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86:5154 IQD-BYT

CONG HOAXiHOI CHiJNGHlA V~T NAMBqc I,p -TVdo - ".oh plnlc

HaN~i, ngiry2{ thang;fJ..nam 2017

QuvETBJNH" ban lliaRbtai iiIuHmmg; di ....qny trlllh .tcy thntt Ngo,l khoa

Chuy~nkhoa~~Iufhu,t Ti~taijusa YTE TiNa KON~tI s6:4J:tJJ. ..

DEN Ngay¢)..L.JJ.,~ . BO TRIJ'ONG BO Y TEJJ

Chuyen:..•.... ·...... ·,,·..•.... ·CAn· (r Lust kharn bAnh chua benh nam 2009-~.t ... T'. ,Luu ho sd SO: ·t:iIt •• lllillU' ••••••••. ' ,', , ,:

t..=!!.!!::...:.:..::.::.:.:::.:..:..:.:.:.;..;.;..;.;.-emUCiU Ngh] dinh 75/2fJ171Nf);,.CP ngay20 thang 6 nam 2017 caa Chinb:philquy dinh cbuc nang, nhiem vu, quy~n han va co cAu l6 chirc ella BOY t~;

Xet Bien ban hQP cua HQi, d6ug llghi~m thu HUOng dAn Quy trinh icy th~tNgoai khoa oua Bt}Y te;

Thee d8nghi. cua C\lo trlxang,C.\lc Quim 11Kham, chrta ~nh,

Diau 1. Ban hanh kem theo Quy8t dinh nily tai li~u "Huang din quy trinh kythu~tNgo~i khoa, chuyen khea~Phiuthu~tTi6t ui~u", g6m46 quy trlnh Icy thu~t.

Di~u 2. Tai li~u "Huoog ddn 'luy trinb k5' thu~t Ngo\li khoa, chuyen khoa iPblu thu~t TiSt ni~u" ban hanb kern thea QuySt dinh nay duge ap d\IDg~i cae ccr .so 'kham b~nh, chua b~nh.

Clm ClI vao tAi li~u huang din Dayva diSu ki~n C\l the cfta dan vi, Giam dBcccr sa kham b~nh, chil'a b~uh xliy d\IDg va ban hAnb too li~uHu6ng dAn quy trlnh kythu~t Ngo~i kbo~ chuyen khoa Phlu thu~t Tiet nj~u phil hgp d~ th\IC hiQn t~i don

Di~u 3. Quyet diub nay c6 hie,u l\fc k6 tir ugay Icy b~ hanh.Sliu 4. Cae ong, bit: Chanh: Van phong Bl), C\1C trulmg C\lC Quin 1Y Kham,

ehna b~nh, Chanh Thanh tra SQ, C\lc hang vaV\l trllemg cac Cvc~ V\1 thUQc BQ;, 0" d;' .1. ·b"nh 's .~ , •. :>.-. ",sub· tr." ..1.., A.· S·A.Y····.J. p..:' .A-;'Y te, ..lam ...ao CaC .~ .... Vbrn, Vl,n co glll'vug Q>j!.. .......C mUQC ..v . .;4\ vlWll u.OC

Sa y t~ eac tin~ thitnh ph3 nvc thuQo trung U'<JIlg)Thti tp.r6ng Y te cae SQ, Ng4).nhva Thli wOng cac don vi co lien quan chiuWich nhi~rn thi barth Quyet dinh nayJ.

NlIi nh~n:- Nhu Bieu 4;- BQ tro6ng BO y ti~(d~b/c);- Clic TIlil tTUCng BYT;. Sao hiem X! hQiVietNarJl (d~phOi hqp);- C6ng thOngti.n di~ tit BYT;- Website Cl,le KCB;- LU'uVT, KCB,

~. Chlrng tim: Bi) Y t~\. W Ngay ~y:21/12/201715:21:27~., .. ,,, H~ thong VOffice B9 Y Te

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BOY'TE CONG BOAxA HOI can NGmA Vl~T NAMIlqc Itp -T\r do- H,nh Phuc

DANHSACB "6 m.rONC DAN .(jUYTRlNB KY THU.!T NGO",I KHOACHUYEN KH6A PBAU VW';'T nET NI.eu

(Ban hann··kem theo Quyit dink sJ 51j/. IQD-BV; ngt:tyU thiingl2, J1i1m2017auaBv tm<l11g JJfi Y te)

TT TBN QlJY TRlNHKY THU~T

I. Tan soi th~n qua da bing may tan hen + sU!Ufun! co C.Arm2. Tan soi th~l1qua da co C.Ann + sil~uam! Laser3. LAysoi th~ ~rih Ii, th~ mong ngtra, t~n da nang4. Soc b~ch mach quanh th~n. di~u tri. ~nh ¢ai duang ch4p5, Phftuth~t treo th~6. LAy sui san h6 ma feng thWl;(Bivalve) co h\i nhi~t7. Choc hut va bam thu8c vao nang tlWn8. D~ ltfl,ldAib! th~ qua da

9. CAt e,Qthjn m6n~ ng\la~u th~t khiu baot~ hote cit th.~ batlphin tton.g ch~ thuKmgtI$11. Phiu, thU?t ha lay sol th{insci ni~u q\.lAn+ 1¥8t hqp liQi ,soimarn <18 l~ytoan be s6i lt2. Tao hinh khuc n5i b~·~ - niQU quan {phuong phap Roley,Anderson - Hynes13. Cdt th~ rong rID+ nao vet b\lch14. N6i nieu quan _dai t~15. Tao hlnh nleu qulin do phlnh to ni~u quan16. Cfunl\ll ni~u quan _.bang quang

~ Flu.meu quAIl fa dadan thu&. ± tbit DM.~ trang :t 8. Ph~u thu~t rna r{)ngbang quang ~g do:,tnb.6i trang :

19. Phdu thu~t ghep co cO bang quang i20. Ph!u thuft bang quang I~ ngoai ~g n6i"bang quang ven tn;rc trang theo kieu; i

DUhamel !

24. Phau thu~t ~t vong nang co bang quang (Sling) trong tieu kh6ng !clem soM khi'g~ng Slrc

25. Thay dng thong db luu ~n26. Tbay 6ng thong ddn hru bang quang21. DKnlUll mr6'c ti~u bangquang28. D§n htu ap xc khoang Retzius

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3.2. D~n hru viem fAy khung cMudo to nube tieu

29. Ph~u th~t TOnieu deo - tr\Ie tran,g blm. sinh

33. Ph~u th~t ap xe tuyen ti6n li~t34. D~ luu bang quang, d~t Tuteur ni~u d~o

35. PMu th~ d~tbQ pt$I gill (prosthesis) chtta li~tduong36. PMu th~t di8u tri benh xuAt tinh sam

38. Bieu tri dii rl 6 nu hang d~tmi~ngnang ni~u d~o TOT

Nguyln Viet Ti~n

39. C~ttinhmac40. Cat mao tinh hoan

43. Bieu tri ~i ehb . d~i tuy~nti&nli~t: sUe n6ng ho~c1~44. Cat duong v~t khong vet hach, cit mot nua duong y~t45. M6 TOng16 sao46. B~t tinh hoan nhin tao