{"id":281888,"date":"2025-04-21T17:35:01","date_gmt":"2025-04-21T10:35:01","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/phau-thuat-acdf-giup-nguoi-benh-dut-con-dau-co-canh-tay-do-thoat-vi-dia-dem-cot-song-co\/"},"modified":"2025-11-10T11:56:51","modified_gmt":"2025-11-10T04:56:51","slug":"phau-thuat-acdf-giup-nguoi-benh-dut-con-dau-co-canh-tay-do-thoat-vi-dia-dem-cot-song-co","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/phau-thuat-acdf-giup-nguoi-benh-dut-con-dau-co-canh-tay-do-thoat-vi-dia-dem-cot-song-co\/","title":{"rendered":"Ph\u1eabu thu\u1eadt ACDF gi\u00fap ng\u01b0\u1eddi b\u1ec7nh d\u1ee9t c\u01a1n \u0111au c\u1ed5, c\u00e1nh tay do tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng c\u1ed5"},"content":{"rendered":"\n

Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed5 l\u00e0 b\u1ec7nh l\u00fd tho\u00e1i h\u00f3a, th\u01b0\u1eddng g\u1eb7p \u1edf \u0111\u1ed9 tu\u1ed5i tr\u00ean 40. \u0110\u00e2y l\u00e0 qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a t\u1ef1 nhi\u00ean v\u00e0 th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh l\u00fd n\u00e0y nh\u01b0: \u0111au c\u1ed5, \u0111au theo c\u00e1c r\u1ec5 chi ph\u1ed1i 2 tay, \u0111\u00f4i khi y\u1ebfu c\u00e1c nh\u00f3m c\u01a1 \u1edf 2 tay. Theo nghi\u00ean c\u1ee9u Kokubun, t\u1ec9 l\u1ec7 ph\u1eabu thu\u1eadt b\u1ec7nh l\u00fd n\u00e0y chi\u1ebfm 1,54 b\u1ec7nh nh\u00e2n tr\u00ean 100.000 b\u1ec7nh nh\u00e2n tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed5.<\/p>\n\n\n\n

C\u00e1c b\u00e1c s\u0129 khoa Ngo\u1ea1i Th\u1ea7n Kinh \u2013 C\u1ed9t s\u1ed1ng, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng v\u1eeba th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt l\u1ea5y nh\u00e2n tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m v\u00e0 h\u00e0n c\u1ed9t s\u1ed1ng c\u1ed5 (ACDF) gi\u00fap ng\u01b0\u1eddi b\u1ec7nh tho\u00e1t nguy c\u01a1 li\u1ec7t chi (c\u00e1nh tay tr\u00e1i). \u0110\u00e2y l\u00e0 k\u1ef9 thu\u1eadt cao trong ph\u1eabu thu\u1eadt th\u1ea7n kinh c\u1ed9t s\u1ed1ng \u0111\u00f2i h\u1ecfi \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 chuy\u00ean khoa gi\u00e0u kinh nghi\u1ec7m v\u00e0 trang thi\u1ebft b\u1ecb ph\u1eabu thu\u1eadt hi\u1ec7n \u0111\u1ea1i.<\/p>\n\n\n\n

Anh N (42 tu\u1ed5i, Qu\u1ea3ng Ng\u00e3i) th\u01b0\u1eddng xuy\u00ean ph\u1ea3i ch\u1ecbu nh\u1eefng c\u01a1n \u0111au t\u1eeb c\u1ed5 lan ra tay tr\u00e1i trong su\u1ed1t 2 n\u0103m nay do b\u1ec7nh l\u00fd tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng c\u1ed5 g\u00e2y ra. C\u01a1n \u0111au khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 kh\u0103n khi c\u1ea7m n\u1eafm, v\u00e0 \u0111au t\u0103ng khi ng\u01b0\u1eddi b\u1ec7nh c\u1eed \u0111\u1ed9ng tay tr\u00e1i. M\u1eb7c d\u00f9, ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa k\u1ebft h\u1ee3p t\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u nhi\u1ec1u \u0111\u1ee3t, c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh v\u1eabn kh\u00f4ng c\u00f3 s\u1ef1 c\u1ea3i thi\u1ec7n. \u0110\u1ea7u th\u00e1ng 3.2025, anh N quy\u1ebft \u0111\u1ecbnh \u0111\u1ebfn th\u0103m kh\u00e1m t\u1ea1i B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

TS.BS. L\u00ea \u0110\u00ecnh Huy Khanh \u2013 Tr\u01b0\u1edfng khoa Ngo\u1ea1i Th\u1ea7n kinh \u2013 C\u1ed9t s\u1ed1ng, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng chia s\u1ebb: qua th\u0103m kh\u00e1m, ch\u1ee5p MRI c\u1ed9t s\u1ed1ng c\u1ed5 c\u00f3 h\u00ecnh \u1ea3nh tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed5 C5-6 v\u00e0 C6-7 b\u00ean tr\u00e1i \u2013 ph\u00f9 t\u1ee7y m\u1ee9c t\u01b0\u01a1ng \u1ee9ng. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt ACDF (Anterior Cervical Dicsectomy and Fusion) l\u1ea5y nh\u00e2n tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m v\u00e0 h\u00e0n x\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5 l\u1ed1i tr\u01b0\u1edbc d\u01b0\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a k\u00ednh vi ph\u1eabu, m\u00e0n h\u00ecnh t\u0103ng s\u00e1ng trong ph\u1eabu thu\u1eadt, m\u00e1y m\u00e0i cao t\u1ed1c nh\u1eb1m gi\u1ea3i ph\u00f3ng \u0111\u0129a \u0111\u1ec7m ch\u00e8n \u00e9p t\u1ee7y c\u1ed5, r\u1ec5 th\u1ea7n kinh c\u1ed9t s\u1ed1ng, nh\u1eb1m tr\u00e1nh nguy c\u01a1 li\u1ec7t tay tr\u00e1i v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng c\u1ed5 hi\u1ec3n th\u1ecb r\u00f5 tr\u00ean MRI<\/em><\/p>\n\n\n\n

Ca ph\u1eabu thu\u1eadt k\u00e9o d\u00e0i 2 ti\u1ebfng, ngay sau h\u1ed3i t\u1ec9nh, ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 c\u00f3 th\u1ec3 c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 v\u1ec1 v\u1eadn \u0111\u1ed9ng, c\u01a1n \u0111au \u1edf c\u1ed5 v\u00e0 c\u00e1nh tay tr\u00e1i g\u1ea7n nh\u01b0 bi\u1ebfn m\u1ea5t. V\u00e0 xu\u1ea5t vi\u1ec7n sau 5 ng\u00e0y ph\u1eabu thu\u1eadt.<\/p>\n\n\n\n

T\u00e1i kh\u00e1m sau ph\u1eabu thu\u1eadt 1 th\u00e1ng, anh N chia s\u1ebb ni\u1ec1m vui c\u00f9ng ekip b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb khi c\u00e1nh tay tr\u00e1i \u0111\u00e3 tr\u1edf l\u1ea1i ch\u1ee9c n\u0103ng ban \u0111\u1ea7u, kh\u00f4ng c\u00f2n tr\u1edf ng\u1ea1i trong sinh ho\u1ea1t h\u00e0ng ng\u00e0y n\u1eefa.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

X-quang v\u1ec1 v\u1ebft h\u00e0n x\u01b0\u01a1ng c\u1ed9t s\u1ed1ng b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ACDF tr\u00ean ng\u01b0\u1eddi b\u1ec7nh <\/em><\/p>\n\n\n\n

ACDF l\u00e0 ph\u1eabu thu\u1eadt c\u00f3 \u0111\u1ed9 kh\u00f3 cao v\u00e0 tinh t\u1ebf \u0111\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt vi\u00ean ph\u1ea3i c\u00f3 kinh nghi\u1ec7m chuy\u00ean m\u00f4n s\u00e2u, trang thi\u1ebft b\u1ecb ph\u00f2ng m\u1ed5 hi\u1ec7n \u0111\u1ea1i nh\u01b0: k\u00ednh vi ph\u1eabu; m\u00e0n h\u00ecnh t\u0103ng s\u00e1ng trong ph\u1eabu thu\u1eadt; m\u00e1y m\u00e0i cao t\u1ed1c; h\u1ec7 th\u1ed1ng ph\u00f2ng m\u1ed5 \u0111\u1ea1t chu\u1ea9n qu\u1ed1c t\u1ebf gi\u00fap ph\u1eabu thu\u1eadt vi\u00ean quan s\u00e1t t\u1ed1t ph\u1eabu tr\u01b0\u1eddng, l\u1ea5y \u0111\u0129a \u0111\u1ec7m tho\u00e1t v\u1ecb ch\u00e8n \u00e9p r\u1ec5 th\u1ea7n kinh v\u00e0 h\u00e0n x\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5 ch\u00ednh x\u00e1c, ki\u1ec3m so\u00e1t t\u1ed1t c\u00e1c tai bi\u1ebfn.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng \u0111\u00e3 tri\u1ec3n khai ph\u1eabu thu\u1eadt ACDF th\u01b0\u1eddng quy trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd c\u1ed9t s\u1ed1ng c\u1ed5 nh\u01b0: tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng c\u1ed5, h\u1eb9p \u1ed1ng s\u1ed1ng\u2026 \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 an to\u00e0n, gi\u1ea3m \u0111au nhanh ch\u00f3ng, gi\u00fap nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh nh\u01b0 anh N tho\u00e1t kh\u1ecfi c\u01a1n \u0111au dai d\u1eb3ng, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng hay th\u1eadm ch\u00ed l\u00e0 li\u1ec7t chi, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/p>\n\n\n\n

Khoa Ngo\u1ea1i Th\u1ea7n kinh \u2013 C\u1ed9t s\u1ed1ng, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng v\u1edbi \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 chuy\u00ean m\u00f4n cao, tri\u1ec3n khai c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt hi\u1ec7n \u0111\u1ea1i, x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u, c\u00f9ng s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a trang thi\u1ebft b\u1ecb nh\u01b0: CT 256 l\u00e1t c\u1eaft (GE), MRI 1.5 Tesla (Siemens), m\u00e0n h\u00ecnh t\u0103ng s\u00e1ng trong ph\u1eabu thu\u1eadt, k\u00ednh vi ph\u1eabu, h\u1ec7 th\u1ed1ng n\u1ed9i soi ti\u00ean ti\u1ebfn, m\u00e1y m\u00e0i cao t\u1ed1c,\u2026 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 c\u00e1c b\u1ec7nh l\u00fd nh\u01b0: Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed9t s\u1ed1ng c\u1ed5 – th\u1eaft l\u01b0ng; H\u1eb9p \u1ed1ng s\u1ed1ng c\u1ed5 – th\u1eaft l\u01b0ng;  Ph\u1eabu thu\u1eadt u n\u00e3o, U t\u1ee7y, Tr\u01b0\u1ee3t \u0111\u1ed1t s\u1ed1ng th\u1eaft l\u01b0ng,\u2026 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00ean ti\u1ebfn, x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u, r\u00fat ng\u1eafn th\u1eddi gian n\u1eb1m vi\u1ec7n, ph\u1ee5c h\u1ed3i nhanh ch\u00f3ng.<\/p>\n\n\n\n

\u0110\u1eb7t l\u1ecbch h\u1eb9n kh\u00e1m, ph\u1eabu thu\u1eadt t\u1ea1i Khoa Ngo\u1ea1i Th\u1ea7n kinh \u2013 C\u1ed9t s\u1ed1ng, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 \u0110\u00e0 N\u1eb5ng theo hotline: 02363 650 676 ho\u1eb7c 02363 509 808 (gi\u1edd h\u00e0nh ch\u00ednh).<\/p>\n","protected":false},"excerpt":{"rendered":"

Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ed5 l\u00e0 b\u1ec7nh l\u00fd tho\u00e1i h\u00f3a, th\u01b0\u1eddng g\u1eb7p \u1edf \u0111\u1ed9 tu\u1ed5i tr\u00ean 40. \u0110\u00e2y l\u00e0 qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a t\u1ef1 nhi\u00ean v\u00e0 th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh l\u00fd n\u00e0y nh\u01b0: \u0111au c\u1ed5, \u0111au theo c\u00e1c r\u1ec5 chi ph\u1ed1i 2 tay, \u0111\u00f4i khi y\u1ebfu c\u00e1c […]<\/p>\n","protected":false},"author":10,"featured_media":281889,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1267],"tags":[],"class_list":["post-281888","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-da-nang___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281888","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=281888"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281888\/revisions"}],"predecessor-version":[{"id":296405,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281888\/revisions\/296405"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/281889"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=281888"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=281888"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=281888"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}