{"id":6987,"date":"2024-09-23T14:03:38","date_gmt":"2024-09-23T07:03:38","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=6987"},"modified":"2024-09-23T14:03:38","modified_gmt":"2024-09-23T07:03:38","slug":"benh-vien-nhan-dan-gia-dinh-trien-khai-thanh-cong-phau-thuat-cot-song-xam-lan-toi-thieu-olif","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=6987","title":{"rendered":"B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH TRI\u1ec2N KHAI TH\u00c0NH C\u00d4NG PH\u1eaaU THU\u1eacT C\u1ed8T S\u1ed0NG X\u00c2M L\u1ea4N T\u1ed0I THI\u1ec2U OLIF"},"content":{"rendered":"\n<p><strong><em>C\u00e1c b\u00e1c s\u0129 khoa Ngo\u1ea1i th\u1ea7n kinh, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 chuy\u00ean m\u00f4n c\u1ee7a PGS. TS \u0110inh Ng\u1ecdc S\u01a1n, tr\u01b0\u1edfng khoa Ph\u1eabu thu\u1eadt c\u1ed9t s\u1ed1ng, B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c v\u1eeba ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng cho b\u1ec7nh nh\u00e2n \u0110.P.D (29 tu\u1ed5i) b\u1ecb b\u1ec7nh l\u00fd h\u1eb9p \u1ed1ng s\u1ed1ng, tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m L4-L5, L5-S1 b\u1eb1ng k\u1ef9 thu\u1eadt m\u1ed5 gh\u00e9p x\u01b0\u01a1ng li\u00ean th\u00e2n \u0111\u1ed1t x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u qua \u0111\u01b0\u1eddng m\u1ed5 ch\u1ebfch b\u00ean OLIF (Oblique Lateral Interbody Fusion). Ca ph\u1eabu thu\u1eadt n\u00e0y c\u0169ng \u0111\u00e3 ghi d\u1ea5u B\u1ec7nh vi\u1ec7n Nh\u00e2n D\u00e2n Gia \u0110\u1ecbnh l\u00e0 c\u01a1 s\u1edf y t\u1ebf \u0111\u1ea7u ti\u00ean \u1edf khu v\u1ef1c mi\u1ec1n Nam \u00e1p d\u1ee5ng th\u00e0nh c\u00f4ng ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ti\u00ean ti\u1ebfn n\u00e0y.<\/em><\/strong><strong><em><\/em><\/strong><\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-0b779aed wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/09\/Hinh-anh-trong-phong-phau-thuat-1024x768.jpg\" alt=\"\" class=\"uag-image-6988\" width=\"2568\" height=\"1926\" title=\"H\u00ecnh \u1ea3nh trong ph\u00f2ng ph\u1eabu thu\u1eadt\" loading=\"lazy\" role=\"img\" \/><figcaption class=\"uagb-image-caption\">H\u00ecnh \u1ea3nh trong ph\u00f2ng ph\u1eabu thu\u1eadt<\/figcaption><\/figure><\/div>\n\n\n\n<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; \u0110\u1ea7u n\u0103m 2024, c\u1ea3m th\u1ea5y c\u1ed9t s\u1ed1ng b\u1ecb \u0111au th\u1eaft, anh \u0110.P.D, sinh n\u0103m 1995, l\u00e0m vi\u1ec7c t\u1ea1i m\u1ed9t x\u01b0\u1edfng in \u1edf TP.HCM \u0111\u00e3 \u0111\u1ebfn m\u1ed9t c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m. Anh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ecb tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m. N\u1ebfu u\u1ed1ng thu\u1ed1c v\u00e0 t\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u th\u01b0\u1eddng xuy\u00ean th\u00ec anh D c\u1ea3m th\u1ea5y c\u1ed9t s\u1ed1ng b\u1edbt \u0111au nh\u01b0ng khi ng\u01b0ng thu\u1ed1c th\u00ec b\u1ecb \u0111au d\u1eef d\u1ed9i h\u01a1n. Trong m\u1ed9t l\u1ea7n \u0111ang \u0111\u1ee9ng, anh D b\u1ecb ng\u00e3 s\u1ee5p xu\u1ed1ng \u0111\u1ea5t. Nh\u1eadn th\u1ea5y b\u1ec7nh tr\u1edf n\u1eb7ng, anh D v\u1ed9i v\u00e3 \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m tra s\u1ee9c kh\u1ecfe. Sau khi ch\u1ee5p X-quang, MRI\u2026, anh D \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n b\u1ecb b\u1ec7nh l\u00fd h\u1eb9p \u1ed1ng s\u1ed1ng, tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m L4-L5, L5-S1, ch\u00e8n \u00e9p th\u1ea7n kinh n\u1eb7ng v\u00e0 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt v\u00e0o ng\u00e0y 12\/9 b\u1eb1ng k\u1ef9 thu\u1eadt gh\u00e9p x\u01b0\u01a1ng li\u00ean th\u00e2n \u0111\u1ed1t x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u qua \u0111\u01b0\u1eddng m\u1ed5 ch\u1ebfch b\u00ean OLIF. Sau ph\u1eabu thu\u1eadt 4 ng\u00e0y, anh D \u0111\u00e3 \u0111i l\u1ea1i b\u00ecnh th\u01b0\u1eddng v\u00e0 chu\u1ea9n b\u1ecb xu\u1ea5t vi\u1ec7n.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-46b1c34d wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/09\/Hinh-anh-Bs-Tung-dang-thuc-hien-phau-thuat-1024x768.jpg\" alt=\"\" class=\"uag-image-6989\" width=\"1280\" height=\"960\" title=\"H\u00ecnh \u1ea3nh Bs T\u00f9ng \u0111ang th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt\" loading=\"lazy\" role=\"img\" \/><figcaption class=\"uagb-image-caption\">H\u00ecnh \u1ea3nh TS D\u01b0\u01a1ng Thanh T\u00f9ng \u0111ang th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt<\/figcaption><\/figure><\/div>\n\n\n\n<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; TS.BS. D\u01b0\u01a1ng Thanh T\u00f9ng, Tr\u01b0\u1edfng khoa Ngo\u1ea1i th\u1ea7n kinh, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh cho bi\u1ebft: Hi\u1ec7n nay, nh\u1edd v\u00e0o c\u00e1c trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i nh\u01b0 k\u00ednh vi ph\u1eabu thu\u1eadt, m\u00e1y C-arm h\u01b0\u1edbng d\u1eabn h\u00ecnh \u1ea3nh trong ph\u1eabu thu\u1eadt, b\u00e0n m\u1ed5 tr\u01b0\u1ee3t tr\u1ee5c v\u00e0 th\u1ea5u quang, c\u00e1c d\u1ee5ng c\u1ee5 v\u00e0 v\u1eadt li\u1ec7u chuy\u00ean d\u1ee5ng, ph\u1eabu thu\u1eadt OLIF \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n theo c\u00e1ch th\u1ee9c x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u. Nh\u1edd v\u00e0o c\u00e1ch th\u1ee9c x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n hi\u1ec7u qu\u1ea3, an to\u00e0n, gi\u1ea3m bi\u1ebfn ch\u1ee9ng, di ch\u1ee9ng v\u00e0 b\u1ea3o t\u1ed3n \u0111\u01b0\u1ee3c t\u1ed1i \u0111a c\u00e1c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu c\u1ed9t s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-986b0f97 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/09\/Hinh-anh-nguoi-benh-sau-khi-phau-thuat-1024x768.jpg\" alt=\"\" class=\"uag-image-6990\" width=\"805\" height=\"604\" title=\"H\u00ecnh \u1ea3nh ng\u01b0\u1eddi b\u1ec7nh sau khi ph\u1eabu thu\u1eadt\" loading=\"lazy\" role=\"img\" \/><figcaption class=\"uagb-image-caption\">H\u00ecnh \u1ea3nh ng\u01b0\u1eddi b\u1ec7nh sau khi ph\u1eabu thu\u1eadt<\/figcaption><\/figure><\/div>\n\n\n\n<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; V\u1edbi \u0111\u1ecbnh h\u01b0\u1edbng ph\u00e1t tri\u1ec3n theo tr\u00e0o l\u01b0u t\u1ea5t y\u1ebfu c\u1ee7a c\u00e1c ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u trong chuy\u00ean ng\u00e0nh ph\u1eabu thu\u1eadt c\u1ed9t s\u1ed1ng, B\u1ec7nh vi\u1ec7n Nh\u00e2n D\u00e2n Gia \u0110\u1ecbnh l\u00e0 m\u1ed9t trong nh\u1eefng c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb s\u1edbm tri\u1ec3n khai ph\u1eabu thu\u1eadt gh\u00e9p x\u01b0\u01a1ng li\u00ean th\u00e2n \u0111\u1ed1t qua l\u1ed7 li\u00ean h\u1ee3p x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u MIS-TLIF (Minimally Invasive &#8211; Transforaminal Interbody Fusion) thay th\u1ebf ph\u1eabu thu\u1eadt m\u1edf quy \u01b0\u1edbc t\u1eeb n\u0103m 2013. \u0110\u1ebfn nay, b\u1ec7nh vi\u1ec7n \u0111\u00e3 c\u00f3 1 b\u01b0\u1edbc ti\u1ebfn m\u1edbi v\u1edbi vi\u1ec7c \u00e1p d\u1ee5ng th\u00e0nh c\u00f4ng k\u1ef9 thu\u1eadt gh\u00e9p x\u01b0\u01a1ng li\u00ean th\u00e2n \u0111\u1ed1t x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u qua \u0111\u01b0\u1eddng m\u1ed5 ch\u1ebfch b\u00ean OLIF. \u0110\u00e2y c\u0169ng l\u00e0 minh ch\u1ee9ng cho s\u1ef1 n\u1ed7 l\u1ef1c kh\u00f4ng ng\u1eebng trong vi\u1ec7c c\u1eadp nh\u1eadt nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00ean ti\u1ebfn, cung c\u1ea5p nh\u1eefng k\u1ef9 thu\u1eadt c\u00f3 hi\u1ec7u qu\u1ea3 nh\u1ea5t, c\u00f3 l\u1ee3i nh\u1ea5t cho ng\u01b0\u1eddi b\u1ecb b\u1ec7nh c\u1ed9t s\u1ed1ng nh\u01b0 tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m, tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng, ch\u1ea5n th\u01b0\u01a1ng v\u00e0 bi\u1ebfn d\u1ea1ng c\u1ed9t s\u1ed1ng.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"epyt-video-wrapper\"><div  style=\"display: block; margin: 0px auto;\"  id=\"_ytid_76328\"  width=\"805\" height=\"452\"  data-origwidth=\"805\" data-origheight=\"452\" data-facadesrc=\"https:\/\/www.youtube.com\/embed\/NcH2-1N1gzs?enablejsapi=1&#038;autoplay=0&#038;cc_load_policy=0&#038;cc_lang_pref=&#038;iv_load_policy=1&#038;loop=0&#038;rel=0&#038;fs=1&#038;playsinline=0&#038;autohide=2&#038;theme=dark&#038;color=red&#038;controls=1&#038;\" class=\"__youtube_prefs__ epyt-facade epyt-is-override  no-lazyload\" data-epautoplay=\"1\" ><img decoding=\"async\" data-spai-excluded=\"true\" class=\"epyt-facade-poster skip-lazy\" loading=\"lazy\"  alt=\"YouTube player\"  src=\"https:\/\/i.ytimg.com\/vi\/NcH2-1N1gzs\/maxresdefault.jpg\"  \/><button class=\"epyt-facade-play\" aria-label=\"Play\"><svg data-no-lazy=\"1\" height=\"100%\" version=\"1.1\" viewBox=\"0 0 68 48\" width=\"100%\"><path class=\"ytp-large-play-button-bg\" d=\"M66.52,7.74c-0.78-2.93-2.49-5.41-5.42-6.19C55.79,.13,34,0,34,0S12.21,.13,6.9,1.55 C3.97,2.33,2.27,4.81,1.48,7.74C0.06,13.05,0,24,0,24s0.06,10.95,1.48,16.26c0.78,2.93,2.49,5.41,5.42,6.19 C12.21,47.87,34,48,34,48s21.79-0.13,27.1-1.55c2.93-0.78,4.64-3.26,5.42-6.19C67.94,34.95,68,24,68,24S67.94,13.05,66.52,7.74z\" fill=\"#f00\"><\/path><path d=\"M 45,24 27,14 27,34\" fill=\"#fff\"><\/path><\/svg><\/button><\/div><\/div>\n<\/div><figcaption class=\"wp-element-caption\">Ngu\u1ed3n: HTV<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c b\u00e1c s\u0129 khoa Ngo\u1ea1i th\u1ea7n kinh, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 chuy\u00ean m\u00f4n c\u1ee7a PGS. TS \u0110inh Ng\u1ecdc S\u01a1n, tr\u01b0\u1edfng khoa Ph\u1eabu thu\u1eadt c\u1ed9t s\u1ed1ng, B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c v\u1eeba ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng cho b\u1ec7nh nh\u00e2n \u0110.P.D (29 tu\u1ed5i) b\u1ecb b\u1ec7nh l\u00fd h\u1eb9p \u1ed1ng s\u1ed1ng, tho\u00e1t 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