U X T CUNG

U X T CUNG

Mc tiu hc tpk tn c v tr UXTCNu c cc triu chng ca UXTCK c cc bin chng ca UXTCNu c cc nguyn tc x tr ca UXTC

U X T CUNG

Ni dung chnh 1. i cngUXTC l khi u lnh tnh ca TC, thng gp ph n la tui hot ng sinh dcC th c lin quan vi ni tit (cng ostrogen)

U X T CUNG

2. V tr ca UXTC Tu theo phn ca TC So vi thnh TC

U X T CUNG

Tu theo phn ca TC + Thn TC chim 96%+ eo TC chim 1%+ CTC chim 3%

U X T CUNG

So vi thnh TC + UXTC di thanh mc: c th c cung + UXTC k nm trong lp c TC + UXTC di nim mc : Ni g ln trong bung TC i khi c cung go l polyp x

U X T CUNG

3. Triu chng Ph thuc vo v tr khi u

U X T CUNG

3.1. Triu chng c nng- Ri lon kinh nguyt: rong kinh, cng kinh, hoc bng kinh- Ra kh h- au, ri lon tiu tin, i tin khi c chn p - BN t s thy khi u nu khi u to

U X T CUNG

3.2. Triu chng thc th - Nn bng: nu khi u to c th s thy h v - t m vt : c th kh tm CTC khi khi u to eo y CTC hoc lm xo CTC; C th thy polyp x th qua CTC

U X T CUNG

- Thm m o kt hp nn bng : TC to u hoc g gh, chc, di ng cng TC- o bung TC to hn bnh thng (t lm)

U X T CUNG

3.3. Cn lm sng:- Siu m: hnh nh UXTC c th xc nh c v tr khi u- Chp bung t cung c bm thuc cn quang: hnh khuyt nu UXTC di nim mc

U X T CUNG

- Sinh thit nim mc (trng hp cn no cm mu): qu sn nim mc t cung

U X T CUNG

Siu m bm nc bung TC soi BTC chn on trong trng hp nghi polyps BTC hoc UXTC di nim mc

U X T CUNG

4. Chn on:

U X T CUNG

4.1. Chn on xc nh: Da vo cc triu chng C nng, Thc th, Cn lm sng

U X T CUNG

4.2.Chn on phn bit:Thai trong TCThai cht luCha trng thoi trin

U X T CUNG

Khi u bung trng: Phn bit v trng hp UXTC di phc mc c cung Cha ngoi t cung th HTTN: Phn bit trong trng hp UXTC dnh Sarcom TC

U X T CUNG

5. Tin trin v bin chng5.1. Chy mu gy thiu mu

U X T CUNG

5.2. Bin chng c gii:- Chn p niu qun khi khi u trong dy chng rng - Khi u to pht trin ra trc chn p bng quang gy b i- Nu khi u to pht trin ra sau chn p trc trng g y t o bn hoc hi chng gi l

U X T CUNG

- Khi u kt douglas- Xon khi u khi UXTC di phc mc c cung- Bin chng nhim khun khi polyp x hoi t nhim trng- Bin i thoi ho; thoi ho m, vi ho, hoi t v khun

U X T CUNG

6. UXTC v thai nghn- Chm c thai, v sinh- Sy thai, non- Thai km pht trin trong TC- Ngi bt thng, rau tin o

U X T CUNG

- Trong chuyn d: Khi u tin o (UXTC eo TC); c th gy ri lon cn co TC, TC, chy mu sau , vim nim mc t cung sau

U X T CUNG

7. iu tr

U X T CUNG

7.1. iu tr ni khoa: UXTC nh khng c bin chng chn p, c RLKN cha nh hng n sc kho ca BN, BN cn tr cn c nhu cu sinh . - Thuc: Progestatif na sau ca k kinh - Thuc co hi t cung

U X T CUNG

7.2. iu tr ngoi khoa 7.2.1. Ch nh : - iu tr ni khoa khng kt qu - C bin chng

U X T CUNG

7.2.2. Phng php: Bc tch nhn x bo tn TC: BN cn tr cn nhu cu sinh , UXTC v tr c th bc tch c

U X T CUNG

iu tr trit : Ct TC bn phn : BN cn tr, CTC khng tn thng Ct TCHT: BN ln tui, hoc km tn thng CTC li phn ph hoc ct c hai phn ph thu theo tui ca bnh nhn

xin chn thnh cm n!