DffN VA DOI TAI BENH VIEN CHg RAY SO SANH HIEU QUA PHAU THUAT TIEP KHAU TUI LE MUI DAT ONG SI-LI-CON

Y HOC VIET NAM THANG 4 - SO 1/2014 khong dau. Tap chi tim mach hoc: 1996, 6: 60-63

Michelle Capdeville, Themistocles Chamogeogarkis, and Jai H. Lee (2001) Effect of gender on outcomes of beating heart operations Ann. Thorac. Surg. Sep; 72: S1022 - S1025.

Roques F, Nashef SAM, Mitchel P, et al.

(1999) Risk factors and outcome in European cardiac surgeryanafysis of the EuroSCORE multinational database of 19030 patients. Eur J Cardiothorac Surg;15:816-823.

Edwards F.H., Carey J.S., Grover F.L., Bero

J.W., Hartz R.S. (1998) Impact of gender coronary bypass operative mortality. Ann Tlio

Surg;66:125-131.

Taggart D.P., Browne S.M., Halligan P.\

Wade D.T (1999). Is cardiopulmonary bypass!

the cause of cognitive dysfunction after can]

operations'' J Thorac Cardiovasc Surg;118:41'

421

Abramov D., Tamariz M.G., Sever J.Y, {2(K The influence of gender on the outcome coronary artery bypass surgery. Ann Tlict Surg; 70:800-805.

SO SANH HIEU QUA PHAU THUAT TIEP KHAU TUI LE MUI DAT ONG SI-LI-CON DffN VA DOI TAI BENH VIEN C H g RAY

Nguyen Hihi Chirc TOM TAT

Muc tieu nghien cu'u:

- Oanh gia hieu qua dan luu nudc mat cua ky thuat dat ong si- li- con don va doi trong phau thuat tiep kliau till le mui.

- Chi 6\nh phii hop ciia ky thuat d§t ong si- ii- con dOn va doi.

061 tu'dng va phu'dng phap nghien cufu:

PhUOng phap nghien cyu: tien cyu, thye nghiem lam sang, co nhom chyng.

Doi tu'dng nghien cyu: benh nhan viem tiii le man, duOc phau thuat tiep khau tiii le - mui, tai benh vien Chp Ray t y 01 thang 1 nSm 2011 den 31 thang 12 nam 2011. theo doi 12 thang. C3 mau : lay hang loat tru'dng hop ngau nhien gom 60 mat, chia 2 nhdm:

xy dung dng si-li-cdn don Mini - Monoka Sl. 1500 va ong si-li-c6n doi 51. 1010.

Ket qua: Tuoi ciia benh >35 den 50 co 55,2%, trung binh 46,3 tuoi. Nff nhieu hon nam, ty le 53 nff (86,2%)/ 5 nam (13,8%). Mat trai gap 51,7 %, cd 2 benh nhan bi 2 mat (3,4%).

- Ket qua dieu trj theo 3 tieu chi: if dong tai ho le, bOm le dao va thy nghiem Jones, sau 12 thang, nhom dSt dng doi CO ket qua thanh cong ve chyc nSng dan lu\j nu'dc mat: 90,0% cao hdn nhom dat dng ddn: 86,7%, khac biet khong co y nghia. thong ke

Tai bien chay mau trong khi phau thuat ea 2 nhdm ty 10,0% den 13,3%. Nhu^g tai bien phau thuat vao xoang, rach le quan t y 6,7% den !0,0%.

Sau phau thuat, mo hat xuat hien d ca 2 nhom, t y 10,0 den 13,3%, thu'dng thoai trien va het sau 3 thang. Tupt ong gSp d nhom dat ong dan:10,0%.

• Khoa MSt • Benh vien Chg Ray

Phan bign khoa hgc: PGS.TS Tran Minh Tru'dng

nhom dat dng doi la 3,3%, khae biet cd y nghia thi ke (p=0,04). Bit l6 thdng, hoi chdng Sump upxayra ca 2 nhdm nhu'nhau.

Ket luan:

Tuoi ciia benh viem tui le man thu'dng gap tif >1 den 50, ty le 55,2%, trung binh 46,3 tuoi.

Benh gap d nu' nhieu hdn nam d ca 2 nh6m,lil 53 nff (86,2%), 5 nam (13,8%).

- Sau phau thuat 6 thang si/ hoi phuc bdm nu'&n^

on dmh. Danh gia ket qua theo 3 tieu chi: ydpngl ho le, bdm le dao va thy nghiem Jones, sau 12 tliii nhdm dat ong doi cd ket qua tlianh cdng ve chii'c nin dan lu'u nu'dc mat: 90,0% cao hdn nhdm dStongiJil 86,7%. Nhung ve phu'dng dien thong ke, khac N khong co y nghia. Khi lya chpn loai dng nao defl cho benh nhan nen theo kmh nghiem, sy thanh W ciia bac sy thye hien phau thuat, tinh trang le iJaoci benh nhan,

Tir khoa: Viem tiii le man, Tiep khau till I? mH SUMIVIARY

COMPARATIVE STUDY O N THE RESULTSd SINGLE A N D DOUBLE S I L I C O N E TUBE I N T U B A T I O N I N DACRYORHINOSTOMV

SURGERIES AT CHO RAY HOSPHAL Purposes:

• To evaluate the effects on tear draining of single*

double silicone tube intubation in dacryortiinostf surgeries.

- To identify the approriate indications for sinc^H double silicone tube intubation.

Subjects and methods:

Methods: Longitudinal, clinical trials with contr*

Y HOC V l f r NAM THANG 4 - SO 1/2014 Subjects: Patients with chronic dacryocystitis

0 underwent dacryorhinostomy surgeries at Cho / Hospital from 01/01/2011 to 31/12/2011 and who s followed up for 12 months. Sample size: a senes cases which included 60 eyes and was divided into 2 )ups: treated with Mini-Monoka S1.1500 single cone tube intubation and with Sl.lOlO double cone tube intubation.

Results: 55,2% of patients were from >35 to 50 ars old; the average age was 46,3. There were more jmen than men, women/men ratio was 53 5,2%)/5(13,8%). Left eye: 51,7%. 2 patients ffered from chronic dacryocystitis in bodi eys ,4%).

The result of trea&nent was evaluated based on 3 teria: stagnation at ho le, lacrimal pump and Jones' St. After 12 monOis, the group with double tube ubatton had ttie better results in tear drainage than e group with single tube intubation (90,0% to i,7%). However, the diffence was not significant.

Bleeding during operations occurred for both groups, nging from 10% to 13,0%. Other complications such

; invasion into sinus and lacnmal lacerations occurred Dm 6,7% to 10,0%. After operations, granulation isues appeared In both groups, 10,0% to 13,3%. and iually disappeared after 3 months. Tube displacement r u n ^ In both groups, single tube intubation: 10,0%

Id double tube intubation: 3,3%. The difference was gnificant (p=0,04). Vent clogging. Sum up syndrome xurred at the same rate in both groups.

Conclusions:

Chronic dacryocystitis is most commonly seen in

»ple from >35 to 50 years old, on average 46,3 jars old. It was more commonly seen in women than 1 men, with women:men ratio being 53/5

Six months after operations, the recovery of lacrimal jmp was stable. The result of treatment was /aluated based on 3 criteria: stagnation at hd le, crimal pump and Jones' test. After 12 months, the roup with double tube intubation had the better

;sults in tear drainage than the group with single tube itubatlon (90,0% to 86,7%). However, the diffence as not significant. Therefore, the selection of the ibe to use should be based on the physician's Kperience and skills, as well as the status of the 3tlenfs lacrimal ducts.

Keywmxis: ChnDnc dacryocystitis, dacryorhinostomy.

'

OAT VAN O\

Dieu tr| b?nh viem tui 1^ man ti'nh la van die u'dc quan tam rat nhieu, nhSm phuc hoi mdt i c h sinh ly nhat du'dng dan luu nu'dc mat, tranh il p h i t v^ nhUng tai bien, bien chimg. Mar dii hSu thu$t tiep khau tiii 1^ - mui du'de thu'c hien

t y nam 1904 bdi Toti A. Trong mdt thdi gian dai, nhieu tae gia da co gang cai tien sao cho dat du'de nhffng muc tieu t r e n [ l ] , [ 3 ] , [ 4 ] , [ 7 ] . ^

Den nay, cd 2 xu hu'dng chinh la:phauj;huat til' ngoai vao va t y trong hdc mui ra bang^ndi sol, cd dat dng si- li cdn qua le_quan vao tiii le va hoc mui, nham tao ra du'dng dan lu'u tdt hdn, bao ton toi da cau true sinh ly ciia le dao[l],[2],[4],[5]^_

Cd nhyng quan diem khac nhau khi chon ong de thye hien phau thuat cho benh nhan. s y dung dng si-li-cdn ddn Mini - Monoka S l . 1500 hay dng si-li-cdn ddi S l . 1010 ddi khi cdn theo thdi quen hoac cam ti'nh. Thye chat, chpn loai nao cd anh hu'dng den quy trinh phau thuat, ket qua hay khdng chu'a du'de tra Idi thda dang.^Vi vay, nghien ciiu: "So sanh hieu qua phau thuat tiep khau tiii ie mui dat ong siiicon ddn va doi tai benh vien Chd Ray" 6\i<Sc thye hien, vdi eae muc tieu:

1. oinh gia hieu qua dan Idu nddc mat cua ky thuat dat ong sl- li- con ddn va doi trong phau thuat tiep khau tui le mui.

' 2. Chi dinh phu hdp cua ky thuat dat ong si- ll- con ddn va doi.

II. 0 0 1 TLTpNG VA PHtrONG PHAP NGHIEN CLTU 2 . 1 . Odi t u ' d n g n g h i e n cufu: benh nhan la ngu'di Viet Nam, viem till le man, du'de phau thuat tiep khau tiii le - miji, tai benh vien Chd Ray t y 01 thang 1 nam 2011 den 31 thang 12 nam 2011. theo ddi 12 thang.

- Cd mau: lay hang loat tru'dng hdp ngau nhien gdm 60 mat, chia 2 nhdm;

+ Nhdm 1: diing dng si-li-cdn ddn Mini - Monoka S l . 1500

-H Nhdm 2: diing ong si-li-cdn ddi S l . 1010.

- Tieu chuan lya chpn: nhffng benh nhan theo ddi dil thdi gian qui dinh, t y nguyen.

2 . 2 . Phu'dng p h a p n g h i e n cufu: tien CU^J, thye nghiem lam sang, cd nhdm ehirng.

2.3. Phu'cfng t i e n n g h i e n cu'u:

Bd bdm rya le dao

Ong si-li-cdn ddn Mini - Monoka 5 1 . 1500 va ong si-li-cdn ddi S l . 1010.

May ndi soi, ong ndi sol viing mui xoang du'dng kinh 4,0 mm, dai 180 mm, 0° hoae 30°.

May eat dot qua npi soi.

May CT Scan da day dau dd,

2.4. T h u t h a p va xuT ti so l i e u : x y li phan tich so lieu bang phan mem SPSS, Excel.

Y HOC VIET NAM THANG 4 - SO 1/2014

III. KET QUA

3.1 Ket qua ve djch te

Bang l:Tu6\ cua benh nhan

Tuoi

18-35

>35-50

> 50-65

>65 Tong sd

Oat dng ddn ( n - 2 9 )

So lu'dng

3 16 7 3 29

Ty le {%) 10,3 55,2 24,1 10,3 100,0

Dat ong doi ( n = 2 9 )

So li/dnq

2 16 8 3 29

Ty le {%) 6,9 55,2 27,6 10,3 100,0

Bang 2:G\d\ ti'nh cua benh nhan

Gidi Nam Nif Tong so

eatongadn(n=29) So iLfdnq

2 27 29

Ty le (%) 6,9 93,1 100,0

Dat ong doi (n=29) So lu'dng

3 26 29

Ty le (%) 10,3 89,7 100,0

Bang 3: Mat bi benh

tAat benli

Mat phai

Mat trai Hai mat Tong so

Oatongddn(n=30) So iLfdnq

12 16 2 30

Ty le (%) 40,0 53,3 6,7 100,0

Oat 6njdoi^n=30) So lu'dng

13 15 2 30

Ty le (%) 43,3 51,7 6,7 100,0

Bang 4: Nghe nghiep eiia berih njian_

Ngiie nghiep Van phong Nong dan Cong nhan Giao vien Nqhe khac

Tonq so

Oatong c So lu'dng

6 8 7 4 5 30

an(n=36i Tyle (%) "1

20,0 26,7 23,3 13,3 16,6 100,0

bat dngd6[^=3b) So lifdng

5 7 5 5 30

Ty le (%) 16,6 26,7 16,6 16,6 100,0 3.2. Ket qua ve chu'c nang dan lifu nu'dc mat

Bang 5. Tinh tranq ii donq

Oong nudc mat theo TG 2 tuan:

Co Khong 1thang:

Co Khong 3Thang:

Co Khong 6Thang:

Co Khong 12 Thang:

Co Khonq

nifdc mat ta ho le theo th Oat ong ddn (n=30) So lUdnq

9 21

6 6 24

7 23

6 24

Ty le (%) 30,0 70^0 20,0 80,0 20,0 23,3 76,7 20,0 80,0

61 gian [TG) Oat ong doi (n=30) So li/dnq

4 26

4 26

5 25 _

5 25

4 26

Ty le (%) 15,4 84,6 15,4 84,5 16,7 83,3 16,7 83,3 15,4 84,6

P 0,01 0,03 0.04 0,78 0,78 0,59 0,50

0,59

0,59

Y HOC Vier NMH THAHG 4 . s d 1/2014 Bang 6: Tinh tranq dan

Tinh t r a n g dan lu'u t h e o T G 2 t u a n ;

Tot Han che 1 t h a n g :

Tot Han che 3 Thang:

Tot Han che 6 Thang:

Tot Han che 12 Thang:

Tot Han che

IUu qua kiem tra bang bdm le dao theo thdi qian fTG) O a t ong ddn ( n = 3 0 )

So lu'dng 25

5 24 6 23 7 24 6 25 5

Ty le (%) 83,3 16,7 73,3 26,7 76,7 23,3 73,3 26,7 83,3 16,7

O a t dnq doi ( n = 3 0 ) Sd JLTdnq

25 4 25 5 27 3 26 4 27 3

Ty le (%) 86,7 13,3 83,3 16,7 90,0 10,0 86,7 13,3 90,0 10,0

P

0,78 0,78 0,78 0,78 0,03 0,02 0,06 0,03 0,06 0,03 gang 7 ; Tinh trang dan lu'u qua kiem tra bang nghiem phap Jones theo thdi qian Nghiem phap Jones Oat ong ddn ( n = 3 0 )

So lu'dng I Ty le (%)

O a t o n g d o i (n=3"o) So Itfdng I Ty le (%) 3 T h a n g :

( • < • ) 27

3 6 Th^ng:

90,0

28

2 28

2

93,3 _.6i7_

27 3

93,3 6,7

90,0

0,78 0,78 0,78 0.78 1 2 T h ^ n g :

(+) All

26 4

86,7 13,3

27 3

90,0 10,0

0,78 0,78 Bang 8: Ja\ bien trong phau thuat

Tai bien Chay mau Vao xoanq sanq

Rach le quan

D a t ong d So lu'ong

3 2 2

Jn ( n ; 3 0 ) i_Ty le ( » ^ i 10,0

6,7 6,7

Oat ong doi ( n = 3 0 ) So lu'dng

4 "

2 3

13,3 6,7 10,0

0.561 0,85 0,78 ! Bang 9: Bien chifnq sau p

Bien chu'ng Mdhat Dinh niem mac Bit lo thonq Tuot onq Hoi chirnq Sump up

iau thuat

Oat onq d 3n ( n = 3 0 ) So luong i T y l e ( % )

3 10,0 4

2 3 3

. J i 3 , 3 . . _ 6,7 10,0 10,0

Dat ong doi ( n = 3 0 ) So lu'dng

4 5 1 2

..lLiil%L

[ 1 4 3 16,7 _6i7

3,3 6,7

P 1.0 0^78

1,0 0,04 0,56

Y HOC VIET NAM THANG 4 - s u i w u m

IV. BAN LUAN

Yeu to dich t l : Tuoi ciia benh thu'dng gap d nhdm >35 den 50 vdi ty le 55,2%, trung binh 46,3 tuoi.

Phan bo d hai nhdm nghien ciiu khong khac biet cd y nghTa thdng ke, P= 0,42. Ty le nay eung phii hdp vdi eac nghien ciTu trong nu'dc nhu' Nguyen Anh Tai: 47,19%[2], Nguyen Hu'u Chu'c:

44,5%[1]. Vdi tac gia nu'dc ngoai nhu' theo Bazzazi N. tuoi trung binh ciia benh nhan la 49,2[4]. Benh gap d nU nhieu hdn nam d ca 2 nhdm, ty le 53 nff (86,2%), 5 nam (13,8%). Phii hdp vdi nhan xet ciia cac tac gia trong nu'dc va tren the gidi, benh nhan viem tae till le man gap d nff ludn cao hdn d nam[l],[2],[3],[5,i,[6].

Thdng ke ca 2 nhdm mat trai gap 51,7 %, cd 2 benh nhan bi benh ea 2 mat(3,4%). Theo mot so tae gia tren the gidi nhff All va cpng sir: mat trai cd ty le mac benh cao hdn do dac diem giai phau[3]. Song trong nghien cffu nay sff khac biet khdng cd y nghia thdng ke (p=0,24).

Ve nghe nghiep, benh cd the gap d cac nghe nghiep khae nhau. Song, trong nghien effu nay thay nhffng ngffdi lao ddng ehan tay, d viing ndng thdn, it cd dieu kien theo ddi, cham sdc ve mat, ed ty le mac benh cao hdn.

Ket qua dieu trj d 2 nhdm nghien cffu, ve chffe nang dan lu'u nffde mat, d nhdm dat ong ddn trong 2 tuan dau benh nhan edn ff dong nffde mat nhieu hdn, ed tdi 9/30 mat (30,0%)'khi kham cdn thay nu'dc mat dpng nhieu d ho le, trong khi nhdm dat ong ddi, ty le nay la 15,4%.

Sff khac biet cd y nghia thong ke (p=0,01). Dieu nay ed the ly giai, khi dat dng ddi tff lo le tren va dffdi, qua tui le vao hoc mui tao kha nang mao dan tdt, nen nu'dc mUt thoat de dang. O thdi diem 1 thang va 3 thang, thi sii ff dpng nffdc mat ciia 2 nhdm dan dan khac nhau khdng ed y nghia thdng ke.

Sau khi rut dng si-li-cdn, thdi diem 6 thang sff hdi phuc bdm nu'dc mat dan on dinh, nhom benh nhan dffdc dat dng ddi cd ty le cdn ff dpng nffdc mat: 16,7% thap hdn nhdm dat dng ddn:

23,3%. Tff_6 thang den 12 thang benh on djnh, ft cd thay dd'i. Nhff vay, vdi benh nhan sau phau thuat nen dffdc theo ddi thdi gian 6 thang, phii hdp vdi eae nghien effu trong nffdc va tren the gi6i.[lj,[2],[4],[5],E6]

Kiem tra bang each bdm le dao sau phau thuat eung la phffdng phap lam sach cac chat lang dpng tai vet mo va xung quanh dng si-li- cdn, tranh cac dieu kien thuan lpi lam dfnh, co keo. Ca 2 nhdm trong 3 thang dau khdng cd benh nhan nao d ca 2 nhdm bj tac hdan toan. Khi

bdm nu'dc cd cam giac nang tay, nu'dc tra ngu'de lai nhieu, han che lu'dng nffdc xudng mQ gap d nhdm dat ong ddn la 16,7%, vdi ong doll 13,3%. Ket qua nay, trong thang dau thay di khdng cd y nghTa thong ke giffa 2 nhdm. Nhuh den thang thff 3, nhdm dat ong ddn, so bail nhan han che dan Iffu eao hdn. Sff khae bietcd' nghTa thong ke. Oieu nay cd the do dat dng JE tao sir lu'u thdng lien tuc tff ho ie xudng mui to hdn. Sau 6 thang benh on djnh.

Sau khi rut ong si-li-c6n, thff nghiem Jone

6\f(ic thffc hien de kiem tra kha nang luti ttim

tff nhien cua nffdc mat tn^ng le dao. Thff r>ghipi Jones (+) d nhdm benh nhan dat dng dola hdn nhdm dng ddn, song khac biet khong co j nghia thong ke (p=0,78). Sau 12 thang, danhgH theo tieu chi nay, nhdm benh nhan dSt ong dfi cijng cao hdn: 90,0% va 86,7%.Nhffng 1 ^ khac biet cung khdng cd y nghia thong ke. Nlni vay, neu xet ket qua theo 3 tieu chi: ff dong t^

ho le, bdm le dao va thff nghiem Jones, sau 6^

12 thang thi nhdm dat ong ddi deu co kS quhi

chifc nang cao hdn nhdm dat ong ddn. Nhirtigvi

phffdng dien thong ke, khac biet khong oi y nghia. Khi iiTa chpn loai png nao de dat cho benli nhan nen theo kinh nghiem, sff thanh thuc oia bac sy thu'c hien phau thuat, tinh trang le da ciia benh nhan,

Xet ve tai bien trong khi phau thuat, trong nghien effu nay, gap chay mau trong khi phai thuat ca 2 nhdm tff 10,0% den 13,3%, khong khae biet cd y nghTa thong ke (p=0,56). Chay mau thu'dng khong tram trpng, co the cam bSi^

each ddt tai cho. Nhffng tai bien nhff phau thuaj vao xoang, rach le quan ta nhifng tai bien co tre xay ra, gap tff 6,7% den 10,0%. Oac biet vol dJt dng ddi, lu'u y den kha nang rach lo I? ho^c If quan khi dat ong.

Sau phau thuat, nhffng bien chiiYig gan nliii^

chay mau, nhiem trung, tupt ong trong nghlffl cffu nay khdnq gap, nhu^g phau thuat vien ii&

ludn dat ra de cd thai dp theo doi dimg milc,'^

tri kjp thdi. Md hat xuat hien d ca 2 nhom, ^ 10,0% den 13,3%, khong cd sff khac bietc6i nghia thong ke, thu'dng thoai trien va het sau 3 thang. Tupt ong xay ra sau phau thuat tren 1 thang gap d nhdm dat dng ddn nhieu hdn rf 10,0%, trong khi nhdm d3t ong dot la 3if^

khac biet cd y nghTa thong ke (p=0,04). Cd the dp png dffdc co dinh tpt hdn d nhdm 6ng dfil.

Bit lp thong xay ra d ca 2 nhom nhff nfw

hien tffdng nay lam tac le dao tai phat, oS W

phai phau thuat dat ong lai hoSc cSt nhOtig *

dfnh gay co keo. Hdi chffng Sump up cung $

70

^ M f « wjigY IMAM THANG 4 - SO 1f2014

©ng ca 2 nhdm. Hlen^ tu'dng nay lam ff dpng i/de niat d phia tren co tui le, lo thdng vao hoc iiul md eao. Mac dii bdm rffa le dao nu'dc van jong, thff nghiem Jones ( + ) , nhu'ng benh nhan

•an cd ff dong nu'dc mat d ho le, viem man tinh so dai, phu hpp vdi nhan xet ciia Jordan D.R., :9 cpng su* \J\ Khi gap tru'dng hdp nay, ed the

;hai md rpng lo thdng ve phfa du'di, tdi cd tui le.

;

,. K f r LUAN

[TUOI ciia benh viem tiii le man thu'dng gap tff

•35 den 50, ty le 55,2%, trung binh 46,3 tud'i.

[§nh g3p 6 nff nhieu hdn nam d ca 2 nhdm, ty le p nff (86,2%), 5 nam (13,8%).

,Sau phau thuat 6 thang sff hoi phuc bdm nu'dc ,lSt on djnh. Danh gia ket qua theo 3 tieu chf: ff Jpng tai ho le, bdm le dap va thff nghiem Jones, ,au 6 va 12 thang thi nhom dat ong ddi deu ed fit qua ve chffe nang cao hdn nhdm dat dng dn. Nhffng ve phffdng dien thong ke, khac biet ihdng cd y nghTa. Khi Iffa chpn loai ong nao de

\%t cho b i n h nhan nen theo kinh nghiem, sff

^anh thue cua bac sy thi/c hien phau thuat, tinh

^ n g le dao eua benh nhan.

TAI LIEU T H A M KHAO

1. Nguyen Hu'u Chufc va cpng su* (2005), "Nghien ciru u'ng dung phau thuat tiep khau tui le - mui qua noi soi, iJat ong silicone", Yhoc Viet Nam sd9 -314,tr. 1 5 - 2 1 .

2. N g u y i n Thj Anh Tai, Tran Binh Lap (2004),

"Bu971c dau danh gia phau thuat noi soi noi thong dng le mui qua du'dng mui", Tap chi nhan khoaso4, trl94-198

3. All A., Ahmad T.A., (2001),

"Dacryocystorhinostomy a review of 51 cases", Pak J. Ophthalmol, 17, pp.122-128

4. Bazzazi N., et al. (2013), " A study of relation between silicone tube removal time and results of external dacryocystorhinostomy with intubation".

Life Science Journal, 10,(1), PP- 87-91 5. Daniel S.K., et al (2005), "Endoscopic nasal

dacryocystorhinostomy: results and advantages over the external approach". Rev. Bras aorrhmoiartrgol, V.71, N. 03, pp. 356 - 360.

o. Fayet B., Racy E., Halhal M., et al (2000),

"Endonasal dacryocystorhinostomy with protected drill", 7. Fr. Ophthalmol, 23, pp. 321 - 326.

7. Jordan D .R., et al (1993), "Failed dacryocystorhinostomy: the sump syndrome".

Ophthalmic Surg, 24, pp. 692 - 693.

OAC DIEM LAM SANG, CHAN DOAN HINH ANH VA KET QUA PHAU THUAT CHAN THU'aNG COT SONG NGITC THAT LU'NG

CO LIET TUY TAI KHOA PHAU THUAT THAN KINH BENH VIEN VIET DirC

NHuyen Vu*, Duo'ng Wai Ha*

rbM

TAT

Mgc dich: O^nh gid k€t qua dieu tn phau thuat tSn thuong cpt sdng ngu'c thdt lung tai khoa phau hu$t thSn kmh benh vien Viet Offc trong thdi gian

>/2011 • 4/2012. Phu'dng phap nghien cuTu: nghien :ulj mo t^, tien ciru, khong ddi chffng. Ket qua: ty le lam/nu': 2, tuoi trung binh ciia benh nhan la 32,3, ihdm tuoi gSp nhieu nhat 20-29 tiioi (37,5%), vi tri hu'dng g9p la T12 va L l . Chu yeu la tai nan lao dpng 61,1%J, da so cd v3 cpt song phffc t?p kem gay trat

^61 ty le ton thu'dng tuy khong hoan toan 75%. Hep ing sSng tren 50% cd ti I? tdn thuong than kmh cao ldn. KSt lu$n: Danh gia ket qua sau mo tren lam iing vS chup Xquang: ton thUOng tiiy khdng hoan odn hoi phgc tot sau mo.

' Bg mdn Ngo^i dudng Dgi hgc YHa /Tp*

»Aifl bl$n khoa hgc: PGS.TS Nguyen Cong To

S U M M A R Y

THE SURGICAL OUTCOME OF THORACO- LUMBAR SPINE I N J U R Y P A T I E N T S W I T H

NEUROLOGIC DEFICIT I N V I E T DUC HOSPITAL Objectives: Evaluate the surgical outcome of theneurologic deficitthoraco-lumbar spme injurypatientsm penod from 6/2011 to 4/2012.

Results: male/female rate: 2, mean age: 32.3 years old, in which the age group of 20-29 years olds major (37.5%).The most common level lesion wereT12 and Ll. Common causes: working accident (61.1%).

Complex and dislocated spine fracture with both complete and incomplete spinal cord injury: 75%.%, Patients with lumbar canal stenosis > 50% had the