DALHQC HUE CONG HOA XA HOI CHU NGHIA VIET NAM TR??NG ? ? I H?C Y D ? ? C ??c l?p - T? - H?nh phúc _ Hu?, ngày tháng n?m 2023 N H ? N G ? Ó N G GÓP M ? I C ? A L U ? N Á N Tên ?? tài lu?n án: Nghiên c?u ?i?u tr? sôi th?n b?ng n?i soi th?n ng??c dong sit dung ?ng soi bán c?ng Thu?c ngành: M ã sô ngành: Ngo?i khoa 9720104 Ho va tén NCS: HOANG DUC MINH N a m sinh: 1986 Don vi công tác: Ng??i h??ng d?n khoa h?c: Bénh Vién Da khoa tinh Quang T r i PGS.TS Nguy?n K h o a H ù n g T ê n ? ? n v? ? o t?o: Tr??ng ? ? i h?c Y D??c, ? ? i H ? c Hu? Sau ? â y n h ? n g ?óng góp m ? i c?a lu?n n : - L u ? nán ?óng góp vào s? li?u nghiên c?u n ? ? c v? kh? n?ng ? n g d ? n g k ? thu?t n ? i soi th?n ng??c dòng s? d ? n g?ng soi bán c?ng ?i?u tr? s?i th?n, nghiên c?u thành công s? c?ng cô thêm ?u ?i?m c?a p h ? ? n g pháp ?i?u tr? - ? â y k ? thu?t xâm lan, ti?p c?n s?i qua ???ng t ? nhiên, v ì v?y tránh ???c t?n th??ng nhu m ô th?n v gi?m nguy c? ch?y máu N g y v ? i s? c?i ti?n công ngh? v ? ? t b?c thi?t k? c?a ?ng soi ni?u qu?n - th?n bán c?ng v v ? i phát tri?n công ngh? H o l m i u m laser, d?ng c? ph? tr? ph?u thu?t n ? i soi th?n ng??c dòng s? d?ng ?ng soi bán c?ng ngày ???c ? n g d?ng r?ng rãi ?i?u tr? s?i th?n - Th?c hi?n ?i?u tr? s?i th?n b?ng n?i soi th?n ng??c dòng s? d?ng ?ng soi bán c?ng an toàn, kh? thi, t? l? s?ch s?i cao (70-95%), th?i gian ph?u thu?t ???c rút ng?n, gi?m ch? phí ?i?u tr?, tai bi?n - bi?n ch?ng th?p, th?i gian n?m vi?n ng?n ngày, Ít ?au sau ph?u thu?t, h?i ph?c s?c kh?e nhanh chóng, ch?c n?ng th?n khơng b? ?nh h??ng v? lâu dài ??t ???c s? hài lòng cao t? b?nh nhân - Lu?n án c?ng nghiên c?u ???c m?t s? y?u t? ?nh h??ng ??n k?t qu? ?i?u tr? phân tích k? thu?t q trình ph?u thu?t cách l?a ch?n v? trí sói t?i ?u nh?m ??a l?i t? l? thành công, s?ch s?i cao gi?m thi?u ???c tai bi?n - bi?n ch?ng Trên ?ây h ? n g thông t i n v? ?óng góp m ? i c?a lu?n án K í n h m o n g quý H ? i ? ? n g , quý T h â y Cô ch?p thu?n v cho phép l u ? nán ? ? ? c b?o v ? t r ? ? c H ? i ??ng l u ? nán T i ? n s? c?p ? ? i h?c Hu? X i n tran cam on! Ng??i h??ng d?n khoa h?c Nghiên c?u sinh Q PGS.TS NG N K H O A HUNG e HOANG DUC MINH ? ? HUE UNIVERSITY THE SOCIALIST REPUBLIC UNIVERSITY OF MEDICINE OF V I E T N A M Indipendence ? Freedom- Happiness AND PHARMACY H u e f t h M a y 2023 CONTRIBUTIONS OF THE THESIS The thesis title: Study outcomes o f Semi-rigid Ureteroscopy in the treatment o f renal stones Branch: Surgery Code: 72 01 04 Full name: H O A N G DUC M I N H The year o f birthday: 1986 Working at: Quang Tri General Hospital Scientific supervisors: Assoc Prof N G U Y E N K H O A H U N G , M D , PhD Training unit: University o f Medicine and Pharmacy, Hue University T h e n e w c o n t r i b u t i o n s o f the thesis are as f o l l o w e d : - The thesis has contributed to domestic research data on the applicability o f semi-rigid endoscope in the treatment o f renal stones The success o f this study w i l l further c o n f i r m the advantages o f the treatment method for renal stones - This is a m i n i m a l l y invasive technique, accessing the stones v i a a natural route, thus avoiding damage to the renal parenchyma and reducing the risk o f bleeding Today, w i t h the significant technological improvement i n the design o f semi-rigid ureteroscope and the development o f H o l m i u m laser technology and ancillary instruments, retrograde intrarenal surgery w i t h the use o f semi-rigid ureteroscope is increasingly widely applied i n the treatment o f kidney stones - Treating kidney stones w i t h semi-rigid ureteroscopy is a safe and feasible choice w i t h a high stone-free rate (70-95%), shortened operative time, and reduced treatment costs as w e l l as fewer intraoperative and postoperative complications, shorter length o f hospital stay, reduced postoperative pain, q u i c k recovery, no long-term k i d n e y dysfunction and good patient?s satisfaction - A number o f factors affecting the treatment results including technical details, stone position were investigated to improve success and stone-free rates, as well as reduce the risk o f intraoperative and postoperative complications A b o v e is information about n e w contributions o f the thesis Dear Council, Teachers approve and a l l o w the thesis to be defended before the D o c t o r a l Thesis Council at Hue University Scientific Supervisor Candidate N Assoc P r o f N G U Y E N A HUNG, MD, PhD u H O A N G DUC M I N H