{"id":11036,"date":"2024-04-20T15:33:27","date_gmt":"2024-04-20T08:33:27","guid":{"rendered":"https:\/\/dev2ivf26.mekosoft.vn\/?p=11036"},"modified":"2024-05-02T09:45:46","modified_gmt":"2024-05-02T02:45:46","slug":"kiem-tra-tu-cung-voi-trung-phuong-phap-hieu-qua-va-an-toan","status":"publish","type":"post","link":"https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/kiem-tra-tu-cung-voi-trung-phuong-phap-hieu-qua-va-an-toan\/","title":{"rendered":"KI\u1ec2M TRA T\u1eec CUNG &#8211; V\u00d2I TR\u1ee8NG: PH\u01af\u01a0NG PH\u00c1P HI\u1ec6U QU\u1ea2 V\u00c0 AN TO\u00c0N"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">M\u1ed1i li\u00ean quan gi\u1eefa t\u1eed cung v\u00e0 hi\u1ebfm mu\u1ed9n<\/h2>\n\n\n\n<p>T\u1eed cung l\u00e0 m\u1ed9t v\u00f9ng b\u1ea3o v\u1ec7 \u00eam \u00e1i v\u00e0 ch\u1eafc ch\u1eafn cho thai nhi, t\u1eeb khi th\u1ee5 tinh cho \u0111\u1ebfn khi sinh ra. N\u1ed9i m\u1ea1c t\u1eed cung (NMTC) l\u00e0 n\u01a1i thai nhi ph\u00e1t tri\u1ec3n. Do \u0111\u00f3, b\u1ea5t th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn t\u1eed cung s\u1ebd g\u00e2y ra t\u00ecnh tr\u1ea1ng hi\u1ebfm mu\u1ed9n. Nghi\u00ean c\u1ee9u cho th\u1ea5y r\u1eb1ng t\u1eeb 2,1% \u0111\u1ebfn 16,7% c\u00e1c nguy\u00ean nh\u00e2n v\u00f4 sinh \u1edf ph\u1ee5 n\u1eef c\u00f3 li\u00ean quan \u0111\u1ebfn t\u1eed cung. <\/p>\n\n\n\n<p>Nh\u1eefng b\u1ea5t th\u01b0\u1eddng nh\u01b0 b\u1ea5t s\u1ea3n t\u1eed cung, d\u1ecb t\u1eadt tr\u00ean th\u00e2n t\u1eed cung, c\u1eaft t\u1eed cung do b\u1ec7nh l\u00fd, Adenomyosis, h\u1ed9i ch\u1ee9ng Asherman v\u00e0 Synchie, U x\u01a1 t\u1eed cung, polype l\u00f2ng t\u1eed cung g\u00e2y ra t\u00ecnh tr\u1ea1ng ph\u00f4i kh\u00f4ng c\u00f3 n\u01a1i ph\u00e1t tri\u1ec3n ho\u1eb7c ph\u00e1t tri\u1ec3n k\u00e9m. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">C\u1ea7n l\u00e0m g\u00ec \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n hi\u1ebfm mu\u1ed9n?<\/h3>\n\n\n\n<p>Ki\u1ec3m tra v\u00e0 \u0111\u00e1nh gi\u00e1 t\u1eed cung v\u00e0 b\u1ea5t th\u01b0\u1eddng l\u00f2ng t\u1eed cung l\u00e0 b\u01b0\u1edbc quan tr\u1ecdng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n hi\u1ebfm mu\u1ed9n<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ki\u1ec3m tra t\u1eed cung nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Si\u00eau \u00e2m 2D-3D<\/strong>:&nbsp;Ph\u01b0\u01a1ng ph\u00e1p \u0111\u01a1n gi\u1ea3n v\u00e0 an to\u00e0n \u0111\u1ec3 ki\u1ec3m tra h\u00ecnh d\u1ea1ng t\u1eed cung, NMTC, c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c \u1edf b\u1ea5t k\u1ef3 giai \u0111o\u1ea1n n\u00e0o c\u1ee7a chu k\u1ef3 kinh.<\/li>\n\n\n\n<li><strong>MRI-CT scan:<\/strong>&nbsp;C\u0169ng cho k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t t\u1ed1t, tuy nhi\u00ean t\u1ed1t k\u00e9m v\u00e0 ph\u01a1i nhi\u1ec5m tia x\u1ea1 n\u00ean \u00edt \u0111\u01b0\u1ee3c d\u00f9ng, tr\u1eeb khi kh\u1ea3o s\u00e1t t\u1ed5n th\u01b0\u01a1ng L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung trong b\u1ee5ng v\u00e0 th\u00e2n t\u1eed cung.<\/li>\n\n\n\n<li><strong>Si\u00eau \u00e2m b\u01a1m n\u01b0\u1edbc l\u00f2ng t\u1eed cung (SIS)<\/strong>:&nbsp;S\u1eed d\u1ee5ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd (NaCl 0,9%) \u0111\u1ec3 b\u01a1m v\u00e0o bu\u1ed3ng t\u1eed cung, sau \u0111\u00f3 si\u00eau \u00e2m \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o \u0111\u1ec3 ki\u1ec3m tra c\u00e1c b\u1ea5t th\u01b0\u1eddng li\u00ean quan nh\u01b0: d\u00ednh l\u00f2ng t\u1eed cung, nh\u00e2n x\u01a1 t\u1eed cung d\u01b0\u1edbi ni\u00eam m\u1ea1c, polype l\u00f2ng t\u1eed cung. V\u1edbi dung d\u1ecbch n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd n\u00ean t\u00e1c d\u1ee5ng ph\u1ee5 r\u1ea5t \u00edt, c\u1ea3m gi\u00e1c \u0111au khi b\u01a1m n\u01b0\u1edbc c\u0169ng th\u1ea5p h\u01a1n ch\u1ea5t c\u1ea3n quang. Theo c\u00e1c b\u00e1o c\u00e1o nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y, SIS c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c trong ch\u1ea9n \u0111o\u00e1n (\u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u) cao h\u01a1n HSG \u0111\u1ed1i v\u1edbi c\u1ea3 hai \u1ed1ng d\u1eabn tr\u1ee9ng ph\u00e1t hi\u1ec7n c\u00e1c b\u1ea5t th\u01b0\u1eddng \u1edf t\u1eed cung v\u00e0 s\u1ef1 th\u00f4ng tho\u00e1ng.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"724\" src=\"https:\/\/dev2ivf26.mekosoft.vn\/wp-content\/uploads\/sites\/2\/2024\/04\/z5035732215359_c33f7a59cd128b9374676ada2341e5ea-1024x724.jpg\" alt=\"Si\u00eam \u00e2m b\u01a1m n\u01b0\u1edbc bu\u1ed3ng t\u1eed cung t\u1ea1i IVF Ph\u01b0\u01a1ng Ch\u00e2u (SIS)\" class=\"wp-image-11037\" srcset=\"https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/wp-content\/uploads\/sites\/2\/2024\/04\/z5035732215359_c33f7a59cd128b9374676ada2341e5ea-1024x724.jpg 1024w, https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/wp-content\/uploads\/sites\/2\/2024\/04\/z5035732215359_c33f7a59cd128b9374676ada2341e5ea-300x212.jpg 300w, https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/wp-content\/uploads\/sites\/2\/2024\/04\/z5035732215359_c33f7a59cd128b9374676ada2341e5ea-768x543.jpg 768w, https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/wp-content\/uploads\/sites\/2\/2024\/04\/z5035732215359_c33f7a59cd128b9374676ada2341e5ea-1536x1086.jpg 1536w, https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/wp-content\/uploads\/sites\/2\/2024\/04\/z5035732215359_c33f7a59cd128b9374676ada2341e5ea-2048x1448.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">V\u00f2i tr\u1ee9ng l\u00e0 g\u00ec?<\/h2>\n\n\n\n<p>V\u00f2i tr\u1ee9ng- \u1ed1ng d\u1eabn tr\u1ee9ng hay V\u00f2i t\u1eed cung l\u00e0 m\u1ed9t trong nh\u1eefng c\u01a1 quan quan tr\u1ecdng trong h\u1ec7 th\u1ed1ng c\u01a1 quan sinh s\u1ea3n n\u1eef gi\u1edbi, n\u1eb1m trong \u1ed5 b\u1ee5ng c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef. \u1ed0ng d\u1eabn tr\u1ee9ng c\u00f3 c\u1ea5u t\u1ea1o h\u00ecnh \u1ed1ng, r\u1ed7ng ru\u1ed9t b\u00ean trong v\u00e0 l\u00e0 \u201cc\u1ea7u n\u1ed1i\u201d gi\u1eefa bu\u1ed3ng tr\u1ee9ng v\u00e0 bu\u1ed3ng t\u1eed cung. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">C\u1ea5u t\u1ea1o \u1ed1ng d\u1eabn tr\u1ee9ng \u1edf ng\u01b0\u1eddi ph\u1ee5 n\u1eef?<\/h3>\n\n\n\n<p>M\u1ed9t ng\u01b0\u1eddi ph\u1ee5 n\u1eef s\u1ebd c\u00f3 hai \u1ed1ng d\u1eabn tr\u1ee9ng. V\u00f2i tr\u1ee9ng d\u00e0i kho\u1ea3ng 9-12cm, m\u1ed9t \u0111\u1ea7u \u1ed1ng d\u1eabn tr\u1ee9ng th\u00f4ng v\u1edbi t\u1eed cung, \u0111\u1ea7u c\u00f2n l\u1ea1i th\u00f4ng v\u1edbi \u1ed5 b\u1ee5ng \u0111\u1ec3 h\u1ee9ng \u201ctr\u1ee9ng\u201d khi r\u1ee5ng. N\u01a1i \u0111\u00e2y c\u0169ng l\u00e0 ch\u1ed7 \u0111\u1ec3 tinh tr\u00f9ng di chuy\u1ec3n v\u00e0 \u201cn\u1eb1m \u0111\u1ee3i\u201d tr\u1ee9ng r\u1ee5ng \u0111\u1ec3 th\u1ee5 tinh, v\u00f2i tr\u1ee9ng c\u0169ng l\u00e0 con \u0111\u01b0\u1eddng cho ph\u00f4i di chuy\u1ec3n v\u00e0 t\u1eed cung n\u00ean nh\u1eefng t\u1ed5n th\u01b0\u01a1ng tr\u00ean v\u00f2i tr\u1ee9ng s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng hi\u1ebfm mu\u1ed9n, thai ngo\u00e0i v\u00e0 vi\u00eam nhi\u1ec5m m\u00e3n t\u00ednh.&nbsp;Hi\u1ec7n nay, c\u00f3 nhi\u1ec1u b\u1eb1ng ch\u1ee9ng cho th\u1ea5t c\u1ee9 10 b\u1ec7nh nh\u00e2n v\u00f4 sinh n\u1eef th\u00ec c\u00f3 3-4 ng\u01b0\u1eddi c\u00f3 b\u1ea5t th\u01b0\u1eddng v\u1ec1 v\u00f2i tr\u1ee9ng. T\u1ef7 l\u1ec7 n\u00e0y t\u0103ng l\u00ean cao \u1edf nh\u00f3m ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n c\u0103n n\u1ea1o h\u00fat thai, vi\u00eam nhi\u1ec5m v\u00f9ng ch\u1eadu v\u00e0 ti\u1ec1n c\u0103n ph\u1eabu thu\u1eadt trong \u1ed5 b\u1ee5ng [1],[2].<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00f3 bao nhi\u00eau c\u00e1ch ki\u1ec3m tra v\u00f2i tr\u1ee9ng?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>N\u1ed9i Soi \u1ed5 b\u1ee5ng<\/strong> (Laparoscopy \u2013 LSC):&nbsp;Ki\u1ec3m tra v\u00f2i tr\u1ee9ng \u0111\u01b0\u1ee3c xem l\u00e0 ti\u00eau chu\u1ea9n v\u00e0ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n. LSC l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m x\u00e2m l\u1ea5n, g\u00e2y nguy c\u01a1 ch\u1ea3y m\u00e1u \u1ed5 b\u1ee5ng, t\u1ed5n th\u01b0\u01a1ng t\u1ea1ng v\u00e0 nguy c\u01a1 do g\u00e2y m\u00ea to\u00e0n th\u00e2n, t\u1ed1n k\u00e9m chi ph\u00ed do ph\u1eabu thu\u1eadt.<\/li>\n\n\n\n<li><strong>Ch\u1ee5p bu\u1ed3ng t\u1eed cung \u2013 v\u00f2i tr\u1ee9ng c\u00f3 c\u1ea3n quang (hysterosalpingography, hay HSG):<\/strong>&nbsp;L\u00e0 bi\u1ec7n ph\u00e1p ch\u1ea9n \u0111o\u00e1n thay th\u1ebf \u00edt x\u00e2m l\u1ea5n h\u01a1n v\u00e0 \u0111\u01b0\u1ee3c d\u00f9ng t\u1eeb nhi\u1ec1u th\u1eadp k\u1ef7 nay. Tuy nhi\u00ean, HSG v\u1eabn c\u00f3 m\u1ed9t s\u1ed1 m\u1eb7t h\u1ea1n ch\u1ebf nh\u01b0 l\u00e0m b\u1ec7nh nh\u00e2n ph\u01a1i nhi\u1ec5m tia x\u1ea1, kh\u00f3 ch\u1ecbu ho\u1eb7c th\u1eadm ch\u00ed \u0111au b\u1ee5ng, s\u1ed1c thu\u1ed1c (ph\u1ea3n v\u1ec7).<\/li>\n\n\n\n<li><strong>Si\u00eau \u00e2m \u0111\u00e1nh gi\u00e1 bu\u1ed3ng t\u1eed cung v\u00f2i tr\u1ee9ng b\u1eb1ng ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n (Hysterosalpingo-Contrast Sonography, hay HyCoSy)<\/strong>:&nbsp;S\u1eed d\u1ee5ng n\u01b0\u1edbc mu\u1ed1i ho\u1eb7c ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o s\u1eed d\u1ee5ng. \u0110\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a HyCoSy t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi HSG v\u00e0 LSC. M\u1ed9t \u0111i\u1ec3m thu\u1eadn l\u1ee3i c\u1ee7a si\u00eau \u00e2m l\u00e0 b\u00ean c\u1ea1nh \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 th\u00f4ng su\u1ed1t c\u1ee7a v\u00f2i tr\u1ee9ng, n\u00f3 c\u00f2n c\u00f3 th\u1ec3 kh\u1ea3o s\u00e1t gi\u1ea3i ph\u1eabu v\u00f9ng ch\u1eadu, bao g\u1ed3m c\u1ea3 t\u1eed cung v\u00e0 bu\u1ed3ng tr\u1ee9ng.<\/li>\n\n\n\n<li><strong>Si\u00eau \u00e2m bu\u1ed3ng t\u1eed cung \u2013 v\u00f2i tr\u1ee9ng s\u1eed d\u1ee5ng ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n d\u1ea1ng b\u1ecdt (Hysterosalpingo-Foam Sonography, HyFoSy)<\/strong>:&nbsp;L\u00e0 bi\u1ec7n ph\u00e1p thay th\u1ebf HyCoSy v\u00e0 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o s\u1eed d\u1ee5ng n\u0103m 2010 nh\u01b0 x\u00e9t nghi\u1ec7m \u0111\u1ea7u tay \u0111\u00e1nh gi\u00e1 v\u00f2i tr\u1ee9ng (do ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong l\u00e2m s\u00e0ng). Ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n d\u1ea1ng b\u1ecdt d\u00f9ng trong k\u1ef9 thu\u1eadt HyFoSy s\u1eed d\u1ee5ng 5 ml gel ExEm\u00ae (ch\u1ee9a hydroxyethyl cellulose v\u00e0 glycerol, IQ Medical Ventures BV, Rotterdam, H\u00e0 Lan), ch\u1ea5t n\u00e0y \u0111\u01b0\u1ee3c ch\u1ee9ng minh t\u00ednh an to\u00e0n, \u00edt t\u00e1c d\u1ee5ng ph\u1ee5 [5]<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/dev2ivf26.mekosoft.vn\/wp-content\/uploads\/sites\/2\/2024\/04\/Hyfosy-1024x768.jpg\" alt=\"IVF Ph\u01b0\u01a1ng Ch\u00e2u \u1ee9ng d\u1ee5ng HYFOSY hi\u1ec7u qu\u1ea3 cho h\u00e0nh tr\u00ecnh t\u00ecm con\" class=\"wp-image-11039\" srcset=\"https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/wp-content\/uploads\/sites\/2\/2024\/04\/Hyfosy-1024x768.jpg 1024w, https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/wp-content\/uploads\/sites\/2\/2024\/04\/Hyfosy-300x225.jpg 300w, https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/wp-content\/uploads\/sites\/2\/2024\/04\/Hyfosy-768x576.jpg 768w, https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/wp-content\/uploads\/sites\/2\/2024\/04\/Hyfosy-1536x1152.jpg 1536w, https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/wp-content\/uploads\/sites\/2\/2024\/04\/Hyfosy-2048x1536.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u0110\u1ed9 ch\u00ednh x\u00e1c v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n t\u1eed cung- v\u00f2i tr\u1ee9ng<\/h2>\n\n\n\n<p>Trong c\u00e1c nghi\u00ean c\u1ee9u hi\u1ec7n nay kh\u00f4ng ghi nh\u1eadn t\u00e1c d\u1ee5ng ngo\u1ea1i \u00fd nghi\u00eam tr\u1ecdng n\u00e0o c\u1ee7a SIS v\u00e0 HyFoSy. Trong nghi\u00ean c\u1ee9u \u0111o\u00e0n h\u1ec7 ti\u1ebfn c\u1ee9u so s\u00e1nh k\u1ebft qu\u1ea3 gi\u1eefa 20 quy tr\u00ecnh HyFoSy v\u1edbi n\u1ed9i soi \u1ed5 b\u1ee5ng, t\u1ef7 l\u1ec7 \u0111\u1ed3ng nh\u1ea5t gi\u1eefa hai k\u1ebft qu\u1ea3 l\u00e0 100%. Trong m\u1ed9t nghi\u00ean c\u1ee9u ng\u1eabu nhi\u00ean: k\u1ebft qu\u1ea3 c\u1ee7a HyFoSy v\u00e0 HyCoSy d\u00f9ng dung d\u1ecbch mu\u1ed1i \u0111\u01b0\u1ee3c so s\u00e1nh v\u1edbi k\u1ebft qu\u1ea3 N\u1ed9i soi. \u0110\u1ed9 \u0111\u1ed3ng nh\u1ea5t v\u1ec1 m\u1ee9c \u0111\u1ed9 th\u00f4ng v\u00f2i tr\u1ee9ng gi\u1eefa HyFoSy v\u00e0 n\u1ed9i soi l\u00e0 94,4% ca (\u0111\u1ed9 nh\u1ea1y 87,5% v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 100%), so v\u1edbi gi\u1eefa HyCoSy v\u00e0 N\u1ed9i soi l\u00e0 57,8% s\u1ed1 ca (\u0111\u1ed9 nh\u1ea1y 50% v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 66,6%). Do \u0111\u00f3 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c k\u1ef9 thu\u1eadt nh\u01b0 nhau v\u1ec1 m\u1eb7t \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 th\u00f4ng tho\u00e1ng c\u1ee7a v\u00f2i tr\u1ee9ng [2],[3],[5].<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Bi\u1ebfn ch\u1ee9ng ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n \u0111i v\u00e0o m\u1ea1ch m\u00e1u<\/h2>\n\n\n\n<p>Ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n \u0111i v\u00e0o m\u1ea1ch m\u00e1u l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn nhi\u1ec1u trong HSG, x\u1ea3y ra trong kho\u1ea3ng 6,4% tr\u01b0\u1eddng h\u1ee3p. M\u1ed9t s\u1ed1 hi\u1ebfm tr\u01b0\u1eddng h\u1ee3p thuy\u00ean t\u1eafc ph\u1ed5i v\u00e0 n\u00e3o do d\u1ea7u sau khi d\u00f9ng ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n tan trong d\u1ea7u (oil-soluble contrast media \u2013 OSCM), nh\u01b0 Lipidol\u00ae; c\u00e1c bi\u1ebfn ch\u1ee9ng do ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n tan trong n\u01b0\u1edbc (water-soluble contrast media \u2013 WSCM) nh\u01b0 s\u1ed1t, nhi\u1ec5m tr\u00f9ng, v\u00e0 \u0111au \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o. Trong m\u1ed9t nghi\u00ean c\u1ee9u v\u1ec1 HyCoSy: T\u1ef7 l\u1ec7 ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n \u0111i v\u00e0o m\u1ea1ch m\u00e1u cao \u1edf ng\u01b0\u1eddi c\u00f3 n\u1ed9i m\u1ea1c t\u1eed cung m\u1ecfng v\u00e0 l\u1ef1c b\u01a1m m\u1ea1nh, v\u00e0 th\u1ea5p khi ti\u1ebfn h\u00e0nh v\u00e0o 5 \u2013 7 ng\u00e0y sau khi ng\u01b0ng h\u00e0nh kinh. G\u1ea7n \u0111\u00e2y, tr\u01b0\u1eddng h\u1ee3p \u0111\u1ea7u ti\u00ean g\u1eb7p bi\u1ebfn ch\u1ee9ng ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n v\u00e0o m\u1ea1ch m\u00e1u trong qu\u00e1 tr\u00ecnh ti\u1ebfn h\u00e0nh HyFoSy \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1. Tuy v\u1eady, do hydroxyethyl cellulose v\u00e0 glycerol kh\u00e1 an to\u00e0n, ngay c\u1ea3 khi \u0111i v\u00e0o m\u1ea1ch m\u00e1u, n\u00ean kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng ho\u1eb7c bi\u1ebfn ch\u1ee9ng n\u00e0o x\u1ea3y ra [4];[10].<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Hi\u1ec7u qu\u1ea3 v\u00e0 t\u0103ng x\u00e1c su\u1ea5t c\u00f3 thai<\/strong><\/h2>\n\n\n\n<p>\u0110\u1ebfn nay ch\u1ec9 c\u00f3 c\u00e1c nghi\u00ean c\u1ee9u quan s\u00e1t \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 kh\u1ea3o s\u00e1t x\u00e1c su\u1ea5t c\u00f3 thai sau khi ti\u1ebfn h\u00e0nh SIS v\u00e0 HyFoSy. V\u1edbi SIS th\u00ec ghi nh\u1eadn t\u1ef7 l\u1ec7 c\u00f3 thai t\u1ef1 nhi\u00ean t\u0103ng l\u00ean 10-15%. M\u1ed9t nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u cho th\u1ea5y trong 359 ph\u1ee5 n\u1eef ti\u1ebfn h\u00e0nh HyFoSy, 55% c\u00f3 thai trong kho\u1ea3ng th\u1eddi gian dao \u0111\u1ed9ng t\u1eeb 3 \u0111\u1ebfn 42 th\u00e1ng sau th\u1ee7 thu\u1eadt. Nghi\u00ean c\u1ee9u n\u00e0y cho th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng c\u00f3 thai cao nh\u1ea5t trong chu k\u1ef3 ti\u1ebfn h\u00e0nh HyFoSy v\u00e0 trong hai chu k\u1ef3 \u0111\u1ea7u ti\u00ean sau th\u1ee7 thu\u1eadt. M\u1ed9t nghi\u00ean c\u1ee9u \u0111o\u00e0n h\u1ec7 h\u1ed3i c\u1ee9u tr\u00ean 111 ph\u1ee5 n\u1eef v\u00f4 sinh cho th\u1ea5y 48 (43,2%) c\u00f3 thai trong v\u00f2ng 6 th\u00e1ng sau HyFoSy, trong \u0111\u00f3 24 ng\u01b0\u1eddi c\u00f3 thai t\u1ef1 nhi\u00ean. Emanuel v\u00e0 c\u1ed9ng s\u1ef1 b\u00e1o c\u00e1o t\u1ef7 l\u1ec7 c\u00f3 thai t\u1ef1 nhi\u00ean l\u00e0 19,2% v\u1edbi trung v\u1ecb 3 th\u00e1ng sau th\u1ee7 thu\u1eadt HyFoSy. Trong m\u1ed9t nghi\u00ean c\u1ee9u quan s\u00e1t h\u1ed3i c\u1ee9u tr\u00ean 294 ph\u1ee5 n\u1eef v\u00f4 sinh ti\u1ebfn h\u00e0nh HyFoSy, 157 ng\u01b0\u1eddi cung c\u1ea5p th\u00f4ng tin qua \u0111i\u1ec7n tho\u1ea1i v\u1ec1 t\u00ecnh h\u00ecnh sinh s\u1ea3n c\u1ee7a m\u00ecnh v\u00e0o 12 th\u00e1ng sau th\u1ee7 thu\u1eadt. C\u00e1c t\u00e1c gi\u1ea3 ghi nh\u1eadn t\u1ef7 l\u1ec7 c\u00f3 thai t\u1ef1 nhi\u00ean l\u00e0 10,2% trong v\u00f2ng 1 th\u00e1ng \u0111\u1ea7u sau HyFoSy, 29,9% trong v\u00f2ng 6 th\u00e1ng, v\u00e0 34,4% trong v\u00f2ng 12 th\u00e1ng [3].<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u0110\u1ed1i t\u01b0\u1ee3ng v\u00e0 th\u1eddi \u0111i\u1ec3m th\u1ef1c hi\u1ec7n ki\u1ec3m tra t\u1eed cung- v\u00f2i tr\u1ee9ng<\/h2>\n\n\n\n<p>Ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n; c\u00f3 nghi ng\u1edd t\u1ed5n th\u01b0\u01a1ng bu\u1ed3ng tr\u1ee9ng v\u00e0 v\u00f2i tr\u1ee9ng: n\u1ea1o ph\u00e1 thai, vi\u00eam nhi\u1ec5m v\u00f9ng ch\u1eadu, ph\u1eabu thu\u1eadt trong \u1ed5 b\u1ee5ng, rong kinh, rong huy\u1ebft. Th\u1eddi \u0111i\u1ec3m th\u1ef1c hi\u1ec7n t\u1ed1t nh\u1ea5t l\u00e0 sau khi s\u1ea1ch kinh 2-5 ng\u00e0y, n\u1ebfu th\u1ef1c hi\u1ec7n v\u00e0o c\u00e1c th\u1eddi \u0111i\u1ec3m kh\u00e1c trong chu k\u1ef3 kinh ph\u1ea3i \u0111\u1ea3m b\u1ea3o kh\u00f4ng c\u00f3 thai (ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh khi \u0111ang h\u00e0nh kinh v\u00e0 nghi ng\u1edd c\u00f3 thai).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">K\u1ebft lu\u1eadn<\/h2>\n\n\n\n<p>H\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y k\u1ebft lu\u1eadn r\u1eb1ng SIS v\u00e0 HyFoSy l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt c\u00f3 th\u1ec3 thay th\u1ebf HSG \u0111\u1ea7y h\u1ee9a h\u1eb9n v\u1ec1 \u0111\u1ed9 ch\u00ednh x\u00e1c v\u00e0 hi\u1ec7u qu\u1ea3. SIS v\u00e0 HyFoSy gi\u00fap b\u1ec7nh nh\u00e2n kh\u00f4ng ph\u1ea3i ti\u1ebfp x\u00fac v\u1edbi tia x\u1ea1 v\u00e0 iodine nh\u01b0 v\u1edbi HSG. SIS v\u00e0 HyFoSy \u00edt \u0111au h\u01a1n v\u00e0 dung n\u1ea1p t\u1ed1t h\u01a1n so v\u1edbi HSG, v\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au. Trong h\u01a1n 350.000 tr\u01b0\u1eddng h\u1ee3p ti\u1ebfn h\u00e0nh th\u1ee7 thu\u1eadt, kh\u00f4ng ghi nh\u1eadn bi\u1ebfn ch\u1ee9ng n\u1eb7ng ho\u1eb7c nghi\u00eam tr\u1ecdng n\u00e0o. Kh\u00e1ng sinh d\u1ef1 ph\u00f2ng tr\u01b0\u1edbc th\u1ee7 thu\u1eadt th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o; tuy v\u1eady c\u1ea7n s\u00e0ng l\u1ecdc v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng v\u00f9ng ch\u1eadu tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh HyFoSy. Th\u00eam v\u00e0o \u0111\u00f3, d\u1eef li\u1ec7u cho th\u1ea5y HyFoSy d\u01b0\u1eddng nh\u01b0 kh\u00f4ng g\u00e2y t\u00e1c \u0111\u1ed9ng x\u1ea5u l\u00ean t\u00ecnh tr\u1ea1ng sinh s\u1ea3n v\u00e0 th\u1eadm ch\u00ed c\u00f3 th\u1ec3 mang l\u1ea1i t\u00e1c \u0111\u1ed9ng c\u00f3 l\u1ee3i trong ba chu k\u1ef3 kinh nguy\u1ec7t \u0111\u1ea7u ti\u00ean sau th\u1ee7 thu\u1eadt gi\u00fap t\u0103ng x\u00e1c su\u1ea5t c\u00f3 thai. C\u1ea7n th\u1ef1c hi\u1ec7n th\u00eam c\u00e1c nghi\u00ean c\u1ee9u ng\u1eabu nhi\u00ean c\u00f3 nh\u00f3m ch\u1ee9ng v\u1edbi c\u1ee1 m\u1eabu l\u1edbn \u0111\u1ec3 \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1eafc ch\u1eafn h\u01a1n v\u1ec1 \u0111\u1ed9 ch\u00ednh x\u00e1c v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a HyFoSy, c\u0169ng nh\u01b0 v\u1ec1 t\u00e1c \u0111\u1ed9ng t\u0103ng x\u00e1c su\u1ea5t c\u00f3 thai sau th\u1ee7 thu\u1eadt so v\u1edbi nh\u00f3m kh\u00f4ng can thi\u1ec7p hay so v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n kh\u00e1c [4],[6],[7],[9].<\/p>\n\n\n\n<p>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Alc\u00e1zar, Juan Luis, et al. &#8220;Two-dimensional hysterosalpingo-contrast-sonography compared to three\/four-dimensional hysterosalpingo-contrast-sonography for the assessment of tubal occlusion in women with infertility\/subfertility: a systematic review with meta-analysis.&#8221;&nbsp;<em>Human Fertility<\/em>&nbsp;25.1 (2022): 43-55.<\/li>\n\n\n\n<li>Anyalechi, Gloria E., et al. &#8220;Tubal factor infertility, in vitro fertilization, and racial disparities: a retrospective cohort in two US clinics.&#8221;&nbsp;<em>Sexually transmitted diseases<\/em>&nbsp;48.10 (2021): 748-753.<\/li>\n\n\n\n<li>Dreyer, Kim, et al. &#8220;Hysterosalpingo-foam sonography, a less painful procedure for tubal patency testing during fertility workup compared with (serial) hysterosalpingography: a randomized controlled trial.&#8221;&nbsp;<em>Fertility and sterility<\/em>&nbsp;102.3 (2014): 821-825.<\/li>\n\n\n\n<li>Exacoustos, C., et al. &#8220;Can tubal flushing with hysterosalpingo-foam sonography (HyFoSy) media increase women\u2019s chances of pregnancy?.&#8221;&nbsp;<em>Journal of minimally invasive gynecology<\/em>&nbsp;22.6 (2015): S238.<\/li>\n\n\n\n<li>N Exalto and MH Emanuel. Clinical Aspects of HyFoSy as Tubal Patency Test in Subfertility Workup. Biomed Research International, vol. 2019, Article ID 4827376, 2019.<\/li>\n\n\n\n<li>Sall\u00e9e, Camille, et al. &#8220;Uterine factor infertility, a systematic review.&#8221;&nbsp;<em>Journal of clinical medicine<\/em>&nbsp;11.16 (2022): 4907.<\/li>\n\n\n\n<li>Serrano Gonz\u00e1lez, Luc\u00eda, et al. &#8220;Is hysterosalpingo-foam sonography (HyFoSy) more tolerable in terms of pain and anxiety than hysterosalpingography (HSG)? A prospective real-world setting multicentre study.&#8221;&nbsp;<em>BMC women&#8217;s health<\/em>&nbsp;22.1 (2022): 41.<\/li>\n\n\n\n<li>Tanaka, Keisuke, et al. &#8220;Hysterosalpingo\u2010foam sonography (HyFoSy): Tolerability, safety and the occurrence of pregnancy post\u2010procedure.&#8221;&nbsp;<em>Australian and New Zealand Journal of Obstetrics and Gynaecology<\/em>&nbsp;58.1 (2018): 114-118.<\/li>\n\n\n\n<li>Tiwari, Arti, Beenu Kushwah Singh, and Anuradha Mishra. &#8220;A comparative study to evaluate diagnostic accuracy and correlation between saline infusion sonography, hysterosalpingography and diagnostic hysterolaparoscopy in infertility.&#8221;&nbsp;International Journal of Reproduction, Contraception, Obstetrics and Gynecology&nbsp;9.2 (2020): 670.<\/li>\n\n\n\n<li>Van Welie, Nienke, et al. &#8220;Can hysterosalpingo-foam sonography replace hysterosalpingography as first-choice tubal patency test? A randomized non-inferiority trial.&#8221;&nbsp;<em>Human Reproduction<\/em>&nbsp;37.5 (2022): 969-979.<\/li>\n<\/ol>\n\n\n\n<h4 class=\"wp-block-heading\"><strong><a href=\"https:\/\/dev2ivf26.mekosoft.vn\/chung-nhan-rtac-loi-ich-va-gia-tri-toi-uu-mang-lai-cho-khach-hang\/\" title=\"\">IVF Ph\u01b0\u01a1ng Ch\u00e2u l\u00e0 \u0111\u01a1n v\u1ecb Hi\u1ebfm mu\u1ed9n \u0111\u1ea7u ti\u00ean t\u1ea1i \u0110\u1ed3ng b\u1eb1ng s\u00f4ng C\u1eedu Long \u0111\u1ea1t c\u00f9ng l\u00fac hai ti\u00eau chu\u1ea9n ki\u1ec3m \u0111\u1ecbnh uy t\u00edn tr\u00ean th\u1ebf gi\u1edbi v\u1ec1 ti\u00eau chu\u1ea9n ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n (JCI) v\u00e0 ti\u00eau chu\u1ea9n ch\u1ea5t l\u01b0\u1ee3ng ri\u00eang bi\u1ec7t cho H\u1ed7 tr\u1ee3 sinh s\u1ea3n (RTAC)<\/a><\/strong><\/h4>\n\n\n\n<p>Hotline: 0939 123 242<\/p>\n\n\n\n<p>\u0110\u1ecba ch\u1ec9: L\u1ea7u 1- BVQT Ph\u01b0\u01a1ng Ch\u00e2u, s\u1ed1 300 Nguy\u1ec5n V\u0103n C\u1eeb (n\u1ed1i d\u00e0i), An Kh\u00e1nh, Ninh Ki\u1ec1u, C\u1ea7n Th\u01a1<\/p>\n\n\n\n<p>Link \u0111\u0103ng k\u00fd kh\u00e1m: <a href=\"https:\/\/forms.gle\/QXPmj6TVqD22eJU78\">https:\/\/forms.gle\/QXPmj6TVqD22eJU78<\/a><\/p>\n\n\n\n<p>Zalo: <a href=\"https:\/\/zalo.me\/3151939064448063345\">https:\/\/zalo.me\/3151939064448063345<\/a><\/p>\n\n\n\n<p>Fanpage: <a href=\"https:\/\/www.facebook.com\/ivfphuongchau\">https:\/\/www.facebook.com\/ivfphuongchau<\/a><\/p>\n\n\n\n<p>Tiktok: <a href=\"https:\/\/www.tiktok.com\/@ivfphuongchau\/\">https:\/\/www.tiktok.com\/@ivfphuongchau\/<\/a><\/p>\n\n\n\n<p>T\u1ed5ng \u0111\u00e0i BVQT Ph\u01b0\u01a1ng Ch\u00e2u (24\/24): 1900 54 54 66<\/p>\n","protected":false},"excerpt":{"rendered":"<p>M\u1ed1i li\u00ean quan gi\u1eefa t\u1eed cung v\u00e0 hi\u1ebfm mu\u1ed9n T\u1eed cung l\u00e0 m\u1ed9t v\u00f9ng b\u1ea3o v\u1ec7 \u00eam \u00e1i v\u00e0 ch\u1eafc ch\u1eafn cho thai nhi, t\u1eeb khi th\u1ee5 tinh cho \u0111\u1ebfn khi sinh ra. N\u1ed9i m\u1ea1c t\u1eed cung (NMTC) l\u00e0 n\u01a1i thai nhi ph\u00e1t tri\u1ec3n. Do \u0111\u00f3, b\u1ea5t th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn t\u1eed cung s\u1ebd g\u00e2y [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":11053,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[4],"tags":[],"class_list":["post-11036","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-thong-tin-y-khoa"],"aioseo_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>KI\u1ec2M TRA T\u1eec CUNG - V\u00d2I TR\u1ee8NG: PH\u01af\u01a0NG PH\u00c1P HI\u1ec6U QU\u1ea2 V\u00c0 AN TO\u00c0N - IVF Ph\u01b0\u01a1ng Ch\u00e2u S\u00e0i G\u00f2n<\/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:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/kiem-tra-tu-cung-voi-trung-phuong-phap-hieu-qua-va-an-toan\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"KI\u1ec2M TRA T\u1eec CUNG - V\u00d2I TR\u1ee8NG: PH\u01af\u01a0NG PH\u00c1P HI\u1ec6U QU\u1ea2 V\u00c0 AN TO\u00c0N - IVF Ph\u01b0\u01a1ng Ch\u00e2u S\u00e0i G\u00f2n\" \/>\n<meta property=\"og:description\" content=\"M\u1ed1i li\u00ean quan gi\u1eefa t\u1eed cung v\u00e0 hi\u1ebfm mu\u1ed9n T\u1eed cung l\u00e0 m\u1ed9t v\u00f9ng b\u1ea3o v\u1ec7 \u00eam \u00e1i v\u00e0 ch\u1eafc ch\u1eafn cho thai nhi, t\u1eeb khi th\u1ee5 tinh cho \u0111\u1ebfn khi sinh ra. 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