{"id":26281,"date":"2023-04-21T23:37:16","date_gmt":"2023-04-21T16:37:16","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26281"},"modified":"2023-05-02T10:14:29","modified_gmt":"2023-05-02T03:14:29","slug":"che-tuy-truc-tiep-gian-tiep-lay-tuy-buong-tren-rang-chua-dong-chop","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/che-tuy-truc-tiep-gian-tiep-lay-tuy-buong-tren-rang-chua-dong-chop\/","title":{"rendered":"Che tu\u1ef7 tr\u1ef1c ti\u1ebfp, gi\u00e1n ti\u1ebfp, l\u1ea5y tu\u1ef7 bu\u1ed3ng tr\u00ean r\u0103ng ch\u01b0a \u0111\u00f3ng ch\u00f3p."},"content":{"rendered":"

\u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p r\u0103ng ch\u01b0a \u0111\u00f3ng ch\u00f3p, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng v\u00e0 k\u00edch th\u00edch \u0111\u00f3ng ch\u00f3p. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb tu\u1ef7 \u0111\u00fang gi\u00fap h\u1ea1n ch\u1ebf t\u1ed5n th\u01b0\u01a1ng v\u1ec1 sau, \u0111\u1ea3m b\u1ea3o s\u1ef1 l\u00e0nh m\u1ea1nh h\u1ec7 th\u1ed1ng m\u00f4 tu\u1ef7 v\u00e0 m\u00f4 quanh ch\u00f3p. C\u00f9ng t\u00ecm hi\u1ec3u c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u1edf b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n

1. Che t\u1ee7y tr\u1ef1c ti\u1ebfp tr\u00ean r\u0103ng ch\u01b0a \u0111\u00f3ng ch\u00f3p<\/h2>\n

Th\u1ee7 thu\u1eadt n\u00e0y y\u00eau c\u1ea7u \u0111\u1eb7t 1 lo\u1ea1i v\u1eadt li\u1ec7u c\u00f3 ho\u1ea1t t\u00ednh sinh h\u1ecdc l\u00ean v\u00f9ng t\u1ee7y b\u1ecb l\u1ed9 v\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 lo\u1ea1i b\u1ecf m\u00f4 t\u1ee7y. S\u1ef1 ti\u1ebfn b\u1ed9 v\u1ec1 v\u1eadt li\u1ec7u nha khoa v\u00e0 k\u0129 thu\u1eadt l\u00e2m s\u00e0ng \u0111\u00e3 l\u00e0m thay \u0111\u1ed5i nh\u1eadn th\u1ee9c r\u1eb1ng, t\u1ee7y r\u0103ng l\u00e0 m\u1ed9t \u201cc\u01a1 quan b\u1ecb h\u01b0 h\u1ea1i\u201d khi b\u1ecb l\u1ed9 do s\u00e2u r\u0103ng.<\/p>\n

\"chua-dong-chop-1\"
(a) H\u00ecnh \u1ea3nh Xquang tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb c\u1ee7a m\u1ed9t RCL 1 h\u00e0m tr\u00ean b\u00ean (P) c\u00f3 l\u1ed7 s\u00e2u l\u1edbn \u1edf m\u1ed9t b\u1ec7nh nh\u00e2n n\u1eef 15 tu\u1ed5i, \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 vi\u00eam t\u1ee7y c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c. (b) H\u00ecnh \u1ea3nh l\u00e2m s\u00e0ng c\u1ee7a r\u0103ng sau khi lo\u1ea1i b\u1ecf m\u00f4 r\u0103ng s\u00e2u v\u00e0 c\u1ea7m m\u00e1u b\u1eb1ng NaOCl cho th\u1ea5y hai v\u1ecb tr\u00ed l\u1ed9 t\u1ee7y tr\u1ef1c ti\u1ebfp (m\u0169i t\u00ean). (c) H\u00ecnh \u1ea3nh cho th\u1ea5y \u0111\u1eb7t MTA l\u00ean th\u00e0nh t\u1ee7y v\u00e0 xung quanh ng\u00e0. (d) H\u00ecnh \u1ea3nh Xquang sau \u0111i\u1ec1u tr\u1ecb v\u1edbi mi\u1ebfng tr\u00e1m t\u1ea1m. (e) Xquang tr\u00e1m k\u1ebft th\u00fac b\u1eb1ng composite l\u00ean MTA sau 1 tu\u1ea7n. (f) H\u00ecnh \u1ea3nh Xquang 6 th\u00e1ng sau \u0111i\u1ec1u tr\u1ecb. R\u0103ng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111\u00e1p \u1ee9ng b\u00ecnh th\u01b0\u1eddng v\u1edbi test th\u1eed l\u1ea1nh b\u1eb1ng carbon dioxide.<\/figcaption><\/figure>\n

Nh\u1eefng th\u00e0nh c\u00f4ng b\u01b0\u1edbc \u0111\u1ea7u c\u1ee7a che t\u1ee7y tr\u1ef1c ti\u1ebfp \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn trong c\u00e1c nghi\u00ean c\u1ee9u v\u00e0 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u1ed9c l\u1eadp, v\u1edbi v\u1eadt li\u1ec7u che t\u1ee7y s\u1eed d\u1ee5ng l\u00e0 cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc thay v\u00ec l\u00e0 Ca(OH)2, cement glass ionomer lai nh\u1ef1a ho\u1eb7c nh\u1ef1a h\u00e1o n\u01b0\u1edbc (hydrophilic resin). Cement calcium silicate d\u01b0\u1eddng nh\u01b0 \u0111\u00e1ng tin c\u1eady trong vi\u1ec7c th\u00fac \u0111\u1ea9y s\u1ef1 h\u00ecnh th\u00e0nh c\u1ea7u ng\u00e0 s\u1eeda ch\u1eefa b\u1eb1ng c\u00e1ch k\u00edch th\u00edch s\u1ef1 bi\u1ec7t h\u00f3a c\u1ee7a t\u1ebf b\u00e0o g\u1ed1c tu\u1ef7 r\u0103ng ho\u1eb7c c\u00e1c t\u1ebf b\u00e0o ti\u1ec1n th\u00e2n c\u1ee7a t\u1ee7y r\u0103ng v\u00e0o c\u00e1c t\u1ebf b\u00e0o gi\u1ed1ng nh\u01b0 nguy\u00ean b\u00e0o ng\u00e0 (odontoblast-like cell) m\u1edbi t\u1ea1o ra, th\u00f4ng qua m\u1ed9t qu\u00e1 tr\u00ecnh sinh h\u1ecdc ph\u1ee9c t\u1ea1p bao g\u1ed3m s\u1ef1 ch\u1ecdn l\u1ef1a, t\u0103ng sinh v\u00e0 di c\u01b0 nh\u01b0 \u0111\u01b0\u1ee3c minh h\u1ecda trong h\u00ecnh d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n

\"chua-dong-chop-2\"
(a) H\u00ecnh \u1ea3nh Xquang m\u1ed9t RCL 1 h\u00e0m d\u01b0\u1edbi b\u00ean (P) cho th\u1ea5y r\u0103ng c\u00f3 mi\u1ebfng tr\u00e1m t\u1ea1m tr\u00ean g\u00f2n \u1edf 1 b\u1ec7nh nh\u00e2n nam 12 tu\u1ed5i c\u00f3 l\u1ed7 s\u00e2u l\u1edbn. (b) H\u00ecnh \u1ea3nh Xquang sau \u0111i\u1ec1u tr\u1ecb che t\u1ee7y tr\u1ef1c ti\u1ebfp v\u1edbi MTA, \u0111\u1eb7t g\u00f2n \u1ea9m v\u00e0 tr\u00e1m t\u1ea1m. (c) H\u00ecnh \u1ea3nh Xquang 1 n\u0103m sau \u0111i\u1ec1u tr\u1ecb cho th\u1ea5y s\u1ef1 th\u00e0nh l\u1eadp c\u1ea7u ng\u00e0 b\u00ean d\u01b0\u1edbi v\u1ecb tr\u00ed MTA (m\u0169i t\u00ean). (d) H\u00ecnh \u1ea3nh Xquang 9 n\u0103m sau \u0111i\u1ec1u tr\u1ecb. B\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 r\u0103ng \u0111\u00e1p \u1ee9ng b\u00ecnh th\u01b0\u1eddng v\u1edbi c\u00e1c test th\u1eed nghi\u1ec7m \u0111\u1ed9 nh\u1ea1y c\u1ea3m.<\/figcaption><\/figure>\n

M\u1eb7c d\u00f9 ngu\u1ed3n g\u1ed1c v\u00e0 t\u00ednh \u0111\u1eb7c hi\u1ec7u c\u1ee7a c\u00e1c t\u1ebf b\u00e0o t\u1ea1o m\u00f4 c\u1ee9ng m\u1edbi ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, nh\u01b0ng nh\u1eefng ph\u00e2n t\u00edch m\u00f4 h\u1ecdc g\u1ea7n \u0111\u00e2y v\u1ec1 che t\u1ee7y tr\u1ef1c ti\u1ebfp tr\u00ean r\u0103ng ng\u01b0\u1eddi s\u1eed d\u1ee5ng Ca(OH)2, cho th\u1ea5y h\u00e0ng r\u00e0o m\u00f4 c\u1ee9ng s\u1eeda ch\u1eefa t\u1ea1o ra t\u1eeb v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng c\u1ee7a c\u00e1c nguy\u00ean b\u00e0o ng\u00e0 c\u00f3 th\u1ec3 l\u00e0 s\u1ea3n ph\u1ea9m cu\u1ed1i c\u00f9ng c\u1ee7a c\u00e1c nguy\u00ean b\u00e0o s\u1ee3i \u1edf m\u00f4 t\u1ee7y h\u01a1n l\u00e0 do s\u1ef1 bi\u1ec7t h\u00f3a h\u00ecnh th\u1ec3 c\u1ee7a c\u00e1c t\u1ebf b\u00e0o gi\u1ed1ng nguy\u00ean b\u00e0o ng\u00e0 (odontoblast-like cell). Vi\u1ec7c ki\u1ec3m tra c\u00e1c m\u00f4 c\u1ee9ng \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh cho th\u1ea5y c\u00e1c m\u00f4 kho\u00e1ng h\u00f3a trong nh\u1eefng \u1ed1ng ng\u00e0 khi\u1ebfm khuy\u1ebft c\u00f3 ch\u1ee9a m\u1ea3nh v\u1ee5n m\u00f4 ho\u1ea1i t\u1eed, t\u01b0\u01a1ng t\u1ef1 v\u1edbi s\u1ea1n t\u1ee7y \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh t\u1eeb s\u1ef1 v\u00f4i h\u00f3a ng\u1eaft qu\u00e3ng.<\/p>\n

2. Che t\u1ee7y gi\u00e1n ti\u1ebfp<\/h2>\n

Th\u1ee7 thu\u1eadt n\u00e0y b\u1ea3o t\u1ed3n c\u00e1c nguy\u00ean b\u00e0o ng\u00e0 g\u1ed1c \u0111\u1ec3 k\u00edch th\u00edch s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee7a ng\u00e0 ph\u1ea3n \u1ee9ng (ng\u00e0 th\u1ee9 ba) b\u1eb1ng c\u00e1ch l\u00e0m t\u0103ng sinh c\u00e1c t\u1ebf b\u00e0o trong tr\u01b0\u1eddng h\u1ee3p l\u1ed7 s\u00e2u l\u1edbn v\u00e0 \u0111\u1ec3 tr\u00e1nh l\u1ed9 t\u1ee7y. Vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00f3 th\u1ec3 b\u1eb1ng k\u0129 thu\u1eadt b\u1eadc thang (stepwise) (hai l\u1ea7n h\u1eb9n) ho\u1eb7c k\u0129 thu\u1eadt one \u2014 step b\u1eb1ng c\u00e1ch \u0111\u1ec3 l\u1ea1i m\u00f4 r\u0103ng s\u00e2u t\u1ef1 t\u00e1i kho\u00e1ng h\u00f3a sau khi \u0111\u1eb7t v\u1eadt li\u1ec7u che t\u1ee7y v\u00e0 tr\u00e1m k\u1ebft th\u00fac. Nh\u1eefng nghi\u00ean c\u1ee9u v\u1ec1 che t\u1ee7y gi\u00e1n ti\u1ebfp cho th\u1ea5y k\u1ebft qu\u1ea3 r\u1ea5t kh\u1ea3 quan \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i; tuy nhi\u00ean vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u01b0\u01a1ng \u0111\u1ed1i g\u00e2y nh\u1ea1y c\u1ea3m, s\u00e2u r\u0103ng t\u00e1i ph\u00e1t v\u00e0\/ho\u1eb7c m\u1ea5t l\u01b0\u1ee3ng ng\u00e0 trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb l\u00e0 nh\u1eefng b\u1ea5t l\u1ee3i ti\u1ec1m t\u00e0ng.<\/p>\n

3. L\u1ea5y t\u1ee7y bu\u1ed3ng b\u00e1n ph\u1ea7n v\u00e0 to\u00e0n ph\u1ea7n<\/h2>\n

C\u1ea3 hai k\u0129 thu\u1eadt \u0111\u1ec1u \u0111\u00f2i h\u1ecfi lo\u1ea1i b\u1ecf m\u00f4 t\u1ee7y d\u1ef1a tr\u00ean tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a m\u00f4 t\u1ee7y l\u00e0nh m\u1ea1nh c\u00f2n l\u1ea1i ho\u1eb7c m\u1ee9c \u0111\u1ed9 v\u00e0 v\u1ecb tr\u00ed n\u1ee9t g\u00e3y r\u0103ng trong tr\u01b0\u1eddng h\u1ee3p ch\u1ea5n th\u01b0\u01a1ng. Khi r\u0103ng l\u1ed9 t\u1ee7y, m\u00f4 t\u1ee7y b\u1ecb vi\u00eam ho\u1eb7c ho\u1ea1i t\u1eed s\u1ebd \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf cho \u0111\u1ebfn v\u1ecb tr\u00ed m\u00f4 t\u1ee7y l\u00e0nh m\u1ea1nh, v\u00e0 \u0111\u1eb7t v\u1eadt li\u1ec7u che t\u1ee7y trong khi v\u1eabn \u0111\u1ec3 l\u1ea1i m\u1ed9t ph\u1ea7n m\u00f4 t\u1ee7y bu\u1ed3ng l\u00e0nh m\u1ea1nh, \u0111\u1ed1i v\u1edbi l\u1ea5y t\u1ee7y bu\u1ed3ng b\u00e1n ph\u1ea7n. C\u00f2n \u0111\u1ed1i v\u1edbi l\u1ea5y t\u1ee7y bu\u1ed3ng to\u00e0n b\u1ed9, m\u00f4 t\u1ee7y trong bu\u1ed3ng t\u1ee7y \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n cho \u0111\u1ebfn s\u00e0n t\u1ee7y \u1edf r\u0103ng sau nh\u1eb1m th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh \u0111\u00f3ng ch\u00f3p \u1edf nh\u1eefng r\u0103ng c\u1ee7a ng\u01b0\u1eddi tr\u1ebb. Lo\u1ea1i b\u1ecf m\u1ed9t ph\u1ea7n m\u00f4 t\u1ee7y (3 \u2013 4 mm) \u0111\u1ed1i v\u1edbi r\u0103ng tr\u01b0\u1edbc c\u00f3 ch\u1ea5n th\u01b0\u01a1ng c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 k\u0129 thu\u1eadt Cvek.<\/p>\n

\"\"
K\u0129 thu\u1eadt l\u1ea5y t\u1ee7y bu\u1ed3ng Cvek \u0111\u1ec3 k\u00edch th\u00edch \u0111\u00f3ng ch\u00f3p. (a) H\u00ecnh \u1ea3nh l\u00e2m s\u00e0ng r\u0103ng c\u1eeda h\u00e0m tr\u00ean b\u00ean (T) b\u1ecb ch\u1ea5n th\u01b0\u01a1ng \u1edf m\u1ed9t b\u1ec7nh nh\u00e2n nam 8 tu\u1ed5i. (b) Xquang c\u1eadn ch\u00f3p cho th\u1ea5y hai \u0111\u01b0\u1eddng n\u1ee9t ch\u00e9o \u1edf th\u00e2n r\u0103ng v\u00e0 r\u0103ng c\u00f3 l\u1ed7 ch\u00f3p m\u1edf (m\u0169i t\u00ean). (c, d) H\u00ecnh \u1ea3nh l\u00e2m s\u00e0ng t\u1ee7y l\u1ed9 v\u00e0 k\u0129 thu\u1eadt Cvek s\u1eed d\u1ee5ng MTA tr\u1eafng sau khi c\u1ea7m m\u00e1u b\u1eb1ng NaOCl. (e) H\u00ecnh \u1ea3nh Xquang sau khi ho\u00e0n t\u1ea5t vi\u1ec7c l\u1ea5y t\u1ee7y bu\u1ed3ng v\u00e0 tr\u00e1m t\u00e1i t\u1ea1o b\u1eb1ng composite. (f) Xquang 2 n\u0103m sau \u0111i\u1ec1u tr\u1ecb v\u00e0 (g) 5 n\u0103m sau \u0111i\u1ec1u tr\u1ecb. (h, i) H\u00ecnh \u1ea3nh l\u00e2m s\u00e0ng v\u00e0 Xquang 7 n\u0103m sau \u0111i\u1ec1u tr\u1ecb cho th\u00e1y v\u1ebft \u0111\u1ed5i m\u00e0u nh\u1ecf t\u1ea1i v\u1ecb tr\u00ed r\u00eca mi\u1ebfng tr\u00e1m composite v\u00e0 ch\u00f3p ch\u00e2n r\u0103ng \u0111\u00e3 \u0111\u00f3ng ho\u00e0n to\u00e0n (m\u0169i t\u00ean).<\/figcaption><\/figure>\n

K\u0129 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u1ef1a tr\u00ean papilla ch\u00f3p v\u00e0 l\u01b0\u1ee3ng t\u1ebf b\u00e0o g\u1ed1c tu\u1ef7 r\u0103ng c\u00f2n l\u1ea1i nh\u1eb1m th\u00e0nh l\u1eadp c\u1ea7u ng\u00e0 s\u1eeda ch\u1eefa v\u00e0 ti\u1ebfp t\u1ee5c qu\u00e1 tr\u00ecnh \u0111\u00f3ng ch\u00f3p. Ng\u01b0\u1eddi ta th\u1ea5y th\u1ee7 thu\u1eadt \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u00f3 hi\u1ec7u qu\u1ea3 khi s\u1eed d\u1ee5ng v\u1eadt li\u1ec7u cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc cho c\u1ea3 tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn, ngay c\u1ea3 khi r\u0103ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 vi\u00eam t\u1ee7y kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c.<\/p>\n

T\u1ea5t c\u1ea3 c\u00e1c k\u0129 thu\u1eadt c\u1ee7a \u0111i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n \u0111\u1ec1u d\u1ef1a v\u00e0o kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c ti\u1ec1m t\u00e0ng c\u1ee7a m\u00f4 t\u1ee7y d\u01b0\u1edbi nh\u1eefng \u0111i\u1ec1u ki\u1ec7n l\u00e2m s\u00e0ng kh\u00e1c nhau. L\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 vi\u00eam, kh\u1ea3 n\u0103ng c\u1ea7m m\u00e1u khi s\u1eed d\u1ee5ng cement calcium silicate-based t\u01b0\u01a1ng h\u1ee3p sinh h\u1ecdc \u0111\u1ec3 th\u00fac \u0111\u1ea9y s\u1ef1 t\u00e1i l\u1eadp m\u00f4 c\u1ee9ng v\u00e0 \u0111\u00f3ng ch\u00f3p. B\u1ea3o t\u1ed3n t\u1ee7y r\u0103ng m\u1ed9t ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 c\u00f3 th\u1ec3 coi l\u00e0 m\u1ed9t k\u0129 thu\u1eadt ti\u00ean ti\u1ebfn so v\u1edbi nh\u1eefng l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha tri\u1ec7t \u0111\u1ec3. Trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam t\u1ee7y kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c, l\u1ea5y t\u1ee7y bu\u1ed3ng to\u00e0n b\u1ed9 c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p \u0111\u00e1ng tin c\u1eady \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i v\u00e0 \u0111i\u1ec1u quan tr\u1ecdng nh\u1ea5t l\u00e0, k\u1ebft qu\u1ea3 cu\u1ed1i c\u00f9ng c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c k\u0129 thu\u1eadt \u0111i\u1ec1u tr\u1ecb t\u1ee7y b\u1ea3o t\u1ed3n ph\u1ee5 thu\u1ed9c v\u00e0o ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 \u0111\u1ed9 b\u1ecbt k\u00edn c\u1ee7a ph\u1ee5c h\u1ed3i cu\u1ed1i c\u00f9ng.<\/p>\n

\"\"
(a) H\u00ecnh \u1ea3nh Xquang tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb c\u1ee7a m\u1ed9t RCL 2 h\u00e0m d\u01b0\u1edbi b\u00ean (T) c\u00f3 tri\u1ec7u ch\u1ee9ng, v\u1edbi m\u1ed9t l\u1ed7 s\u00e2u l\u1edbn \u1edf m\u1ed9t b\u1ec7nh nh\u00e2n nam 32 tu\u1ed5i. (b) H\u00ecnh \u1ea3nh Xquang 1 tu\u1ea7n sau \u0111i\u1ec1u tr\u1ecb b\u1eb1ng che t\u1ee7y tr\u1ef1c ti\u1ebfp v\u1edbi MTA v\u00e0 tr\u00e1m t\u00e1i t\u1ea1o b\u1eb1ng composite. B\u1ec7nh nh\u00e2n \u0111\u00e3 h\u1ebft tri\u1ec7u ch\u1ee9ng sau 24 gi\u1edd \u0111\u1eb7t MTA. (c) H\u00ecnh \u1ea3nh Xquang 2 n\u0103m 4 th\u00e1ng sau \u0111i\u1ec1u tr\u1ecb cho th\u1ea5y c\u1ea5u tr\u00fac quanh ch\u00f3p b\u00ecnh th\u01b0\u1eddng. R\u0103ng \u0111\u00e1p \u1ee9ng b\u00ecnh th\u01b0\u1eddng v\u1edbi test th\u1eed \u0111\u1ed9 nh\u1ea1y c\u1ea3m.<\/figcaption><\/figure>\n

Ngu\u1ed3n: Clinical Guide for Optimal Treatment Outcome – Springer International Publishing Switzerland 2017<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

\u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p r\u0103ng ch\u01b0a \u0111\u00f3ng ch\u00f3p, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh l\u00e0nh th\u01b0\u01a1ng v\u00e0 k\u00edch th\u00edch \u0111\u00f3ng ch\u00f3p. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb tu\u1ef7 \u0111\u00fang gi\u00fap h\u1ea1n ch\u1ebf t\u1ed5n th\u01b0\u01a1ng v\u1ec1 sau, \u0111\u1ea3m b\u1ea3o s\u1ef1 l\u00e0nh m\u1ea1nh h\u1ec7 th\u1ed1ng m\u00f4 tu\u1ef7 v\u00e0 m\u00f4 quanh ch\u00f3p. C\u00f9ng t\u00ecm […]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[],"yoast_head":"\nChe tu\u1ef7 tr\u1ef1c ti\u1ebfp, gi\u00e1n ti\u1ebfp, l\u1ea5y tu\u1ef7 bu\u1ed3ng tr\u00ean r\u0103ng ch\u01b0a \u0111\u00f3ng ch\u00f3p.<\/title>\n<meta name=\"description\" content=\"\u0110i\u1ec1u tr\u1ecb tu\u1ef7 r\u0103ng ch\u01b0a \u0111\u00f3ng ch\u00f3p \u0111\u00fang h\u1ea1n ch\u1ebf t\u1ed5n th\u01b0\u01a1ng v\u1ec1 sau, \u0111\u1ea3m b\u1ea3o l\u00e0nh th\u01b0\u01a1ng. 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