1.Adrenal tumors: surgical treatment
Ho Chi Minh city Medical Association 2003;8(3):158-159
Both benign and malignant tumors in adrenal glands could make hypersecretion syndrom arised. Benign tumor usually has small size, homogenous intensity on cross-section. Opening surgery to remove the adrenal gland remains a safe and effective operation. However, a well trained surgeons can remove the tumors by endoscopy. It is an invasive interference with a short term hospitalisation with very low rate of complications.
Adrenal Rest Tumor
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Therapeutics
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Neoplasms
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surgery
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Therapeutics
2.The role of positron emission tomography in the diagnosis of urologic malignancies
Ho Chi Minh city Medical Association 2005;10(1):28-30
Fluorodeoxyglucose positron emission tomography (FDG-PET) has a limited role in the diagnosis of prostate cancer mainly because of the low uptake of FDG in the tumor. FDG-PET has shown some advantages in the assessment of lymph nodes and bone metastases. FDG-PET has a significant potential to assist with the diagnosis and management of testicular cancer. PET has been most useful in defining the presence or absence of disease in patients with residual masses. Role of PET in renal cell carcinoma and bladder cancer is so limited. Some new marked atoms have studied to increase effects of PET in diagnosis urologic malignancies
Urologic Neoplasms
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Urologic Diseases
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Tomography
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Diagnosis
3.Extraperitoneal laparoscopic pelvic ureterolithotomy: case report
Ho Chi Minh city Medical Association 2005;10(2):85-86
Report one case of a male patient, aged 32 years old, admitted hospital due to left sciatica for two years. Ultrasound studies discovered 3-degree left hydronephrosis due to left ureterolithiasis. The patient was extraperitoneal laparoscopic pelvic ureterolithotomy. Operation time was 130 minutes; blood loss was about 10ml. The patient refarted on the first day; drainage was pulled out on the second day and discharged on the third day after operation. He only used pain relief medication on the first postoperation day. After one week, the patient was reexamined to pull out ureteral catheter. The incision healed well. Extraperitoneal laparoscopic surgery was minimally invasive, so patient could feel comfortable in postoperative period was for s
Ureterolithiasis
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Pelvis
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Laparoscopy
4.The research on blood homocystein level as a new risk factor for stroke
Journal of Vietnamese Medicine 2005;0(12):26-34
The research was carried out on 108 stroke patients, 108 healthy control subjects matched in age and gender at the Hue Central Hospital in 2004. Results: Increasing the mean level of homocystein in blood is new risk factor of stroke. It’s maybe an independent risk factor or combining with other risk factors of stroke (especially hypertension). The rate of hyperhomocysteinemia is higher in patient group than in control group. There were statistically significant association between the mean blood homocystein level with amount risk factors of stroke (age, smoking, blood pressure, uremia, creatininemia, HCT, platelet). Especially, the mean homocystein level in blood had a negative correlation with Glasgow scores. Quantifying the homocystein level in blood of stroke patients can predict the severity of conscious impairment
Stroke
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Risk Factors
5.Transrectal ultrasonography and prostate biopsy
Journal Ho Chi Minh Medical 2005;9(2):65-67
Transrectal ultrasonography (TRUS) in prostate cancer could show the images of multiform prostate adenomas. Specific sign is a hypoechoic area in periphery of gland. Overall, sensitivity (32%) and specificity (51%) of TRUS in diagnosis prostate cancer weren’t high. The false negative was from 30% to 40%. Two major roles of TRUS were to determine suspected lesions and to increase accuracy of prostate biopsy. TRUS techniques in diagnosis prostate cancer were: conventional TRUS, TRUS with Doppler, TRUS with contrast Doppler, and TRUS with 3D ultrasound. Under TRUS-guiding, biopsy can be performed through perineum or rectum
Prostate
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Biopsy
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Ultrasonography
6.Current trends in the treatment of urinary stones
Journal Ho Chi Minh Medical 2005;9(3):129-133
In the last 2 decades, the great progress of imagine techniques, endoscopic equipments and extracorporeal lithotripsy made a revolution in the treatment of urinary stones. Urinary stones now can be treated successfully by minimal invasive procedures. The means of urinary stones treatments consist of shock wave lithotripsy (SWL), percutaneous nephrostolithotomy (PCNL), ureteroscopy (URS), laparoscopy, retroperitoneal endoscopy, and laparotomy. The trends of urinary stones treatments include treating kidney stones (big or small stones), ureteral stones (in the upper third, medium third, and lower third of ureter)
Urinary Calculi
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Therapeutics
7.Uroflowmetry in patients with prostatic neoplasm treated by endosurgery at Binh Dan hospital
Journal of Vietnamese Medicine 1999;232(1):12-18
From November 1999 to November 2000, we observed the preoperative uroflows of all patients with prostatic neoplasm diseases. There were 94 patients (mean age 70.5(8.08) who had indications for TURP. The Qmax was 7.67(mL/s; voided volume was 261.8(142.4mL. The patterns of uroflow consisted 0f 64% obstructed, 14% intermittent, 19% interrupted and 3% normal. We noticed that 93.6% of all patients with symptoms of bladder outlet obstructions involved in our research had abnormal uroflows. We also had to consider the relationship of automatic and visual interpretations of uroflowmeters results. In patients with voided volume under 150mL, Bristol monogram is a very useful tool for correcting Qmax.
Prostatic Neoplasms
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Endoscopy
8.Blood level of homocystein in various types of stroke
Journal of Medical and Pharmaceutical Information 2004;10():26-29
68 patients with stroke treated at Hue Central Hospital from March to June 2004. Risk factors as hypertension, smoking were evaluated. Patients had clinical and paraclinical examination such as CT scanning of cerebral skull, blood formula. Blood level of homocystein was estimated: The prevalence of stroke in gender male/female was 1.64/1 with 61.76% men and 38.24 women. Hypertension 85.24%, men/women 1.64/1. Smoke 67.65%. Blood level of homocystein increases in stroke by the rate of 77.94%, as for hemorrhagic stroke was 65.63%, for ischemic stroke was 88.57%. Stroke rate increased by age, especially after 55 years old. A positive correlation between blood level of homocystein and hematocrite was notified
Stroke
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Homocysteine
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blood
9.Bilateral urinary stones treated by minimally invasive surgery: 2 cases report
Journal Ho Chi Minh Medical 2004;8(4):245-247
Presention of 2 cases of bilateral urinary lithiasis treated totally by minimally invasive surgey: percutaneous nephrolithotomy, ureteroscopy and retroperitoneal laparoscopic surgery. If well equipped, almost all cases of urolithiasis could be treated by minimally invasive surgery
Urinary Calculi
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Therapeutics
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surgery
10.Preliminary survey on blood homocystein level in cerebrovascular stroke
Journal of Practical Medicine 2004;481(6):70-72
The concentration of blood homocystein (Hcy) in 26 patients with cerebrovascular accident (CVA) was determined preliminarily in Central Hospital in Hue city. 57.69% was the incidence of CVA in male and 42.31% in female patients (in male it was 1.36 fold higher than in female). Hcy concentration increased in 80.77% CVA patient. The rate of increase of blood level of Hcy was 66.67% in brain hemorrhage, 92.86% in brain infarctus. The incidence of CVA enhanced with the age, especially after the age of 55. High blood pressure accounted for 76.92% in CVA. 17/26 (65.38%) was the ratio of tobacco smoler.
Data Collection
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Homocysteine
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Blood
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Stroke