{"id":76,"date":"2020-10-25T12:30:25","date_gmt":"2020-10-25T12:30:25","guid":{"rendered":"http:\/\/cdha.edu.vn\/cdha\/?p=76"},"modified":"2020-10-27T05:08:04","modified_gmt":"2020-10-27T05:08:04","slug":"ca-13","status":"publish","type":"post","link":"https:\/\/cdha.edu.vn\/cdha\/ca-13\/","title":{"rendered":"Ca 13: Ph\u00ec \u0111\u1ea1i tr\u1ee5 Bertin &#8211; HCB"},"content":{"rendered":"\n<figure class=\"wp-block-embed-youtube wp-block-embed is-type-video is-provider-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"U\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/l9v_IzBsUvI?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>Nam 45t, kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng. Si\u00eau \u00e2m th\u1eadn:<\/figcaption><\/figure>\n\n\n\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">\u0110\u00c1P \u00c1N<\/strong>: PH\u00cc \u0110\u1ea0I TR\u1ee4 BERTIN (HCB) (\u0110\u00c3 CH\u1ee4P CT)<\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">H\u00ccNH \u1ea2NH SI\u00caU \u00c2M PH\u00cc \u0110\u1ea0I TR\u1ee4 BERTIN<\/strong> <strong>(HCB)<\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li>V\u1ecb tr\u00ed: 1\/3 tr\u00ean v\u00e0 1\/3 gi\u1eefa th\u1eadn<\/li>\n<li>Nh\u1ecf h\u01a1n 3cm<\/li>\n<li>Li\u00ean t\u1ee5c v\u1ecf th\u1eadn, kh\u00f4ng bi\u1ebfn d\u1ea1ng \u0111\u01b0\u1eddng b\u1edd th\u1eadn<\/li>\n<li>Bi\u1ebfn d\u1ea1ng \u0111\u00e0i b\u1ec3 th\u1eadn<\/li>\n<li>Ch\u1ee9a th\u00e1p th\u1eadn<\/li>\n<li>C\u00f3 m\u1ea1ch m\u00e1u xuy\u00ean qua<\/li>\n<li>T\u0103ng quang nh\u01b0 v\u1ecf th\u1eadn (tr\u00ean CT v\u00e0 MRI)<\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">L\u00dd THUY\u1ebeT:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">Nh\u1eafc l\u1ea1i gi\u1ea3i ph\u1eabu th\u1eadn:<\/strong><\/p>\n<p style=\"text-align: justify;\">Th\u1eadn g\u1ed3m c\u00f3 nhu m\u00f4 th\u1eadn v\u00e0 xoang th\u1eadn. Nhu m\u00f4 th\u1eadn g\u1ed3m v\u1ecf th\u1eadn, t\u1ee7y th\u1eadn (th\u00e1p th\u1eadn) v\u00e0 c\u00e1c c\u1ed9t Bertin xen k\u1ebd gi\u1eefa c\u00e1c t\u1ee7y th\u1eadn. Nhu m\u00f4 th\u1eadn l\u00f5m v\u00e0o \u1edf b\u1edd trong c\u1ee7a th\u1eadn, n\u01a1i g\u1ecdi l\u00e0 r\u1ed1n th\u1eadn. Ph\u1ea7n l\u00f5m v\u00e0o trong \u0111\u00f3 t\u1ea1o th\u00e0nh m\u1ed9t kho\u1ea3ng kh\u00f4ng gian g\u1ecdi l\u00e0 xoang th\u1eadn.<\/p>\n<figure style=\"width: 504px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/05\/image-6.png?w=1024\" alt=\"\" width=\"504\" height=\"350\" \/><figcaption class=\"wp-caption-text\"><em>Gi\u1ea3i ph\u1eabu th\u1eadn: Ch\u00fa \u00fd c\u00e1c th\u00e1p th\u1eadn, nh\u00fa th\u1eadn, c\u1ed9t Bertin, \u0111\u00e0i th\u1eadn nh\u1ecf, \u0111\u00e0i th\u1eadn l\u1edbn, m\u1ee1 xoang th\u1eadn.<\/em><\/figcaption><\/figure>\n<p style=\"text-align: justify;\">+ T\u1ee7y th\u1eadn (th\u00e1p th\u1eadn) c\u00f2n g\u1ecdi l\u00e0 th\u00e1p Malpighi, c\u00f3 h\u00ecnh th\u00e1p, \u0111\u00e1y h\u01b0\u1edbng ra ngo\u00e0i, \u0111\u1ec9nh h\u01b0\u1edbng v\u00e0o trong. Nhi\u1ec1u th\u00e1p c\u00f3 th\u1ec3 chung nhau m\u1ed9t \u0111\u1ec9nh, n\u01a1i c\u00e1i \u0111\u1ec9nh chung nhau \u0111\u00f3 g\u1ecdi l\u00e0 nh\u00fa th\u1eadn.<\/p>\n<p style=\"text-align: justify;\">+ Nh\u00fa th\u1eadn l\u00e0 n\u01a1i ch\u1ee9a c\u00e1c l\u1ed7 \u0111\u1ed5 n\u01b0\u1edbc ti\u1ec3u t\u1eeb c\u00e1c \u1ed1ng th\u1eadn v\u00e0o \u0111\u00e0i th\u1eadn nh\u1ecf. M\u1ed7i th\u1eadn s\u1ebd c\u00f3 kho\u1ea3ng 7-14 \u0111\u00e0i th\u1eadn nh\u1ecf, c\u00e1c \u0111\u00e0i th\u1eadn nh\u1ecf n\u00e0y l\u1ea1i \u0111\u1ed5 v\u00e0o \u0111\u00e0i th\u1eadn l\u1edbn. Th\u01b0\u1eddng ch\u1ec9 c\u00f3 2-3 \u0111\u00e0i th\u1eadn l\u1edbn. C\u00e1c \u0111\u00e0i th\u1eadn l\u1edbn \u0111\u1ed5 v\u00e0o b\u1ec3 th\u1eadn. B\u1ec3 th\u1eadn n\u1ed1i v\u1edbi ni\u1ec7u qu\u1ea3n \u1edf r\u1ed1n th\u1eadn. R\u1ed1n th\u1eadn n\u1eb1m \u1edf b\u1edd trong c\u1ee7a th\u1eadn, n\u01a1i th\u1eadn b\u1ecb l\u00f5m v\u00e0o, c\u00f3 \u0111\u1ed9ng m\u1ea1ch th\u1eadn, t\u0129nh m\u1ea1ch th\u1eadn v\u00e0 ni\u1ec7u qu\u1ea3n.<\/p>\n<figure style=\"width: 503px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/06\/image.png?w=653\" alt=\"\" width=\"503\" height=\"479\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh \u1ea3nh nh\u00fa th\u1eadn<\/figcaption><\/figure>\n<figure style=\"width: 516px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/06\/image-1.png?w=590\" alt=\"\" width=\"516\" height=\"685\" \/><figcaption class=\"wp-caption-text\">C\u1ea5u tr\u00fac vi th\u1ec3 c\u1ee7a th\u1eadn, \u0111\u1ec3 \u00fd t\u1ee7y th\u1eadn ch\u1ec9 to\u00e0n c\u00e1c \u1ed1ng th\u1eadn ch\u01b0a \u0111\u1ea7y n\u01b0\u1edbc ti\u1ec3u n\u00ean t\u1ee7y th\u1eadn echo r\u1ea5t k\u00e9m tr\u00ean si\u00eau \u00e2m, \u0111\u00f4i l\u00fac nh\u1ea7m l\u1eabn l\u00e0 nang.<\/figcaption><\/figure>\n<p style=\"text-align: justify;\">Tr\u00ean si\u00eau \u00e2m ch\u1ec9 th\u1ea5y \u0111\u01b0\u1ee3c c\u00e1c th\u00e1p th\u1eadn \u1edf th\u1eadn b\u00ecnh th\u01b0\u1eddng (l\u00e0 v\u00f9ng t\u1ee7y th\u1eadn gi\u1ea3m \u00e2m &#8211; do c\u00f3 nhi\u1ec1u n\u01b0\u1edbc), c\u00e1c \u0111\u00e0i th\u1eadn nh\u1ecf, \u0111\u00e0i th\u1eadn l\u1edbn v\u00e0 b\u1ec3 th\u1eadn ch\u1ec9 th\u1ea5y \u0111\u01b0\u1ee3c khi th\u1eadn b\u1ecb \u1ee9 n\u01b0\u1edbc.<\/p>\n<p style=\"text-align: justify;\">+ C\u00e1c kho\u1ea3ng tr\u1ed1ng gi\u1eefa c\u00e1c \u0111\u00e0i th\u1eadn \u0111\u01b0\u1ee3c l\u1ea5p b\u1edfi m\u1ee1.<\/p>\n<p style=\"text-align: justify;\">-&gt; T\u1eadp h\u1ee3p t\u1ea5t c\u1ea3 c\u00e1c th\u00e0nh ph\u1ea7n \u0111\u00e0i b\u1ec3 th\u1eadn, \u0111\u1ed9ng m\u1ea1ch &#8211; t\u0129nh m\u1ea1ch th\u1eadn, b\u1ea1ch huy\u1ebft v\u00e0 m\u1ee1 n\u1eb1m trong m\u1ed9t kho\u1ea3ng kh\u00f4ng gian l\u00e0 xoang th\u1eadn. Tr\u00ean si\u00eau \u00e2m xoang th\u1eadn r\u1ea5t s\u00e1ng v\u00ec th\u00e0nh ph\u1ea7n m\u1ee1 r\u1ea5t nhi\u1ec1u.<\/p>\n<p style=\"text-align: justify;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/05\/image-8.png?w=756\" alt=\"\" width=\"756\" height=\"468\" \/><\/p>\n<figure style=\"width: 492px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/07\/hinh-anh-dai-the-than.jpg?w=1024\" alt=\"\" width=\"492\" height=\"297\" \/><figcaption class=\"wp-caption-text\">H\u00ecnh \u1ea3nh \u0111\u1ea1i th\u1ec3 th\u1eadn. L\u01b0u \u00fd c\u00f3 m\u1ed9t v\u00e0i th\u00e1p th\u1eadn chung nhau 1 nh\u00fa th\u1eadn.<\/figcaption><\/figure>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">G\u1ee2I \u00dd PH\u00c2N BI\u1ec6T HCB V\u00c0 U TH\u1eacN<\/strong><\/p>\n<p style=\"text-align: justify;\">HCB th\u01b0\u1eddng \u0111\u1ed3ng h\u1ed3i \u00e2m , \u0111\u1ed3ng nh\u1ea5t v\u00e0 li\u00ean t\u1ee5c v\u1edbi v\u1ecf th\u1eadn, trong khi u th\u1eadn c\u00f3 th\u1ec3 \u0111\u1ed3ng \u00e2m ho\u1eb7c kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, nh\u01b0ng n\u00f3 th\u01b0\u1eddng c\u00f3 ranh gi\u1edbi v\u1edbi v\u1ecf th\u1eadn.<\/p>\n<figure style=\"width: 489px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/07\/87184898_2684258328288629_7321195046533857280_o-1.jpg?w=750\" alt=\"\" width=\"489\" height=\"163\" \/><figcaption class=\"wp-caption-text\">C\u00f3 ranh gi\u1edbi v\u1edbi v\u1ecf th\u1eadn -&gt; U<\/figcaption><\/figure>\n<p style=\"text-align: justify;\">HCB nh\u00f4 v\u00e0o l\u1edbp m\u1ee1 xoang th\u1eadn, g\u00e2y hi\u1ec7u \u1ee9ng kh\u1ed1i ho\u00e0n to\u00e0n \u1edf n\u1ed9i b\u1ed9 trong th\u1eadn, kh\u00f4ng l\u00e0m bi\u1ebfn d\u1ea1ng \u0111\u01b0\u1eddng b\u1edd th\u1eadn. U th\u1eadn th\u01b0\u1eddng ph\u00e1t tri\u1ec3n ra b\u00ean ngo\u00e0i l\u00e0m bi\u1ebfn d\u1ea1ng \u0111\u01b0\u1eddng v\u1ecf bao th\u1eadn.<\/p>\n<figure style=\"width: 514px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/07\/87454635_2684257971621998_1162510968282939392_o.jpg?w=750\" alt=\"\" width=\"514\" height=\"183\" \/><figcaption class=\"wp-caption-text\">\u0110\u1ea9y l\u1ed3i \u0111\u01b0\u1eddng v\u1ecf bao th\u1eadn -&gt; U<\/figcaption><\/figure>\n<p style=\"text-align: justify;\">Tr\u00ean si\u00eau \u00e2m Doppler, HCB c\u00f3 \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch t\u01b0\u01a1ng t\u1ef1 nh\u01b0 \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch quanh nhu m\u00f4 th\u1eadn (\u0111\u1ed9ng m\u1ea1ch cung &#8211; s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a \u0111\u1ed9ng m\u1ea1ch cung g\u1ee3i \u00fd l\u00e0 HCB nhi\u1ec1u h\u01a1n l\u00e0 u), ng\u01b0\u1ee3c l\u1ea1i, d\u00f2ng ch\u1ea3y n\u1ed5i b\u1eadt \u1edf v\u00f9ng ngo\u1ea1i bi\u00ean c\u1ee7a kh\u1ed1i g\u1ee3i \u00fd l\u00e0 u th\u1eadn nhi\u1ec1u h\u01a1n.<\/p>\n<figure style=\"width: 521px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/07\/87453457_2684258638288598_416520396448202752_o-1.jpg?w=1024\" alt=\"\" width=\"521\" height=\"173\" \/><figcaption class=\"wp-caption-text\">HCB nh\u00ecn t\u01b0\u1edbi m\u00e1u nh\u01b0 nh\u1eefng v\u00f9ng kh\u00e1c c\u1ee7a th\u1eadn. M\u1ea1ch m\u00e1u b\u1ecb \u0111\u1ea9y ra ngo\u1ea1i bi\u00ean kh\u1ed1i -&gt; U.<\/figcaption><\/figure>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">PH\u00cc \u0110\u1ea0I TR\u1ee4 (C\u1ed8T) BERTIN<\/strong> (copy trong s\u00e1ch rumack):<\/p>\n<p style=\"text-align: justify;\">Ph\u00ec \u0111\u1ea1i c\u1ed9t Bertin (HCB) l\u00e0 m\u1ed9t bi\u1ebfn th\u1ec3 b\u00ecnh th\u01b0\u1eddng, bi\u1ec3u hi\u1ec7n ph\u1ea7n nhu m\u00f4 c\u1ef1c kh\u00f4ng b\u1ecb tho\u00e1i tri\u1ec3n t\u1eeb m\u1ed9t ho\u1eb7c c\u1ea3 hai h\u1ea1 th\u1eadn m\u00e0 d\u00ednh nhau \u0111\u1ec3 t\u1ea1o th\u00e0nh th\u1eadn b\u00ecnh th\u01b0\u1eddng. Ti\u00eau chu\u1ea9n si\u00eau \u00e2m gi\u00fap ch\u1ea9n \u0111o\u00e1n HCB g\u1ed3m d\u1ea5u \u1ea5n l\u00f5m v\u00e0o xoang th\u1eadn t\u1eeb ngo\u00e0i v\u00e0 bao quanh b\u1edfi v\u00f9ng khi\u1ebfm khuy\u1ebft \u0111\u01b0\u1eddng n\u1ed1i nhu m\u00f4. Th\u01b0\u1eddng th\u1ea5y n\u00f3 \u1edf 1\/3 tr\u00ean v\u1edbi 1\/3 gi\u1eefa c\u1ee7a th\u1eadn v\u00e0 ch\u1ee9a v\u1ecf th\u1eadn li\u00ean t\u1ee5c v\u1edbi v\u00f9ng v\u1ecf th\u1eadn n\u1eb1m k\u1ec1 c\u1ee7a c\u00f9ng th\u1eadn \u0111\u00f3. HCB ch\u1ee9a c\u1ea3 c\u00e1c th\u00e1p th\u1eadn b\u00ean trong. K\u00edch th\u01b0\u1edbc l\u1edbn nh\u1ea5t kh\u00f4ng qu\u00e1 3cm.<\/p>\n<p style=\"text-align: justify;\">T\u00ednh ph\u1ea3n \u00e2m c\u1ee7a HCB v\u00e0 v\u1ecf th\u1eadn t\u00f9y thu\u1ed9c v\u00e0o m\u1eb7t c\u1eaft si\u00eau \u00e2m v\u00ec n\u00f3 li\u00ean quan \u0111\u1ebfn c\u1ea5u tr\u00fac c\u00e1c m\u00f4. S\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 \u0111\u1ecbnhh\u01b0\u1edbng m\u00f4 t\u1ea1o ra m\u1ee9c \u0111\u1ed9 ph\u1ea3n x\u1ea1 \u00e2m kh\u00e1c nhau. Ph\u1ea3n \u00e2m c\u1ee7a HCB s\u00e1ng h\u01a1n v\u1ecf th\u1eadn k\u1ebf c\u1eadn khi nh\u00ecn tr\u1ef1c di\u1ec7n. C\u00f3 th\u1ec3 kh\u00f3 ph\u00e2n bi\u1ec7t HCB v\u1edbi m\u1ed9t u nh\u1ecf v\u00f4 m\u1ea1ch; tuy nhi\u00ean n\u1ebfu d\u00f9ng si\u00eau \u00e2m Doppler m\u00e0u, s\u1ef1 hi\u1ec7n di\u1ec7n \u0111\u1ed9ng m\u1ea1ch cung ch\u1ee9ng t\u1ecf l\u00e0 HCB h\u01a1n l\u00e0 u. \u0110\u00f4i khi ph\u1ea3i ch\u1ee5p b\u1ec3 th\u1eadn qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch (IVP), ch\u1ee5p c\u1eaft l\u1edbp \u0111i\u1ec7n to\u00e1n (CT) hay x\u1ea1 h\u00ecnh th\u1eadn m\u1edbi gi\u00fap ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t.<\/p>\n<figure style=\"width: 829px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/05\/image-9.png?w=829\" alt=\"\" width=\"829\" height=\"619\" \/><figcaption class=\"wp-caption-text\">M\u1ea1ch m\u00e1u th\u1eadn: ch\u00fa \u00fd h\u00ecnh \u1ea3nh c\u00e1c \u0111\u1ed9ng m\u1ea1ch cung<\/figcaption><\/figure>\n<blockquote>\n<p><strong data-rich-text-format-boundary=\"true\">H\u00ccNH \u1ea2NH SI\u00caU \u00c2M PH\u00cc \u0110\u1ea0I TR\u1ee4 BERTIN<\/strong><\/p>\n<ol>\n<li>V\u1ecb tr\u00ed: 1\/3 tr\u00ean v\u00e0 1\/3 gi\u1eefa th\u1eadn.<\/li>\n<li>Nh\u1ecf h\u01a1n 3cm.<\/li>\n<li>Li\u00ean t\u1ee5c v\u1ecf th\u1eadn, kh\u00f4ng bi\u1ebfn d\u1ea1ng \u0111\u01b0\u1eddng b\u1edd th\u1eadn.<\/li>\n<li>Bi\u1ebfn d\u1ea1ng \u0111\u00e0i b\u1ec3 th\u1eadn.<\/li>\n<li>Ch\u1ee9a th\u00e1p th\u1eadn.<\/li>\n<li>C\u00f3 m\u1ea1ch m\u00e1u xuy\u00ean qua.<\/li>\n<li>T\u0103ng quang nh\u01b0 v\u1ecf th\u1eadn (tr\u00ean CT v\u00e0 MRI)<\/li>\n<\/ol>\n<\/blockquote>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li><a href=\"http:\/\/cdhaonline.net\/forums\/index.php?threads\/gi%E1%BA%A3i-ph%E1%BA%ABu-th%E1%BA%ADn-tuy%E1%BA%BFn-th%C6%B0%E1%BB%A3ng-th%E1%BA%ADn.633\/\" data-rich-text-format-boundary=\"true\">Gi\u1ea3i ph\u1eabu th\u1eadn &#8211; tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/a><\/li>\n<li><a href=\"http:\/\/cdhaonline.net\/forums\/index.php?threads\/d%E1%BB%8B-t%E1%BA%ADt-b%E1%BA%A9m-sinh-th%E1%BA%ADn-ni%E1%BB%87u-qu%E1%BA%A3n-bs-nguy%E1%BB%85n-%C4%90%C3%ACnh-h%E1%BB%93.512\/\" data-rich-text-format-boundary=\"true\">D\u1ecb t\u1eadt b\u1ea9m sinh th\u1eadn &#8211; ni\u1ec7u qu\u1ea3n &#8211; BS Nguy\u1ec5n \u0110\u00ecnh H\u1ed3<\/a><\/li>\n<li><a href=\"https:\/\/www.cdha.info\/tai-lieu\/diagnostic-ultrasound-rumack-2017-5th\/\" data-rich-text-format-boundary=\"true\">Diagnostic Ultrasound, 2-Volume Set 5th Edition<\/a><\/li>\n<li><a href=\"https:\/\/www.facebook.com\/1989196071128195\/posts\/three-tips-on-how-to-differentiate-hypertrophied-column-of-bertin-hcb-from-a-rea\/2684258778288584\/\" data-rich-text-format-boundary=\"true\">Three tips on how to differentiate Hypertrophied Column of Bertin (HCB) from a real renal mass on ultrasound<\/a><\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">TR\u1ea2 L\u1edcI C\u00c2U H\u1eceI :<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">C\u00e2u h\u1ecfi: Ca n\u00e0y c\u00f3 c\u1ea7n ch\u1ee5p CT kh\u00f4ng<\/strong><br data-rich-text-line-break=\"true\" \/>Tr\u1ea3 l\u1eddi: N\u00ean \u0111\u1ec1 ngh\u1ecb ch\u1ee5p CT (anh H\u1ed3 \u0111\u00e3 confirm l\u00e0 n\u00ean ch\u1ee5p CT)<\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">C\u00e2u h\u1ecfi: \u0110\u1eb7c \u0111i\u1ec3m si\u00eau \u00e2m g\u1ee3i \u00fd ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung<\/strong><br data-rich-text-line-break=\"true\" \/>Tr\u1ea3 l\u1eddi:<\/p>\n<ol style=\"text-align: justify;\">\n<li>N\u1ed9i m\u1ea1c t\u1eed cung d\u00e0y, c\u00f3 th\u1ec3 d\u00e0y khu tr\u00fa<\/li>\n<li>N\u1ed9i m\u1ea1c h\u1ed3i \u00e2m kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, b\u1edd kh\u00f4ng \u0111\u1ec1u<\/li>\n<li>Kh\u00f4ng ph\u00e2n bi\u1ec7t ranh gi\u1edbi v\u1edbi l\u1edbp c\u01a1, x\u00e2m l\u1ea5n v\u00e0o c\u01a1, gi\u1ea3m \u0111\u1ed9 d\u00e0y l\u1edbp c\u01a1<\/li>\n<li>Kh\u00f4ng th\u1ea5y r\u00f5 n\u1ed9i m\u1ea1c t\u1eed cung\/ t\u1eed cung to<\/li>\n<li>C\u00f3 d\u1ecbch l\u00f2ng t\u1eed cung do t\u1eafc k\u00eanh c\u1ed5 t\u1eed cung.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">C\u00e2u h\u1ecfi: Si\u00eau \u00e2m qua ng\u1ea3 \u00e2m \u0111\u1ea1o \u0111\u01a1n thu\u1ea7n c\u00f3 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung v\u1edbi polyp v\u00e0 t\u0103ng s\u1ea3n n\u1ed9i m\u1ea1c t\u1eed cung kh\u00f4ng?<\/strong><br data-rich-text-line-break=\"true\" \/>Tr\u1ea3 l\u1eddi: KH\u00d4NG.<\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">C\u00e2u h\u1ecfi: Si\u00eau \u00e2m Doppler c\u00f3 gi\u00fap ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t t\u1ed5n th\u01b0\u01a1ng n\u1ed9i m\u1ea1c l\u00e0nh t\u00ednh hay \u00e1c t\u00ednh kh\u00f4ng?<\/strong><br data-rich-text-line-break=\"true\" \/>Tr\u1ea3 l\u1eddi: C\u00d2N \u0110ANG TRANH C\u00c3I.<\/p>\n<p style=\"text-align: justify;\"><strong data-rich-text-format-boundary=\"true\">C\u00e2u h\u1ecfi: \u0110\u1eb7c \u0111i\u1ec3n g\u1ee3i \u00fd \u00e1c t\u00ednh (Ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p MRI \/ Sinh thi\u1ebft) c\u1ee7a u d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean<\/strong><br data-rich-text-line-break=\"true\" \/>Tr\u1ea3 l\u1eddi: Nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m g\u1ee3i \u00fd \u00e1c t\u00ednh c\u1ee7a u d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean g\u1ed3m:<\/p>\n<ol style=\"text-align: justify;\">\n<li>&gt; 5cm<\/li>\n<li>\u0110\u01b0\u1eddng b\u1edd d\u1ea1ng x\u00e2m l\u1ea5n (th\u00e2m nhi\u1ec5m).<\/li>\n<li>H\u1ed3i \u00e2m kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t r\u00f5 r\u1ec7t marked heterogeneity (?)<\/li>\n<li>U ph\u00e1t tri\u1ec3n nhanh.<\/li>\n<\/ol>\n<figure style=\"width: 549px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/casieuam.files.wordpress.com\/2020\/05\/image-10.png?w=549\" alt=\"\" width=\"549\" height=\"122\" \/><figcaption class=\"wp-caption-text\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4603238\/\" target=\"_blank\" rel=\"noopener noreferrer\">Xem th\u00eam \u1edf \u0111\u00e2y<\/a><\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u00c1P \u00c1N: PH\u00cc \u0110\u1ea0I TR\u1ee4 BERTIN (HCB) (\u0110\u00c3 CH\u1ee4P CT) H\u00ccNH \u1ea2NH SI\u00caU \u00c2M PH\u00cc \u0110\u1ea0I TR\u1ee4 BERTIN (HCB) V\u1ecb tr\u00ed: 1\/3 tr\u00ean v\u00e0 1\/3<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,5],"tags":[20,21],"class_list":["post-76","post","type-post","status-publish","format-standard","hentry","category-bung-tq","category-sieu-am","tag-hcb","tag-phi-dai-tru-bertin"],"_links":{"self":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/76","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=76"}],"version-history":[{"count":12,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/76\/revisions"}],"predecessor-version":[{"id":95,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/76\/revisions\/95"}],"wp:attachment":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media?parent=76"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/categories?post=76"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/tags?post=76"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}