{"id":2939,"date":"2023-04-09T22:28:12","date_gmt":"2023-04-09T15:28:12","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2939"},"modified":"2023-04-11T10:40:47","modified_gmt":"2023-04-11T03:40:47","slug":"dieu-tri-dut-day-chang-cheo-sau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/dieu-tri-dut-day-chang-cheo-sau\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb \u0111\u1ee9t d\u00e2y ch\u1eb1ng ch\u00e9o sau"},"content":{"rendered":"

\u0110i\u1ec1u tr\u1ecb \u0111\u1ee9t d\u00e2y ch\u1eb1ng ch\u00e9o sau v\u1eabn c\u00f2n nhi\u1ec1u tranh lu\u1eadn xung quanh v\u1ea5n \u0111\u1ec1 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n hay ph\u1eabu thu\u1eadt, k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng, ph\u01b0\u01a1ng th\u1ee9c t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng cho ng\u01b0\u1eddi b\u1ec7nh t\u1ed5n th\u01b0\u01a1ng DCCS. Do t\u1ed5n th\u01b0\u01a1ng DCCS \u0111\u01a1n thu\u1ea7n kh\u00f4ng th\u01b0\u1eddng g\u1eb7p n\u00ean c\u00e1c nghi\u00ean c\u1ee9u ch\u1ec9 d\u1eebng l\u1ea1i v\u1edbi c\u1ee1 m\u1eabu nh\u1ecf v\u00e0 th\u1eddi gian theo d\u00f5i ng\u1eafn. S\u1ef1 hi\u1ec3u bi\u1ebft ch\u01b0a \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 t\u1ed5n th\u01b0\u01a1ng DCCS v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng li\u00ean quan n\u00ean m\u1ed9t s\u1ed1 nghi\u00ean c\u1eedu \u0111\u00e3 l\u1ef1a ch\u1ecdn ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t d\u1eabn \u0111\u1ebfn s\u1ef1 m\u01a1 h\u1ed3 v\u1ec1 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt.<\/strong><\/p>\n

H\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u \u0111\u1ec1u kh\u00f4ng s\u1eed d\u1ee5ng nh\u00f3m ch\u1ee9ng, s\u1eed d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng kh\u00e1c nhau, s\u1eed d\u1ee5ng c\u00e1ch \u0111\u00e1nh gi\u00e1 kh\u00e1c nhau n\u00ean r\u1ea5t kh\u00f3 kh\u0103n \u0111\u1ec3 so s\u00e1nh k\u1ebft qu\u1ea3 gi\u1eefa c\u00e1c nh\u00f3m k\u1ef9 thu\u1eadt.<\/span><\/p>\n

Nh\u00f3m t\u00e1c gi\u1ea3: PGS.TS. Tr\u1ea7n Trung D\u0169ng -TS. \u0110\u1ed7 V\u0103n Minh<\/p>\n

N\u0103m xu\u1ea5t b\u1ea3n: 2016<\/p>\n

1. \u0110i\u1ec1u tr\u1ecb b\u1ea3o<\/b> t\u1ed3n \u0111\u1ee9t d\u00e2y ch\u1eb1ng ch\u00e9o sau<\/h2>\n

Gi\u1eefa c\u00e1c ph\u1eabu thu\u1eadt vi\u00ean ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n t\u1ed5n th\u01b0\u01a1ng DCCS \u0111\u01a1n thu\u1ea7n v\u1eabn l\u00e0 v\u1ea5n \u0111\u1ec1 c\u00f2n nhi\u1ec1u tranh lu\u1eadn. Nh\u1eefng tranh lu\u1eadn n\u00e0y s\u1ebd v\u1eabn c\u00f2n ti\u1ebfp di\u1ec5n cho \u0111\u1ebfn khi c\u00f3 nh\u1eefng nghi\u00ean c\u1ee9u ti\u1ebfn <\/span>c\u1ee9u th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 so s\u00e1nh k\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau. Cho \u0111\u1ebfn g\u1ea7n \u0111\u00e2y, h\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n \u0111\u1ee9t DCCS l\u00e0 c\u00e1c nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u v\u00e0 s\u1eed d\u1ee5ng c\u00e1c c\u00e1ch l\u01b0\u1ee3ng gi\u00e1 k\u1ebft qu\u1ea3 kh\u00e1c nhau n\u00ean kh\u00f4ng th\u1ec3 \u0111em ra so s\u00e1nh v\u1edbi nhau.<\/span><\/p>\n

M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 cho th\u1ea5y, \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n \u0111\u1ee9t DCCS \u0111\u01a1n thu\u1ea7n thu nh\u1eadn \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 kh\u1ea3 quan. Dandy v\u00e0 Pusey quan s\u00e1t 20 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9t DCCS \u0111\u01a1n thu\u1ea7n c\u00f3 tri\u1ec7u ch\u1ee9ng trong 7,2 n\u0103m nh\u1eadn th\u1ea5y 18 trong t\u1ed5ng s\u1ed1 20 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 k\u1ebft qu\u1ea3 ch\u1ee9c n\u0103ng kh\u1edbp g\u1ed1i t\u1ed1t, \u00d4ng cho r\u1eb1ng \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n \u0111\u1ee9t DCCS \u0111\u01a1n thu\u1ea7n duy tr\u00ec \u0111\u01b0\u1ee3c ch\u1ee9c n\u0103ng kh\u1edbp g\u1ed1i \u1edf m\u1ee9c ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c n\u00ean khuy\u1ebfn c\u00e1o kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt. Parolie v\u00e0 Bergfeld theo d\u00f5i 25 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9t DCCS \u0111\u01a1n thu\u1ea7n do ch\u1ea5n th\u01b0\u01a1ng th\u1ec3 thao trong 2 n\u0103m ghi nh\u1eadn 80% ng\u01b0\u1eddi b\u1ec7nh h\u00e0i l\u00f2ng v\u1edbi ch\u1ee9c n\u0103ng kh\u1edbp g\u1ed1i c\u1ee7a h\u1ecd, 68% c\u00f3 kh\u1ea3 n\u0103ng ch\u01a1i th\u1ec3 thao tr\u1edf l\u1ea1i \u1edf m\u1ee9c \u0111\u1ed9 tr\u01b0\u1edbc khi ch\u1ea5n th\u01b0\u01a1ng. Torg v\u00e0 cs theo d\u00f5i 14 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9t DCCS \u0111\u01a1n thu\u1ea7n v\u00e0 29 ng\u01b0\u1eddi b\u1ec7nh t\u1ed5n th\u01b0\u01a1ng DCCS ph\u1ed5i h\u1ecdp trong 6 n\u0103m ghi nh\u1eadn d\u00f9 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9t DCCS \u0111\u01a1n thu\u1ea7n v\u1eabn c\u00f2n tri\u1ec7u ch\u1ee9ng nh\u01b0ng kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt,<\/span><\/p>\n

M\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 kh\u00e1c c\u0169ng ghi nh\u1eadn m\u1ed9t k\u1ebft qu\u1ea3 t\u01b0\u01a1ng t\u1ef1, \u0111\u1ed3ng th\u1eddi c\u0169ng ghi nh\u1eadn r\u1eb1ng ch\u1ee9c n\u0103ng kh\u1edbp g\u1ed1i b\u1ecb gi\u1ea3m d\u1ea7n theo th\u1eddi gian. Boynton v\u00e0 Tietjens theo d\u1ed1i 38 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9t DCCS \u0111\u01a1n thu\u1ea7n trong th\u1eddi gian 13,2 n\u0103m nh\u1eadn th\u1ea5y: 8 trong t\u1ed5ng s\u1ed1 38 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9t DCCS ban \u0111\u1ea7u c\u1ea7n \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt do c\u00f3 t\u1ed5n th\u01b0\u01a1ng s\u1ee5n ch\u00eam ph\u1ed1i h\u1ee3p. Trong s\u1ed1 30 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9t DCCS kh\u00f4ng k\u00e8m theo t\u1ed5n th\u01b0\u01a1ng s\u1ee5n ch\u00eam, 24 ng\u01b0\u1eddi b\u1ec7nh v\u1eabn c\u00f2n ph\u00e0n n\u00e0n v\u1ec1 \u0111au v\u00e0 17 ng\u01b0\u1eddi b\u1ec7nh c\u00f2n ph\u00e0n n\u00e0n v\u1ec1 tr\u00e0n d\u1ecbch kh\u1edbp g\u1ed1i. Keller v\u00e0 cs theo d\u00f5i 40 ng\u01b0\u1eddi b\u1ec7nh t\u1ed5n th\u01b0\u01a1ng DCCS \u0111\u01a1n thu\u1ea7n trong th\u1eddi gian 6 n\u0103m ghi nh\u1eadn 90% v\u1eabn c\u00f2n ph\u00e0n n\u00e0n v\u1ec1 \u0111au, 65% ph\u00e0n n\u00e0n v\u1ec1 h\u1ea1n ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a kh\u1edbp g\u1ed1i v\u00e0 43% ph\u00e0n n\u00e0n v\u1ec1 kh\u00f3 kh\u0103n trong \u0111i l\u1ea1i.<\/span><\/p>\n

M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u ti\u1ebfn c\u1ee9u v\u1ec1 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n \u0111\u1ee9t DCCS \u0111\u01b0\u1ee3c ghi nh\u1eadn trong y v\u0103n. Fowler v\u00e0 Messieh b\u00e1o c\u00e1o 13 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9t DCCS \u0111\u01a1n thu\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n trong th\u1eddi gian theo d\u00f5i trung b\u00ecnh 2,6 n\u0103m ghi nh\u1eadn, \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng kh\u1edbp g\u1ed1i theo ch\u1ee7 quan ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec1u t\u1ed1t trong khi \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng kh\u1edbp g\u1ed1i kh\u00e1ch quan ch\u1ec9 c\u00f3 3 ng\u01b0\u1eddi b\u1ec7nh t\u1ed1t v\u00e0 10 ng\u01b0\u1eddi b\u1ec7nh \u1edf m\u1ee9c kh\u00e1. Shino v\u00e0 cs theo d\u00f5i 13 ng\u01b0\u1eddi b\u1ec7nh trong th\u1eddi gian trung b\u00ecnh 4,25 n\u0103m, \u0111\u00e1nh gi\u00e1 thang \u0111i\u1ec3m IKDC nh\u1eadn th\u1ea5y 3 ng\u01b0\u1eddi b\u1ec7nh \u1edf m\u1ee9c b\u00ecnh th\u01b0\u1eddng, 5 ng\u01b0\u1eddi b\u1ec7nh \u1edf m\u1ee9c g\u1ea7n b\u00ecnh th\u01b0\u1eddng v\u00e0 5 ng\u01b0\u1eddi b\u1ec7nh \u1edf m\u1ee9c b\u1ea5t th\u01b0\u1eddng, 11 trong t\u1ed1ng s\u1ed1 13 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec1u c\u00f3 kh\u1ea3 n\u0103ng ch\u01a1i th\u1ec3 thao tr\u1edf l\u1ea1i \u1edf m\u1ee9c \u0111\u1ed9 nh\u01b0 tr\u01b0\u1edbc ch\u1ea5n th\u01b0\u01a1ng. Shelbourne K.\u0110 v\u00e0 cs theo d\u00f5i 133 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9t DCCS \u0111\u01a1n thu\u1ea7n trong th\u1eddi gian trung b\u00ecnh 5,4 n\u0103m nh\u1eadn th\u1ea5y h\u01a1n n\u1eeda s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 kh\u1ea3 n\u0103ng ch\u01a1i th\u1ec3 thao tr\u1edf l\u1ea1i \u1edf m\u1ee9c \u0111\u1ed9 tr\u01b0\u1edbc khi ch\u1ea5n th\u01b0\u01a1ng v\u00e0 kh\u00f4ng nh\u1eadn th\u1ea5y m\u1ed1i li\u00ean quan gi\u1eefa m\u1ee9c \u0111\u1ed9 L\u1ecfng kh\u1edbp v\u00e0 thay \u0111\u00f4i tr\u00ean X-quang. Shebourne K.D v\u00e0 Muthukaruppan Y. theo d\u00f5i 215 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9t DCCS \u0111\u01a1n thu\u1ea7n \u0111\u1ed9 1 v\u00e0 2 trong th\u1eddi gian theo d\u00f5i trung b\u00ecnh 7,8 n\u0103m ghi nh\u1eadn ch\u1ee9c n\u0103ng kh\u1edbp g\u1ed1i \u0111\u00e1nh gi\u00e1 theo thang \u0111i\u1ebfm Noyes c\u1ea3i ti\u1ebfn trung b\u00ecnh l\u00e0 85,6\u00b115 \u0111i\u1ec3m. 146 trong t\u1ed5ng s\u1ed1 215 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 thang \u0111i\u1ec3m Noyes \u00edt nh\u1ea5t 4 l\u1ea7n ghi nh\u1eadn 40% \u1edf m\u1ee9c r\u1ea5t t\u1ed1t, 10% t\u1ed1t, 6% kh\u00e1 v\u00e0 2% k\u00e9m trong \u0111\u00f3 c\u00f3 16% c\u00f3 c\u1ea3i thi\u1ec7n, 12% k\u00e9m \u0111i v\u00e0 14% kh\u00f4ng thay \u0111\u1ed5i. Nghi\u00ean c\u1ee9u k\u1ebft lu\u1eadn ch\u1ee9c n\u0103ng kh\u1edbp g\u1ed1i theo ch\u1ee7 quan ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 l\u00f2ng kh\u1edbp g\u1ed1i. N\u0103m 2013, Shelboume K.D. v\u00e0 cs b\u00e1o c\u00e1o k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb 44 tr\u01b0\u1eddng h\u1ee3p \u0111\u1ee9t DCCS \u0111\u01a1n thu\u1ea7n \u0111\u1ed9 1 v\u00e0 2 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n v\u1edbi theo d\u00f5i trung b\u00ecnh \u00edt nh\u1ea5t 10 n\u0103m ghi nh\u1eadn t\u1ea5t c\u1ea3 c\u00e1c ng\u01b0\u1eddi b\u1ec7nh v\u1eabn duy tr\u00ec \u0111\u01b0\u1ee3c s\u1ee9c c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i, t\u1ea7m v\u1eadn \u0111\u1ed9ng kh\u1edbp g\u1ed1i v\u00e0 ch\u1ee9c n\u0103ng kh\u1edbp g\u1ed1i theo ch\u1ee7 quan \u1edf m\u1ee9c t\u1ed1t. Kh\u00f4ng c\u00f3 m\u1ed1i qu\u00e1n h\u1ec7 c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea gi\u1eefa ch\u1ee9c n\u0103ng kh\u1edbp g\u1ed1i \u0111\u00e1nh gi\u00e1 theo ch\u1ee7 quan ng\u01b0\u1eddi b\u1ec7nh v\u1edbi m\u1ee9c \u0111\u1ed9 l\u1ecfng kh\u1edbp. T\u1ef7 l\u1ec7 tho\u00e1i h\u00f3a kh\u1edbp g\u1ed1i l\u00e0 11%.<\/span><\/p>\n

Nh\u00ecn chung l\u1ea1i, m\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 ghi nh\u1eadn \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n \u0111\u1ee9t DCCS c\u1ea5p t\u00ednh c\u00f3 k\u1ebft qu\u1ea3 t\u01b0\u01a1ng \u0111\u1ed1i kh\u1ea3 quan. Tuy nhi\u00ean, h\u1ea7u h\u1ebft nh\u00f3m ng\u01b0\u1eddi b\u1ec7nh c\u00f3 k\u1ebft qu\u1ea3 n\u00e0y \u0111\u1ec1u n\u1eb1m trong nh\u00f3m t\u1ed5n th\u01b0\u01a1ng DCCS \u0111\u1ed9 1 ho\u1eb7c 2. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 gi\u1ea3i th\u00edch m\u1ed9t c\u00e1ch d\u1ec5 hi\u1ec3u r\u1eb1ng, do s\u1ef1 to\u00e0n v\u1eb9n c\u1ee7a c\u00e1c th\u00e0nh ph\u1ea7n kh\u00e1c c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng l\u1ea1i s\u1ef1 di l\u1ec7ch ra sau c\u1ee7a m\u00e2m ch\u00e0y so v\u1edbi x\u01b0\u01a1ng \u0111\u00f9i k\u00e8m theo m\u1ed9t ph\u1ea7n DCCS v\u1eabn c\u00f2n nguy\u00ean v\u1eb9n n\u00ean s\u1ef1 v\u1eefng ch\u1eafc c\u1ee7a kh\u1edbp g\u1ed1i c\u00f2n c\u00f3 th\u1ebf b\u00f9 tr\u1eeb. \u0110\u1ed1i v\u1edbi \u0111\u1ee9t DCCS \u0111\u1ed9 3, k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n kh\u00f4ng \u0111\u01b0\u1ee3c kh\u1ea3 quan nh\u01b0 mong \u0111\u1ee3i. \u0110\u1ee9t DCCS \u0111\u1ed9 3 l\u00e0m m\u1ea5t v\u1eefng kh\u1edbp g\u1ed1i tr\u01b0\u1edbc sau g\u00e2y t\u0103ng \u00e1p l\u1ef1c l\u00ean kh\u1edbp ch\u00e0y \u0111\u00f9i trong v\u00e0 kh\u1edbp ch\u00e8 \u0111\u00f9i, khi\u1ec3n cho \u0111au tr\u1edf th\u00e0nh v\u1ea5n \u0111\u1ec1 phi\u1ec1n to\u00e1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh h\u01a1n l\u00e0 m\u1ea5t v\u1eefng kh\u1edbp. Logan v\u00e0 cs ghi nh\u1eadn, \u0111\u1ee9t DCCS kh\u00e1 t\u01b0\u01a1ng \u0111\u1ed3ng v\u1edbi c\u1eaft s\u1ee5n ch\u00eam trong to\u00e0n b\u1ed9 v\u00ec d\u1eabn \u0111\u1ebfn qu\u00e1 t\u1ea3i khe kh\u1edbp ch\u00e0y \u0111\u00f9i trong. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9t DCCS \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n th\u01b0\u1eddng c\u00f3 t\u1ef7 l\u1ec7 m\u1eafc ph\u1ea3i t\u1ed5n th\u01b0\u01a1ng s\u1ee5n kh\u1edbp v\u00e0 vi\u00eam tho\u00e1i h\u00f3a s\u1ee5n kh\u1edbp cao h\u01a1n. Geissler v\u00e0 Whipple nghi\u00ean c\u1ee9u m\u1ed9t nh\u00f3m \u0111\u1ee9t DCCS c\u1ea5p t\u00ednh v\u00e0 m\u1ed9t nh\u00f3m \u0111\u1ee9t DCCS m\u1ea1n t\u00ednh, Trong nh\u00f3m \u0111\u1ee9t DCCS c\u1ea5p t\u00ednh, 12% c\u00f3 t\u1ed5n th\u01b0\u01a1ng s\u1ee5n kh\u1edbp v\u00e0 27% c\u00f3 t\u1ed5n th\u01b0\u01a1ng s\u1ee5n ch\u00eam. Trong nh\u00f3m \u0111\u1ee9t DCCS m\u1ea1n t\u00ednh, 49% c\u00f3 t\u1ed5n th\u01b0\u01a1ng s\u1ee5n kh\u1edbp (ch\u1ee7 y\u1ebfu khe kh\u1edbp ch\u00e0y \u0111\u00f9i trong) v\u00e0 36% c\u00f3 t\u1ed5n th\u01b0\u01a1ng s\u1ee5n ch\u00eam (ch\u1ee7 y\u1ebfu s\u1ee5n ch\u00eam trong). M\u1ed9t v\u1ea5n \u0111\u1ec1 c\u1ee7a c\u00e1c nghi\u00ean c\u1ee9u \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n \u0111\u1ee9t DCCS l\u00e0 kh\u00f4ng m\u1ed9t t\u00e1c gi\u1ea3 n\u00e0o c\u00f3 th\u1ec3 ch\u1ec9 ra c\u00e1c y\u1ebfu t\u1ed1 c\u00f3 gi\u00e1 tr\u1ecb ti\u00ean l\u01b0\u1ee3ng \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. B\u00ean c\u1ea1nh \u0111\u00f3, s\u1ef1 m\u1ea5t v\u1eefng kh\u1edbp g\u1ed1i v\u00e0 th\u1eddi gian t\u1eeb khi b\u1ecb ch\u1ea5n th\u01b0\u01a1ng c\u00f3 t\u01b0\u01a1ng quan r\u1ea5t y\u1ebfu v\u1edbi k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cu\u1ed1i c\u00f9ng v\u00e0 thay \u0111\u1ed5i tr\u00ean XQ nh\u1eadn th\u1ea5y \u1edf h\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u. V\u00ec v\u1eady, \u0111\u1ed3ng \u00fd v\u1edbi quan \u0111i\u1ec3m c\u1ee7a Shelbourne v\u00e0 cs, \u1edb ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9t DCCS c\u00f3 l\u00f2ng kh\u1edbp \u0111\u1ed9 2, sau \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng m\u00e0 ch\u1ec9 c\u1ea3i thi\u1ec7n \u0111\u1ed9 l\u1ecfng c\u00f9a kh\u1edbp g\u1ed1i l\u00ean \u0111\u1ed9 1 c\u00f3 th\u1ebf kh\u00f4ng t\u1ed1t h\u01a1n \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n. Tuy nhi\u00ean \u0111\u1ed1i v\u1edbi \u0111\u1ee9t DCCS \u0111\u1ed9 3 \u0111i\u1ec1u n\u00e0y kh\u00f4ng \u0111\u1ed3ng ngh\u0129a nh\u01b0 v\u1eady.<\/span><\/p>\n

Ng\u00e0y nay, \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed5n t\u1ed5n th\u01b0\u01a1ng DCCS \u0111\u01a1n thu\u1ea7n th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u1ee9t DCCS \u0111\u1ed9 1, \u0111\u1ed9 2 ho\u1eb7c \u0111\u1ee9t DCCS \u0111\u1ed9 3 \u1edf ng\u01b0\u1eddi c\u00f3 tu\u1ed5i v\u00e0 kh\u00f4ng c\u00f3 nhu c\u1ea7u v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c cao.<\/span><\/p>\n

\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n t\u1ed5n th\u01b0\u01a1ng c\u1ea5p t\u00ednh c\u1ee7a DCCS bao g\u1ed3m vi\u1ec7c b\u1ea5t \u0111\u1ed9ng kh\u1edbp g\u1ed1i sau ch\u1ea5n th\u01b0\u01a1ng b\u1eb1ng b\u00f3 b\u1ed9t ho\u1eb7c n\u1eb9p kh\u1edbp g\u1ed1i c\u00f3 kh\u00f3a \u1edd t\u01b0 th\u1ebf du\u1ed7i trong kho\u1ea3ng 2- 4 tu\u1ea7n. Sau khi b\u1ecf n\u1eb9p ti\u1ebfn h\u00e0nh t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng theo t\u1eebng giai \u0111o\u1ea1n \u0111\u1ec3 ph\u1ee5c h\u1ed3i l\u1ea1i bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp. Song song v\u1edbi t\u1eadp ph\u1ee5c h\u1ed3i bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng l\u00e0 c\u00e1c b\u00e0i t\u1eadp s\u1ee9c m\u1ea1nh c\u1ee7a g\u00e2n c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i, c\u00e1c b\u00e0i t\u1eadp ch\u1ed1ng l\u1ea1i s\u1ef1 co r\u00fat c\u1ee7a g\u00e2n c\u01a1 hamstring.<\/span>
\n<\/span><\/p>\n

\"\"<\/span><\/p>\n

H\u00ecnh 1: L\u01b0\u1ee3c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng DCCS c\u1ea5p t\u00ednh<\/span><\/i><\/p>\n

\"\"<\/span>
\n<\/span><\/p>\n

H\u00ecnh 2: L\u01b0\u1ee3c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb t\u1ed5n th\u01b0\u01a1ng DCCS m\u1ea1n tinh<\/span><\/i>
\n<\/span><\/i><\/p>\n

2. \u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt<\/h2>\n

T\u1ed5n th\u01b0\u01a1ng DCCS \u0111\u1ed9 3 c\u00f3 ti\u00ean l\u01b0\u1ee3ng kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ed1t nh\u01b0 \u0111\u00e3 t\u1eebng ngh\u0129. B\u1edfi v\u1eady nhi\u1ec1u b\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u00f3 thi\u00ean h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb t\u1ea1o h\u00ecnh DCCS cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh t\u1ed5n th\u01b0\u01a1ng DCCS \u0111\u1ed9 3, v\u1edbi \u0111\u1ed9 di l\u1ec7ch ra sau c\u1ee7a x\u01b0\u01a1ng ch\u00e0y so v\u1edbi x\u01b0\u01a1ng \u0111\u00f9i > 10 mm. Trong h\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt DCCS, ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt t\u00e1i t\u1ea1o DCCS c\u1ee7a nh\u00f3m ng\u01b0\u1eddi b\u1ec7nh n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1eb7t ra khi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 bi\u1ec3u hi\u1ec7n \u0111au v\u00e0 m\u1ea5t v\u1eefng kh\u1edbp g\u1ed1i dai d\u1eb3ng.<\/span><\/p>\n

K\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u thu \u0111\u01b0\u1ee3c kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t v\u00e0 van c\u00f2n s\u1ef1 l\u1ecfng g\u1ed1i t\u1ed3n d\u01b0 sau m\u1ed5 t\u1ea1o h\u00ecnh DCCS li\u00ean quan \u0111\u1ebfn m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 k\u1ef9 thu\u1eadt, v\u1ea5n \u0111\u1ec1 \u1ea5y bao g\u1ed3m k\u1ef9 thu\u1eadt m\u1ed5 t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y hay k\u1ef9 thu\u1eadt g\u1eafn di\u1ec7n b\u00e1m ch\u00e0y, t\u1ea1o h\u00ecnh DCCS m\u1ed9t b\u00f3 hay hai b\u00f3 v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1ed5 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p kh\u00e1c nhau. H\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng \u0111\u1ec1u th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y. Trong ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y, m\u1ea3nh gh\u00e9p t\u1eeb mi\u1ec7ng \u0111\u01b0\u1eddng h\u1ea7m ch\u00e0y \u1edf ph\u00eda sau ph\u1ea3i \u0111\u1ed5i h\u01b0\u1edbng \u0111\u1ed9t ng\u1ed9t \u0111\u1ebf \u0111i ra tr\u01b0\u1edbc tr\u01b0\u1edbc khi \u0111i v\u00e0o \u0111\u01b0\u1eddng h\u1ea7m \u0111\u00f9i. S\u1ef1 \u0111\u1ed5i h\u01b0\u1edbng \u0111\u1ed9t ng\u1ed9t n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 s\u1ef1 \u0111\u1ed5i h\u01b0\u1edbng ch\u1ebft ch\u00f3c-v\u00ec n\u00f3 \u0111\u01b0\u1ee3c cho r\u1eb1ng l\u00e0 nguy\u00ean nh\u00e2n l\u00e0m cho m\u1ea3nh gh\u00e9p b\u1ecb t\u1ed5n th\u01b0\u01a1ng, d\u00e2n \u0111\u1ebfn m\u1ea3nh gh\u00e9p m\u1ecfng d\u1ea7n, \u0111\u1ee9t v\u00e0 l\u00e0 nguy\u00ean nh\u00e2n khi\u1ebfn cho l\u1ecfng g\u1ed1i sau ph\u1eabu thu\u1eadt. V\u00ec l\u00f3ng g\u1ed1i sau m\u1ed5 \u0111\u01b0\u1ee3c nh\u1eadn th\u1ea5y \u1edf h\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y kinh \u0111i\u1ec3n n\u00ean l\u1ecfng g\u1ed1i sau m\u00f4 c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn s\u1ef1 \u0111\u1ed5i h\u01b0\u1edbng ch\u1ebft ch\u00f3c n\u00e0y. B\u1edfi v\u1eady, k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS g\u1eafn di\u1ec7n b\u00e1m ch\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u b\u1eddi Berg nh\u1eb1m kh\u1eafc ph\u1ee5c nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y kinh \u0111i\u1ec3n [35], \u0110i\u1ec3m h\u1ea5p d\u1eabn nh\u1ea5t c\u1ee7a k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS g\u1eafn di\u1ec7n b\u00e1m ch\u00e0y l\u00e0 c\u00f3 th\u1ec7 c\u1ed5 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p v\u00e0o m\u1eb7t sau x\u01b0\u01a1ng ch\u00e0y m\u1ed9t c\u00e1ch tr\u1ef1c ti\u1ebfp, tr\u00e1nh \u0111\u01b0\u1ee3c s\u1ef1 \u0111\u1ed5i h\u01b0\u1edbng ch\u1ebft ch\u00f3c v\u00e0 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh \u0111\u01b0\u1ee3c chi\u1ec1u d\u00e0i m\u1ea3nh gh\u00e9p m\u1ed9t c\u00e1ch t\u01b0\u01a1ng \u0111\u1ed1i linh ho\u1ea1t.<\/span><\/p>\n

Nh\u1eefng nghi\u00ean c\u1ee9u c\u01a1 sinh h\u1ecdc tr\u00ean x\u00e1c \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh nh\u1eb1m kh\u1eb3ng \u0111\u1ecbnh gi\u1ea3 thi\u1ebft n\u00e0y. Bergfeld v\u00e0 cs nh\u1eadn th\u1ea5y, t\u1ea1o h\u00ecnh DCCS g\u1eafn di\u1ec7n b\u00e1m ch\u00e0y h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c s\u1ef1 l\u00f2ng g\u1ed1i sau m\u1ed5 c\u0169ng nh\u01b0 s\u1ef1 suy gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng m\u1ea3nh gh\u00e9p h\u01a1n k\u1ef3 thu\u1eadt t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y. Markolf v\u00e0 cs c\u0169ng ghi nh\u1eadn m\u1ea3nh gh\u00e9p b\u1ecb m\u1ecfng d\u1ea7n v\u00e0 suy gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng sau m\u1ed9t chu tr\u00ecnh v\u1eadn \u0111\u1ed9ng g\u1ea5p du\u1ed7i kh\u1edbp g\u1ed1i c\u00f3 tr\u1ecdng t\u1ea3i. Tuy nhi\u00ean, nh\u1eefng nghi\u00ean c\u1ee9u c\u01a1 sinh h\u1ecdc sau n\u00e0y \u0111\u00e0 kh\u00f4ng t\u00ecm th\u1ea5y m\u1ed1i li\u00ean quan n\u00e0o gi\u1eefa s\u1ee9c ch\u1ecbu t\u1ea3i t\u1ea1i ch\u1ed3 c\u1ee7a m\u1ea3nh gh\u00e9p, l\u00f4ng m\u1ea3nh gh\u00e9p hay \u0111\u1ee9t m\u1ea3nh gh\u00e9p khi so s\u00e1nh 2 k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt n\u00e0y. M\u1eb7c d\u00f9 ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y \u00edt nhi\u1ec1u ch\u1ecbu \u1ea3nh h\u01b0\u1edfng c\u1ee7a hi\u1ec7u \u1ee9ng \u201cs\u1ef1 chuy\u1ec3n h\u01b0\u1edbng ch\u1ebft ch\u00f3c\u201d nh\u01b0ng nh\u1eefng nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y c\u1ee7a Mariani v\u00e0 es, Wang v\u00e0 cs, Deehan v\u00e0 cs, Chan v\u00e0 es, Ahn v\u00e0 cs kh\u00f4ng ghi nh\u1eadn \u1ea3nh h\u01b0\u1edfng c\u1ee7a \u0111\u01b0\u1eddng h\u1ea7m x\u01b0\u01a1ng ch\u00e0y \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u0169ng nh\u01b0 ch\u1ea5t l\u01b0\u1ee3ng m\u1ea3nh gh\u00e9p khi \u0111\u00e1nh gi\u00e1 m\u00e0nh gh\u00e9p tr\u00ean c\u1ed9ng h\u01b0\u1edfng t\u1eeb v\u00e0 n\u1ed9i soi kh\u1edbp g\u1ed1i. Nhi\u1ec1u nghi\u00ean c\u1ee9u so s\u00e1nh l\u00e2m s\u00e0ng c\u0169ng ch\u1ec9 ra r\u0103ng kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng kc li\u00ean quan \u0111\u1ebfn ch\u1ee9c n\u0103ng kh\u1edbp g\u1ed1i v\u00e0 s\u1ef1 l\u1ecfng g\u1ed1i t\u1ed3n d\u01b0 sau ph\u1eabu thu\u1eadt gi\u1eefa hai k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt tr\u00ean. Nh\u1eefng nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng so s\u00e1nh hi\u1ec7u qu\u1ea3 ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt g\u1eafn di\u1ec7n b\u00e1m ch\u00e0y v\u1edbi ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y c\u1ee7a Seon v\u00e0 Song, MacGillivray v\u00e0 cs, Kim v\u00e0 cs kh\u00f4ng ghi nh\u1eadn s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea tr\u00ean l\u00e2m s\u00e0ng. B\u1edfi v\u1eady m\u1eb7c d\u00f9 k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS g\u1eafn \u0111i\u1ec7n b\u00e1m ch\u00e0y c\u00f3 th\u1ec3 c\u00f3 m\u1ed9t s\u1ed1 \u01b0u \u0111i\u1ec3m khi ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u c\u01a1 sinh <\/span>h\u1ecdc c\u1ee7a m\u1ea3nh gh\u00e9p tr\u00ean th\u1ef1c nghi\u1ec7m <\/span>nh\u01b0ng v\u1eabn kh\u00f4ng ghi nh\u1eadn th\u1ea5y \u01b0u \u0111i\u1ec3m v\u01b0\u1ee3t tr\u1ed9i n\u00e0o tr\u00ean nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng so v\u1edbi k\u1ef9 thu\u1eadt t\u1ea1o h\u00ecnh DCCS v\u1edbi \u0111\u01b0\u1eddng h\u1ea7m xuy\u00ean ch\u00e0y.<\/span><\/p>\n

M\u1ed9t v\u1ea5n \u0111\u1ec1 c\u00f2n \u0111\u01b0\u1ee3c tranh lu\u1eadn l\u00e0 t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt m\u1ed9t b\u00f3 hay hai b\u00f3. Ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt hai b\u00f3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u v\u00e0 cho r\u1eb1ng n\u00f3 ph\u1ee5c h\u1ed3i \u0111\u01b0\u1ee3c v\u1ec1 m\u1eb7t gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc c\u1ee7a d\u00e2y ch\u1eb1ng m\u1edbi g\u1ea7n gi\u1ed1ng v\u1edbi DCCS ban \u0111\u1ea7u. C\u00e1c nghi\u00ean c\u1ee9u c\u01a1 sinh h\u1ecdc \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng hai b\u00f3 c\u00f3 t\u00e1c d\u1ee5ng t\u01b0\u01a1ng h\u1ed3 trong vi\u1ec7c duy tr\u00ec s\u1ef1 <\/span>v\u1eefng ch\u1eafc c\u1ee7a kh\u1edbp g\u1ed1i trong qu\u00e1 tr\u00ecnh <\/span>v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp g\u1ed1i. B\u00ean c\u1ea1nh \u0111\u00f3 hai b\u00f3 c\u00f9ng ho\u1ea1t \u0111\u1ed9ng song song v\u1eeba ch\u1ed1ng l\u1ea1i s\u1ef1 di l\u1ec7ch ra sau c\u1ee7a x\u01b0\u01a1ng ch\u00e0y so v\u1edbi x\u01b0\u01a1ng \u0111\u00f9i, v\u1eeba c\u00f3 t\u00e1c d\u1ee5ng h\u1ea1n ch\u1ebf s\u1ef1 xoay ngo\u00e0i c\u1ee7a x\u01b0\u01a1ng ch\u00e0y. Nhi\u1ec1u nghi\u00ean c\u1ee9u c\u01a1 sinh h\u1ecdc \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 so s\u00e1nh gi\u1eefa ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt m\u1ed9t b\u00f3 v\u00e0 hai b\u00f3. Houe v\u00e0 Jorgensen nghi\u00ean c\u1ee9u so s\u00e1nh t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt m\u1ed9t b\u00f3 b\u1eb1ng m\u1ea3nh gh\u00e9p g\u00e2n b\u00e1nh ch\u00e8 v\u1edbi t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt hai b\u00f3 b\u00e0ng m\u1ea3nh gh\u00e9p g\u00e2n hamstring nh\u1eadn th\u1ea5y kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 thang \u0111i\u1ec3m Lyshome, m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng sau m\u1ed5 v\u00e0 \u0111\u1ed9 l\u1ecfng kh\u1edbp. Wang v\u00e0 cs c\u0169ng thu \u0111\u01b0\u1ee3c k\u1ebft lu\u1eadn t\u01b0\u01a1ng t\u1ef1 khi so s\u00e1nh t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt m\u1ed9t b\u00f3 v\u1edbi t\u1ea1o h\u00ecnh DCCS k\u1ef3 thu\u1eadt hai b\u00f3 b\u1eb1ng m\u1ea3nh gh\u00e9p g\u00e2n hamstring. Kohen R.B. v\u00e0 Sekiya J.K. t\u1ed5ng k\u1ebft c\u00e1c nghi\u00ean c\u1ee9u c\u01a1 sinh h\u1ecdc v\u00e0 nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng so s\u00e1nh hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt m\u1ed9t b\u00f3 v\u1edbi t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt hai b\u00f3 ghi nh\u1eadn nh\u1eefng k\u1ebft lu\u1eadn v\u1ec1 s\u1ef1 kh\u00e1c bi\u1ec7t c\u1ee7a hai ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt l\u00e0 kh\u00f4ng nhi\u1ec1u v\u00e0 c\u1ea7n ph\u1ea3i c\u00f3 nh\u1eefng nghi\u00ean c\u1ee9u ti\u1ebfn c\u1ee9u, ng\u1eabu nhi\u00ean, c\u00f3 \u0111\u1ed1i\u00a0 <\/span>ch\u1ee9ng \u0111a trung t\u00e2m \u0111\u1ec3 t\u00ecm \u0111\u01b0\u1ee3c m\u1ed9t k\u1ebft lu\u1eadn ch\u1eb7t ch\u1ebd h\u01a1n.<\/span><\/p>\n

M\u1ed9t v\u1ea5n \u0111\u1ec1 c\u0169ng \u0111\u01b0\u1ee3c nhi\u1ec1u ph\u1eabu thu\u1eadt vi\u00ean quan t\u00e2m l\u00e0 vi\u1ec7c l\u1ef1a ch\u1ecdn m\u1ea3nh gh\u00e9p v\u00e0 ph\u01b0\u01a1ng ti\u1ec7n c\u1ed1 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p trong ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS. Nhi\u1ec1u lo\u1ea1i m\u00e0ng gh\u00e9p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS. M\u1ea3nh gh\u00e9p g\u00e2n b\u00e1nh ch\u00e8 t\u1ef1 th\u00e2n v\u1edbi hai n\u00fat x\u01b0\u01a1ng \u1edf hai \u0111\u1ea7u \u0111\u01b0\u1ee3c coi l\u00e0 v\u1eadt li\u1ec7u ti\u00eau chu\u1ea9n trong t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o n\u00f3i chung v\u00e0 DCCS n\u00f3i ri\u00eang. Tuy nhi\u00ean vi\u1ec7c s\u1eed d\u1ee5ng g\u00e2n b\u00e1nh ch\u00e8 t\u1ef1 th\u00e2n c\u0169ng c\u00f3 nh\u1eefng phi\u1ec1n to\u00e1i nh\u1ea5t \u0111\u1ecbnh m\u00e0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 \u0111au ph\u00eda tr\u01b0\u1edbc kh\u1edbp g\u1ed1i \u0111o vi\u1ec7c l\u1ea5y g\u00e2n g\u00e2y n\u00ean trong khi vi\u1ec7c s\u1eed d\u1ee5ng g\u00e2n b\u00e1nh ch\u00e8 \u0111\u1ed3ng lo\u1ea1i c\u0169ng c\u00f3 nh\u1eefng nguy c\u01a1 nh\u1ea5t \u0111\u1ecbnh nh\u01b0 nhi\u1ec5m tr\u00f9ng, th\u1ea3i gh\u00e9p. Tian v\u00e0 c\u1ed9ng s\u1ef1, <\/span>Belk <\/span>v\u00e0 cs nghi\u00ean c\u1ee9u t\u1ed5ng <\/span>k\u1ebft vi\u1ec7c s\u1eed d\u1ee5ng m\u1ea3nh gh\u00e9p t\u1ef1 th\u00e2n v\u00e0 <\/span>m\u1ea3nh gh\u00e9p \u0111\u1ed3ng lo\u1ea1i trong t\u1ea1o h\u00ecnh DCCS \u0111i \u0111\u1ebfn k\u1ebft lu\u1eadn c\u1ea3 hai lo\u1ea1i m\u1ea3nh gh\u00e9p \u0111\u1ec1u c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng kh\u1edbp g\u1ed1i v\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a tr\u00ean l\u00e2m s\u00e0ng. Ng\u00e0y nay, m\u1ea3nh gh\u00e9p g\u00e2n c\u01a1 hamstring t\u1ef1 th\u00e2n c\u00f3 xu h\u01b0\u1edbng \u0111\u01b0\u1ee3c nhi\u1ec1u ph\u1eabu thu\u1eadt vi\u00ean \u01b0a d\u00f9ng. H\u1ea7u h\u1ebft c\u00e1c k\u1ef9 thu\u1eadt c\u1ed1 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p trong t\u1ea1o h\u00ecnh DCCS \u0111\u01b0\u1ee3c th\u1eeba h\u01b0\u1edfng t\u1eeb s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a k\u0129 thu\u1eadt c\u1ed1 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p trong t\u1ea1o h\u00ecnh DCCT. Nh\u01b0ng gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc c\u1ee7a DCCS kh\u00e1c v\u1edbi DCCT <\/span>n\u00ean c\u1ea7n c\u00f3 nh\u1eefng nghi\u00ean c\u1ee9u s\u00e2u h\u01a1n v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/span><\/p>\n

V\u1ea5n \u0111\u1ec1 cu\u1ed1i c\u00f9ng \u0111\u01b0\u1ee3c nhi\u1ec1u ph\u1eabu thu\u1eadt vi\u00ean m\u1ed5 x\u1ebb \u0111\u00f3 l\u00e0 t\u01b0 th\u1ebf kh\u1edbp g\u1ed1i khi c\u1ed1 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p. H\u1ea7u h\u1ebft c\u00e1c t\u00e1c gi\u1ea3 \u0111\u1ed3ng \u00fd r\u1eb1ng, trong t\u1ea1o h\u00ecnh DCCS k\u1ef9 thu\u1eadt m\u1ed9t b\u00f3, c\u1ea7n ph\u1ee5c h\u1ed3i l\u1ea1i gi\u1ea3i ph\u1eabu v\u00e0 c\u01a1 sinh h\u1ecdc c\u1ee7a b\u00f3 tr\u01b0\u1edbc ngo\u00e0i, n\u00ean c\u1ed1 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p \u1edf t\u01b0 th\u1ebf g\u1ea5p g\u1ed1i 90 \u0111\u1ed9. Trong ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS k\u1ef3 thu\u1eadt hai b\u00f3 th\u00ec BTN \u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh<\/span> \u1edf t\u01b0 th\u1ebf g\u1ea5p g\u1ed1i 90 \u0111\u1ed9 c\u00f2n b\u00f3 sau trong <\/span>\u0111\u01b0\u1ee3c c\u1ed1 \u0111\u1ecbnh \u1edf t\u01b0 th\u1ebf du\u1ed7i g\u1ed1i. Khi c\u1ed1 \u0111\u1ecbnh m\u1ea3nh gh\u00e9p c\u1ea9n c\u1ed1 \u0111\u1ecbnh \u0111\u1ea7u xa c\u1ee7a x\u01b0\u01a1ng \u0111\u00f9i v\u00e0 duy tr\u00ec m\u1ed9t l\u1ef1c k\u00e9o \u0111\u1ea7u tr\u00ean c\u1ee7a x\u01b0\u01a1ng ch\u00e0y ra tr\u01b0\u1edbc \u0111\u1ebf ph\u1ee5c h\u1ed3i l\u1ea1i v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu b\u00ecnh th\u01b0\u1eddng c\u1ee7a m\u00e2m ch\u00e0y so v\u1edbi x\u01b0\u01a1ng \u0111\u00f9i.<\/span><\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 c\u1ea7n c\u00e2n nh\u1eafc tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt bao g\u1ed3m: bi\u00ean \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp g\u1ed1i tr\u01b0\u1edbc m\u1ed5, s\u1ee9c m\u1ea1nh c\u1ee7a kh\u1ed1i c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i, t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng k\u00e8m theo, t\u1ed5n th\u01b0\u01a1ng tr\u00ean kh\u1edbp g\u1ed1i d\u1ecb t\u1eadt, tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh c\u0169ng nh\u01b0 nhu c\u1ea7u ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh l\u00ed. V\u1edbi hi\u1ec3u bi\u1ebft ng\u00e0y c\u00e0ng s\u00e2n v\u1ec1 gi\u1ea3i ph\u1eabu v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a DCCS c\u0169ng nh\u01b0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c thi\u1ebft b\u1ecb ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u1edbp, d\u1eabn \u0111\u1ebfn s\u1ef1 \u0111a d\u1ea1ng trong c\u00e1c ph\u01b0\u01a1ng ph\u00e1p t\u1ea1o h\u00ecnh d\u00e2y ch\u1eb1ng ch\u00e9o sau. C\u0169ng nh\u01b0 ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCT, ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh DCCS c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a v\u00e0o nhi\u1ec1u ti\u00eau ch\u00ed kh\u00e1c nhau.<\/span><\/p>\n

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\u0110i\u1ec1u tr\u1ecb \u0111\u1ee9t d\u00e2y ch\u1eb1ng ch\u00e9o l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt tr\u1ecdng \u0111i\u1ec3m t\u1ea1i h\u1ec7 th\u1ed1ng Vinmec. \u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1 HOTLINE<\/b><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n

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\u00a0<\/b><\/p>\n","protected":false},"excerpt":{"rendered":"

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