{"id":7426,"date":"2021-11-26T16:14:37","date_gmt":"2021-11-26T09:14:37","guid":{"rendered":"https:\/\/cms.drdoan.vn\/?p=7426"},"modified":"2021-11-26T16:14:37","modified_gmt":"2021-11-26T09:14:37","slug":"keo-dai-xuong-mac-sau-do-tap-trung-hoa-de-dieu-tri-khop-gia-tai-mot-phan-ba-o-giua-cua-xuong-chay-voi-su-chenh-lech-chieu-dai-chan-lon-mot-nghien-cuu-ca-benh","status":"publish","type":"post","link":"https:\/\/cms.drdoan.vn\/keo-dai-xuong-mac-sau-do-tap-trung-hoa-de-dieu-tri-khop-gia-tai-mot-phan-ba-o-giua-cua-xuong-chay-voi-su-chenh-lech-chieu-dai-chan-lon-mot-nghien-cuu-ca-benh\/","title":{"rendered":"K\u00e9o d\u00e0i x\u01b0\u01a1ng m\u00e1c sau \u0111\u00f3 t\u1eadp trung h\u00f3a \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb kh\u1edbp gi\u1ea3 t\u1ea1i m\u1ed9t ph\u1ea7n ba \u1edf gi\u1eefa c\u1ee7a x\u01b0\u01a1ng ch\u00e0y v\u1edbi s\u1ef1 ch\u00eanh l\u1ec7ch chi\u1ec1u d\u00e0i ch\u00e2n l\u1edbn \u2013 M\u1ed9t nghi\u00ean c\u1ee9u ca b\u1ec7nh"},"content":{"rendered":"<h2>K\u00e9o d\u00e0i x\u01b0\u01a1ng m\u00e1c sau \u0111\u00f3 t\u1eadp trung h\u00f3a \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb kh\u1edbp gi\u1ea3 t\u1ea1i m\u1ed9t ph\u1ea7n ba \u1edf gi\u1eefa c\u1ee7a x\u01b0\u01a1ng ch\u00e0y v\u1edbi s\u1ef1 ch\u00eanh l\u1ec7ch chi\u1ec1u d\u00e0i ch\u00e2n l\u1edbn \u2013 M\u1ed9t nghi\u00ean c\u1ee9u ca b\u1ec7nh<\/h2>\n<p>\u0110\u1ed3ng nghi\u00ean c\u1ee9u b\u1edfi: Doan Van Le &amp; LuongVan Nguyen<br \/>\nLink b\u00e0i nghi\u00ean c\u1ee9u chi ti\u1ebft: https:\/\/doi.org\/10.1016\/j.ijscr.2021.106577<\/p>\n<h2>\u00dd ch\u00ednh<\/h2>\n<ul>\n<li>Kh\u1edbp gi\u1ea3 x\u01b0\u01a1ng ch\u00e0y v\u1edbi s\u1ef1 ch\u00eanh l\u1ec7ch chi\u1ec1u d\u00e0i ch\u00e2n l\u1edbn v\u00e0 s\u1eb9o ph\u00ec \u0111\u1ea1i l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c l\u1edbn.<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng t\u1ed5n th\u01b0\u01a1ng n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh.<\/li>\n<li>K\u00e9o d\u00e0i x\u01b0\u01a1ng m\u00e1c hai b\u00ean sau \u0111\u00f3 t\u1eadp trung h\u00f3a \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb kh\u1edbp gi\u1ea3 x\u01b0\u01a1ng ch\u00e0y l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt an to\u00e0n, nhanh ch\u00f3ng v\u00e0 kh\u00f4ng t\u1ed1n k\u00e9m.<\/li>\n<li>Quy tr\u00ecnh c\u1ee7a ch\u00fang t\u00f4i kh\u00f4ng kh\u00f3 v\u00e0 kh\u00f4ng y\u00eau c\u1ea7u c\u00e1c k\u1ef9 n\u0103ng vi m\u1ea1ch c\u0169ng nh\u01b0 c\u00e1c thi\u1ebft b\u1ecb \u0111\u1eb7c bi\u1ec7t.<\/li>\n<\/ul>\n<p><strong>1. Gi\u1edbi thi\u1ec7u v\u00e0 t\u1ea7m quan tr\u1ecdng<\/strong><\/p>\n<p>Kh\u1edbp gi\u1ea3 lo\u1ea1n s\u1ea3n t\u1ea1i x\u01b0\u01a1ng ch\u00e0y k\u1ebft h\u1ee3p v\u1edbi s\u1ef1 ch\u00eanh l\u1ec7ch chi\u1ec1u d\u00e0i ch\u00e2n l\u1edbn v\u00e0 s\u1eb9o ph\u00ec \u0111\u1ea1i l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c l\u1edbn \u0111\u1ed1i v\u1edbi c\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng t\u1ed5n th\u01b0\u01a1ng n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh.<\/p>\n<p><strong>2. M\u00f4 t\u1ea3 ca b\u1ec7nh<\/strong><\/p>\n<p>Ch\u00fang t\u00f4i nghi\u00ean c\u1ee9u m\u1ed9t tr\u01b0\u1eddng h\u1ee3p 24 tu\u1ed5i b\u1ecb ch\u1ee9ng kh\u1edbp gi\u1ea3 lo\u1ea1n s\u1ea3n t\u1ea1i m\u1ed9t ph\u1ea7n ba \u1edf gi\u1eefa c\u1ee7a x\u01b0\u01a1ng ch\u00e0y b\u00ean ph\u1ea3i v\u1edbi \u0111\u1ed9 l\u1ec7ch chi\u1ec1u d\u00e0i ch\u00e2n l\u00e0 10cm v\u00e0 \u0111\u1ed9 l\u1ec7ch gi\u1eefa l\u00e0 25 \u0111\u1ed9 v\u00e0 xo\u1eafn trong l\u00e0 20 \u0111\u1ed9 do b\u1ecb vi\u00eam t\u1ee7y x\u01b0\u01a1ng tr\u01b0\u1edbc \u0111\u00f3 14 n\u0103m. C\u00f4 \u1ea5y \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch k\u00e9o d\u00e0i x\u01b0\u01a1ng m\u00e1c sau \u0111\u00f3 t\u1eadp trung \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb kh\u1edbp gi\u1ea3 x\u01b0\u01a1ng ch\u00e0y. T\u00e1m th\u00e1ng sau ca ph\u1eabu thu\u1eadt, b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111au v\u00e0 c\u00f3 th\u1ec3 \u0111i l\u1ea1i m\u00e0 kh\u00f4ng c\u1ea7n d\u1ee5ng c\u1ee5 ch\u1ec9nh h\u00ecnh. Ch\u1ee5p X-quang cho th\u1ea5y x\u01b0\u01a1ng l\u00e0nh ho\u00e0n to\u00e0n t\u1ea1i bao ho\u1ea1t d\u1ecbch s\u1ee3i c\u01a1 g\u1ea7n x\u01b0\u01a1ng ch\u00e0y-m\u00e1c v\u00e0 v\u1ecb tr\u00ed k\u00e9o d\u00e0i c\u1ee7a x\u01b0\u01a1ng m\u00e1c b\u00ean ph\u1ea3i. B\u1ec7nh vi\u00eam bao ho\u1ea1t d\u1ecbch s\u1ee3i c\u01a1 xa \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1eefa l\u00e0nh. Ph\u1ea1m vi chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a \u0111\u1ea7u g\u1ed1i v\u00e0 m\u1eaft c\u00e1 ch\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i.<\/p>\n<p><strong>3. Th\u1ea3o lu\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n<p>K\u1ef9 thu\u1eadt n\u00e0y kh\u00e1c v\u1edbi quy tr\u00ecnh Huntington. Kh\u1ea3 n\u0103ng li\u1ec1n x\u01b0\u01a1ng t\u1ed1t gi\u1eefa x\u01b0\u01a1ng m\u00e1c \u0111\u00e3 chuy\u1ec3n v\u1ecb v\u00e0 ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a x\u01b0\u01a1ng m\u00e1c \u0111\u00e3 khi\u1ebfn cho x\u01b0\u01a1ng ch\u00e0y \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o tr\u1edf n\u00ean kh\u1ecfe h\u01a1n. C\u00e1c k\u1ef9 thu\u1eadt c\u1ee7a ch\u00fang t\u00f4i \u0111\u00e3 gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng kh\u1edbp gi\u1ea3 x\u01b0\u01a1ng ch\u00e0y, ch\u00eanh l\u1ec7ch chi\u1ec1u d\u00e0i ch\u00e2n v\u00e0 l\u1ec7ch kh\u1edbp. Quy tr\u00ecnh n\u00e0y d\u1ec5 d\u00e0ng, nhanh ch\u00f3ng v\u00e0 kh\u00f4ng t\u1ed1n k\u00e9m m\u00e0 kh\u00f4ng y\u00eau c\u1ea7u k\u1ef9 n\u0103ng vi ph\u1eabu c\u0169ng nh\u01b0 c\u00e1c thi\u1ebft b\u1ecb \u0111\u1eb7c bi\u1ec7t.<\/p>\n<p><strong>4. K\u1ebft lu\u1eadn<\/strong><\/p>\n<p>K\u00e9o d\u00e0i ch\u00e2n sau \u0111\u00f3 t\u1eadp trung gh\u00e9p x\u01b0\u01a1ng m\u00e1c hai b\u00ean l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn tuy\u1ec7t v\u1eddi \u0111\u1ec3 t\u00e1i t\u1ea1o kh\u1edbp gi\u1ea3 x\u01b0\u01a1ng ch\u00e0y v\u1edbi s\u1ef1 ch\u00eanh l\u1ec7ch l\u1edbn v\u1ec1 chi\u1ec1u d\u00e0i ch\u00e2n. \u0110\u00e2y l\u00e0 m\u1ed9t quy tr\u00ecnh an to\u00e0n, nhanh ch\u00f3ng v\u00e0 kh\u00f4ng t\u1ed1n k\u00e9m. Quy tr\u00ecnh n\u00e0y kh\u00f4ng kh\u00f3, kh\u00f4ng y\u00eau c\u1ea7u c\u00e1c k\u1ef9 n\u0103ng vi m\u1ea1ch c\u0169ng nh\u01b0 c\u00e1c thi\u1ebft b\u1ecb \u0111\u1eb7c bi\u1ec7t.<\/p>\n<p><strong>5. M\u1ee9c \u0111\u1ed9 b\u1eb1ng ch\u1ee9ng<\/strong><\/p>\n<p>M\u1ed9t nghi\u00ean c\u1ee9u ca b\u1ec7nh.<\/p>\n<p><strong>T\u1eeb kh\u00f3a ch\u00ednh<\/strong><\/p>\n<ul>\n<li>Khuy\u1ebft t\u1eadt t\u1ea1i x\u01b0\u01a1ng ch\u00e0y<\/li>\n<li>Kh\u1edbp gi\u1ea3 x\u01b0\u01a1ng ch\u00e0y<\/li>\n<li>K\u00e9o d\u00e0i ch\u00e2n<\/li>\n<li>Ch\u00eanh l\u1ec7ch chi\u1ec1u d\u00e0i ch\u00e2n<\/li>\n<\/ul>\n<p><img loading=\"lazy\" class=\"aligncenter wp-image-7332 \" src=\"https:\/\/cms.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr1_lrg-874x1024.jpg\" alt=\"\" width=\"680\" height=\"797\" srcset=\"https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr1_lrg-874x1024.jpg 874w, https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr1_lrg-256x300.jpg 256w, https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr1_lrg-768x900.jpg 768w, https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr1_lrg-1310x1536.jpg 1310w, https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr1_lrg-1747x2048.jpg 1747w\" sizes=\"(max-width: 680px) 100vw, 680px\" \/><\/p>\n<p style=\"text-align: center;\">H\u00ecnh 1. Ch\u1ee5p X-quang v\u00e0 t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt. A, B, T\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt. C, D, H\u00ecnh ch\u1ee5p c\u1eaft l\u1edbp CT chi d\u01b0\u1edbi v\u00e0 ch\u1ee5p X quang x\u01b0\u01a1ng ch\u00e0y v\u00e0 x\u01b0\u01a1ng m\u00e1c ph\u1ea3i.<\/p>\n<p><img loading=\"lazy\" class=\"aligncenter wp-image-7339 \" src=\"https:\/\/cms.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr2_lrg-904x1024.jpg\" alt=\"\" width=\"669\" height=\"758\" srcset=\"https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr2_lrg-904x1024.jpg 904w, https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr2_lrg-265x300.jpg 265w, https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr2_lrg-768x870.jpg 768w, https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr2_lrg-1356x1536.jpg 1356w, https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr2_lrg-1808x2048.jpg 1808w\" sizes=\"(max-width: 669px) 100vw, 669px\" \/><\/p>\n<p style=\"text-align: center;\">H\u00ecnh 2. Ch\u1ee5p X-quang v\u00e0 t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng trong th\u1eddi gian k\u00e9o d\u00e0i. A, B, T\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng v\u00e0 ch\u1ee5p X-quang sau ph\u1eabu thu\u1eadt. C, Ch\u1ee5p X-quang 3 tu\u1ea7n sau ph\u1eabu thu\u1eadt. D, E, T\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng v\u00e0 ch\u1ee5p X-quang 7 tu\u1ea7n sau ph\u1eabu thu\u1eadt. F, G, T\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng v\u00e0 ch\u1ee5p X-quang 14 tu\u1ea7n sau ph\u1eabu thu\u1eadt. H, T\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng 18 tu\u1ea7n sau ph\u1eabu thu\u1eadt.<\/p>\n<p><img loading=\"lazy\" class=\"aligncenter wp-image-7337 \" src=\"https:\/\/cms.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr3_lrg-1024x1003.jpg\" alt=\"\" width=\"672\" height=\"658\" srcset=\"https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr3_lrg-1024x1003.jpg 1024w, https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr3_lrg-300x294.jpg 300w, https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr3_lrg-768x752.jpg 768w, https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr3_lrg-1536x1505.jpg 1536w, https:\/\/cdn.drdoan.vn\/wp-content\/uploads\/2021\/11\/1-s2.0-S2210261221010798-gr3_lrg-2048x2007.jpg 2048w\" sizes=\"(max-width: 672px) 100vw, 672px\" \/><\/p>\n<p style=\"text-align: center;\">H\u00ecnh 3. Tr\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng v\u00e0 Ch\u1ee5p X-quang 8 th\u00e1ng sau ph\u1eabu thu\u1eadt.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>K\u00e9o d\u00e0i x\u01b0\u01a1ng m\u00e1c sau \u0111\u00f3 t\u1eadp trung h\u00f3a \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb kh\u1edbp gi\u1ea3 t\u1ea1i m\u1ed9t ph\u1ea7n ba \u1edf gi\u1eefa c\u1ee7a x\u01b0\u01a1ng ch\u00e0y v\u1edbi s\u1ef1 ch\u00eanh l\u1ec7ch chi\u1ec1u d\u00e0i ch\u00e2n l\u1edbn \u2013 M\u1ed9t nghi\u00ean c\u1ee9u ca b\u1ec7nh \u0110\u1ed3ng nghi\u00ean c\u1ee9u b\u1edfi: Doan Van Le &amp; LuongVan Nguyen Link b\u00e0i nghi\u00ean c\u1ee9u chi ti\u1ebft: https:\/\/doi.org\/10.1016\/j.ijscr.2021.106577 \u00dd [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":7332,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/cms.drdoan.vn\/wp-json\/wp\/v2\/posts\/7426"}],"collection":[{"href":"https:\/\/cms.drdoan.vn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cms.drdoan.vn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cms.drdoan.vn\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cms.drdoan.vn\/wp-json\/wp\/v2\/comments?post=7426"}],"version-history":[{"count":1,"href":"https:\/\/cms.drdoan.vn\/wp-json\/wp\/v2\/posts\/7426\/revisions"}],"predecessor-version":[{"id":7427,"href":"https:\/\/cms.drdoan.vn\/wp-json\/wp\/v2\/posts\/7426\/revisions\/7427"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cms.drdoan.vn\/wp-json\/wp\/v2\/media\/7332"}],"wp:attachment":[{"href":"https:\/\/cms.drdoan.vn\/wp-json\/wp\/v2\/media?parent=7426"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cms.drdoan.vn\/wp-json\/wp\/v2\/categories?post=7426"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cms.drdoan.vn\/wp-json\/wp\/v2\/tags?post=7426"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}