perforation, retopneumoperitoneum, and pneumomediastinum after stapling procedure for prolapsing hemorrhoids. Report of a case and subsequent considerations. Dis Colon Rectum 2002; 45:
268-270.
8. Salaby R and Desoky A. Randomized clinical trial
of stapled versus Milligan-Morgan haemorrhoidectomy.
British Joumal of Surgery. 2001; 88:1049- 1053.
9 Dean C S . Koh. Denis M.O. Cheong and Kutl Sing Wong. Stapled Haemorroidectomy: Bothersome Staple Line Bleeding. Asian Journal of Surgery. Vol 28.
No 3. July 2005: 193-197.
DANH GIA LAM SANG KET QUA HAN LO SAU RANG HAM SiTA B A N G KETAC MOLAR EASYMIX
T6M TAT
M{ic tidu- Ddnh gii ldm sing kit qui hin Id siu rdng hdm sQ-a bing Ketac Molar Easymix cOa hing 3M. Ddi tu^g vi phircmg phip nghien cini:
Nghidn cOv tiin cOv, md ti lim sing trdn 50 ring hdm sD-a dwgc chin dodn sdu ngd, id sdu lo^i l.tl dwgc diiu trj phuc hdi thdn rdng bang Ketac Molar Easymix- GIC cua hang 3M- t$i khoa Diiu tri rdng trd em, Bdnh vidn Rang Hdm Mdt Trung uong tO' thdng 4- thing 10/2006. Kit qui: Sau 6 thing cd 86% dat kit qui tdt. 14% that bai, 2% sdu tdi phat. Trong dd d Id siu m$t nhai cd i(it qui 96,3% thanh cdng vd 3,7% thit Pp/, Ld siu m$t gin. xa c6 kit qui 73.91%
thdnh cdng vd 26,09% thit b^i Kit lu$n: Diiu tri phuc hdi thdn rang him sQ-a bing Ketac Molar Easymix li mgt ky thudt dan glin, phO hgp vdi vide can thidp trdn trd nhd vi d$t kit qui cao.
7"i> khda: Sdu rdng hdm sua, Ketac Molar Easymix,GiC.
SUMMARY
Objetives: To clinically evaluate the results of dental restoration using Ketac Molar Easymix of 3M company in primary molars. Methods: Prospective, and cross-sectional studies of contribution of clinical assessment of 50 primary molars diagnosed carious dentine, class I, II, fiiled with Ketac Molar Easymix of 3M company at Pediatric Department of National Hospital of Odonto-Stomatology, Hanoi from April to October, 2006. Results: After 6 months, 86%
success rate, 14% of failures, and 2% recunence caries. Among those, restored occlusal carious lesion had 96.3% success rate and 3.7% failure rate, restored mesial and distal carious lesion had had 73.91% success rate and 26.09% failure rate.
Conclusion: Dental restoration using Ketac Molar Easymix in primary molars is a simple technique, appropriate and effective for young children.
Keywords: Dental caries, pnmary molar teeth, Ketac Molar Easymix,GIC.
OAT V A N D £
Rdng hdm sOa ed nhilu ehii'e ndng quan trpng:
dn nhai, giO khoang, phdt dm, kieh thich su tdng tnj'd'ng eiia xuang hdm...
Sdu rdng sOa WiuPng t i l n triln nhanh, neu khdng duoc dilu trj kjp thai se d i n d i n cde b i l n ehi>ng nhu
TRAN TH! KIM THUY, NGUYEN TH} VAN ANH Benh vien Ring Ham Mat Trung wong Ha Wp;
viem tiiy, viPm eulng rdng ldm dnh hud'ng tai chuc ndng dn nhai. anh hud'ng d i n m i m rdng vTnh viPn d duPi vd cd t h i anh hud'ng den todn thdn, ddn den phai nho rang sQ'a tnrdc t u l i thay sinh ly. TO dd anh hudng d i n sp mpc rdng vTnh vipn sau ndy. Do dd viec phat hien vd d i l u tri sPm sau rang sQ'a rlt quan trpng.
Ketac Molar Easymix do hang 3M san xult Id mdt Glass lonomer Cement(GlC) cd kha ndng khang mdn tot, dp b i n u l n cao, k i t dinh t i t vPl men vd ngd rang, giai phdng fluor sauhdn trong thPi gian ddi. Dae bidt vpt lipu ndy dd dp dung edng nghp tidn t i l n moi d l tao ra mpt lopi bpt vpl ePng thijc dang hat, cho phep trdn nhanh vd de han, ^ n h lupng dupe ty le bdt/
nuac dupe chinh xdc han.
6" Viet Nam, GIC da dupe si> dpng nhilu trong han rang sua, nhung cde nghlPn cO'u v l hipu qua ciia vipe s u dung trong han rang sQ'a cdn r l t i t Vi vdy chiing tPi t i l n hdnh nghien euu de t d i " Ddnh gia lam sang k i t qua hdn l§ sdu rang hdm sira bdng Ketac Molar Easymix".
D O I T l f a N G VA PHU'aNG PHAP NGHIEN CLfU 1. DPI t i r a n g nghien cpiu: Nghidn cO'u tren 50 rang hdm sija thda man tieu chuin nghlPn cuu de thyc hipn can thipp Idm sang tai khoa D i l u tri rang tre em, Bpnh vipn Rdng Ham Mat Trung uang Hd Npi trong thdng 4/2006. *
1.1. Tieu chuin lira chon benh nhin - Rdng hdm sOa cd Id sau ngd lopi 1,11 - KhPng eP tnpu chung viPm tiiy. viPm eulng rdng.
- Rang khdng lung lay, viing quang rdng binh thuang.
- Tinh trang niPm mac miPng binh thuPng Khdng cd bpnh ly todn thdn.
- T u l i t i f S d l n 10 tuoi.
1.2. Tieu chuan loai trd'
- Khong hap tdc d l thpe hipn nghiPn cu'u.
- KhPn^ theo ddi dupe sau 6 thdng.
2. T h i P t k l nghiPn ei>u Nghien ei>u t i l n ei>u, md ta Idm sdng 3. P h u v n g phdp nghi6n cil'u 3.1. Phuxmg ti^n vd vit lieu:
- Bo khay khdm nha khoa, mOi khoan, bp edy hdn, cdy npongd...
- Mdt hpp Ketac Molar Easymix.
Y HOC THUC HANH (948) - SO 1/2015
3.2. Phuvmgphip tien hinh:
-Tao l6 han bdng mui khoan vd Idm sach be mdt bing cdy nao ngd vd nuac saeh.
-Cd Idp rang eIn hdn.
-Xu ly b l mpt IP sdu bdng dung djch coditioner hode b i n g chinh dung djch trdn cua GIC.
- Trpn GIC theo dung ty IP bpt nuPe.
- Hdn kin IP sdu.
- Lly vdt lipu thija.
- Kiem tra khpp e l n vd cdch ly milng hdn vPi mdi trifpng mipng b i n g mpt IPp vemi.
Tai khdm Ipi sau 1 t u l n vd sau 6 thdng ddnh gid:
su nhpy cam tiiy rdng sau han, s y luu giu" milng han vd sdu rdng tdi phdt.
3.3. Phuxmg phap 5i> /j^ s d lidu
Todn bp s6 lipu dupe x u ly theo p h i n m i m Epi- Info 6.04
K £ T Q U A V A BAN LUAN 1. D&nh gid k i t qud sau hdn mpt tudn Bang 1: Ket qua sau hdn mdt tuan
~ i ^
56 Iugng I
t^T
I T^l|(%) I 96
Trung binh "1(17" Tdng
Trong 50 truPng hpp kham Ipi sau mpt t u l n cd hai tnj'Png hpp 6 bu6t nhe khi dn nhai_(4%), ePn lai tit ca d i u t i t Hai tnj'Png hap ndy cP Id sau IPn, tiep Igc theo ddi t h i y kPo ddi them mpt t u l n thi het
NguyPn nhdn ciia hipn tupng ndy theo thuyet Brannstrom v l dp dan thiiy lye Id do di chuyin chat djch trong ngd rdng, cdc y l u t l ldm nen sy dieh chuyin Id: khPng khi trdn vdo I n g ngd, do axlt xi> ly ngd rdng, c h i t hdn gay lyc ep IPn rang, thay d l i nhipt dO-.Nhung theo mpt sd tdc gia thi ty le kich thich sau hdn cOa GIC t h i p han so vai cdc vdt lieu khdc nhilu.
2. Ddnh gid k i t qua sau hdn 6 thdng Bang 2: Cam gidc dau sau khi hdn 6 thdng K^qui
Sd lupng Tyl#
Khdnq dau 50 100
Cddau 0 0
Tdnq 50 100%
Sau 6 thdng vdi ty ip 100% cdc rdng dupe khdm l9i thi khdng cd bpnh nhdn ndo cdn eP cam gidc dau hay e bu6t nhe. Ddy Id k i t qua t i t duoc ghi nhdn vai vdt lipu GIC
Bang 3: Ty IP sdu tdi phdt Ton thuong
SA luQnq Ty l$(%)
Khdng sdu tdi ph^t
49 98
Cd sSu ring tdi phat
1 2
Tdng 50 100 GIC cd phdng thich fluor vd fluor Idm tdng sue de Ididng eiia md rdng vPi s y tan cdng eua axlt gdy sau rdng. Mpt trong nhO'ng ly do chinh d l GIC dupe s u dgng nhilu trong hdn rdng hipn nay Id kha ndng phdng thich fluor kPo ddi theo thPi gian.
Trong nghien ei>u ciia ehOng tdi vipe phdt hipn sau rang tdi phdt chCi y l u d ria milng hdn vPi edeh khdm M n g thuPng. CPn sdu tdi phdt d ddy l3 sdu thi phai cd Xquang, md vi nhung 1^' do khdch quan vd ehii tjuan chiing tdi khPng t h i t i l n hdnh dong bp dupe.
K i t qud thu dupe sau 6 thdng cP mpt tnjpng hpp bj sdu (2%). Ddy Id k i t qua rat kha quan, tuy nhiSn vi
thai gian theo ddi edn n g i n va khdng dupe danh gia mpt cde todn dipn nen ehua phan dnh mdt edeh chinh xac dupe. D l ket lupn dupe v i n de nay c i n phai cd nhu'ng nghlPn euu sdu han vd vPi thai gian keo ddi han
Bang 4- K i t qua sau khi hdn 6 thdng d- Id sau mpt KPtqua
So luQ-ng Ty l$(%)
Tot 22 81,5
Trunq binh 4 14,8
Xau 1 3,7
Tonq 27 100 ' Id sdu mat nhai ehl ed mdt milng hdn can phai hdn lai (3,7%). Co b i n mieng hdn bi m^ nho a ria khPng can phdi hdn lai. Nhu vay milng hdn dat yPu cau khPng can phai hdn lai Id 26, ehilm ty le 96,3%.
Bang 5: Ket qua sau khi han 6 thdng a IP sau mdt gin-xa
KSt qua
~jsr
S6 Iugng""
Ty IP(%) 73,91 Trung
blnh
Tong
0" IP sdu mpt g i n - xa ty Ip thdnh edng dpt 73,91%, ty Ip thit bpi la 26,09%. Trong 17 truang hap t i t ehung tdi nhpn thay cd 15 truPng hop Id sau mai chi lan len mat nhai, tu'C Id ehi eP thdnh phia trPn bl phd va, cdn hai thanh ngodl vd trong v i n edn nguyPn, cdn 6 truang hap t h i t bpi deu gdp a cdc l6 sau cP ton thuang IPn m I t ca thdnh trong vd thdnh ngodi.
Bang 6: K i t qua ehung sau khi hdn 6 thdng Ket qua Tdt ~ Tmng binh Xau S6 Iugng"
Tdng Ty l^(%) I 78 " 1 8 I 14 I 100 ,
T i n g ket qua sau 6 thdng ty IP hdn dat ydu c l u Id 86%, ty [e phai hdn Ipl Id 14%. Trong dP ty Ip thdnh ePng d IP sau mat nhai cao han vj tri mat g i n xa. S u khdc nhau ndy eP y nghTa thing kP vPi p < 0,05.
Trong 27 l l sdu mpt nhai ed 26 truang hap dat k i t qua tot vd trung binh, mdt truPng hpp that bai dupe ghi nhpn Id bi sau tai phat Nhu vdy a Id sdu mat nhai khdng cd truPng hpp ndo bj bong hdn. VPi k i t qua nay eP the nhan t h i y chi djnh hdn GIC Id hodn todn hpp ly.
CPn a IP sdu mpt g i n - xa eP 6 truPng hap thit bai d i u gdp d' cdc lo sdu co t i n thuang IPn, s y luu giu' ciia Id hdn kdm Do dd a Id sdu mdt g i n xa n l u Id sau cdn be vd ed y l u to luu giu tot thi ehi dinh hdn bdng GIC. Cdn neu Id sdu IPn, y l u t l luu giu- kem thi cd the giai thich eho bpnh nhdn nen ldm chyp thep.
K E T LUAN
Sau 6 thang theo dPi, k i t qua thu dupe nhu sau:
-Ty IP thdnh cong 86%, t j Ip t h i t bpi 14%. Trong do:
+ LP sau a vi tri mdt nhai: TJ Ip thdnh cdng 96,3%,_tylethltbai3,7%.
+ Ld sau d* VI tri mdt g i n - xa. TJ IP thdnh cong 73,91%, ty IP that bai 26,09%
+ Ty IP sau tdi phdt 2%
- Dieu tri phuc hoi thdn rdng hdm sQ'a bdng Ketac Molar Easymix(GIC) Id mpt ky thupt dan gian, phii hpp vai viPe can thipp tren tre nho vd dat ket qua eao
Y HI " THlTC HANH f9481 - s 6 l / M i ^
T A I U | U THAM K H A O
1. Nguyen Thj Kim Anh (2003). Ddc diem hinh thai ciia bp rang sOa C$p nhat nha khoa thing 4- 2003..
Tnrdng Bai hgc Y Dwgc Thanh phd Hd Chi Minh. tr.5- 24.
2. Nguyen Thj Ngpc Diem (1985). Sue khde rang mipng hpc sinh mau gido va d p I. Ludn van tot nghidp bic sy chuyen khoa II, Trwdng Dai hgc Y Ha Ngi, tr 15.
3. Trln Thuy Nga, Phan Thi Thanh YPn, Phan Ai Hung, Dang Thj Nhan Hod (2001) . Nha khoa tre em.
Nha Xuat ban Y hgc thanh phd Ho Chi Minh. Tr.9- 252 . 4. Dao Th! Hong Qudn(2000). Kinh nghipm su dyng tren Idm sang glass ionomer. C$p nhit nha khoa, s6 2.,
tr.112-122.
5. Trln Van Trvang (2002). Dieu tra sue khoe rang mieng toin quoc d Viet Nam. Vien Ring Ham Mit Hi fjQi. tr 37- 50.
6. Cohen s.. Bums R C (1993). Pathway of the pulp 6'^ ed. Mosby pp 633- 671.
7. Fortier J.P., Demars Ch (1983). Abreger de pedodontie . Masson Paris, Chapter IV, pp127- 133.
8. George k. Stookey (2000). Current status of caries prevention, compedium, pp 862-868.
9. John M. Powers (2002), Glass inomer cement.
Restorative dental matenals, Mosby pp 232- 259.
THAI DO XlTTRi VA BIEN CHUNG CUA RAU TIEN DAU
or CAC SAN PHU CO SEO MO LAY THAI TAI BENH VIEN PHU SAN THANH HOA
T6M TAT
M{ic tieu nghidn cuv: Nhdn xdt vd thai dg xw tri vi biin chung cua rau tiin d$o d cic sin phu cd s$o md liy thai fp/ Bdnh vign Phij sin Thanh Hda. Ddi tu^g va phuvng phip nghidn c&u: Tit d sin phif cd tudi thai tir Idn han hoac bdng 28 tuin cd sgo md liy thai cD, dwgc chin dodn Id mu tiin dgo qua Idm sing vi siiu im. dS dwac md liy thai fp/ Bdnh vidn Phu sin Thanh Hda tO- ngiy 01/01/2012 din ngiy 31/12/2013. Phuxmg phdp nghidn cO'u: M6 ti, hoi cOv. Cd miu thuin tidn. khdng xic suit. Kit qua nghidn ciru: Diiu tri Ngi khoa trwdng hgp dwgc sir dung thudc giim co khi thai dwdi 37 tuan chiim tp Id 61,5%. Md dp cim 46 tnrdng hgp md dp ciru chiim 32.2%, trong dd md cip cOu do chiy mdu cd 32 trwdng hgp 69.6%. Mo chO ddng 97 trwdng hgp chiim 67.8%, thai du thdng 89 chiim 91,7%. Biin chdng cho mg: Ty id rau bdm m$t tnrdc chiim 51.7% Trong dd cd 13 ca rau di ring Iwgc. Tp 1$
bim mdt sau chiim 48,3%. Trong dd cd 3 ca rau di rdng Iwgc. Biin chOng ddi vdi con: Thai non thdng Id 37,8%, tmng dd gdp tudi thai 34-37 tuin nhiiu nhit chiim 29.4%; thai non thing gap nhiiu nhit trong rau tiin tfpo tmng tdm chiim 18,9%; ty id thai du thdng 62,2%. Kit lu$n:Ty Ig cat td cung Id 19,6%. Tdn thwong t^ng Id 4,2%. Can ning tmng blnh cOa trd sa sinh Id 2776 ± 608.23g. Tnrdng hgp c6 cin ndng dwdi 2500gr chiim 19,5%. Tp Id tw vong sa sinh la 2,1%. Tp Id md chu ddng chiim 67,8%.
Tir khda: Rau tiin d^o
THE ATTITUDE MANAGEMENT AND COMPLICATIONS OF PLACENTA PREVIA IN WOMEN WITH CESAREAN SCAR IN THANH HOA OBSTETRICS HOSPITAL
SUMMARY
Research Objectives: Comment on the attitude management and complications of placenta previa in
LE TH! HLTONG TriFdng Cao dang Y ti Thanh Hda women with cesarean scar in Thanh Hoa Obstetrics Hospital. Research subjects and methods: All women with gestational ages from 28 weeks or greater Previous caesarean section scar. Been diagnosed with placenta previa, through clinical and ultrasound.
Were cesarean section in Thanh Hoa Obstetrics Hospital from 01/01/2012 to 31/12/2013.Methods:
The study design using the method described, retrospectively. Sample size: Sample size is convenient, not probabilities. Research results:
Treatment of Internal Medicine cases used tocolytic agent when under 37 weeks gestational percentage 61.5% (88/143). Eergency surgery 46 cases accounted for 32.2% emergency procedures, including emergency surgery due to bleeding, 32 cases of 69.6%. Elective caesarean accounted for 67.8% of 97 cases, 89 full-term pregnancies accounted for 91.7%. Maternal complications:
Proportion of front grip placenta 51.7%. Including 13 cases of vegetables set of comb. The proportion accounted for 48.3% on the back stick. Including 3 cases of placenta set of comb. Complications for the baby: Pregnant prematurity was 37.8%. v\fhich met 34-37 weeks gestational age accounted for 29.4% at most; preterm birth is seen most frequently in the central placenta previa, 18.9%; full-term pregnancy rate 62.2% Conclusions: Percentage hysterectomy was 19.6%. Visceral lesions was 4.2%. The average weight of newborns was 2776 ± 608.23g. Case weighing less than 2500gr 19.5%. Infant mortality rate was 2.1% in women with placenta previa following cesarean section with 11.2% Placenta set of comb in women with placenta previa / after cesarean stick placenta front position is 81.2%. The average gestational age at surgery was 37.04 ± 2 56. The proportion accounted for 67.8% elective caesarean.
Keywords: Placenta previa
y HOC THVC HANH (948) - SO 1/2015
