Y HQC VIET NAM THANG 9 - s6 1/2013
NGHIEN CU'U KET QUA KHAM CHU'A BENH CHO BO DOI N G H ! HU'U, THAN N H A N Q U A N N H A N CO THfi B A O HIEM Y T^ TAI BENH VIEN
TWQD 1 0 8 TRONG 7 N A M ( 2 0 0 6 - 2 0 1 2 )
Do Hok Binh*, Duong Chi Chung' T6MTAT
Tff nam 1997, Benh vien Trung u'dng quan dpi 108 da tham gia kh^m benh, chffa benh cho can bp quan dpi nghi hilu va than nhan quan nhan. De'kham benh, chiJa benh ngay c^ng tot hcJn, tff nSm 2009, Benh vien da cung co lai quy trinh kham benh. fiuc tieu: danh gia hieu qua quy trinh kham benh, chffa benh mdi cho benh nhan la bp dpi nghi hUu va than nhan quan nhan cd the bao hiem y te. Do? tddng va pftddng phap nghien ah/: cac chi so kham benh, chijS benh cho bp dpi nghi hull va than nhan quan nhan. Md ta cat ngang, hoi cffu va so sanh giii'a 2 giai doan. Ketqaa:So sanh so lieu giffa 2 giai doan 2009- 20i2 va 2006-2008, cho thay: Sd lUdng benh nhan kham benh tang 1,6 (an, benh nhan noi tru tang 1,4 i n (p<0,01). Ty le sff dung giudng benh van chiem khoang 24%, tuy nhien , sau 7 nam, so giu'dng benh da tang gap 1,4 ian. Ngay nam dieu tri trung binh giam 1,5 - 1,9 ngay sau 7 nam. Ket luan: sau khi cai tien iai quy trinh kham benh, chffa benh cho benh nhan la bp dpi nghi hUu va than nhan quan nhan, cac chi tieu chuyen mon dUpc tang cao.
TO'khoa: Bao hiem y te, bp dpi nghi hu\i, than nhan quan nhan, Benh vien 108.
SUMMARY
Studies on t h e results of medical examination and t r e a t m e n t for retired
military officers and military family members with health insurance w i t h the
108 Military Central Hospital during t h e last 7 years ( 2 0 0 6 - 2 0 1 2 ) Backgrounds: Since 1997, The 108 Military Central Hospital participated in medical care for retired military officersand military family members. To better care and freat patients, since 2009, the Hospital has consolidated the examination prcKress. Objective: To evaluate the effectiveness of the new medical examination and treatment process for retired military officers and military family members with health insurance card. Subjects and Methods: Using the medical examination and treatment indicesfor retired military officers and military family members, Cross-
BSnh vien Trung udng Quan doi 108 Phan bi0n khoa hoc:GS.TS. O^o Van Dung
sectional descriptive study, retrospective and comparison between the 2 periods. Results:
Comparison of data between the two periods, 2009 to 2012 and 2006 to 2008, showed that: The number of patient visits for medical examination increased 1.6 times, inpatient increased 1.4 times (p <0,01). The hospital bed occupancy rate was still approximately 24%, however, after 7 years, the number of beds increased 1.4 times. After 7 years, the hospital stay for treatment on the average decreased from 1.5 to 1.9 days. Conclusion: After the medical examination and treatment process for retired military officers and military family members has been improved, all medical and professional indices increased.
Keywords: health insurance, retired military officers, military family members, 108 Hospital.
I. OAT VAN OE
Benh vien TL/QD 108 ngoai nhiem vu phuc vu bp dpi tai ngi] van tiep nhan kham benh, chiJa benh bp dpi nghi hu'u va than nhan quan nhan.
TiJ" nam 1995, benh vien da tiep nhan kham chiJa benh cho nhan dan co the bao hiem y te (BH\T).
Nam 1997 bp dpi nghi hUu va nam 2000 than nhan quan nhan cung thi/c hien kham chu'a benh theo hinh thu'c BHYT. Viec thUc hien BHYT la mot phu'dng thu'c dam bao chi phi kham chij^ benh tien tien va nam trong 16 trinh tien tdi BHYT toan dan. Kham chffa benh theo hinh thu'c BHYT dam bao thuan tien va cong bang hdn cho bpl dpi nghi hu'u va than nhan quan nhan. Mat khac cac benh vien quan doi co them nguon ngan sach bo sung, dam bao tot hdn cho viec phuc vu mpi doi tu'dng benh nhan trong benh vien.
Tiy nam 2009, Benh vien da trien khai nhieu bien phap ve to chu'c lai khu vi/c kham benh, xet nghiem va thu dung dieu trj cho benh nhan BHYT, trong do dac biet chu trpng doi tu'dng benh nhan la can bp quan dpi da nghi hu'u va than nhan quan nhan, day chinh la mot trong nhiJng nhom benh nhan truyen thong cua benh vien quan dpi.
Oe cd cd sd danh gia viec trien khai cac bien phap tren, chung toi tien tianh nghien cu'u ket qua kham chij^ benh cho bp dpi nghi huXi va
Y Hpc VigT NAM THANG 9 - 861/2013 than nhan quan nhan co th4 BHYT tai B?nh vl|n
"R/QO 108 trong 7 nSm (2006-2012) nhSm muc tieu; Canh gia hi?u qua cac bi|n ph^p cai tien quy trinh to chirc kham chijs benh cho benh nhan BHYT ia bp dpi nghi hu\j va thSn nhan quan nhan.
II. odiTUPNG VA PHl/ONG PHAP N G H I I N CLTU 2.1. eoi ur^ng nghidn cii'u
- To chirc kham benh, thu dung dieu trj cho bp doi nghi hiln (BOH) va than nhan quan nhan (TNQN) la cac dpi tu'dng bSt bupc phai co the BHYT khi kham chOa benh theo luat BHYT.
- Hoat dong can lam sang phuc vu benh nhSn IS BDH va TNQN.
- Ket qua hoat dpng chuyen mon ciia Benh vien trong 7 nSm 2006 den 2012 the hien qua cac bao cao thong ke.
2.2. Phu'dng ph^p nghien cii'u Thiet ke nghien ciru: Mo ta cSt ngang, hoi ciru, phan tfch so lieu thir cap.
- So sanh so lieu kham chiJa benh cho benh nhan BHYT la BDH va TNQN trong _2 giai do?n trUcfc va sau cac bien phap cai tien cong tac kham chOa benh (2006-2008 va 2009-2012).
2.3. Cac giai phap to clliirc kham chu'a benh cho b$nh nhan BHYT ia bo dpi nghi hifu va than nhan quan nhan
2.3.1. To chu'c IdtamlJenh, dieu tri ngoai tru - Bo tri khu vi/c kham benh: ngoai khu kham benh, to chirc lam xet nghiem cho benh nhan den kham benh ngay tai khoa kham benh
- To chirc 1^1 khu vu-c den tiep benh nhan: BN la BOH va TNQN CP the BHYT du-pc don tiep tai 1 khu vi/c riSng. Benh vien md cira khu tiep don hang ngay tir 6g30
- Cac khoa lam sang luan phien cir cac bac sy co trinh dp tien sy, chuyen khoa cap 2, thac sy ra kham benh
- l i m bang hudng dan Quy trinh kham jienh cho benh nhan. Ke vach mau chi duclng de chi dan bSnh nhan den cac khu vi/c xet nghiem__
. Cing dung cong nghe thong tinuTrlen khai he thong mang npi bp. Cac ket qua xet nghiem smh hda, huyk hoc dUpc tra qua mang. Tren website ciia benh vien md 1 muc hu'dng dan quy trinh kham benh va sd do benh vien
2.3,2. Tocliuic tttu dung dieu tri - Thu dung: Benh nhan la BOH duBc thu dung dieu tr| nhu' can bp quan dpi ciing cap bac. TNQN co the; BHYT thu dung dieu trj tai cac khoa chuyen khpa cua benh vien.
- Thu'c hien cac ky thuat: Benh vien sir dung cac trang thiet bj hien dai hien ce phuc vy kham iaenh, chan doan va dieu tri cho mpi doi tuWng benh nhan.
Thanh toan chi phi dieu tn qua he thong mang npi bp theo djnh mij'c quy djnh cua cac van ban hu'dng dan BHYT.
2.4. Xir iy so li$u: Sir dung phan nian EXCEL va thong ke STATA.
iil. KET QUA NGHiEN Ciru 3.1. Kham benh
Bang lisa lu'dng benh nhan BHYT la bp dpi nghi hull va than nhan quan nhan kham benh
benh BOH
TNQN Cong 2 doi tUdnqTong so KB/BV
Tyle2 OT/tong
so i doan
OOn V!
lu'dt lu'dt lUdt lu'dt
%
2006-2
M8 va 2 309-20: 2.
Giai doan 2006-2008 200
6 4047
9 4305 4478 4 1966
39 23
200 7 4186
2 6410 4827 2 2014
89 24
200 S 4182
0 1062
4 5244
4 2176
69 24
A' ± SD 41387
±787 7113
±3218 48500
±3835 205265
±11012
Giai doan 2 0 0 9 - 2 0 1 2 200
9 5158
7 2112
9 7271
6 2922
13 25
201 0 5300
4 1760
5 7050
9 3085
30 23
2 0 1 1 6295
9 1820
7 8116
6 3782
92 21
2 0 1 2 7048
4 2086
9 9135
3 4155
70 22
X±SD 5 9 5 0 8
± 8 8 9 6 19452
± 1 8 0 6 7 8 9 6 1
± 9 4 3 7 3 4 8 6 5 1
± 5 8 1 7 1 P
<0,01
<0,01
<(!,0l
<()/ll
;
Y HQC VIET NAM THANG 9 - SO 1/2013
Solut^ kham tj&th ct/a benh niian la BDH va TNQN iMn diiem khoang 21 - 25% taig sdbenh nfian kham diung toan benh vien va g^i doan sau tBng hdn giai doan trudt 1,6 lan, coy nghia thong ke(p <0,01)
3.2. Ci'p c&u
Bang 2i So lu'dng benh nhan BHYT la bp dpi nghi hu'u va than nhan quan nhan cap cuXi trong 2 giai doan 2006-2008 va 2009-2012
Cap cijru
BOH
TNQN Cong 2 doi tu'dngTong so CC/BV
T y l | 2 OT/tong
so Ddn
vj ludt lupt lUdt Wpt
%
Giai doan 2006-2008 200
6 1583
584 2167 1062 1 20
200 7 1716
695 2411 1153 3 21
200 8 1738
978 2716 1096 2 25
^ ± 5 0 1679
±84 752
±203 2431
±275 11039
±461
Giai doan 2009-2012 200
9 618 381 999 5135
19 201
0 593 295 888 5176
17 201
1 486 330 816 6561 12
201 2 639 325 964 7236
13 A'±SD
585
±68 333
±36 917
±86 6027
±1044
P<0,01
<0,01
<0,01
<0,01
Soluang cap cuV benh nhan cap cuV la BDH va TNQN trong giai doan tru'dc chiem tir 20% den 25%, g'lal doan sau chi chiem 12-19%. Tong so ca cap cuV cua BDH va TNQN giai doan sau chi bang 1/3 giai doan tru^c, co y nghia thong ke (p < 0,01). Do tir nam 2009, benh vien guy djnh iai viec thong ke BNcap cuU phai dung tieu chuan chuyen mon.
3.3. Thu dung
Bang 3: So lu'dng benh nhan BHYT la bo doi nghi hiTu va than nhan quan nhan thu dung tronq 2 qiai doan 2006-2008 va 2009-2012
Thu dung
Odn Giai doan 2 0 0 6 - 2 0 0 8 2 0 0 2 0 0
7
200
8
X±SD
Giai G j a n 2 0 0 9 - 2 0 1 2
200
9 201
0
201 2
X±
SD 406
5
4235
± 1 5 7
4937
± 1 6 0 <0,01
TNQN 1252
± 2 8 4
2489
± 2 2 8 <0,01 , Cong 2
doi tirdnq 505
7
5487
±437
7426
± 2 5 6 Tong so
TD/BV
254 75
2784 4
2 9 7 1 1
27677
± 2 1 2 3 3593
9 3779
2
4790 1
41598
± 5 6 6 4 <0,01 T y l e 2
OT/I^ng
SoluUng thu dung
benh nhan la BDH va TNQN thu dung thu'dng xuyen chiem tir 16 den 21% tong so benh nhan toan benh vien, giai doan sau tang hdn giai doan truifc 1,4 iSn, co y nghia thong ke (p < 0,01).
3.4. Ty l | SU' dMng gii/dng
Bieu do 1: Ty le sii dung giu'dng ciia BN BHYT la bo doi nghi hu'u va than nhan quan nhan trong 7 nSm (2006 - 2012)
Y HQC VigT NAM THANG 9 - s 6 1/2013
S6 GIUd^G B^NH
Ty ie sd dung giddng benh cho BDH va TNQN van chiim khoang 24% hang nim, nhdng sdgiu^
benh nam 2012 tang gap 1,4 lan nBm 2008. Do dd, so giddng sd dung cung tSng khoang 1,4 land giai doan sau
3.5. Ngay dfeu trj t r u n g binh 1 benh nhan
Bieu do 2: Ngay dieu t n trung binh cua Benh nhan BHYT la bo dpi nghi huTj va than nhan quan nhan trong 2 giai doan 2007-2008 va 2009-2011
3 10 • 5 8 -
5 6- i 4.
2 • 0 -
'k 1
1 L 1 L
N2009r \i r r -! \ O Chung BBHQ • BHTN
N A M
Ngay nam dieu tri trung binh ciia benh nhan BDH va TNQN giam 1,5-1,9 ngay sau 7 nam.
3.6. X e t nghiem
Bang 4: So lu'dng xet nghiem huyet hpc, sinh hoa, mien dich, vi sinh vat ciia benh nhan BHYT la BSH va TNQN trong 2 giai doan 2006-2008 va 2009-2012 (ddn vj: 1000)
Y HQC VigT NAM T H A N G 9 - SO 1/2013
Xet nghiem
BOH Tfing so
XN/BV BOH/tonq so
Odn vj XN XN
%
Giai doan 2006-2008 200
6 372 1893
20 200
7 369 2052
18 200
8 434 2355
IS
x±
SD 392
±37 2100
±235
Giai doan 2009-2012 200
9 529 3354 16
201 0 527 3545 15
201 1 588 5173 11
201 2 635 5793 11
X±
SD 570
±52 4466
±1204 P
<0,01
<0,05
So Iudng xet nghiem thdng thddng phuc vu benh nhan la BDH hang nam chiim td 11 din 20%, giai doan sau tang 1,5 lan, cd y nghia thong ke (p < 0,01)
3.7. X quang
Bang 5: So lu'dng chup X quang thong thu'dng cua benh nhan BHYT la bp dpi nghi YwSu trong 2 qiai doan
X quang BOH Tong so
XQ/BV Tyje2 OT/tonq so
.006-2 Odn
vj lan l^n
%
0 8 v a 2 )09-201 2 Giai doan 2006-2008 200
6 2042
1 1178
64 17
200 7 2896
3 1230
03 24
200 8 1852
1 1430
55 13
X±
SD 22635
±5562 127974
±13311
Giai doan 2009-2012 200
9 174 43 169 968 10
201 0 166 72 185 389 9
201 1 178
12 236 457 8
201 2 194
89 256 163 8
X±
SD 17854
±1189 211994
±40920
P>0,05
<0,05
So Iudng diup X quang thdng thddng cua BDH chiin khoan 8 den 17% tong so chup toan benh vien hang nam, giai doan sau giam tjang 0,8 lan so vdi giai doan trddc nhuhg khdng cd y nghia thong ke (p>0,05).
Bang 6: So lu'dng chup CT Scanner, MRI cua benh nhan la BDH trong 2 giai doan 2006-2008 va 2009-2012
CT, MRI BBH Tong so CT,MRI/BV Tyje2 OT/tonq so
Odn vj lirpt lUdt
%
Giai doan 2006-2008 2006
491 6284 8
2007
613 7050
9 2008
669 7999 8
X±
SD 591
±91 7111
±859
Giai doan 2009-2012 2009
752 12017
6 2010
925 14711
6 2011
1085 18985 6
2012
1359 24164
6 X±
SD 1030
±258 17469
±5306 P
<0,05
<0,05
So Iudng chup CT scanner va MRI cho benh nhan la BDH chiem td 6 den 9% tong so chung toan benh vien, giai doan sau tang 1,7 ian so vdi giai doan trddc, cd y nghia thong ke (p <0,05).
3.8. Chan doan chuTc n3ng
Bang 7: So lu'dng chan doan chirc nang cua benh nhan la bp dpi nghi hu'u trong 2 giai doan 2006-2008 va 2009-2012.
CBCN BOH
Odn vj Un
Giai doan 2006-2008 200
6 1180
7 200
7 1353
6 200
8 1572
9
^ • ± 5 0 13691
±1966
Giai doan 2009-2012 200
9 167
94 201
0 161 69
201 1 188 50
201 2 189 95
A'±SD 17702
±1433
P<0,05
Y
HpC VI$T NAM THANG 9 - Sd 1/2013 Tong soCOCN/BV T y l e 2 OT/tonq s o
Lan
%
8 9 0 9 9
13
1040 9 9
13
1221 52 13
105117
±16550 157 585 11
160 641 10
206 459 9
255 652 7
195
±46153 <0,05
SSiWdng ky thuat chan doan chu'c nSng BN la bp dpi nghi huh chiem tii 7-13% tong so chung toan benh vien, giai doan tSng gap 1,3 lan so vdi giai doan tru'dc, co y nghia thong ke (p<0,05).
3.9. PhSu t h u a t
Bang 8: So lUdt phau thuat cua benh nhan BHYT la bp doi nghi hull va than nhan quan nhan trong 2 giai doan 2006-2008 va 2009-2012.
PhSu thuat BOH
TT^QN Cong 2 doitu'dng Tong so
RT/BV
Tyle2 OT/tonq so
Odn vj ca ca ca ca
%
Giai doan 2006-2008 200
6 639 136 775 1203
2 6
200 7 794 212 1006 1311 5 8
200 8 806 159 965 1349 9 7
^ • ± 5 0 746
±93 169
±38 909
±135 12882
±761
Giai doan 2 0 0 9 - 2 0 1 2 • 200
9 791 372 116 3 157 28
7 201
0 774 319 109 3 170
23 6
201 1 803 404 120 7 197 50
6 201
2 808 429 123 7 195 96
6 A ' ± S D
794
±15 381
±47 1175
±63 18024
±1977
P>0,05
<0,01
<0,01
<0,01
So iudng phau thuat cua benh nhan la BDH va TNQN chi chiin 6 - 8%, giai doan sau tang 1,3 vdi giai doan trddc, coy nghia thong ke (p<0,01).
lan so
IV. BAN LUAN
Sau khi Benh vien to chu'c lai cac quy trinh kham benh, xet nghiem, thu dung doi tu'dng benh nhan BHYT la t)p dpi nghi hu'u va than nhan quan nhan, ket qua kham chiya benh giai doan 2009-2012 so vdi glai doan 2007-2008 da c6 nhu'ng tien bo ro ret;
4 . 1 . Ve k h a m b^nh, t h u d u n g , cap cu'u So lu'dng kham benh, thu dung cua benh nhan la BDH va TNQN luon chiem khoang 2 0 % tong so benh nhan chung toan benh vien va giai doan sau tang hdn giai doan tru'dc 1,'4-1,6 lan, CO y nghTa thong ke (p < 0,01). Cac tru'dng hdp cap CLhJ do viec thong ke dung tieu chuan chuyen mon nen giai doan sau co giam hdn giai doan tru'dc.
4 . 2 . Ve sii dung giu'dng benh va ngay nam dfeu trj t r u n g binh
Tir nam 2006 den nam 2012, so giu'dng ke hoach cua benh vien tang lien tuc, tu* tang 900 giu'dng len 1260 giu'dng, gap 1,4 lan. Ty le su"
dung giu'dng benh cho BOH va TNQN van ciiiem khoang 2 4 % hang nam. Do dd, so giu'dng sir dung thi/c te cung tang khoang 1,4 lan d giai doan sau. Ngay nam dieu tri trung binh cua benh
nhan BOH va TNQN giam 1,5 - 1,9 ngay sau 7 nam. Rieng BOH co ngay dieu tri trung binh cao hdn 2 ngay so vdi ket qua nay cua benh vien.
4.3. Ve thu'c hien cac ky thuat c$n lam sang Cac xet nghiem can lam sang tang nhanh va benh nhan BHYT la bci dpi nghi hu\i va thSn nhan quan nhan cung du'dc hu'dng ldi tCr cac djch vu ky thuat nhu": xet nghiem thong thu'dng, y hoc hat nhan, sinh hoc phan tir, CT scanner, MRI, chan doan chirc nang. Cac xet nghiem nay giai doan sau tang hdn giai doan tru'dc t i r 1,3 den 1,7 ISn (trir chup X quang) vdi ( p < 0 , 0 5 ) .
4 . 4 . V e phau t h u a t
So lu'dng phau thuat cua benh nhan BDH * TNQN chi chien 6 - 8 % , giai doan sau tang M lan (p<0,01). Vdi so lu'dng kham benh va thu dung chiem khoang 2 0 % , nhu^g phau thuat ( ^ chiem khoang 7 % , cho thay: benh nhan l a B ^ va TNQN chu yeu vao dieu tri noi khoa. N f i ® | benh nhan thupc 2 nhom doi tu'dng tren di/oc thyc hien cac phau thuat ky thuat cao nhu*: Phau thuat^tlm m d , ghep mach nhan tao, thay khdp, chuyen vat tiT do, chuyen gan dieu tri liet chi, ^ stent thu'c quan, tiem te bao goc, tr^rig noi d f the dirt rdi, phau thuat npi soi cac chuyen khoa;
npi soi lay soi mat tuy ngu'dc dong, xa phau cac u nao...
60
Y HQC VigT NAM THANG 9 - s6 1/2013
V. K ^ L U A N
1. VS hieu qua chuyen mon ciia viec ciing co lai quy trinh kham chife benh: Benh nhan BHYT la b& dpi nghi huXJ va than nhan quan nhan du'dc kham benh, cap ciru, thu dung tai Benh vien Tl/QD 108 tang nhanh qua tifng n3m. Trong kham chijta benh, benh nhan BHYT du'dc sir dung nhieu ky thuat can lam sang, k9 thuat cao phuc vy cho chan doan va dieu tri. Ngay nam dieu tri trung binh 1 benh nhan giam nhutig van cao hdn ket qua nay ciia benh vien, the hien sd u\i tien cua benh vien doi vdi 2 doi tu'dng nay.
2. Cac giai phap ve to chu'c kham chiici b^nh cho benh nhan da phat huy tac dung tot. Benh nhan la can bp quan dpi nghi hu'u va than nhan quan nhan tuy chuyen hinh thirc dam bao kinh phi kham chCTa benh, nhutig van du'dc benh vien phuc vu CO hieu qua va ngu'dc lai Benh vien van CO Slit thu hut doi vdi nhom benh nhan nay ndi rieng va cac t^enh nhan nhan dan khac noi chung
the hien qua so lu'dng cac chi tieu thu dung dieu trj va ky thuat deu tSng.
TAI LIEU T H A M KHAO
1. Benh vien TWQD 108, C^c bao cao thong ke sd lieu hoat dong hang thang trong nSm 2006 - 2012, Tai li^u luu tru'.
2. Bao cao hoat dong chuyen mon ky thuat ciia cac khoa lam sang va can lam sang Benh vien Trung uong Quan doi 108.
3. Bp Quoc phong (1995), Thong tU SO 804/TT-QP ngay 6.5.1995 cua Bp trUdng 66 Quoc phong hu'dng dan thuc hien Nghi dmh 95/CP cua Chinh phu ve thu mfit phan vien phi trong cac benh vien quan d6i.
4. Oo Hoa Binh, Benh vien quan dpi tham gia kham, chija benh Bao hiem y te. Bao hiem xa hpi Quan doi, so 1/2010, tr 28-30.
5. Cue Quan y (2002), Tai lieu hu'dng dan thong ke Quany, Nha xuat ban QDND, tr 22-38.
6. Quoc hoi Nu'dc CHXHCN Viet Nam, (2008), Luat Bao hiem y te
7. Quoc hoi Nu'dc CHXHCN Vi^t Nam, (2009), Luat Kham benh, chUs benh.
NGHIEN CU'U LAM S A N G V A CHUP CAT LffP VI TINH U NHAY TRAN S A N G TAI BENH VIEN TAI MUI HONG TRUNG U-CTNG
Tfr THANG 1 / 2 0 0 0 DEN THANG 8 / 2 0 0 5
T O M TAT
Myc ti^u; Nghien cii'u lam sang va chup Ccit Idp vi tinh u nhay tran sang tai Benh vien Tai Mui Hong Trung U'dng tir thang 1/2000 den thang 8/2005. Doi ti/^ig va phu'dng phap nghien cu'u gom 40 benh nhan ( 31 hoi cult, 9 tien CU\J ) dUdc chan doan u nh3y sang tran tai Benh vien Tai mui hpng trung uong tiJ" nSm 2000-2005. Cac doi b/png nghien ciru theo phu'dng phap phan tich mo ta tijtig ca, gom hai nhom hoi^ ciTu va tien ciili. Ket qua nghien cu'u: cac trieu chutig lam s^ng chinh gom trieu chiTng cd nSng ve mat nhieu hdn cac trieu chiTng mui xoang, tneu chiTng th^c th^ ve mSt chu yeu la ioi mat ( 77,5%). Npi soi thay hinh anh dSy phong khe giu^ la chii yeu. C3t Idp
Binh vien Dai hoc YHa Noi
Phan bi0n khoa hgc: PGS.TS. Pham Khanh Hoa
Pham Huy Tan
vi tinh CO vai tro quan trpng de thay dUpc hinh anh ben trong u nhay nhu' tieu xu'dng, day don xoang va nhan cau ( 100%), ty trpng dong^nhat, xam lan chii yeu vao 6 mat va tac phirc hdp lo ngach. Ket luan:vai tro trong chan doan u nhay sang tran ciia Cf so vdi iam sang, npi soi va XQ noi trpi han.
Tif khoa: U nhay xoang tran sang, c3t Idp vi tinh ciia u nhay.
S U M M A R Y
Clinical reseach and C. T scan Mucoceles of Fronto-ethmoidal sinus at National Hospital
of Otorhinolaryngology from 1/2000 to 8/2005 40 patients with diagnosis of mucoceles of the fronto - ethmoidal sinus were treated at National
