CSDL Bài trích Báo - Tạp chí
Khoa Y
1 Kết quả phẫu thuật nội soi điều trị viêm túi mật cấp do sỏi túi mật tại Bệnh viện Quân Y 110 / Nguyễn Hồng Việt, Bùi Tuấn Anh // Y học thực hành .- 2025 .- Số 3 .- Tr. 50-53 .- 610
Background: Laparoscopic cholecystectomy for acute cholecystitis used to be a contraindication before. However, this method is becoming to be applied more and more because of experiences of surgeons and technical advance. This study was to evaluate the ability, safety and efficacy of this method. Method: Cross-sectional descriptive, retrospective study. Results: 25 patients with acute cholecystitis was applied laparoscopic cholecystectomy. The average of age was 51.21 +/- 7.6. Male/female: 1.5. More than 60 percent of them are in second day of disease. 100 percent had abdominal pain in right upper quadrant. 68 percent had fever of more than 38oC. Ultrasound with thick gall-bladder wall was in 100 percent. Number of white blood was more than 15GIL in 40 percent of patients. Average operating time: 65.2 +/- 12.9 minutes. The average time of hospital stay after operation was 6.8 +/- 2.5 days. Best and middle result was in 92 percent. One case had biliary leakage. Conclusion: Laparoscopic cholecystectomy was a realiable, safe and effective method for treatment of acute cholecystitis.
2 Hiệu quả giữ khoảng của cung lưỡi trên trẻ em mất răng hàm sữa sớm tại Bệnh viện Răng hàm mặt Trung ương Hà Nội năm 2013-2014 / // Y học thực hành .- 2025 .- Số 3 .- Tr. 93-96 .- 610
Objectives: To evaluate the effectiveness of lingual arch in maintain space in children who lost teeth early. Subjects and methods: 30 children with missing mandibular primary molars were included in this study. The authors conducted a prospective, descriptive study and compare the effectiveness before-after treatment. Results: With lingual arch, the mean of space lost is 0.51+/- 0.38mm, 0.8+/-0.51mm after 3 months and 6 months, respectively. The effectiveness of using lingual arch after 3months: Good: 86.7 percent, Moderate: 13.3 percent; and after 6months is: Good: 70 percent, Moderate: 23.3 percent; Bad: 6.7 percent.
3 Đánh giá kết quả điều trị gãy Pouteau-Colles bằng phương pháp Kapandji tại Bệnh viện Trường Đại học Y dược Huế / Đặng Lê Hoàng Nam, Lê Nghi Thành Nhân // Y học thực hành .- 2025 .- Số 2 .- Tr. 68-72 .- 610
Background: Pouteau-Colles fracture treatment mainly in the country is still in a cast- immobilization forearm. This method easy to implement, low cost but there are complications. From 212012 to 512014 at the Hue University Hospital of Medicine and Pharmacy, Kapandji method has been applied in Pouteau-Colles fracture treatment and have obtained some results. Aims: Evaluation results of Pouteau-Colles fractures treated by Kapandji method. Patients and methods: included 33 patients diagnosed as Pouteau-Colles fractures and were treated according to the Kapandji method. Research methodology: a prospective descriptive. Results: During the period from 2/2012 to 5/2014, the authors have performed 33 cases Pouteau-Colles fractures treated by Kapandji method. Mean age is 54.64 +/- 18.01. Postoperative radiologic images on a scale of Scheck after 3 months is 66,70 percent very good, 33,30 percent good. Functional assessment postoperative on a scale of Gardland and Werley after 3 months: 70,83 very good and 29,17 good, no bad, and very bad case immediately after surgery and at 3 months follow-up. Conclusions Treatment of Colles fracture Pouteau-Kapandji method is a solution to bring good results after treatment and is very much limited complications compared with methods previously cast.
4 Đánh giá kết quả điều tri ung thư gan nguyên phát giai đoạn phẫu thuật bằng nút mạch hóa dầu tại Hải Phòng / Lê Minh Quang // Y học thực hành .- 2025 .- Số 3 .- Tr. 20-22 .- 610
Purpose: to determine the results of transcatheter oily chemoembolization for non-operable hepatocellular carcinoma treated at Viet Tiep Hospital. Patients and method: A retrospective study of 51 cases of unresectable hepatocellular carcinoma treated by oily chemoembolization at Viet Tiep hospital from 2011 to 2014. Results: 116 transcatheter oily chemoembolizations were performed for 51 liver cancer patients. Common complication is post-embolization syndrome, which raised up to 75 percent. Pain symptom reduced from 66.6 percent pre-emboliztion to 20 percent at 3rd month of post-opration. 12-month; 24- month and 36-month survival rate is 55.4 percent; 29 percent and 12.9 percent respectively. Conclusion: Transcatheter oily chemoembolization is relatively safe and tolerable, which help to relieve clinical symptoms. Survival rate after 1, 2 and 3-year was 55.4 percent; 29 percent and 12.9 percent.
5 Đánh giá kết quả triển khai mười bốn khuyến cáo nâng cao chất lượng xét nghiệm của Sở Y tế thành phố Hồ Chí Minh / Tăng Chí Thượng // Y học thực hành .- 2025 .- Số 3 .- Tr. 38-40 .- 610
To help the medical laboratories build the long plan and roadmap in expanding the requirements of Ministry of Health in quality, Department of Health of HCMc established the document including 14 suggestions in quality assurance in laboratory. The aim of this study is to evaluate the expanding of the suggestions in quality improvement of Department of Health of HCMc at the hospitals, so that the authors can record the situation and the adaptation the suggestions from the medical laboratories in HCMc, with the results, the authors will prepare a better plan and roadmap in deploying the quality requirements in the future, in order to improve the quality of diagnosis in the city to support the treatment. The results from the study: (1). Suggestions reveal the long direction to the hospitals in changing for the quality tests. (2). There is no suggestion get the maximum score, only 4 suggestions get the rate higher than 50 percent (the highest is 56.6 percent), the No. 14 suggestion gets the lowest score (24.1 percent). (3). There is no laboratory in the quality assurance, there are 13 laboratories fall down to the high risk in error.
6 Thực trạng sức khỏe người lao động tại một số cơ sở sản xuất hóa chất / Nguyễn Thị Liên Hương, Nguyễn Thúy Quỳnh // Y học thực hành .- 2025 .- Số 3 .- Tr. 22-24 .- 610
The study described the situation of health employee work at chemical production in Vietnam (at 4 chemical production facilities representing 3 subsectors: Basic Chemical; Chemical fertilizers and pesticides). Health records showed that 90 percent of employee's health in type II and III; type IV and type V had low rate. The common disease of employees at these facilities was dentomaxillofacial and otolaryngology. Every year 58 percent to 75 percent of employees had sick leave, especially 8 percent to 12 percent of employees had a long period of sick leave over 3 days. Besides, the implementation of examination to detect occupational diseases for employee was not good enough about the number of diseases and employees. The proportion of cases having occupational expertise was not high. Occupational accidents coefficient of these facilities increased over the year from o.77 (2007) to 1.87 (2011). The cause of occupational accidents is mostly caused by the employee and the objective, mainly because the employee violated the rules and regulations, safe working methods (accounting for 75 percent of accidents).
7 Nghiên cứu đặc điểm dịch tễ bệnh viêm não Nhật Bản tại tỉnh Thái Bình từ năm 2009 - 2013 / Cao Trường Sinh, Nguyễn Văn Đông // Y học thực hành .- 2025 .- 610 .- Tr. 32-35 .- 610
Aim: To describe the epidemiological characteristics of Japanese encephalitis in Thai Binh province from 2009 to 2013. Subjects and Methods: All cases of Japanese encephalitis / encephalitis virus under investigation, kept at the center of Thai Binh Preventive Medicine, Medical Center of districts and cities in 2009-2013. A cross sectional survey and analysis of epidemiological factors such as age, sex, season, month, geographical area of all patients are diagnosed with Japanese encephalitis in Thai Binh province for 5 years from 2009 to 2013. Result: The percentage of positive test cas is 36/732 (accounting for 4.92 percent). The average incidence of Japanese encephalitis / 100.000 people in 5 years in Thai Binh province was 0.4 / 100.000 population. Mortality / 100.000 due to Japanese encephalitis in Thai Binh province is O. 1. The incidence rate of Japanese encephalitis is highest in summer from April to Jun. Conclusion: The average incidence of Japanese encephalitis annually from 2009-2013 was 0.4 / 100.000 population. The disease occurs in all districts, town in the province. The disease occurs seasonally in April and appeared in the highest increase in June. Japanese encephalitis diseases usually occur in children under 15, the highest in the group of 10-14 years old.
8 Một số yếu tố liên quan đến thực trạng kiểm soát đường huyết ở bệnh nhân đái tháo đường type 2 tại Bệnh viện Đa khoa Đông Anh / Nguyễn Thị Tâm, Trần Thị Thanh Hóa, Vũ Thị Thanh Huyền // Y học thực hành .- 2025 .- Số 2 .- Tr. 5-8 .- 610
Objective: To assess factors related to glucose management in type 2 diabetic outpatient patients. Subjects and methods: A descriptive cross-sectional study included 269'diabetic patients treated as outpatient at Dong Anh general hospital from 612013 to 1012013. Results: There was correlation between diabetic duration and level of glycemic control in patients with diabetes. The percentage of patients with good and acceptable fasting glucose at the group diagnosed less than 5 years was 55.8 percent higher than those in the group diagnosed more than 5 years (40.9 percent) (p 0,05). Mean postprandial blood glucose in the group with poor LDL-C control is higher than those in the group with good and acceptable LDL-C control (p 0.05). Proportion of patients with good glycemic control in the group taking one medication was higher than that in the group with combination therapy and insulin treatment (p 0.05). There were no correlation between glucose control and age, sex, exercise and blood pressure (p 0.05). Conclusion: The study showed that there was an association between duration of diabetes, treatment protocols and lipid control and the level of blood glucose control.
9 Bước đầu triển khai kỹ thuật Genexpert trong phát hiện vi khuẩn lao tại Hải Phòng / Hà Thị Bích Ngọc, Nguyễn Hùng Cường, Nguyễn Đức Nhâm // .- 2025 .- Số 2 .- Tr. 63-66 .- 610
Despite low sensitivity in detection of Mycrobacterium tuberculosis, acid-fast sputum smear remains the main diagnostic method in most country. Mycobacterial culture is the gold standard and the most sensitive method for TB diagnosis. Recently, in 2011, WHO endorsed the wide use of Xpert MTBIRIF (MTB: Mycobacterium tuberculosis; RIF: rifampicin) assay, a fully automated diagnosis molecular test using real-time polymerase chain reaction technology to simultaneously detect TB and rifampicin resistance in the rpoB gene. To initially assess the effectiveness of the new technique GeneXpert in the Department of Microbiology- Viet Tiep Hospital Haiphong, the Xpert MTB/RIF carried out with the acid - fast sputum smear method for 436 sputum specimens of 436 patients. The result: The patient was found to have TB bacteria in men is 5 times higher than women and patients with high risk of tuberculosis at the age of 40. The sensitivity of GeneXpert MTB/RIF detected MTB (+) was 95.7 percent in the acid - fast sputum smear AFB (+). 49 smears AFB(-), GeneXpert MTB test (+), demonstrate the sensitivity GeneXpert is higher than the Ziehl Neelsen stain. In 94 sputum specimens MTB (+),GeneXpert detected 10 specimens RIF resistance(equivalent10.64 percent). Conclusion: The GeneXpert in detecting TB and rifampicin resistance from sputum specimens may help in early diagnose TB with good sensitivity, simple process, safe for staffs, and help in treatment patients who had multi-drug resistane tuberculosis.
10 Nhân hai trường hợp sarcoma sợi bì lồi tái phát : những bài học trong chẩn đoán và điều trị phẫu thuật / Phạm Thanh Nhã, Lê Văn Thọ, Ngô Viết Nhuận, Nguyễn Tấn Hưng, Nguyễn Khánh Linh // Y học cộng đồng (Điện tử) .- 2025 .- Số 12 .- Tr. 123 - 137 .- 610
Sarcoma sợi bì lồi là một loại sarcoma da hiếm gặp, xâm lấn tại chỗ, thường dễ bị nhầm lẫn với các tổn thương lành tính, dẫn đến chẩn đoán muộn và nguy cơ tái phát cao. Chúng tôi trình bày hai trường hợp lâm sàng khó chẩn đoán. Trường hợp đầu tiên là một bé gái 15 tuổi có nốt không đau ở ngón trỏ, được phẫu thuật cắt bỏ hai lần mà không thực hiện sinh thiết trước. Sau đó, sinh thiết mở chẩn đoán bướu sợi bì và hai lần phẫu thuật tiếp theo được thực hiện. Do bướu tái phát và ngón trỏ không chức năng, bệnh nhân được phẫu thuật cắt bỏ ngón. Kết quả mô học cuối cùng xác định là sarcoma sợi bì lồi với CD34 dương tính lan tỏa. Trường hợp thứ hai là một phụ nữ 51 tuổi có mảng ngứa và đau ở đùi trái, đã được phẫu thuật cắt bỏ nhưng tái phát và tồn tại trong suốt 9 năm. MRI cho thấy khối bướu dưới da, và sinh thiết mở xác định là sarcoma sợi bì lồi. Phẫu thuật cắt rộng được thực hiện với bờ phẫu thuật rộng từ 2-3 cm và sâu đến qua lớp cân. Việc đánh dấu da trước mổ giúp định hướng bờ phẫu thuật cho đánh giá mô bệnh học, tạo điều kiện cắt lại nếu cần thiết. Chúng tôi không cố gắng bóc tách dưới da để khâu da thì đầu, và vết mổ được đóng lại bằng ghép da. Hai trường hợp theo dõi đều không tái phát và chức năng chấp nhận. Các ca lâm sàng nhấn mạnh tầm quan trọng của việc sinh thiết sớm và nhuộm hóa mô miễn dịch CD34 ở những tổn thương da không điển hình hoặc dai dẳng. Cắt rộng và đánh giá bờ phẫu thuật chính xác là yếu tố then chốt để điều trị triệt để và ngăn ngừa tái phát.