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UY BAN NHANDA.NTHANH PHO HO CHI MINH
SaYTE
C(>NG HOA xA H(>I CHU NGHiA VI~T NAMDQc I~p - T\l' do - Hanh phuc
S6: jf..25 IQD-SYT TP. H6 Chi Minh, ngayji thangJOnam 2016
QUYET DINH
YS viec phe duyet b6 sung Danh muc kYthuat trong kham benh, chfra benh theoThong tu s6 43/20 13ITT-B YT ngay 11112/2013 cua B(,>Truong B('>Y t~.
GIAM DOC Sa Y TE THANH PHO HO CHi MINH
Can err Luat Kham benh, chtra benh s6 4012009/QH12 ngay 23/1112009;Can cir Thong tu s6 43/2013/TT-BYT ngay 11112/2013 cua B(,>Truong B(,>Y t~ vS
Quy dinh chi ti~t phan tuyen chuyen mon ky thuat d6i voi h~ thong ca sa kham benh, chirabenh:. ,
Can cir Thong tu s6 50/2014/TT-BYT ngay 29/12/2014 cua B('>Y t8 quy dinh viecphan loai ph~u thuat, thu thuat va dinh mire nhan hrc trong tung ca ph~u thuat, thu thuat;
Can cir Thong nr s6 07/2015/TT-BYT ngay 03/4/2015 cua B('>Y t~ quy dinh chi ti~tdiSu kien, thu tuc cho phep ap dung ky thuat moi, phuong phap moi trong kham benh, clnrabenh:. ,
Can cir Quyet dinh s6 25/2009/QD-UBND ngay 27/3/2009 cua Uy ban nhan danthanh pho H6 Chi Minh vS ban hanh Quy ch~ t6 chirc va hoat dong cua Sa Y t~ thanh ph6H6 Chi Minh;
Can cir Giay phep hoat dong kham benh, chtra benh s6 02813/SYT -GPHD ngay16/912016 cua Sa Y t~ dp cho Benh vien Da Li~u TPHCM;
Can ctr cong van s6 426IDL-KHTH ngay 22/8/2016 cua Benh vien Da Lieu TPHCMvS phe duyet b6 sung danh muc ky thuat kern h6 sa;
Can cu Bien ban tham dinh ngay 05/9/2016 cua Hoi d6ng chuyen mon ky thuat Sa Yt~ vS viec phe duyet b6 sung danh rnuc ky thuat Benh vien Da Li~u TPHCM;
Xet dS nghi cua Phong Nghiep vu Y - Sa Y t8,
QUYETDINH:
Di~u 1. Nay phe duyet b6 sung Danh muc ky thuat trong kham benh, chira benh theo Thongtu s6 50/2014/TT-BYT ngay 29112/2014 cua B('>Truong B(,>Y t~ dang duoc trien khai thuchien tai Benh vien Da Li~u TPHCM, dia chi s6 02 duong Nguyen Thong, Phuong 6, Quan 3,TPHCM (dinh kern 151 ky thuat).
Di~u 2. Danh rnuc ky thuat trong kham benh, chtra benh duoc phe duyet la co So' phap Iy choviec thirc hien ky thuat, chuyen tuyen, thanh toan vien phi, bao hi~m y t~ va la ca sa d~ donvi phan d~u phat trien chuyen mon ky thuat.
1
Di~u 3. Giam d6c Benh vien Da Li~u TPHCM co trach nhiern dam bao v~ nhan S\I, co sa v?tchat, trang thiet bi phu hQ'Pd~ thirc hien cac ky thuat dff duoc phe duyet theo dung cac quydinh chuyen mon va quy trinh ky thuat. Khi khong du di~u kien thirc hien cac ky thuat theoquy dinh, d~ nghi Benh vien phai chuyen ngiroi benh d~n co sa y t~ phu hQ'Pnham dam baoan toan ngiroi benh.
Di~u 4. Quyet dinh nay co hieu hrc k~ nr ngay ky.
Di~u 5. Cac Ong, Ba: Chanh Van phong, Twang cac phong chirc nang thuoc Sa, ChanhThanh tra Sa, Giam d6c Benh vien Da Li~u TPHCM va cac co quan, t6 chirc co lien quanchiu trach nhiern thi hanh Quyet dinh na~ j~Nui nhiin: ~7 KT. GlA.M DOC- Nhu cti€u 5; GIAM DOC- Giam ct6c va cac PGD(bao cao);- Medinet;- LUll: Van phong Sa."NTT, LHNT; 04b".
2
KY THU~ T LO.:\I II, III VA KHONG PHAN LO.:\I BO SUNG~ CUA BENH VIEN DA LIEU TPHCM.~. . .-/0 Quyet dinh s6.At.J.5JJO~~gay.Alpo./Jb..cua So' y t~ TPHCM).
v. DALIEUh A A b;( ,. ThA t 43/2013ITT BYTac ,-y ua 01 ong c uyen mon o sung so VO'l ong If -
STT TT DANH Ml)C KY THU~ T PHAN LO.:\.I PHA l! THU~ T,THUTHUAT
LO.:\IPHAu LO~ITHUTHUAT THUAT
DB I II I III DB I I I II III
2. Thu thuat i I I
I1. Cham s6c ngiroi benh bi pemphigoid, 1
I I
I!91. 1
Ihang ban da dang, Durhing Brocq .... l 1
2. Tre hoa da bang may Mesoderm !,
101. , xii ,
3. Dieu tri ram ma bang may Mesoderm i
102. I I x4. Dieu tri tnrng ca bang may ! ; imun , x103. ! !
Mesoderm ! Ii !
5. 104. Dieu tri rung t6c bang may Mesoderm I l X!
6. 105. Tre hoa da bang chien den LED I ! x!
7. 107. Dieu tri mun tnrng ca bang chieu den LED i ! x, ;
8. 109.Dieu tri benh film ma bang ky thuat Ian i ! xkim va thuoc boi tai ch6 I !
i
9. 110.Dieu tri benh tan nhang bang ky thuat I I x,Ian kim va thuoc boi tai ch6 I
1 j
10. Dieu tri seo 15m bang ky thuat Ian kim ! i
111. ! xva thuoc b6i tai ch6 I !
1
11. Dieu tri benh rung t6c bang ky thuat Ian ! i x112. I
kim va thuoc boi tai ch6 I ;
! ,
12. Dieu tri benh h6i bang ky thuat Ian kim I ! x113. !
va thuoc boi tai ch6 I I!
13. Dieu tri dan 16 chan long bang kY thuat i i x114. !IIan kim va thuoc b6i tai ch6 i,
14. Dieu tri lao h6a da bang ky thuat Ian ! ,
115. ! I xkim va thuoc boi tai ch6 ;
I ,i
15. 116. Dieu tri ran da bang ky thuat Ian kim va I i xthuoc boi tai ch6 I I
16. Dieu tri nep nhan da bang ky thuat Ian,
i1l7. i xkim va thuoc boi tai ch6 ! !i ,3. Phuc h6i clnrc nana da Ii~u
, iI I17. V~t Iy tri li~u cho b~nh nhan phong ! i x118. I 1
I
tnroc va sau ph~u thuat tay Ii !I
18. 119. V~t If tri lieu cho b~nh nhan phong I i xI
STT TT DANH Ml)C KY THU~ T PHAN LO~I PHA~ THU~ T,THUTHUAT
LO~IPHAU LO~ITHiJTHUAT THUAT
DB I I I II I III DB I I I II I IIItnroc va sau ph~u thuat chan ! l ! i I I, f I ,
19. V~t 1y tri lieu cho benh nhan phong,
I I I I il x120. j ! ! !truce va sau ph~u thuat mat tho , i i I20. 121. V~t 1y tri lieu cho benh nhan xo cirng bi 1
1! ! !
,x ,
l ; I
IX. GAY ME HOI sueSTT TT DANH Ml)C KY THU~T PHANTUYEN
KYTHuAT
1 2 3A B C D
D. GAY TE21. Gay te ph~u thuat cat bao da qui dau do ?inh hoac x x x
3142 dai22. Gay te ph~u thuat c~t cac Ioai u vung da dau, c6 co x x
3149 dirong kinh 5 d~n 10 em23. Gay te ph~u thuat c~t cac loai u vung da dau, c6 co x x x
3150 duong kinh duoi 5 ern24. Gay te ph~u thuat dt cac loai u vung da dau, co co x x
3151 dironz kinh tren 10 em25. Gay te ph~u thuat cat cac loai u vung mat co duong x x
3152 kinh 5 d~n 10 em26. 3153 Gay te ph~u thu~t cat chap co boc x x x27. 3166 Gay te ph~u thuat c~t cut cang tay, canh tay* x x x28. 3167 Gay te ph~u thuat dt cut chi * x x x29. 3174 Gay te ph~u thuat dt dean chi * x x x30. 3189 Gay te ph~u thuat cat khoi u da lanh tinh duoi 5cm x x x31. 3190 Gay te ph~u thuat dt khoi u da lanh tinh mi mat x x x32. 3191 Gay te ph~u thuat cat khoi u da lanh tinh tren 5cm x x x33. Gay te ph~u thuat cat IQcda, co, can nr 1 - 3% x x x
3198 dien tich ca th@34. Gay te ph~u thuat cat IQcda, ca, can duoi 1% dien x x x
3199 tich ca th@35. Gay te ph~u thuat cat IQcdon thuan vet thirong ban x x x
3201 tay36. 3346 Gay te ph~u thuat cat u da dau x x x37. 3347 Gay te ph~u thuat cat u da lanh tinh vanh tai x x38. Gay te ph~u thuat c~t u da lanh tinh vung da d~u x x x
3348 duoi 2cm39. Gay te ph~u thuat dt u da mi co tnrot long mi, vat x x
3349 da, hay ghep da40. 3350 Gay te ph~u thuat cat u da mi khong ghep x x
2
41. Gay te ph~u thuat cat u lanh phan mern dirong kinh x x x3364 tren 10cm
42. 3377 Gay te ph~u thuat cat u mi ca b~ day khong ghep x x43. 3378 Gay te ph~u thuat cat u mi ca.be day khong va x x44. Gay te ph~u thuat cat u mi ghep niem mac cirng cua x x
3379 vorn mieng va chuyen vat da45. 3380 Gay te ph~u thuat c~t u mo phan mem x x x46. Gay te ph~u thuat cat u mo, u ba d~u vung ham m~t x x x
3381 dirong kinh tren 5 ern47. 3382 Gay te ph~u thuat dt u nang bao hoat dich * x x x48. Gay te ph~u thuat cat ung thu da dau, mat co tao x x
3430 hinh49. Gay te ph~u thuat cat ung thu da vung mi mat duoi x x
3431 va tao hinh50. Gay te ph~u thuat chuyen vat da can co cuong mach x x
3476 nuoi51. 3543 Gay te ph~u thuat dieu tri h&mi52. Gay te ph~u thuat di~u tri hQi chimg chen ep th~n x x x
3546 kinh quay53. Gay te ph~u thu~t di~u tri hoi clnrng chen ep than x x x
3547 kinh tru54. 3548 Gay te ph~u thuat dieu tri hoi clnrnz ong co tay x x x55. 3598 Gay te ph~u thuat dieu tri tr~t khop khuyu * x x x
56. Gay te ph~u thuat di~u tri vSt thuong ban tay bang x x x3602 ghep da tir than *
57. Gay te ph~u thuat dieu tri vSt thuong ngon tay bang x x x3605 cac vat da Ian can *
58. Gay te ph~u thuat di~u tri vSt thuong ngon tay bang x x x3606 cac vat da tai ch6 *
59. Gay te ph~u thuat dong cirng khop c6 chan (chua x x x3632 bao g6m phuong tien c6 dinh) *
60. 3633 Gay te ph~u thuat dong cirng khop khac * x x x61. 3667 Gay te ph~u thuat gay xirong d6t ban ngon tay* x x x
62. 3715 Gay te ph~u thuat hQi chirng 6ng c6 tay * x x x
63. Gay te ph~u thuat lAyda mi sa (mi tren, mi diroi, 2 x x
3882 mi) co hoac khong lAymo duoi da mi*64. 3953 Gay te ph~u thuat loai 3 x x x,
* dieu tr] cho b~nh nhan Phong.
x. NGOAI KHOASTT TT DANH Ml}C KY THU~T
PH AN TUYENKYTHUAT
23
1 AIBI c Dc. TIET NIEU-SINH Due I I
3
Sa.' ri
65. 410 Cat bo bao da qui dau do dinh hoac dai x x x66. 411 Cath~pbaoquydiu x x x x
G. CHAN THUONG - CHINH HINH (di~u tr]cho benh nhan Phong)
67. 807 Ph~u thuat thuong tich phin m~m cac co quan van x xdong x
68. 833 Ph~u thuat dieu tri hOi chirng chen ep than kinh tru x x69. 942 Ph~u thuat c~t cut chi x x
XII. UNG mrouSTT TT DANH MT)C KY THU~ T PHANTUYEN
KYTHUAT1 2
3A B C D
A. DAu-co70. 2 C~t cac loai u vung da dau, c6 c6 dirong kinh diroi 5 x x x
cm71. 10 Cat cac u lanh vung c6 x x x
XIV. MATSTT TT DANH MT)C KY THU~ T PHANTUYEN
KYTHUAT1 2
3A B C D
72. 171 Khau da mi don gian x x x73. 203 Cat chi khau da mi don gian x x x x
XXIV. VI SINHSTT TT DANH MT)C KY THU~T PHAN TUYEN
KYTHUAT
1 23
A B C DA. VIKHUA.N2. Mycobacteria
74. 31 Mycobacterium tuberculosis PCR h~ thong W dong x x
XXVIII. TAO HINH - THAM MYST TT DANH MT)C KY THU~T PHANTUYENT KYTHUAT
f---- 1 2 3A B C D
A. TAO HINH VUNG DAu - MAT - CO1. Vimg xuona so- da d~u
75. 9 Ph~u thuat c~t bo u da lanh tinh vung da diu diroi 2cm x x x76. 10 Ph~u thua; c~t bo u da lanh tinh vung da diu nr 2cm tro x x x
4
len77. 11 Ph~u thuat c~t be ung thir da vung da d~u diroi 2cm x x78. 12 Ph~u thuat cat be ung thir da vung da dau tir 2cm tro len x x79. 13 Tao hinh khuyet da d~u banz ghep da monz x x x80. 14 Tao hinh khuyet da dau bang ghep da day x x x81. 16 Tao hinh khuvet da d~u b&ng vat da tai cho x x x. . .
2. Vimg mi m~t *82. Ph~u thuat tao vat da tai ch6 cho v~t thuong khuyet da x x
38 ml83. Ph~u thuat tao vat da Ian can cho vet thirong khuyet da x x
39 rm84. 47 Ph~u thuat chuyen gan di~u tri ho mi x x
3. Vimg mfii *85. 89 Ph~u thuat tao hinh rniii mot phan x x86. Ph~u thuat tao hinh thap miii bang vat e6 cuong rnach x x
90 nuoi87. 91 Ph~u thuat tao hinh thap miii bang vat da k~ can x x88. 95 Ph~u thuat cat be u lanh tinh vung miii (duoi 2cm) x x89. 96 Ph~u thuat e~t be u lanh tinh vung mfii (tren 2cm) x x90. 97 Ph~u thuat tao hinh mui sir tir x x91. 106 Ph~u thudt chinh sun canh miii x x
4. Vimg mdi92. 122 Ph~u thuat ehinh sua lech mieng do liet th~n kinh VII * x x. ..,
6. Vimg ham mat c693. Ph~u thuat v~t thuong phan mem vung ham m~t khong x x x x
162 thieu hong t6 chirc *94. 163 Cat loc to chirc hoai tu hoac cat loc vet thuong don gian x x x x95. Ph~u thuat dieu tri vet tlurong phan mem vung ham mat x x x
164 c6 thieu hong t6 chirc *96. 200 Ph~u thuat sua SyO vung c6, mat bang vat da tai ch6 x x x97. 217 Cat u mau vung dau mat co x x x98. Ph~u thuat cat ung thu da vung c6 mat duoi 5cm va tao x x
221 hinh bang ghep da tu than99. Ph~u thuat cat ung thir da vung co mat duoi 5cm va tao x x
222 hinh b&ng vat da tai ch6100. Ph~u thuat c~t ung thu da vung c6 mat tren 5cm va tao x x
223 hinh bang vat da Ian can101. 225 Cat u phan rnem vung co x x x102. 226 Cat novi s~c t6 vung ham mat x x x103. 227 Cat u sac to vung ham mat x x x104. 228 Cat u th~n kinh vung ham mat x x105. 229 Cat u xo than kinh vung ham mat x x x106. 230 C~t u da Ianh tinh vung ham mat x x
B. T~O HiNH VUNG THAN MiNH107. 261 Ph~u thuat dieu tri ung thu da vu bang vat da tai ch6 x x108. 275 Cat be kh6i u da lanh tinh duoi 5cm x x109. 276 Cat be kh6i u da lanh tinh tren 5em x x
5
110. 277 Cat bo kh6i u da ac tinh x xD. TAD HlNH VUNG CHI TREN VA BAN TAY
Ill. Ph~u thuat ghep da nr than cac khuyet phan mem canh x x315 tay
112. Ph~u thuat ghep da tu than cac khuyet phan mem cang x x316 tay
113. 336 Cat day 6 loet vet thuong man tinh x x xD. TAD HINH CHD VUNG CHI DUOI
114. Ph~u thuat t<;10hinh cac khuyet da vung dui bang ghep x x385 da nr than
115. Ph~u thuat t<;10hinh cac khuyet da vung khoeo bang x x386 ghep da tir than
116. Ph~u thuat t<;10hinh cac khuyet da vung cang bang ghep x x387 da tir than
117. Ph~u thuat t<;10hinh cac khuyet da vung c6 chan bang x x388 ghep da tu than
118. Ph~u thuat t<;10hinh cac khuyet da vung ban chan bang x x389 ghep da tv than
119. Ph~u thuat t<;10hinh cac khuyet da vung dui bang vat da x x390 tai ch6
120. Ph~u thuat t<;10hinh cac khuyet da vung ding chan bang x x392 V<;1tda tai ch6
12l. Ph~u thuat t<;10hinh cac khuyet da vung ban chan bang x x393 vat da tai ch6
122. 403 Cat cac kh6i u da lanh tinh diroi 5cm x x123. 404 C~t kh6i u da lanh tinh tren 5cm x x124. 405 Cat kh6i u da lanh tinh kh6ng 16 x x125. 406 Cat loet ti de vung got ban chan x x126. 407 Ph~u thuat cat ngon chan thira * x x,
*: chi dieu tr] cho benhnhan Phong.
6
~iiS~'~KY THU~T LO~I D~C BIlJ:T,LO~I I BO SUNG CUA B~NH VI~N DAIK:1aI\1A. B~NH VI~N DA THlfC HI~N DUQC TRUdc NGA.y 0116/2015.
uy~t dinh s6. AJrl.5jOO Sfngay AJ/.JG .~G....cua So'Y t~ TPHCM).
v. DALIEUac '-Y ua 01 on!?:chuven mdn b6 sunz so vOi Thdnz nr 43/20131TT-BYT
90.
Tre hoa da bang tiern chat lam d~y(Filler)
STT TT DANH MU.C KY THUA.-T PHAN LO~I PHAu T:HU~ T,THUTHUAT
1.
2. Tho thuat
DB I II III DB I II III
LO~IPHAu LO~ITHUTHUAT THUAT
1. Ph~u thuatPh~u thuat sui rnao ga duong kinh 5 emtro len
I x I',1, !
i
2.3. 92. Xoa xarn b~ng cac ley thuat Laser Ruby x I4.
93.Dieu tri seo 15m bang Laser Fractional,Intracell
x ii
5. 94. Xoa nep nhan bang Laser Fractional,Intracell
x I!!
6. 95. Dieu tri cac bot sac to bang Laser Ruby x ii
7. 96. Tre hoa da bang cac ley thuat LaserFractional
x iI
8. 97. Dieu tri ram ma b~ng laser Fractional I x i9. 98. Tre hoa da bang Radiofrequency (RF) I x !10. 99. Dieu tri SyO 15m bang ky thuat ly trich
huyet nrong gi~u ti€u cfru (PRP)! x Ii i
11. 100. Tre hoa da bang ky thuat ly trich huyettuong gi~u tieu cfru (PRP)
I x I1 I
12. 106. Ire hoa da bang tiem Botulinum toxin x I i13. 108. x I
x. NGOAI KHOA (£lieu tr] cho b~Dh nhan PhODg)ST
TT PL DANH Ml)C KY THU~ T PH AN TUYENT KYTHUAT
1 23
A B C DA. THAN KINH - so NAO
14. 149 I Ph~u thuat giiti ph6ng chen ep TK ngoai bien x x15. 151 I Ph~u thuat u than kinh tren da x x x
G. CHAN TmfONG - CHINH HINH16. 809 I Ph~u thuat vet thuong ban tay x x17. 832 I Ph~u thuat di~u tri h9i chirng 6ng co tay x x18. 835 I Ph~u thuat chuyen gan dieu tri li~t than kinh x x
gifra19. 836 I Ph~u thuat chuyen gan dieu tri liet th~n kinh x x
tf\l20. 837 I Ph~u thuat chuyen gan dieu tri li~t than kinh x x
quay2l. 838 DB Ph~u thuat dieu tri liet than kinh giua va than x x
kinh tru22. 958 I . Ph~u thuat dong cirng khop khac
.. ..
x x
XII. UNG BU61JST TT PL DANH Ml)C KY THU~ T PHANTUYENT KYTHUAT
1 2 3I---
A B C DA.DAu-co
23. 6 I Cat cac IOC;liu vung mat e6 dirong kinh diroi 5 x xem
24. 7 I Cat cac IOC;liu vung mat e6 dirong kinh 5 den x x10 em
XIV. MAT (dieu tri cho benh nhan Phong)ST TT PL DANH Ml)C KY THU~ T PHANTUYENT KYTHuAT
1 23
-A B C D
25. I Ph~u thuat chuyen gan diSu tri mat ho mi (2231 mat) x x