1- Chi di nh:
1.1 - U .xa tu c u n g: u x o tti c u n g d ud i n i e m m a c g a y r o n g k i nh , r o n g h u y et hoac vo sinh, u n i m h o a n to an t ro n g b u o n g tti c u n g h oa c d u d n g k i n h ldn nhat c u a u n a m t r ong b u o n g tti c u n g , khi do goc noi g i u a n h a n x o vdi t h a n h tti c u n g phai la goc n h on .
D u d n g k inh n ha n x o < 4 c m
1.2- Polip x(T. t hu dn g ga y rong kinh va k h o n g the lay duoc polip x o ba ng thia nao. Vi chan polip t hu d ng be, soi b u o n g tti c u n g dot va cat bang v ong dien.
1 3 - Q ua san niem m a c tit cung: Cdt bo n i e m m a c tti c u n g khi dieu tri noi k h o a that bai va tti c u n g k h o n g q u a to.
1.4- La c noi m a c tir c u n g t ro n g lop c o lir c u n g ( A d e n o m y o s e ) t h u a n g g a y dau b u n g ki nh va tu c u n g to.
J .5- Di dang tu cung: T u c u n g c o va ch n g a n m a g a y ra s&y thai lien tiep. de non. thai c h et luu .
1.6- Dinh tu cung
1.7- L ay dung cu tit cung: khi lay d u n g cu tir c u n g k h o k h a n .
2- C h o n g chi di n h:
G i o n g n h u c h o n g chi d inh t rong noi soi b u o n g tir c u n g c h i n d o a n ( co thai, v ie m n h i l m , c h a y m a u n h i i u ) c o n t he m mo t so c h o n g chi dinh:
Q u a san k h o n g di en hinh n i e m m a c tir c u n g
U x o tir c u n g to > 4 c m n a n g tren 2 0 0 g va c u o n g to, tir c u n g to khi d o b u o n g tir c u n g > 1 Ocm.
TAI LIEU THAM KHAO
1. Fi g n o n ; D. L e m s e f f e r ; J. L a n s a c - C h i r u r g i e pa r voie h y s t e r o s c o p i q u e . L a p ra ti qu e c h i r u r g i c a l en g y n e c o l o g i e - o b s t e t r i q u e . 1998, 1 8 6 - 1 9 7
2. K e ss W a m s t e k e r a nd Sjoerd de Blok - D i a g n o s t i c H y s t e r o s c o p y : T e c h n i q u e a n d d o c u m e n t a t i o n . E n d o s c o p i c S ur g er y f or G y n a e c o l o g i s t s .
NHA XUAT BAN Y HOC
NOI SOI
TRONG PHU KHOA
C h iu tra c h n h ie m x u a t b a n
GD. H OAN G TR O N G Q U A N G
B ie n ta p : BS. N G U Y E N THI TOT
S im b a n in : BS. NG U Y EN THI TOT