{"id":258,"date":"2026-10-10T19:36:11","date_gmt":"2026-10-10T12:36:11","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/10\/gay-lun-dot-song-do-loang-xuong-khi-nao-bom-xi-mang-sinh-hoc\/"},"modified":"2026-10-10T19:36:11","modified_gmt":"2026-10-10T12:36:11","slug":"gay-lun-dot-song-do-loang-xuong-khi-nao-bom-xi-mang-sinh-hoc","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/10\/gay-lun-dot-song-do-loang-xuong-khi-nao-bom-xi-mang-sinh-hoc\/","title":{"rendered":"G\u00e3y l\u00fan \u0111\u1ed1t s\u1ed1ng do lo\u00e3ng x\u01b0\u01a1ng: Khi n\u00e0o b\u01a1m xi m\u0103ng sinh h\u1ecdc?"},"content":{"rendered":"

G\u00e3y l\u00fan \u0111\u1ed1t s\u1ed1ng do lo\u00e3ng x\u01b0\u01a1ng<\/strong> c\u00f3 th\u1ec3 g\u00e2y \u0111au k\u00e9o d\u00e0i v\u00e0 \u1ea3nh h\u01b0\u1edfng kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn ph\u00f9 h\u1ee3p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc b\u01a1m xi m\u0103ng sinh h\u1ecdc \u0111\u1ed1t s\u1ed1ng<\/strong>, th\u01b0\u1eddng l\u00e0 b\u01a1m polymethylmethacrylate (PMMA) qua \u0111\u01b0\u1eddng qua da, nh\u1eb1m l\u00e0m v\u1eefng th\u00e2n \u0111\u1ed1t s\u1ed1ng. Tuy nhi\u00ean, \u0111\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 l\u1ef1a ch\u1ecdn \u00e1p d\u1ee5ng cho m\u1ecdi ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ef9 b\u1eb1ng th\u0103m kh\u00e1m c\u00f9ng h\u00ecnh \u1ea3nh h\u1ecdc.<\/p>\n

B\u01a1m xi m\u0103ng sinh h\u1ecdc \u0111\u1ed1t s\u1ed1ng l\u00e0 g\u00ec?<\/h2>\n

Vertebroplasty, th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u01a1m xi m\u0103ng v\u00e0o th\u00e2n \u0111\u1ed1t s\u1ed1ng, l\u00e0 k\u1ef9 thu\u1eadt \u0111\u01b0a PMMA tr\u1ef1c ti\u1ebfp qua cu\u1ed1ng s\u1ed1ng v\u00e0o th\u00e2n \u0111\u1ed1t s\u1ed1ng b\u1ecb x\u1eb9p. M\u1ee5c ti\u00eau c\u1ee7a k\u1ef9 thu\u1eadt l\u00e0 l\u00e0m v\u1eefng th\u00e2n \u0111\u1ed1t s\u1ed1ng v\u00e0 duy tr\u00ec chi\u1ec1u cao c\u00f2n l\u1ea1i c\u1ee7a th\u00e2n \u0111\u1ed1t s\u1ed1ng [2]. Trong t\u00e0i li\u1ec7u, PMMA \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 l\u00e0 v\u1eadt li\u1ec7u xi m\u0103ng \u0111\u01b0\u1ee3c b\u01a1m qua \u0111\u01b0\u1eddng qua da; v\u00ec v\u1eady, c\u00e1ch g\u1ecdi \u201cxi m\u0103ng sinh h\u1ecdc\u201d trong th\u1ef1c h\u00e0nh c\u1ea7n \u0111\u01b0\u1ee3c hi\u1ec3u c\u1ee5 th\u1ec3 theo lo\u1ea1i v\u1eadt li\u1ec7u m\u00e0 c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb s\u1eed d\u1ee5ng.<\/p>\n

M\u1ed9t k\u1ef9 thu\u1eadt kh\u00e1c l\u00e0 kyphoplasty, hay t\u1ea1o h\u00ecnh th\u00e2n \u0111\u1ed1t s\u1ed1ng b\u1eb1ng b\u00f3ng. Tr\u01b0\u1edbc khi b\u01a1m PMMA, b\u00e1c s\u0129 s\u1eed d\u1ee5ng b\u00f3ng \u0111\u1ec3 m\u1edf r\u1ed9ng ph\u1ea7n th\u00e2n \u0111\u1ed1t s\u1ed1ng b\u1ecb l\u00fan, sau \u0111\u00f3 m\u1edbi \u0111\u01b0a xi m\u0103ng v\u00e0o [2]. Nh\u01b0 v\u1eady, \u0111i\u1ec3m kh\u00e1c bi\u1ec7t ch\u00ednh l\u00e0 vertebroplasty b\u01a1m xi m\u0103ng tr\u1ef1c ti\u1ebfp, c\u00f2n kyphoplasty c\u00f3 th\u00eam b\u01b0\u1edbc s\u1eed d\u1ee5ng b\u00f3ng nh\u1eb1m t\u00e1i l\u1eadp chi\u1ec1u cao th\u00e2n \u0111\u1ed1t s\u1ed1ng.<\/p>\n

Khi n\u00e0o c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb?<\/h2>\n

Ngu\u1ed3n t\u00e0i li\u1ec7u n\u00eau ch\u1ec9 \u0111\u1ecbnh c\u1ee7a vertebroplasty ho\u1eb7c kyphoplasty \u1edf ng\u01b0\u1eddi b\u1ec7nh c\u00f3 g\u00e3y l\u00fan th\u00e2n \u0111\u1ed1t s\u1ed1ng \u1ed5n \u0111\u1ecbnh, ch\u1ee9c n\u0103ng th\u1ea7n kinh b\u00ecnh th\u01b0\u1eddng nh\u01b0ng v\u1eabn \u0111au dai d\u1eb3ng<\/strong> [2]. \u0110i\u1ec1u n\u00e0y cho th\u1ea5y quy\u1ebft \u0111\u1ecbnh can thi\u1ec7p kh\u00f4ng ch\u1ec9 d\u1ef1a v\u00e0o vi\u1ec7c c\u00f3 h\u00ecnh \u1ea3nh x\u1eb9p \u0111\u1ed1t s\u1ed1ng, m\u00e0 c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ednh \u1ed5n \u0111\u1ecbnh c\u1ee7a t\u1ed5n th\u01b0\u01a1ng, t\u00ecnh tr\u1ea1ng th\u1ea7n kinh v\u00e0 m\u1ee9c \u0111\u1ed9 \u0111au.<\/p>\n

    \n
  • G\u00e3y l\u00fan \u1ed5n \u0111\u1ecbnh:<\/strong> t\u1ed5n th\u01b0\u01a1ng c\u1ea7n \u0111\u01b0\u1ee3c b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 l\u00e0 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u m\u1ea5t v\u1eefng \u0111\u00e1ng k\u1ec3.<\/li>\n
  • Kh\u00f4ng c\u00f3 b\u1ea5t th\u01b0\u1eddng th\u1ea7n kinh:<\/strong> ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng thu\u1ed9c nh\u00f3m c\u00f3 bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh c\u1ea7n gi\u1ea3i \u00e9p ho\u1eb7c t\u00e1i t\u1ea1o c\u1ed9t s\u1ed1ng.<\/li>\n
  • \u0110au v\u1eabn dai d\u1eb3ng:<\/strong> tri\u1ec7u ch\u1ee9ng \u0111au l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng trong c\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb, thay v\u00ec ch\u1ec9 d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 ch\u1ee5p phim.<\/li>\n<\/ul>\n

    T\u00e0i li\u1ec7u c\u0169ng cho bi\u1ebft c\u00e1c th\u1ee7 thu\u1eadt n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc \u1edf ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 tr\u1ea3i qua ph\u1eabu thu\u1eadt l\u1edbn ho\u1eb7c trong m\u1ee5c \u0111\u00edch gi\u1ea3m nh\u1eb9 [2]. Tuy nhi\u00ean, n\u1ed9i dung ngu\u1ed3n kh\u00f4ng cung c\u1ea5p ti\u00eau ch\u00ed chi ti\u1ebft v\u1ec1 th\u1eddi \u0111i\u1ec3m can thi\u1ec7p, lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb lo\u00e3ng x\u01b0\u01a1ng, ch\u01b0\u01a1ng tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng ho\u1eb7c k\u1ebft qu\u1ea3 d\u00e0i h\u1ea1n. Nh\u1eefng y\u1ebfu t\u1ed1 \u0111\u00f3 c\u1ea7n \u0111\u01b0\u1ee3c b\u00e1c s\u0129 chuy\u00ean khoa \u0111\u00e1nh gi\u00e1 ri\u00eang cho t\u1eebng tr\u01b0\u1eddng h\u1ee3p.<\/p>\n

    Kh\u00f4ng ph\u1ea3i m\u1ecdi g\u00e3y l\u00fan \u0111\u1ec1u ch\u1ec9 c\u1ea7n b\u01a1m xi m\u0103ng<\/h2>\n

    G\u00e3y \u0111\u1ed1t s\u1ed1ng do lo\u00e3ng x\u01b0\u01a1ng c\u00f3 th\u1ec3 c\u00f3 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng r\u1ea5t kh\u00e1c nhau. M\u1ed9t tr\u01b0\u1eddng h\u1ee3p g\u00e3y burst v\u00f9ng b\u1ea3n l\u1ec1 ng\u1ef1c\u2013th\u1eaft l\u01b0ng, k\u00e8m ho\u1ea1i t\u1eed v\u00f4 m\u1ea1ch, g\u00f9 khu tr\u00fa, h\u1eb9p \u1ed1ng s\u1ed1ng v\u00e0 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh, \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt gi\u1ea3i \u00e9p, t\u00e1i t\u1ea1o c\u1ed9t tr\u01b0\u1edbc, c\u1ed1 \u0111\u1ecbnh ph\u00eda sau v\u00e0 t\u0103ng c\u01b0\u1eddng xi m\u0103ng cho c\u00e1c v\u00edt [1]. \u0110\u00e2y l\u00e0 v\u00ed d\u1ee5 cho th\u1ea5y khi t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh ho\u1eb7c c\u00f3 ch\u00e8n \u00e9p th\u1ea7n kinh, b\u01a1m xi m\u0103ng \u0111\u01a1n thu\u1ea7n kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c xem l\u00e0 ph\u01b0\u01a1ng \u00e1n thay th\u1ebf cho \u0111\u00e1nh gi\u00e1 v\u00e0 ph\u1eabu thu\u1eadt t\u00e1i t\u1ea1o c\u1ea7n thi\u1ebft.<\/p>\n

    Trong x\u01b0\u01a1ng lo\u00e3ng, vi\u1ec7c t\u0103ng c\u01b0\u1eddng xi m\u0103ng cho v\u00edt c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a c\u1ea5u h\u00ecnh c\u1ed1 \u0111\u1ecbnh \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 th\u1ea5t b\u1ea1i c\u1ee7a h\u1ec7 th\u1ed1ng, \u0111\u1ed3ng th\u1eddi h\u1ed7 tr\u1ee3 c\u1ed9t tr\u01b0\u1edbc trong nh\u1eefng ca ph\u1ee9c t\u1ea1p [1][3]. C\u00e1ch \u0111i\u1ec1u tr\u1ecb n\u00e0y kh\u00e1c v\u1edbi vertebroplasty ho\u1eb7c kyphoplasty \u0111\u01a1n thu\u1ea7n v\u00e0 th\u01b0\u1eddng thu\u1ed9c ph\u1ea1m vi ph\u1eabu thu\u1eadt c\u1ed9t s\u1ed1ng chuy\u00ean s\u00e2u.<\/p>\n

    Nguy c\u01a1 v\u00e0 nh\u1eefng \u0111i\u1ec3m c\u1ea7n trao \u0111\u1ed5i tr\u01b0\u1edbc th\u1ee7 thu\u1eadt<\/h2>\n

    M\u1ed9t bi\u1ebfn ch\u1ee9ng \u0111\u00e1ng l\u01b0u \u00fd l\u00e0 xi m\u0103ng c\u00f3 th\u1ec3 tho\u00e1t ra quanh c\u00e1c c\u1ea5u tr\u00fac th\u1ea7n kinh, t\u1eeb \u0111\u00f3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh [2]. V\u00ec v\u1eady, th\u1ee7 thu\u1eadt c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc th\u1eadn tr\u1ecdng v\u1ec1 l\u1ee3i \u00edch v\u00e0 nguy c\u01a1, thay v\u00ec xem l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p \u0111\u01a1n gi\u1ea3n ho\u1eb7c ph\u00f9 h\u1ee3p cho t\u1ea5t c\u1ea3 tr\u01b0\u1eddng h\u1ee3p.<\/p>\n

    Tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh, ng\u01b0\u1eddi b\u1ec7nh n\u00ean trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 v\u1ec1:<\/p>\n

      \n
    • \u0110\u1ed1t s\u1ed1ng b\u1ecb g\u00e3y c\u00f3 \u1ed5n \u0111\u1ecbnh hay kh\u00f4ng.<\/li>\n
    • C\u00f3 d\u1ea5u hi\u1ec7u ch\u00e8n \u00e9p t\u1ee7y s\u1ed1ng, r\u1ec5 th\u1ea7n kinh ho\u1eb7c b\u1ea5t th\u01b0\u1eddng th\u1ea7n kinh hay kh\u00f4ng.<\/li>\n
    • M\u1ee5c ti\u00eau c\u1ee7a th\u1ee7 thu\u1eadt l\u00e0 l\u00e0m v\u1eefng th\u00e2n \u0111\u1ed1t s\u1ed1ng, c\u1ea3i thi\u1ec7n chi\u1ec1u cao hay gi\u1ea3m \u0111au.<\/li>\n
    • Nguy c\u01a1 r\u00f2 r\u1ec9 xi m\u0103ng v\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb kh\u00e1c trong tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3.<\/li>\n<\/ul>\n

      K\u1ebft lu\u1eadn<\/h2>\n

      B\u01a1m xi m\u0103ng sinh h\u1ecdc \u0111\u1ed1t s\u1ed1ng<\/strong>, t\u01b0\u01a1ng \u1ee9ng v\u1edbi vertebroplasty b\u1eb1ng PMMA trong ngu\u1ed3n t\u00e0i li\u1ec7u, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc \u1edf g\u00e3y l\u00fan \u0111\u1ed1t s\u1ed1ng \u1ed5n \u0111\u1ecbnh, \u0111au dai d\u1eb3ng v\u00e0 ch\u1ee9c n\u0103ng th\u1ea7n kinh b\u00ecnh th\u01b0\u1eddng [2]. Kyphoplasty b\u1ed5 sung b\u01b0\u1edbc d\u00f9ng b\u00f3ng tr\u01b0\u1edbc khi b\u01a1m xi m\u0103ng nh\u1eb1m t\u00e1i l\u1eadp chi\u1ec1u cao th\u00e2n \u0111\u1ed1t s\u1ed1ng [2]. Ng\u01b0\u1ee3c l\u1ea1i, t\u1ed5n th\u01b0\u01a1ng m\u1ea5t v\u1eefng, bi\u1ebfn d\u1ea1ng n\u1eb7ng ho\u1eb7c c\u00f3 ch\u00e8n \u00e9p th\u1ea7n kinh c\u00f3 th\u1ec3 c\u1ea7n ph\u1eabu thu\u1eadt gi\u1ea3i \u00e9p v\u00e0 c\u1ed1 \u0111\u1ecbnh ph\u1ee9c t\u1ea1p h\u01a1n [1]. Ng\u01b0\u1eddi b\u1ec7nh n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 tr\u1ef1c ti\u1ebfp b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa c\u1ed9t s\u1ed1ng tr\u01b0\u1edbc khi l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb.<\/p>\n

      T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
        \n
      • [1] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 2261<\/li>\n
      • [2] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 893<\/li>\n
      • [3] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 2261<\/li>\n<\/ul>\n

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        T\u00ecm hi\u1ec3u b\u01a1m xi m\u0103ng sinh h\u1ecdc \u0111\u1ed1t s\u1ed1ng trong g\u00e3y l\u00fan do lo\u00e3ng x\u01b0\u01a1ng: ch\u1ec9 \u0111\u1ecbnh, kh\u00e1c bi\u1ec7t v\u1edbi t\u1ea1o h\u00ecnh th\u00e2n \u0111\u1ed1t s\u1ed1ng v\u00e0 nguy c\u01a1 c\u1ea7n bi\u1ebft.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-258","post","type-post","status-publish","format-standard","hentry","category-gay-xuong"],"yoast_head":"\nG\u00e3y l\u00fan \u0111\u1ed1t s\u1ed1ng do lo\u00e3ng x\u01b0\u01a1ng: Khi n\u00e0o b\u01a1m xi m\u0103ng sinh h\u1ecdc? - BS NGUY\u1ec4N TH\u00c0NH LONG - BS C\u01a0 X\u01af\u01a0NG KH\u1edaP - CH\u1ea4N TH\u01af\u01a0NG CH\u1ec8NH H\u00ccNH<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/10\/gay-lun-dot-song-do-loang-xuong-khi-nao-bom-xi-mang-sinh-hoc\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"G\u00e3y l\u00fan \u0111\u1ed1t s\u1ed1ng do lo\u00e3ng x\u01b0\u01a1ng: Khi n\u00e0o b\u01a1m xi m\u0103ng sinh h\u1ecdc? 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