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CONG HOA XA HOI em) NGHiA VI~T AM119c la.p - T'l do - H~nh phuc

Ha N6i, ngay 50 tharzgAlniim 201

BOYTE

S6:;f1O~ IQf)-BYT

, QUYEr l>INH'-s-o~.-Y-T-E:-:':-T-H""':'V-)._'--rt1']~t;fi1~·~:r:";~:'C~11anh tai li~u HU'6ng d~n quY,ltrinh ky thu~t Ph~u thu~t N"j soi

" C~6~.~ ..~!~..~.~N ..Ngay .•{J-:thang..6i...nim ..wJ1- BQ TRUONG BOY TE

Can cu Luat kham benh, chua benh.narn 2009;Can cir Nghi dinh s6 63/?O 12/ND-CP ngay 31/8/2012 cua Chinh hu quy

dinh chirc nang, nhiem vu, quyen han va co c~u t5 chuc cua BOY tS;Xet Bien ban hQP ngay 23 thang 11 nam 2016 cua HQi d6ng ngh ~rn thu

Hirong dan Quy trinh ky thuat Phdu thu~tNoi soi cua Bo Y t€;Theo d~ nghi cua eve tnrong C\lCQuaii I;' Kham, chua benh,

QuvETDINH:

f)i~u 1. Ban hanh kern thee Quyet dinh nay tai li~u "Hirong dfuJquy rinh kythu~t Ph~u thuat NOi soi", gom 198 quy trinh ky thuat.

I>i~u 2. Tai lieu "Huang dan quy trinh kY thuat Ph~u thuat Noi soi" b n hanhkern thee Quyet dinh nay diroc ap dung tai cac co s6 khfun b~nh, chua benh.

Can cu vim ali li~u huang dftn nay va diSu ki~n C\l th8 cua d011 vi, G am dBeco so kharn b~nh, chua b~nh xay d\ffig va ban himh tai li~u Huang dfrn quy nnh kYthu?t Phfiu thu~t NQi soi phu hqp d~ th\TC hi~n t~i dan vi·

Di~u 3. Quy~t dinh nay co hi~u l\fc k~ ttr ngay ky ban hanh.Di~u4. Cac ang, ba: Chimh Van phong B9, C\lC tnfcmg C\lCQuan 1' Kham,

chfr.a b~nh, Chanh Thanh tra EO, C\lCtruong,~va V\l tru6"l1gcac evc, V\l t uoc Boy t~,Giam d6c cae b~nh vi~n, vi~n co giuong b~nh tt:\IC thu9C Bo Y tS, G am dBcSo Y t@ cae Hnh, thanh ph6 tnTCthuQc trung uang, Thu trubng Y t~ cac B9 Nganhva Thu tru6'ng cac dan vi c6lien quan chiu tnich nhi~rn thi hfmh QuySt dinh nay.!.

Nui 11"~I1:- Nhtr Di~u 4;- BO truang BO Y t~ (d~ h/c);- Cae Tb(r truemg BYT;- Bao hi~m Xa hQi Vi~l Nam (d6 ph6i hqp);- C6ng thong tin di~n tu BYT;- Website C\IC KeB;- Luu VT. KCB. "

"

BQYTE CONG BOA XA HOI COO NGHiA VltT NANDQCI~p - TV do- Hanh Phuc

!iDANH SACH 198WONG DAN QUY TRiNH KY THU~ T

PRAU THUAT NOI 501(Ban hanh kem thea Quyh aiy!hs6110~IQD-BYT ngay8(J thang Abem 12016

'\ciJaEOtruang B9 Y It;:::~

TT TEN QuY TruNtI KY' THO~ T

I PRAu TRU~ T SQ NAOI. Phau th~t nQisoi tuyen yen qua dirong xuong bu6m i

2. Phau thu?t nQi soi h6 tro kep co tui phinh,

1. pilau th~t nQi soiph.:\ nang mang nhen dich nao tuy

4. Phau thuat nQi soi lay rnau tu

5. Phau thuat nQi soi ho tro giai ep than kinh s6 v'iI

6. Phftu thuat nQi soi ho tro Ifty u nne r

7. Phlu thuat noi soi dieu tri thoat vi nSn SQ

8. Phau thuat noi soi lay u nen S9

9. Phftu thuat noi soi lay u nao that J

10. Philu thucTttnoi soi lay u S9 hau qua xoang buorn11. Phau thuat noi soi dieu trj ro dich nao tuy nen S9

12. Phau thtl~t noi soi giam up than kinh so II

13. " Phau thu~t noi soi pM. thong san nllo that lIT

14. Phau thu~t noi soi sinh thiet u nao that

IS. Phfm thu~t noi sOlpha thong san nao that va sinh thiet u nao that

II PRAU THU~T COT s6NG -16. Phau tl1U~tnQisoi lay nhan ilia d~m cot song that lung qua duemg lien ba 1song

[7. Ph~u thu~t n¢i soi lilYnharr ilia d~m c¢t song that lung qua 16Han hqp18. Phiiuthu?t n¢i soi lay nhan dTa d~m c¢t song ng\!c dUOngtru6c trong V«c cot song

19. Phftu thu~t n(li soi chinh v~o cQtsong ng'l,(e:

20. Phflu thu~t n¢i soi giai ph6ng 16 lien hqp CQtsong co

2L Pbau thu~t nQi soi ho trq lam cung cot song lung

22. Phfru thu(lt n¢i SOl c~t ban song giai ep trong h~p ong sang that lung

23. Ph~u thu~t l1¢isoi lay thoat vi dla d~m c¢t song co dubng sau

24. Ph~u thu~t nQi soi lay dia d~m c¢t song co ng\Ic,

III PHAUTHU~TCHANTHU'ONGCHINHmNH.

I

. '

i!

25. Phau thu~t n(>isoi tao hinh mom cung vai

26. Phau thuat noi soi dieu tri mat virng khop vai

27. Phau thu~t nQi soi dieu tri rach sun vien treW'tiJtruce ra sau

28. Phau thu~t noi soi dieu tri viem, co rut khop vai

29. Ph~u thu~t n(>isoi tai tao day chang cheo truce bang gan banh che tv than

30. Phau thu~t n(>isoi tai tao day chang cheo truce bang gan chan ngong/j;

31. Phau thu~t nQi soi tai tao day chang cheo triroc bang ky thu~t 2 be

32. Phfiu thu~t n(>isoi tai tao day chang cheo truce bang gjm banh che d6ng 10C}.mot bo

33. Ph~u thuat n(>isoi tai tao day chang cheo truce bang gan banh che d6ng loa hai bo-

34. Ph~u thuat nQi soi tai tao day chang cheo truce

35. Pilau thu~t n(>i soi tai tao dong thai nhieu day chang ( cheo trucrc, cheo s~u) bang

gan d6ng Io?i36. Phau thu~t n(>isOl dieu tIi kh6'p goi bang gan dong 10C}.i (n(>isoi tai tc}'Oday ( hang

cheo tnr¢'c, cheo sau, m6 mcy tai t?O day ch~ng ben chay. ben mac)

37. Phlu thuat n(>isoi dieu tri viem kh6'p vai

38. Phfiu thu~t nQi soi giai ph6ng ong c6 tay

39. Phau thu~t n(>isoi cat bao hol;ttml;tcviem khap goi

40 .. Pbau thu~t noi soi cM lQc S\ln kh6'p goi J

41. phau thu~t nQi soi cat sl;m chern

42. Phau thl.l~t nQi soi cat dau dai gan nhi dau

43. Phlu thl.l~t nQi soi khau ch6p xoay

44. Phfil.lthl.l~t n(>isoi khau S\111 chem

45. Phau thu~t n(>i soi khoan kich thich tuy

46. Phau thu~t n(>isoi Uti t(}.oday chang cbeo sau

47. Ph§.u thu~t nQi soi h6 trQ'dieu trl gay xuang p1WlDkh6'p viIng goi

48. Phau thu?t n(>isoi tai t?O day chang cheo tmac bang gfm achille dong 10~i (n(>tbo

49. Ph~u thu~t n(>isoi. tai ti;tOday chang cheo treGc bang gan achille d6ng lo~i hal b6

50. Phau thu~t nQi soi-go dinh kh6p g6i'_'

51. Ph§u thu~t nf,lisoi han kh6p co chan

IV PRAu THU~T TIM M~CH - LONG NGVC

52. ' Phlu thu~t n(>isoi h6 trQ'"(VAST) dieu tri b~nh 1yphoi, trimg th1t

53. Phfm thu?t n(>isoi cat, kh§.u ken khi phoiI

54. Ph§u thu~t nQi soi cM u trung that nh6 «Scm) .

55. Phlu thu~t n(>isoi dit II trung that Ian (>5cm)

-

II

fi

56. Phau thu~t noi soi dong 10 thong lien nhf

57. Phau thu~t noi soi 7> c?n mang phoi -

5.8.. Phlu thu~t noi soi Xl! tri tran mau tran khi tii'anf1;'phoi

5'9. Phfru thu~t Nuss ket hop noi soi dieu trilorn nguc bam sinh (VAST)

60. Phau thu~t noi sOl kep ong dong mach.."-""

61. Phfiu thu~t 11Qisoi thay van hai hi>.-.-

i~

62. Ph'au thuat l1(>i soi dieu tr] ph6ng, hep, Hie dQng mach chu bung duai tha.n63. Ph~uthu~t riQi s01 C.at dOt h?ch ~hio dun nguc

PM.u thu~t nC)isoi lay d] v~t ph5i ~ mflng phoi..

64.

65. Phau thu~t n<)isoi dH mQt phan thuy phoi"ken.,... nang phoi

66. Phi'lu thu?! nQi sor cat mQt thuy phoi

67. . Pll~u thuat nQi"soi c~t mot thuy phoi kern n~o vet h~ch,

68. PMti thu?t 11QisOl go dinh, htlt nra mfmg P90i trong b~nh 1y mll mang phoi-69. Phau thu~t nQi soi 1)6(.1VO mang ph6i

70. .Phau thu~t nQi Sal (;tieu tri mau d6ng mang phoi

71. .Pl1au 'tl1U~tnQYsoi boc, sinh thiet lwch ~ng th~t

V PHAl}TH1J~T TIltT NI¢U-SINHDVe I

72. Phftu thu~t 11Qisol1> bvng l~y soi be' tha.nI!

73. Phi'lu thu~t I1Qisoi sau phuc m!},cHiy SOl be tha.n

74. Phau thUa.tnoi soi dH th~ va l1i~uquim d~ u dl10ng bai xuftt

75. Phi'lu thua.t noi soi hyp b~ tha.n ni~u quan (noi soi trong)

76. Ph~u thu~t noi soi t~o hinh khuc n6i ni~u quan - b~th~

77. NQi soi t~o hlnh ni~u quan sau tinh m~ch Chll- ...

78. Tan s6i qua cia bfu1g laser

79. NQi soi xe sa 10i 10 ni~u qm'm

80. NQi soi ni~u quk 2 ben 1 thi tAn soi ni9u quan

81. Noi soi bang quang cat u -

82. Cat u bang quang tai phat qua nQi soir:

83. NQi soi xe co bang quang dieu tri x(J c(mg co bang quang

R4. Cat u phI dGlitien li~t tuyen qua nQi soi

85. Phau thu~t nQi soi h~ tinh ho~m an -

86. Phau thu~t n9i soi that t1n11m~ch tinh

"S7 .. ..Phau thu?t n91 sor~~tchom l1angth~n"sau philC m~cIi

. . ... .. , ,... ., - .. '" . ..

- - -~

If

88.' Phau thuat noi soi cat chorn nang than qua phuc mac

89. Phau thuat noi soi cat nang than qua phuc mac

90. .Ph.fiuthu?t nQisoi cat nang th?n sau phuc macf;.~

91. N(>isol"cat polyp co bang quang

92. Ph&uthuat n9i soi cat bo than phu

93. Phau thu~t noi soi dit u th~n

94. Phau thuat noi soi cat th~n t~n gee e..,.-r-.

95. Phftu thu?t nOl soi cat than don gian

96. Pl1&uthuat noi soi lay sci nieu quan

97. Ph[u thu~t n(>isoi sau phuc mac Illy soi ni~4:quan...98. NOi soi bang quang tan sci

99. Noi soi kh<1u10 thung bang quang qua 0 bung I100. Noi soi tan s6i nieu dao

10l. NQi soi cat u nieu dao, van ni~u dao

VI PHAU TI-IU~TTIEU UOA102. Cat tfwc qu~n noi sol qua klie hoanh

., ' "

103. Cat thuc quan noi soi nguc va bung.;

104. Cat thirc quan n01 soi ngirc ph~i

105. Cat u lanh thvc quan n(>isoi ngvc phai

106. Phfiu thu?t n9i soi cat 2/3 d~ d~y

107. Phau thu?t cat ban pIlan dC;lday n(>isoi va.n~ovet hl,\chD1

108. Ph[u thu~t n(>isoi cat toan b(>dl,\d~yI

109. Ph~u thu?t ne)isoi cM toan bOdl,\day, cat hkh

110. Ph&uthu?t noi soi cat ban phan duai dl,\day.+ nl,\Ohl,\chD2

11L Phau thu?t cat toan be)dl,\day noi soi va vet hl,\ch

112. Phfiu thu?t n(>isoi cat to<\nbo dl,\day + nl,\Ohi;lChD2 + cut lach

113. Phftu thu?t noi soi cat 3;4 dC;id~y-

114. Phau thu~t noi soi ~5' dinh ruot

115. Ph~u thli?t noi soi cat day dinh hay day chang

116. Ph~iuthu?t noi soi dit d<;litrang phai ma IQng1t7. Phftu thu~t noi soi cat d~i trang phili rna r9ng + n~o vet h~ch

118. Ph~u thu~t nOJ soi dH Gl,litrang phili

119. Ph:1uthu~t 110isoi cat dC;litnlng phai + nl,\Ovet hl,lch

-,

120. Phdu thu~t noi soi c~t ct<;li trang ngang + 11?<Yvethach

121. Phau thu~t nQi soi cat dai trang ngang khong nao vet hach

l22. Phau thu~t nQisoi cat toan bQdai trang

123. Phau thuat nQisoi cat roan bQdai trang + n~o vet hach-. . "T

124. Phau thuat nQisoi d~t vong th~t da day oieu trj beo phi

125. Phau thll~t nQi soi t(;10hinh da day eng dUng

126. Phlu thuat n¢i soi cat true trang, noi dai trang ong h~umon~

127. Ph~u thll?t nQisoi cat tnrc trang, noi dai tnIng ong h~um6n + nao vet hach

128. Phlu thu~t nQisoi cat true trang, ong h~u men nga bung va tang sinh men -129. Ph~u thu~t nQi soi c~t true trang, 6ng h~u mon nga b\lng va trmg sinh mon nl,lOvet

l1\1oh "130. Phftu thu~t nQi soi dit be toan b¢ tuyen ttiuQngth~ ffiQtben

131. Ph:1uthu~t nQisoi cat bim phan tuyen thuQ'ngth~n 1ben'"-- -

132. Ph~u thu~t nQisoi cat a(;litrang xieh ma trve trang dieu tri sa tn,retrang

133. Pbau thu~t aieu tri sa trve trang bang nQisqi

1'34. Ph&uthu~t nQi sol eo dinh tr~rctrang bang lucri'tron~ dieu tri sa tIVe tning

135. PI1§.utlm?! nQisoi c~t gan phai

136. Ph~u thu~t n¢i soi c~t gan tnlj .<

137. Phfiu thu~t n¢i soi e~t gan phfin thuy sau

138. Phu"uthu~t llQisoi cat nang flng m?t Chil,noi ong gan chung - hong trang

139. Phlu thu?t tl,lOvan chong trao nguQ'cdi,\day - thvc quan nQisoi

140. Phfiu thu~t nQisoi oieu tri thoat vi !<hehoMih

141. Pbau thu~t nQisoi khflUthung d~ day

142. Phau thu?t nQisoi mo thong d(;1day

143. Phfiu thu~t I1Qisoi khflu thung ta trang

144. Phlu thu?t nQisoi khau thling ta tning + noi d<;lday hong trang

145. Phau thu~t nQisoi !<hauthilng ruot non

146. PIlau thu?t nQisoi mo ruQtlfiydiv?t ~.

147. Phfiu thu~t I1Qisoi cat rui thua Meckel

148. Phlu thu?t nQi501cat ruQtthua

149.. Phfiu thu?t nQi soi dieu tri ap xe ruQt thua trong (> b\lng

150. Ph[u thu~t nQisoi noi tAt hoi - o(;1itrang ngang;.

151. Pha:uthu?t nQisoi lam h~uman nhan t~o

p

II

I

152. PhAu thu?t noi soi cat chom nang gan ~~.

153. Ph~u thu~t IlQi soi cat tui Ill?t

154. Phl'u thuM nQi soi cat lach

155. Ph~u thu~t nQi sol cat lach ban phin .~

156. ph~u thuat noi soi khau GO' hoanh trong ch~n thuong bung kin I157. Ph~u thu?t noi soi sinh thiet u trong 0 bung I158. Noi soi cat nang tuyen thirong th~n

159. Phau thu~t noi soi cat tui thira thirc quan~.;

160. Ph~u thu~t noi soi dieu tri teo thirc quan bam sinh

161. Ph~u thu?t Heller qua noi soi 0 bung

162. PhIu thu~t IIeller ket hop tao van chong trao ngiroc qua noi soi 6 bung

163. Phftll thu~t noi soi kh:lu thung da day + noi da day h6ng trang

164. Phlu thi.l~tnoi soi noi da day hong trang

165. Pl~-u thu?t noi soi cat da day khon~ dien hinh-166. PhIu thu~t nQi soi cat rui thua ta trang

167. Pliau thu~t not soi ma heing trang ra cia

168. PhIu thuM noi soi ma hoi trang ra qa

169. Phfiu thXl~tnQi soi di~u trl h((p mon vi phi d~i

170. Phlu thu?t nQi soi thao long ruot va co dinh manh trang .-.

f7L Phau thu?t noi soi viem phuc m(,lCdo viem ruot thua

172. Phuu thu?t noi soi cat d~i tnlng trAi -173. Ph3u thu~ 'not soi dH d<.li trang trAi+ n~o vet h~ch

174. P11§uthU?t nQi soi cat d~i trang c~u hong

175. Ph§u thu?t noi soi cat d~i trang ch~u hong + n(.lOvet ~cb

176. Phftu thu~t n¢i soi dieu trl Megacolon (Phciu thu~t Soave duemg h~u mon r~¢t thi)

177. Phftu thua,t n<)isoi h~ b6ng trl.}'ctrang va t~o h1nh h~u mon mot thi trong dieu tr1 dl

d~ng h~u mon trvc trangI

\78. Phlu thu~t nQi soi cat gan thuy tn'ii

179. Pbau thw~t nQi soi rnb-ang m?t chu l!y soi:..

180. Phftu thu~t noi soi rna ong m?t chu lay soi + cat rui ll1?t

181. Phau thu?t nQi soi rna 6ng m~t chu lay s6i + dlt gan thuy trili

182. Phfiu thu~t noi soi cat rui m~t, rna 6ng m~t chu lily soi, d§n lUll Kehr .Jr

183. rhau tbu~t n¢i soi cat than va duoi tl)y

184. PhIu thu~t noi soi dit than va duoi tl)y + cat lach

185.' Phllli thl.t~t 11Qisoi d~t tam h:r&i nh:fu tao 'dli~s'truac phuc m~c (tEp) diell ri thoat'

vibyfl186. .phfi~ thl$ nOi sei <!~t tam Jua; nhan tao IrUQc phuc mac dirong vao qua A tn,mg.

TAP:?187. 'Ph5.u thu?t noi soi khau hep 10 thee quan + tao hlnh tam vi kieu Lortat - Jac' b

188. Phau thuat noi soi kh5.uhep 10 thuc quan + tao hlnh tarn vi kieu Dor .....

i89. Phau thll~t n~i soi !<hauhep 10thuc quan + tao hlnh tam vi kieu Toupet

190. 'Ph!u thl.!?t noi soi kh!u hyp 10 thuc quan +/;t?0 hinh tam vi kieuNissen

191. Phau thu~t noi soi c<:>(t u sal) phuc mac

'19~. Phau thl}~tnQi soi cht u'in~c'treo ruot, kho~gdlt doau ruot non,\

j 94: Phau thu~t 1191 soi cat u I1W.Cireo ru~t +- cat dO~lIlruot n011

195. Pbau thu?t nQi soi cat dOl;\ndf,li tnre trfmg

. 197. Ph!u thu~t nOt soi' cat do?n we tnin'g {hap t

198. -PI~}uthu?t noi soi cat tn,rc trang thap + n~o vet h~ch ·