{"id":11622,"date":"2024-05-21T14:51:55","date_gmt":"2024-05-21T07:51:55","guid":{"rendered":"https:\/\/benhviendaihocyhaiduong.com\/?p=11622"},"modified":"2024-05-21T15:17:19","modified_gmt":"2024-05-21T08:17:19","slug":"ky-thuat-sieu-am-dan-hoi-mo-2d-shear-wave-tren-may-sieu-am-logic-4d-p7-cua-hang-ge-hien-dang-duoc-cac-bac-si-cua-khoa-chan-doan-hinh-anh-benh-vien-truong-dai-hoc-ky-thuat-y-te-hai-duong-thuc-hien-h","status":"publish","type":"post","link":"https:\/\/benhviendaihocyhaiduong.com\/?p=11622","title":{"rendered":"K\u1ef9 thu\u1eadt si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 (m\u00f4 gan) 2D Shear Wave tr\u00ean m\u00e1y si\u00eau \u00e2m Logic -4D- P7"},"content":{"rendered":"<p><span style=\"font-size: 100%; color: #000000;\"><strong>K\u1ef9 thu\u1eadt si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 2D Shear Wave tr\u00ean m\u00e1y si\u00eau \u00e2m Logic -4D- P7 c\u1ee7a h\u00e3ng GE hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 c\u1ee7a khoa Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh B\u1ec7nh vi\u1ec7n tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc K\u1ef9 thu\u1eadt Y t\u1ebf H\u1ea3i D\u01b0\u01a1ng th\u1ef1c hi\u1ec7n h\u00e0ng ng\u00e0y l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt si\u00eau \u00e2m hi\u1ec7n \u0111\u1ea1i nh\u1ea5t hi\u1ec7n nay, kh\u00f4ng x\u00e2m l\u1ea5n, gi\u00e1 r\u1ebb, cho \u0111\u1ed9 tin c\u1eady cao.<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\">Sinh thi\u1ebft gan l\u00e0 ti\u00eau chu\u1ea9n v\u00e0ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u01a1 h\u00f3a gan v\u00e0 x\u01a1 gan, tuy nhi\u00ean \u0111\u00e2y l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt x\u00e9t nghi\u1ec7m x\u00e2m l\u1ea5n, chi ph\u00ed cao, kh\u00f4ng d\u1ec5 th\u1ef1c hi\u1ec7n, ti\u1ec1m \u1ea9n nhi\u1ec1u nguy c\u01a1 bi\u1ebfn ch\u1ee9ng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\"><a style=\"color: #000000;\" href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/sieu-am-dan-hoi-gan-la-gi\/\">Si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i gan<\/a> l\u00e0 k\u1ef9 thu\u1eadt m\u1edbi nh\u01b0ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i b\u1edfi t\u00ednh ch\u00ednh x\u00e1c, kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n x\u01a1 h\u00f3a gan v\u00e0 x\u01a1 gan cao, d\u1ec5 th\u1ef1c hi\u1ec7n, c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i nhi\u1ec1u l\u1ea7n trong qu\u00e1 tr\u00ecnh theo d\u00f5i b\u1ec7nh. Ngo\u00e0i ra, si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 gan s\u1eed d\u1ee5ng c\u00e1c ch\u1ec9 s\u1ed1 \u0111\u1ecbnh l\u01b0\u1ee3ng, t\u1ea1o t\u00ednh kh\u00e1ch quan, kh\u00f4ng ph\u1ee5 thu\u1ed9c ng\u01b0\u1eddi l\u00e0m v\u00e0 b\u1ec7nh nh\u00e2n nh\u01b0ng cho ra k\u1ebft qu\u1ea3 ch\u00ednh x\u00e1c. Trong s\u1ed1 c\u00e1c k\u1ef9 thu\u1eadt si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 hi\u1ec7n nay, k\u1ef9 thu\u1eadt Shear Wave Elastography c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m v\u01b0\u1ee3t tr\u1ed9i, t\u00edch h\u1ee3p c\u1ea3 si\u00eau \u00e2m \u1ed5 b\u1ee5ng v\u00e0 si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 tr\u00ean m\u1ed9t \u0111\u1ea7u d\u00f2 gi\u00fap b\u00e1c s\u0129 v\u1eeba c\u00f3 th\u1ec3 si\u00eau \u00e2m kh\u1ea3o s\u00e1t gan v\u00e0 c\u00e1c c\u01a1 quan li\u00ean quan v\u1eeba \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c \u0111\u1ed9 c\u1ee9ng c\u1ee7a gan, n\u00f3 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c c\u1ea3 tr\u00ean b\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec, th\u00e0nh b\u1ee5ng d\u1ea7y, d\u1ecbch c\u1ed5 ch\u01b0\u1edbng\u00a0 nhi\u1ec1u, mang l\u1ea1i gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n cao trong x\u01a1 h\u00f3a v\u00e0 x\u01a1 gan.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\"><strong>Quy tr\u00ecnh th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 2D Shear Wave:<\/strong><\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #000000; font-size: 100%;\">B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c kh\u00e1m \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111o nh\u01b0 vi\u00eam gan c\u1ea5p, suy tim, t\u1eafc m\u1eadt\u2026<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">B\u1ec7nh nh\u00e2n n\u00ean nh\u1ecbn \u0111\u00f3i \u00edt nh\u1ea5t 2 gi\u1edd v\u00e0 ngh\u1ec9 ng\u01a1i \u00edt nh\u1ea5t 10 ph\u00fat tr\u01b0\u1edbc khi kh\u1ea3o s\u00e1t.<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c kh\u1ea3o s\u00e1t b\u1eb1ng si\u00eau \u00e2m th\u01b0\u1eddng quy \u0111\u00e1nh gi\u00e1 nhu m\u00f4 gan, m\u1ea1ch m\u00e1u gan, ph\u00e1t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng gan.<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">Sau khi kh\u1ea3o s\u00e1t si\u00eau \u00e2m th\u01b0\u1eddng quy, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 gan:<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\">+ B\u1ec7nh nh\u00e2n n\u1eb1m ng\u1eeda ho\u1eb7c nghi\u00eang nh\u1eb9 (30 \u0111\u1ed9) sang b\u00ean tr\u00e1i, tay ph\u1ea3i \u0111\u01b0a l\u00ean cao \u0111\u1ec3 khoang li\u00ean s\u01b0\u1eddn gi\u00e3n r\u1ed9ng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\">+ B\u00e1c s\u0129 si\u00eau \u00e2m \u0111\u1eb7t \u0111\u1ea7u d\u00f2 trong khoang li\u00ean s\u01b0\u1eddn, vu\u00f4ng g\u00f3c v\u1edbi bao gan. L\u1ef1a ch\u1ecdn v\u1ecb tr\u00ed cho h\u00ecnh \u1ea3nh 2D \u0111\u1ea1t chu\u1ea9n.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\">+ \u0110\u1eb7t ROI \u1edf \u0111\u1ed9 s\u00e2u t\u1ed1i thi\u1ec3u 2 cm d\u01b0\u1edbi bao gan, v\u1ecb tr\u00ed h\u1ea1 ph\u00e2n th\u00f9y 7 ho\u1eb7c 8, ROI th\u1eb3ng g\u00f3c v\u1edbi h\u01b0\u1edbng \u0111i c\u1ee7a ch\u00f9m tia si\u00eau \u00e2m.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\">+ Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn h\u1ee3p t\u00e1c n\u00edn th\u1edf gi\u1eefa ch\u1eebng trong l\u00fac \u0111o.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\">+ \u0110o \u00edt nh\u1ea5t 5 l\u1ea7n, l\u1ea5y gi\u00e1 tr\u1ecb trung v\u1ecb (median), \u0111\u1ea3m b\u1ea3o IQR\/ Med \u0111\u1ea1t y\u00eau c\u1ea7u.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\">\u0110\u1ed9 c\u1ee9ng gan \u0111\u01b0\u1ee3c so v\u1edbi b\u1ea3ng tham chi\u1ebfu \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 x\u01a1 h\u00f3a gan. X\u01a1 h\u00f3a gan g\u1ed3m 4 giai \u0111o\u1ea1n (F0 \u0111\u1ebfn F4) theo ph\u00e2n lo\u1ea1i Metavir tr\u00ean\u00a0m\u00f4 h\u1ecdc:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\"><a style=\"color: #000000;\" href=\"https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2024\/05\/Ky-thuat-sieu-am-dan-hoi-mo.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-11623 size-full alignleft\" src=\"https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2024\/05\/Ky-thuat-sieu-am-dan-hoi-mo.jpg\" alt=\"\" width=\"451\" height=\"307\" srcset=\"https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2024\/05\/Ky-thuat-sieu-am-dan-hoi-mo.jpg 451w, https:\/\/benhviendaihocyhaiduong.com\/wp-content\/uploads\/2024\/05\/Ky-thuat-sieu-am-dan-hoi-mo-300x204.jpg 300w\" sizes=\"(max-width: 451px) 100vw, 451px\" \/><\/a><\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #000000; font-size: 100%;\">Kh\u00f4ng x\u01a1 h\u00f3a: F0<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">X\u01a1 h\u00f3a nh\u1eb9: F1<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">X\u01a1 h\u00f3a \u0111\u00e1ng k\u1ec3 (significant fibrosis): F\u00a0\u22652<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">X\u01a1 h\u00f3a ti\u1ebfn tri\u1ec3n (advanced fibrosis): F\u00a0\u22653<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">X\u01a1 gan (cirrhosis): F4 \u00a0\u00a0<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\"><strong><em>Nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 gan:<\/em><\/strong><\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #000000; font-size: 100%;\">Vi\u00eam gan m\u1ea1n do virus<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">B\u1ec7nh gan nhi\u1ec5m m\u1ee1<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">X\u01a1 gan<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">B\u1ec7nh vi\u00eam gan do r\u01b0\u1ee3u, do thu\u1ed1c<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">C\u00e1c b\u1ec7nh vi\u00eam gan kh\u00e1c.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\"><strong>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 gan: <\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\">Si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, c\u00f3 th\u1ec3 d\u00f9ng cho ph\u1ee5 n\u1eef c\u00f3 thai. Tuy nhi\u00ean c\u00f3 m\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd c\u1ee7a b\u1ec7nh nh\u00e2n s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u00e9p \u0111o d\u1eabn \u0111\u1ebfn sai s\u1ed1 v\u00e0 c\u00e1c k\u1ebft lu\u1eadn kh\u00f4ng ph\u00f9 h\u1ee3p. V\u00ec v\u1eady kh\u00f4ng n\u00ean th\u1ef1c hi\u1ec7n \u0111o \u0111\u00e0n h\u1ed3i m\u00f4 gan b\u1eb1ng m\u1ecdi ph\u01b0\u01a1ng ph\u00e1p khi b\u1ec7nh nh\u00e2n \u0111ang \u1edf t\u00ecnh tr\u1ea1ng sau:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #000000; font-size: 100%;\">B\u1ec7nh nh\u00e2n \u0111ang vi\u00eam gan c\u1ea5p t\u00ednh, \u0111\u1ee3t c\u1ea5p vi\u00eam gan m\u1ea1n, men gan cao tr\u00ean 5 l\u1ea7n.<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">\u1ee8 m\u1eadt c\u1ea5p<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">Xung huy\u1ebft gan do suy tim<\/span><\/li>\n<li><span style=\"color: #000000; font-size: 100%;\">Ngay sau \u0103n no<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\"><strong>\u1ee8ng d\u1ee5ng c\u1ee7a si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 gan: <\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\">&#8211; X\u00e1c \u0111\u1ecbnh \u0111\u1ed9 x\u01a1 h\u00f3a gan v\u00e0 x\u01a1 gan tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh gan m\u1ea1n.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\">&#8211; D\u1ef1a v\u00e0o \u0111\u1ed9 c\u1ee9ng c\u1ee7a m\u00f4 gan n\u1ec1n: x\u00e1c \u0111\u1ecbnh nh\u00f3m b\u1ec7nh c\u00f3 nguy\u00a0 c\u01a1 cao xu\u1ea5t hi\u1ec7n ung th\u01b0 gan( nh\u00f3m x\u01a1 gan). Ti\u00ean l\u01b0\u1ee3ng s\u1ed1ng c\u00f2n v\u00e0 t\u00e1i ph\u00e1t sau \u0111i\u1ec1u tr\u1ecb \u0111\u1ed1t s\u00f3ng cao t\u1ea7n\u00a0 kh\u1ed1i ung th\u01b0 gan.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\">Vi\u00eam gan m\u1ea1n c\u00f3 \u0111\u1ed9 c\u1ee9ng gan &gt;10kpa ( t\u1eeb F3 tr\u1edf l\u00ean)\u00a0 c\u00f3 nguy c\u01a1 xu\u1ea5t hi\u1ec7n HCC cao h\u01a1n nhi\u1ec1u so v\u1edbi nh\u00f3m c\u00f3 \u0111\u1ed9 c\u1ee9ng gan th\u1ea5p h\u01a1n.<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #000000; font-size: 100%;\">G\u00f3p ph\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t kh\u1ed1i u gan d\u1ef1a v\u00e0o \u0111\u1ed9 c\u1ee9ng kh\u1ed1i u:<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #000000; font-size: 100%;\">Theo nghi\u00ean c\u1ee9u c\u1ee7a Grgurevic I v\u00e0 c\u1ed9ng s\u1ef1, s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt RT-2D-SWE : \u0111i\u1ec3m Cut-of 22kPa: n\u1ebfu d\u01b0\u1edbi 22kPa t\u1ed5n th\u01b0\u01a1ng h\u01b0\u1edbng v\u1ec1 l\u00e0nh t\u00ednh v\u00e0 tr\u00ean 22 kPa h\u01b0\u1edbng v\u1ec1 t\u1ed5n th\u01b0\u01a1ng \u00e1c t\u00ednh. V\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng &lt; 14kPa th\u00ec 96% l\u00e0nh t\u00ednh, t\u1ed5n th\u01b0\u01a1ng c\u00f3 \u0111\u1ed9 c\u1ee9ng &gt;32,5 kPa th\u00ec 96% nguy c\u01a1 \u00e1c t\u00ednh. V\u00ec v\u1eady tr\u00ean 1 b\u1ec7nh nh\u00e2n F3, F4 m\u00e0 ph\u00e1t hi\u1ec7n c\u00f3 n\u1ed1t gan c\u1ea7n ph\u1ea3i x\u00e1c \u0111\u1ecbnh ngay b\u1ea3n ch\u1ea5t c\u1ee7a n\u1ed1t ch\u1ee9 kh\u00f4ng n\u00ean theo d\u00f5i ti\u1ebfp m\u00e0 kh\u00f4ng l\u00e0m th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m chuy\u00ean s\u00e2u h\u01a1n<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>K\u1ef9 thu\u1eadt si\u00eau \u00e2m \u0111\u00e0n h\u1ed3i m\u00f4 2D Shear Wave tr\u00ean m\u00e1y si\u00eau \u00e2m Logic -4D- P7 c\u1ee7a h\u00e3ng GE hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 c\u1ee7a khoa Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh B\u1ec7nh vi\u1ec7n tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc K\u1ef9 thu\u1eadt Y t\u1ebf H\u1ea3i D\u01b0\u01a1ng th\u1ef1c hi\u1ec7n h\u00e0ng ng\u00e0y l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt si\u00eau \u00e2m hi\u1ec7n \u0111\u1ea1i[Xem ti\u00ea\u0301p&#8230;]\n","protected":false},"author":3,"featured_media":11623,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[],"class_list":["post-11622","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-new-hoat-dong-chuyen-mon"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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