{"id":28210,"date":"2023-04-25T06:32:36","date_gmt":"2023-04-24T23:32:36","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28210"},"modified":"2023-05-02T09:11:30","modified_gmt":"2023-05-02T02:11:30","slug":"danh-gia-cac-phuong-phap-tram-bit-va-tien-luong-tren-xquang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/danh-gia-cac-phuong-phap-tram-bit-va-tien-luong-tren-xquang\/","title":{"rendered":"\u0110\u00e1nh gi\u00e1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00e1m b\u00edt v\u00e0 ti\u00ean l\u01b0\u1ee3ng tr\u00ean Xquang."},"content":{"rendered":"<p><strong>B\u00e0i vi\u1ebft n\u00e0y d\u1eabn d\u1eaft Nha s\u0129 t\u1edbi m\u1ed9t g\u00f3c nh\u00ecn m\u1edbi, v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p tr\u00e1m b\u00edt \u1ed1ng tu\u1ef7 d\u1ef1a theo c\u01a1 s\u1edf nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 trong ph\u00f2ng th\u00ed nghi\u1ec7m, \u0111\u1ed3ng th\u1eddi n\u00f3i l\u00ean m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi qu\u00e1 tr\u00ecnh ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh b\u1eb1ng s\u1eed d\u1ee5ng h\u00ecnh \u1ea3nh Xquang tr\u00ean l\u00e2m s\u00e0ng. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-medium wp-image-28211\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Illustration-of-gutta-percha-cone-mediated-ultrasonic-activation-with-Endoseal-MTA-300x283.png\" alt=\"phuong-phap-tram-bit\" width=\"300\" height=\"283\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Illustration-of-gutta-percha-cone-mediated-ultrasonic-activation-with-Endoseal-MTA-300x283.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Illustration-of-gutta-percha-cone-mediated-ultrasonic-activation-with-Endoseal-MTA.png 577w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2>1. G\u00f3c nh\u00ecn v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00e1m b\u00edt \u1ed1ng tu\u1ef7<\/h2>\n<p>K\u0129 thu\u1eadt n\u00f3ng C\u00e1c k\u0129 thu\u1eadt l\u00e0m m\u1ec1m c\u00f4n ng\u00e0y nay \u0111\u1ec1u li\u00ean quan \u0111\u1ebfn quan \u0111i\u1ec3m \u201ctr\u00e1m b\u00edt \u1ed1ng t\u1ee7y theo ba chi\u1ec1u\u201d c\u1ee7a Schilder. C\u01a1 s\u1edf c\u1ee7a quan \u0111i\u1ec3m n\u00e0y l\u00e0 gutta-percha (ho\u1eb7c v\u1eadt li\u1ec7u l\u00f5i nh\u1ef1a) s\u1ebd ch\u1ea3y v\u00e0o nh\u1eefng v\u00f9ng \u1ed1ng t\u1ee7y kh\u00f4ng \u0111\u1ec1u khi s\u1eeda so\u1ea1n v\u00e0 c\u1ea3 nh\u1eefng v\u00f9ng \u0111\u00e3 \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch. Ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n th\u1ed1ng s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 truy\u1ec1n nhi\u1ec7t \u0111\u01b0a v\u00e0o \u1ed1ng t\u1ee7y \u0111\u1ec3 l\u00e0m m\u1ec1m t\u1eebng ph\u1ea7n gutta- percha \u0111\u00e3 \u0111\u1eb7t v\u00e0o b\u00ean trong. Ban \u0111\u1ea7u n\u00f3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t b\u1edfi v\u1eadt li\u1ec7u gia nhi\u1ec7t b\u1eb1ng th\u00e9p tr\u00ean l\u1eeda, nay k\u0129 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n v\u00e0 h\u1ed7 tr\u1ee3 b\u1eb1ng nh\u1eefng lo\u1ea1i thi\u1ebft b\u1ecb t\u1ef1 \u0111\u1ed9ng (Obtura, System B, BeeFill). M\u1ed9t bi\u1ebfn th\u1ec3 c\u1ee7a k\u0129 thu\u1eadt n\u00f3ng l\u00e0 s\u1eed d\u1ee5ng m\u1ed9t v\u1eadt tr\u00e1m b\u00edt (obturator) v\u1edbi m\u1ed9t l\u00f5i c\u1ee9ng v\u00e0 m\u1ed9t l\u1edbp ph\u1ee7 ngo\u00e0i m\u1ec1m h\u01a1n v\u00e0 d\u1ebbo khi g\u1eb7p nhi\u1ec7t (Thermafil, Soft-Core). \u201cL\u00f5i c\u1ee7a v\u1eadt li\u1ec7u l\u00f5i\u201d ban \u0111\u1ea7u l\u00e0m b\u1eb1ng kim lo\u1ea1i, sau \u0111\u00f3 l\u00e0 l\u00e0m b\u1eb1ng l\u00f5i nh\u1ef1a t\u1ed5ng h\u1ee3p d\u1ec5 u\u1ed1n n\u1eafn. G\u1ea7n \u0111\u00e2y, v\u1eadt tr\u00e1m b\u00edt (obturator) d\u00f9ng cho k\u0129 thu\u1eadt n\u00f3ng \u0111\u01b0\u1ee3c l\u00e0m to\u00e0n b\u1ed9 b\u1eb1ng gutta-percha v\u1edbi ph\u1ea7n trung t\u00e2m l\u00e0 gutta-percha pha beta li\u00ean k\u1ebft ch\u00e9o gi\u00fap t\u0103ng \u1ed5n \u0111\u1ecbnh, c\u00f2n ph\u1ea7n b\u00ean ngo\u00e0i l\u00e0 gutta-percha pha alpha \u0111\u01b0\u1ee3c l\u00e0m m\u1ec1m b\u1edfi nhi\u1ec7t \u0111\u1ed9 th\u1ea5p h\u01a1n ph\u1ea7n l\u00f5i b\u00ean trong (GuttaFusion, GuttaCore).<\/p>\n<p>K\u0129 thu\u1eadt l\u00e8n ngang v\u00e0 k\u0129 thu\u1eadt m\u1ed9t cone (single-cone technique) D\u1ee5ng c\u1ee5 b\u1eb1ng tay kh\u00f4ng th\u1ec3 gi\u00fap s\u1eeda so\u1ea1n \u1ed1ng t\u1ee7y chu\u1ea9n x\u00e1c. \u0110\u1ec3 h\u1ed7 tr\u1ee3 cho t\u00e1c d\u1ee5ng piston c\u1ee7a c\u00f4n ch\u00ednh v\u00e0 duy tr\u00ec t\u1ec9 l\u1ec7 guta percha \u2014 sealer cao, l\u00e8n ngang v\u1edbi nhi\u1ec1u cone ph\u1ee5 tr\u1edf th\u00e0nh m\u1ed9t k\u0129 thu\u1eadt tr\u00e1m b\u00edt th\u00f4ng d\u1ee5ng hi\u1ec7n nay. Nh\u01b0ng d\u1ee5ng c\u1ee5 quay b\u1eb1ng m\u00e1y v\u00e0 nh\u1eefng d\u1ee5ng c\u1ee5 c\u00f3 \u0111\u1ed9 thu\u00f4n l\u1edbn h\u01a1n cho ph\u00e9p t\u1ea1o ra nh\u1eefng \u1ed1ng t\u1ee7y c\u00f3 h\u00ecnh d\u1ea1ng chu\u1ea9n h\u01a1n k\u0129 thu\u1eadt s\u1eeda so\u1ea1n b\u1eb1ng tay truy\u1ec1n th\u1ed1ng, do \u0111\u00f3 k\u0129 thu\u1eadt tr\u00e1m b\u00edt b\u1eb1ng m\u1ed9t c\u00e2y c\u00f4n t\u01b0\u01a1ng \u1ee9ng v\u1edbi c\u00e2y tr\u00e2m s\u1eeda so\u1ea1n sau c\u00f9ng \u0111ang d\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn. Tuy nhi\u00ean, v\u1edbi nh\u1eefng \u1ed1ng t\u1ee7y h\u00ecnh b\u1ea7u d\u1ee5c hay h\u1ec7 th\u1ed1ng \u1ed1ng t\u1ee7y ph\u1ee9c t\u1ea1p th\u00ec c\u1ea7n c\u00e2n nh\u1eafc k\u1ef9 v\u00e0 s\u1eed d\u1ee5ng th\u00eam m\u1ed9t s\u1ed1 h\u00ecnh th\u1ee9c l\u00e8n ngang.<\/p>\n<p><strong>Nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng:<\/strong> Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp, k\u0129 thu\u1eadt l\u00e0m n\u00f3ng c\u00f4n gutta-percha \u0111\u00e3 \u0111\u01b0\u1ee3c so s\u00e1nh v\u1edbi k\u0129 thu\u1eadt l\u00e8n ngang. M\u1ed9t b\u00e0i \u0111\u00e1nh gi\u00e1 t\u1ed5ng quan t\u1eeb n\u0103m 2007 \u0111\u00e3 kh\u00f4ng ch\u1ec9 ra \u0111\u01b0\u1ee3c s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 k\u1ebft qu\u1ea3 gi\u1eefa k\u0129 thu\u1eadt tr\u00e1m b\u00edt n\u00f3ng theo chi\u1ec1u d\u1ecdc v\u00e0 k\u0129 thu\u1eadt tr\u00e1m b\u00edt ngu\u1ed9i theo chi\u1ec1u ngang. Nhi\u1ec1u b\u00e1o c\u00e1o l\u00e2m s\u00e0ng nh\u1eefng case \u0111\u1eb7c bi\u1ec7t (nh\u01b0 n\u1ed9i ti\u00eau ch\u00e2n r\u0103ng, r\u0103ng trong r\u0103ng) cho th\u1ea5y k\u0129 thu\u1eadt tr\u00e1m b\u00edt n\u00f3ng c\u00f3 th\u1ec3 l\u1ea5p \u0111\u1ea7y nh\u1eefng kho\u1ea3ng tr\u1ed1ng b\u1ea5t th\u01b0\u1eddng m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3, v\u00e0 trong ph\u1ea1m vi \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng th\u00ec k\u0129 thu\u1eadt tr\u00e1m b\u00edt n\u00f3ng t\u1ecf ra hi\u1ec7u qu\u1ea3 h\u01a1n trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y.<\/p>\n<p><strong>Nghi\u00ean c\u1ee9u trong ph\u00f2ng th\u00ed nghi\u1ec7m:<\/strong> S\u1ef1 b\u00e1m d\u00ednh l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng nh\u1ea5t \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh b\u1edfi sealer v\u00e0 \u00edt b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi k\u0129 thu\u1eadt tr\u00e1m b\u00edt v\u1edbi c\u00f4n ch\u00ednh. C\u00e1c ki\u1ec3u r\u00f2 r\u1ec9 kh\u00e1c nhau c\u0169ng c\u00f3 th\u1ec3 ch\u1ecbu \u1ea3nh h\u01b0\u1edfng b\u1edfi sealer, m\u1eb7c d\u00f9 m\u1ed9t v\u00e0i nghi\u00ean c\u1ee9u \u0111\u00e3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a k\u0129 thu\u1eadt tr\u00e1m b\u00edt n\u00f3ng. K\u0129 thu\u1eadt tr\u00e1m b\u00edt n\u00f3ng v\u1edbi c\u00f4n gutta-percha v\u00e0 l\u00f5i nh\u1ef1a th\u01b0\u1eddng cho k\u1ebft qu\u1ea3 ho\u00e0n thi\u1ec7n t\u1ed1t h\u01a1n, trong khi \u0111\u00f3 th\u1eed nghi\u1ec7m ex vivo cho th\u1ea5y hi\u1ec7u qu\u1ea3 r\u1ea5t \u00edt v\u00e0 r\u1ea5t thay \u0111\u1ed5i \u0111\u1ed1i v\u1edbi v\u1ea5n \u0111\u1ec1 x\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n hay c\u1ee7a c\u00e1c h\u1ee3p ch\u1ea5t h\u00f3a h\u1ecdc d\u1ecdc theo v\u00f9ng tr\u00e1m b\u00edt. H\u01a1n n\u1eefa, khi s\u1eed d\u1ee5ng k\u0129 thu\u1eadt tr\u00e1m b\u00edt n\u00f3ng th\u00ec t\u1ec9 l\u1ec7 sealer v\u00e0 v\u1eadt li\u1ec7u l\u00f5i (gutta-percha) c\u00f3 th\u1ec3 gi\u1ea3m \u0111i, \u0111i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c xem l\u00e0 c\u00f3 l\u1ee3i.<\/p>\n<h2>2. H\u00ecnh \u1ea3nh X-quang tr\u00e1m b\u00edt \u1ed1ng t\u1ee7y: y\u1ebfu t\u1ed1 quan tr\u1ecdng c\u1ee7a ti\u00ean l\u01b0\u1ee3ng<\/h2>\n<p>Nh\u1eefng nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u v\u1ec1 th\u00e0nh c\u00f4ng v\u00e0 th\u1ea5t b\u1ea1i sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u0111\u00e3 t\u00ecm th\u1ea5y m\u1ed9t v\u00e0i y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng d\u1ef1a tr\u00ean phim X quang sau tr\u00e1m b\u00edt. M\u1ed9t v\u00e0i y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn v\u1eadt li\u1ec7u hay k\u0129 thu\u1eadt s\u1eed d\u1ee5ng, c\u00f2n l\u1ea1i \u0111a s\u1ed1 ph\u1ea3n \u00e1nh nh\u1eefng kh\u00eda c\u1ea1nh kh\u00e1c c\u1ee7a \u0111i\u1ec1u tr\u1ecb (ch\u1eb3ng h\u1ea1n nh\u01b0 vi\u1ec7c s\u1eeda so\u1ea1n).<\/p>\n<p><strong>Chi\u1ec1u d\u00e0i tr\u00e1m b\u00edt:<\/strong> T\u01b0\u01a1ng quan v\u1ecb tr\u00ed gi\u1eefa \u0111i\u1ec3m t\u1eadn c\u00f9ng c\u1ee7a tr\u00e1m b\u00edt v\u00e0 ch\u00f3p r\u0103ng tr\u00ean phim X quang c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng \u01b0\u1edbc t\u00ednh v\u00e0 n\u00f3 c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 th\u00e0nh c\u00f4ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb. T\u1eeb l\u00e2u vi\u1ec7c tr\u00e1m qu\u00e1 ch\u00f3p hay ch\u01b0a t\u1edbi ch\u00f3p \u0111\u1ec1u \u0111\u01b0\u1ee3c cho l\u00e0 l\u00e0m gi\u1ea3m ti\u00ean l\u01b0\u1ee3ng \u1edf nhi\u1ec1u nghi\u00ean c\u1ee9u. Nh\u1eefng d\u1eef li\u1ec7u \u0111\u01b0\u1ee3c ph\u00e2n t\u00edch chi ti\u1ebft h\u01a1n cho th\u1ea5y \u0111i\u1ec1u n\u00e0y l\u00e0 \u0111\u00fang \u1edf h\u1ea7u h\u1ebft tr\u01b0\u1eddng h\u1ee3p c\u00f3 vi\u00eam quanh ch\u00f3p tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb, trong khi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u1ee7y s\u1ed1ng th\u00ec l\u00e0nh th\u01b0\u01a1ng t\u1ed1t th\u1eadm ch\u00ed l\u00e0 khi tr\u00e1m b\u00edt d\u00e0i hay ng\u1eafn h\u01a1n chi\u1ec1u d\u00e0i l\u00fd t\u01b0\u1edfng 1-2 mm t\u00ednh t\u1eeb l\u1ed7 ch\u00f3p tr\u00ean phim X quang. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 khi nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf th\u00ec vi\u00eam quanh ch\u00f3p s\u1ebd kh\u00f4ng ph\u00e1t tri\u1ec3n th\u00eam b\u1ea5t k\u1ec3 v\u1ecb tr\u00ed c\u1ee7a ch\u1ea5t tr\u00e1m b\u00edt \u1edf \u0111\u00e2u. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady, m\u1ed9t l\u01b0\u1ee3ng ch\u1ea5t tr\u00e1m d\u01b0 c\u00f3 th\u1ec3 s\u1ebd kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb vi\u00eam quanh ch\u00f3p n\u1ebfu \u1ed1ng t\u1ee7y \u0111\u00e3 \u0111\u01b0\u1ee3c kh\u1eed tr\u00f9ng hi\u1ec7u qu\u1ea3. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, sealer l\u1ecfng l\u1ebbo s\u1ebd kh\u00f4ng g\u00e2y \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng. Nh\u01b0ng n\u1ebfu l\u01b0\u1ee3ng ch\u1ea5t tr\u00e1m d\u01b0 n\u00e0y mang theo c\u1ea3 vi khu\u1ea9n ho\u1eb7c v\u1ecb tr\u00ed c\u1ee7a n\u00f3 l\u00e0 \u1edf n\u01a1i nhi\u1ec5m khu\u1ea9n th\u00ec n\u00f3 c\u00f3 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng nh\u01b0 l\u00e0 m\u1ed9t b\u1ec1 m\u1eb7t t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho vi khu\u1ea9n \u1ea9n n\u00e1u v\u00e0 g\u00e2y b\u1ec7nh k\u00e9o d\u00e0i.<\/p>\n<p>Hi\u1ec7u qu\u1ea3 kh\u00e1c nhau c\u1ee7a vi\u1ec7c tr\u00e1m b\u00edt ng\u1eafn c\u0169ng t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng c\u1ee7a r\u0103ng; trong nh\u1eefng ca kh\u00f4ng c\u00f3 nhi\u1ec5m tr\u00f9ng, b\u1ec7nh kh\u00f4ng ph\u00e1t tri\u1ec3n v\u00e0 l\u00e0nh th\u01b0\u01a1ng di\u1ec5n ra b\u1ea5t k\u1ec3 v\u1ecb tr\u00ed k\u1ebft th\u00fac c\u1ee7a ch\u1ea5t tr\u00e1m b\u00edt \u1edf \u0111\u00e2u; trong nh\u1eefng cas c\u00f3 nhi\u1ec5m tr\u00f9ng th\u00ec vi\u1ec7c tr\u00e1m b\u00edt ng\u1eafn c\u00f3 th\u1ec3 \u0111\u1ec3 s\u00f3t m\u00f4 t\u1ee7y nhi\u1ec5m tr\u00f9ng \u1edf \u0111o\u1ea1n ch\u00f3p, g\u00e2y ra b\u1ec7nh l\u00fd k\u00e9o d\u00e0i.<\/p>\n<p><strong>T\u00ednh \u0111\u1ed3ng nh\u1ea5t c\u1ee7a ch\u1ea5t tr\u00e1m b\u00edt:<\/strong> Tr\u00ean phim X quang, ch\u1ea5t l\u01b0\u1ee3ng tr\u00e1m b\u00edt th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 ch\u1ee7 quan v\u1ec1 \u0111\u1ed9 r\u1ed7ng v\u00e0 k\u1ebd h\u1edf. Vi\u1ec7c chu\u1ea9n h\u00f3a \u0111\u00e1nh gi\u00e1 c\u00f2n g\u1eb7p nhi\u1ec1u v\u1ea5n \u0111\u1ec1, nh\u01b0ng c\u00e1c t\u00e0i li\u1ec7u \u0111\u1ec1u th\u1ed1ng nh\u1ea5t chung l\u00e0 ch\u1ea5t tr\u00e1m b\u00edt d\u00e0y v\u00e0 \u0111\u1ed3ng nh\u1ea5t th\u00ec c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n l\u00e0 ch\u1ea5t tr\u00e1m b\u00edt r\u1ed7ng v\u00e0 c\u00f3 k\u1ebd h\u1edf. Tuy nhi\u00ean ph\u1ea3i nh\u1edb r\u1eb1ng t\u00ednh \u0111\u1ed3ng nh\u1ea5t c\u0169ng l\u00e0 m\u1ed9t \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a c\u00e1c v\u1eadt li\u1ec7u c\u1ea3n quang. V\u1eadt li\u1ec7u c\u00f3 \u0111\u1ed9 c\u1ea3n quang cao c\u00f3 th\u1ec3 che khu\u1ea5t k\u1ebd h\u1edf, tr\u00e1i l\u1ea1i v\u1eadt li\u1ec7u c\u1ea3n quang th\u1ea5p s\u1ebd t\u1ea1o c\u1ea3m gi\u00e1c thi\u1ebfu h\u1ee5t ch\u1ea5t tr\u00e1m d\u00f9 th\u1ef1c t\u1ebf kh\u00f4ng ph\u1ea3i v\u1eady.<\/p>\n<p><strong>Chi\u1ec1u r\u1ed9ng tr\u00e1m b\u00edt t\u1ea1i ch\u00f3p:<\/strong> C\u00f3 nhi\u1ec1u tranh c\u00e3i xoay quanh \u00fd ki\u1ebfn cho r\u1eb1ng vi\u1ec7c kh\u1eed tr\u00f9ng hi\u1ec7u qu\u1ea3 \u0111\u00f2i h\u1ecfi ph\u1ea3i s\u1eeda so\u1ea1n r\u1ed9ng ra v\u00e0 lo\u1ea1i b\u1ecf to\u00e0n b\u1ed9 m\u00f4 t\u1ee7y t\u1ea1i ch\u00f3p v\u00e0 g\u1ea7n ch\u00f3p. \u0110i\u1ec1u n\u00e0y khi\u1ebfn cho h\u00ecnh \u1ea3nh tr\u00e1m b\u00edt tr\u00ean X quang t\u1ea1i \u0111o\u1ea1n ch\u00f3p tr\u1edf n\u00ean r\u00f5 n\u00e9t v\u00e0 r\u1ed9ng h\u01a1n. Tuy nhi\u00ean, d\u00f9 vi\u1ec7c s\u1eeda so\u1ea1n r\u1ed9ng ra s\u1ebd lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c nhi\u1ec1u vi khu\u1ea9n h\u01a1n, nh\u01b0ng ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u n\u00e0o cho th\u1ea5y chi\u1ec1u r\u1ed9ng th\u1ef1c c\u1ee7a ch\u1ea5t tr\u00e1m b\u00edt t\u1ea1i \u0111i\u1ec3m ch\u1eb7n ch\u00f3p c\u00f3 li\u00ean quan \u0111\u1ebfn ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh. Th\u00f4ng th\u01b0\u1eddng, c\u00e1c nghi\u00ean c\u1ee9u ghi ch\u00e9p l\u1ea1i k\u00edch th\u01b0\u1edbc c\u1ee7a d\u1ee5ng c\u1ee5 s\u1eeda so\u1ea1n cu\u1ed1i c\u00f9ng, tuy nhi\u00ean v\u1eabn ch\u01b0a hi\u1ec3u r\u00f5 nh\u1eefng gi\u00e1 tr\u1ecb mang t\u00ednh l\u00fd thuy\u1ebft n\u00e0y \u0111\u1ed1i v\u1edbi vi\u1ec7c lo\u1ea1i b\u1ecf ng\u00e0 r\u0103ng v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng ch\u1ea5t tr\u00e1m b\u00edt. H\u01a1n n\u1eefa, k\u00edch th\u01b0\u1edbc c\u1ee7a d\u1ee5ng c\u1ee5 s\u1eeda so\u1ea1n sau c\u00f9ng kh\u00f4ng c\u00f3 gi\u00e1 tr\u1ecb ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh.<\/p>\n<p><em>Ngu\u1ed3n: <span class=\"c-bibliographic-information__value\">Clinical Guide for Optimal Treatment Outcome &#8211; Springer International Publishing Switzerland 2017<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft n\u00e0y d\u1eabn d\u1eaft Nha s\u0129 t\u1edbi m\u1ed9t g\u00f3c nh\u00ecn m\u1edbi, v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p tr\u00e1m b\u00edt \u1ed1ng tu\u1ef7 d\u1ef1a theo c\u01a1 s\u1edf nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 trong ph\u00f2ng th\u00ed nghi\u1ec7m, \u0111\u1ed3ng th\u1eddi n\u00f3i l\u00ean m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi qu\u00e1 tr\u00ecnh ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh b\u1eb1ng s\u1eed d\u1ee5ng h\u00ecnh \u1ea3nh Xquang [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110\u00e1nh gi\u00e1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00e1m b\u00edt v\u00e0 ti\u00ean l\u01b0\u1ee3ng tr\u00ean Xquang.<\/title>\n<meta name=\"description\" content=\"B\u00e0i vi\u1ebft d\u1eabn d\u1eaft \u0111\u1ebfn g\u00f3c nh\u00ecn v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p tr\u00e1m b\u00edt theo nghi\u00ean c\u1ee9u, \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 ti\u00ean l\u01b0\u1ee3ng nh\u1edd h\u00ecnh \u1ea3nh Xquang. 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