Đánh giá vai trò cộng hưởng từ đường mật trong chẩn đoán bệnh sỏi đường mật chính

SoY TE SO KHOA HOC CONG NGHE BENH VIEN NH 'AN DAN GIA DINH DE TAI NGHIEN CCU KHOA HOC VAI TRO CUA CHOP CONG HU'oNG TV' TRONG CH AN DOAN DU'ONG 1•4,0SOI DL!ONG MAT CHINH CHU NHIO1 DE TAI: TS BS DO DINH CONG THS BS NGUYEN VIUT THANH THANH PHO HO CHI MINH - NAM 2006 _rF Dcinh gici vui tr6 cau chug mut Ong haring tit chart &San seii chthng mut chinh MUC LUC Trang Mei DAU Chu'dng 1: TONG QUAN TAI LIEU 1.1 So sanh cac phu'Ong phap chin down soi &Ong mat chinh 1.1.1 Cac phu'dng phap chin down soi 6ng mat chii 15 1.1.2 Cac placing phap chin down soi gan 19 1.2 Ks, thuat chup Ong Wang to Ming mat 1.3 Tinh hinh nghien ciru soi du'dng mat chinh d Viet Nam 35 Chu'dng 2: Doi 'WONG VA PHIJ€JNG PHAP NGHIEN CI cU 37 2.1 Thie't ke nghien cdu 37 2.2 Tieu chuin chon benh 2.3 Co mau 2.4 Phu'Ong tien, Icy thuat 2.5 Thu thap va xit ly s6 lieu 37 37 38 38 Chtidng 3: KET QUA NGHIEN CIAJ 3.1 D4c diem ciia nh6m nghien cdu 3.1.1 S6 lieu chung 43 43 3.1.2 TA 3.1.3 Gidi 3.1.4 Lam sang 3.1.5 Tien su'benh dung mat 3.1.6 Sinh hod 3.2 Soi du'dng mat chinh 3.2.1 Cac y6u to tien krOng soi du'dng mat chinh 3.2.2 Gia tri ctia sieu am va chup cOng hu'ong tit du'dng mat chin down soi cluthig mat chinh 3.3 Soi 6ng mat chti 3.3.1 D4c diem chung 3.3.2 Cdc yeti to tien doan soi 6ng mat chil 3.3.3 Gia tri ctia sieu am va chup Ong hu'ong tit Ming mat chin doin soi 44 45 45 47 47 48 48 49 49 49 50 Dcinh gici i ui tro clic? chup mut try cong htthng (rung chan cloctn doni,s; mut chinh 6ng mat chi 51 3.3.4 Cac yeu to anh hutting (len chin doan soi 6ng mat chi cia sieu am vachup cong 51 hutting tit dotting mat 3.4 Soi gan 53 3.4.1 Ddc diem chung 53 3.4.2 Cac y6u t6tien doan sal gan 55 3.4.3 Gia tri ctia sieu am va chup cOng hudng tit timing mat chin doan sal gan 3.4.2 56 Gia tri ctia sieu am va chup cong hutting tai dotting mat chin (loan vi tri soi gan 56 3.5 Trit hep dating mat gan 61 3.5.1 Bac diem chung 61 3.5.2 Gia tri ctia chup cong hutting tit dotting mat chin doan trit hep dating mat 3.6 gan 63 So sanh chup hutting tU'clu'dng mat vdi chup doting mat trtfc tiep 65 Chudng 3: BAN LUAN 4.1 4.1.1 Vai tro cua chup cong hutting tit diking mat chin doan soi 6ng mat chi 68 Gia to cia chup cong hutting tai dating mat chin doan soi 6ng mat chi 68 4.1.2 \-1 nghia cia gia tri cia chup cong hutting tit doting mat chin (loan soi 6ng mat chi 73 So sanh gia tri cia chup cong hudng tit doting mat va sieu am chin (loan 4A 75 soi 6ng mat chi 4.2 Vai tro cia chup cOng hutting tit doting mat chin doan soi gan 78 4.2.1 Vi tri soi gan 78 4.2.2 Gia tri cia chup cOng hutting tit dotting mat chin doan soi gan 79 So sanh gia tri chin doan cua chup cong hutting tit dotting mat vdi sieu am 4.2.3 83 chin doan soi gan 4.3 Vai tro cia chup cOng htidng tir du'dng mat chin doan hep &king mat 87 So sanh giita chup cOng hutting tit dotting mat vdi chup dotting mat xuyen gan 4.4 qua da, not soi mat ngu'dc dOng chin (loan soi gan va hep dotting mat 93 gan Dcinh gici trO cua chop mut tyy ciing chart &San sOi chiNg mut chinh 96 4.5 Vai tro cua chup Ong hdang tit diking mat chSn loan benh soi gan 4.6 Chi Binh thlic hien chup cong Wong iii clu'dng mat cha'n (loan benh soi 99 duting mat chinh 109 Nhiing han the cua nghien ctru 4.7 KET LUAN TAI LICU TRAM KHAO PHU LUC Ddnh gia vat tro cda chup mat cong hu'o.ng chdn dodn sot &tong mat chinh BANG Cliti VIET TAT AT: am that AG: am gia BA: benh an BN: benh nhan BS: bac si CHT: chup cong hu'ong tit CHX: cid chinh xac CLVT: chup cat ldp vi tinh CMCLVT: chup &Ong mat vdi k9 thuat cdt ldp vi tinh CMQD: chup &r 1ng mat xuyen gan qua da CMQK: chup dutrng mat qua 6ng Kehr CMTCHT: chup mat cong hu'dng dr CMTM: chup clu'dng mat CMTT: chup &Ong mat talc tie"p CS: cong ski DG: durdng gia DT: du'Ong that DH: dac hieu DMTG: du'dng mat gan DQG: dau quan gan NH: nhay NSMTND: not soi mat ngu'dc dOng NSTS: not soi du'dng mat tan soi OMC: 6ng mat chi PT: phan thby PTB: phan they ben Dcinh giti vai tra ciia chup mat tyy cOng haang tit chin dotin sin diking mat chinh PTG: phan thily giaa PTS: phan they sau PTT: phan they trltdc SA: sieu am SANS: sieu am qua n'Oi soi SDM: soi clu'eing mat chinh SG: soi gan SG-OMC: soi h6n hOp gan va 6ng mat chii SOMC: soi 6ng mat chil TC: tang cOng TCV: tieu chudn yang TDD: gid tri den dodn &Ong TDA: gid tri tien dodn am TH: truftg hOp TS: tin sit VDTM: yang da tac mat don thuan VDM: viem &Ong mat Ddnh gid vai Ira cda chyp mat Ong hiking a chin dodn s3i daing mat chinh BANG VIET TAT TIENG NIJdC NGOAI FSE: fast-spin echo GE: gradient echo HASTE: half-Fourier acquisition single-shot turbo spin-echo hoac half-fourier Acquisition Turbo Spin Echo MIP: maxium intensity projection postprocessing RARE: rapid acquisition with relaxation enhancement SSFSE: single-shot fast spin echo SS-RARE: single-shot rapid acquisition with relaxation enhancement sequences hoac single-shot rapid acquisition with refocus echoes sequences TSE: turbo spin-echo Dcinh gici vai trb ciia chup mat lay c 'Ong htang chein down soi &tong mat chnth BANG Dot CHIfU THUAT NGC ANH-VIET BO phan thu tin hieu qui tick: conventional body coil BO phan thu tin hieu be mat dang Itiai pha hod bao quanh than ngtidi: torso coil, surface phased-array multicols, circular polarized phased-array body coil Chu8i xung dOi có khuynh dO: gradient echo sequences Chu8i xung u'ut the T2: heavily T2-weighted MR sequences Chu8i xung utu the Tl: heavily T1-weighted MR sequences Cat chech theo mat phang trait coronal oblique scan Hieu dng trung binh the tich: volume-averaging effects Hieu ang trung binh the tich tiMg phan: partial volume average effects Hinh du the Tl: heavily T I -weighted images Minh du the T2: heavily T2-weighted images Ky thuat CMTCHT lat cat day: single-shot thick slab MRCP Ky thudt CMTCHT nhieu 14 cat multislices thin-slab MRCP Song co tan so radio: radiofrequency pulse Tao inh Ong Wang tit magnetic resonance imaging Xung ddn phat RARE: single-shot RARE Minh gici vat Ira ctia chute 1101 cying to chain docin Scii chthng rnctt chinh VAI TRO CIJA CHUP CONG HONG Tip DIRiNG MAT TRONG CHAN DOAN SOI DONG MAT CHINH DAT VAN DE' Sal mat la benh 1/ thding gap nhdt ctia he th6ng gan mat Tinh chat soi mat khac giCra vung on ddi va nhiet ddi Cf cac nudc Phu'Ong Tay, soi tuii mat chie-m tj% le cao (60%) Cf nu'dc to vao [Mang nam trttdc, cac thong ke cho thdy soi during mat chinh co tj% le rat cao (80-95%), soi ttli mat co 6', le rat thdp (10%) SOi gan a nu'dc to co qt le cuing kha cao khoang 30-60% 18,4.161 -24 vi tri ctia soi, cac tic gia phuring tay cho s6thdp hOn nhidu, khoang 5-20% 14' 21 Viec didu tri soi (Ming mat chinh a nu'dc to nhidu kho khan, phOc tap, khO didu tri sach soi va de tai phat nhdt la soi a vi tri gan vi benh thiging ke-t hap vdi chit hep, voi gian chiOng mat gan 162, 63 751 Theo bao cao qu6c gia vung Dong Nam A cCing nhu' tai Viet Nam, tS/' le soi sot gan co thd len den 25% hay 51%18.241 Day la nguyen nhan ctia viem du'Ong mat tai Oat, hep diking mat, ap xe, xd gan va ung thu'du'Ong mat Muc tieu ctia viec clidu tri soi du'Ong mat chinh la lam sach soi aing manh vun ciia no khoi aiding mat va loai bo it mat a ngan ngira benh tai phat 162' 63' 751 Nhu' vay de didu tri c6 hieu qua, can danh gia chinh xac v6 vi tri, s6 lu'Ong soi va ngoai gan, cac thu'Ong ton di kern nhu'gian hep diging mat, teo cac phan thily gan cring nhu' nhUng clang giii phAu diking mat a gitip cho thay thu6c chon lila phu'ong phap clidu tri thich hop 162.1 Trong hOn mot chap 14 qua cac phdong tin chin (loan mdi khong neing ddi, da cai thien rat nhidu cong viec chin doan soi mat Tuy nhien cho den hien cac phitong Lien chin doan khOng xam hai va xam hai sin co nhidu han che-, nen viec chin doan sOi mat bhg phu'Ong Lien khong xam hai van du'oc nghien cdu 1211 Dcinh gici vai Tr() ciici chup mut cong htOng chin clocin sot &Ong rn"at chinh Ke tit du'Oc ap dung vacs nam 1991, chup cong hdOng tit du'i sng mat da n6i len nhd la mot phdong phap chan dodn clu'Ong mat khong )(am hai, ddy hCra hen 1771 CHTDM la k9 thuat khOng xam hai cho hinh anh cay di Ong mat tu'ong ttt nhu' chup clu'Ong mat trdc tiep Trong hdn thap kji qua, có rat nhieu bat) cao ve sit chinh xac cad CHTDM chan doan soi mat DO chinh xac caa CHTDM tu'Ong du'Ong vdi not soi mat ngtroc dung (NSMTND) chart doan soi 6ng mat chit CHTDM arcing du'Ong vdi chup du'dng mat trdc tiep viec chin doan chinh xac sOi gan using phan thay, phan they ding nhtt chan doan hep throng mat va cac dang giai phdu du'Ong mat Do dO CHTDM co ich viec Wong dan chon phudng phap dieu tri t6i u'u soi gan Bat lOi chinh caa CHTDM la [(hong thtic hien can thiep diet' tri ma chi thudn tidy la phu'Ong phap chan doan, trai vdi NSMTND IA phdOng phap vita chin doan vita can thiep dieu c$ Viet Nam, soi &Ong mat dtidc nghien ciru rat nhieu Sieu am IA phu'Ong tien du'Oc sir dung chit yeu a chin doan benh soi mat 181 Chup cat ldp vi tinh (la dtrtic chi dinh &mg chan doan sOi mot s6 tru'Ong hOp nhat dinh MOt vai cci so y to da du'Oc trang bi may chup cong hu'ang tit nhang chda manh dan ap dung MOt s6 may cong hdOng tit a ph6 He) Chi Minh co the thtic hien du'Oc chup duting mat va tai tao cay &Ong mat Van de can dat la tinh hinh thtic t6 o Viet Nam, co le cluing to van tiep ay: sit dung sieu am nhdphu'ong phap chin doan sang loc chit yeu vi re tien, d'e' sir dung va luon co s5n nhu'ng sieu am bi gidi han thi phdOng tien can lam sang thong xam hai nao can ddoc chi dinh thtic hien, chup cat lop vi tinh (CLVT) hay CHTDM, a nang cao hieu qua chin doan Muc tieu nghien (AN cua chang toi la danh gia vai tre) ctia CHTDM viec chin doan sOi diking mat chinh va cac Nen chirng caa sOi, xem xet chi dinh ciing nhd u'u diem va han the caa cac CHTDM, so sanh gia tri caa CHTDM vdi cac phdong phap hien co TV cac thy thu6c lam sang co the sir dung cac phdong tien chan doan sOi &Ong mat mot cach hieu qua nhat, cac phau thuat vien co chien lu'oc dieu gan trai (mai ten H9 Soi gan phan thin• ben (mai ten trdng nho) va hep Ong ' trcing) Hep loai II (BN Nguyen Thi H., so 9) (A) Hinh CHT qui ttac- cdt ngang.(B) Hinh CHT qui ►.tcrc - cdt cidng ngang (tat cat 49) (C) Hinh CHT cat clitng ngang, lát cdt j phia sau ho'n (kit cdt 59) (1)) So' c14 hep loci II HIO dng mat chd, dng gan chung, os-ng gan trdi va phan they 2,3, 6, (mai ten trdng nhd) Hgp dng gan trai va Ong ' gan phdi (mai ten trdng) (BN NguyiTn Von T., so 13) A CHTDM- cdt mOng: soi dng gan trdi, phan thu' 2,3 Hgp gde dng gan trai va phcii B CHTDM - cdt dciy: soi eing phdn thug 6,7 C CHTDM - cdt dciy: soi dng mat chd, dng gan chung, her phan thui 2,3,6,7 H II Hep g6C o'ng gan trai va s6i gan trai (Bn Nguyjn Van T., so 13) A CHTDM- cdt dciy: duOng mat gan trai hien hinh du, gian to va chaa day seii (mai ten trdng nh6) B NSMTND : Ming mat gan trai khong hien hinh (mai ten trdng) sau lay het sy3i &tang mat ngoai gan hep O ' ng gan trai H12 Soi 'Ong mat cha (mai ten trdng) va soi tai mat (mai ten trdng nho) (BN Nguyin Thi S., sci64) A.CHTDM - cdt mong B.CHTDM - cdt ddy C.NSMTND D.Lai sc3i qua NSMTND H13 Sol ang mat cha vd soi 6-ng gan trcii viz phan thug ben (mai ten trcing nh6) Ong gan chia hai vdi drig phon thu;' sau tryo7 xu(ing thcip (mai ten trcing) Ngodi ra, s6i tui mat cling thick- ghi nhein (mui ten den) (BN Vu Thi Qu., so 84) A Hinh CHTDM cat m6ng B Hinh CHT qui itorc cdt ngang-hinh Liu the T1 C Hinh CHTDM ccit D.Hinh CMQK H14 S3i tai mat (mai ten den)- Ong mat chu ten Wing) - Ong ' gan chung — ngci hcz o'ng gan (maiten trdng nh6) (Bn Thi X., so 76) A, B CHTDM — cat ming C CHT qui Lick — ccit ngang D CHT qui trac — cdt ngang hinh itu the' TI : soi o'ng mat chil tang tin hieu (hinh sang) a a H16 Sc3i ket o'ng gan trai va phan thu5i ben (miii ten treing nh6) Hep gan trai (mid ten ming) Meng mat gan trai giiin to hail dng mat g6c Ong ' chic (BN Pham Xuan Th., so- 78 ) A CHT qui uric — cat ngang B CHTDM — cat mOng a H 17 Soi OMC (mai tentrang S(3i ket Ong gan trcii va Ong gan phein thay ben (mai ten trdng) Du'dng mat gan trai gicin that to hon ca Ong mat cha (BN Vc3 thi H., so- 77) A CHTDM cdt dciy: sai gan trcii Va soi ling mat cha B CHT qui tic — cdt ngang: se3i Ong mut chi nam phcin thdp caa OMC C CMTM: chi thdy mot vien s(3i (3' ging gan trai B6 sot scii dng 'Or chef vu mOt sds(3i gan trcii A NHAN-DAN GIA-DINH HOSPITAL Emotion VI310B F-SP-CR HI8 Khi cing mat cha mai ten den() (BN Phom Xman Th , so ) ' ng mat tao myc A CHT qui tick- cat ngang: mil len phia tren O nack-hol twit cha thdu quang B CLVT : Khi HI9 S6i o'ng mat chei -Ong gan chung (mai tentrdng nh(3) Ong gan phcin thui• sau trwt xiang thdp (mai ten trdng) DtOng mat khong gian ( BN TrcinThi T., so- 74) A CHTDM-cdt ddy B CHTDM- cdt m6ng D NSMTND H20 Soi va during mat phan thuY 2,3,4,5,6,7,8 va d Ong ' gan Chung- 6-ng mat chi (BN Pham Xuan Th., so 78 ) S6i có hinh khuyet (mai ten den) nam dich mat Khi dich mat co ( A), (B): hinh giam tin hieu khong Wing nhat (mai ten CHTDM— cdt ddv PHU LUC DANH SACH BE NH NHAN STT 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 Ho va ten Tr&ri Thi M Nguyen Thi Th Nguyen Ddc Tr Trutrng Hau Ph Vo Thi H Nguyen Thi N Nguyen Thi C Nguyen Van T Nguyen Thi H Le Thi L Le Van T Nguyen Thi Th Nguyen Van T Trdn Bich L Nguyen Thi Th • VG Thi M Le Dirc M Nguyen Thi Tuy6t H Nguy6n Thi T Nguyen Ngoc Tr Le Thi B Tru'eng Thi H Nguyen Van N Du'ong Kim Th Ta Thi Th Le Doan Phi Th Trthi Van D Nguyen Song D Nguy6n Thi C Le Thi N Le Thi N NO Thi H 14 Thi T S6 nh4p Ngay nh4p vin viri 6738 20/2/04 6881 10/3/04 6908 23/3/04 7192 5/4/04 7771 12/4/04 7777 12/4/04 7804 07/04/04 8243 10/4/04 9547 4/5/04 9639 10/05/04 18157 10/5/04 9830 21/05/04 9862 2/6/04 10046 3/6/04 10645 6/6/04 10720 13/6/04 347 25/6/04 26726 03/7/04 652 05/7/04 6310 05/7/04 7715 06/7/04 10697 8/7/04 12051 12/7/04 12930 14/7/04 13632 20/7/04 13998 21/7/04 3718 22/07/04 8994 23/7/04 6960 28/7/04 9631 16/08/04 11264 23/08/04 13296 26/8/04 14366 4/08/04 Chin down SG-OMC SOMC Khong soi SG SG-OMC SG SG-OMC SG-OMC SG-OMC SG-OMC Ung thu'ddang mat SOMC SG SG-OMC SG-OMC SG Khong soi SG SG SG SG-OMC SG SG SG SG SOMC SG-OMC SOMC SG-OMC SG SG STM SG-OMC 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 13iii Thi D Nguyen Ngoc Th Pham Van H Tran Thi H Nguyen Thi Thanh H Nguyen Thi C Le Thi Xuan H Nguyen Van D Nguyen Thi M Vo 'Thi L Nguyen 'Thi C D8 Trung Th Nguyen Van D Nguyen Thi Ng Tran Thi Ch BUi TN L Mai Van L VO D Tru'dng Thi am S Nguyen Minh Qu H8 Thi D Trinh Thi A TrAn Xuan L Nguyen Thi 'Th Nguyen Thi V Tran Van V Nguyen Van Ch HA Thi Kh Tang Ngoc D Nguyen Van D Nguyen Thi S Tran Van H VO Thi T Lam S Nguyen Ngoc Qu Khting Thi mai H Pham Thi Ngh DutIng Van K Le Thi B Hoang Thi TH Tran Thi T 3629 13572 14008 17376 18261 18294 19782 21648 21831 22084 23073 24929 25993 26336 26343 26493 26648 27291 27624 28436 28538 28664 28863 29640 32215 33219 33734 30587 32793 34681 35161 38880 37068 37751 37967 39243 39610 40253 41396 42689 43112 20/8/04 3/9/04 6/9/04 11/9/04 19/9/04 24/9/04 25/9/04 4/10/04 05/10/04 10/10/04 18/10/04 20/10/04 28/10/04 31/10/04 3/11/04 3/11/04 3/11/04 4/11/04 12/11/04 15/11/04 17/11/04 17/11/04 17/11/04 20/11/04 23/11/04 23/11/04 25/11/04 29/11/04 29/11/04 3/12/04 6/12/04 7/12/04 11/12/04 15/12/04 17/12/04 19/12/04 28/12/04 28/12/04 12/1/05 14/1/05 26/1/05 SG-OMC Ung thu nhil Vater SG SG SG-OMC SOMC STM SG SG-OMC SG STM SG SG SOMC SOMC SOMC SG SG-OMC SG SG-OMC SG-OMC 'Chong soi SG-OMC SG SG-OMC SG-OMC SG-OMC SG-OMC STM SG-OMC SOMC SG-OMC SOMC SOMC SG SG-OMC SG-OMC SG-OMC SOMC SG-OMC SOMC 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 Nguyen Thi Ngh Vo Thi X Vo Thi H PhamXuan Th Nguyen Thi M Nguyen Van C Dao Van Th Nguyen Thi Tr Tran Thi B VG Thi Qu Doan Thi Th Nguyen Thi Thanh Th Huynh Thi Th Le Qu6c H Nguy8n C Dang Su M Nguyen Thi Kim A Nguy8n Thi Ng Nguyen Thi M Vo Van S Nguyen Van Ph Nguy8n Thi Ngoc D Nguy6n Thi G Trinh Thi Ng Biti Thi A Nguyen Thi Ph Iran Kim L Nguyen Van T Nguy8n Ngoc M TrAn Thi V Ha Thi Kim Th Dinh Tien V Dang Thi Ngoc T Nguy8n Van H Nguy8n liffu Th Huynh Van C Dao Van D Lu'u M Trdn Thi V Dang Thi Th Thi L 43448 43864 43957 44042 44133 45296 45627 46038 46035 45964 46423 46822 46848 47127 47668 47660 48301 48668 48676 49304 49918 50213 50416 51759 51696 1410 1750 3361 5060 5299 6197 6648 6866 6971 10703 7488 7456 7749 8811 8982 9125 14/2/05 14/2/ 15/2/04 24/2/05 26/2/05 27/2/05 28/2/05 2/3/05 3/3/05 5/3/05 14/3/05 15/3/05 16/3/05 21/3/05 9/4/05 11/4/05 15/4/05 26/6/05 11/3/04 20/8/05 5/9/05 9/9/05 12/9/05 14/9/05 15/9/05 26/9/05 28/9/05 29/9/05 2/10/050 3/10/05 5/10/05 7/10/05 11/10/05 31/10/05 4/11/05 6/12/05 12/11/05 18/11/05 23/4/05 31/12/05 4/1/06 Khong soi SG-OMC SG-OMC SG-OMC SG Ung that cluTIng mat SOMC SG-OMC SG-OMC SG SOMC STM SOMC SG-OMC STM SG SOMC SG-OMC SOMC SG-OMC SG Viem hep Oddi SG SOMC SOMC STM SG STM SOMC SG SOMC SG-OMC SG-OMC SG-OMC SOMC SG-OMC SOMC SG-OMC SOMC Viem hep Oddi 116 118 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 Nguy8n Thi D Pham Thi Le Thi H Trdn Thi D Trdn Thi Bich V Le Van Th D6 Thi L Le Kim D Le Cong Th Nguy8n Thi X Pham Thi D VO Thi Ngh Huynh Ngoc Th Nguy8n Thi Th Pham Thi L Tran Thi B Pham Van R Nguy8n Thi Ch Pham Thi L Pham Thi Th NO Thi H Le L Huynh Van L Nguy8n Thi R Nguy8n Thi D Le Thi H Nguy8n Van N Nguy8n Thi X Huynh Cam H Nguy8n Van Ph L9 Thi L 9752 12282 12627 13146 22813 9794 30725 32899 33482 33792 34155 34330 35836 36146 36372 36783 36828 37202 37499 38114 41143 41949 48081 43201 44221 14002 48046 428 1482 932 1062 11/1/06 7/1/06 8/1/06 20/2/04 10/3/04 23/3/04 5/4/04 12/4/04 12/4/04 07/04/04 10/4/04 4/5/04 10/05/04 10/5/04 21/05/04 2/6/04 3/6/04 6/6/04 13/6/04 25/6/04 03/7/04 05/7/04 05/7/04 06/7/04 8/7/04 12/7/04 14/7/04 20/7/04 21/7/04 22/07/04 23/7/04 STM STM SG? SOMC SG SOMC? STM SG SG-OMC STM SOMC STM STM SOMC SOMC SOMC STM STM STM STM Ung that nhd Vater SG-OMC SG SOMC STM SOMC STM STM STM SOMC SG