{"id":34030,"date":"2023-05-17T23:02:13","date_gmt":"2023-05-17T16:02:13","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=34030"},"modified":"2023-05-17T23:02:13","modified_gmt":"2023-05-17T16:02:13","slug":"gioi-thieu-ve-khop-lien-trong-khop-khuyu-nhan-tao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/17\/gioi-thieu-ve-khop-lien-trong-khop-khuyu-nhan-tao\/","title":{"rendered":"Gi\u1edbi thi\u1ec7u v\u1ec1 kh\u1edbp li\u1ec1n trong kh\u1edbp khu\u1ef7u nh\u00e2n t\u1ea1o"},"content":{"rendered":"

Kh\u1edbp li\u1ec1n trong kh\u1edbp khu\u1ef7u nh\u00e2n t\u1ea1o (KKNT) l\u00e0 kh\u1edbp c\u00f3 ch\u1ee9a c\u00e1c c\u1ea5u tr\u00fac li\u00ean k\u1ebft \u0111\u1ec3 k\u1ebft n\u1ed1i c\u1ea5u ph\u1ea7n c\u00e1nh tay v\u00e0 c\u1ea5u ph\u1ea7n x\u01b0\u01a1ng tr\u1ee5; c\u1ea5u tr\u00fac li\u00ean k\u1ebft n\u00e0y l\u00e0 \u01b0u \u0111i\u1ec3m l\u1edbn nh\u1ea5t c\u1ee7a lo\u1ea1i kh\u1edbp li\u1ec1n v\u00ec n\u00f3 c\u00f3 th\u1ec3 \u0111\u1ea3m b\u1ea3o cho s\u1ef1 k\u1ebft n\u1ed1i v\u1edbi nhau c\u1ee7a 2 c\u1ea5u ph\u1ea7n trong to\u00e0n b\u1ed9 t\u1ea7m v\u1eadn \u0111\u1ed9ng c\u1ee7a KKNT, nh\u01b0 v\u1eady kh\u1edbp li\u1ec1n ch\u1ec9 c\u00f3 th\u1ec3 b\u1ecb tr\u1eadt n\u1ebfu nh\u01b0 g\u00e3y c\u1ea5u tr\u00fac li\u00ean k\u1ebft (\u0111i\u1ec1u h\u1ea7u nh\u01b0 kh\u00f4ng th\u1ec3 x\u1ea3y ra). Ph\u1ea7n li\u00ean k\u1ebft n\u00e0y lu\u00f4n \u0111\u01b0\u1ee3c l\u00e0m theo d\u1ea1ng b\u1ea3n l\u1ec1, v\u00ec v\u1eady c\u00f3 th\u1ec3 ph\u00e2n chia kh\u1edbp li\u1ec1n th\u00e0nh 2 lo\u1ea1i l\u00e0 kh\u1edbp b\u1ea3n l\u1ec1 r\u00e0ng bu\u1ed9c v\u00e0 b\u1ea3n l\u1ec1 b\u00e1n r\u00e0ng bu\u1ed9c (b\u1ea3n l\u1ec1 linh \u0111\u1ed9ng).<\/strong><\/p>\n

<\/i><\/b>1. B\u1ea3n l\u1ec1 r\u00e0ng bu\u1ed9c kh\u1edbp li\u1ec1n (Full- constrained Hinge)<\/i><\/b><\/h2>\n

Kh\u1edbp b\u1ea3n l\u1ec1 r\u00e0ng bu\u1ed9c l\u00e0 \u201cth\u1ebf h\u1ec7 kh\u1edbp khu\u1ef7u ban \u0111\u1ea7u\u201d, ki\u1ec3u thi\u1ebft k\u1ebf<\/span> n\u00e0y ch\u1ec9 cho ph\u00e9p kh\u1edbp nh\u00e2n t\u1ea1o chuy\u1ec3n \u0111\u1ed9ng tr\u00ean m\u1ed9t tr\u1ee5c g\u1ea5p – du\u1ed7i do c\u00e1c c\u1ea5u ph\u1ea7n \u0111\u1ec1u l\u00e0m t\u1eeb kim lo\u1ea1i, b\u1ec1 m\u1eb7t ti\u1ebfp x\u00fac kim lo\u1ea1i – kim lo\u1ea1i ho\u00e0n to\u00e0n kh\u1edbp v\u1edbi nhau. Ki\u00eau KKNT n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong th\u1eddi k\u1ef3 th\u1eadp ni\u00ean 70, m\u1ed9t s\u1ed1 KKNT thu\u1ed9c lo\u1ea1i n\u00e0y nh\u01b0 l\u00e0 Dee, McKee, GSB1… (H\u1ec9nh 1.10). Kh\u1edbp b\u1ea3n l\u1ec1 r\u00e0ng bu\u1ed9c s\u1ebd ch\u1ecbu h\u1ebft to\u00e0n b\u1ed9 l\u1ef1c b\u1ebb, xo\u1eafn v\u1eb7n khi kh\u1edbp v\u1eadn \u0111\u1ed9ng thay cho h\u1ec7 th\u1ed1ng ph\u1ea7n m\u1ec1m xung quanh.<\/span><\/p>\n

Do chi gi\u1edbi h\u1ea1n v\u1eadn \u0111\u1ed9ng theo m\u1ed9t tr\u1ee5c g\u1ea5p – du\u1ed7i duy nh\u1ea5t m\u00e0 kh\u00f4ng t\u00ednh \u0111\u1ebfn chuy\u1ec3n \u0111\u1ed9ng ph\u1ee9c t\u1ea1p c\u1ee7a kh\u1edbp khu\u1ef7u n\u00ean thi\u1ebft k\u1ebf n\u00e0y nhanh ch\u00f3ng b\u1ecb l\u1ecfng ho\u1eb7c g\u00e3y m\u1ecfi. Ngo\u00e0i ra, KKNT lo\u1ea1i n\u00e0y c\u00f2n c\u00f3 th\u1ec3 t\u1ea1o ra c\u00e1c m\u1ea3nh v\u1ee5n kim lo\u1ea1i, g\u00e2y \u201cb\u1ec7nh kim lo\u1ea1i\u201d, l\u00e0m vi\u00eam t\u1ed5 ch\u1ee9c quanh KKNT. Hi\u1ec7n nay tr\u00ean th\u1ebf gi\u1edbi kh\u00f4ng c\u00f2n s\u1eed d\u1ee5ng lo\u1ea1i kh\u1edbp n\u00e0y.<\/span><\/p>\n

\"khop-lien\"
KKNT b\u1ea3n l\u1ec1 r\u00e0ng bu\u1ed9c c\u1ee7a Dec, d\u00f9ng trong nh\u1eefng n\u0103m 1970.<\/figcaption><\/figure>\n

<\/i><\/b>2. B\u1ea3n l\u1ec1 b\u00e1n r\u00e0ng bu\u1ed9c (Semi Constrained Hinge)<\/i><\/b><\/h2>\n

Kh\u1edbp b\u1ea3n l\u1ec1 b\u00e1n r\u00e0ng bu\u1ed9c l\u00e0 \u201cth\u1ebf h\u1ec7 kh\u1edbp khu\u1ef7u th\u1ee9 hai\u201d, l\u00e0 lo\u1ea1i kh\u1edbp nh\u00e2n t\u1ea1o v\u1edbi b\u1ea3n l\u1ec1 linh \u0111\u1ed9ng ngo\u00e0i cho ph\u00e9p v\u1eadn \u0111\u1ed9ng g\u1ea5p – du\u1ed7i, c\u00f2n c\u00f3 th\u1ebf cho ph\u00e9p c\u00e1c chuy\u1ec3n \u0111\u1ed9ng m\u1edf kh\u1edbp trong – ngo\u00e0i (valgus- varus) v\u00e0 xoay trong – xoay ngo\u00e0i t\u01b0\u01a1ng t\u1ef1 nh\u01b0 kh\u1edbp c\u00e1nh tay – tr\u1ee5 b\u00ecnh th\u01b0\u1eddng <\/span> . <\/span>T\u1ea5t <\/span>nhi\u00ean, <\/span>c\u00e1c v\u1eadn \u0111\u1ed9ng <\/span>n\u00e0y <\/span>ch\u1ec9 gi\u1edbi h\u1ea1n \u1edf <\/span>m\u1ed9t m\u1ee9c <\/span>\u0111\u1ed9 nh\u1ea5t <\/span>\u0111\u1ecbnh <\/span>t\u00f9y <\/span>theo thi\u1ebft <\/span>k\u1ebf c\u1ee7a nh\u00e0 <\/span>s\u1ea3n xu\u1ea5t, b\u1edfi <\/span>n\u1ebfu <\/span>nh\u01b0 cho ph\u00e9p chuy\u1ec3n \u0111\u1ed9ng qu\u00e1 nhi\u1ec1u <\/span>th\u00ec <\/span>l\u1ea1i c\u00f3 <\/span>th\u1ec3 d\u1eabn t\u1edbi <\/span>hi\u1ec7n t\u01b0\u1ee3ng m\u1ea5t v\u1eefng kh\u1edbp.<\/span><\/p>\n

Do kh\u1edbp b\u1ea3n l\u1ec1 r\u00e0ng bu\u1ed9c c\u00f3 nh\u01b0\u1ee3c \u0111i\u1ec3m qu\u00e1 r\u00f5 r\u00e0ng n\u00ean theo d\u00f2ng ch\u1ea3y l\u1ecbch s\u1eed, n\u00f3 \u0111\u00e3 d\u1ea7n <\/span>b\u1ecb <\/span>thay th\u1ebf b\u1edfi kh\u1edbp <\/span>b\u1ea3n <\/span>l\u1ec1 <\/span>b\u00e1n r\u00e0ng <\/span>bu\u1ed9c. H\u1ea7u nh\u01b0 t\u1ea5t c\u1ea3 kh\u1edbp<\/span> khu\u1ef7u lo\u1ea1i b\u1ea3n l\u1ec1 hi\u1ec7n \u0111\u1ea1i \u0111\u1ec1u s\u1eed d\u1ee5ng lo\u1ea1i thi\u1ebft k\u1ebf n\u00e0y, v\u00ec th\u1ebf ng\u00e0y nay, khi nh\u1eafc \u0111\u1ebfn kh\u1edbp khu\u1ef7u li\u1ec1n, ta coi nh\u01b0 hi\u1ec3u r\u1eb1ng \u0111\u1ea5y l\u00e0 lo\u1ea1i kh\u1edbp b\u1ea3n l\u1ec1 b\u00e1n r\u00e0ng bu\u1ed9c.<\/span><\/p>\n

M\u1eb7c d\u00f9 xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc kh\u1edbp r\u1eddi kh\u00e1 l\u00e2u, nh\u01b0ng hi\u1ec7n t\u1ea1i kh\u1edbp b\u1ea3n l\u1ec1 b\u00e1n <\/span>r\u00e0ng <\/span>bu\u1ed9c <\/span>v\u1eabn ti\u1ebfp t\u1ee5c <\/span>\u0111\u01b0\u1ee3c s\u1eed <\/span>d\u1ee5ng r\u1ed9ng <\/span>r\u00e3i <\/span>tr\u00ean th\u1ebf gi\u1edbi b\u1edfi nh\u1eefng <\/span>l\u00fd <\/span>do <\/span>nh\u01b0: <\/span>k\u1ebft <\/span>qu\u1ea3 <\/span>l\u00e2m s\u00e0ng <\/span>t\u1ed1t, ch\u1ebf t\u1ea1o <\/span>d\u1ec5, <\/span>ch\u1ec9 \u0111\u1ecbnh \u0111\u01b0\u1ee3c <\/span>cho nhi\u1ec1u <\/span>m\u1eb7t b\u1ec7nh <\/span>kh\u00e1c <\/span>nhau. <\/span>Ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 s\u1eed d\u1ee5ng <\/span>lo\u1ea1i <\/span>kh\u1edbp n\u00e0y h\u1ea7u <\/span>nh\u01b0 <\/span>kh\u00f4ng thay \u0111\u1ed5i so v\u1edbi <\/span>c\u00e1ch \u0111\u00e2y 30 <\/span>n\u0103m, <\/span>\u0111\u00f3 l\u00e0 tho\u00e1i <\/span>ho\u00e1 <\/span>kh\u1edbp khu\u1ef7u n\u1eb7ng, <\/span>di <\/span>ch\u1ee9ng sau <\/span>ch\u1ea5n <\/span>th\u01b0\u01a1ng <\/span>khu\u1ef7u, <\/span>c\u1ee9ng <\/span>khu\u1ef7u, <\/span>bi\u1ebfn d\u1ea1ng <\/span>khu\u1ef7u, <\/span>m\u1ea5t v\u1eefng <\/span>khu\u1ef7u. <\/span>M\u1ed9t s\u1ed1 thi\u1ebft k\u1ebf thu\u1ed9c nh\u00f3m n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf M\u1ef9 l\u00e0 Coonrad-Morrey v\u00e0 Nexel (Zimmer), Latitude (Tornier), <\/span>Discovery (DJO), kh\u1edbp GSB III tr\u01b0\u1edbc \u0111\u00e2y hay \u0111\u01b0\u1ee3c d\u00f9ng \u1edf ch\u00e2u \u00c2u, nh\u01b0ng hi\u1ec7n t\u1ea1i \u0111\u00e3 kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t n\u1eefa.<\/span><\/p>\n

Do ch\u1ee9a c\u1ea5u tr\u00fac li\u00ean k\u1ebft hai c\u1ea5u ph\u1ea7n c\u00e1nh tay v\u00e0 c\u1ea5u ph\u1ea7n tr\u1ee5, kh\u1edbp b\u1ea3n <\/span>l\u1ec1 b\u00e1n r\u00e0ng <\/span>bu\u1ed9c v\u1eabn s\u1ebd gi\u1eef \u0111\u01b0\u1ee3c <\/span>\u01b0u \u0111i\u1ec3m l\u1edbn nh\u1ea5t <\/span>l\u00e0 <\/span>v\u1eefng ch\u1eafc, <\/span>v\u1ec1 <\/span>m\u1eb7t l\u00fd thuy\u1ebft <\/span>n\u00f3 <\/span>kh\u00f4ng c\u1ea7n h\u1ec7 th\u1ed1ng d\u00e2y ch\u1eb1ng <\/span>b\u00ean <\/span>c\u0169ng nh\u01b0 ph\u1ea7n <\/span>m\u1ec1m <\/span>xung quanh kh\u00e1c \u0111\u1ec3 c\u00f3 <\/span>th\u1ec3 <\/span>gi\u1eef v\u1eefng kh\u1edbp theo c\u00e1c h\u01b0\u1edbng. Ngo\u00e0i <\/span>ra, <\/span>c\u1ea5u tr\u00fac <\/span>b\u1ea3n l\u1ec1 linh \u0111\u1ed9ng s\u1ebd <\/span>cho ph\u00e9p <\/span>c\u00e1c <\/span>chuy\u1ec3n <\/span>\u0111\u1ed9ng ph\u1ee9c t\u1ea1p c\u1ee7a khu\u1ef7u khi <\/span>v\u1eadn <\/span>\u0111\u1ed9ng (m\u1edf g\u00f3c trong – ngo\u00e0i, xoay) t\u1eeb \u0111\u00f3 s\u1ebd gi\u00fap gi\u1ea3m \u1ee9ng <\/span>l\u1ef1c <\/span>t\u00e1c d\u1ee5ng l\u00ean ph\u1ea7n <\/span>li\u00ean <\/span>k\u1ebft c\u1ee7a <\/span>kh\u1edbp <\/span>v\u00e0 k\u00e9o d\u00e0i tu\u1ed5i th\u1ecd kh\u1edbp, \u0111i\u1ec1u n\u00e0y <\/span>\u0111\u00e3 <\/span>\u0111\u01b0\u1ee3c ch\u1ee9ng minh tr\u00ean c\u00e1c <\/span>th\u00ed nghi\u1ec7m <\/span>c\u0169ng nh\u01b0 l\u00e2m s\u00e0ng.<\/span><\/p>\n

B\u1ed9 kh\u1edbp Coonrad-Morrey c\u1ee7a Zimmer l\u00e0 thi\u1ebft k\u1ebf \u0111i\u1ec3n h\u00ecnh cho lo\u1ea1i KKNT n\u00e0y (H\u00ecnh 1.7), b\u1ed9 kh\u1edbp \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u00ean theo t\u00e1c gi\u1ea3 Morrey, m\u1ed9t trong nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u0111\u00f3ng g\u00f3p l\u1edbn nh\u1ea5t cho l\u0129nh v\u1ef1c thay kh\u1edbp khu\u1ef7u. Hai c\u1ea5u ph\u1ea7n ch\u00ednh \u1edf x\u01b0\u01a1ng c\u00e1nh tay v\u00e0 x\u01b0\u01a1ng tr\u1ee5 li\u00ean k\u1ebft kh\u00f3a v\u1edbi nhau b\u1eb1ng ch\u1ed1t ngang l\u00e0m t\u1eeb h\u1ee3p kim Coban. Ph\u1ea7n li\u00ean k\u1ebft \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf v\u1edbi c\u00e1c mi\u1ebfng l\u00f3t \u0111\u1ec7m l\u00e0m t\u1eeb PE \u0111\u1ec3 chuy\u1ec3n di\u1ec7n ti\u1ebfp x\u00fac khi kh\u1edbp v\u1eadn \u0111\u1ed9ng th\u00e0nh d\u1ea1ng kim lo\u1ea1i-nh\u1ef1a PE thay v\u00ec di\u1ec7n ti\u1ebfp x\u00fac kim lo\u1ea1i-kim lo\u1ea1i; ki\u1ec3u thi\u1ebft k\u1ebf n\u00e0y cho ph\u00e9p m\u1edf g\u00f3c trong ngo\u00e0i v\u00e0 s\u1ea5p ng\u1eeda kho\u1ea3ng 8 \u0111\u1ed9. Ph\u1ea7n \u0111\u1ea7u d\u01b0\u1edbi chu\u00f4i c\u00f3 d\u1ea1ng tam gi\u00e1c cho ph\u00e9p b\u1ea3o t\u1ed3n x\u01b0\u01a1ng \u1edf c\u1ed9t trong v\u00e0 c\u1ed9t ngo\u00e0i c\u1ee7a khu\u1ef7u. \u0110\u1ed9 d\u00e0i chu\u00f4i c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u1eeb 10-25cm; chu\u00f4i d\u00e0i \u0111\u1ec3 s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1ed5 l\u1ea1i. M\u1ed9t ng\u00e0m tr\u01b0\u1edbc \u0111\u01b0\u1ee3c th\u00eam v\u00e0o chu\u00f4i t\u1eeb nh\u1eefng n\u0103m 1980 gi\u00fap t\u0103ng c\u01b0\u1eddng c\u1ed1 \u0111\u1ecbnh, gi\u1ea3m hi\u1ec7n t\u01b0\u1ee3ng l\u1ecfng chu\u00f4i c\u00e1nh tay. Ph\u1ea7n khuy\u00ean tr\u00f2n tr\u1ee5 \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf c\u00e1c c\u1ee1 kh\u00e1c nhau, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1eafp gh\u00e9p \u0111\u1ed3ng t\u00e2m v\u1edbi cung tr\u00f2n c\u1ee7a h\u1ed1 sigma l\u1edbn, gi\u00fap t\u00e1i t\u1ea1o \u0111\u1ed9ng h\u1ecdc kh\u1edbp khu\u1ef7u. Tuy nhi\u00ean, t\u00e1c gi\u1ea3 Schuind trong m\u1ed9t nghi\u00ean c\u1ee9u cho r\u1eb1ng kh\u1edbp Coonrad-Morrey kh\u00f4ng t\u00e1i t\u1ea1o v\u1eadn \u0111\u1ed9ng gi\u1ed1ng h\u1ec7t nh\u01b0 gi\u1ea3i ph\u1eabu kh\u1edbp khu\u1ef7u nguy\u00ean thu\u1ef7; tr\u1ee5c g\u1ea5p – du\u1ed7i c\u1ee7a kh\u1edbp nh\u00e2n t\u1ea1o c\u00f3 xu h\u01b0\u1edbng b\u1ecb chuy\u1ec3n ra tr\u01b0\u1edbc, v\u1ea5n \u0111\u1ec1 n\u00e0y kh\u00f4ng th\u1ec3 kh\u1eafc ph\u1ee5c b\u1eb1ng c\u00e1ch thay \u0111\u1ed5i v\u1ecb tr\u00ed <\/span>\u0111\u1eb7t chu\u00f4i trong m\u1ed5 do nguy\u00ean nh\u00e2n l\u00e0 c\u1ea5u tr\u00fac chu\u00f4i kh\u00f4ng th\u1ef1c s\u1ef1 ph\u00f9 h\u1ee3p v\u1edbi gi\u1ea3i ph\u1eabu \u1ed1ng t\u1ee7y.<\/span><\/p>\n

M\u1eb7c d\u00f9 tr\u00ean l\u00fd thuy\u1ebft, kh\u1edbp b\u1ea3n l\u1ec1 b\u00e1n r\u00e0ng bu\u1ed9c kh\u00f4ng c\u1ea7n h\u1ec7 th\u1ed1ng d\u00e2y ch\u1eb1ng b\u00ean \u0111\u1ebf c\u00f3 th\u1ec3 gi\u00fap gi\u1eef v\u1eefng kh\u1edbp nh\u01b0ng n\u1ebfu nh\u01b0 x\u01b0\u01a1ng v\u00e0 h\u1ec7 th\u1ed1ng d\u00e2y ch\u1eb1ng c\u00e0ng nguy\u00ean v\u1eb9n th\u00ec tu\u1ed5i th\u1ecd kh\u1edbp c\u00e0ng \u0111\u01b0\u1ee3c k\u00e9o d\u00e0i. N\u1ebfu ph\u1ea7n m\u1ec1m \u0111\u01b0\u1ee3c b\u1ea3o t\u1ed3n t\u1ed1t, th\u00ec khi xu\u1ea5t hi\u1ec7n c\u00e1c chuy\u1ebfn \u0111\u1ed9ng v\u01b0\u1ee3t qu\u00e1 t\u1ea7m di \u0111\u1ed9ng \u0111\u00e3 thi\u1ebft k\u1ebf c\u1ee7a b\u1ed9 kh\u1edbp nh\u00e2n t\u1ea1o, kh\u1edbp s\u1ebd ph\u00e2n t\u00e1n m\u1ed9t ph\u1ea7n \u1ee9ng l\u1ef1c v\u00e0o ph\u1ea7n m\u1ec1m xung quanh; c\u00f2n trong tr\u01b0\u1eddng h\u1ee3p h\u1ec7 th\u1ed1ng ph\u1ea7n m\u1ec1m b\u1ecb th\u01b0\u01a1ng t\u1ed5n, th\u00ec to\u00e0n b\u1ed9 \u1ee9ng l\u1ef1c s\u1ebd chuy\u1ec3n l\u00ean di\u1ec7n ti\u1ebfp x\u00fac c\u1ee7a chu\u00f4i kh\u1edbp – xi m\u0103ng – x\u01b0\u01a1ng, l\u00fac n\u00e0y c\u00f3 th\u1ec3 hi\u1ec3u r\u1eb1ng kh\u1edbp khu\u1ef7u b\u00e1n r\u00e0ng bu\u1ed9c \u0111\u00e3 ph\u1ea3i l\u00e0m vi\u1ec7c nh\u01b0 m\u1ed9t kh\u1edbp r\u00e0ng bu\u1ed9c ho\u00e0n to\u00e0n. Vi\u1ec7c thay kh\u1edbp nh\u00e2n t\u1ea1o s\u1ebd l\u00e0m thay \u0111\u1ed5i \u0111\u1ed9ng h\u1ecdc th\u00f4ng th\u01b0\u1eddng c\u1ee7a kh\u1edbp khu\u1ef7u, s\u1ebd th\u01b0\u1eddng xuy\u00ean xu\u1ea5t hi\u1ec7n c\u00e1c \u0111\u1ed9ng t\u00e1c v\u1eb9o trong – ngo\u00e0i, xoay khu\u1ef7u v\u01b0\u1ee3t qu\u00e1 t\u1ea7m thi\u1ebft k\u1ebf, v\u00ec th\u1ebf ngo\u1ea1i tr\u1eeb c\u00e1c lo\u1ea1i kh\u1edbp b\u1ea3n l\u1ec1 \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf ri\u00eang \u0111i\u1ec1u tr\u1ecb trong l\u0129nh v\u1ef1c ung b\u01b0\u1edbu, c\u00e1c kh\u1edbp b\u1ea3n l\u1ec1 th\u01b0\u1eddng quy s\u1ebd thi\u1ebft k\u1ebf \u0111\u1ec3 c\u00f3 th\u1ec3 b\u1ea3o t\u1ed3n ph\u1ea7n m\u1ec1m v\u00e0 x\u01b0\u01a1ng t\u1ed1i \u0111a. \u0110i\u1ec1u n\u00e0y s\u1ebd gi\u00fap h\u1ec7 th\u1ed1ng ph\u1ea7n m\u1ec1m gi\u1eef \u0111\u01b0\u1ee3c vai tr\u00f2 nguy\u00ean thu\u1ef7 c\u1ee7a ch\u00fang trong kh\u1edbp khu\u1ef7u t\u1ef1 nhi\u00ean; t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m hi\u1ec7n t\u01b0\u1ee3ng va ch\u1ea1m c\u00e1c th\u00e0nh ph\u1ea7n kh\u1edbp nh\u00e2n t\u1ea1o v\u00e0 gi\u1ea3m hi\u1ec7n t\u01b0\u1ee3ng m\u00f2n kh\u1edbp, l\u1ecfng kh\u1edbp.<\/span><\/p>\n

Nh\u00f3m t\u00e1c gi\u1ea3:\u00a0<\/b><\/p>\n

Ch\u1ee7 bi\u00ean: <\/b>GS.TS. Tr\u1ea7n Trung D\u0169ng<\/span><\/p>\n

Bi\u00ean so\u1ea1n: <\/b>ThS.BS. Tr\u1ea7n Quy\u1ebft, BSCKII. Ph\u1ea1m Trung Hi\u1ebfu, ThS.BS. Nguy\u1ec5n Tr\u1ea7n Quang S\u00e1ng, BSCKII. V\u0169 T\u00fa Nam, ThS.BSNT. V\u00f5 S\u0129 Quy\u1ec1n N\u0103ng,ThS.BSNT. Tr\u1ea7n \u0110\u1ee9c Thanh, ThS.BSNT. Phan Khoa Nguy\u00ean BSCKII. Nguy\u1ec5n V\u0103n V\u1ef9<\/span><\/p>\n

Th\u01b0 k\u00fd: <\/b>ThS.BS. Tr\u1ea7n Quy\u1ebft<\/span><\/p>\n

\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n

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

Kh\u1edbp li\u1ec1n trong kh\u1edbp khu\u1ef7u nh\u00e2n t\u1ea1o (KKNT) l\u00e0 kh\u1edbp c\u00f3 ch\u1ee9a c\u00e1c c\u1ea5u tr\u00fac li\u00ean k\u1ebft \u0111\u1ec3 k\u1ebft n\u1ed1i c\u1ea5u ph\u1ea7n c\u00e1nh tay v\u00e0 c\u1ea5u ph\u1ea7n x\u01b0\u01a1ng tr\u1ee5; c\u1ea5u tr\u00fac li\u00ean k\u1ebft n\u00e0y l\u00e0 \u01b0u \u0111i\u1ec3m l\u1edbn nh\u1ea5t c\u1ee7a lo\u1ea1i kh\u1edbp li\u1ec1n v\u00ec n\u00f3 c\u00f3 th\u1ec3 \u0111\u1ea3m b\u1ea3o cho s\u1ef1 k\u1ebft n\u1ed1i v\u1edbi nhau […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,40],"tags":[],"yoast_head":"\nGi\u1edbi thi\u1ec7u v\u1ec1 kh\u1edbp li\u1ec1n trong kh\u1edbp khu\u1ef7u nh\u00e2n t\u1ea1o - Vinmec<\/title>\n<meta name=\"description\" content=\"Kh\u1edbp li\u1ec1n trong kh\u1edbp khu\u1ef7u nh\u00e2n t\u1ea1o (KKNT) l\u00e0 kh\u1edbp c\u00f3 ch\u1ee9a c\u00e1c c\u1ea5u tr\u00fac li\u00ean k\u1ebft \u0111\u1ec3 k\u1ebft n\u1ed1i c\u1ea5u ph\u1ea7n c\u00e1nh tay v\u00e0 c\u1ea5u ph\u1ea7n x\u01b0\u01a1ng tr\u1ee5\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gi\u1edbi thi\u1ec7u v\u1ec1 kh\u1edbp li\u1ec1n trong kh\u1edbp khu\u1ef7u nh\u00e2n t\u1ea1o - 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