{"id":21816,"date":"2023-04-15T23:04:15","date_gmt":"2023-04-15T16:04:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21816"},"modified":"2023-04-17T16:59:12","modified_gmt":"2023-04-17T09:59:12","slug":"giai-phau-dien-bam-chay-cua-day-chang-cheo-sau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-chay-cua-day-chang-cheo-sau\/","title":{"rendered":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau"},"content":{"rendered":"<p><strong><a href=\"https:\/\/vinmec.com\/vi\/co-xuong-khop\/cac-benh-thuong-gap\/chan-thuong-day-chang-cheo-sau-nguyen-nhan-trieu-chung-chan-doan-va-dieu-tri\/\">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<p><b><strong>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 ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau.<\/strong><\/b><\/p>\n<p><strong>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<p><strong>Ng\u00e0y ph\u00e1t h\u00e0nh<\/strong>: 30\/03\/2022<\/p>\n<h2><b>1. Gi\u1ea3i ph\u1eabu <\/b><b>d\u00e2y ch\u1eb1ng ch\u00e9o sau<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">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><span style=\"font-weight: 400;\">, l\u1ed9ng h\u01a1n <\/span><span style=\"font-weight: 400;\">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><span style=\"font-weight: 400;\">v\u1ec1 <\/span><span style=\"font-weight: 400;\">m\u1eb7t gi\u1ea3i ph\u1eabu DCCS to v\u00e0 ch\u1eafc kh\u1ecfe h\u01a1n DCCT [2],<\/span><\/p>\n<figure id=\"attachment_21794\" aria-describedby=\"caption-attachment-21794\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-21794\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.32.04-300x294.png\" alt=\"Gi\u1ea3i ph\u1eabu kh\u1edbp g\u1ed1i v\u00e0 v\u1ecb tr\u00ed c\u1ee7a DCCS\" width=\"300\" height=\"294\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.32.04-300x294.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.32.04-768x752.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.32.04.png 784w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-21794\" class=\"wp-caption-text\">Gi\u1ea3i ph\u1eabu kh\u1edbp g\u1ed1i v\u00e0 v\u1ecb tr\u00ed c\u1ee7a DCCS<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">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><span style=\"font-weight: 400;\">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<h2><b>2 Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Kh\u00e1c v\u1edbi di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS, h\u00ecnh th\u00e1i di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS t\u01b0\u01a1ng \u0111\u1ed1i \u0111\u1ed3ng nh\u1ea5t v\u00e0 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i nh\u1ea5t qu\u00e1n gi\u1eefa c\u00e1c nh\u00e0 gi\u1ea3i ph\u1eabu. Quan s\u00e1t m\u00e2m ch\u00e0y t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi c\u00f3 th\u1ec3 th\u1ea5y di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS n\u1eb1m t\u01b0\u01a1ng \u0111\u1ed1i g\u1ecdn tr\u00ean b\u1ec1 m\u1eb7t c\u1ee7a m\u00e2m ch\u1ea3y. Di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS n\u1eb1m t\u01b0\u01a1ng \u0111\u1ed1i g\u1ecdn gi\u1eefa s\u1eebng sau c\u1ee7a hai s\u1ee5n ch\u00eam.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Quan s\u00e1t di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS t\u1eeb ph\u00eda sau nh\u1eadn th\u1ea5y, di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS kh\u00f4ng ch\u1ec9 n\u1eb1m g\u1ecdn tr\u00ean b\u1ec1 m\u1eb7t m\u00e2m ch\u00e0y m\u00e0 c\u00f2n m\u01a1 r\u1ed9ng h\u01a1n v\u1ed3 ph\u00eda d\u01b0\u1edbi c\u1ee7a b\u1edd sau b\u1ec1 m\u1eb7t m\u00e2m ch\u00e0y. N\u1eb1m ph\u00eda tr\u00ean b\u1edd sau c\u1ee7a b\u1ec1 m\u1eb7t m\u00e2m ch\u00e0y, di\u1ec7n b\u00e1m c\u1ee7a DCCS ch\u1ee7 y\u1ebfu l\u00e0 c\u1ee7a BTN. Di\u1ec7n b\u00e1m c\u1ee7a BST ch\u1ee7 y\u1ebfu n\u1eb1m \u1edb ph\u00eda sau d\u01b0\u1edbi b\u1edd sau <\/span><span style=\"font-weight: 400;\">c\u1ee7a b\u1ec1 m\u1eb7t m\u00e2m ch\u00e0y. Di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a BTN bao ph\u1ee7 g\u1ea7n to\u00e0n b\u1ed9 ph\u1ea7n m\u1eb7t phang n\u1eb1m gi\u1eefa di\u1ec7n gian l\u1ed3i c\u1ea7u \u0111\u00f9i c\u1ee7a m\u00e2m ch\u00e0y sau, t\u1eeb b\u1edd sau di\u1ec7n b\u00e1m c\u1ee7a s\u1eebng sau s\u1ee5n ch\u00eam trong \u0111\u1ebfn c\u00e1ch b\u1edd sau c\u1ee7a b\u1ec1 m\u1eb7t m\u00e2m ch\u00e0y kho\u1ea3ng 2mm, c\u00f3 h\u00ecnh thang v\u00e0 m\u1edf r\u1ed9ng v\u1ec1 ph\u00eda sau.<\/span><\/p>\n<figure id=\"attachment_21817\" aria-describedby=\"caption-attachment-21817\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-21817\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.48.29-300x239.png\" alt=\"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1o ch\u00e0y c\u1ee7a DCCS nh\u00ecn t\u1eeb sau ra tr\u01b0\u1edbc\" width=\"300\" height=\"239\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.48.29-300x239.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.48.29-768x612.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.48.29.png 786w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-21817\" class=\"wp-caption-text\">Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1o ch\u00e0y c\u1ee7a DCCS nh\u00ecn t\u1eeb sau ra tr\u01b0\u1edbc<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">Di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a BST n\u1eb1m \u1edf m\u1eb7t sau c\u1ee7a m\u00e2m ch\u00e0y, b\u1ea5t \u0111\u1ea7u \u1edf ph\u00eda tr\u01b0\u1edbc b\u1edd sau c\u1ee7a be m\u1eb7t m\u00e2m ch\u00e0y kho\u1ea3ng 2mm \u0111\u1ebfn ph\u00eda sau d\u01b0\u1edbi, qua b\u1edd sau c\u1ee7a b\u1ec1 m\u1eb7t m\u00e2m ch\u00e0y xu\u1ed1ng ph\u00eda d\u01b0\u1edbi. Nh\u1eefng b\u00f3 s\u1ee3i sau nh\u1ea5t c\u1ee7a BST h\u00f2a c\u00f9ng v\u1edbi nh\u1eefng b\u00f3 s\u1ee3i c\u1ee7a m\u00e0ng x\u01b0\u01a1ng ch\u00e0y v\u00e0 bao kh\u1edbp g\u1ed1i ph\u1ea7n b\u00e1m v\u00e0o ph\u00eda sau c\u1ee7a \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng ch\u00e0y, v\u00e0 \u0111\u01b0\u1ee3c nh\u1eadn bi\u1ebft b\u1edfi m\u1ed9t g\u1edd ngang \u01a1 m\u1eb7t sau x\u01b0\u01a1ng ch\u00e0y. \u00d3 ph\u00eda tr\u00ean, di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a BST li\u00ean ti\u1ebfp v\u1edbi di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a BTN. H\u00ecnh th\u00e1i di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS ph\u1ea3n \u00e1nh \u0111\u01b0\u1eddng \u0111i c\u1ee7a c\u00e1c b\u00f3 s\u1ee3i c\u1ee7a <\/span><span style=\"font-weight: 400;\">BST, ch\u1ebfch ra sau- ngo\u00e0i v\u00e0 xu\u1ed1ng d\u01b0\u1edbi. V\u00ec v\u1eady di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a BST n\u1eb1m \u1edb ph\u00eda ngo\u00e0i v\u00e0\u00a0 d\u01b0\u1edbi h\u01a1n di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a BTN. Nh\u1eefng b\u00f3 s\u1ee3i sau c\u00f9ng c\u00f9a DCCS b\u00e1m xu\u1ed1ng d\u01b0\u1edbi b\u1edd sau c\u1ee7a b\u00ea m\u1eb7t m\u00e2m ch\u00e0y, m\u1edf r\u1ed9ng xu\u1ed1ng ph\u00eda d\u01b0\u1edbi, b\u00e1m v\u00e0o th\u00e0nh sau c\u1ee7a x\u01b0\u01a1ng ch\u00e0y gan v\u1edbi di\u1ec7n b\u00e1m c\u1ee7a g\u00e2n c\u01a1 khoeo v\u00e0o x\u01b0\u01a1ng ch\u00e0y.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 di\u1ec7n b\u00e1m \u0111\u00f9i c\u1ee7a DCCS, di\u1ec7n t\u00edch di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS v\u00e0 c\u1ee7a t\u1eebng b\u00f3 c\u1ea5u th\u00e0nh c\u00f9ng r\u1ea5t thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0o nghi\u00ean c\u1ee9u c\u1ee7a t\u1eebng t\u00e1c gi\u1ea3<\/span><\/p>\n<figure id=\"attachment_21819\" aria-describedby=\"caption-attachment-21819\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-21819\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.49.42-300x120.png\" alt=\"Di\u1ec7n t\u00edch di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS\" width=\"300\" height=\"120\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.49.42-300x120.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.49.42-1024x409.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.49.42-768x307.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.49.42.png 1316w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-21819\" class=\"wp-caption-text\">Di\u1ec7n t\u00edch di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">C\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9a v\u1ec1 \u0111\u1eb7c \u0111i\u1ec3m di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS \u0111\u00e0 \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1. Moorman v\u00e0 cs m\u00f4 t\u1ea3 di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS b\u1eb1ng thu\u1eadt ng\u1eef \u201cPCL facet\u201d \u0111\u1ec3 m\u00f4 t\u1ea3 m\u1eb7t ph\u1eb3ng di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS- l\u00e0 m\u1eb7t ph\u1eb3ng ho\u1eb7c g\u1ea7n ph\u1eb3ng bao g\u1ed3m <\/span><span style=\"font-weight: 400;\">di\u1ec7n b\u00e1m c\u1ee7a <\/span><span style=\"font-weight: 400;\">DCCS tr\u00ean b\u1ec1 m\u1eb7t x\u01b0\u01a1ng ch\u00e0y. Di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS n\u1eb1m tr\u00ean n\u1eeda sau c\u1ee7a \u201cPCL facet\u201d. Kho\u00e1ng c\u00e1ch t\u1eeb b\u1edd tr\u01b0\u1edbc c\u1ee7a di\u1ec7n b\u00e1m ch\u00e0y \u0111\u1ebfn b\u1edd sau c\u1ee7a di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS l\u00e0 15,6 \u00b11,1 mm.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nghi\u00ean c\u1ee9u m\u00f4 h\u1ecdc di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS c\u0169ng nh\u1eadn th\u1ea5y, \u0111i\u1ec7n b\u00e1m ch\u00e0y c\u00f9a DCCS n\u1eb1m ch\u00fa y\u1ebfu \u1edf n\u1eeda sau c\u1ee7a \u201cPCL facet\u201d, ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 b\u00f3 s\u1ee3i m\u1edf r\u1ed9ng xu\u1ed1ng d\u01b0\u1edbi d\u1ecdc theo th\u00e0nh sau c\u00f9a x\u01b0\u01a1ng ch\u00e0y [21]. Markis v\u00e0 cs m\u00f4 t\u1ea3 \u0111\u01b0\u1eddng k\u00ednh tr\u01b0\u1edbc sau trung b\u00ecnh c\u1ee7a di\u1ec7n b\u00e1m ch\u00e0y DCCS l\u00e0 14mm. Inderster v\u00e0 cs m\u00f4 t\u1ea3 \u0111\u01b0\u1eddng k\u00ednh trung binh tr\u01b0\u1edbc sau c\u1ee7a di\u1ec7n b\u00e1m ch\u00e0y DCCS l\u00e0 14,6mm [22], Nh\u1eefng nghi\u00ean c\u1ee9u \u0111\u1ea7u ti\u00ean m\u00f4 t\u1ea3 h\u1ec9nh th\u00e1i DCCS ghi nh\u1eadn \u0111\u01b0\u1eddng k\u00ednh di\u1ec7n b\u00e1m c\u1ee7a DCCS thu nh\u1ecf t\u1eeb 32mm tr\u00ean m\u1eb7t ph\u1eb3ng \u0111\u1ee9ng d\u1ecdc c\u1ee7a \u0111i\u1ec7n b\u00e1m \u0111\u00f9i xu\u1ed1ng 13,4mm \u1edf di\u1ec7n b\u00e1m ch\u00e0y.<\/span><\/p>\n<figure id=\"attachment_21820\" aria-describedby=\"caption-attachment-21820\" style=\"width: 256px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-21820\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.50.47-256x300.png\" alt=\"Di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS tr\u00ean m\u1eb7t phang \u201cPCL facet \u201d\" width=\"256\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.50.47-256x300.png 256w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.50.47.png 642w\" sizes=\"(max-width: 256px) 100vw, 256px\" \/><figcaption id=\"caption-attachment-21820\" class=\"wp-caption-text\">Di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS tr\u00ean m\u1eb7t phang \u201cPCL facet \u201d<\/figcaption><\/figure>\n<figure id=\"attachment_21822\" aria-describedby=\"caption-attachment-21822\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-21822\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.51.25-300x120.png\" alt=\"Di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS tr\u00ean m\u00f4 b\u1ec7nh h\u1ecdc nhu\u1ed9m hematoxyline v\u00e0 eosin (m\u00e0u h\u1ed3ng) v\u00e0 nhu\u1ed9m trichrome (m\u00e0u t\u00edm)\" width=\"300\" height=\"120\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.51.25-300x120.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.51.25-1024x408.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.51.25-768x306.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-chup-Man-hinh-2023-04-15-luc-22.51.25.png 1270w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-21822\" class=\"wp-caption-text\">Di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS tr\u00ean m\u00f4 b\u1ec7nh h\u1ecdc nhu\u1ed9m hematoxyline v\u00e0 eosin (m\u00e0u h\u1ed3ng) v\u00e0 nhu\u1ed9m trichrome (m\u00e0u t\u00edm)<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">Di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS b\u1eaft \u0111\u1ea7u t\u1eeb h\u1ed5 gian l\u1ed3i c\u1ea9u \u0111\u00f9i tr\u00ean b\u1ec1 m\u1eb7t m\u00e2m ch\u00e0y nam gi\u1eefa b\u1edd sau c\u1ee7a m\u00e2m ch\u00e0y ngo\u00e0i v\u00e0 m\u00e2m ch\u00e0y trong, ngang m\u1ee9c ho\u1eb7c tr\u00ean m\u1ed9t ch\u00fat v\u1edbi m\u1eb7t ph\u0103ng s\u1ee5n kh\u1edbp. Sheps v\u00e0 c\u1ed9ng s\u1ef1 m\u00f4 t\u1ea3 di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS c\u00f3 h\u00ecnh thang<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Harner v\u00e0 cs, di\u1ec7n b\u00e1m ch\u00e0y c\u00f9a DCCS c\u00f3 h\u00ecnh ch\u1eef nh\u1eadt v\u1edbi di\u1ec7n t\u00edch di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a BTN l\u1edbn h\u01a1n di\u1ec7n t\u00edch di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a BST [20], <\/span><span style=\"font-weight: 400;\">Takahashi v\u00e0 cs m\u00f4 t\u1ea3 di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS ghi nh\u1eadn: di\u1ec7n t\u00edch di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a BTN v\u00e0 BST l\u1ea7n<\/span><span style=\"font-weight: 400;\">m\u1edf r\u1ed9ng v\u1ec1 ph\u00eda sau v\u1edbi b\u1edd tr\u00ean ch\u1ebfch xu\u1ed1ng d\u01b0\u1edbi t\u1eeb ngo\u00e0i v\u00e0o trong v\u1edbi chi\u1ec3u d\u00e0i trung b\u00ecnh c\u1ee7a c\u1ea1nh trong l\u00e0 128 \u00b1 21,2 mm, c\u1ea1nh ngo\u00e0i l\u00e0 160 \u00b1 30,0 mm, c\u1ea1nh tr\u00ean l\u00e0 107 db 26,5 mm <\/span><span style=\"font-weight: 400;\">v\u00e0 c\u1ea1nh d\u01b0\u1edbi l\u00e0 169 \u00b1 34,4 mm [23], <\/span><span style=\"font-weight: 400;\">l\u01b0\u1ee3t l\u00e0 46,7 \u00b1 15.6 mm<\/span><span style=\"font-weight: 400;\">v\u00e0 115,8 \u00b1 54,6mm<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">, t\u00e2m BTN c\u00e1ch b\u1edd trong m\u00e2m ch\u00e0y 48,2 \u00b1 7,3mm, t\u00e2m BST c\u00e1ch b\u1edd trong m\u00e2m ch\u00e0y 47,4 \u00b1 8,3mm v\u00e0 c\u00e1ch m\u1eb7t ph\u1eb3ng s\u1ee5n kh\u1edbp 4,6 \u00b1 3,6mm\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>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% [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec<\/title>\n<meta name=\"description\" content=\"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau. Quan s\u00e1t m\u00e2m ch\u00e0y t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi c\u00f3 th\u1ec3 th\u1ea5y di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS n\u1eb1m t\u01b0\u01a1ng \u0111\u1ed1i g\u1ecdn\" \/>\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 ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau. Quan s\u00e1t m\u00e2m ch\u00e0y t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi c\u00f3 th\u1ec3 th\u1ea5y di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS n\u1eb1m t\u01b0\u01a1ng \u0111\u1ed1i g\u1ecdn\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-chay-cua-day-chang-cheo-sau\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-15T16:04:15+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-17T09:59:12+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=\"7 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-chay-cua-day-chang-cheo-sau\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-chay-cua-day-chang-cheo-sau\/\",\"name\":\"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-15T16:04:15+00:00\",\"dateModified\":\"2023-04-17T09:59:12+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684\"},\"description\":\"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau. Quan s\u00e1t m\u00e2m ch\u00e0y t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi c\u00f3 th\u1ec3 th\u1ea5y di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS n\u1eb1m t\u01b0\u01a1ng \u0111\u1ed1i g\u1ecdn\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-chay-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-chay-cua-day-chang-cheo-sau\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-chay-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 ch\u00e0y 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 ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec","description":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau. Quan s\u00e1t m\u00e2m ch\u00e0y t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi c\u00f3 th\u1ec3 th\u1ea5y di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS n\u1eb1m t\u01b0\u01a1ng \u0111\u1ed1i g\u1ecdn","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 ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec","og_description":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau. Quan s\u00e1t m\u00e2m ch\u00e0y t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi c\u00f3 th\u1ec3 th\u1ea5y di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS n\u1eb1m t\u01b0\u01a1ng \u0111\u1ed1i g\u1ecdn","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-chay-cua-day-chang-cheo-sau\/","og_site_name":"Vinmec","article_published_time":"2023-04-15T16:04:15+00:00","article_modified_time":"2023-04-17T09:59:12+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":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-chay-cua-day-chang-cheo-sau\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-chay-cua-day-chang-cheo-sau\/","name":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-15T16:04:15+00:00","dateModified":"2023-04-17T09:59:12+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/23b59e05279f2010cef262423cbff684"},"description":"Gi\u1ea3i ph\u1eabu di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau. Quan s\u00e1t m\u00e2m ch\u00e0y t\u1eeb tr\u00ean xu\u1ed1ng d\u01b0\u1edbi c\u00f3 th\u1ec3 th\u1ea5y di\u1ec7n b\u00e1m ch\u00e0y c\u1ee7a DCCS n\u1eb1m t\u01b0\u01a1ng \u0111\u1ed1i g\u1ecdn","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-chay-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-chay-cua-day-chang-cheo-sau\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/giai-phau-dien-bam-chay-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 ch\u00e0y 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\/21816"}],"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=21816"}],"version-history":[{"count":4,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21816\/revisions"}],"predecessor-version":[{"id":23441,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/21816\/revisions\/23441"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=21816"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=21816"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=21816"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}