{"id":26,"date":"2020-10-20T11:22:59","date_gmt":"2020-10-20T11:22:59","guid":{"rendered":"http:\/\/cdha.edu.vn\/cdha\/?p=26"},"modified":"2021-01-09T22:55:08","modified_gmt":"2021-01-09T15:55:08","slug":"ca-10-u-vo-bao-day-than-kinh-ngoai-bien","status":"publish","type":"post","link":"https:\/\/cdha.edu.vn\/cdha\/ca-10-u-vo-bao-day-than-kinh-ngoai-bien\/","title":{"rendered":"Ca 10: U v\u1ecf bao d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean"},"content":{"rendered":"\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<iframe loading=\"lazy\" title=\"U MAT TRONG CANG TAY\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/WiGkJYivD5o?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption><strong>Th\u1ea5y kh\u1ed1i u m\u1eb7t trong c\u00e1nh tay Tr\u00e1i n\u00ean nh\u1edd sa ki\u1ec3m tra.<\/strong><\/figcaption><\/figure>\n\n\n<p style=\"text-align: justify;\"><strong>\u0110\u00e1p \u00e1n<\/strong>: U v\u1ecf bao d\u00e2y th\u1ea7n kinh v\u00f9ng c\u00e1nh tay.<\/p>\n<p style=\"text-align: justify;\"><strong>L\u00fd thuy\u1ebft<\/strong>: U v\u1ecf bao d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean c\u00f3 l\u00e0nh t\u00ednh v\u00e0 \u00e1c t\u00ednh. L\u00e0nh t\u00ednh c\u00f3 2 lo\u1ea1i ch\u00ednh l\u00e0 schwannoma v\u00e0 neurofibroma. \u00c1c t\u00ednh th\u01b0\u1eddng l\u00e0 lo\u1ea1i chuy\u1ec3n d\u1ea1ng \u00e1c c\u1ee7a neurofibroma.<\/p>\n<p style=\"text-align: justify;\">Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t schwannoma v\u00e0 neurofibroma th\u01b0\u1eddng kh\u00f3 tr\u00ean si\u00eau \u00e2m. Nh\u01b0ng c\u00f3 th\u1ec3 d\u1ef1a v\u00e0o 4 \u0111\u1eb7c \u0111i\u1ec3m \u0111\u1ec3 \u0111\u1ecbnh h\u01b0\u1edbng:<\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">1. T\u1ef7 l\u1ec7 gi\u1eefa \u0111\u01b0\u1eddng k\u00ednh l\u1edbn nh\u1ea5t v\u00e0 nh\u1ecf nh\u1ea5t <\/strong>(the maximum-to-minimum diameter ratio): T\u1eeb 4.0 tr\u1edf l\u00ean g\u1ee3i \u00fd neurofibroma nhi\u1ec1u h\u01a1n<\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">2. T\u01b0\u01a1ng quan v\u1ecb tr\u00ed c\u1ee7a u v\u00e0 d\u00e2y th\u1ea7n kinh<\/strong>: c\u00f3 c\u00e1c ki\u1ec3u t\u01b0\u01a1ng quan sau:<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/03\/image-1-1.png?w=621\" width=\"621\" height=\"411\" \/><\/p>\n<p style=\"text-align: justify;\">Ki\u1ec3u trung t\u00e2m: c\u00f3 th\u1ec3 Schwannoma ho\u1eb7c Neurofibroma<br data-rich-text-line-break=\"true\" \/>Ki\u1ec3u l\u1ec7ch t\u00e2m: Schwannoma (c\u00f3 th\u1ec3 lo\u1ea1i tr\u1eeb Neurofibroma)<\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">3. \u0110o\u1ea1n chuy\u1ec3n ti\u1ebfp gi\u1eefa u v\u00e0 d\u00e2y th\u1ea7n kinh<\/strong> (nerve-tumor transition): C\u00f3 c\u00e1c ki\u1ec3u sau:<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/03\/image-1-1-1.png?w=599\" width=\"599\" height=\"583\" \/><\/p>\n<p style=\"text-align: justify;\">Ki\u1ec3u <strong>gi\u1edbi h\u1ea1n r\u00f5<\/strong>: ngh\u0129 nhi\u1ec1u schwannoma. <br data-rich-text-line-break=\"true\" \/>KH\u00d4NG c\u00f3 d\u1ea1ng <strong>A Trung t\u00e2m<\/strong> c\u0169ng KH\u00d4NG c\u00f3 d\u1ea1ng <strong>E x\u00e2m l\u1ea5n<\/strong>: ngh\u0129 nhi\u1ec1u schwannoma (\u00cdT G\u1ee2I \u00dd neurofibroma).<\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">4. T\u01b0\u1edbi m\u00e1u:<\/strong> C\u1ea3 2 \u0111\u1ec1u c\u00f3 th\u1ec3 c\u00f3 t\u01b0\u1edbi m\u00e1u. Nh\u01b0ng schwannoma th\u01b0\u1eddng t\u0103ng sinh m\u1ea1ch nhi\u1ec1u h\u01a1n.<\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">\u00c1p d\u1ee5ng v\u00e0o ca n\u00e0y:<\/strong><\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium aligncenter\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/03\/image-2.png?w=806\" width=\"806\" height=\"378\" \/><\/p>\n<ol style=\"text-align: justify;\">\n<li><strong data-rich-text-format-boundary=\"true\">T\u1ef7 l\u1ec7 \u0111\u01b0\u1eddng k\u00ednh l\u1edbn nh\u1ea5t<\/strong> : \u0111k nh\u1ecf nh\u1ea5t # 18mm : 15mm = 1.2 &lt; 4.0. Kh\u00f4ng g\u1ee3i \u00fd \u0111\u01b0\u1ee3c l\u00e0 neurofibroma hay shwannoma.<\/li>\n<li><strong data-rich-text-format-boundary=\"true\">T\u01b0\u01a1ng quan v\u1ecb tr\u00ed c\u1ee7a u v\u00e0 d\u00e2y th\u1ea7n kinh<\/strong>: ki\u1ec3u <strong>A Trung t\u00e2m<\/strong> &#8211; c\u00f3 th\u1ec3 Schwannoma ho\u1eb7c Neurofibroma<\/li>\n<li><strong data-rich-text-format-boundary=\"true\">\u0110o\u1ea1n chuy\u1ec3n ti\u1ebfp gi\u1eefa u v\u00e0 d\u00e2y th\u1ea7n kinh<\/strong>: Ki\u1ec3u <strong>C<\/strong> <strong>gi\u1edbi h\u1ea1n r\u00f5<\/strong>: ngh\u0129 nhi\u1ec1u schwannoma.<\/li>\n<li><strong data-rich-text-format-boundary=\"true\">T\u01b0\u1edbi m\u00e1u<\/strong>: \u00cdt doppler -&gt; ngh\u0129 t\u1edbi neurofibroma nhi\u1ec1u h\u01a1n.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">K\u1ebeT LU\u1eacN: <\/strong><br data-rich-text-line-break=\"true\" \/>U D\u00c2Y TH\u1ea6N KINH NGO\u1ea0I BI\u00caN V\u00d9NG C\u00c1NH TAY (NGH\u0128 SCHWANNOMA &#8211; C\u0110PB: NEUROFIBROMA)<\/p>\n<p style=\"text-align: justify;\">\u00a0<\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">\u0110\u1ec0 NGH\u1eca<\/strong>: CH\u1ee4P MRI<\/p>\n<p style=\"text-align: justify;\">\u00a0<\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">TR\u1ea2 L\u1edcI C\u00c2U H\u1eceI CA C\u0168<\/strong><br data-rich-text-line-break=\"true\" \/><strong>1. U v\u1ecf bao th\u1ea7n kinh c\u00f3 ph\u1ea3i l\u00e0 Neurofibroma kh\u00f4ng?<br data-rich-text-line-break=\"true\" \/><\/strong><em>\u0110\u1ecdc \u1edf \u0111\u00e2y: nhan-ca-so-10-noi-them-ve-ban-chat-cua-schwannoma-va-neurofibroma\/<\/em><\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">2. C\u00f3 c\u1ea7n ghi nh\u1eadn u m\u1ee1 n\u1eb1m trong l\u1edbp m\u1ea1c (intrafascia) kh\u00f4ng?<br data-rich-text-line-break=\"true\" \/><\/strong>C\u00f3. V\u00ec c\u00e1c u m\u1ee1 n\u1eb1m \u1edf n\u1eb1m trong l\u1edbp m\u1ea1c th\u01b0\u1eddng r\u1ea5t d\u00ednh, c\u1ea7n ph\u1ea3i ghi nh\u1eadn \u0111\u1ec3 ph\u1eabu thu\u1eadt vi\u00ean bi\u1ebft r\u1eb1ng \u0111\u00e2y l\u00e0 m\u1ed9t kh\u1ed1i u kh\u00f3 b\u00f3c t\u00e1ch<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium aligncenter\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/03\/image-4.png?w=871\" width=\"871\" height=\"294\" \/><\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">T\u00e0i li\u1ec7u:<\/strong><br data-rich-text-line-break=\"true\" \/><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.7863\/ultra.15.01067\" target=\"_blank\" rel=\"noreferrer noopener\">1. Sonographic Differentiation Between Schwannomas and Neurofibromas in the Musculoskeletal System<\/a><br data-rich-text-line-break=\"true\" \/><a href=\"https:\/\/www.bookdepository.com\/Ultrasound-of-the-Musculoskeletal-System-S.-Bianchi\/9783540422679?redirected=true&amp;utm_medium=Google&amp;utm_campaign=Base2&amp;utm_source=VN&amp;utm_content=Ultrasound-of-the-Musculoskeletal-System&amp;selectCurrency=USD&amp;w=AFDBAU9HKSNJL2A8VCC9&amp;pdg=pla-317692435101:cmp-6750570427:adg-79110884786:crv-388665620540:pos-:dev-c&amp;gclid=Cj0KCQjwyPbzBRDsARIsAFh15JYbMI1dTF-SkAvXy73MHD_m9cYYLssE4GQ3Inl2QxR5QuwwUL3qoqAaAjZTEALw_wcB\" target=\"_blank\" rel=\"noreferrer noopener\">2. Ultrasound of the Musculoskeletal System<\/a><\/p>\n<p style=\"text-align: justify;\">\u00a0<\/p>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u00e1p \u00e1n: U v\u1ecf bao d\u00e2y th\u1ea7n kinh v\u00f9ng c\u00e1nh tay. L\u00fd thuy\u1ebft: U v\u1ecf bao d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean c\u00f3 l\u00e0nh t\u00ednh v\u00e0<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,5],"tags":[9,10,12,49,11],"class_list":["post-26","post","type-post","status-publish","format-standard","hentry","category-phan-mem-cxk","category-sieu-am","tag-neurofibroma","tag-schwannoma","tag-sieu-am-phan-mem","tag-than-kinh-ngoai-bien","tag-u-day-than-kinh-ngoai-bien"],"_links":{"self":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/26","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/comments?post=26"}],"version-history":[{"count":8,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/26\/revisions"}],"predecessor-version":[{"id":321,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/26\/revisions\/321"}],"wp:attachment":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media?parent=26"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/categories?post=26"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/tags?post=26"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}