{"id":22214,"date":"2023-04-16T13:11:28","date_gmt":"2023-04-16T06:11:28","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22214"},"modified":"2023-04-17T16:58:55","modified_gmt":"2023-04-17T09:58:55","slug":"cau-truc-cua-day-chang-cheo-sau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/cau-truc-cua-day-chang-cheo-sau\/","title":{"rendered":"C\u00e1ch ph\u00e2n chia c\u1ea5u tr\u00fac c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau"},"content":{"rendered":"

Ph\u00e2n chia c\u1ea5u tr\u00fac c\u1ee7a DCCS<\/a> d\u1ef1a v\u00e0o \u0111\u01b0\u1eddng \u0111i c\u00e1c b\u00f3 s\u1ee3i c\u1ee7a d\u00e2y ch\u1eb1ng l\u00e0 m\u1ed9t vi\u1ec7c l\u00e0m kh\u00f3 kh\u0103n v\u00e0 kh\u00f4ng th\u1ed1ng nh\u1ea5t. M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 kh\u1eb3ng \u0111\u1ecbnh r\u1eb1ng DCCS l\u00e0 m\u1ed9t c\u1ea5u tr\u00fac \u0111\u01a1n b\u00f3. <\/strong>M\u1ed9t quan \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn r\u1ed9ng r\u00e3i l\u00e0 DCCS g\u1ed3m 2 b\u00f3 ch\u1ee9c n\u0103ng: BTN v\u00e0 BST. S\u1ef1 ph\u00e2n chia DCCS th\u00e0nh 2 b\u00f3 l\u00e0 s\u1ef1 ph\u00e2n chia nh\u00e2n t\u1ea1o ch\u1ee9 kh\u00f4ng ph\u1ea3i s\u1ef1 ph\u00e2n chia gi\u1ea3i ph\u1eabu v\u1ed1n c\u00f3 c\u1ee7a d\u00e2y ch\u1eb1ng.\u00a0<\/strong>Th\u00f4ng qua b\u00e0i vi\u1ebft, ch\u00fang t\u00f4i s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 C\u1ea5u tr\u00fac c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau: <\/strong><\/b>Ph\u00e2n chia c\u1ea5n tr\u00fac DCCS d\u1ef1a v\u00e0o \u0111\u01b0\u1eddng \u0111i c\u00e1c b\u00f3 s\u1ee3i c\u1ee7a d\u00e2y ch\u1eb1ng v\u00e0 p<\/b>h\u00e2n chia c\u1ea5u tr\u00fac c\u1ee7a DCCS d\u1ef1a v\u00e0o ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c b\u00f3 s\u1ee3i.<\/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. Ph\u00e2n chia c\u1ea5n tr\u00fac DCCS d\u1ef1a v\u00e0o \u0111\u01b0\u1eddng \u0111i c\u00e1c b\u00f3 s\u1ee3i c\u1ee7a d\u00e2y ch\u1eb1ng<\/b><\/h2>\n

Ph\u00e2n chia c\u1ea5u tr\u00fac c\u1ee7a DCCS d\u1ef1a v\u00e0o \u0111\u01b0\u1eddng \u0111i c\u00e1c b\u00f3 s\u1ee3i c\u1ee7a d\u00e2y ch\u00e0ng l\u00e0 m\u1ed9t vi\u1ec7c l\u00e0m kh\u00f3 kh\u0103n v\u00e0 kh\u00f4ng th\u1ed1ng nh\u1ea5t. M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 kh\u1eb3ng \u0111\u1ecbnh r\u1eb1ng DCCS l\u00e0 m\u1ed9t c\u1ea5u tr\u00fac \u0111\u01a1n b\u00f3. M\u1ed9t quan \u0111i\u1ebfm ph\u1ed1 bi\u1ec3n h\u01a1n, c\u00e1c t\u00e1c gi\u00e0 ghi nh\u1eadn DCCS l\u00e0 m\u1ed9t c\u1ea5u tr\u00fac ph\u1ee9c t\u1ea1p. Girgis v\u00e0 cs ghi nh\u1eadn DCCS g\u1ed3m 2 b\u00f3 nh\u01b0ng kh\u00f4ng th\u1ec3 t\u00e1ch r\u1eddi [3 \u1eca. Quan \u0111i\u1ec3m ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u00e1c t\u00e1c gi\u1ea3 \u0111\u1ec1u ghi nh\u1eadn DCCS g\u1ed3m 2 b\u00f3 ri\u00eang bi\u1ec7t \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u00f3 tr\u01b0\u1edbc v\u00e0 b\u00f3 sau v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 BTN v\u00e0 BST. M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 c\u00f2n ghi nh\u1eadn 2 b\u00f3 c\u1ee7a DCCS c\u00f3 c\u1ea5u tr\u00fac si\u00eau vi kh\u00e1c nhau, M\u1ed9t s\u1ed1 nh\u00e0 gi\u1ea3i ph\u1eabu tin r\u1eb1ng, ph\u00e2n chia DCCS th\u00e0nh 2 b\u00f3 l\u00e0 qu\u00e1 \u0111\u01a1n gi\u1ea3n. Trent v\u00e0 cs ph\u00e2n chia DCCS th\u00e0nh b\u00f3 tr\u01b0\u1edbc, b\u00f3 gi\u1eefa v\u00e0 b\u00f3 sau [24]. M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 kh\u1eb3ng \u0111\u1ecbnh r\u0103ng b\u00f3 xi\u00ean sau c\u1ee7a DCCS l\u00e0 m\u1ed9t c\u1ea9u tr\u00fac t\u00e1ch bi\u1ec7t, kh\u00e1c han v\u1edbi d\u00e2y ch\u1eb1ng \u0110- sc v\u00ec n\u00f3 c\u00f3 di\u1ec7n b\u00e1m ch\u00e0y ri\u00eang bi\u1ec7t. B\u00f3 sau c\u1ee7a DCCS c\u00f3 m\u1ed9t ph\u1ea7n b\u00f3 s\u1ee3i ch\u1ea1y xi\u00ean kh\u00f4ng th\u1ebf nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c b\u00f3 s\u1ee3i c\u1ee7a d\u00e2y ch\u00e0ng \u0110-SC v\u00ec c\u00f3 b\u00e1m t\u1eadn kh\u00e1c v\u1edbi d\u00e2y ch\u1eb1ng \u0110-SC. Quan \u0111i\u1ec3m c\u1ee7a Hamer v\u00e0 cs cho r\u1eb1ng, d\u00e2y ch\u1eb1ng \u0110-SC sau \u0111\u01b0\u1ee3c coi nh\u01b0 b\u00f3 th\u1ee9 ba c\u1ee7a DCCS [20], M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 cho r\u1eb1ng DCCS l\u00e0 m\u1ed9t c\u1ea5u tr\u00fac ti\u00ean t\u1ee5c g\u1ed3m nhi\u1ec1u b\u00f3 s\u1ee3i. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, DCCS g\u1ed3m 4 ph\u1ea7n h\u1ee3p th\u00e0nh: ph\u1ea7n tr\u01b0\u1edbc, ph\u1ea7n gi\u1eefa, <\/span>ph\u1ea7n d\u1ecdc sau v\u00e0 ph\u1ea7n xi\u00ean sau, Makris v\u00e0 cs ph\u00e2n chia DCCS th\u00e0nh 4 b\u00f3: b\u00f3 tr\u01b0\u1edbc, b\u00f3 gi\u1eefa, b\u00f3 d\u1ecdc sau v\u00e0 b\u00f3 x\u00edch sau. Tuy nhi\u00ean trong nghi\u00ean c\u1ee9u n\u00e0y, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u00e3 kh\u00f4ng bi\u1ec7t l\u1eadp \u0111\u01b0\u1ee3c b\u00f3 tr\u01b0\u1edbc v\u00e0 b\u00f3 gi\u1eefa v\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu [25].<\/span><\/p>\n

2. Ph\u00e2n chia c\u1ea5u tr\u00fac c\u1ee7a DCCS d\u1ef1a v\u00e0o ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c b\u00f3 s\u1ee3i<\/b><\/h2>\n

Ngay c\u1ea3 khi DCCS \u0111\u01b0\u1ee3c xem nh\u01b0 l\u00e0 m\u1ed9t c\u1ea5u tr\u00fac \u0111\u01a1n l\u00e8, s\u1ef1 c\u0103ng ch\u00f9ng c\u1ee7a c\u00e1c b\u00f3 s\u1ee3i c\u1ee7a DCCS c\u0169ng kh\u00e1c nhau trong qu\u00e1 tr\u00ecnh g\u1ea5p du\u1ed7i kh\u1edbp g\u1ed1i. M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 tin r\u1eb1ng c\u00f3 m\u1ed9t b\u00f3 s\u1ee3i c\u1ee7a d\u00e2y ch\u1eb1ng lu\u00f4n \u0111\u0103ng tr\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp g\u1ed1i.<\/span><\/p>\n

M\u1ed9t quan \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn r\u1ed9ng r\u00e3i l\u00e0 DCCS g\u1ed3m 2 b\u00f3 ch\u1ee9c n\u0103ng: BTN v\u00e0 BST. S\u1ef1 ph\u00e2n chia DCCS th\u00e0nh 2 b\u00f3 l\u00e0 s\u1ef1 ph\u00e2n chia nh\u00e2n t\u1ea1o ch\u1ee9 kh\u00f4ng ph\u1ea3i s\u1ef1 ph\u00e2n chia gi\u1ea3i ph\u1eabu v\u1ed1n c\u00f3 c\u1ee7a d\u00e2y ch\u00e0ng. C\u00f3 th\u1ec3 ph\u1eabu t\u00edch \u0111\u1ec3 t\u00e1ch DCCS th\u00e0nh BTN v\u00e0 BST d\u1ef1a v\u00e0o s\u1ef1 c\u0103ng, ch\u00f9ng kh\u00e1c nhau c\u1ee7a c\u00e1c b\u1ecf s\u1ee3i c\u1ea5u th\u00e0nh n\u00ean DCCS trong ho\u1ea1t \u0111\u1ed9ng g\u1ea5p – du\u1ed7i g\u1ed1i. C\u00f3 th\u1ec3 d\u1ec1 d\u00e0ng nh\u1eadn ra r\u1eb1ng, BTN b\u00e1m ch\u1ee7 y\u1ebfu v\u00e0o ph\u1ea7n m\u00e1i c\u1ee7a di\u1ec7n gian l\u1ed3i c\u1ea7u \u0111\u00f9i trong khi BST b\u00e1m ch\u1ee7 y\u1ebfu v\u00e0o m\u1eb7t trong di\u1ec7n gian l\u1ed3i c\u1ea7u \u0111\u00f9i c\u1ee7a l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i. C\u00f3 s\u1ef1 ch\u1ed3ng l\u1ea5n c\u00f9a c\u00e1c b\u00f3 s\u1ee3i c\u1ea5u th\u00e0nh n\u00ean DCCS t\u1eeb tr\u01b0\u1edbc ra sau. BTN c\u00f3 thi\u1ebft di\u1ec7n c\u1eaft ngang to h\u01b0n BST, v\u00e0 n\u00f3 c\u0169ng kh\u1ecfe h\u01a1n BST r\u1ea5t nhi\u1ec1u. M\u1eb7c d\u00f9 t\u1ef7 l\u1ec7 thi\u1ebft di\u1ec7n c\u1eaft ngang c\u1ee7a BTN v\u00e0 BST r\u1ea5t kh\u00e1c nhau nh\u01b0ng di\u1ec7n b\u00e1m ch\u00e0y c\u1eeda ch\u00fang g\u1ea7n nh\u01b0 t\u01b0\u01a1ng t\u1ef1 nhau<\/span><\/p>\n

\"c\u1ea5u
C\u1ea5u tr\u00fac hai b\u1ecf c\u1ee7a DCCS<\/figcaption><\/figure>\n

C\u00e1c b\u00f3 s\u1ee3i c\u1ee7a DCCS kh\u00f4ng xo\u1eafn quanh nhau trong khi du\u1ed7i g\u1ed1i. BTN n\u1eb1m \u1edf ph\u00eda tr\u01b0\u1edbc v\u00e0 BST n\u1eb1m \u1edf ph\u00eda sau n\u00ean khi quan s\u00e1t kh\u1edbp g\u1ed1i t\u1eeb ph\u00eda sau BST n\u1eb1m n\u00f4ng h\u01a1n BTN. B\u1edfi v\u1eady c\u00e1c b\u00f3 s\u1ee3i tr\u01b0\u1edbc l\u00e0 c\u00e1c b\u00f3 s\u1ee3i ng\u1eafn nh\u1ea5t c\u00f2n c\u00e1c b\u1ecf s\u1ee3i sau l\u00e0 c\u00e1c b\u00f3 s\u1ee3i d\u00e0i nh\u1ea5t c\u1ee7a DCCS. B\u00ean c\u1ea1nh \u0111\u00f3, m\u1ed9t m\u1ed1c gi\u1ea3i ph\u1eabu quan tr\u1ecdng c\u1ea7n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh c\u1ee7a DCCS l\u00e0 c\u00e1c b\u00f3 s\u1ee3i xi\u00ean sau. C\u00e1c b\u00f3 s\u1ee3i n\u00e0y \u0111\u00f4i khi c\u00f3 th\u1ec3 b\u1ecb nh\u1ea7m l\u1ea7n v\u1edbi d\u00e2y ch\u1eb1ng \u0110-SC sau n\u1ebfu kh\u00f4ng x\u00e1c \u0111\u1ecbnh r\u00f5 \u0111i\u1ebfm b\u00e1m c\u1ee7a n\u00f3, B\u1edfi v\u1ec9, gi\u1ed1ng v\u1edbi d\u00e2y ch\u00e0ng \u0110-SC sau, c\u00e1c b\u00f3 s\u1ee3i n\u00e0y n\u1eb1m \u1edb ph\u00eda sau c\u1ee7a DCCS, ch\u1ea1y theo m\u1ed9t \u0111\u01b0\u1eddng h\u01a1i nghi\u00eang, t\u1eeb m\u1eb7t trong di\u1ec7n gian l\u1ed3i c\u1ea7u c\u1ee7a l\u1ed3i c\u1ea7u trong x\u01b0\u01a1ng \u0111\u00f9i ra ngo\u00e0i nh\u01b0ng c\u00e1c b\u00f3 s\u1ee3i n\u00e0y kh\u00f4ng b\u00e1m t\u1eadn v\u00e0o s\u1eebng sau c\u1ee7a s\u1ee5n ch\u00eam ngo\u00e0i m\u00e0 \u0111\u1ebfn b\u00e1m t\u1eadn v\u00e0o x\u01b0\u01a1ng ch\u00e0y \u1edf ph\u00eda d\u01b0\u1edbi s\u1eebtig sau s\u1ee5n ch\u00eam ngo\u00e0i. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y n\u00ean nh\u1ea7m l\u1eabn trong ch\u1ea9n \u0111o\u00e1n n\u1ed9i soi gi\u1eefa \u0111\u1ee9t ho\u00e0n to\u00e0n DCCS trong khi d\u00e2y ch\u1eb1ng \u0110-SC sau c\u00f2n nguy\u00ean v\u1eb9n v\u1edbi \u0111\u1ee9t b\u00e1n ph\u1ea7n c\u00f9a DCCS.<\/span><\/p>\n

Fuss<\/span> v\u00e0 <\/span>cs <\/span>ph\u00e2n chia c\u1ea5u tr\u00fac c\u1ee7a <\/span>DCCS th\u00e0nh 3 b\u00f3 ch\u1ee9c n\u0103ng g\u1ed3m: b\u00f3 s\u1ee3i c\u0103ng trong qu\u00e1 tr\u00ecnh v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp g\u1ed1i, b\u00f3 s\u1ee3i c\u0103ng trong t\u01b0 th\u1ec3 g\u1ea5p g\u1ed1i t\u1ed1i \u0111a v\u00e0 b\u00f3 s\u1ee3i c\u0103ng trong t\u01b0 th\u1ebf du\u1ed7i g\u1ed1i t\u1ed1i \u0111a [26]. <\/span>V\u1edbi quan \u0111i\u1ec3m DCCS bao g\u1ed3m 4 th\u00e0nh ph\u1ea7n c\u1ea5u th\u00e0nh: b\u00f3 tr\u01b0\u1edbc, b\u00f3 gi\u1eefa, b\u00f3 d\u1ecdc sau v\u00e0 b\u00f3 xi\u00ean sau th\u00ec b\u00f3 tr\u01b0\u1edbc <\/span>ngh\u1ec9 ng\u01a1i ho\u00e0n to\u00e0n, b\u00f3 gi\u1eefa c\u0103ng nh\u1eb9 v\u00e0 b\u00f3 d\u1ecdc sau, b\u00f3 xi\u00ean sau c\u0103ng h\u01a1n trong t\u01b0 th\u1ebf du\u1ed7i g\u1ed1i t\u1ed1i \u0111a. Trong qu\u00e1 tr\u00ecnh g\u1ea5p g\u1ed1i, b\u00f3 tr\u01b0\u1edbc v\u00e0 b\u00f3 gi\u1eefa d\u1ea7n c\u0103ng h\u01a1n trong khi hai b\u00f3 sau d\u1ea7n gi\u1ea3m \u0111\u1ed9 c\u0103ng h\u01a1n. Khi g\u1ea5p g\u1ed1i s\u00e2u h\u01a1n, hai b\u00f3 sau c\u0103ng tr\u1edf l\u1ea1i, trong khi b\u00f3 tr\u01b0\u1edbc v\u1eabn c\u0103ng v\u00e0 b\u00f3 gi\u1eefa kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u ngh\u1ec9 ng\u01a1i.<\/span><\/p>\n

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

Ph\u00e2n chia c\u1ea5u tr\u00fac c\u1ee7a DCCS d\u1ef1a v\u00e0o \u0111\u01b0\u1eddng \u0111i c\u00e1c b\u00f3 s\u1ee3i c\u1ee7a d\u00e2y ch\u1eb1ng l\u00e0 m\u1ed9t vi\u1ec7c l\u00e0m kh\u00f3 kh\u0103n v\u00e0 kh\u00f4ng th\u1ed1ng nh\u1ea5t. M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 kh\u1eb3ng \u0111\u1ecbnh r\u1eb1ng DCCS l\u00e0 m\u1ed9t c\u1ea5u tr\u00fac \u0111\u01a1n b\u00f3. M\u1ed9t quan \u0111i\u1ec3m \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn r\u1ed9ng r\u00e3i l\u00e0 DCCS g\u1ed3m 2 b\u00f3 ch\u1ee9c n\u0103ng: […]<\/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":"\nC\u00e1ch ph\u00e2n chia c\u1ea5u tr\u00fac c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u1ea5u tr\u00fac c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau \u0111\u01b0\u1ee3c d\u1ef1a v\u00e0o \u0111\u01b0\u1eddng \u0111i c\u00e1c b\u00f3 s\u1ee3i c\u1ee7a l\u00e2y ch\u1eb1ng v\u00e0 ph\u00e2n chia c\u1ea9u tr\u00fac c\u1ee7a DCCS d\u1ef1a v\u00e0o ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c b\u00f3\" \/>\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=\"C\u00e1ch ph\u00e2n chia c\u1ea5u tr\u00fac c\u1ee7a d\u00e2y ch\u1eb1ng ch\u00e9o sau - 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