{"id":2750,"date":"2023-04-09T19:20:14","date_gmt":"2023-04-09T12:20:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2750"},"modified":"2023-04-10T18:13:56","modified_gmt":"2023-04-10T11:13:56","slug":"phau-thuat-noi-soi-thay-khop-vai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/phau-thuat-noi-soi-thay-khop-vai\/","title":{"rendered":"Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai &#8211; \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 ph\u1eabu thu\u1eadt"},"content":{"rendered":"<p><strong>C\u00f9ng v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng c\u1ee7a ng\u00e0nh ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a n\u1ed9i soi kh\u1edbp vai c\u00f3 nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc t\u1eeb \u0111\u00f3 gi\u00fap cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u1ed5n th\u01b0\u01a1ng hi\u1ec7u qu\u1ea3, \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng v\u00e0 th\u1ea9m m\u1ef9 cho b\u1ec7nh nh\u00e2n<\/strong>.<\/p>\n<h2>1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai<\/h2>\n<p><span style=\"font-weight: 400;\"><a href=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/phau-thuat-noi-soi-khop-vai-tu-the-va-duong-vao\/\">Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp<\/a> l\u00e0 m\u1ed9t trong nh\u1eefng ti\u1ebfn b\u1ed9 l\u1edbn nh\u1ea5t c\u1ee7a chuy\u00ean ng\u00e0nh ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh th\u1ebf k\u1ef7 tr\u01b0\u1edbc. N\u0103m 1919 gi\u00e1o s\u01b0 ng\u01b0\u1eddi Nh\u1eadt Kenji Takagi \u0111\u00e0 th\u1ef1c hi\u1ec7n ca n\u1ed9i soi kh\u1edbp g\u1ed1i \u0111\u1ea7u ti\u00ean. So v\u1edbi n\u1ed9i soi kh\u1edbp g\u1ed1i th\u00ec ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai kh\u1edbp \u0111i\u1ec3m ph\u00e1t tri\u1ec3n ch\u1eadm h\u01a1n khi n\u0103m 1931 sau khi th\u0103m kh\u00e1m b\u1eb1ng n\u1ed9i soi 25 kh\u1edbp vai t\u1eed thi, Burman &#8211; Ph\u1eabu thu\u1eadt vi\u00ean ng\u01b0\u1eddi M\u1ef9 \u0111\u00e3 c\u00f3 nh\u1eefng b\u00e1o c\u00e1o \u0111\u1ea7u ti\u00ean v\u1ec1 n\u1ed9i soi kh\u1edbp vai. N\u0103m 1965, ca l\u00e2m s\u00e0ng \u0111\u1ea7u ti\u00ean c\u1ee7a ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai m\u1edbi \u0111\u01b0\u1ee3c \u0111\u01b0\u1ee3c<\/span><span style=\"font-weight: 400;\"> t\u1ea3 b\u1edbi b\u1edbi Andren. Wiley v\u00e0 Order n\u0103m 1980 sau khi n\u1ed9i soi kh\u1edbp vai c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb c\u1ee9ng kh\u1edbp vai v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n kh\u00e1c.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Watanabe v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 m\u00f4 t\u1ea3 chi ti\u1ebft v\u1ecb tr\u00ed v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c ng\u00f5 tr\u01b0\u1edbc v\u00e0 sau, \u0111\u1ed3ng th\u1eddi c\u00f4ng b\u1ed1 c\u00e1c b\u00e1o c\u00e1o \u0111\u1ea7u ti\u00ean n\u1ed9i soi ch\u1ea9n \u0111o\u00e1n v\u1ec1 g\u00e3y x\u01b0\u01a1ng s\u1ee5n, x\u00e1c \u0111\u1ecbnh v\u00e0 gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 l\u1ecfng kh\u1edbp, \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, x\u00e1c \u0111\u1ecbnh t\u1ed5n th\u01b0\u01a1ng g\u00e2n nh\u1ecb \u0111\u1ea7u v\u00e0 s\u1ee5n vi\u1ec1n \u1ed5 ch\u1ea3o.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">T\u1eeb n\u0103m 1980, c\u00f3 h\u00e0ng lo\u1ea1t nghi\u00ean c\u1ee9u ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u0169ng nh\u01b0 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3. S\u1ef1 hi\u1ec3u bi\u1ebft v\u1ec1 nh\u1eefng r\u1ed1i lo\u1ea1n c\u1ee7a kh\u1edbp vai c\u0169ng nh\u01b0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb ch\u00fang \u0111\u00e3 c\u00f3 nh\u1eefng ti\u1ebfn b\u1ed9 \u0111\u00e1ng k\u1ec3 trong v\u00e0i th\u1eadp k\u1ef7 qua nh\u1edd k\u1ebft qu\u1ea3 c\u1ee7a n\u1ed9i soi kh\u1edbp vai ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng t\u1eeb ch\u00e2n \u0111o\u00e1n \u0111\u1ebfn d\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt v\u00e0 b\u00e2y gi\u1edd l\u00e0 k\u1ef9 thu\u1eadt can thi\u1ec7p t\u00e1i t\u1ea1o. N\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed l\u00fd tr\u1eadt kh\u1edbp vai t\u00e1i di\u1ec5n, h\u1ed9i ch\u1ee9ng h\u1eb9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai, b\u1ec7nh c\u1ee7a ch\u00f3p xoay, tr\u1eadt kh\u1edbp c\u00f9ng \u0111\u00f2n, vi\u00eam kh\u1edbp c\u00f9ng \u0111\u00f2n, r\u00e1ch g\u00e2n nh\u1ecb \u0111\u1ea7u v\u00e0 s\u1ee5n vi\u1ec1n, t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng qu\u1ea1 \u0111\u00f2n, g\u00e3y x\u01b0\u01a1ng v\u00e0 ch\u1ea5n th\u01b0\u01a1ng m\u00f4 m\u1ec1m kh\u00e1c v\u00f9ng kh\u1edbp vai, c\u0169ng nh\u01b0 m\u1ed9t lo\u1ea1t c\u00e1c ph\u1eabu thu\u1eadt cho kh\u1edbp vai m\u1ea5t v\u1eefng, s\u1eeda ch\u1eefa Bankart, s\u1eeda ch\u1eefa bao kh\u1edbp, v\u00e0 th\u1ee7 thu\u1eadt Latarjet th\u1ef1c hi\u1ec7n b\u1edfi n\u1ed9i soi. V\u1edbi kh\u1edbp vai m\u1ea5t v\u1eefng, th\u01b0\u1eddng do r\u00e1ch bao kh\u1edbp v\u00e0 s\u1ee5n vi\u1ec1n, ho\u1eb7c bao kh\u1edbp b\u1ecb gi\u00e3n qu\u00e1 m\u1ee9c c\u0169ng c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i b\u1eb1ng n\u1ed9i soi kh\u1edbp. V\u1edbi ph\u1eabu thu\u1eadt m\u1ed5 m\u1edf, s\u1ef1 c\u0103ng gi\u00e3n c\u1ee7a bao kh\u1edbp kh\u00f4ng th\u1ebf \u0111i\u1ec1u ch\u1ec9nh ch\u00ednh x\u00e1c \u0111\u01b0\u1ee3c. C\u00e1c k\u1ef9 thu\u1eadt n\u1ed9i soi m\u1edbi h\u01a1n nh\u1eb1m lo\u1ea1i b\u1ecf s\u1ef1 gi\u00e3n qu\u00e1 m\u1ee9c c\u1ee7a bao kh\u1edbp b\u1eb1ng kh\u00e2u g\u1ea5p n\u1ebfp bao kh\u1edbp, ho\u1eb7c l\u00e0m co r\u00fat bao kh\u1edbp do t\u00e1c d\u1ee5ng c\u1ee7a nhi\u1ec7t ho\u1eb7c laser.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt gi\u1ea3i ph\u00f3ng ch\u00e8n \u00e9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi Harvard Ellman n\u0103m 1985, hi\u1ec7n nay \u0111\u01b0\u1ee3c coi l\u00e0 ph\u1eabu thu\u1eadt n\u1ed9i soi th\u01b0\u1eddng quy. T\u1ed5n th\u01b0\u01a1ng m\u1edbi m\u00e0 tr\u01b0\u1edbc \u0111\u00e2y ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111\u00e3 \u0111\u01b0\u1ee3c chi ti\u1ebft h\u00f3a v\u00e0 ph\u00e2n lo\u1ea1i r\u00f5 r\u00e0ng gi\u00fap m\u1edf r\u1ed9ng ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t tr\u01b0\u1edbc m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111au c\u1ee7a kh\u1edbp vai. M\u1ed9t v\u00ed d\u1ee5 l\u00e0 t\u1ed5n th\u01b0\u01a1ng SLAP (r\u00e1ch s\u1ee5n vi\u1ec1n tr\u00ean ph\u00eda tr\u01b0\u1edbc v\u00e0 sau) \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 b\u1edfi Steve Snyder trong c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean th\u1ec3 thao, hay s\u1ef1 c\u1ecd x\u00e1t c\u1ee7a ch\u00f3p xoay ch\u1ed1ng l\u1ea1i m\u1eb7t sau tr\u00ean c\u1ee7a s\u1ee5n vi\u1ec1n khi vai d\u1ea1ng v\u00e0 xoay ngo\u00e0i, m\u1ed9t hi\u1ec7n t\u01b0\u1ee3ng \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 b\u1edfi Walch v\u00e0o n\u0103m 1991. Nhi\u1ec1u bi\u1ec3n th\u1ec3 nh\u01b0 ph\u1ee9c h\u1ee3p Buford v\u00e0 bi\u00ean c\u1ee7a g\u00e2n nh\u1ecb \u0111\u1ea7u \u0111\u01b0\u1ee3c\u00a0 c\u00f4ng nh\u1eadn l\u00e0 m\u1ed9t th\u1ef1c th\u1ebf gi\u1ea3i ph\u1eabu.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ph\u1eabu thu\u1eadt n\u1ed9i soi Weaver-Dunn, gh\u00e9p x\u01b0\u01a1ng v\u00e0 c\u1ed1 \u0111\u1ecbnh x\u01b0\u01a1ng g\u00e3y v\u00f9ng vai c\u00f3 n\u1ed9i soi h\u1ed7 tr\u1ee3 \u0111\u00e0 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n g\u1ea7n \u0111\u00e2y. Tuy nhi\u00ean b\u1ea5t l\u1ee3i l\u00e0 t\u00fd l\u1ec7 bi\u1ebfn ch\u1ee9ng cao h\u01a1n trong khi ph\u1eabu thu\u1eadt th\u1ef1c hi\u1ec7n ph\u00fac t\u1ea1p h\u01a1n n\u00ean kh\u00f4ng \u0111\u01b0\u1ee3c ph\u1ed5 bi\u1ebfn.<\/span><\/p>\n<h2>2. Chu\u1ea9n b\u1ecb b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/h2>\n<h3>2.1. Chu\u1ea9n b\u1ecb b\u1ec7nh nh\u00e2n<\/h3>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 <\/span><span style=\"font-weight: 400;\">x\u00e9t nghi\u1ec7m <\/span><span style=\"font-weight: 400;\">tr\u01b0\u1edbc m\u1ed5 \u0111\u1ea7y \u0111\u1ee7 v\u00e0 c\u1ee5 th\u1ec3 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng, c\u00e1c th\u01b0\u01a1ng t\u1ed5n ph\u1ed1i h\u1ee3p v\u00e0 b\u1ec7nh k\u00e8m theo \u0111\u1ed5 c\u00f3 d\u1ef1 ph\u00f2ng h\u1ee3p l\u00fd.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Gi\u1ea3i th\u00edch gia \u0111\u00ecnh v\u00e0 b\u1ec7nh nh\u00e2n r\u00f5 r\u00e0ng \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ec3 h\u1ecd hi\u1ec3u t\u00ecnh tr\u1ea1ng b\u1ec7nh t\u1eadt v\u00e0 y\u00ean t\u00e2m \u0111i\u1ec1u tr\u1ecb.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u01b0\u1edbc ng\u00e0y m\u1ed5 b\u1ec7nh nh\u00e2n nh\u1ecbn \u0103n u\u1ed1ng v\u1ec7 sinh v\u00f9ng m\u1ed5 s\u1ea1ch s\u1ebd, b\u00e1c <\/span>s\u0129 kh\u00e1m l\u1ea1i v\u00e0 \u0111\u00e1nh d\u1ea5u v\u00f9ng m\u1ed5.<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u01b0\u1edbc khi g\u00e2y m\u00ea xem l\u1ea1i h\u1ed3 s\u01a1 tr\u01b0\u1edbc m\u1ed5, treo phim \u1edf v\u1ecb tr\u00ed d\u1ec5 d\u00e0ng quan s\u00e1t khi ph\u1eabu thu\u1eadt v\u00e0 xem l\u1ea1i phim l\u1ea7n n\u1eefa \u0111\u1ed3ng th\u1eddi x\u00e1c \u0111\u1ecbnh l\u1ea1i b\u00ean c\u1ea7n ph\u1eabu thu\u1eadt tr\u00e1nh nh\u1ea7m l\u1eabn.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Sau khi \u0111\u00e3 g\u00e2y m\u00ea c\u1ea7n kh\u00e1m l\u1ea1i d\u01b0\u1edbi g\u00e2y\u00a0m\u00ea\u00a0\u0111\u1ec3\u00a0\u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c th\u01b0\u01a1ng t\u1ed5n h\u01a1n v\u00e0 \u0111\u1ec3 c\u00f3 chi\u1ebfn thu\u1eadt ph\u1eabu thu\u1eadt h\u1ee3p l\u00fd.<\/span><\/li>\n<\/ul>\n<h3>2.2. Thi\u1ebft k\u1ebf ph\u00f2ng m\u1ed5<\/h3>\n<ul>\n<li aria-level=\"1\">\n<div class=\"mceTemp\">\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2760 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/phong-mo-300x257.png\" alt=\"Thi\u1ebft k\u1ebf ph\u00f2ng m\u1ed5 n\u1ed9i soi vai\" width=\"300\" height=\"257\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/phong-mo-300x257.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/phong-mo.png 692w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<ul id=\"attachment_2760\" class=\"wp-caption aligncenter\" style=\"width: 300px;\">H\u00ecnh 1. Thi\u1ebft k\u1ebf ph\u00f2ng m\u1ed5 n\u1ed9i soi vai<\/ul>\n<\/div>\n<\/li>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u1ee7 kh\u00f4ng gian, tho\u00e1ng m\u00e1t s\u1ea1ch s\u1ebd, m\u1ed9t chi\u1ec1u.<\/span><\/li>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Thi\u1ebft k\u1ebf v\u1ecb tr\u00ed b\u00e0n m\u1ed5, v\u1ecb tr\u00ed c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean, d\u1ee5ng c\u1ee5 vi\u00ean, c\u0169ng nh\u01b0 trang thi\u1ebft b\u1ecb ph\u1ee5c v\u1ee5 cho n\u1ed9i soi th\u00edch h\u1ee3p, sao cho qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt di\u1ec5n ra thu\u1eadn l\u1ee3i nh\u1ea5t.<\/span><\/li>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">B\u00e0n \u0111\u1ef1ng m\u00e1y n\u1ed9i soi, m\u00e1y n\u1ed9i soi, m\u00e1y \u0111o huy\u1ebft \u00e1p \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed thu\u1eadn l\u1ee3i, d\u1ec5 d\u00e0ng quan s\u00e1t trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh khi c\u1ea7n thi\u1ebft.<\/span><\/li>\n<\/ul>\n<h3>2.3. G\u00e2y m\u00ea<\/h3>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">X\u00e1c \u0111\u1ecbnh l\u1ea1i v\u00f9ng ph\u1eabu thu\u1eadt tr\u01b0\u1edbc g\u00e2y m\u00ea, v\u00e0 kh\u00e1m m\u00ea tr\u01b0\u1edbc m\u1ed5 ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh k\u00e8m theo \u0111\u1ec3 c\u00f3 chi\u1ebfn l\u01b0\u1ee3c g\u00e2y m\u00ea ph\u00f9 h\u1ee3p.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">Th\u01b0\u1eddng d\u00f9ng g\u00e2y m\u00ea n\u1ed9i kh\u00ed qu\u1ea3n tr\u00e1nh \u1ea3nh h\u01b0\u1edfng t\u00e2m l\u00fd b\u1ec7nh nh\u00e2n, \u0111\u1ed3ng th\u1eddi ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p t\u1ed1t.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">G\u00e2y t\u00ea v\u00f9ng th\u01b0\u1eddng \u00edt d\u00f9ng v\u00ec t\u01b0 th\u1ebf ph\u1eabu thu\u1eadt g\u00e2y kh\u00f3 ch\u1ecbu cho b\u1ec7nh nh\u00e2n, b\u1ec7nh nh\u00e2n t\u1ec9nh n\u00ean lo l\u1eafng, \u0111\u00f4i khi b\u1ec7nh nh\u00e2n v\u1eadn \u0111\u1ed9ng \u1ea3nh h\u01b0\u1edfng thao t\u00e1c c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean v\u00e0 kh\u00f3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p c\u1ee7a b\u1ec7nh.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><\/li>\n<\/ul>\n<h2>3. D\u1ee5ng c\u1ee5 d\u00f9ng trong n\u1ed9i soi kh\u1edbp vai<b><\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u0110\u1ec3 n\u1ed9i soi kh\u1edbp vai th\u00ec c\u1ea7n nh\u1eefng d\u1ee5ng c\u1ee5 th\u00f4ng th\u01b0\u1eddng cho cu\u1ed9c ph\u1eabu thu\u1eadt n\u1ed9i soi chung, ngo\u00e0i ra t\u1ee7y v\u00e0o th\u01b0\u01a1ng t\u1ed5n \u0111\u1eb7c tr\u01b0ng c\u1ee7a kh\u1edbp vai m\u00e0 c\u1ea7n c\u00e1c d\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt chuy\u00ean bi\u1ec7t gi\u00fap cho ph\u1eabu thu\u1eadt di\u1ec5n ra thu\u1eadn l\u1ee3i. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 d\u1ee5ng c\u1ee5 c\u01a1 b\u1ea3n c\u1ee7a ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_2788\" aria-describedby=\"caption-attachment-2788\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2788 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dung-cu-ns-khop-vai-300x101.png\" alt=\"\" width=\"300\" height=\"101\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dung-cu-ns-khop-vai-300x101.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dung-cu-ns-khop-vai.png 710w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2788\" class=\"wp-caption-text\">H\u00ecnh 2. D\u1ee5ng c\u1ee5 c\u01a1 b\u1ea3n ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai<\/figcaption><\/figure>\n<h3>3.1. Optic n\u1ed9i soi<\/h3>\n<p><span style=\"font-weight: 400;\">Th\u01b0\u1eddng d\u00f9ng optic c\u00f3 \u0111\u01b0\u1eddng k\u00ednh<\/span> 4mm v\u00e0 g\u00f3c nghi\u00eang l\u00e0 30 \u0111\u1ed9. Tuy nhi\u00ean trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p optic 70 \u0111\u1ed9 l\u1ea1i gi\u00fap tr\u01b0\u1eddng quan s\u00e1t t\u1ed1t h\u01a1n nh\u01b0 quan s\u00e1t v\u00f9ng tr\u01b0\u1edbc c\u1ee7a \u1ed5 ch\u1ea3o \u0111\u1ec3\u00a0<span style=\"font-weight: 400;\">s\u1eeda ch\u1eefa t\u1ed5n th\u01b0\u01a1ng Bankart.<\/span><\/p>\n<h3>3.2. Shaver<\/h3>\n<p><span style=\"font-weight: 400;\">Gi\u00fap l\u00e0m s\u1ea1ch ph\u1ea7n m\u1ec1m trong kh\u1edbp.<\/span><\/p>\n<h3>3.3. Arthrocare<\/h3>\n<p><span style=\"font-weight: 400;\">Gi\u00fap \u0111\u1ed1t d\u1ecdn ph\u1ea7n m\u1ec1m trong kh\u1edbp v\u00e0 c\u1ea7m m\u00e1u.<\/span><\/p>\n<h3>3.4. M\u00e0i x\u01b0\u01a1ng<\/h3>\n<p><span style=\"font-weight: 400;\">T\u1ed5n th\u01b0\u01a1ng h\u1eb9p khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai kh\u00e1 th\u01b0\u1eddng g\u1eb7p trong ch\u1ec9 \u0111\u1ecbnh n\u1ed9i soi kh\u1edbp vai. M\u00e0i x\u01b0\u01a1ng gi\u00fap m\u00e0i s\u1ea1ch t\u1ed5 ch\u1ee9c tho\u00e1i h\u00f3a ch\u1ee7 y\u1ebfu c\u1ee7a m\u1eb7t tr\u01b0\u1edbc ngo\u00e0i m\u1ecfm c\u00f9ng vai g\u00f3p ph\u1ea7n l\u00e0m r\u1ed9ng khoang d\u01b0\u1edbi m\u1ecfm c\u00f9ng vai tr\u00e1nh t\u1ed5n th\u01b0\u01a1ng g\u00e2n ch\u00f3p xoay th\u1ee9 ph\u00e1t.<\/span><\/p>\n<h3>3.5. C\u00e2y chuy\u1ec3n \u0111\u1ed5i<\/h3>\n<p><span style=\"font-weight: 400;\">C\u00f3 vai tr\u00f2 t\u1ea1o thu\u1eadn l\u1ee3i m\u1ed7i khi c\u1ea7n \u0111\u1ed5i ng\u00f5 ho\u1eb7c c\u1ea7n t\u1ea1o th\u00eam ng\u00f5 v\u00e0o m\u1edbi theo ph\u01b0\u01a1ng ph\u00e1p t\u1eeb trong ra ngo\u00e0i.<\/span><\/p>\n<h3>3.6. Troca<\/h3>\n<p><span style=\"font-weight: 400;\">C\u00f3 hai ph\u1ea7n, ph\u1ea7n l\u00f2ng Troca gi\u00fap xuy\u00ean qua ph\u1ea7n m\u1ec1m \u0111\u1ecbnh h\u01b0\u1edbng v\u00e0o kh\u1edbp, c\u00f2n ph\u1ea7n \u1ed1ng Troca gi\u00fap \u0111\u01b0a optic v\u00e0o quan s\u00e1t trong kh\u1edbp, \u0111\u1ed3ng th\u1eddi c\u00f2n l\u00e0 n\u01a1i n\u01b0\u1edbc ra v\u00e0o kh\u1edbp.<\/span><\/p>\n<h3>3.7. Troca nh\u1ef1a<\/h3>\n<p><span style=\"font-weight: 400;\">Gi\u00fap l\u00e0m r\u1ed9ng ng\u00f5 v\u00e0o, \u0111\u01b0a d\u1ee5ng c\u1ee5 n\u1ed9i soi v\u00e0 kh\u00e2u bu\u1ed9c chi neo \u0111\u01b0\u1ee3c thu\u1eadn l\u1ee3i. C\u00f3 nhi\u1ec1u \u0111\u01b0\u1eddng k\u00ednh kh\u00e1c nhau cho ph\u1eabu thu\u1eadt vi\u00ean l\u1ef1a ch\u1ecdn hay d\u00f9ng \u0111\u01b0\u1eddng k\u00ednh 6mm v\u00e0 8 mm.<\/span><\/p>\n<h3>3.8. Bay<\/h3>\n<p><span style=\"font-weight: 400;\">Trong r\u00e1ch s\u1ee5n vi\u1ec1n th\u1ec9 s\u1ee5n vi\u1ec1n th\u01b0\u1eddng b\u1ecb ph\u1ea7n m\u1ec1m xung quanh co k\u00e9o v\u00e0 d\u00ednh v\u00e0o th\u00e0nh \u1ed5 ch\u1ea3o. Bay c\u00f3 t\u00e1c d\u1ee5ng t\u00e1ch s\u1ee5n vi\u1ec1n ra kh\u1ecfi c\u1ea5u tr\u00fac l\u00e2n c\u1eadn t\u1ea1o \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i \u0111\u1ec3 \u0111\u01b0a s\u1ee5n vi\u1ec1n v\u1ec1 \u0111\u00fang v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu.<\/span><\/p>\n<h3>3.9. D\u1ee5ng c\u1ee5 c\u1eb7p ph\u1ea7n m\u1ec1m<\/h3>\n<p><span style=\"font-weight: 400;\">Ph\u1ea7n m\u1ec1m kh\u1edbp vai khi b\u1ecb t\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng b\u1ecb co r\u00fat v\u00ec th\u1ebf sau khi gi\u1ea3i ph\u00f3ng c\u1ea7n ph\u1ea3i c\u00f3 d\u1ee5ng c\u1ee5 c\u1eb7p ph\u1ea7n m\u1ec1m k\u00e9o ch\u00fang v\u1ec1 \u0111\u00fang v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu \u0111\u1ec3 kh\u00e2u c\u1ed5 \u0111\u1ecbnh ch\u00fang v\u00e0o v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu.<\/span><\/p>\n<h3>3.10. D\u1ee5ng c\u1ee5 kh\u00e2u ph\u1ea7n m\u1ec1m<\/h3>\n<p><span style=\"font-weight: 400;\">Gi\u00fap ch\u1ec9 kh\u00e2u xuy\u00ean qua ph\u1ea7n m\u1ec1m \u0111\u1ec3 c\u00f3 th\u1ec3 c\u1ed1 \u0111\u1ecbnh ph\u1ea7n m\u1ec1m v\u00e0o neo ch\u1ec9.<\/span><\/p>\n<h3>3.11. C\u00e2y \u0111\u1ea9y ch\u1ec9<\/h3>\n<p><span style=\"font-weight: 400;\">Gi\u00fap \u0111\u1ea9y n\u01a1 ch\u1ec9 t\u1eeb b\u00ean ngo\u00e0i v\u00e0o b\u00ean trong \u0111\u1ed3ng th\u1eddi gi\u00fap n\u01a1 ch\u1ec9 th\u00edt ch\u1eb7t h\u01a1n \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh v\u1eefng ch\u1eafc ph\u1ea7n m\u1ec1m.<\/span><\/p>\n<h3>3.12. K\u00e9o c\u1eaft ch\u1ec9<\/h3>\n<p><span style=\"font-weight: 400;\">D\u00f9ng \u0111\u1ec3 c\u1eaft ch\u1ec9 trong kh\u1edbp.<\/span><\/p>\n<h3>3.13. C\u00e2y th\u0103m<\/h3>\n<p><span style=\"font-weight: 400;\">D\u00f9ng \u0111\u1ec3 th\u0103m d\u00f2 c\u00e1c c\u1ea5u tr\u00fac trong kh\u1edbp<\/span><\/p>\n<p><b>K\u1ebft lu\u1eadn<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp n\u00f3i chung v\u00e0 ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp vai n\u00f3i ri\u00eang ng\u00e0y c\u00e0ng ph\u00e1t tri\u1ec3n c\u1ea3 v\u1ec1 c\u00f4ng c\u1ee5 ph\u1eabu thu\u1eadt, v\u1eadt li\u1ec7u d\u00f9ng trong ph\u1eabu thu\u1eadt, k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt gi\u00fap c\u00e1c t\u1ed5n th\u01b0\u01a1ng v\u00f9ng kh\u1edbp vai ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c \u01b0u ti\u00ean m\u00f4 n\u1ed9i soi. Tuy nhi\u00ean \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ed1i \u0111a th\u00ec c\u00e1ch s\u1eafp x\u1ebfp, b\u1ed1 tr\u00ed ph\u00f2ng m\u1ed5, vi\u1ec7c ch\u1ecdn t\u01b0 th\u1ebf ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng t\u1ed5n th\u01b0\u01a1ng v\u00e0 s\u1edf th\u00edch c\u1ee7a ph\u1eabu thu\u1eadt vi\u00ean, ch\u1ecdn ng\u00f5 v\u00e0o ch\u00ednh x\u00e1c l\u00e0 \u0111i\u1ec1u v\u00f4 c\u00f9ng quan tr\u1ecdng. Hi\u1ec3u \u0111\u01b0\u1ee3c v\u1ea5n \u0111\u1ec1 n\u00e0y y\u00eau c\u1ea7u m\u1ed7i ph\u1eabu thu\u1eadt vi\u00ean n\u1ed9i soi kh\u1edbp vai c\u1ea7n \u0111\u1ea7u t\u01b0 th\u1eddi gian v\u00e0 c\u1ea9n th\u1eadn t\u1ec9 m\u1ec9 th\u1ef1c hi\u1ec7n c\u00e1c b\u01b0\u1edbc c\u1ee7a quy tr\u00ecnh tr\u00ean t\u1eeb \u0111\u00f3 n\u00e2ng cao <a href=\"https:\/\/www.vinmec.com\/vi\/danh-sach\/ca-nuoc\/coso-benh-vien-v-phong-kham\/\">k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb<\/a>.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00f9ng v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng c\u1ee7a ng\u00e0nh ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a n\u1ed9i soi kh\u1edbp vai c\u00f3 nh\u1eefng b\u01b0\u1edbc ti\u1ebfn v\u01b0\u1ee3t b\u1eadc t\u1eeb \u0111\u00f3 gi\u00fap cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u1ed5n th\u01b0\u01a1ng hi\u1ec7u qu\u1ea3, \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng v\u00e0 th\u1ea9m m\u1ef9 cho b\u1ec7nh nh\u00e2n. 1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 ph\u1eabu thu\u1eadt [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - 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