V\u00ed d\u1ee5 v\u1ec1 vi\u1ec7c ph\u1eabu thu\u1eadt hai ch\u00e2n c\u00f9ng l\u00fac l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong ch\u1ec9nh h\u00ecnh, \u0111\u1eb7c bi\u1ec7t khi b\u1ec7nh l\u00fd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea3 hai kh\u1edbp g\u1ed1i. Vi\u1ec7c th\u1ef1c hi\u1ec7n surgery two-legs (ph\u1eabu thu\u1eadt hai ch\u00e2n) \u0111\u1ed3ng th\u1eddi gi\u00fap gi\u1ea3m chi ph\u00ed t\u1ed5ng th\u1ec3 v\u00e0 r\u00fat ng\u1eafn th\u1eddi gian n\u1eb1m vi\u1ec7n so v\u1edbi th\u1ef1c hi\u1ec7n t\u1eebng b\u00ean ri\u00eang l\u1ebb [1]. Tuy nhi\u00ean, qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i sau \u0111\u00f3 \u0111\u00f2i h\u1ecfi s\u1ef1 ki\u00ean tr\u00ec cao h\u01a1n do \u00e1p l\u1ef1c c\u01a1 h\u1ecdc l\u00ean c\u1ea3 \u0111\u00f4i ch\u00e2n.<\/p>\n
N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt hai b\u00ean c\u00f9ng l\u00fac, h\u1ecd th\u01b0\u1eddng tr\u1ea3i qua m\u1ed9t chu k\u1ef3 ph\u1ee5c h\u1ed3i k\u00e9o d\u00e0i h\u01a1n. M\u1eb7c d\u00f9 kh\u00f4ng c\u00f3 s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea c\u1ee5 th\u1ec3 v\u1ec1 th\u1eddi gian ph\u1ee5c h\u1ed3i ch\u00ednh x\u00e1c trong c\u00e1c t\u00e0i li\u1ec7u tham kh\u1ea3o, nh\u01b0ng b\u1ea3n ch\u1ea5t c\u1ee7a vi\u1ec7c t\u00e1i t\u1ea1o ch\u1ee9c n\u0103ng cho c\u1ea3 hai kh\u1edbp \u0111\u1ed3ng th\u1eddi khi\u1ebfn qu\u00e1 tr\u00ecnh n\u00e0y tr\u1edf n\u00ean ph\u1ee9c t\u1ea1p h\u01a1n so v\u1edbi ph\u1eabu thu\u1eadt \u0111\u01a1n b\u00ean [1].<\/p>\n
M\u1ed9t l\u1ee3i \u00edch n\u1ed5i b\u1eadt c\u1ee7a vi\u1ec7c ph\u1eabu thu\u1eadt hai ch\u00e2n c\u00f9ng l\u00fac l\u00e0 kh\u1ea3 n\u0103ng ti\u1ebft ki\u1ec7m chi ph\u00ed. B\u1ec7nh nh\u00e2n ch\u1ec9 c\u1ea7n th\u1ef1c hi\u1ec7n m\u1ed9t l\u1ea7n nh\u1eadp vi\u1ec7n, s\u1eed d\u1ee5ng m\u1ed9t b\u1ed9 d\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt duy nh\u1ea5t v\u00e0 tr\u1ea3i qua m\u1ed9t \u0111\u1ee3t ph\u1ee5c h\u1ed3i li\u00ean t\u1ee5c [1]. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 ho\u00e0n c\u1ea3nh kinh t\u1ebf h\u1ea1n ch\u1ebf ho\u1eb7c mu\u1ed1n tr\u00e1nh vi\u1ec7c ph\u1ea3i chia s\u1ebb th\u1eddi gian ch\u0103m s\u00f3c gi\u1eefa hai ca ph\u1eabu thu\u1eadt.<\/p>\n
B\u00ean c\u1ea1nh \u0111\u00f3, vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00f9ng l\u00fac gi\u00fap duy tr\u00ec s\u1ef1 \u1ed5n \u0111\u1ecbnh t\u00e2m l\u00fd v\u00e0 th\u1ec3 l\u1ef1c c\u1ee7a b\u1ec7nh nh\u00e2n trong m\u1ed9t kho\u1ea3ng th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh. Tuy nhi\u00ean, th\u00e1ch th\u1ee9c l\u1edbn nh\u1ea5t n\u1eb1m \u1edf kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u1ef1ng c\u1ee7a c\u01a1 th\u1ec3 tr\u01b0\u1edbc c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u0111\u1ed3ng lo\u1ea1t tr\u00ean c\u1ea3 hai kh\u1edbp g\u1ed1i. Vi\u1ec7c m\u1ea5t \u0111i ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u1ea3 hai ch\u00e2n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng b\u1ea5t \u0111\u1ed9ng k\u00e9o d\u00e0i, l\u00e0m t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng nh\u01b0 vi\u00eam ph\u1ed5i ho\u1eb7c huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u [1].<\/p>\n
Vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u1eabu thu\u1eadt hai b\u00ean c\u00f9ng l\u00fac kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t quy\u1ebft \u0111\u1ecbnh \u00e1p \u0111\u1eb7t m\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 c\u00e1 nh\u00e2n c\u1ee7a b\u1ec7nh nh\u00e2n. M\u1ed9t trong nh\u1eefng ch\u1ec9 \u0111\u1ecbnh quan tr\u1ecdng nh\u1ea5t l\u00e0 khi b\u1ec7nh l\u00fd tho\u00e1i h\u00f3a kh\u1edbp \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn c\u1ea3 hai kh\u1edbp g\u1ed1i v\u00e0 m\u1ee9c \u0111\u1ed9 suy gi\u1ea3m ch\u1ee9c n\u0103ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng \u1edf m\u1ed7i b\u00ean [1].<\/p>\n
B\u1ec7nh nh\u00e2n c\u1ea7n c\u00f3 s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t t\u1ed1t \u0111\u1ec3 ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c \u00e1p l\u1ef1c ph\u1eabu thu\u1eadt \u0111\u1ed3ng th\u1eddi. C\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 tu\u1ed5i t\u00e1c, t\u00ecnh tr\u1ea1ng tim m\u1ea1ch v\u00e0 kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i nhanh ch\u00f3ng \u0111\u00f3ng vai tr\u00f2 then ch\u1ed1t trong vi\u1ec7c \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh n\u00e0y [1]. N\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb c\u00e1c b\u1ec7nh l\u00fd n\u1ec1n kh\u00e1c ho\u1eb7c suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u01a1 b\u1eafp qu\u00e1 m\u1ee9c, b\u00e1c s\u0129 c\u00f3 th\u1ec3 khuy\u1ebfn ngh\u1ecb ph\u1eabu thu\u1eadt t\u1eebng b\u00ean \u0111\u1ec3 ki\u1ec3m so\u00e1t r\u1ee7i ro t\u1ed1t h\u01a1n.<\/p>\n
B\u00ean c\u1ea1nh ch\u1ec9 \u0111\u1ecbnh y t\u1ebf, y\u1ebfu t\u1ed1 kinh t\u1ebf v\u00e0 x\u00e3 h\u1ed9i c\u0169ng l\u00e0 nh\u1eefng \u0111i\u1ec3m c\u00e2n nh\u1eafc quan tr\u1ecdng. Vi\u1ec7c th\u1ef1c hi\u1ec7n hai ca ph\u1eabu thu\u1eadt trong m\u1ed9t l\u1ea7n nh\u1eadp vi\u1ec7n gi\u00fap gi\u1ea3m \u0111\u00e1ng k\u1ec3 chi ph\u00ed tr\u1ef1c ti\u1ebfp li\u00ean quan \u0111\u1ebfn d\u1ee5ng c\u1ee5 ph\u1eabu thu\u1eadt v\u00e0 th\u1eddi gian ch\u0103m s\u00f3c [1].<\/p>\n
Tuy nhi\u00ean, n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 ho\u00e0n c\u1ea3nh s\u1ed1ng \u0111\u1ed9ng nh\u1ea5t \u0111\u1ecbnh ho\u1eb7c kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i ch\u1eadm do c\u00e1c l\u00fd do s\u1ee9c kh\u1ecfe kh\u00e1c, vi\u1ec7c ph\u1eabu thu\u1eadt t\u1eebng b\u00ean s\u1ebd mang l\u1ea1i l\u1ee3i \u00edch v\u1ec1 an to\u00e0n h\u01a1n. Quy\u1ebft \u0111\u1ecbnh cu\u1ed1i c\u00f9ng lu\u00f4n c\u1ea7n d\u1ef1a tr\u00ean s\u1ef1 \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n gi\u1eefa r\u1ee7i ro v\u00e0 l\u1ee3i \u00edch [1].<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Ph\u1eabu thu\u1eadt thay kh\u1edbp g\u1ed1i hai b\u00ean \u0111\u1ed3ng th\u1eddi mang l\u1ea1i l\u1ee3i \u00edch v\u1ec1 chi ph\u00ed v\u00e0 th\u1eddi gian, nh\u01b0ng \u0111\u00f2i h\u1ecfi \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng v\u1ec1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[],"class_list":["post-320","post","type-post","status-publish","format-standard","hentry","category-thay-khop"],"yoast_head":"\n