{"id":284,"date":"2026-10-10T21:22:43","date_gmt":"2026-10-10T14:22:43","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/10\/hoi-chung-ong-co-tru-chen-ep-than-kinh-tru-o-khuyu-tay\/"},"modified":"2026-10-10T21:22:43","modified_gmt":"2026-10-10T14:22:43","slug":"hoi-chung-ong-co-tru-chen-ep-than-kinh-tru-o-khuyu-tay","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/10\/hoi-chung-ong-co-tru-chen-ep-than-kinh-tru-o-khuyu-tay\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tr\u1ee5: ch\u00e8n \u00e9p th\u1ea7n kinh tr\u1ee5 \u1edf khu\u1ef7u tay"},"content":{"rendered":"

H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tr\u1ee5<\/strong> l\u00e0 b\u1ec7nh l\u00fd ch\u00e8n \u00e9p th\u1ea7n kinh tr\u1ee5 quanh khu\u1ef7u tay. Bi\u1ec3u hi\u1ec7n c\u00f3 th\u1ec3 t\u1eeb \u0111au, d\u1ecb c\u1ea3m \u0111\u1ebfn suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u00e1c c\u01a1 do th\u1ea7n kinh tr\u1ee5 chi ph\u1ed1i. \u0110\u00e1ng ch\u00fa \u00fd, \u0111\u1ed9ng t\u00e1c g\u1eadp khu\u1ef7u th\u01b0\u1eddng l\u00e0m \u0111au v\u00e0 d\u1ecb c\u1ea3m n\u1eb7ng h\u01a1n \u1edf nhi\u1ec1u ng\u01b0\u1eddi b\u1ec7nh [2]. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y t\u1eadp trung v\u00e0o v\u1ecb tr\u00ed ch\u00e8n \u00e9p, nguy\u00ean nh\u00e2n, bi\u1ec3u hi\u1ec7n v\u00e0 nguy\u00ean t\u1eafc x\u1eed tr\u00ed \u0111\u01b0\u1ee3c n\u00eau trong t\u00e0i li\u1ec7u chuy\u00ean ng\u00e0nh.<\/p>\n

H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tr\u1ee5 l\u00e0 g\u00ec?<\/h2>\n

Thu\u1eadt ng\u1eef cubital tunnel syndrome \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 m\u00f4 t\u1ea3 b\u1ec7nh l\u00fd th\u1ea7n kinh do ch\u00e8n \u00e9p th\u1ea7n kinh tr\u1ee5 quanh khu\u1ef7u tay, ban \u0111\u1ea7u \u00e1p d\u1ee5ng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 ch\u1ea5n th\u01b0\u01a1ng tr\u01b0\u1edbc \u0111\u00f3 [2]. \u0110\u00e2y l\u00e0 m\u1ed9t d\u1ea1ng b\u1ec7nh th\u1ea7n kinh ch\u00e8n \u00e9p; n\u1ebfu t\u00ecnh tr\u1ea1ng ch\u00e8n \u00e9p ti\u1ebfn tri\u1ec3n, d\u1eabn truy\u1ec1n c\u1ee7a s\u1ee3i tr\u1ee5c c\u00f3 th\u1ec3 suy gi\u1ea3m tr\u01b0\u1edbc khi c\u00e1c c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu tham gia d\u1eabn truy\u1ec1n b\u1ecb t\u1ed5n th\u01b0\u01a1ng [3].<\/p>\n

Khi \u0111i v\u00e0o \u1ed1ng c\u1ed5 tr\u1ee5, th\u1ea7n kinh tr\u1ee5 li\u00ean quan l\u1ea7n l\u01b0\u1ee3t v\u1edbi m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u trong \u1edf ph\u00eda tr\u01b0\u1edbc, kh\u1edbp khu\u1ef7u \u1edf ph\u00eda ngo\u00e0i v\u00e0 hai \u0111\u1ea7u c\u1ee7a c\u01a1 g\u1ea5p c\u1ed5 tay tr\u1ee5 \u1edf ph\u00eda trong [1]. Ch\u00ednh kh\u00f4ng gian gi\u1ea3i ph\u1eabu n\u00e0y khi\u1ebfn d\u00e2y th\u1ea7n kinh c\u00f3 th\u1ec3 ch\u1ecbu \u00e1p l\u1ef1c t\u1ea1i nhi\u1ec1u \u0111i\u1ec3m quanh khu\u1ef7u.<\/p>\n

T\u00e0i li\u1ec7u ghi nh\u1eadn t\u1ef7 l\u1ec7 hi\u1ec7n m\u1eafc h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tr\u1ee5 trong d\u00e2n s\u1ed1 Hoa K\u1ef3 v\u00e0o kho\u1ea3ng 1,8\u20135,9%. M\u1ee9c \u0111\u1ed9 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 dao \u0111\u1ed9ng t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng [4]. \u0110\u00e2y l\u00e0 s\u1ed1 li\u1ec7u t\u1ea1i Hoa K\u1ef3; c\u00e1c \u0111o\u1ea1n t\u00e0i li\u1ec7u \u0111\u01b0\u1ee3c cung c\u1ea5p kh\u00f4ng c\u00f3 th\u1ed1ng k\u00ea t\u01b0\u01a1ng \u1ee9ng cho ng\u01b0\u1eddi Vi\u1ec7t Nam.<\/p>\n

Nguy\u00ean nh\u00e2n ch\u00e8n \u00e9p th\u1ea7n kinh tr\u1ee5 \u1edf khu\u1ef7u tay<\/h2>\n

Th\u1ea7n kinh tr\u1ee5 c\u00f3 th\u1ec3 b\u1ecb ch\u00e8n \u00e9p gi\u1eefa hai \u0111\u1ea7u nguy\u00ean \u1ee7y c\u1ee7a c\u01a1 g\u1ea5p c\u1ed5 tay tr\u1ee5 ho\u1eb7c t\u1ea1i nh\u1eefng v\u00f9ng c\u00f3 c\u00e2n v\u00e0 d\u00e2y ch\u1eb1ng c\u0103ng. M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c \u0111\u01b0\u1ee3c ghi nh\u1eadn g\u1ed3m kh\u1ed1i u, vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch d\u1ea1ng th\u1ea5p, ph\u00ecnh m\u1ea1ch, huy\u1ebft kh\u1ed1i m\u1ea1ch m\u00e1u v\u00e0 c\u01a1 b\u1ea5t th\u01b0\u1eddng [1].<\/p>\n

S\u1ef1 m\u1ea5t \u1ed5n \u0111\u1ecbnh c\u1ee7a d\u00e2y th\u1ea7n kinh c\u0169ng c\u00f3 th\u1ec3 \u0111\u00f3ng vai tr\u00f2. R\u00e3nh th\u1ea7n kinh tr\u1ee5 n\u00f4ng ho\u1eb7c cung x\u01a1 gi\u1eef d\u00e2y th\u1ea7n kinh kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn b\u00e1n tr\u1eadt hay tr\u1eadt t\u00e1i di\u1ec5n. T\u00e0i li\u1ec7u cho bi\u1ebft b\u00e1n tr\u1eadt g\u1eb7p nhi\u1ec1u h\u01a1n tr\u1eadt ho\u00e0n to\u00e0n v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1ed5n th\u01b0\u01a1ng l\u1eb7p \u0111i l\u1eb7p l\u1ea1i cho th\u1ea7n kinh tr\u1ee5 [2].<\/p>\n

Li\u00ean quan v\u1edbi ch\u1ea5n th\u01b0\u01a1ng v\u00e0 bi\u1ebfn d\u1ea1ng khu\u1ef7u<\/h3>\n

Li\u1ec7t th\u1ea7n kinh tr\u1ee5 xu\u1ea5t hi\u1ec7n mu\u1ed9n c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn g\u00e3y x\u01b0\u01a1ng \u0111\u00e3 li\u1ec1n l\u1ec7ch, g\u00e3y di l\u1ec7ch m\u1ecfm tr\u00ean l\u1ed3i c\u1ea7u trong, tr\u1eadt khu\u1ef7u ho\u1eb7c \u0111\u1ee5ng gi\u1eadp tr\u1ef1c ti\u1ebfp d\u00e2y th\u1ea7n kinh. Khi g\u00e3y l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay \u1edf tr\u1ebb em li\u1ec1n l\u1ec7ch v\u00e0 t\u1ea1o khu\u1ef7u v\u1eb9o ngo\u00e0i, th\u1ea7n kinh tr\u1ee5 c\u00f3 th\u1ec3 b\u1ecb k\u00e9o c\u0103ng d\u1ea7n r\u1ed3i li\u1ec7t kh\u00f4ng ho\u00e0n to\u00e0n [6]. Khu\u1ef7u v\u1eb9o trong c\u0169ng \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn li\u1ec7t th\u1ea7n kinh tr\u1ee5 mu\u1ed9n [2].<\/p>\n

Trong b\u1ed1i c\u1ea3nh ph\u1eabu thu\u1eadt, li\u1ec7t th\u1ea7n kinh tr\u1ee5 sau m\u1ed5 c\u00f3 th\u1ec3 x\u1ea3y ra do \u00e1p l\u1ef1c tr\u1ef1c ti\u1ebfp t\u1ea1i khu\u1ef7u ho\u1eb7c do khu\u1ef7u b\u1ecb g\u1eadp k\u00e9o d\u00e0i. Th\u1ea7n kinh \u0111\u1eb7c bi\u1ec7t d\u1ec5 ch\u1ecbu ch\u00e8n \u00e9p khi c\u1eb3ng tay \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf t\u01b0 th\u1ebf s\u1ea5p; m\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 th\u1ec3 \u0111\u00e3 c\u00f3 h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tr\u1ee5 d\u01b0\u1edbi l\u00e2m s\u00e0ng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt [1].<\/p>\n

Tri\u1ec7u ch\u1ee9ng v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng b\u00e0n tay<\/h2>\n

\u0110au v\u00e0 d\u1ecb c\u1ea3m<\/strong> l\u00e0 nh\u1eefng bi\u1ec3u hi\u1ec7n \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3, trong \u0111\u00f3 g\u1eadp khu\u1ef7u l\u00e0m tri\u1ec7u ch\u1ee9ng t\u0103ng l\u00ean \u1edf ph\u1ea7n l\u1edbn ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp trong t\u00e0i li\u1ec7u [2]. M\u1ee9c \u0111\u1ed9 bi\u1ec3u hi\u1ec7n c\u00f3 th\u1ec3 thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3 gi\u1eefa c\u00e1c tr\u01b0\u1eddng h\u1ee3p [4].<\/p>\n

N\u1ebfu th\u1ea7n kinh tr\u1ee5 b\u1ecb gi\u00e1n \u0111o\u1ea1n \u1edf v\u1ecb tr\u00ed ph\u00eda tr\u00ean khu\u1ef7u, nhi\u1ec1u c\u01a1 c\u00f3 th\u1ec3 b\u1ecb li\u1ec7t, bao g\u1ed3m c\u01a1 g\u1ea5p c\u1ed5 tay tr\u1ee5, ph\u1ea7n c\u01a1 g\u1ea5p s\u00e2u d\u00e0nh cho ng\u00f3n nh\u1eabn v\u00e0 ng\u00f3n \u00fat, c\u00e1c c\u01a1 gian c\u1ed1t, c\u01a1 kh\u00e9p ng\u00f3n c\u00e1i, c\u01a1 giun c\u1ee7a ng\u00f3n nh\u1eabn v\u00e0 ng\u00f3n \u00fat c\u00f9ng c\u00e1c c\u01a1 ng\u1eafn c\u1ee7a ng\u00f3n \u00fat [1]. \u0110\u00e2y l\u00e0 m\u00f4 t\u1ea3 v\u1ec1 t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng ho\u1eb7c gi\u00e1n \u0111o\u1ea1n th\u1ea7n kinh, kh\u00f4ng c\u00f3 ngh\u0129a m\u1ecdi ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tr\u1ee5 \u0111\u1ec1u xu\u1ea5t hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u00e1c thi\u1ebfu h\u1ee5t n\u00e0y.<\/p>\n

Trong th\u0103m kh\u00e1m th\u1ef1c h\u00e0nh, ba c\u01a1 \u0111\u01b0\u1ee3c t\u00e0i li\u1ec7u cho l\u00e0 c\u00f3 th\u1ec3 ki\u1ec3m tra t\u01b0\u01a1ng \u0111\u1ed1i ch\u00ednh x\u00e1c g\u1ed3m c\u01a1 g\u1ea5p c\u1ed5 tay tr\u1ee5, c\u01a1 d\u1ea1ng ng\u00f3n \u00fat v\u00e0 c\u01a1 gian c\u1ed1t mu tay th\u1ee9 nh\u1ea5t<\/strong>, do b\u1ee5ng c\u01a1 ho\u1eb7c g\u00e2n c\u1ee7a ch\u00fang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y hay s\u1edd th\u1ea5y [5]. C\u00e1c bi\u1ebfn th\u1ec3 n\u1ed1i th\u00f4ng gi\u1eefa th\u1ea7n kinh gi\u1eefa v\u00e0 th\u1ea7n kinh tr\u1ee5 c\u00f3 th\u1ec3 l\u00e0m bi\u1ec3u hi\u1ec7n v\u1eadn \u0111\u1ed9ng kh\u00e1c v\u1edbi d\u1ef1 ki\u1ebfn [5].<\/p>\n

\u0110\u00e1nh gi\u00e1 v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tr\u1ee5<\/h2>\n

T\u00e0i li\u1ec7u khuy\u1ebfn ngh\u1ecb \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn v\u00e0 th\u1ef1c hi\u1ec7n \u0111i\u1ec7n c\u01a1 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt [4]. Tuy nhi\u00ean, c\u00e1c \u0111o\u1ea1n ngu\u1ed3n \u0111\u01b0\u1ee3c cung c\u1ea5p kh\u00f4ng tr\u00ecnh b\u00e0y \u0111\u1ea7y \u0111\u1ee7 ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n, c\u00e1ch th\u1ef1c hi\u1ec7n t\u1eebng nghi\u1ec7m ph\u00e1p l\u00e2m s\u00e0ng ho\u1eb7c c\u00e1ch di\u1ec5n gi\u1ea3i k\u1ebft qu\u1ea3 \u0111i\u1ec7n c\u01a1 ri\u00eang cho h\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tr\u1ee5.<\/p>\n

\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n<\/h3>\n

\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n n\u00ean \u0111\u01b0\u1ee3c th\u1eed trong kho\u1ea3ng ba th\u00e1ng tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt. Trong ngu\u1ed3n tr\u00edch d\u1eabn, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o th\u00e0nh c\u00f4ng \u1edf 89,5% ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng m\u1ee9c \u0111\u1ed9 nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh [4]. \u0110o\u1ea1n t\u00e0i li\u1ec7u kh\u00f4ng n\u00eau chi ti\u1ebft t\u1eebng bi\u1ec7n ph\u00e1p b\u1ea3o t\u1ed3n, v\u00ec v\u1eady kh\u00f4ng th\u1ec3 t\u1eeb ngu\u1ed3n hi\u1ec7n c\u00f3 k\u1ebft lu\u1eadn v\u1ec1 lo\u1ea1i n\u1eb9p, thu\u1ed1c ho\u1eb7c ch\u01b0\u01a1ng tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u1ee5 th\u1ec3.<\/p>\n

\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt<\/h3>\n

Gi\u1ea3i ph\u00f3ng th\u1ea7n kinh t\u1ea1i ch\u1ed7 v\u00e0 chuy\u1ec3n v\u1ecb th\u1ea7n kinh tr\u1ee5 l\u00e0 hai h\u01b0\u1edbng ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp. T\u00e0i li\u1ec7u cho bi\u1ebft ch\u01b0a ch\u1ee9ng minh \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng t\u1ea1i ch\u1ed7 v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi chuy\u1ec3n v\u1ecb th\u1ea7n kinh [4]. V\u00ec \u0111o\u1ea1n ngu\u1ed3n kh\u00f4ng cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 ch\u1ec9 \u0111\u1ecbnh cho t\u1eebng k\u1ef9 thu\u1eadt, kh\u00f4ng th\u1ec3 xem m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p l\u00e0 l\u1ef1a ch\u1ecdn ph\u00f9 h\u1ee3p cho m\u1ecdi tr\u01b0\u1eddng h\u1ee3p.<\/p>\n

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

H\u1ed9i ch\u1ee9ng \u1ed1ng c\u1ed5 tr\u1ee5<\/strong> l\u00e0 t\u00ecnh tr\u1ea1ng ch\u00e8n \u00e9p th\u1ea7n kinh tr\u1ee5 quanh khu\u1ef7u, c\u00f3 th\u1ec3 g\u00e2y \u0111au, d\u1ecb c\u1ea3m t\u0103ng khi g\u1eadp khu\u1ef7u v\u00e0 \u1ea3nh h\u01b0\u1edfng ch\u1ee9c n\u0103ng c\u00e1c c\u01a1 b\u00e0n tay. Nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn c\u1ea5u tr\u00fac ch\u1eadt, c\u00e2n ho\u1eb7c d\u00e2y ch\u1eb1ng, m\u1ea5t \u1ed5n \u0111\u1ecbnh d\u00e2y th\u1ea7n kinh, ch\u1ea5n th\u01b0\u01a1ng c\u0169, bi\u1ebfn d\u1ea1ng khu\u1ef7u hay t\u01b0 th\u1ebf trong ph\u1eabu thu\u1eadt [1][2][6]. T\u00e0i li\u1ec7u \u1ee7ng h\u1ed9 th\u1eed \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n trong ba th\u00e1ng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh, \u0111\u1ed3ng th\u1eddi khuy\u1ebfn ngh\u1ecb \u0111\u00e1nh gi\u00e1 k\u1ef9 v\u00e0 l\u00e0m \u0111i\u1ec7n c\u01a1 tr\u01b0\u1edbc khi c\u00e2n nh\u1eafc ph\u1eabu thu\u1eadt [4].<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
    \n
  • [1] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 3870<\/li>\n
  • [2] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 3870<\/li>\n
  • [3] Rockwood and Green's Fractures in Adults, 10th Edition, 2025, trang 767<\/li>\n
  • [4] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 4514<\/li>\n
  • [5] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 3870<\/li>\n
  • [6] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 3870<\/li>\n<\/ul>\n

    <\/p>\n","protected":false},"excerpt":{"rendered":"

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