{"id":28515,"date":"2023-04-26T11:44:56","date_gmt":"2023-04-26T04:44:56","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28515"},"modified":"2023-05-02T08:30:15","modified_gmt":"2023-05-02T01:30:15","slug":"tieu-chuan-strindberg-thanh-cong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/tieu-chuan-strindberg-thanh-cong\/","title":{"rendered":"Ti\u00eau chu\u1ea9n Strindberg – Th\u00e0nh c\u00f4ng sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha."},"content":{"rendered":"

Ti\u00eau chu\u1ea9n Strindberg ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 d\u1ef1a tr\u00ean ph\u00e2n t\u00edch so s\u00e1nh t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng v\u00e0 \u0111\u00e1nh gi\u00e1 tr\u00ean phim X quang t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111i\u1ec1u tr\u1ecb v\u00e0 th\u1eddi gian theo d\u00f5i sau \u0111\u00f3. Kh\u1eb3ng \u0111\u1ecbnh k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u00e0 th\u00e0nh c\u00f4ng, th\u1ea5t b\u1ea1i, hay kh\u00f4ng ch\u1eafc ch\u1eafn d\u1ef1a tr\u00ean nh\u1eefng ti\u00eau chu\u1ea9n \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 ti\u00eau chu\u1ea9n Strindberg. C\u00f9ng t\u00ecm hi\u1ec3u.<\/strong><\/p>\n

1. B\u01b0\u1edbc ngo\u1eb7t trong nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1<\/h2>\n

M\u1ed9t nghi\u00ean c\u1ee9u mang t\u00ednh b\u01b0\u1edbc ngo\u1eb7t v\u1ec1 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 v\u00e0o n\u0103m 1956, \u0111\u00f3 l\u00e0 nghi\u00ean c\u1ee9u c\u1ed5 \u0111i\u1ec3n c\u1ee7a Strindberg \u0111\u00e3 \u0111\u1eb7t n\u1ec1n m\u00f3ng cho vi\u1ec7c ti\u1ebfn h\u00e0nh c\u00e1c nghi\u00ean c\u1ee9u k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha sau n\u00e0y. Nghi\u00ean c\u1ee9u n\u00e0y l\u00e0 nghi\u00ean c\u1ee9u thu\u1ea7n t\u1eadp ti\u1ebfn c\u1ee9u l\u00e2m s\u00e0ng tr\u00ean 344 b\u1ec7nh nh\u00e2n, trong \u0111\u00f3 bao g\u1ed3m 539 r\u0103ng v\u00e0 779 ch\u00e2n r\u0103ng, \u0111\u1ec1u \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1edfi c\u00f9ng m\u1ed9t b\u00e1c s\u0129. T\u1ea5t c\u1ea3 c\u00e1c d\u1eef li\u1ec7u y khoa, nha khoa v\u00e0 d\u1eef li\u1ec7u \u0111i\u1ec1u tr\u1ecb \u0111\u00e1ng l\u01b0u \u00fd \u0111\u00e3 \u0111\u01b0\u1ee3c t\u1ed5ng h\u1ee3p, ghi ch\u00e9p v\u00e0 ph\u00e2n t\u00edch. Th\u1eddi gian theo d\u00f5i l\u00e0 6 n\u0103m, m\u1ed7i 6 th\u00e1ng trong v\u00f2ng 2 n\u0103m \u0111\u1ea7u v\u00e0 sau \u0111\u00f3 l\u00e0 m\u1ed7i n\u0103m 1 l\u1ea7n. T\u1ec9 l\u1ec7 gi\u1eef \u0111\u01b0\u1ee3c r\u0103ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb (75%) t\u01b0\u01a1ng \u0111\u1ed1i cao. Nh\u1eefng \u0111i\u1ec3m nh\u1ea5n c\u1ee7a nghi\u00ean c\u1ee9u n\u00e0y l\u00e0 n\u00f3 \u0111\u00e3:<\/p>\n

    \n
  1. X\u00e2y d\u1ef1ng ti\u00eau chu\u1ea9n \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ti\u00eau chu\u1ea9n Strindberg.<\/li>\n
  2. Cho th\u1ea5y t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng cao c\u1ee7a \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha theo l\u1ed1i c\u1ed5 \u0111i\u1ec3n.<\/li>\n
  3. Li\u00ean h\u1ec7 gi\u1eefa k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha v\u1edbi ch\u1ea9n \u0111o\u00e1n t\u00ecnh tr\u1ea1ng m\u00f4 quanh ch\u00f3p tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb.<\/li>\n
  4. X\u00e1c \u0111\u1ecbnh kho\u1ea3ng th\u1eddi gian v\u00e0 t\u1ea7n su\u1ea5t theo d\u00f5i: m\u1ed7i 6 th\u00e1ng trong 2 n\u0103m \u0111\u1ea7u v\u00e0 sau \u0111\u00f3 l\u00e0 m\u1ed7i n\u0103m 1 l\u1ea7n cho \u0111\u1ebfn \u00edt nh\u1ea5t l\u00e0 4 n\u0103m sau \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ol>\n

    C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb sau \u0111\u00f3 \u0111\u1ec1u s\u1eed d\u1ee5ng ti\u00eau chu\u1ea9n Strindberg ho\u1eb7c c\u00e1c bi\u1ebfn \u0111\u1ed5i c\u1ee7a n\u00f3. S\u1ef1 m\u1edf r\u1ed9ng ph\u1ea1m vi c\u1ee7a c\u00e1c ti\u00eau chu\u1ea9n \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u00ecnh tr\u1ea1ng vi khu\u1ea9n tr\u01b0\u1edbc khi tr\u00e1m b\u00edt, hi\u1ec7u qu\u1ea3 c\u1ee7a b\u0103ng thu\u1ed1c n\u1ed9i t\u1ee7y, ch\u1ea5t tr\u00e1m b\u00edt, k\u0129 thu\u1eadt \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a ph\u1ee5c h\u1ed3i sau c\u00f9ng.<\/p>\n

    2. \u0110\u00e1nh gi\u00e1 th\u00e0nh c\u00f4ng theo ti\u00eau chu\u1ea9n Strindberg<\/h2>\n

    Sau khi c\u00f4ng b\u1ed1 nghi\u00ean c\u1ee9u v\u00e0 cho \u0111\u1ebfn b\u00e2y gi\u1edd, ti\u00eau chu\u1ea9n Strindberg ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 d\u1ef1a tr\u00ean ph\u00e2n t\u00edch so s\u00e1nh t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng v\u00e0 \u0111\u00e1nh gi\u00e1 tr\u00ean phim X quang t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111i\u1ec1u tr\u1ecb v\u00e0 th\u1eddi gian theo d\u00f5i sau \u0111\u00f3. Kh\u1eb3ng \u0111\u1ecbnh k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u00e0 th\u00e0nh c\u00f4ng, th\u1ea5t b\u1ea1i, hay kh\u00f4ng ch\u1eafc ch\u1eafn d\u1ef1a tr\u00ean nh\u1eefng ti\u00eau chu\u1ea9n \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 ti\u00eau chu\u1ea9n Strindberg d\u01b0\u1edbi \u0111\u00e2y:<\/p>\n

      \n
    • L\u00e2m s\u00e0ng\n
        \n
      • Kh\u00f4ng tri\u1ec7u ch\u1ee9ng<\/li>\n<\/ul>\n<\/li>\n
      • Phim X quang\n
          \n
        • \u0110\u01b0\u1eddng vi\u1ec1n v\u00e0 \u0111\u1ed9 r\u1ed9ng d\u00e2y ch\u1eb3ng nha chu (periodontal ligament PDL) b\u00ecnh th\u01b0\u1eddng<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
          \"tieu-chuan-strindberg-1\"
          Ti\u00eau chu\u1ea9n th\u00e0nh c\u00f4ng theo Strindberg: t\u00e1i l\u1eadp c\u1ea5u tr\u00fac b\u00ecnh th\u01b0\u1eddng c\u1ee7a m\u00f4 quanh ch\u00f3p. (a) H\u00ecnh \u1ea3nh X quanh c\u1eadn ch\u00f3p tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb cho th\u1ea5y gi\u00e3n kho\u1ea3ng d\u00e2y ch\u1eb1ng nha chu v\u00e0 m\u1ea5t lamina dura quanh ch\u00e2n g\u1ea7n v\u00e0 ch\u00e2n xa c\u1ee7a r\u0103ng c\u1ed1i l\u1edbn th\u1ee9 nh\u1ea5t h\u00e0m d\u01b0\u1edbi (m\u0169i t\u00ean tr\u1eafng). (b) Phim c\u1eadn ch\u00f3p \u0111\u01b0\u1ee3c ch\u1ee5p sau khi ho\u00e0n t\u1ea5t vi\u1ec7c \u0111i\u1ec1u tr\u1ecb. V\u00f9ng x\u01b0\u01a1ng quanh ch\u00f3p ch\u00e2n g\u1ea7n h\u01a1i th\u1ea5u quang (m\u0169i t\u00ean tr\u1eafng) v\u00e0 kh\u00f4ng th\u1ea5y \u0111\u01b0\u1eddng vi\u1ec1n lamina dura quanh ch\u00f3p r\u0103ng. Ch\u00fa \u00fd s\u1ef1 gi\u1ea3m \u0111i c\u1ee7a v\u00f9ng th\u1ea5u quang quanh ch\u00f3p ch\u00e2n xa. (c) Phim c\u1eadn ch\u00f3p \u0111\u01b0\u1ee3c ch\u1ee5p khi t\u00e1i kh\u00e1m sau 1 n\u0103m. B\u00e8 x\u01b0\u01a1ng quanh c\u1ea3 hai ch\u00e2n \u0111\u1ec1u c\u00f3 m\u1eadt \u0111\u1ed9 b\u00ecnh th\u01b0\u1eddng. Lamina dura quanh ch\u00f3p r\u0103ng c\u0169ng \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh (m\u0169i t\u00ean \u0111en).<\/figcaption><\/figure>\n
            \n
          • \n
              \n
            • \u0110\u01b0\u1eddng vi\u1ec1n PDL m\u1edf r\u1ed9ng ch\u1ee7 y\u1ebfu \u1edf xung quanh v\u00f9ng tr\u00e1m b\u00edt d\u01b0 (H12.2)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
              \"tieu-chuan-strindberg-2\"
              Ti\u00eau chu\u1ea9n th\u00e0nh c\u00f4ng theo Strindberg: thay \u0111\u1ed5i kho\u1ea3ng d\u00e2y ch\u1eb3ng nha chu quanh v\u00f9ng tr\u00e1m b\u00edt d\u01b0. (a) X quang c\u1eadn ch\u00f3p tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb cho th\u1ea5y v\u00f9ng th\u1ea5u quang b\u1ea5t th\u01b0\u1eddng bao quanh g\u1ea7n nh\u01b0 to\u00e0n b\u1ed9 chi\u1ec1u d\u00e0i c\u1ee7a ch\u00e2n xa v\u00e0 ch\u00f3p ch\u00e2n g\u1ea7n (m\u0169i t\u00ean tr\u1eafng). L\u01b0u \u00fd ch\u00e2n g\u1ea7n c\u00f3 nhi\u1ec1u ch\u00e2n v\u00e0 nhi\u1ec1u \u1ed1ng t\u1ee7y. (b v\u00e0 c) X quang c\u1eadn ch\u00f3p khi ho\u00e0n t\u1ea5t vi\u1ec7c \u0111i\u1ec1u tr\u1ecb sau 4 th\u00e1ng b\u0103ng calcium hydoxide. Phim \u0111\u01b0\u1ee3c ch\u1ee5p v\u1edbi c\u00e1c g\u00f3c \u0111\u1ed9 ngang kh\u00e1c nhau \u0111\u1ec3 t\u00e1ch \u1ed1ng t\u1ee7y ngo\u00e0i v\u00e0 \u1ed1ng t\u1ee7y trong \u1edf hai ch\u00e2n r\u0103ng. L\u01b0u \u00fd s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a v\u00f9ng th\u1ea5u quang quanh ch\u00f3p ch\u00e2n g\u1ea7n, nh\u01b0ng s\u1ef1 gi\u1ea3m \u0111\u00e1ng k\u1ec3 v\u1edbi s\u1ef1 l\u00e0nh th\u01b0\u01a1ng x\u01b0\u01a1ng m\u1ed9t ph\u1ea7n quanh ch\u00e2n xa. (d) Phim c\u1eadn ch\u00f3p \u0111\u01b0\u1ee3c ch\u1ee5p khi t\u00e1i kh\u00e1m, 3,5 n\u0103m sau khi ho\u00e0n t\u1ea5t vi\u1ec7c \u0111i\u1ec1u tr\u1ecb. V\u00f9ng x\u01b0\u01a1ng quanh c\u1ea3 hai ch\u00e2n \u0111\u1ec1u c\u00f3 m\u1eadt \u0111\u1ed9 b\u00ecnh th\u01b0\u1eddng. Lamina dura quanh c\u1ea3 hai ch\u00e2n c\u0169ng \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh. Kho\u1ea3ng d\u00e2y ch\u1eb3ng nha chu gi\u00e3n \u00edt \u1edf quanh v\u00f9ng tr\u00e1m b\u00edt d\u01b0 (m\u0169i t\u00ean \u0111en).<\/figcaption><\/figure>\n
                \n
              • \n
                  \n
                • Lamina dura nguy\u00ean v\u1eb9n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
                  \"\"
                  Ti\u00eau chu\u1ea9n th\u00e0nh c\u00f4ng theo Strindberg: lamina dura b\u00ecnh th\u01b0\u1eddng. (a) Phim c\u1eadn ch\u00f3p tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb cho th\u1ea5y s\u1ef1 \u0111\u1ee9t \u0111o\u1ea1n lamina dura v\u00e0 gi\u00e3n kho\u1ea3ng d\u00e2y ch\u1eb3ng nha chu quanh ch\u00f3p ch\u00e2n g\u1ea7n c\u1ee7a r\u0103ng c\u1ed1i l\u1edbn th\u1ee9 hai h\u00e0m d\u01b0\u1edbi (m\u0169i t\u00ean tr\u1eafng) v\u00e0 s\u1ef1 ti\u00eau ng\u00f3t ch\u00e2n xa. Tr\u00ean phim t\u00ecnh c\u1edd ph\u00e1t hi\u1ec7n c\u00e1c ch\u00f3p ch\u00e2n r\u0103ng r\u1ea5t g\u1ea7n v\u1edbi k\u00eanh th\u1ea7n kinh r\u0103ng d\u01b0\u1edbi (\u0111\u1ea7u m\u0169i t\u00ean). (b) Phim c\u1eadn ch\u00f3p \u0111\u01b0\u1ee3c ch\u1ee5p 1 n\u0103m sau khi ho\u00e0n t\u1ea5t \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha, theo d\u00f5i sau 15 th\u00e1ng v\u00e0 2 l\u1ea7n b\u0103ng calcium hydroxide. Ch\u00fa \u00fd c\u1ea5u tr\u00fac x\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng quanh ch\u00f3p ch\u00e2n g\u1ea7n v\u1edbi lamina dura nguy\u00ean v\u1eb9n (m\u0169i t\u00ean \u0111en). Ch\u00e2n xa ng\u1eafn, nh\u01b0ng c\u00f3 c\u1ea5u tr\u00fac x\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng, g\u1ee3i \u00fd r\u1eb1ng ti\u00eau ng\u00f3t \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n. Nh\u01b0 \u0111\u00e3 m\u00f4 t\u1ea3 trong ti\u00eau chu\u1ea9n Strindberg n\u00f3i tr\u00ean, r\u0103ng c\u00f3 ti\u00eau ng\u00f3t ch\u00e2n r\u0103ng nh\u01b0ng kh\u00f4ng c\u00f3 thay \u0111\u1ed5i b\u1ec7nh l\u00fd quanh ch\u00f3p th\u00ec \u0111\u01b0\u1ee3c x\u1ebfp lo\u1ea1i l\u00e0 th\u00e0nh c\u00f4ng.<\/figcaption><\/figure>\n
                  \"\"
                  Ti\u00eau chu\u1ea9n th\u00e0nh c\u00f4ng theo Strindberg: lamina dura b\u00ecnh th\u01b0\u1eddng. (a) Phim c\u1eadn ch\u00f3p tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb cho th\u1ea5y r\u0103ng c\u1ed1i l\u1edbn h\u00e0m d\u01b0\u1edbi c\u00f3 3 ch\u00e2n. Kho\u1ea3ng d\u00e2y ch\u1eb3ng nha chu quanh t\u1ea5t c\u1ea3 c\u00e1c ch\u00e2n c\u00f3 th\u1ec3 th\u1ea5y r\u00f5. (b v\u00e0 c) Phim c\u1eadn ch\u00f3p \u0111\u01b0\u1ee3c ch\u1ee5p ngay sau tr\u00e1m b\u00edt v\u00e0 1 n\u0103m sau khi ho\u00e0n t\u1ea5t vi\u1ec7c \u0111i\u1ec1u tr\u1ecb. Ch\u00fa \u00fd kh\u00f4ng c\u00f3 s\u1ef1 thay \u0111\u1ed5i trong c\u1ea5u tr\u00fac nha chu.<\/figcaption><\/figure>\n

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

                  Ti\u00eau chu\u1ea9n Strindberg ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 d\u1ef1a tr\u00ean ph\u00e2n t\u00edch so s\u00e1nh t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng v\u00e0 \u0111\u00e1nh gi\u00e1 tr\u00ean phim X quang t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111i\u1ec1u tr\u1ecb v\u00e0 th\u1eddi gian theo d\u00f5i sau \u0111\u00f3. Kh\u1eb3ng \u0111\u1ecbnh k\u1ebft […]<\/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":"\nTi\u00eau chu\u1ea9n Strindberg - Th\u00e0nh c\u00f4ng sau \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha. - Vinmec<\/title>\n<meta name=\"description\" content=\"Kh\u1eb3ng \u0111\u1ecbnh k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i nha l\u00e0 th\u00e0nh c\u00f4ng, th\u1ea5t b\u1ea1i, hay kh\u00f4ng ch\u1eafc ch\u1eafn d\u1ef1a tr\u00ean ti\u00eau chu\u1ea9n Strindberg. 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