{"id":21793,"date":"2023-04-15T23:02:24","date_gmt":"2023-04-15T16:02:24","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21793"},"modified":"2023-04-17T16:59:32","modified_gmt":"2023-04-17T09:59:32","slug":"giai-phau-dien-bam-dui-cua-day-chang-cheo-sau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/","title":{"rendered":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau"},"content":{"rendered":"

D\u00e2y ch\u1eb1ng ch\u00e9o sau<\/a> (DCCS) c\u00f9ng v\u1edbi d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc (DCCT) l\u00e0 th\u00e0nh ph\u1ea7n quan tr\u1ecdng trong s\u1ef1 \u0111\u1ea3m b\u1ea3o v\u1eefng ch\u1eafc v\u1ec1 m\u1eb7t \u0111\u1ed9ng h\u1ecdc theo chi\u1ec1u tr\u01b0\u1edbc sau c\u1ee7a kh\u1edbp g\u1ed1i. T\u1ed5n th\u01b0\u01a1ng DCCS \u00edt g\u1eb7p h\u01a1n nhi\u1ec1u so v\u1edbi t\u1ed5n th\u01b0\u01a1ng DCCT. T\u1ef7 l\u1ec7 \u0111\u1ee9t DCCS thay \u0111\u1ed5i t\u1eeb 1- 44% c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ea5n th\u01b0\u01a1ng kh\u1edbp g\u1ed1i c\u1ea5p t\u00ednh t\u00f9y thu\u1ed9c v\u00e0o qu\u1ea7n th\u1ec3 nghi\u00ean c\u1ee9u.<\/strong><\/p>\n

Th\u00f4ng qua b\u00e0i vi\u1ebft, ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau.<\/strong><\/b><\/p>\n

Nh\u00f3m t\u00e1c gi\u1ea3:<\/strong> PGS. TS \u0110inh Ng\u1ecdc S\u01a1n, BS CKII V\u0169 Tr\u01b0\u1eddng Th\u1ecbnh<\/p>\n

Ng\u00e0y ph\u00e1t h\u00e0nh<\/strong>: 30\/03\/2022<\/p>\n

1. Gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o <\/b><\/h2>\n

\u00a0\u0110\u1ee9t DCCS c\u00f3 th\u1ebf \u0111\u01a1n thu\u1ea7n ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c ton th\u01b0\u01a1ng kh\u00e1c c\u1ee7a kh\u1edbp g\u1ed1i m\u00e0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 t\u1ed5n th\u01b0\u01a1ng c\u1ea5u tr\u00fac g\u00f3c sau ngo\u00e0i. Kh\u00e1c v\u1edbi t\u1ed5n th\u01b0\u01a1ng DCCT, \u0111\u1ee9t DCCS th\u01b0\u1eddng do t\u00e1c d\u1ee5ng c\u1ee7a ngo\u1ea1i l\u1ef1c. C\u01a1 ch\u1ebf ton th\u01b0\u01a1ng DCCS th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 do l\u1ef1c t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp v\u00e0o \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng ch\u00e0y ho\u1eb7c l\u1ed3i c\u00f9 ch\u00e0y theo h\u01b0\u1edbng t\u1eeb tr\u01b0\u1edbc ra sau trong khi \u0111ang g\u1ea5p g\u1ed1i. \u0110\u1ee9t DCCS \u0111\u00e0 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 t\u1eeb l\u00e2u, cho \u0111\u1ebfn nay ch\u1ea5n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ee9t DCCS v\u1eabn l\u00e0 th\u00e1ch th\u1ee9c \u0111\u1ed1i v\u1edbi c\u00e1c b\u00e1c s\u0129 ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh. Kh\u00f4ng gi\u1ed1ng t\u1ed5n th\u01b0\u01a1ng \u0111\u1ee9t DCCT, ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng nghi\u00eang v\u1ec1 ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh l\u1ea1i d\u00e2y ch\u1eb1ng, \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS t\u01b0\u01a1ng \u0111\u1ed1i kh\u00f3 kh\u0103n do s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n \u00edt v\u00e0 s\u1ef1 hi\u1ec3u bi\u1ebft ch\u01b0a \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 c\u1ea5u t\u1ea1o gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc <\/span>c\u1ee7a d\u00e2y ch\u1eb1ng [2],<\/span>Trong h\u01a1n 40 n\u0103m qua, c\u00e1c nh\u00e0 gi\u1ea3i ph\u1eabu h\u1ecdc v\u00e0 c\u00e1c ph\u1eabu thu\u1eadt vi\u00ean ch\u1ea5n th\u01b0\u01a1ng ch\u00ecnh h\u00ecnh \u0111\u00e3 ng\u00e0y c\u00e0ng t\u00ecm hi\u1ec3u s\u00e2u h\u01a1n v\u1ec1 d\u00e2y ch\u1eb1ng ch\u00e9o kh\u1edbp g\u1ed1i nh\u01b0ng d\u01b0\u1eddng nh\u01b0 m\u1edbi \u0111\u00e0o s\u00e2u nghi\u00ean c\u1ee9u v\u1ec1 DCCT. Nh\u1eefng nghi\u00ean c\u1ee9u gi\u1ea3i ph\u1eabu c\u1ee7a DCCS m\u1edbi \u0111\u01b0\u1ee3c t\u1eadp trung g\u1ea7n \u0111\u00e2y, b\u1eaft \u0111\u1ea7u b\u1eb1ng nghi\u00ean c\u1ee9u gi\u1ea3i ph\u1eabu m\u00f4 t\u1ea3 kinh \u0111i\u1ec3n c\u1ee7a Girgis v\u00e0 c\u1ed9ng s\u1ef1 (cs) [3], T\u1eeb \u0111\u00f3 \u0111\u1ebfn nay, ng\u00e0y c\u00e0ng nhi\u1ec1u c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc c\u1ee7a DCCS \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1, gi\u00fap cho c\u00e1c ph\u1eabu thu\u1eadt vi\u00ean ch\u1ea9n th\u01b0\u01a1ng chinh h\u00ecnh c\u00f3 m\u1ed9t c\u00e1i nh\u00ecn to\u00e0n di\u1ec7n v\u00e0 s\u00e2u s\u1eafc h\u01a1n v\u1ec1 c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc c\u1ee7a d\u00e2y ch\u1eb1ng, \u1ee9ng d\u1ee5ng trong ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS \u0111\u00fang gi\u1ea3i ph\u1eabu v\u00e0 ng\u00e0y c\u00e0ng hi\u1ec7u qu\u1ea3 h\u01a1n [4].<\/span><\/p>\n

2. Gi\u1ea3i ph\u1eabu DCCS<\/b><\/h2>\n

DCCS c\u00f9ng v\u1edbi DCCT l\u00e0 hai d\u00e2y ch\u00e0ng n\u1eb1m trong bao kh\u1edbp nh\u01b0ng n\u1eb1m ngo\u00e0i bao ho\u1ea1t d\u1ecbch c\u1ee7a kh\u1edbp g\u1ed1i. DCCS c\u00f3 chi\u1ec1u d\u00e0i trung b\u00ecnh t\u1eeb 32- 38mm, di\u1ec7n t\u00edch trung b\u00ecnh c\u1ee7a m\u1eb7t c\u1eaft ngang \u0111o\u1ea1n gi\u1eefa d\u00e2y ch\u1eb1ng l\u00e0 31,2 mm<\/span>, l\u1ed9ng h\u01a1n <\/span>kho\u1ea3ng 1,5 l\u1ea7n DCCT. Di\u1ec7n b\u00e1m x\u01b0\u01a1ng ch\u00e0y v\u00e0 x\u01b0\u01a1ng \u0111\u00f9i c\u1ee7a DCCS r\u1ed9ng h\u01a1n g\u1ea5p 3 l\u1ea7n thi\u1ebft di\u1ec7n c\u1eaft ngang \u0111o\u1ea1n gi\u1eefa \u0111\u00e2y ch\u1eb1ng. DCCS ch\u1ecbu \u0111\u01b0\u1ee3c s\u1ee9c c\u0103ng kho\u1ea3ng 739- 1627 N. <\/span>v\u1ec1 <\/span>m\u1eb7t gi\u1ea3i ph\u1eabu DCCS to v\u00e0 ch\u1eafc kh\u1ecfe h\u01a1n DCCT [2],<\/span><\/p>\n

\"Gi\u1ea3i
Gi\u1ea3i ph\u1eabu kh\u1edbp g\u1ed1i v\u00e0 v\u1ecb tr\u00ed c\u1ee7a DCCS<\/figcaption><\/figure>\n

DCCS g\u1ed3m c\u00f3 2 th\u00e0nh ph\u1ea7n ch\u00ednh: b\u00f3 tr\u01b0\u1edbc ngo\u00e0i (BTN) v\u00e0 b\u00f3 sau trong (BST). BTN to g\u1ea5p 2 l\u1ea7n BST v\u00e0 ch\u1ecbu \u0111\u01b0\u1ee3c s\u1ee9c c\u0103ng kho\u1ea3ng 150% BST. H<\/span>o\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c b\u00f3 c\u1ea5u th\u00e0nh n\u00ean DCCS r\u1ea5t thay \u0111\u1ed5i ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 g\u1ea5p du\u1ed7i c\u1ee7a kh\u1edbp g\u1ed1i [6]. M\u00e1i c\u1ee7a l\u1ed3i c\u1ea7u \u0111\u00f9i \u0111\u1ebfn m\u1eb7t trong c\u1ee7a di\u1ec7n gian l\u1ed3i c\u1ea7u \u0111\u00f9i. Di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS c\u00f3 h\u00ecnh n\u1ee9a v\u1ea7ng<\/span><\/p>\n

3. Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS<\/b><\/h2>\n

Di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS tr\u1ea3i d\u00e0i h\u01a1n 20mm theo h\u01b0\u1edbng tr\u01b0\u1edbc sau, ngang t\u1eeb tr\u0103ng, \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n v\u1ec1 ph\u00eda xa b\u1edfi di\u1ec7n s\u1ee5n c\u1ee7a l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i. H\u00ecnh th\u00e1i di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS r\u1ea5t thay \u0111\u00f4i ph\u1ee5 thu\u1ed9c v\u00e0o c\u00f3 hay kh\u00f4ng s\u1ef1 c\u00f3 m\u1eb7t c\u1ee7a \u0111\u00e2y ch\u00e0ng \u0111\u00f9i s\u1ee5n ch\u00eam (\u0110- SC) tr\u01b0\u1edbc. DCCS kh\u00f4ng ch\u1ec9 \u0111\u01a1n thu\u1ea7n b\u00e1m v\u00e0o m\u1eb7t trong c\u1ee7a di\u1ec7n gian l\u1ed3i c\u1ea7u m\u00e0 c\u00f2n b\u00e1m v\u00e0o ph\u1ea7n m\u00e1i c\u1ee7a l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i. Quan s\u00e1t DCCS t\u1eeb sau ra tr\u01b0\u1edbc, c\u00e1c <\/span>nh\u00e0 gi\u1ea3i ph\u1eabu ghi nh\u1eadn c\u00e1c b\u00f3 s\u1ee3i tr\u01b0\u1edbc c\u1ee7a DCCS, ph\u1ea7n ngo\u00e0i nh\u1ea5t c\u1ee7a d\u00e2y ch\u1eb1ng, ch\u1ea1y qua m\u1eb7t ph\u0103ng \u0111\u1ee9ng d\u1ecdc c\u1ee7a ph\u1ea7n m\u00e1i l\u1ed3i c\u1ea7u \u0111\u00f9i. Ng\u01b0\u1ee3c l\u1ea1i, quan s\u00e1t DCCS t\u1eeb tr\u01b0\u1edbc ra sau c\u00e1c nh\u00e0 gi\u1ea3i ph\u1eabu nh\u1eadn th\u1ea5y, c\u00e1c b\u00f3 s\u1ee3i c\u1ee7a DCCS t\u1eeb m\u1eb7t trong c\u1ee7a di\u1ec7n gian l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i ch\u1ea1y ch\u00e9o xu\u1ed1ng d\u01b0\u1edbi, ra sau \u0111\u1ebfn b\u00e1m v\u00e0o ph\u1ea7n sau ngo\u00e0i c\u1ee7a m\u00e2m ch\u00e0y.<\/span><\/p>\n

\"Gi\u1ea3i
Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS theo m\u1eb7t \u0111\u1ed5ng h\u1ed3<\/figcaption><\/figure>\n

Amis v\u00e0 c\u1ed9ng s\u1ef1 l\u00e0 ng\u01b0\u1eddi ti\u00ean phong trong vi\u1ec7c s\u1eed d\u1ee5ng m\u1eb7t \u0111\u1ed3ng h\u1ed3 gi\u1ea3 t\u01b0\u1edfng l\u00e0 di\u1ec7n gian l\u1ed3i c\u1ea9u x\u01b0\u01a1ng \u0111\u00f9i \u0111\u1ec3 m\u00f4 t\u1ea3 gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS. Quan s\u00e1t di\u1ec7n gian l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i t\u1eeb tr\u01b0\u1edbc ra sau c\u00f3 th\u1ec3 th\u1ea5y di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS c\u1ee7a kh\u1edbp g\u1ed1i tr\u00e1i tr\u1ea3i d\u00e0i t\u1eeb v\u1ecb tr\u00ed kho\u1ea3ng t\u1eeb 12 gi\u1edd \u0111\u1ebfn 1 gi\u1edd \u1edf ph\u00eda tr\u00ean \u0111\u1ebfn v\u1ecb tr\u00ed kho\u1ea3ng 7 gi\u1edd 30 \u0111\u1ebfn 8 gi\u1edd \u1edf ph\u00eda d\u01b0\u1edbi, B\u1edfi v\u1eady, DCCS b\u00e1m v\u00e0o g\u1ea7n nh\u01b0 to\u00e0n b\u1ed9 m\u1eb7t trong c\u1ee7a di\u1ec7n gian loi c\u1ea9u x\u01b0\u01a1ng \u0111\u00f9i. Nh\u00ecn di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS \u1edf kh\u1edbp g\u1ed1i \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea5t b\u1ecf <\/span>DCCS, ch\u00fang ta s\u1ebd quan s\u00e1t th\u1ea5y ph\u1ea7n b\u00e1m ch\u00ednh c\u1ee7a DCCS v\u00e0o l\u1ed3i c\u1ea7u \u0111\u00f9i, t\u01b0\u01a1ng \u1ee9ng v\u1edbi di\u1ec7n b\u00e1m c\u1ee7a BTN, n\u1eb1m \u1edd v\u1ecb tr\u00ed t\u1eeb 9 gi\u1edd \u0111\u1ebfn 12 gi\u1edd \u0111\u1ed1i v\u1edbi kh\u1edbp g\u1ed1i tr\u00e1i theo chi\u1ec1u kim \u0111\u1ed3ng h\u1ed3 (3 gi\u1edd \u0111\u1ebfn 12 gi\u1edd \u0111\u1ed1i v\u1edbi kh\u1edbp g\u1ed1i ph\u1ea3i ng\u01b0\u1ee3c chi\u1ec1u kim \u0111\u1ed3ng h\u1ed3). Di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS c\u00f2n c\u00f3 th\u1ec3 m\u1edf r\u1ed9ng h\u01a1n v\u1ec1 ph\u00eda d\u01b0\u1edbi v\u00e0 ra sau, t\u01b0\u01a1ng \u1ee9ng v\u1edbi di\u1ec7n b\u00e1m c\u1ee7a BST. H\u00ecnh d\u1ea1ng v\u00e0 di\u1ec7n\u00a0<\/span>t\u00edch di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a BTN kh\u00e1 t\u01b0\u01a1ng \u0111\u1ed3ng \u1edf h\u1ea7u h\u1ebft c\u00e1c kh\u1edbp g\u1ed1i nh\u01b0ng h\u00ecnh d\u1ea1ng v\u00e0 di\u1ec7n t\u00edch c\u1ee7a di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a to\u00e0n b\u1ed9 DCCS th\u01b0\u1eddng kh\u00e1c nhau do k\u00edch th\u01b0\u1edbc c\u1ee7a BST g\u00e2y n\u00ean. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, d\u00e2y ch\u1eb1ng \u0110-SC c\u00f3 k\u00edch th\u01b0\u1edbc t\u01b0\u01a1ng \u0111\u1ed1i l\u1edbn. \u0110i\u1ec1u n\u00e0y c\u1ecf li\u00ean quan \u0111\u1ebfn k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS, trong tr\u01b0\u1eddng h\u1ee3p \u0111\u00f3 th\u01b0\u1eddng ch\u1ec9 c\u1ea7n t\u1ea1o h\u00ecnh BTN n\u1ebfu d\u00e2y ch\u00e0ng \u0110-SC v\u1eabn c\u00f2n nguy\u00ean v\u1eb9n [<\/span><\/p>\n

\"V\u1ecb
V\u1ecb tri gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS v\u00e0 c\u00e1c b\u1ecf c\u1ea5u th\u00e0nh<\/figcaption><\/figure>\n

\u0110\u00e0 C\u00d3 nhi\u1ec1u nghi\u00ean c\u1ee9u kh\u00e1c nhau c\u00e1c t\u00e1c gi\u00e3 \u0111\u1ec1u th\u1eeba nh\u1eadn DCCS g\u1ed3m m\u00f4 t\u1ea3 <\/span>di\u1ec7n t\u00edch di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS v\u00e0 c\u00e1c b\u00f3 c\u1ea5u th\u00e0nh. Di\u1ec7n t\u00edch di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS c\u0169ng nh\u01b0 c\u00e1c b\u00f3 c\u1ea5u th\u00e0nh r\u1ea5t thay \u0111\u1ed5i ph\u1ee5 thu\u1ed9c v\u00e0o t\u1eebng nghi\u00ean c\u1ee9u, tuy nhi\u00ean \u0111a s\u1ed1 <\/span>hai b\u00f3 l\u00e0 BTN v\u00e0 BST v\u1edbi di\u1ec7n<\/span> di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a BTN th\u01b0\u1eddng<\/span> l\u1edbn <\/span>h\u01a1n v\u00e0 dao \u0111\u1ed9ng trong ph\u1ea1m vi<\/span> h\u1eb9p <\/span>h\u01a1n so v\u1edbi BST.<\/span><\/p>\n

\"
Di\u1ec7n t\u00edch di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS<\/figcaption><\/figure>\n

C\u00e1c nghi\u00ean c\u1ee9u gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS t\u1eadp trung v\u00e0o 3 h\u01b0\u1edbng ch\u00ednh: Nghi\u00ean c\u1ee9u gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS d\u1ef1a v\u00e0o phim ch\u1ee5p X-quang kh\u1edbp g\u1ed1i ti\u00eau chu\u1ea9n, nghi\u00ean <\/span>c\u1ee9u di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS d\u1ef1a v\u00e0o ph\u1eabu t\u00edch kh\u1edbp g\u1ed1i v\u00e0 nghi\u00ean c\u1ee9u di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS d\u1ef1a v\u00e0o phim ch\u1ee5p X-quang kh\u1edbp g\u1ed1i k\u1ebft h\u1ee3p v\u1edbi phim ch\u1ee5p c\u1eaft l\u1edbp kh\u1edbp g\u1ed1i.<\/span><\/p>\n

\"Gi\u1ea3i
Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a BTN v\u00e0 BST tr\u00ean X-quang m\u00f4 t\u1ea3 b\u1edfi Johannsen v\u00e0 cs<\/figcaption><\/figure>\n

Johannsen v\u00e0 cs nghi\u00ean c\u1ee9u h\u00ecnh \u1ea3nh X-quang th\u1eb3ng v\u00e0 nghi\u00eang ti\u00eau chu\u1ea5n c\u1ee7a 20 ti\u00eau b\u1ea3n kh\u1edbp g\u1ed1i sau khi \u0111\u00e3 ph\u1eabu t\u00edch v\u00e0 \u0111\u00e1nh d\u1ea5u di\u1ec7n b\u00e1m \u0111\u00f9i BTN v\u00e0 BST c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau ghi nh\u1eadn: Tr\u00ean phim ch\u1ee5p X-quang kh\u1edbp g\u1ed1i th\u1eb3ng ti\u00eau chu\u1ea9n, t\u00e2m c\u1ee7a BTN v\u00e0 BST c\u00e1ch b\u1edd trong nh\u1ea5t c\u1ee7a l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i m\u1ed9t kho\u1ea3ng c\u00e1ch l\u1ea7n l\u01b0\u1ee3t l\u00e0 34,1 mm v\u00e0 29,2 mm. Tr\u00ean phim ch\u1ee5p X-quang kh\u1edbp g\u1ed1i nghi\u00eang, t\u00e2m c\u1ee7a BTN v\u00e0 BST c\u00e1ch \u0111\u01b0\u1eddng ti\u1ebfp tuy\u1ebfn tr\u01b0\u1edbc c\u1ee7a l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i m\u1ed9t kho\u1ea3ng c\u00e1ch l\u00e0n l\u01b0\u1ee3t l\u00e0 17,4 mm v\u00e0 23,9 mm theo \u0111\u01b0\u1eddng song song v\u1edbi \u0111\u01b0\u1eddng Blumenssat v\u00e0 c\u00e1ch \u0111\u01b0\u1eddng Blumenssat m\u1ed9t kho\u1ea3ng l\u1ea7n l\u01b0\u1ee3t l\u00e0 4,7 mm v\u00e0 10,7 mm<\/span><\/p>\n

Lorenz v\u00e0 cs ph\u1eabu t\u00edch di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau, \u0111\u1ea3nh d\u1ea5u ri\u00eang r\u1ebd di\u1ec7n b\u00e1m c\u1ee7a BTN v\u00e0 BST, sau \u0111\u00f3 ch\u1ee5p X-quang kh\u1edbp g\u1ed1i th\u1eb3ng v\u00e0 nghi\u00eang ti\u00eau chu\u1ea9n. Tr\u00ean phim ch\u1ee5p X-quang kh\u1edbp g\u1ed1i nghi\u00eang ti\u00eau chu\u1ea9n, t\u00e2m c\u1ee7a BTN n\u1eb1m \u1edd v\u1ecb tr\u00ed 62% so v\u1edbi chi\u1ec1u d\u00e0i c\u1ee7a \u0111\u01b0\u1eddng Blumenssat m\u1edf r\u1ed9ng – \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n 2 \u0111\u1ea7u b\u1edfi hai b\u1edd c\u1ee7a l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i, t\u00ednh t\u1eeb sau ra tr\u01b0\u1edbc tr\u1ee5c X, v\u00e0 n\u1eb1m \u1edf v\u1ecb tr\u00ed 16% so v\u1edbi chi\u1ec1u d\u00e0i c\u1ee7a \u0111o\u1ea1n th\u1eb3ng vu\u00f4ng g\u00f3c v\u1edbi \u0111\u01b0\u1eddng Blumenssat v\u00e0 ti\u1ebfp tuy\u1ec3n v\u1edbi b\u1edd sau nh\u1ea5t c\u1ee7a l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i – tr\u1ee5c Y, C\u00f9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady, t\u00e2m c\u1ee7a BST n\u1eb1m \u1edf v\u1ecb tr\u00ed 51% c\u1ee7a chi\u1ec1u \u0111\u00e0i \u0111o\u1ea1n th\u1eb3ng song song v\u1edbi \u0111\u01b0\u1eddng Blumenssat \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n 2 \u0111\u1ea7u b\u1edfi b\u1edd x\u01b0\u01a1ng c\u1ee7a l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i t\u00ednh t\u1eeb sau ra tr\u01b0\u1edbc v\u00e0 35% chi\u1ec1u d\u00e0i c\u1ee7a \u0111o\u1ea1n th\u1eb3ng vu\u00f4ng g\u00f3c v\u1edbi \u0111\u01b0\u1eddng Blumenssat v\u00e0 ti\u1ebfp tuy\u1ebfn v\u1edbi b\u1edd sau nh\u1ea5t c\u1ee7a l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i [11]. Osti v\u00e0 cs ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u v\u1edbi c\u00e1ch \u0111o t\u01b0\u01a1ng t\u1ef1 nh\u01b0 Lorenz nh\u01b0ng tr\u00ean tr\u1ee5c X, thay v\u00ec \u0111o t\u1eeb sau ra tr\u01b0\u1edbc t\u00e1c gi\u1ea3 l\u1ea1i \u0111o t\u1eeb tr\u01b0\u1edbc ra sau, ghi nh\u1eadn k\u1ebft qu\u1ea3 nh\u01b0 sau: t\u00e2m c\u1ee7a BTN n\u1eb1m \u1edf v\u1ecb tr\u00ed 42% \u0111o\u1ea1n th\u1eb3ng song song v\u1edbi \u0111\u01b0\u1eddng Blutnenssat \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n 2 \u0111\u1ea7u b\u1edfi b\u1edd x\u01b0\u01a1ng c\u1ee7a l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i t\u00ednh t\u1eeb tr\u01b0\u1edbc ra sau v\u00e0 13% chi\u1ec1u d\u00e0i c\u1ee7a \u0111o\u1ea1n th\u1eb3ng vu\u00f4ng g\u00f3c v\u1edbi \u0111\u01b0\u1eddng Blumenssat v\u00e0 ti\u1ebfp tuy\u1ebfn v\u1edbi b\u00f2’ sau nh\u1ea5t c\u1ee7a l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i, trong khi \u0111\u00f3 t\u00e2m c\u1ee7a BST n\u1eb1m \u1edf v\u1ecb tr\u00ed 63% c\u1ee7a \u0111o\u1ea1n th\u1eb3ng song song v\u1edbi \u0111\u01b0\u1eddng Blumenssat \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n <\/span>2 \u0111\u1ea7u b\u1edfi b\u1edd x\u01b0\u01a1ng c\u1ee7a l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i t\u1ec9nh t\u1eeb sau ra tr\u01b0\u1edbc v\u00e0 38% chi\u1ec1u d\u00e0i c\u1ee7a \u0111o\u1ea1n th\u1eb3ng vu\u00f4ng g\u00f3c v\u1edbi \u0111\u01b0\u1eddng Blumenssat v\u00e0 ti\u1ebfp tuy\u1ebfn v\u1edbi b\u1edd sau nh\u1ea5t c\u1ee7a l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i [12].<\/span><\/p>\n

Greiner v\u00e0 cs ph\u1eabu t\u00edch 10 ti\u00eau b\u1ea3n di\u1ec7n b\u00e1m \u0111\u00f9i DCCS, \u0111\u00e1nh d\u1ea5u quanh chu vi c\u1ee7a di\u1ec7n b\u00e1m \u0111\u00f9i sau \u0111\u00f3 ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u0111o \u0111\u01b0\u1ee3c: \u0111i\u1ec7n t\u00edch di\u1ec7n b\u00e1m \u0111\u00f9i trung b\u00ecnh c\u1ee7a DCCS l\u00e0 232,2mm<\/span>2 kho\u00e1ng c\u00e1ch trung b\u00ecnh t\u1eeb t\u00e2m c\u1ee7a di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS \u0111\u1ebfn m\u1ea3i c\u1ee7a li\u00ean l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i l\u00e0 8,9mm, t\u01b0\u01a1ng \u1ee9ng kho\u1ea3ng 34,7% chi\u1ec1u d\u00e0i cua \u0111\u01b0\u1eddng Blumenssat, kho\u1ea3ng c\u00e1ch trung b\u00ecnh t\u1eeb t\u00e2m c\u1ee7a di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS \u0111\u1ebfn b\u1eeb s\u1ee5n kh\u1edbp ph\u00eda tr\u01b0\u1edbc c\u1ee7a l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng d\u00f9i i\u00e0 I8,7mm, t\u01b0\u01a1ng \u1ee9ng kho\u1ea3ng 73,3% chi\u1ec1u d\u00e0i c\u1ee7a \u0111\u01b0\u1eddng Blumenssat<\/span><\/p>\n

\"Gi\u1ea3i
Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS m\u00f4 t\u1ea3 b\u1edfi Greiner v\u00e0 cs<\/figcaption><\/figure>\n

Westermann v\u00e0 cs ph\u1eabu t\u00edch di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a 7 d\u00e2y ch\u1eb1ng ch\u00e9o sau , \u0111\u00e1nh d\u1ea5u di\u1ec7n b\u00e1m \u0111\u00f9i b\u1eb1ng kim Kirschner, sau \u0111\u00f3 ch\u1ee5p c\u00e1t l\u1edbp vi t\u00ednh d\u1ef1ng h\u00ecnh 3D \u0111\u1ea7u xa x\u01b0\u01a1ng \u0111\u00f9i. M\u1eb7c d\u00f9 kh\u00f4ng m\u00f4 t\u1ea3 ri\u00eang bi\u1ec7t di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a BTN v\u00e0 t\u00ecST nh\u01b0ng t\u00e2m di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a<\/span><\/p>\n

DCCS \u0111\u01b0\u1ee3c ghi nh\u1eadn \u1edf v\u1ecb tr\u00ed kho\u1ea3ng 38% c\u1ee7a \u0111\u01b0\u1eddng th\u0103ng l\u00e0 \u0111\u01b0\u1eddng k\u00ednh tr\u01b0\u1edbc sau c\u1ee7a l\u1ed3i c\u1ea7u (song song v\u1edbi \u0111\u01b0\u1eddng Blummenssat) t\u00ednh t\u1eeb ph\u00eda tr\u01b0\u1edbc v\u00e0 25% c\u00e1ch xa m\u00e1i c\u1ee7a l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i tr\u00ean \u0111\u01b0\u1eddng th\u1eb3ng vu\u00f4ng g\u00f3c v\u1edbi \u0111\u01b0\u1eddng Blumenssat <\/span><\/p>\n

Edwards v\u00e0 cs m\u00f4 t\u1ea3 v\u1ecb tr\u00ed c\u1ee7a t\u00e2m c\u1ee7a BTN v\u00e0 t\u00e2m c\u1ee7a BST tr\u00ean tr\u1ee5c th\u1ea5p\/cao v\u00e0 tr\u1ee5c n\u00f4ng\/s\u00e2u l\u00e0 \u0111\u01b0\u1eddng k\u00ednh c\u1ee7a h\u00ecnh tr\u00f2n ti\u1ebfp tuy\u1ebfn v\u1edbi n\u1eeda sau c\u1ee7a l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i. T\u00e2m c\u1ee7a BTN n\u1eb1m \u1edf v\u1ecb tr\u00ed c\u00e1ch b\u1edd tr\u01b0\u1edbc c\u1ee7a s\u1ee5n kh\u1edbp 7mm tr\u00ean \u0111\u01b0\u1eddng th\u1eb3ng song song v\u1edbi tr\u1ee5c c\u1ee7a th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 c\u00e1ch b\u1edd tr\u01b0\u1edbc c\u1ee7a s\u1ee5n kh\u1edbp 6mm tr\u00ean \u0111\u01b0\u1eddng th\u1eb3ng song song v\u1edbi \u0111\u01b0\u1eddng Blumenssat. T\u00e2m c\u1ee7a BST n\u1eb1m \u1edf v\u1ecb tr\u00ed c\u00e1ch b\u1edd tr\u01b0\u1edbc c\u1ee7a s\u1ee5n kh\u1edbp lO mm tr\u00ean \u0111\u01b0\u1eddng th\u1eb3ng song song v\u1edbi tr\u1ee5c c\u1ee7a th\u00e2n x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 c\u00e1ch b\u1edd tr\u01b0\u1edbc s\u1ee5n kh\u1edbp 12mm tr\u00ean \u0111\u01b0\u1eddng th\u1eb3ng song song v\u1edbi \u0111\u01b0\u1eddng Blumenssat [15].<\/span><\/p>\n

Takahashi v\u00e0 cs ti\u1ebfn h\u00e0nh \u0111o di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a BTN v\u00e0 BST b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p t\u01b0\u01a1ng t\u1ef1 tr\u00ean 32 m\u1eabu kh\u1edbp g\u1ed1i, \u0111o kho\u1ea3ng c\u00e1ch cua t\u00e2m c\u1ee7a BTN, BST \u0111en b\u1edd tr\u01b0\u1edbc c\u1ee7a s\u1ee5n kh\u1edbp (\u0111o song song v\u1edbi \u0111\u01b0\u1eddng Blumenssat) v\u00e0 \u0111en \u0111\u1ec9nh c\u1ee7a m\u00e1i di\u1ec7n gian l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i (\u0111o vu\u00f4ng g\u00f3c v\u1edbi \u0111\u01b0\u1eddng Blumenssat) ghi nh\u1eadn: Kho\u1ea3ng c\u00e1ch t\u1eeb t\u00e2m BTN \u0111\u1ebfn b\u1edd tr\u01b0\u1edbc c\u1ee7a s\u1ee5n kh\u1edfp v\u00e0 \u0111\u1ebfn \u0111inh c\u1ee7a m\u00e1i di\u1ec7n gian l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i l\u1ea7n l\u01b0\u1ee3t l\u00e0 9,6 <\/span>\u00a0<\/b>(29% \u0111\u1ed9 d\u00e0i \u0111\u01b0\u01b0\u1eddng Blumensaat) v\u00e0 c\u00e1ch khuy\u1ebft gian l\u1ed3i c\u1ea7u 4,8 min (25% kho\u1ea3ng c\u00e1ch d\u00e0i nh\u1ea5t gi\u1eefa b\u1edd xa c\u1ee7a s\u1ee5n kh\u1edbp v\u00e0 \u0111\u01b0\u1eddng Blumensaat); kho\u1ea3ng c\u00e1ch t\u1eeb t\u00e2m BST t\u1edbi b\u1edd tr\u01b0\u1edbc c\u1ee7a s\u1ee5n kh\u1edbp v\u00e0 t\u1edbi \u0111\u1ec9nh c\u1ee7a m\u00e1i di\u1ec7n gian l\u1ed3i c\u1ea7u x\u01b0\u01a1ng \u0111\u00f9i l\u1ea7n l\u01b0\u1ee3t l\u00e0 10,6 mm (32% \u0111\u1ed9 d\u00e0i \u0111\u01b0\u1eddng Blumensaat) v\u00e0 11,4 mm (60% kho\u1ea3ng c\u00e1ch d\u00e0i nh\u1ea5t gi\u1eefa b\u1edd xa c\u1ee7a s\u1ee5n kh\u1edbp v\u00e0 \u0111\u01b0\u1eddng Blumensaat<\/span><\/p>\n

\"Gi\u1ea3i
Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS m\u00f4 t\u1ea3 b\u1edfi Takcthashi v\u00e0 cs<\/figcaption><\/figure>\n

 <\/p>\n

Anderson v\u00e0 cs \u0111\u00e3 x\u00e1c \u0111\u1ecbnh di\u1ec7n b\u00e1m \u0111\u00f9i cua c\u00e1c b\u00f3 c\u1ea5u th\u00e0nh d\u00e2y ch\u1eb1ng ch\u00e9o sau d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 ph\u1eabu t\u00edch 20 m\u1eabu x\u00e1c. Ba v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu n\u1eb1m d\u1ecdc theo b\u1edd c\u1ee7a s\u1ee5n kh\u1edbp c\u1ee7a m\u1eb7t trong l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00ea m\u00f4 t\u1ea3 di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng bao g\u1ed3m: \u201c\u0111i\u1ebfm r\u00f2ng r\u1ecdc\u201d – <\/span>nam \u1edf ph\u00eda trong ph\u1ea7n \u0111\u1ec9nh c\u1ee7a m\u00e1i l\u1ed3i c\u1ea7u x\u01b0\u01a1ng d\u00f9i, n\u01a1i s\u1ee5n kh\u1edbp \u0111\u1ed9t ng\u1ed9t qu\u1eb7t v\u00e0o ph\u00eda trong; \u201c\u0111i\u1ec3m v\u00f2m trong\u201d – n\u01a1i s\u1ee5n kh\u1edbp \u0111\u1ed5i h\u01b0\u1edbng \u0111i th\u1eb3ng v\u1ec1 ph\u00eda sau, sau khi n\u00f3 c\u00f3 d\u1ea1ng h\u00ecnh v\u00f2m m\u1ec1m m\u1ea1i m\u00e0 h\u00ecnh v\u00f2m n\u00e0y b\u1eaft \u0111\u1ea7u t\u1eeb \u0111i\u1ec3m r\u00f2ng r\u1ecdc; \u201c\u0111i\u1ec3m sau\u201d – n\u01a1i \u0111\u00e1nh d\u1ea5u v\u1ecb tr\u00ed sau nh\u1ea5t c\u1ee7a s\u1ee5n kh\u1edbp l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i. T\u00e2m BTN c\u00e1ch b\u1edd xa c\u1ee7a s\u1ee5n kh\u1edbp 7,9 m<\/span>m, c\u00e1ch \u0111i\u1ec3m r\u00f2ng r\u1ecdc 7,4 mm, \u0111i\u1ec3m v\u00f2m trong 11,0<\/span> v\u00e0 \u0111i\u1ec3m sau 21,3 ram. T\u00e2m BST c\u00e1ch b\u1edd xa c\u1ee7a s\u1ee5n kh\u1edbp 8,6 mm, c\u00e1ch \u0111i\u1ec3m r\u00f2ng r\u1ecdc 18,8 mm, \u0111i\u1ec3m v\u00f2m trong 11.1 mm<\/span>\u00a0v\u00e0 \u0111i\u1ec3m sau 10,8 mm. T\u00e2m c\u1ee7a hai b\u00f3 c\u00e1ch nhau 12,1 mm [16].<\/span><\/p>\n

\"Gi\u1ea3i
Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS m\u00f4 t\u1ea3 b\u1edfi Anderson v\u00e0 cs<\/figcaption><\/figure>\n

Lopes v\u00e0 cs s\u1eed d\u1ee5ng m\u00e1y \u1ea3nh s\u1ed1 h\u00f3a 3D \u0111\u1ec3 t\u1ea1o m\u00f4 h\u00ecnh 3D c\u1ee7a di\u1ec7n b\u00e1m \u0111\u00f9i DCCS c\u1ee7a 20 kh\u1edbp g\u1ed1i. So v\u1edbi g\u1edd gian l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i, t\u00e2m c\u1ee7a di\u1ec7n b\u00e1m \u0111\u00f9i DCCS c\u00e1ch 4,36 mm, t\u00e2m BTN c\u00e1ch 3,63 mm v\u00e0 t\u00e2m BST c\u00e1ch 3,1 mm. <\/span>So v\u1edbi b\u1edd s\u1ee5n kh\u1edbp, t\u00e2m BTN c\u00e1ch 7 mm, t\u00e2m BST c\u00e1ch 8 mm; tuy nhi\u00ean nghi\u00ean c\u1ee9u kh\u00f4ng ch\u1ec9 r\u00f5 b\u1edd s\u1ee5n kh\u1edbp n\u00e0o \u0111ang \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp \u0111\u1ebfn. B\u00ean c\u1ea1nh \u0111\u00f3 t\u00e1c gi\u00e1 c\u0169ng ghi nh\u1eadn t\u00e2m BTN v\u00e0 t\u00e2m BST c\u00e1ch nhau 11 mm [8],<\/p>\n

\"Gi\u1ea3i
Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS m\u00f4 t\u1ea3 b\u1edfi Lopes v\u00e0 cs<\/figcaption><\/figure>\n

Trong m\u1ed9t nghi\u00ean c\u1ee9u d\u1ef1ng h\u00ecnh kh\u00e1c, Raphael v\u00e0 cs t\u1ea1o m\u00f4 h\u00ecnh t\u00e1i t\u1ea1o 2D v\u00e0 3D m\u00f4 ph\u1ecfng b\u1eb1ng m\u00e1y t\u00ednh c\u1ee7a \u0111\u1ea7u xa x\u01b0\u01a1ng \u0111\u00f9i d\u1ef1a tr\u00ean 7 kh\u1edbp g\u1ed1i \u0111\u01b0\u1ee3c ph\u1eabu t\u00edch. Tr\u00ean h\u00ecnh \u1ea3nh t\u00e1i t\u1ea1o 2D, t\u00e2m BTN v\u00e0 BST l\u1ea7n l\u01b0\u1ee3t c\u00e1ch b\u1edd s\u1ee5n kh\u1edbp 8,3 mm v\u00e0 8,5 <\/span>\u00a0d\u1ecdc theo g\u1edd t\u1ea1o b\u1edfi l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 th\u00e0nh c\u1ee7a di\u1ec7n gian l\u1ed3i c\u1ea7u \u0111\u00f9i. Tr\u00ean h\u00ecnh \u1ea3nh t\u00e1i t\u1ea1o 3D, t\u00e2m BTN v\u00e0 BST c\u00e1ch b\u1edd s\u1ee5n l\u1ea7n l\u01b0\u1ee3t 9,2 mm v\u00e0 8,9 mm. B\u00ean c\u1ea1nh \u0111\u1ecf, h\u00ecnh \u00e1nh t\u00e1i t\u1ea1o 3D ch\u1ec9 ra r\u1eb1ng BTN b\u1eaft ngu\u1ed3n t\u1eeb m\u00e1i c\u1ee7a khuy\u1ebft gian l\u1ed3i c\u1ea7u \u1edf 5 trong s\u1ed1 7 m\u1eabu trong khi BST b\u1eaft ngu\u1ed3n t\u1eeb v\u1ecb tr\u00ed chuy\u1ec3n ti\u1ebfp gi\u1eefa m\u00e1i v\u00e0 th\u00e0nh c\u1ee7a l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i. T<\/span>uy nhi\u00ean, gi\u1ed1ng nh\u01b0 nghi\u00ean c\u1ee9u c\u1ee7a Lopes v\u00e0 cs, b\u1edd s\u1ee5n \u0111ang \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp kh\u00f4ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh r\u00f5 trong t\u1ea5t c\u1ea3 c\u00e1c ph\u00e9p \u0111o tr\u00ean [17].<\/span><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

D\u00e2y ch\u1eb1ng ch\u00e9o sau (DCCS) c\u00f9ng v\u1edbi d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc (DCCT) l\u00e0 th\u00e0nh ph\u1ea7n quan tr\u1ecdng trong s\u1ef1 \u0111\u1ea3m b\u1ea3o v\u1eefng ch\u1eafc v\u1ec1 m\u1eb7t \u0111\u1ed9ng h\u1ecdc theo chi\u1ec1u tr\u01b0\u1edbc sau c\u1ee7a kh\u1edbp g\u1ed1i. T\u1ed5n th\u01b0\u01a1ng DCCS \u00edt g\u1eb7p h\u01a1n nhi\u1ec1u so v\u1edbi t\u1ed5n th\u01b0\u01a1ng DCCT. T\u1ef7 l\u1ec7 \u0111\u1ee9t DCCS thay \u0111\u1ed5i t\u1eeb 1- 44% […]<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,40],"tags":[3],"yoast_head":"\nGi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec<\/title>\n<meta name=\"description\" content=\"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau: di\u1ec7n b\u00e1m tr\u1ea3i d\u00e0i h\u01a1n 20mm theo h\u01b0\u1edbng tr\u01b0\u1edbc sau ngang t\u1eeb trong \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau: di\u1ec7n b\u00e1m tr\u1ea3i d\u00e0i h\u01a1n 20mm theo h\u01b0\u1edbng tr\u01b0\u1edbc sau ngang t\u1eeb trong \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-15T16:02:24+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-17T09:59:32+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.32.04-300x294.png\" \/>\n<meta name=\"author\" content=\"Yen Cao Thi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Yen Cao Thi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"15 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/\",\"name\":\"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-15T16:02:24+00:00\",\"dateModified\":\"2023-04-17T09:59:32+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684\"},\"description\":\"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau: di\u1ec7n b\u00e1m tr\u1ea3i d\u00e0i h\u01a1n 20mm theo h\u01b0\u1edbng tr\u01b0\u1edbc sau ngang t\u1eeb trong \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684\",\"name\":\"Yen Cao Thi\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/062c89c69b65ec7b29ef712b8d1bcd62?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/062c89c69b65ec7b29ef712b8d1bcd62?s=96&d=mm&r=g\",\"caption\":\"Yen Cao Thi\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/caothiyen-workinggmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec","description":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau: di\u1ec7n b\u00e1m tr\u1ea3i d\u00e0i h\u01a1n 20mm theo h\u01b0\u1edbng tr\u01b0\u1edbc sau ngang t\u1eeb trong \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec","og_description":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau: di\u1ec7n b\u00e1m tr\u1ea3i d\u00e0i h\u01a1n 20mm theo h\u01b0\u1edbng tr\u01b0\u1edbc sau ngang t\u1eeb trong \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/","og_site_name":"Vinmec","article_published_time":"2023-04-15T16:02:24+00:00","article_modified_time":"2023-04-17T09:59:32+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.32.04-300x294.png"}],"author":"Yen Cao Thi","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Yen Cao Thi","Est. reading time":"15 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/","name":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-15T16:02:24+00:00","dateModified":"2023-04-17T09:59:32+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684"},"description":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau: di\u1ec7n b\u00e1m tr\u1ea3i d\u00e0i h\u01a1n 20mm theo h\u01b0\u1edbng tr\u01b0\u1edbc sau ngang t\u1eeb trong \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-dui-cua-day-chang-cheo-sau\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684","name":"Yen Cao Thi","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/062c89c69b65ec7b29ef712b8d1bcd62?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/062c89c69b65ec7b29ef712b8d1bcd62?s=96&d=mm&r=g","caption":"Yen Cao Thi"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/caothiyen-workinggmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21793"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/49"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=21793"}],"version-history":[{"count":4,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21793\/revisions"}],"predecessor-version":[{"id":23435,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21793\/revisions\/23435"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=21793"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=21793"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=21793"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}