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Nhận xét một số đặc điểm kỹ thuật trong phẫu thuật nội soi điều trị tràn khí màng phổi tự phát nguyên phát tại Bệnh viện Quân Y 103
Main Article Content
Abstract
Objective: to evaluate the result of endovenous laser treatment for venous insufficiency.
Methods: this is a cross-sectional study including the patient with venous insufficiency who underwent diagnose and treatment at hue central hospital
Results: Lower limb venous insufficency (VI) is common. This disease is diagnosed by clinical symptoms and echodoppler. The surgical treatment remains a main method for this disease. Recently, there are many alternative methods for this disease such as sclerotherapy, radiofrequnce and laser ablation. Laser is
one of effective methods for VI. Between december 2014 and november 2015, there were 72 patients with VI at stage C2-3 (CEAP classification) underwent
endovenous laser ablation. Patients were from 20 to 78 years old with female and male ratio at 4/1. Patients with internal saphenous insufficency were 98,6% (71 cases) and only 1.4% with external saphenous diease. Most of them were treated with laser wavelength at 1470mm, power at 6-10W. There were 4 patients needed phlebectomy and 8 patients associated with sclerotherapy. Most of cases underwent local anesthesia, except for 4 patients needed spinal anesthesia (8%). The initial results were good, there were no complication related to the procedure. Most of patient were no pain after procedure. The number of patient with mild (no need of antalgics) and severe pain (needed fort antalgics for 5 days) after laser ablation were 4 cases and 1 case, respectively. 46 patients could return to daily activities at the day later.
Post procedure echography results at one week period: 100% of cases presented sclerosant veins and no intravenous flow, no deep venous thrombose. There were no recurrence at 3 and 6 month of medical revisit.
Conclusion: endovenous laser treatment is a method of preference for VI because of its advandtages such as miniinvasive technique, high successive
percentage, minime complication, high aesthetics and early to return daily activities.
Article Details
Keywords
: primary spontaneous pneumothorax, thoracoscopy
References
2. Hoàng Thị Quế, và cộng sự (2003), "Biến chứng của điều trị phòng ngừa tái phát tràn khí màng phổi tự phát bằng bơm talc nhũ tương qua ống dẫn lưu màng phổi", Tạp chí Y học TP Hồ Chí Minh, Tập VII, Tr 96 - 101.
3. Nguyễn Thế Vũ (2003), "Nghiên cứu đặc điểm lâm sàng, Xquang và chỉ định điều trị tràn khí màng phổi tự phát", luận văn thạc sỹ Y khoa, Đại học Y Hà Nội.
4. Ambrogi MC, Zirafa CC, Davini F, Giarratana S, Lucchi M, Fanucchi O, Melfi F, Mussi A. (2015), Transcollation® technique in the thoracoscopic treatment of primary spontaneous pneumothorax. Interact Cardiovasc Thorac Surg. Apr;20(4):445-8.
5. Chiu CY, Chen TP, Wang CJ, Tsai MH, Wong KS. (2014), Factors associated with proceeding to surgical intervention and recurrence of primary spontaneous pneumothorax in adolescent patients. Eur J Pediatr. Nov;173(11):1483-90.
6. How CH, Tsai TM, Kuo SW, Huang PM, Hsu HH, Lee JM, Chen JS, Lai HS. (2014), Chemical pleurodesis for prolonged postoperative air leak in primary spontaneous pneumothorax. J Formos Med Assoc. May;113(5):284-90.
7. Parrish S, Browning RF, Turner JF Jr, Zarogoulidis K, Kougioumtzi I, Dryllis G, Kioumis I, Pitsiou G, Machairiotis N, Katsikogiannis N, Tsiouda T, Madesis A, Karaiskos T, Zarogoulidis P. (2014), The role for medical thoracoscopy in pneumothorax. J Thorac Dis. Oct; 6(Suppl 4):S383-91.
8. Young Choi S1 , Beom Park C, Wha Song S, Hwan Kim Y, Cheol Jeong S, Soo Kim K, Hyon Jo K. (2014), What factors predict recurrence after an initial episode of primary spontaneous pneumothorax in children? Ann Thorac Cardiovasc Surg. 2014;20(6):961-7