea1ch m\u00e1u n\u00e3o, t\u1ea1ng, ngo\u1ea1i bi\u00ean, can thi\u1ec7p \u0111\u01b0\u1eddng m\u1eadt, g\u00f3p ph\u1ea7n c\u1ee9u s\u1ed1ng v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p ph\u1ee9c t\u1ea1p, b\u1ec7nh l\u00fd hi\u1ebfm g\u1eb7p. \u0110\u01a1n v\u1ecb \u0111\u00e3 v\u00e0 \u0111ang ph\u00e1t tri\u1ec3n nhi\u1ec1u k\u1ef9 thu\u1eadt m\u1edbi v\u00e0 c\u00e1c k\u1ef9 thu\u1eadt m\u00e0 th\u1ebf gi\u1edbi \u0111\u00e3 h\u00ecnh th\u00e0nh. \u0110\u01a1n v\u1ecb lu\u00f4n c\u00f3 nh\u1eefng ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n trau d\u1ed3i kinh nghi\u1ec7m v\u00e0 h\u1ecdc t\u1eadp k\u1ef9 thu\u1eadt m\u1edbi v\u1edbi c\u00e1c chuy\u00ean gia h\u00e0ng \u0111\u1ea7u \u1edf c\u00e1c n\u01b0\u1edbc tr\u00ean th\u1ebf gi\u1edbi.<\/p>\n\n\n\n

Ban l\u00e3nh \u0111\u1ea1o<\/strong> khoa<\/strong><\/strong><\/p>\n\n\n\n

– Tr\u01b0\u1edfng khoa: B\u00e1c s\u0129 chuy\u00ean khoa 2 B\u00f9i Kh\u1eafc V\u0169<\/p>\n\n\n\n

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

– Ph\u00f3 tr\u01b0\u1edfng khoa, ph\u1ee5 tr\u00e1ch \u0110\u01a1n v\u1ecb X Quang can thi\u1ec7p: Ti\u1ebfn s\u0129 B\u00e1c s\u0129 Nguy\u1ec5n \u0110\u00ecnh Lu\u00e2n<\/p>\n\n\n\n

– Ph\u00f3 tr\u01b0\u1edfng khoa: B\u00e1c s\u0129 chuy\u00ean khoa 1 Tr\u1ea7n Ng\u1ecdc Ti\u1ebfn<\/p>\n\n\n\n

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

– K\u1ef9 thu\u1eadt vi\u00ean tr\u01b0\u1edfng: C\u1eed nh\u00e2n L\u00ea Tr\u00ed D\u0169ng<\/p>\n\n\n\n

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

Nh\u00e2n s\u1ef1:<\/strong><\/p>\n\n\n\n

– T\u1ed5ng s\u1ed1 nh\u00e2n vi\u00ean: 83<\/p>\n\n\n\n

– B\u00e1c s\u0129: 33<\/p>\n\n\n\n

  + 04 BS Chuy\u00ean khoa c\u1ea5p 2<\/p>\n\n\n\n

  + 01 Ti\u1ebfn s\u0129<\/p>\n\n\n\n

  + 22 BS Chuy\u00ean khoa c\u1ea5p 1 v\u00e0 Th\u1ea1c s\u0129<\/p>\n\n\n\n

  + 05 BS \u0111a khoa<\/p>\n\n\n\n

  + 01 Th\u1ea1c s\u0129 C\u00e1n b\u1ed9 gi\u1ea3ng \u0110H Y D\u01b0\u1ee3c Tp.HCM<\/p>\n\n\n\n

  + Nhi\u1ec1u BS \u0111\u00e3 tu nghi\u1ec7p t\u1ea1i M\u1ef9, Nh\u1eadt B\u1ea3n, H\u00e0n Qu\u1ed1c, \u0110\u00e0i Loan, Th\u00e1i Lan\u2026<\/p>\n\n\n\n

– K\u1ef9 thu\u1eadt vi\u00ean: 27 C\u1eed nh\u00e2n K\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh<\/p>\n\n\n\n

– Nh\u00e2n vi\u00ean h\u00e0nh ch\u00e1nh, th\u01b0 k\u00fd y khoa: 21<\/p>\n\n\n\n

– H\u1ed9 l\u00fd: 02.<\/p>\n\n\n\n

Trang thi\u1ebft b\u1ecb v\u00e0 c<\/strong>\u00e1c k\u1ef9 thu\u1eadt chuy\u00ean m\u00f4n th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c hi\u1ec7n<\/strong> nay<\/strong> c\u1ee7a khoa<\/strong><\/p>\n\n\n\n

1. X Quang:<\/strong><\/p>\n\n\n\n

– M\u00e1y X Quang cao t\u1ea7n: 05<\/p>\n\n\n\n

– M\u00e1y X Quang di \u0111\u1ed9ng: 05<\/p>\n\n\n\n

– H\u1ec7 th\u1ed1ng x\u1eed l\u00fd \u1ea3nh s\u1ed1 h\u00f3a DR: 04, CR: 01<\/p>\n\n\n\n

– M\u00e1y \u0111o kho\u00e1ng x\u01b0\u01a1ng: 01<\/p>\n\n\n\n

      Th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt: X Quang th\u01b0\u1eddng qui kh\u1ea3o s\u00e1t s\u1ecd, m\u1eb7t, c\u1ed9t s\u1ed1ng, ng\u1ef1c, b\u1ee5ng ch\u1eadu, chi; X Quang c\u00f3 s\u1eed d\u1ee5ng thu\u1ed1c t\u01b0\u01a1ng ph\u1ea3n kh\u1ea3o s\u00e1t \u1ed1ng ti\u00eau h\u00f3a, h\u1ec7 m\u1eadt, h\u1ec7 ni\u1ec7u, t\u1eed cung-v\u00f2i tr\u1ee9ng; \u0111o kho\u00e1ng x\u01b0\u01a1ng x\u00e1c \u0111\u1ecbnh lo\u00e3ng x\u01b0\u01a1ng…<\/p>\n\n\n\n

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

M\u00e1y X quang cao t\u1ea7n DR GEM<\/p>\n\n\n\n

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

M\u00e1y \u0111o kho\u00e1ng x\u01b0\u01a1ng Hologic<\/p>\n\n\n\n

2. Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT-Scan):<\/strong><\/p>\n\n\n\n

\u2013 M\u00e1y CT 128 l\u00e1t c\u1eaft Philips Incisive: 01<\/p>\n\n\n\n

\u2013 M\u00e1y CT 128 l\u00e1t c\u1eaft 2 m\u1ee9c n\u0103ng l\u01b0\u1ee3ng Siemens Somatom Definition Edge: 01<\/p>\n\n\n\n

      Kh\u1ea3o s\u00e1t th\u01b0\u1eddng quy h\u1ea7u h\u1ebft c\u00e1c b\u1ed9 ph\u1eadn c\u01a1 th\u1ec3: s\u1ecd n\u00e3o, \u0111\u1ea7u m\u1eb7t c\u1ed5, ng\u1ef1c, b\u1ee5ng ch\u1eadu, x\u01b0\u01a1ng, c\u1ed9t s\u1ed1ng, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u0111a l\u00e1t c\u1eaft \u1ea3o t\u1eed cung v\u00f2i tr\u1ee9ng (VHSG)\u2026; CTA kh\u1ea3o s\u00e1t m\u1ea1ch m\u00e1u n\u00e3o, \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, \u0111\u1ed9ng m\u1ea1ch c\u00e1c t\u1ea1ng, \u0111\u1ed9ng m\u1ea1ch chi, \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/p>\n\n\n\n

      M\u00e1y CT 128 l\u00e1t c\u1eaft 2 m\u1ee9c n\u0103ng l\u01b0\u1ee3ng Siemens Somatom Definition Edge \u0111\u01b0\u1ee3c trang b\u1ecb t\u1eeb cu\u1ed1i n\u0103m 2020 v\u00e0 m\u00e1y CT 128 l\u00e1t c\u1eaft Philips Incisive \u0111\u01b0\u1ee3c trang b\u1ecb t\u1eeb cu\u1ed1i n\u0103m 2024. C\u1ea3 hai m\u00e1y <\/strong> c\u00f3 c\u00e1c ph\u1ea7n m\u1ec1m chuy\u00ean d\u1ee5ng \u0111\u1ec3 th\u1ef1c hi\u1ec7n CT t\u01b0\u1edbi m\u00e1u n\u00e3o, t\u01b0\u1edbi m\u00e1u c\u00e1c t\u1ea1ng nh\u01b0 gan, th\u1eadn, ph\u1ed5i\u2026; gout v\u00e0 s\u1ecfi th\u1eadn; x\u00f3a x\u01b0\u01a1ng, gi\u1ea3m nhi\u1ec5u h\u00ecnh \u1ea3nh do kim lo\u1ea1i; \u0111\u00e1nh gi\u00e1 t\u1ee7y x\u01b0\u01a1ng; t\u00e1i t\u1ea1o ch\u1ee5p kh\u00f4ng thu\u1ed1c \u1ea3o c\u1ee7a gan; \u0111\u00e1nh gi\u00e1 xu\u1ea5t huy\u1ebft n\u00e3o sau \u0111i\u1ec1u tr\u1ecb l\u1ea5y huy\u1ebft kh\u1ed1i b\u1eb1ng d\u1ee5ng c\u1ee5 c\u01a1 h\u1ecdc; b\u1ea3n \u0111\u1ed3 iod, b\u1ea3n \u0111\u1ed3 m\u1ee1; CT \u0111\u1ecbnh l\u01b0\u1ee3ng kh\u00ed ph\u1ebf th\u0169ng; n\u1ed9i soi \u1ea3o \u1ed1ng ti\u00eau h\u00f3a, \u0111\u01b0\u1eddng d\u1eabn kh\u00ed; CT m\u1ea1ch v\u00e0nh th\u01b0\u1eddng qui v\u00e0 Bisegment cho tr\u01b0\u1eddng h\u1ee3p m\u1ea1ch nhanh; \u0111\u00e1nh gi\u00e1 ti\u1ebfn tri\u1ec3n u; \u0111o mRecist t\u1ef1 \u0111\u1ed9ng\u2026<\/strong><\/p>\n\n\n\n

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

M\u00e1y CT 128 l\u00e1t c\u1eaft Philips Incisive<\/strong><\/p>\n\n\n\n

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

M\u00e1y MSCT 128 l\u00e1t c\u1eaft 2 m\u1ee9c n\u0103ng l\u01b0\u1ee3ng<\/p>\n\n\n\n

Siemens Somatom Definition Edge<\/p>\n\n\n\n

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

                    H\u00ecnh t\u00e1i t\u1ea1o 3D ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng<\/p>\n\n\n\n

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

                                              H\u00ecnh CT t\u01b0\u1edbi m\u00e1u n\u00e3o<\/p>\n\n\n\n

3. Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb:<\/strong><\/p>\n\n\n\n

– M\u00e1y MRI Philips Avanto 1.5 Tesla: 01<\/p>\n\n\n\n

     M\u00e1y MRI c\u00f3 t\u1eeb tr\u01b0\u1eddng cao 1.5 Tesla, th\u1eddi gian kh\u1ea3o s\u00e1t nhanh h\u01a1n, h\u00ecnh \u1ea3nh \u0111\u1eb9p, r\u00f5 n\u00e9t. Kh\u1ea3o s\u00e1t h\u1ea7u h\u1ebft c\u00e1c b\u1ed9 ph\u1eadn c\u01a1 th\u1ec3, \u0111\u1eb7c bi\u1ec7t c\u00f3 gi\u00e1 tr\u1ecb trong c\u00e1c b\u1ec7nh l\u00fd thu\u1ed9c v\u1ec1 th\u1ea7n kinh, c\u01a1 x\u01b0\u01a1ng kh\u1edbp, \u0111\u01b0\u1eddng m\u1eadt, gan, b\u1ec7nh l\u00fd c\u01a1 tim…<\/p>\n\n\n\n

     \u0110\u1eb7c bi\u1ec7t, khoa \u0111\u00e3 th\u1ef1c hi\u1ec7n ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb gan ti\u00eam thu\u1ed1c t\u01b0\u01a1ng ph\u1ea3n \u0111\u1eb7c hi\u1ec7u m\u00f4 Primovist, gi\u00fap x\u00e1c \u0111\u1ecbnh b\u1ea3n ch\u1ea5t c\u1ee7a u gan, c\u00f3 th\u1ec3 thay th\u1ebf sinh thi\u1ebft gan l\u00e0 th\u1ee7 thu\u1eadt x\u00e2m l\u1ea5n; \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng m\u1eadt, \u0111\u1eb7c bi\u1ec7t l\u00e0 r\u00f2 m\u1eadt. <\/strong><\/p>\n\n\n

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

M\u00e1y MRI Philips Avanto 1.5 Tesla<\/p>\n\n\n\n

4. Si\u00eau \u00e2m:<\/strong><\/p>\n\n\n\n

– M\u00e1y si\u00eau \u00e2m m\u00e0u: 15<\/p>\n\n\n\n

– M\u00e1y si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i gan: 01<\/p>\n\n\n\n

    Th\u1ef1c hi\u1ec7n si\u00eau \u00e2m t\u1ed5ng qu\u00e1t, si\u00eau \u00e2m Doppler m\u1ea1ch m\u00e1u, si\u00eau \u00e2m ph\u1ea7n m\u1ec1m (tuy\u1ebfn gi\u00e1p, tuy\u1ebfn v\u00fa, h\u1ea1ch v\u00e0 c\u00e1c ph\u1ea7n m\u1ec1m kh\u00e1c), c\u01a1 x\u01b0\u01a1ng kh\u1edbp, ti\u1ebfn li\u1ec7t tuy\u1ebfn qua ng\u1ea3 tr\u1ef1c tr\u00e0ng\u2026. Ri\u00eang si\u00eau \u00e2m tim, s\u1ea3n ph\u1ee5 khoa 3D-4D, si\u00eau \u00e2m m\u1eaft do c\u00e1c chuy\u00ean khoa l\u00e2m s\u00e0ng th\u1ef1c hi\u1ec7n<\/p>\n\n\n\n

    Si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i gan gi\u00fap \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nhi\u1ec5m m\u1ee1 v\u00e0 x\u01a1 h\u00f3a t\u1ebf b\u00e0o gan, l\u00e0 nh\u1eefng b\u1ec7nh l\u00fd ng\u00e0y c\u00e0ng ph\u1ed5 bi\u1ebfn.<\/strong><\/p>\n\n\n\n

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

M\u00e1y si\u00eau \u00e2m m\u00e0u GE Logiq S7<\/p>\n\n\n\n

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

M\u00e1y si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i gan Echosens<\/p>\n\n\n\n

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

M\u00e1y si\u00eau \u00e2m Philips Affiniti 50G \u0111\u01b0\u1ee3c trang b\u1ecb cu\u1ed1i n\u0103m 2024<\/p>\n\n\n\n

5. Th\u1ee7 thu\u1eadt can thi\u1ec7p:<\/strong><\/p>\n\n\n\n

– C\u00e1c k\u1ef9 thu\u1eadt can thi\u1ec7p d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh:<\/p>\n\n\n\n

  + Ch\u1ecdc h\u00fat t\u1ebf b\u00e0o b\u1eb1ng kim nh\u1ecf (FNA) d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m: g\u00f3p ph\u1ea5n ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh ung th\u01b0 gi\u00e1p, ung th\u01b0 v\u00fa, h\u1ea1ch\u2026<\/p>\n\n\n\n

  + Sinh thi\u1ebft l\u00f5i d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m v\u00e0 ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh c\u00e1c t\u1ed5n th\u01b0\u01a1ng u gan, u ph\u1ed5i, ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn, h\u1ea1ch, ph\u1ea7n m\u1ec1m, c\u00e1c b\u1ec7nh l\u00fd th\u1eadn\u2026<\/p>\n\n\n\n

– \u0110i\u1ec1u tr\u1ecb ung th\u01b0 gan nguy\u00ean ph\u00e1t, th\u1ee9 ph\u00e1t b\u1eb1ng s\u00f3ng cao t\u1ea7n (RFA) d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m: cho hi\u1ec7u qu\u1ea3 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng ph\u1eabu thu\u1eadt nh\u01b0ng \u00edt x\u00e2m l\u1ea5n h\u01a1n.<\/strong><\/p>\n\n\n\n

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

H\u1ee7y u gan b\u1eb1ng s\u00f3ng cao t\u1ea7n RFA<\/p>\n\n\n\n

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

Sinh thi\u1ebft xuy\u00ean th\u00e0nh ng\u1ef1c d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a CT<\/p>\n\n\n\n

6. \u0110<\/strong>\u01a1n v\u1ecb X Quang can thi\u1ec7p:<\/strong><\/p>\n\n\n\n

    L\u00e0 m\u1ed9t trong nh\u1eefng th\u1ebf m\u1ea1nh c\u1ee7a b\u1ec7nh vi\u1ec7n, \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn l\u00e0 chuy\u00ean khoa m\u0169i nh\u1ecdn \u0111\u1ec3 \u0111\u1ea7u t\u01b0 ph\u00e1t tri\u1ec3n ngang t\u1ea7m khu v\u1ef1c \u0110\u00f4ng Nam \u00c1<\/p>\n\n\n\n

– Ph\u00f2ng kh\u00e1m chuy\u00ean khoa: t\u1ea1i ph\u00f2ng kh\u00e1m 106 Khoa kh\u00e1m b\u1ec7nh, s\u00e1ng th\u1ee9 2, s\u00e1ng th\u1ee9 4 h\u00e0ng tu\u1ea7n. Kh\u00e1m t\u1ea1i khoa theo y\u00eau c\u1ea7u \u1edf Khu kh\u00e1m khoa tim m\u1ea1ch can thi\u1ec7p, khoa t\u1ed5ng h\u1ee3p<\/p>\n\n\n\n

-T\u1ea7m so\u00e1t, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd ung th\u01b0 gan: TAE, TACE, DEBTACE, thuy\u00ean t\u1eafc t\u0129nh m\u1ea1ch c\u1eeda l\u00e0m ph\u00ec \u0111\u1ea1i gan<\/p>\n\n\n\n

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

– T\u1ea7m so\u00e1t, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng k\u1ef9 thu\u1eadt nong b\u00f3ng, \u0111\u1eb7t stent, th\u1ea3 coils c\u00e1c b\u1ec7nh l\u00fd: m\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean, lo\u00e9t thi\u1ebfu m\u00e1u b\u00e0n ch\u00e2n, t\u1eafc h\u1eb9p n\u1ed1i th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch trong l\u1ecdc m\u00e1u, m\u1ea1ch m\u00e1u n\u00e3o, t\u1ea1ng\u2026<\/p>\n\n\n\n

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

– Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd d\u1ecb d\u1ea1ng m\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean: d\u1ecb d\u1ea1ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch, t\u0129nh m\u1ea1ch, b\u1ea1ch m\u1ea1ch, mao m\u1ea1ch<\/p>\n\n\n\n

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

– \u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd ung b\u01b0\u1edbu b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p t\u1eafc m\u1ea1ch: ung th\u01b0 gan, u x\u01a1 t\u1eed cung, l\u1ea1c n\u1ed9i m\u1ea1c trong c\u01a1 t\u1eed cung, ph\u00ec \u0111\u1ea1i ti\u1ec1n li\u1ec7t tuy\u1ebfn<\/p>\n\n\n\n

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

– C\u1ea5p c\u1ee9u \u0111i\u1ec1u tr\u1ecb can thi\u1ec7p t\u1eafc m\u1ea1ch b\u1ea3o t\u1ed3n c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ea3y m\u00e1u: ch\u1ea5n th\u01b0\u01a1ng, ch\u1ea3y m\u00e1u ti\u00eau h\u00f3a, ch\u1ea3y m\u00e1u do tai bi\u1ebfn th\u1ee7 thu\u1eadt, ph\u1eabu thu\u1eadt<\/p>\n\n\n\n

– Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd t\u0103ng \u00e1p t\u0129nh m\u1ea1ch c\u1eeda: x\u01a1 gan, h\u1ed9i ch\u1ee9ng Budd-Chiari, t\u1eafc h\u1eb9p t\u0129nh m\u1ea1ch c\u1eeda \u2013 t\u0129nh m\u1ea1ch l\u00e1ch th\u1ee9 ph\u00e1t b\u1eb1ng c\u00e1c k\u1ef9 thu\u1eadt:<\/p>\n\n\n\n

   + T\u1ea1o lu\u1ed3ng th\u00f4ng t\u0129nh m\u1ea1ch c\u1eeda \u2013 t\u0129nh m\u1ea1ch ch\u1ee7 qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch c\u1ea3nh (TIPS)<\/p>\n\n\n\n

   + T\u1ea1o lu\u1ed3ng th\u00f4ng t\u0129nh m\u1ea1ch c\u1eeda \u2013 t\u0129nh m\u1ea1ch ch\u1ee7 tr\u1ef1c ti\u1ebfp (DISP)<\/p>\n\n\n\n

   + Thuy\u00ean t\u1eafc ng\u01b0\u1ee3c d\u00f2ng t\u0129nh m\u1ea1ch d\u1ea1 d\u00e0y b\u1eb1ng b\u00f3ng ch\u1eb9n (BRTO)<\/p>\n\n\n\n

   + Thuy\u00ean t\u1eafc ng\u01b0\u1ee3c d\u00f2ng t\u0129nh m\u1ea1ch d\u1ea1 d\u00e0y b\u1eb1ng d\u00f9 (PARTO)<\/p>\n\n\n\n

   + Thuy\u00ean t\u1eafc ng\u01b0\u1ee3c d\u00f2ng t\u0129nh m\u1ea1ch d\u1ea1 d\u00e0y b\u1eb1ng coils (CARTO)<\/p>\n\n\n\n

   + Thuy\u00ean t\u1eafc t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n \u2013 d\u1ea1 d\u00e0y xuy\u00ean gan qua da (PTO)<\/p>\n\n\n\n

   + Nong v\u00e0 \u0111\u1eb7t stent h\u1ec7 t\u0129nh m\u1ea1ch c\u1eeda<\/p>\n\n\n\n

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

– C\u1ea5p c\u1ee9u \u0111i\u1ec1u tr\u1ecb \u0111\u1ed9t qu\u1ef5 t\u1eafc m\u1ea1ch n\u00e3o b\u1eb1ng k\u0129 thu\u1eadt can thi\u1ec7p l\u1ea5y huy\u1ebft kh\u1ed1i v\u1edbi c\u1eeda s\u1ed5 \u0111i\u1ec1u tr\u1ecb m\u1edf r\u1ed9ng l\u00ean \u0111\u1ebfn 24 gi\u1edd nh\u1edd \u1ee9ng d\u1ee5ng c\u00e1c k\u0129 thu\u1eadt h\u00ecnh \u1ea3nh: MRI, CT perfusion<\/p>\n\n\n\n

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

– \u0110i\u1ec1u tr\u1ecb thi\u1ebfu m\u00e1u n\u00e3o do h\u1eb9p \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh, h\u1eb9p \u0111\u1ed9ng m\u1ea1ch n\u1ed9i s\u1ecd b\u1eb1ng k\u1ef9 thu\u1eadt \u0111\u1eb7t stent<\/p>\n\n\n\n

– \u0110i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u xu\u1ea5t huy\u1ebft n\u00e3o do v\u1ee1 ph\u00ecnh m\u1ea1ch, v\u1ee1 d\u1ecb d\u1ea1ng m\u1ea1ch m\u00e1u n\u00e3o<\/p>\n\n\n\n

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

                        M\u00e1y ch\u1ee5p m\u1ea1ch m\u00e1u s\u1ed1 h\u00f3a x\u00f3a n\u1ec1n (DSA) Siemens<\/p>\n\n\n\n

Nhi\u1ec7m v\u1ee5 <\/strong>K<\/strong>hoa<\/strong> Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/strong>
 – X\u00e2y d\u1ef1ng v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c quy tr\u00ecnh k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u1ec3 h\u1ed7 tr\u1ee3 l\u00e2m s\u00e0ng trong x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c, l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n

– Th\u1ef1c hi\u1ec7n c\u00e1c th\u1ee7 thu\u1eadt can thi\u1ec7p, can thi\u1ec7p m\u1ea1ch \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

– T\u1eadp hu\u1ea5n, \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c v\u1ec1 c\u00e1c k\u1ef9 thu\u1eadt chi\u1ebfu ch\u1ee5p cho k\u1ef9 thu\u1eadt vi\u00ean n\u00e2ng cao t\u1ea1i \u0111\u01a1n v\u1ecb v\u00e0 c\u00e1c c\u01a1 s\u1edf y t\u1ebf tuy\u1ebfn d\u01b0\u1edbi.<\/p>\n\n\n\n

– T\u1eadp hu\u1ea5n, \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c cho c\u00e1c BS c\u01a1 s\u1edf y t\u1ebf v\u1ec1 \u0111\u1ecdc k\u1ebft qu\u1ea3 Xquang, th\u1ef1c h\u00e0nh si\u00eau \u00e2m, \u0111\u1ecdc k\u1ebft qu\u1ea3 ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh, c\u1ed9ng h\u01b0\u1edfng t\u1eeb, th\u1ef1c hi\u1ec7n can thi\u1ec7p m\u1ea1ch.<\/p>\n\n\n\n

– Tham gia nghi\u00ean c\u1ee9u khoa h\u1ecdc, ch\u1ec9 \u0111\u1ea1o tuy\u1ebfn theo ch\u1ee9c n\u0103ng, nhi\u1ec7m v\u1ee5 \u0111\u01b0\u1ee3c giao, h\u1ee3p t\u00e1c qu\u1ed1c t\u1ebf.<\/p>\n\n\n\n

– Khoa l\u00e0 \u0111\u01a1n v\u1ecb th\u1ef1c h\u00e0nh cho sinh vi\u00ean Y3; h\u1ecdc vi\u00ean chuy\u00ean khoa c\u1ea5p 1, chuy\u00ean khoa c\u1ea5p 2, cao h\u1ecdc v\u00e0 n\u1ed9i tr\u00fa c\u1ee7a \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c TP.HCM, \u0110\u1ea1i h\u1ecdc Y khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch.<\/p>\n\n\n\n

\u0110\u1ecbnh h\u01b0\u1edbng t\u01b0\u01a1ng lai<\/strong><\/p>\n\n\n\n

– Ti\u1ebfp t\u1ee5c c\u1ee7ng c\u1ed1, ph\u00e1t tri\u1ec3n c\u00e1c k\u1ef9 thu\u1eadt \u0111ang th\u1ef1c hi\u1ec7n.<\/p>\n\n\n\n

– Tri\u1ec3n khai th\u00eam c\u00e1c k\u1ef9 thu\u1eadt ti\u00ean ti\u1ebfn nh\u01b0: \u0111i\u1ec1u tr\u1ecb l\u1ea1c n\u1ed9i m\u1ea1c d\u1ea1ng nang \u1edf bu\u1ed3ng tr\u1ee9ng, \u0111i\u1ec1u tr\u1ecb \u0111au do vi\u00eam tho\u00e1i h\u00f3a kh\u1edbp b\u1eb1ng k\u1ef9 thu\u1eadt t\u1eafc m\u1ea1ch, can thi\u1ec7p d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn m\u00e1y si\u00eau \u00e2m n\u1ed9i m\u1ea1ch IVUS, ch\u1ee5p v\u00e0 can thi\u1ec7p s\u1eed d\u1ee5ng CO2 cho b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn, h\u1ee7y u gan b\u1eb1ng vi s\u00f3ng Microwave, h\u1ee7y nh\u00e2n gi\u00e1p b\u1eb1ng s\u00f3ng cao t\u1ea7n (RFA), h\u1ee7y nang gan, nang gi\u00e1p b\u1eb1ng c\u1ed3n tuy\u1ec7t \u0111\u1ed1i (PEI), h\u00fat u v\u00fa ch\u00e2n kh\u00f4ng (VAAB)\u2026<\/p>\n\n\n\n

– Th\u00e0nh l\u1eadp \u0111\u01a1n v\u1ecb can thi\u1ec7p gi\u1ea3m \u0111au: tri\u1ec3n khai c\u00e1c k\u1ef9 thu\u1eadt \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn DSA, CT, Si\u00eau \u00e2m.<\/p>\n\n\n\n

Th\u00e0nh t\u00edch chung n\u1ed5i b\u1eadt c\u1ee7a khoa<\/strong><\/p>\n\n\n\n

– B\u1eb1ng khen t\u1eadp th\u1ec3 ho\u00e0n th\u00e0nh xu\u1ea5t s\u1eafc nhi\u1ec7m v\u1ee5 c\u1ee7a \u1ee6y ban nh\u00e2n d\u00e2n TPHCM n\u0103m 2018, 2020, 2021<\/p>\n\n\n\n

– \u0110\u1ec1 t\u00e0i nghi\u00ean c\u1ee9u khoa h\u1ecdc c\u1ea5p s\u1edf n\u0103m 2020: \u201c\u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 s\u1edbm \u0111i\u1ec1u tr\u1ecb v\u1ee1 l\u00e1ch ch\u1ea5n th\u01b0\u01a1ng b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p l\u00e0m t\u1eafc m\u1ea1ch\u201d<\/p>\n\n\n\n

– C\u00e1c b\u00e0i b\u00e1o \u0111\u0103ng tr\u00ean c\u00e1c t\u1ea1p ch\u00ed uy t\u00edn c\u1ee7a th\u1ebf gi\u1edbi:<\/p>\n\n\n\n

  + Diagnosis and management of calcaneal Yakes type IV AVM: Two case reports, \u0111\u0103ng tr\u00ean t\u1ea1p ch\u00ed ScienceDirect (Elsevier), volume 16, issue 12, 12\/2021<\/p>\n\n\n\n

  + A rare case report of acute upper gastrointestinal hemorrhage due to splenic artery pseudoaneurysm, \u0111\u0103ng tr\u00ean t\u1ea1p ch\u00ed SAGE Open Medical Case Report, 11\/2021.<\/p>\n","protected":false},"excerpt":{"rendered":"

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