{"id":33238,"date":"2022-07-02T07:44:11","date_gmt":"2022-07-02T00:44:11","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=33238"},"modified":"2022-07-02T07:44:11","modified_gmt":"2022-07-02T00:44:11","slug":"nang-gia-tuy-pancreatic-pseudocysts","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/nang-gia-tuy-pancreatic-pseudocysts\/","title":{"rendered":"Nang gi\u1ea3 t\u1ee5y &#8211; Pancreatic pseudocysts"},"content":{"rendered":"<p style=\"text-align: right;\">T\u1ea3i file PDF b\u00e0i vi\u1ebft <strong>Nang gi\u1ea3 t\u1ee5y &#8211; Pancreatic pseudocysts <\/strong><a href=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/t___c-ru___t-non-1.pptx-filename-UTF-8tac-ruot-non-1.pptx.pdf\">t\u1ea1i \u0111\u00e2y<\/a><\/p>\n<p style=\"text-align: right;\">B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c d\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu v\u00e0 Dr. L\u00ea V\u0169 Duy<\/p>\n<h2>Gi\u1edbi thi\u1ec7u<\/h2>\n<p>Nang gi\u1ea3 t\u1ee5y l\u00e0 bi\u1ebfn ch\u1ee9ng hay g\u1eb7p nh\u1ea5t c\u1ee7a vi\u00eam t\u1ee5y c\u1ea5p v\u00e0 vi\u00eam t\u1ee5y m\u1ea1n, l\u00e0 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng nang ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a t\u1ee5y. L\u00e0 t\u1ed5n th\u01b0\u01a1ng c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng nang kh\u00e1c v\u00e0 c\u00e1c kh\u1ed1i kh\u00e1c c\u1ee7a t\u1ee5y.<\/p>\n<h2>Thu\u1eadt ng\u1eef<\/h2>\n<p>Sau \u0111\u00e2y l\u00e0 c\u00e1c thu\u1eadt ng\u1eef c\u1ee7a Atlanta v\u1ec1 t\u1ee5 d\u1ecbch li\u00ean quan \u0111\u1ebfn vi\u00eam t\u1ee5y c\u1ea5p:<\/p>\n<h3>T\u1ee5 d\u1ecbch trong vi\u00eam t\u1ee5y ph\u00f9 n\u1ec1 m\u00f4 k\u1ebd:<\/h3>\n<p>&#8211; T\u1ee5 d\u1ecbch quanh t\u1ee5y c\u1ea5p t\u00ednh (acute peripancreatic fluid collections (APFC)): trong 4 tu\u1ea7n, t\u1ee5 d\u1ecbch quanh t\u1ee5y kh\u00f4ng t\u1ea1o v\u1ecf.<\/p>\n<p>&#8211; Nang gi\u1ea3 t\u1ee5y (pseudocysts): ph\u00e1t tri\u1ec3n sau 4 tu\u1ea7n, t\u1ee5 d\u1ecbch \u1edf quanh t\u1ee5y ho\u1eb7c v\u1ecb tr\u00ed ngo\u00e0i t\u1ee5y c\u00f3 t\u1ea1o v\u1ecf.<\/p>\n<h3>T\u1ee5 d\u1ecbch trong vi\u00eam t\u1ee5y ho\u1ea1i t\u1eed:<\/h3>\n<p>&#8211; T\u1ee5 d\u1ecbch ho\u1ea1i t\u1eed c\u1ea5p t\u00ednh (acute necrotic collection (ANC)): x\u1ea3y ra trong 4 tu\u1ea7n \u0111\u1ea7u, l\u00e0 c\u00e1c ch\u1ea5t ho\u1ea1i t\u1eed d\u1ecbch h\u00f3a kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, kh\u00f4ng t\u1ea1o v\u1ecf.<\/p>\n<p>&#8211; Ho\u1ea1i t\u1eed t\u1ea1o v\u00e1ch (walled-off necrosis (WON\/WOPN)): ph\u00e1t tri\u1ec3n sau 4 tu\u1ea7n, t\u1ee5 d\u1ecbch ho\u1ea1i t\u1eed \u0111\u00e3 d\u1ecbch h\u00f3a, t\u1ea1o v\u1ecf.<\/p>\n<h2>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/h2>\n<p>Nang gi\u1ea3 t\u1ee5y th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n tr\u00ean h\u00ecnh \u1ea3nh \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n theo d\u00f5i sau vi\u00eam t\u1ee5y, \u0111\u00f4i khi b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a nang gi\u1ea3 t\u1ee5y bao g\u1ed3m:<\/p>\n<ul>\n<li>Hi\u1ec7u \u1ee9ng kh\u1ed1i:\n<ul>\n<li>T\u1eafc m\u1eadt<\/li>\n<li>T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra c\u1ee7a d\u1ea1 d\u00e0y.<\/li>\n<\/ul>\n<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng th\u1ee9 ph\u00e1t.<\/li>\n<\/ul>\n<h2>B\u1ec7nh l\u00fd h\u1ecdc<\/h2>\n<p>X\u1ea3y ra do s\u1ef1 ph\u00e1 v\u1ee1 c\u00e1c c\u1ea5u tr\u00fac \u1ed1ng t\u1ee5y g\u00e2y r\u00f2 r\u1ec9 v\u00e0 t\u1ee5 d\u1ecbch t\u1ee5y g\u00e2y ho\u1ea1i t\u1eed m\u1ee1 xu\u1ea5t huy\u1ebft. Nang gi\u1ea3 t\u1ee5y kh\u00f4ng \u0111\u01b0\u1ee3c l\u00f3t b\u1edfi l\u1edbp bi\u1ec3u m\u00f4. Ph\u1ea3n \u1ee9ng vi\u00eam n\u1eb7ng h\u01a1n t\u1ea1o ra v\u1ecf c\u1ee7a nang l\u00e0 c\u00e1c m\u00f4 x\u01a1 h\u1ea1t. Nang gi\u1ea3 t\u1ee5y x\u1ea3y ra \u1edf tu\u1ea7n th\u1ee9 4-6. X\u1ea5p x\u1ec9 50% tr\u01b0\u1eddng h\u1ee3p nang gi\u1ea3 t\u1ee5y th\u00f4ng th\u01b0\u01a1ng v\u1edbi \u1ed1ng t\u1ee5y. C\u00e1c nang n\u00e0y kh\u00f3 \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ec5 t\u00e1i ph\u00e1t h\u01a1n.<\/p>\n<h2>C\u0103n nguy\u00ean<\/h2>\n<ul>\n<li>Vi\u00eam t\u1ee5y c\u1ea5p ho\u1eb7c vi\u00eam t\u1ee5y m\u1ea1n (ph\u1ed5 bi\u1ebfn nh\u1ea5t).<\/li>\n<li>Ch\u1ea5n th\u01b0\u01a1ng t\u1ee5y.<\/li>\n<li>Sau \u0111i\u1ec1u tr\u1ecb b\u1ec7nh kh\u00e1c, v\u00ed d\u1ee5 sau c\u1eaft b\u00e1n ph\u1ea7n d\u1ea1 d\u00e0y.<\/li>\n<\/ul>\n<h2>Sub types<\/h2>\n<p>Nang gi\u1ea3 t\u1ee5y trong th\u00e0nh (Intramural pseudocysts): l\u00e0 m\u1ed9t d\u1ea1ng hi\u1ebfm g\u1eb7p c\u1ee7a nang gi\u1ea3 t\u1ee5y, x\u1ea3y ra \u1edf th\u00e0nh c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean, c\u00f3 nguy\u00ean nh\u00e2n g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra c\u1ee7a d\u1ea1 d\u00e0y. Ch\u00fang c\u00f3 k\u00edch th\u01b0\u1edbc thay \u0111\u1ed5i t\u1eeb 8mm-8cm.<\/p>\n<ul>\n<li>Nang gi\u1ea3 t\u1ee5y trong th\u00e0nh d\u1ea1 d\u00e0y<\/li>\n<li aria-level=\"1\">Nang gi\u1ea3 t\u1ee5y trong th\u00e0nh t\u00e1 tr\u00e0ng<\/li>\n<li aria-level=\"1\">Th\u00e0nh th\u1ef1c qu\u1ea3n \u0111o\u1ea1n th\u1ea5p (c\u1ef1c k\u1ef3 hi\u1ebfm).<\/li>\n<\/ul>\n<p>Nang gi\u1ea3 t\u1ee5y th\u01b0\u1eddng l\u00e0 \u1ed5 d\u1ecbch h\u00ecnh tr\u00f2n ho\u1eb7c oval, c\u00f3 th\u00e0nh kh\u00e1 d\u00e0y. C\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u nang v\u00e0 v\u1ecb tr\u00ed ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 \u1edf gi\u01b0\u1eddng t\u1ee5y. Ch\u00fang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ea5y \u1edf b\u1ea5t c\u1ee9 v\u1ecb tr\u00ed n\u00e0o t\u1eeb ch\u1eadu h\u00f4ng \u0111\u1ebfn trung th\u1ea5t (t\u1ed5n th\u01b0\u01a1ng \u1edf khoang sau ph\u00fac m\u1ea1c qua ch\u1ed7 tho\u00e1t v\u1ecb c\u01a1 ho\u00e0nh l\u00ean trung th\u1ea5t), th\u1eadm ch\u00ed \u1edf c\u1ed5.<\/p>\n<h2>\u0110\u1eb7c \u0111i\u1ec3m h\u00ecnh \u1ea3nh<\/h2>\n<h3>X-quang \u1ed5 b\u1ee5ng<\/h3>\n<p>X-quang b\u1ee5ng kh\u00f4ng nh\u1ea1y trong ch\u1ea9n \u0111o\u00e1n nang gi\u1ea3 t\u1ee5y. V\u1edbi nang l\u1edbn, c\u00f3 th\u1ec3 th\u1ea5y d\u1ea5u hi\u1ec7u d\u1ea1 d\u00e0y v\u00e0 \u0111\u1ea1i tr\u00e0ng t\u00e1ch xa nhau, g\u1ee3i \u00fd c\u00f3 d\u1ecbch quanh t\u1ee5y v\u00e0 trong t\u00fai m\u1ea1c n\u1ed1i.<\/p>\n<h3>Si\u00eau \u00e2m<\/h3>\n<p>D\u1ecbch gi\u1ea3m \u00e2m ho\u1eb7c tr\u1ed1ng \u00e2m, th\u01b0\u1eddng nh\u00ecn th\u1ea5y m\u1ee9c gi\u1ea3m \u00e2m c\u1ee7a c\u00e1c m\u1ea3nh v\u1ee5n.<\/p>\n<h3>CT<\/h3>\n<p>Bi\u1ec3u hi\u1ec7n l\u00e0 \u1ed5 t\u1ee5 d\u1ecbch quanh t\u1ee5y gi\u1ea3m t\u1ef7 tr\u1ecdng \u0111\u1ed3ng nh\u1ea5t, th\u01b0\u1eddng c\u00f3 h\u00ecnh tr\u00f2n ho\u1eb7c h\u00ecnh oval, ranh gi\u1edbi r\u00f5, th\u01b0\u1eddng c\u00f3 ng\u1ea5m thu\u1ed1c th\u00e0nh.<\/p>\n<h3>MRI<\/h3>\n<p>T1:<\/p>\n<p>&#8211; Gi\u1ea3m t\u00edn hi\u1ec7u trung t\u00e2m (t\u00edn hi\u1ec7u d\u1ecbch)<\/p>\n<p>&#8211; Th\u00e0nh ng\u1ea5m thu\u1ed1c nh\u1eb9 \u1edf th\u00ec s\u1edbm v\u00e0 t\u0103ng d\u1ea7n.<\/p>\n<p>T2:<\/p>\n<p>&#8211; T\u0103ng t\u00edn hi\u1ec7u (t\u00edn hi\u1ec7u d\u1ecbch)<\/p>\n<p>&#8211; Ph\u00e2n l\u1edbp ho\u1eb7c th\u00e0nh ph\u1ea7n m\u1ea3nh v\u1ee5n, r\u1ea5t \u0111\u1eb7c hi\u1ec7u.<\/p>\n<h2>\u0110i\u1ec1u tr\u1ecb v\u00e0 ti\u00ean l\u01b0\u1ee3ng<\/h2>\n<p>Nang gi\u1ea3 t\u1ee5y c\u00f3 th\u1ec3 t\u1ef1 tho\u00e1i tri\u1ec3n v\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p c\u00f3 bi\u1ebfn ch\u1ee9ng v\u1edbi nhi\u1ec5m tr\u00f9ng, k\u00edch th\u01b0\u1edbc l\u1edbn g\u00e2y ch\u00e8n \u00e9p nh\u01b0 t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra d\u1ea1 d\u00e0y, t\u1eafc ru\u1ed9t, th\u1eadn \u1ee9 n\u01b0\u1edbc, t\u1eafc m\u1eadt, t\u0103ng \u0111\u01b0\u1eddng k\u00ednh ho\u1eb7c k\u00edch th\u01b0\u1edbc &gt; 5cm, t\u00e1i ph\u00e1t sau c\u1eaft b\u1ecf ho\u1eb7c d\u1eabn l\u01b0u, c\u00e1c tri\u1ec7u ch\u1ee9ng t\u1ed3n t\u1ea1i dai d\u1eb3ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m:<\/p>\n<p>&#8211; Ph\u1eabu thu\u1eadt n\u1ed1i th\u00f4ng nang v\u1edbi quai h\u1ed7ng tr\u00e0ng theo ph\u01b0\u01a1ng ph\u00e1p Roux-en-Y .<\/p>\n<p>&#8211; D\u1eabn l\u01b0u qua n\u1ed9i soi v\u00e0o d\u1ea1 d\u00e0y ho\u1eb7c t\u00e1 tr\u00e0ng.<\/p>\n<p>&#8211; D\u1eabn l\u01b0u qua da.<\/p>\n<p>&#8211; Truy\u1ec1n octreotide: gi\u1ea3m s\u1ef1 ch\u1ebf ti\u1ebft c\u1ee7a nang.<\/p>\n<h2>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h2>\n<p>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t tr\u00ean ph\u01b0\u01a1ng di\u1ec7n h\u00ecnh \u1ea3nh bao g\u1ed3m:<\/p>\n<ul>\n<li>C\u00e1c t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng nang c\u1ee7a t\u1ee5y:\n<ul>\n<li>Th\u01b0\u1eddng kh\u00f4ng ch\u1ee9a c\u00e1c m\u1ea3nh v\u1ee5n<\/li>\n<li>C\u00f3 th\u1ec3 c\u00f3 c\u00e1c nang nh\u1ecf trong tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn thanh d\u1ecbch (serous cystadenoma).<\/li>\n<li>Gi\u00e3n nh\u00e1nh b\u00ean trong IPMN.<\/li>\n<li>Th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n qua n\u1ed9i soi.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\">Nang \u1ed1ng m\u1eadt ch\u1ee7 (\u0111\u1eb7c hi\u1ec7u tr\u00ean si\u00eau \u00e2m)<\/li>\n<li aria-level=\"1\">Nang \u0111\u00f4i ru\u1ed9t \u1edf m\u1ea1c treo: th\u00e0nh r\u1ea5t m\u1ecfng.<\/li>\n<li aria-level=\"1\">T\u1ee5 d\u1ecbch quanh t\u1ee5y trong vi\u00eam t\u1ee5y c\u1ea5p: th\u01b0\u1eddng kh\u00f4ng c\u00f3 h\u00ecnh tr\u00f2n, nang gi\u1ea3 t\u1ee5y th\u00ec ph\u00e1t tri\u1ec3n sau 4 tu\u1ea7n.<\/li>\n<li aria-level=\"1\">Nang ru\u1ed9t \u0111\u00f4i c\u1ee7a d\u1ea1 d\u00e0y<\/li>\n<li aria-level=\"1\">Nang gi\u1ea3 t\u1ee5y kh\u00f4ng do vi\u00eam t\u1ee5y: nang c\u00f3 n\u1ed3ng \u0111\u1ed9 amylase v\u00e0 lipase th\u1ea5p.<\/li>\n<\/ul>\n<h2>C\u00e1c v\u00ed d\u1ee5<\/h2>\n<h3>Case 1<\/h3>\n<p>B\u1ec7nh nh\u00e2n nam, 60 tu\u1ed5i, c\u00f3 ti\u1ec1n s\u1eed vi\u00eam t\u1ee5y c\u1ea5p. H\u00ecnh \u1ea3nh CT cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng \u1edf \u0111u\u00f4i t\u1ee5y v\u1edbi t\u1ef7 tr\u1ecdng d\u1ecbch h\u00f3a \u0111\u1ed3ng nh\u1ea5t, th\u00e0nh m\u1ecfng ch\u1ee9a v\u00f4i h\u00f3a.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33241\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-1.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-1.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-1-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-1-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-1-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-1-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-1-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-1-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33242\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-2.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-2.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-2-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-2-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-2-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-2-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-2-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-2-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33243\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-3.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-3.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-3-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-3-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-3-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-3-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-3-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-3-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>Case 2<\/h3>\n<p>Nang gi\u1ea3 t\u1ee5y g\u00e2y th\u1eadn \u1ee9 n\u01b0\u1edbc. B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed vi\u00eam t\u1ee5y. H\u00ecnh \u1ea3nh CT cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng nang gi\u1ea3 t\u1ee5y k\u00edch th\u01b0\u1edbc l\u1edbn g\u00e2y \u1ee9 n\u01b0\u1edbc th\u1eadn.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33244\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-4.png\" alt=\"\" width=\"950\" height=\"464\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-4.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-4-800x391.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-4-768x375.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-4-350x171.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>Case 3<\/h3>\n<p>Nang gi\u1ea3 t\u1ee5y \u1edf b\u1ec7nh nh\u00e2n vi\u00eam t\u1ee5y m\u1ea1n. H\u00ecnh \u1ea3nh CT cho th\u1ea5y teo nhu m\u00f4 \u0111u\u00f4i t\u1ee5y, v\u1edbi hai nang c\u00f3 t\u1ef7 tr\u1ecdng d\u1ecbch \u1edf trung t\u00e2m, th\u00e0nh m\u1ecfng ng\u1ea5m thu\u1ed1c. Kh\u00f4ng quan s\u00e1t th\u1ea5y t\u0129nh m\u1ea1ch l\u00e1ch, thay v\u00e0o \u0111\u00f3 l\u00e0 nhi\u1ec1u nh\u00e1nh b\u00e0ng h\u1ec7 \u1edf r\u1ed1n l\u00e1ch v\u00e0 d\u1ecdc b\u1edd cong l\u1edbn d\u1ea1 d\u00e0y.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33245\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-5.png\" alt=\"\" width=\"950\" height=\"468\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-5.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-5-800x394.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-5-768x378.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-5-350x172.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>Case 4<\/h3>\n<p>Nang gi\u1ea3 t\u1ee5y g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra c\u1ee7a d\u1ea1 d\u00e0y. M\u1ed9t nang l\u1edbn \u1edf v\u1ecb tr\u00ed d\u00e2y ch\u1eb1ng v\u1ecb gan, ch\u00e8n \u00e9p b\u00ean ngo\u00e0i m\u00f4n v\u1ecb, g\u00e2y t\u1eafc \u0111\u01b0\u1eddng ra c\u1ee7a d\u1ea1 d\u00e0y v\u1edbi bi\u1ec3u hi\u1ec7n m\u1ee9c d\u1ecbch d\u1ecbch \u1edf d\u1ea1 d\u00e0y.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33246\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-6.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-6.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-6-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-6-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-6-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-6-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-6-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-6-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>V\u00ed d\u1ee5 5<\/h3>\n<p>B\u1ec7nh nh\u00e2n n\u1eef, 30 tu\u1ed5i. H\u00ecnh \u1ea3nh MRI cho th\u1ea5y m\u1ed9t nang l\u1edbn thay th\u1ebf ph\u1ea7n nhu m\u00f4 t\u1ee5y v\u00e0 ch\u00e8n \u00e9p \u0111o\u1ea1n cu\u1ed1i \u1ed1ng m\u1eadt ch\u1ee7 g\u00e2y gi\u00e3n \u0111\u01b0\u1eddng m\u1eadt trong v\u00e0 ngo\u00e0i gan.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33247\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-7.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-7.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-7-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-7-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-7-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-7-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-7-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-7-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33248\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-8.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-8.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-8-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-8-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-8-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-8-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-8-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-8-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33249\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-9.png\" alt=\"\" width=\"950\" height=\"950\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-9.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-9-400x400.png 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-9-800x800.png 800w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-9-280x280.png 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-9-768x768.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-9-350x350.png 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-9-100x100.png 100w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h3>V\u00ed d\u1ee5 6<\/h3>\n<p>Nang gi\u1ea3 t\u1ee5y sau ch\u1ea5n th\u01b0\u01a1ng t\u1ee5y. Tr\u1ebb n\u1eef, ch\u1ea5n th\u01b0\u01a1ng b\u1ee5ng do v\u1eadt t\u00f9 1 th\u00e1ng tr\u01b0\u1edbc \u0111\u00f3. H\u00ecnh \u1ea3nh x-quang cho th\u1ea5y t\u0103ng kho\u1ea3ng c\u00e1ch gi\u1eefa d\u1ea1 d\u00e0y v\u1edbi \u0111\u1ea1i tr\u00e0ng ngang, ch\u1ee9ng t\u1ecf c\u00f3 d\u1ecbch trong t\u00fai m\u1ea1c n\u1ed1i.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33250\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-10.png\" alt=\"\" width=\"950\" height=\"1273\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-10.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-10-299x400.png 299w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-10-597x800.png 597w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-10-768x1029.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-10-350x469.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<p>C\u00f9ng b\u1ec7nh nh\u00e2n \u0111\u00f3 sau khi \u0111\u01b0\u1ee3c d\u1eabn l\u01b0u.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-33251\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-11.png\" alt=\"\" width=\"950\" height=\"1250\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-11.png 950w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-11-304x400.png 304w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-11-608x800.png 608w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-11-768x1011.png 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2022\/07\/nang-gia-tuy-11-350x461.png 350w\" sizes=\"auto, (max-width: 950px) 100vw, 950px\" \/><\/p>\n<h2>Ngu\u1ed3n tham kh\u1ea3o<\/h2>\n<p>Dr MT Niknejad &#8211; <a href=\"https:\/\/radiopaedia.org\/articles\/pancreatic-pseudocyst-1\" rel=\"noopener\">Pancreatic pseudocyst<\/a> &#8211; Radiopaedia. Truy c\u1eadp ng\u00e0y 01\/07\/2022<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ea3i file PDF b\u00e0i vi\u1ebft Nang gi\u1ea3 t\u1ee5y &#8211; Pancreatic pseudocysts t\u1ea1i \u0111\u00e2y B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c d\u1ecbch b\u1edfi Tr\u1ea7n Th\u1ecb Thu v\u00e0 Dr. L\u00ea V\u0169 Duy Gi\u1edbi thi\u1ec7u Nang gi\u1ea3 t\u1ee5y l\u00e0 bi\u1ebfn ch\u1ee9ng hay g\u1eb7p nh\u1ea5t c\u1ee7a vi\u00eam t\u1ee5y c\u1ea5p v\u00e0 vi\u00eam t\u1ee5y m\u1ea1n, l\u00e0 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng nang ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a t\u1ee5y. [&#8230;]\n","protected":false},"author":1,"featured_media":33252,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-33238","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/33238","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=33238"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/33238\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/33252"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=33238"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=33238"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=33238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}