{"id":6618,"date":"2026-04-16T12:07:48","date_gmt":"2026-04-16T05:07:48","guid":{"rendered":"https:\/\/bvnguyentrai.org.vn\/?p=6618"},"modified":"2026-04-16T12:09:37","modified_gmt":"2026-04-16T05:09:37","slug":"nhung-buoc-tien-vuot-bac-cua-noi-soi-sieu-am-tu-chan-doan-den-can-thiep-toi-thieu-trong-benh-ly-tieu-hoa-gan-mat-tuy","status":"publish","type":"post","link":"https:\/\/bvnguyentrai.org.vn\/en\/nhung-buoc-tien-vuot-bac-cua-noi-soi-sieu-am-tu-chan-doan-den-can-thiep-toi-thieu-trong-benh-ly-tieu-hoa-gan-mat-tuy\/","title":{"rendered":"Nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc c\u1ee7a n\u1ed9i soi si\u00eau \u00e2m: T\u1eeb ch\u1ea9n \u0111o\u00e1n \u0111\u1ebfn can thi\u1ec7p t\u1ed1i thi\u1ec3u trong b\u1ec7nh l\u00fd ti\u00eau h\u00f3a &#8211; gan m\u1eadt t\u1ee5y"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">M\u1ee5c l\u1ee5c<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/bvnguyentrai.org.vn\/en\/nhung-buoc-tien-vuot-bac-cua-noi-soi-sieu-am-tu-chan-doan-den-can-thiep-toi-thieu-trong-benh-ly-tieu-hoa-gan-mat-tuy\/#Nhung_buoc_tien_vuot_bac_cua_noi_soi_sieu_am_Tu_chan_doan_den_can_thiep_toi_thieu_trong_benh_ly_tieu_hoa_%E2%80%93_gan_mat_tuy\" >Nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc c\u1ee7a n\u1ed9i soi si\u00eau \u00e2m: T\u1eeb ch\u1ea9n \u0111o\u00e1n \u0111\u1ebfn can thi\u1ec7p t\u1ed1i thi\u1ec3u trong b\u1ec7nh l\u00fd ti\u00eau h\u00f3a &#8211; gan m\u1eadt t\u1ee5y<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/bvnguyentrai.org.vn\/en\/nhung-buoc-tien-vuot-bac-cua-noi-soi-sieu-am-tu-chan-doan-den-can-thiep-toi-thieu-trong-benh-ly-tieu-hoa-gan-mat-tuy\/#Noi_soi_sieu_am_trong_benh_ly_ong_tieu_hoa_Tu_nhan_dien_u_duoi_niem_mac_den_danh_gia_xam_lan_ung_thu_som\" >N\u1ed9i soi si\u00eau \u00e2m trong b\u1ec7nh l\u00fd \u1ed1ng ti\u00eau h\u00f3a: T\u1eeb nh\u1eadn di\u1ec7n u d\u01b0\u1edbi ni\u00eam m\u1ea1c \u0111\u1ebfn \u0111\u00e1nh gi\u00e1 x\u00e2m l\u1ea5n ung th\u01b0 s\u1edbm<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/bvnguyentrai.org.vn\/en\/nhung-buoc-tien-vuot-bac-cua-noi-soi-sieu-am-tu-chan-doan-den-can-thiep-toi-thieu-trong-benh-ly-tieu-hoa-gan-mat-tuy\/#Nhung_giai_phap_xam_lan_toi_thieu_thay_the_phau_thuat_truyen_thong\" >Nh\u1eefng gi\u1ea3i ph\u00e1p x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u thay th\u1ebf ph\u1eabu thu\u1eadt truy\u1ec1n th\u1ed1ng<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/bvnguyentrai.org.vn\/en\/nhung-buoc-tien-vuot-bac-cua-noi-soi-sieu-am-tu-chan-doan-den-can-thiep-toi-thieu-trong-benh-ly-tieu-hoa-gan-mat-tuy\/#Endo-hepatology_va_su_ket_hop_da_phuong_thuc_Tam_nhin_tuong_lai_cua_noi_soi_can_thiep\" >Endo-hepatology v\u00e0 s\u1ef1 k\u1ebft h\u1ee3p \u0111a ph\u01b0\u01a1ng th\u1ee9c: T\u1ea7m nh\u00ecn t\u01b0\u01a1ng lai c\u1ee7a n\u1ed9i soi can thi\u1ec7p<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h1 style=\"text-align: center;\"><span class=\"ez-toc-section\" id=\"Nhung_buoc_tien_vuot_bac_cua_noi_soi_sieu_am_Tu_chan_doan_den_can_thiep_toi_thieu_trong_benh_ly_tieu_hoa_%E2%80%93_gan_mat_tuy\"><\/span>Nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc c\u1ee7a n\u1ed9i soi si\u00eau \u00e2m: T\u1eeb ch\u1ea9n \u0111o\u00e1n \u0111\u1ebfn can thi\u1ec7p t\u1ed1i thi\u1ec3u trong b\u1ec7nh l\u00fd ti\u00eau h\u00f3a &#8211; gan m\u1eadt t\u1ee5y<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<div class=\"detail_descript\">\n<p>T\u1ea1i h\u1ed9i th\u1ea3o khoa h\u1ecdc \u201cC\u1eadp nh\u1eadt ti\u1ebfn b\u1ed9 c\u1ee7a n\u1ed9i soi trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb u \u1ed1ng ti\u00eau h\u00f3a\u201d di\u1ec5n ra ng\u00e0y 15\/4\/2026 t\u1ea1i B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i, TS.BS H\u1ed3 \u0110\u0103ng Qu\u00fd D\u0169ng \u0111\u00e3 t\u1ed5ng k\u1ebft nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc c\u1ee7a n\u1ed9i soi si\u00eau \u00e2m (EUS) trong vi\u1ec7c nh\u1eadn di\u1ec7n s\u1edbm c\u00e1c t\u1ed5n th\u01b0\u01a1ng d\u01b0\u1edbi ni\u00eam m\u1ea1c, \u0111\u1ed3ng th\u1eddi m\u1edf ra m\u1ed9t ch\u01b0\u01a1ng m\u1edbi v\u1ec1 &#8220;N\u1ed9i soi Gan m\u1eadt&#8221; (Endo-hepatology), n\u01a1i c\u00e1c k\u1ef9 thu\u1eadt can thi\u1ec7p x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u \u0111ang d\u1ea7n thay th\u1ebf c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt truy\u1ec1n th\u1ed1ng, mang l\u1ea1i hy v\u1ecdng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng t\u1ed1t h\u01a1n cho b\u1ec7nh nh\u00e2n.<\/p>\n<\/div>\n<div class=\"detail_block\">\n<h2><span class=\"ez-toc-section\" id=\"Noi_soi_sieu_am_trong_benh_ly_ong_tieu_hoa_Tu_nhan_dien_u_duoi_niem_mac_den_danh_gia_xam_lan_ung_thu_som\"><\/span>N\u1ed9i soi si\u00eau \u00e2m trong b\u1ec7nh l\u00fd \u1ed1ng ti\u00eau h\u00f3a: T\u1eeb nh\u1eadn di\u1ec7n u d\u01b0\u1edbi ni\u00eam m\u1ea1c \u0111\u1ebfn \u0111\u00e1nh gi\u00e1 x\u00e2m l\u1ea5n ung th\u01b0 s\u1edbm<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Trong ph\u1ea7n \u0111\u1ea7u b\u00e0i b\u00e1o c\u00e1o,\u00a0<strong>TS.BS H\u1ed3 \u0110\u0103ng Qu\u00fd D\u0169ng &#8211; Tr\u01b0\u1edfng khoa N\u1ed9i soi, B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby &#8211; Ch\u1ee7 t\u1ecbch LCH N\u1ed9i soi Ti\u00eau h\u00f3a Vi\u1ec7t Nam<\/strong>\u00a0nh\u1ea5n m\u1ea1nh vai tr\u00f2 c\u1ee7a n\u1ed9i soi si\u00eau \u00e2m (EUS) nh\u01b0 m\u1ed9t h\u1ec7 th\u1ed1ng t\u00edch h\u1ee3p cho ph\u00e9p \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n \u1ed1ng ti\u00eau h\u00f3a v\u00e0 c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn. V\u1edbi c\u00e1c c\u00f4ng c\u1ee5 nh\u01b0 miniprobe, b\u00e1c s\u0129 c\u00f3 th\u1ec3 kh\u1ea3o s\u00e1t chi ti\u1ebft c\u00e1c t\u1ed5n th\u01b0\u01a1ng nh\u1ecf \u1edf l\u1edbp ni\u00eam m\u1ea1c ho\u1eb7c d\u01b0\u1edbi ni\u00eam m\u1ea1c m\u00e0 n\u1ed9i soi th\u00f4ng th\u01b0\u1eddng kh\u00f3 ti\u1ebfp c\u1eadn.<\/p>\n<p>Kh\u1ea3 n\u0103ng quan tr\u1ecdng nh\u1ea5t c\u1ee7a EUS trong \u1ed1ng ti\u00eau h\u00f3a l\u00e0 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c l\u1edbp ngu\u1ed3n g\u1ed1c c\u1ee7a t\u1ed5n th\u01b0\u01a1ng, t\u1eeb \u0111\u00f3 gi\u00fap d\u1ef1 \u0111o\u00e1n lo\u1ea1i kh\u1ed1i u. V\u00ed d\u1ee5, c\u00e1c u ph\u00e1t sinh t\u1eeb c\u00e1c l\u1edbp kh\u00e1c nhau c\u00f3 th\u1ec3 l\u00e0 u c\u01a1 tr\u01a1n (leiomyoma), u m\u1ee1 (lipoma), hay c\u00e1c nang.<\/p>\n<p>\u0110\u1eb7c bi\u1ec7t, EUS l\u00e0 &#8220;ch\u00eca kh\u00f3a&#8221; trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 x\u00e2m l\u1ea5n s\u00e2u c\u1ee7a c\u00e1c t\u1ed5n th\u01b0\u01a1ng ung th\u01b0 s\u1edbm. TS. D\u0169ng \u0111\u00e3 tr\u00ecnh b\u00e0y m\u1ed9t ca l\u00e2m s\u00e0ng ung th\u01b0 th\u1ef1c qu\u1ea3n s\u1edbm \u1edf 1\/3 gi\u1eefa th\u1ef1c qu\u1ea3n v\u1edbi ki\u1ec3u m\u1ea1ch m\u00e1u type B2 v\u00e0 v\u00f9ng v\u00f4 m\u1ea1ch (AVA) nh\u1ecf. H\u00ecnh \u1ea3nh EUS cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng \u0111\u00e3 x\u00e2m l\u1ea5n \u0111\u1ebfn l\u1edbp d\u01b0\u1edbi ni\u00eam m\u1ea1c, d\u1eabn \u0111\u1ebfn vi\u1ec7c thay \u0111\u1ed5i ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb t\u1eeb c\u1eaft b\u1ecf qua n\u1ed9i soi sang ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho b\u1ec7nh nh\u00e2n.<\/p>\n<figure class=\"image\"><img fetchpriority=\"high\" decoding=\"async\" class=\"\" src=\"https:\/\/bvnguyentrai.org.vn\/wp-content\/uploads\/2026\/04\/69df4a7d3dc10.jpg\" width=\"1046\" height=\"697\" \/><figcaption>\u00a0TS.BS H\u1ed3 \u0110\u0103ng Qu\u00fd D\u0169ng tr\u00ecnh b\u00e0y b\u00e1o c\u00e1o\u00a0<strong>&#8220;Ti\u1ebfn b\u1ed9 trong n\u1ed9i soi ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd \u1ed1ng ti\u00eau h\u00f3a v\u00e0 gan &#8211; m\u1eadt &#8211; t\u1ee5y&#8221;<\/strong><\/figcaption><\/figure>\n<p>M\u1ed9t b\u01b0\u1edbc ti\u1ebfn \u0111\u00e1ng k\u1ec3 kh\u00e1c l\u00e0 s\u1ef1 chuy\u1ec3n d\u1ecbch t\u1eeb ch\u1ecdc h\u00fat b\u1eb1ng kim nh\u1ecf (EUS-FNA) sang\u00a0<strong>sinh thi\u1ebft b\u1eb1ng kim nh\u1ecf (EUS-FNB)<\/strong>. TS.BS H\u1ed3 \u0110\u0103ng Qu\u00fd D\u0169ng d\u1eabn ch\u1ee9ng nghi\u00ean c\u1ee9u ng\u1eabu nhi\u00ean \u0111a trung t\u00e2m c\u1ee7a Chen Yen-I v\u00e0 c\u1ed9ng s\u1ef1 (2022) cho th\u1ea5y EUS-FNB \u0111\u01a1n \u0111\u1ed9c \u0111\u1ea1t \u0111\u1ed9 ch\u00ednh x\u00e1c ch\u1ea9n \u0111o\u00e1n (92.2%) t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi EUS-FNA k\u1ebft h\u1ee3p v\u1edbi \u0111\u00e1nh gi\u00e1 nhanh t\u1ea1i ch\u1ed7 (ROSE) (93.3%).<\/p>\n<p>Tuy nhi\u00ean, EUS-FNB v\u01b0\u1ee3t tr\u1ed9i h\u01a1n \u1edf vi\u1ec7c c\u1ea7n \u00edt s\u1ed1 l\u1ea7n \u0111\u00e2m kim h\u01a1n (trung b\u00ecnh 2,3 l\u1ea7n so v\u1edbi 3,0 l\u1ea7n), th\u1eddi gian th\u1ee7 thu\u1eadt ng\u1eafn h\u01a1n v\u00e0 hi\u1ec7u su\u1ea5t m\u1eabu m\u00f4 (m\u00f4 b\u1ec7nh h\u1ecdc) t\u1ed1t h\u01a1n. Hi\u1ec7n nay, t\u1ea1i c\u00e1c trung t\u00e2m l\u1edbn, EUS-FNB \u0111ang d\u1ea7n tr\u1edf th\u00e0nh ti\u00eau chu\u1ea9n m\u1edbi \u0111\u1ec3 l\u1ea5y m\u1eabu b\u1ec7nh ph\u1ea9m cho c\u00e1c kh\u1ed1i u t\u1ee5y v\u00e0 u d\u01b0\u1edbi ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Nhung_giai_phap_xam_lan_toi_thieu_thay_the_phau_thuat_truyen_thong\"><\/span>Nh\u1eefng gi\u1ea3i ph\u00e1p x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u thay th\u1ebf ph\u1eabu thu\u1eadt truy\u1ec1n th\u1ed1ng<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ph\u1ea7n tr\u1ecdng t\u00e2m c\u1ee7a b\u00e1o c\u00e1o t\u1eadp trung v\u00e0o c\u00e1c \u1ee9ng d\u1ee5ng can thi\u1ec7p c\u1ee7a EUS trong b\u1ec7nh l\u00fd m\u1eadt &#8211; t\u1ee5y, n\u01a1i EUS kh\u00f4ng ch\u1ec9 d\u1eebng l\u1ea1i \u1edf ch\u1ea9n \u0111o\u00e1n m\u00e0 \u0111\u00e3 tr\u1edf th\u00e0nh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u00ednh.<\/p>\n<p>\u0110\u1ed1i v\u1edbi c\u00e1c bi\u1ebfn ch\u1ee9ng sau vi\u00eam t\u1ee5y nh\u01b0\u00a0<strong>t\u1ee5 d\u1ecbch t\u1ee5y (PFC)<\/strong>\u00a0v\u00e0\u00a0<strong>ho\u1ea1i t\u1eed t\u1ee5y c\u00f3 v\u1ecf bao (WON)<\/strong>, TS. BS H\u1ed3 \u0110\u0103ng Qu\u00fd D\u0169ng gi\u1edbi thi\u1ec7u ph\u01b0\u01a1ng ph\u00e1p &#8220;Step-up approach&#8221; (ti\u1ebfp c\u1eadn t\u1eebng b\u01b0\u1edbc). Thay v\u00ec ph\u1eabu thu\u1eadt m\u1edf truy\u1ec1n th\u1ed1ng, b\u1ec7nh nh\u00e2n hi\u1ec7n nay \u0111\u01b0\u1ee3c \u01b0u ti\u00ean d\u1eabn l\u01b0u xuy\u00ean th\u00e0nh qua n\u1ed9i soi d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a EUS.<\/p>\n<p>Theo Quy tr\u00ecnh Orlando, t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng l\u00e2m s\u00e0ng c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1ea1t g\u1ea7n 100% \u0111\u1ed1i v\u1edbi c\u00e1c \u1ed5 t\u1ee5 d\u1ecbch \u0111\u01a1n gi\u1ea3n v\u00e0 tr\u00ean 90% \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p ho\u1ea1i t\u1eed ph\u1ee9c t\u1ea1p. \u0110\u1ed1i v\u1edbi nh\u1eefng ca kh\u00f3 nh\u01b0 h\u1ed9i ch\u1ee9ng \u0111\u1ee9t l\u00eca \u1ed1ng t\u1ee5y (DPDS), vi\u1ec7c \u0111\u1eb7t stent nh\u1ef1a k\u00e9o d\u00e0i ho\u1eb7c d\u1eabn l\u01b0u d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn ERCP\/EUS l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 ng\u0103n ng\u1eeba t\u00e1i ph\u00e1t.<\/p>\n<p>Ngo\u00e0i ra, EUS c\u00f2n cho th\u1ea5y hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb r\u00f2 t\u1ee5y sau m\u1ed5 (POPF) &#8211; m\u1ed9t bi\u1ebfn ch\u1ee9ng n\u1eb7ng v\u1edbi t\u1ef7 l\u1ec7 t\u1eed vong cao, gi\u00fap b\u1ec7nh nh\u00e2n tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c cu\u1ed9c \u0111\u1ea1i ph\u1eabu l\u1ea7n hai.<\/p>\n<p>Trong can thi\u1ec7p \u0111\u01b0\u1eddng m\u1eadt, EUS-BD (d\u1eabn l\u01b0u m\u1eadt d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn EUS) \u0111\u00e3 tr\u1edf th\u00e0nh &#8220;li\u1ec7u ph\u00e1p c\u1ee9u c\u00e1nh&#8221; khi ERCP th\u1ea5t b\u1ea1i. C\u00e1c k\u1ef9 thu\u1eadt nh\u01b0 m\u1edf th\u00f4ng gan &#8211; d\u1ea1 d\u00e0y (HGS) hay \u1ed1ng m\u1eadt ch\u1ee7 &#8211; t\u00e1 tr\u00e0ng (CDS) s\u1eed d\u1ee5ng stent LAMS c\u00f3 t\u0103ng c\u01b0\u1eddng \u0111\u1ed1t \u0111i\u1ec7n gi\u00fap \u0111\u01a1n gi\u1ea3n h\u00f3a th\u1ee7 thu\u1eadt, cho ph\u00e9p ti\u1ebfp c\u1eadn &#8220;m\u1ed9t b\u01b0\u1edbc&#8221; nhanh ch\u00f3ng. C\u00e1c nghi\u00ean c\u1ee9u c\u1eadp nh\u1eadt \u0111\u1ebfn n\u0103m 2025 cho th\u1ea5y EUS-BD c\u00f3 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng k\u1ef9 thu\u1eadt (91%) v\u00e0 l\u00e2m s\u00e0ng (97%) t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi ERCP nh\u01b0ng gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 vi\u00eam t\u1ee5y sau th\u1ee7 thu\u1eadt. EUS c\u00f2n \u0111\u01b0\u1ee3c m\u1edf r\u1ed9ng ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 d\u1eabn l\u01b0u t\u00fai m\u1eadt (EUS-GBD) cho b\u1ec7nh nh\u00e2n vi\u00eam t\u00fai m\u1eadt c\u1ea5p kh\u00f4ng th\u1ec3 ph\u1eabu thu\u1eadt ho\u1eb7c m\u1edf th\u00f4ng d\u1ea1 d\u00e0y &#8211; h\u1ed7ng tr\u00e0ng (EUS-GJ) \u0111\u1ec3 gi\u1ea3i quy\u1ebft t\u1eafc ngh\u1ebdn m\u00f4n v\u1ecb.<\/p>\n<p>\u0110\u1eb7c bi\u1ec7t, b\u00e0i b\u00e1o c\u00e1o g\u00e2y \u1ea5n t\u01b0\u1ee3ng v\u1edbi k\u1ef9 thu\u1eadt \u0111\u1ed1t u b\u1eb1ng s\u00f3ng cao t\u1ea7n (EUS-RFA) trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 t\u1ee5y kh\u00f4ng th\u1ec3 m\u1ed5 v\u00e0 c\u00e1c u th\u1ea7n kinh n\u1ed9i ti\u1ebft (NET). B\u00e1o c\u00e1o vi\u00ean d\u1eabn ch\u1ee9ng ca l\u00e2m s\u00e0ng m\u1ed9t b\u1ec7nh nh\u00e2n 10 tu\u1ed5i b\u1ecb u ti\u1ebft insulin (Insulinoma) \u1edf \u0111\u1ea7u t\u1ee5y g\u00e2y h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft nghi\u00eam tr\u1ecdng; sau khi th\u1ef1c hi\u1ec7n EUS-RFA, t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh ngay l\u1eadp t\u1ee9c.<\/p>\n<p>Ph\u00e2n t\u00edch g\u1ed9p n\u0103m 2024 kh\u1eb3ng \u0111\u1ecbnh EUS-RFA l\u00e0 ph\u01b0\u01a1ng ph\u00e1p kh\u1ea3 thi thay th\u1ebf ph\u1eabu thu\u1eadt cho c\u00e1c NET t\u1ee5y nh\u1ecf v\u1edbi t\u1ef7 l\u1ec7 \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng l\u00ean \u0111\u1ebfn 85-90% v\u00e0 th\u1eddi gian n\u1eb1m vi\u1ec7n ng\u1eafn h\u01a1n.<\/p>\n<figure class=\"image\"><img decoding=\"async\" class=\"\" src=\"https:\/\/bvnguyentrai.org.vn\/wp-content\/uploads\/2026\/04\/69df4a56edfe6.jpg\" width=\"1041\" height=\"694\" \/><figcaption>H\u1ed9i th\u1ea3o v\u1eeba l\u00e0 di\u1ec5n \u0111\u00e0n c\u1eadp nh\u1eadt ki\u1ebfn th\u1ee9c, \u0111\u1ed3ng th\u1eddi l\u00e0 b\u01b0\u1edbc ti\u1ebfn quan tr\u1ecdng trong vi\u1ec7c k\u1ebft n\u1ed1i chuy\u00ean m\u00f4n, h\u01b0\u1edbng t\u1edbi m\u1ee5c ti\u00eau chung: ph\u00e1t hi\u1ec7n s\u1edbm &#8211; \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 &#8211; n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh<\/figcaption><\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Endo-hepatology_va_su_ket_hop_da_phuong_thuc_Tam_nhin_tuong_lai_cua_noi_soi_can_thiep\"><\/span>Endo-hepatology v\u00e0 s\u1ef1 k\u1ebft h\u1ee3p \u0111a ph\u01b0\u01a1ng th\u1ee9c: T\u1ea7m nh\u00ecn t\u01b0\u01a1ng lai c\u1ee7a n\u1ed9i soi can thi\u1ec7p<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ph\u1ea7n cu\u1ed1i c\u1ee7a b\u00e1o c\u00e1o m\u1edf ra m\u1ed9t l\u0129nh v\u1ef1c m\u1edbi \u0111\u1ea7y ti\u1ec1m n\u0103ng mang t\u00ean &#8220;Endo-hepatology&#8221; (N\u1ed9i soi gan m\u1eadt h\u1ecdc). \u0110\u00e2y l\u00e0 s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa n\u1ed9i soi si\u00eau \u00e2m v\u00e0 c\u00e1c can thi\u1ec7p b\u1ec7nh l\u00fd gan v\u1ed1n tr\u01b0\u1edbc \u0111\u00e2y thu\u1ed9c v\u1ec1 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh ho\u1eb7c ph\u1eabu thu\u1eadt.<\/p>\n<p>C\u00e1c \u1ee9ng d\u1ee5ng \u0111\u1ed9t ph\u00e1 c\u1ee7a Endo-hepatology bao g\u1ed3m:<\/p>\n<p>&#8211;\u00a0<strong>Sinh thi\u1ebft gan d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn EUS (EUS-LB):<\/strong>\u00a0Cho ph\u00e9p l\u1ea5y m\u1eabu c\u1ea3 gan tr\u00e1i v\u00e0 gan ph\u1ea3i v\u1edbi \u0111\u1ed9 ch\u00ednh x\u00e1c cao, \u0111\u1ed3ng th\u1eddi s\u1eed d\u1ee5ng Doppler \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 ch\u1ea3y m\u00e1u.<\/p>\n<p>&#8211;\u00a0<strong>\u0110o Gradient \u00e1p su\u1ea5t c\u1eeda (EUS-PPG):\u00a0<\/strong>M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u thay th\u1ebf cho k\u1ef9 thu\u1eadt HVPG truy\u1ec1n th\u1ed1ng, c\u00f3 \u0111\u1ed9 t\u01b0\u01a1ng quan cao v\u1edbi c\u00e1c ch\u1ec9 s\u1ed1 l\u00e2m s\u00e0ng c\u1ee7a t\u0103ng \u00e1p c\u1eeda.<\/p>\n<p>&#8211;\u00a0<strong>\u0110i\u1ec1u tr\u1ecb d\u00e3n t\u0129nh m\u1ea1ch d\u1ea1 d\u00e0y:\u00a0<\/strong>S\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p \u0111\u1eb7t Coil k\u1ebft h\u1ee3p ti\u00eam keo d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn EUS, gi\u00fap t\u1ea1o khung c\u01a1 h\u1ecdc v\u00e0 gi\u1ea3m d\u00f2ng ch\u1ea3y, t\u1eeb \u0111\u00f3 ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng thuy\u00ean t\u1eafc m\u1ea1ch.<\/p>\n<p>&#8211;\u00a0<strong>D\u1eabn l\u01b0u \u00e1p xe gan (EUS-AD):<\/strong>\u00a0Nghi\u00ean c\u1ee9u cho th\u1ea5y EUS-AD \u0111\u1ea1t t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng 100% v\u00e0 r\u00fat ng\u1eafn th\u1eddi gian n\u1eb1m vi\u1ec7n (21 ng\u00e0y) so v\u1edbi d\u1eabn l\u01b0u qua da truy\u1ec1n th\u1ed1ng (41 ng\u00e0y).<\/p>\n<p>TS.BS H\u1ed3 \u0110\u0103ng Qu\u00fd D\u0169ng c\u0169ng nh\u1ea5n m\u1ea1nh xu h\u01b0\u1edbng ph\u1ed1i h\u1ee3p \u0111a ph\u01b0\u01a1ng th\u1ee9c, \u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1ef1 k\u1ebft h\u1ee3p EUS-ERCP trong c\u00e1c t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng \u0111\u1eb7c bi\u1ec7t. Trong tr\u01b0\u1eddng h\u1ee3p t\u1eafc r\u1ed1n gan \u00e1c t\u00ednh ph\u1ee9c t\u1ea1p (MHBO), vi\u1ec7c ch\u1ec9 s\u1eed d\u1ee5ng ERCP th\u01b0\u1eddng kh\u00f4ng d\u1eabn l\u01b0u \u0111\u1ee7 th\u1ec3 t\u00edch gan c\u1ea7n thi\u1ebft (&gt;50%).<\/p>\n<p>Gi\u1ea3i ph\u00e1p hi\u1ec7n \u0111\u1ea1i l\u00e0 k\u1ebft h\u1ee3p ERCP (d\u1eabn l\u01b0u gan ph\u1ea3i) v\u00e0 EUS-HGS (d\u1eabn l\u01b0u gan tr\u00e1i) \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o d\u1eabn l\u01b0u ho\u00e0n to\u00e0n, gi\u00fap gi\u1ea3m Bilirubin nhanh ch\u00f3ng. B\u00ean c\u1ea1nh \u0111\u00f3, vi\u1ec7c s\u1eed d\u1ee5ng n\u1ed9i soi \u0111\u01b0\u1eddng m\u1eadt k\u1ef9 thu\u1eadt s\u1ed1 (SpyGlass) k\u1ebft h\u1ee3p t\u00e1n s\u1ecfi laser \u0111ang tr\u1edf th\u00e0nh ti\u00eau chu\u1ea9n m\u1edbi \u0111\u1ec3 x\u1eed l\u00fd c\u00e1c s\u1ecfi m\u1eadt kh\u00f3 ho\u1eb7c sinh thi\u1ebft c\u00e1c ch\u1ed7 h\u1eb9p \u0111\u01b0\u1eddng m\u1eadt kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/p>\n<figure class=\"image\"><img decoding=\"async\" class=\"\" src=\"https:\/\/bvnguyentrai.org.vn\/wp-content\/uploads\/2026\/04\/69df499634ee0.jpg\" width=\"1044\" height=\"696\" \/><figcaption>B\u00e0i b\u00e1o c\u00e1o c\u1ee7a TS.BS H\u1ed3 \u0110\u0103ng Qu\u00fd D\u0169ng kh\u00f4ng ch\u1ec9 c\u1eadp nh\u1eadt ki\u1ebfn th\u1ee9c y khoa m\u00e0 c\u00f2n truy\u1ec1n c\u1ea3m h\u1ee9ng v\u1ec1 m\u1ed9t k\u1ef7 nguy\u00ean m\u1edbi, n\u01a1i c\u00f4ng ngh\u1ec7 n\u1ed9i soi mang l\u1ea1i nh\u1eefng l\u1ee3i \u00edch t\u1ed1i \u0111a v\u1edbi s\u1ef1 x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u cho ng\u01b0\u1eddi b\u1ec7nh<\/figcaption><\/figure>\n<p>B\u00e1o c\u00e1o kh\u1eb3ng \u0111\u1ecbnh EUS \u0111\u00e3 chuy\u1ec3n m\u00ecnh m\u1ea1nh m\u1ebd t\u1eeb ch\u1ea9n \u0111o\u00e1n sang can thi\u1ec7p x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u. T\u01b0\u01a1ng lai c\u1ee7a ng\u00e0nh n\u1ed9i soi s\u1ebd l\u00e0 s\u1ef1 h\u1ee3p nh\u1ea5t c\u1ee7a EUS can thi\u1ec7p, ERCP v\u00e0 SpyGlass tr\u00ean m\u1ed9t n\u1ec1n t\u1ea3ng th\u1ed1ng nh\u1ea5t, k\u1ebft h\u1ee3p v\u1edbi h\u00ecnh \u1ea3nh k\u1ef9 thu\u1eadt s\u1ed1 \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao v\u00e0 tr\u00ed tu\u1ec7 nh\u00e2n t\u1ea1o (AI) \u0111\u1ec3 n\u00e2ng cao \u0111\u1ed9 ch\u00ednh x\u00e1c.<\/p>\n<p>Nh\u1eefng ti\u1ebfn b\u1ed9 n\u00e0y kh\u00f4ng ch\u1ec9 gi\u00fap gi\u1ea3m thi\u1ec3u \u0111au \u0111\u1edbn cho b\u1ec7nh nh\u00e2n m\u00e0 c\u00f2n mang l\u1ea1i k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u v\u1edbi chi ph\u00ed h\u1ee3p l\u00fd trong d\u00e0i h\u1ea1n. TS.BS H\u1ed3 \u0110\u0103ng Qu\u00fd D\u0169ng g\u1eedi g\u1eafm th\u00f4ng \u0111i\u1ec7p r\u1eb1ng &#8220;N\u1ed9i soi gan m\u1eadt h\u1ecdc&#8221; v\u00e0 &#8220;N\u1ed9i soi ung th\u01b0&#8221; s\u1ebd l\u00e0 nh\u1eefng m\u0169i nh\u1ecdn ph\u00e1t tri\u1ec3n, \u0111\u1ecbnh h\u00ecnh l\u1ea1i c\u00e1ch ch\u00fang ta ti\u1ebfp c\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd ti\u00eau h\u00f3a &#8211; gan m\u1eadt t\u1ee5y trong nh\u1eefng n\u0103m t\u1edbi.<\/p>\n<\/div>\n<p><em>Ngu\u1ed3n: <a href=\"https:\/\/alobacsi.com\/nhung-buoc-tien-vuot-bac-cua-noi-soi-sieu-am-tu-chan-doan-den-can-thiep-toi-thieu-trong-benh-ly-tieu-hoa-gan-mat-tuy.html\">https:\/\/alobacsi.com\/nhung-buoc-tien-vuot-bac-cua-noi-soi-sieu-am-tu-chan-doan-den-can-thiep-toi-thieu-trong-benh-ly-tieu-hoa-gan-mat-tuy.html<\/a><\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>Sinh th\u1eddi, B\u00e1c H\u1ed3 lu\u00f4n d\u00e0nh nhi\u1ec1u t\u00ecnh c\u1ea3m \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi ng\u00e0nh Y t\u1ebf. Ng\u01b0\u1eddi lu\u00f4n nh\u1eafc nh\u1edf \u201cL\u01b0\u01a1ng y ph\u1ea3i ki\u00eam t\u1eeb m\u1eabu\u201d. Cho \u0111\u1ebfn t\u1eadn khi s\u1eafp s\u1eeda \u0111i xa, trong Di ch\u00fac, Ng\u01b0\u1eddi v\u1eabn kh\u00f4ng qu\u00ean d\u1eb7n d\u00f2 ph\u1ea3i \u201cPh\u00e1t tri\u1ec3n c\u00f4ng t\u00e1c v\u1ec7 sinh, y t\u1ebf\u2026\u201d<\/p>","protected":false},"author":1,"featured_media":6619,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,15,9],"tags":[],"class_list":["post-6618","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hoat-dong-benh-vien","category-tin-tuc-su-kien-benh-vien-nguyen-trai","category-tin-tuc-nganh"],"blocksy_meta":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.9 (Yoast SEO v20.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc c\u1ee7a n\u1ed9i soi si\u00eau \u00e2m: T\u1eeb ch\u1ea9n \u0111o\u00e1n \u0111\u1ebfn can thi\u1ec7p t\u1ed1i thi\u1ec3u trong b\u1ec7nh l\u00fd ti\u00eau h\u00f3a - gan m\u1eadt t\u1ee5y - B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bvnguyentrai.org.vn\/en\/nhung-buoc-tien-vuot-bac-cua-noi-soi-sieu-am-tu-chan-doan-den-can-thiep-toi-thieu-trong-benh-ly-tieu-hoa-gan-mat-tuy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc c\u1ee7a n\u1ed9i soi si\u00eau \u00e2m: T\u1eeb ch\u1ea9n \u0111o\u00e1n \u0111\u1ebfn can thi\u1ec7p t\u1ed1i thi\u1ec3u trong b\u1ec7nh l\u00fd ti\u00eau h\u00f3a - gan m\u1eadt t\u1ee5y\" \/>\n<meta property=\"og:description\" content=\"Sinh th\u1eddi, B\u00e1c H\u1ed3 lu\u00f4n d\u00e0nh nhi\u1ec1u t\u00ecnh c\u1ea3m \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi ng\u00e0nh Y t\u1ebf. 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