ĐÁNH GIÁ KẾT QUẢ SỚM ĐIỀU TRỊ BẢO TỒN VỠ GAN TRONG CHẤN THƯƠNG BỤNG KÍN TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Objective: To assess the result of non-operative management of blunt liver trauma at Can Tho General Hospital. Subject and method: Descriptive cross-sectional, 40 patient of non-operative management of blunt liver trauma at Can Tho General Hospital from 4/2020 to 4/2024. Result: 14 females (35%), 26 males (65%); mean age 36.3 ± 13.3 (17 - 65) years old. Computed tomography-guided abdominal drainage was performed in 90% of cases. This is a safe treatment method with a success rate of 95%. There were no deaths. The success rate of conservative treatment was 100% for grades I and II, 95.45% for grade III, and 50% for grade IV. Conservative treatment achieved good results in 92.5% of cases, average results in 2.5%, and poor results in 5% of cases, requiring surgery. Conclusion: Non-operative management for blunt live trauma is safe, effective and performed in medical facilities capable of resuscitation and liver surgery.