{"id":355,"date":"2026-10-11T10:43:11","date_gmt":"2026-10-11T03:43:11","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/noi-soi-cat-loc-nep-gap-hoat-dich-plica-o-khop-goi-khi-nao-can-thuc-hien\/"},"modified":"2026-10-11T10:43:11","modified_gmt":"2026-10-11T03:43:11","slug":"noi-soi-cat-loc-nep-gap-hoat-dich-plica-o-khop-goi-khi-nao-can-thuc-hien","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/noi-soi-cat-loc-nep-gap-hoat-dich-plica-o-khop-goi-khi-nao-can-thuc-hien\/","title":{"rendered":"N\u1ed9i soi c\u1eaft l\u1ecdc n\u1ebfp g\u1ea5p ho\u1ea1t d\u1ecbch Plica \u1edf kh\u1edbp g\u1ed1i: khi n\u00e0o c\u1ea7n th\u1ef1c hi\u1ec7n?"},"content":{"rendered":"

N\u1ed9i soi c\u1eaft l\u1ecdc n\u1ebfp g\u1ea5p ho\u1ea1t d\u1ecbch Plica \u1edf kh\u1edbp g\u1ed1i<\/strong> th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc khi n\u1ebfp g\u1ea5p \u0111\u00e3 x\u01a1 h\u00f3a, d\u00e0y l\u00ean, g\u00e2y tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i v\u00e0 kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n. Tuy nhi\u00ean, tr\u01b0\u1edbc khi c\u1eaft, b\u00e1c s\u0129 c\u1ea7n \u0111\u00e1nh gi\u00e1 c\u00f3 h\u1ec7 th\u1ed1ng to\u00e0n b\u1ed9 kh\u1edbp g\u1ed1i \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n \u0111au trong kh\u1edbp kh\u00e1c [1][4].<\/p>\n

N\u1ebfp g\u1ea5p ho\u1ea1t d\u1ecbch Plica \u1edf kh\u1edbp g\u1ed1i l\u00e0 g\u00ec?<\/h2>\n

Plica l\u00e0 c\u00e1c n\u1ebfp g\u1ea5p c\u1ee7a m\u00e0ng ho\u1ea1t d\u1ecbch quanh kh\u1edbp g\u1ed1i. T\u00e0i li\u1ec7u minh h\u1ecda nhi\u1ec1u v\u1ecb tr\u00ed nh\u01b0 n\u1ebfp g\u1ea5p tr\u00ean b\u00e1nh ch\u00e8, d\u01b0\u1edbi b\u00e1nh ch\u00e8, b\u00ean ngo\u00e0i v\u00e0 n\u1ebfp g\u1ea5p ph\u00eda trong. Trong \u0111\u00f3, n\u1ebfp g\u1ea5p ph\u00eda trong c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn tri\u1ec7u ch\u1ee9ng, c\u00f2n m\u1ed9t s\u1ed1 n\u1ebfp g\u1ea5p kh\u00e1c th\u01b0\u1eddng kh\u00f4ng g\u00e2y tri\u1ec7u ch\u1ee9ng [3].<\/p>\n

N\u1ebfp g\u1ea5p b\u1ea5t th\u01b0\u1eddng c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 d\u1ef1a tr\u00ean v\u1ecb tr\u00ed, b\u1ec1 r\u1ed9ng v\u00e0 t\u00ednh ch\u1ea5t m\u00f4 khi quan s\u00e1t, th\u0103m d\u00f2 trong n\u1ed9i soi. M\u1ed9t n\u1ebfp g\u1ea5p d\u00e0y, k\u00e9m \u0111\u00e0n h\u1ed3i, tr\u00f2n v\u00e0 c\u00f3 m\u00e0u tr\u1eafng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem l\u00e0 b\u1ec7nh l\u00fd trong b\u1ed1i c\u1ea3nh l\u00e2m s\u00e0ng ph\u00f9 h\u1ee3p [1][6]. N\u1ebfp g\u1ea5p ph\u00eda trong c\u0169ng c\u00f3 th\u1ec3 tr\u1edf n\u00ean x\u01a1 h\u00f3a, hyalin h\u00f3a v\u00e0 va ch\u1ea1m v\u1edbi v\u00f9ng l\u1ed3i c\u1ea7u \u0111\u00f9i trong khi g\u1ed1i v\u1eadn \u0111\u1ed9ng; hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp nh\u01b0 m\u1ed9t y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng s\u1ee5n [7].<\/p>\n

Khi n\u00e0o c\u00e2n nh\u1eafc n\u1ed9i soi c\u1eaft l\u1ecdc Plica?<\/h2>\n

\u0110i\u1ec1u tr\u1ecb ban \u0111\u1ea7u th\u01b0\u1eddng l\u00e0 b\u1ea3o t\u1ed3n. C\u00e1c bi\u1ec7n ph\u00e1p \u0111\u01b0\u1ee3c t\u00e0i li\u1ec7u \u0111\u1ec1 c\u1eadp g\u1ed3m:<\/p>\n

    \n
  • \u0110i\u1ec1u ch\u1ec9nh ho\u1ea1t \u0111\u1ed9ng, gi\u1ea3m c\u00e1c \u0111\u1ed9ng t\u00e1c g\u1ea5p v\u00e0 du\u1ed7i g\u1ed1i l\u1eb7p \u0111i l\u1eb7p l\u1ea1i.<\/li>\n
  • Tr\u00e1nh duy tr\u00ec t\u01b0 th\u1ebf g\u1ea5p g\u1ed1i trong th\u1eddi gian d\u00e0i.<\/li>\n
  • C\u00f3 th\u1ec3 b\u1ea5t \u0111\u1ed9ng g\u1ed1i \u1edf t\u01b0 th\u1ebf du\u1ed7i trong v\u00e0i ng\u00e0y.<\/li>\n
  • T\u1eadp c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i theo h\u01b0\u1edbng \u0111\u1eb3ng tr\u01b0\u1eddng v\u00e0 b\u00e0i t\u1eadp du\u1ed7i g\u1ed1i v\u1edbi ch\u00e2n gi\u1eef th\u1eb3ng.<\/li>\n
  • D\u00f9ng thu\u1ed1c ch\u1ed1ng vi\u00eam trong th\u1eddi gian ng\u1eafn ho\u1eb7c ti\u00eam t\u1ea1i ch\u1ed7 theo ch\u1ec9 \u0111\u1ecbnh chuy\u00ean m\u00f4n.<\/li>\n<\/ul>\n

    C\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m ph\u00f9 n\u1ec1 v\u00e0 vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch, t\u1eeb \u0111\u00f3 l\u00e0m n\u1ebfp g\u1ea5p tr\u1edf n\u00ean m\u1ec1m m\u1ea1i h\u01a1n v\u00e0 \u00edt g\u00e2y tri\u1ec7u ch\u1ee9ng [5][7]. N\u1ebfu tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i, \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n kh\u00f4ng hi\u1ec7u qu\u1ea3 v\u00e0 n\u1ebfp g\u1ea5p \u0111\u00e3 x\u01a1 h\u00f3a, hyalin h\u00f3a, b\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc c\u1eaft b\u1ecf b\u1eb1ng n\u1ed9i soi [4][7].<\/p>\n

    Ch\u1ea9n \u0111o\u00e1n kh\u00f4ng n\u00ean ch\u1ec9 d\u1ef1a v\u00e0o h\u00ecnh \u1ea3nh c\u00f3 m\u1eb7t c\u1ee7a Plica. Th\u0103m kh\u00e1m chuy\u00ean khoa, \u0111\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng v\u00e0 n\u1ed9i soi ch\u1ea9n \u0111o\u00e1n c\u00f3 vai tr\u00f2 quan tr\u1ecdng. T\u00e0i li\u1ec7u cho bi\u1ebft b\u1ea5t th\u01b0\u1eddng c\u1ee7a Plica \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh t\u1ed1t nh\u1ea5t b\u1eb1ng n\u1ed9i soi kh\u1edbp g\u1ed1i; MRI ho\u1eb7c si\u00eau \u00e2m c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 x\u00e1c nh\u1eadn trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p [6][7].<\/p>\n

    C\u00e1c b\u01b0\u1edbc ch\u00ednh c\u1ee7a n\u1ed9i soi c\u1eaft l\u1ecdc n\u1ebfp g\u1ea5p ho\u1ea1t d\u1ecbch<\/h2>\n

    1. N\u1ed9i soi ki\u1ec3m tra to\u00e0n b\u1ed9 kh\u1edbp<\/h3>\n

    Tr\u01b0\u1edbc ti\u00ean, ph\u1eabu thu\u1eadt vi\u00ean th\u1ef1c hi\u1ec7n n\u1ed9i soi ch\u1ea9n \u0111o\u00e1n \u0111\u1ea7y \u0111\u1ee7 v\u00e0 c\u00f3 h\u1ec7 th\u1ed1ng nh\u1eb1m t\u00ecm ho\u1eb7c lo\u1ea1i tr\u1eeb c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c trong kh\u1edbp. \u0110\u00e2y l\u00e0 b\u01b0\u1edbc c\u1ea7n thi\u1ebft tr\u01b0\u1edbc khi k\u1ebft lu\u1eadn Plica l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y tri\u1ec7u ch\u1ee9ng [1].<\/p>\n

    2. Quan s\u00e1t v\u00e0 x\u00e1c nh\u1eadn n\u1ebfp g\u1ea5p b\u1ec7nh l\u00fd<\/h3>\n

    N\u1ebfp g\u1ea5p ph\u00eda trong \u0111\u01b0\u1ee3c quan s\u00e1t b\u1eb1ng \u1ed1ng n\u1ed9i soi g\u00f3c 30 \u0111\u1ed9 qua c\u1ed5ng tr\u01b0\u1edbc ngo\u00e0i. C\u00f3 th\u1ec3 quan s\u00e1t th\u00eam m\u1eb7t tr\u00ean c\u1ee7a n\u1ebfp g\u1ea5p qua c\u1ed5ng tr\u00ean ngo\u00e0i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 r\u00f5 h\u01a1n t\u00ednh ch\u1ea5t b\u1ec7nh l\u00fd [1]. Vi\u1ec7c xem x\u00e9t b\u1ec1 r\u1ed9ng, \u0111\u1ed9 d\u00e0y, m\u00e0u s\u1eafc v\u00e0 \u0111\u1ed9 \u0111\u00e0n h\u1ed3i gi\u00fap ph\u00e2n bi\u1ec7t n\u1ebfp g\u1ea5p c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y tri\u1ec7u ch\u1ee9ng v\u1edbi n\u1ebfp g\u1ea5p kh\u00f4ng \u0111\u00e1ng k\u1ec3 [6].<\/p>\n

    3. C\u1eaft b\u1ecf ph\u1ea7n n\u1ebfp g\u1ea5p g\u00e2y b\u1ec7nh<\/h3>\n

    Khi x\u00e1c \u0111\u1ecbnh Plica l\u00e0 b\u1ec7nh l\u00fd, k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 l\u00e0 c\u1eaft b\u1ecf m\u1ed9t ph\u1ea7n l\u1edbn thay v\u00ec ch\u1ec9 r\u1ea1ch \u0111\u01a1n thu\u1ea7n. D\u1ee5ng c\u1ee5 nh\u01b0 k\u00e9o ho\u1eb7c k\u00ecm c\u1eaft \u0111\u01b0\u1ee3c \u0111\u01b0a qua c\u1ed5ng n\u1ed9i soi ph\u00f9 h\u1ee3p; ph\u1ea7n n\u1ebfp g\u1ea5p b\u1eaft \u0111\u1ea7u t\u1eeb ph\u00eda tr\u00ean c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u1eaft kho\u1ea3ng 1\u20132 cm<\/strong>. M\u1ee5c ti\u00eau l\u00e0 t\u1ea1o h\u00ecnh l\u00f2ng l\u00f5m, \u0111\u01b0a v\u00f9ng c\u1eaft xu\u1ed1ng \u0111\u1ebfn th\u00e0nh m\u00e0ng ho\u1ea1t d\u1ecbch [1].<\/p>\n

    Sau khi c\u1eaft, n\u1ebfp g\u1ea5p c\u00f3 th\u1ec3 t\u00e1ch r\u1ed9ng n\u1ebfu tr\u01b0\u1edbc \u0111\u00f3 \u0111ang ch\u1ecbu l\u1ef1c c\u0103ng. N\u1ebfu c\u00f2n c\u00e1c d\u1ea3i m\u00f4 ho\u1ea1t d\u1ecbch ho\u1eb7c ph\u1ea7n Plica s\u00f3t l\u1ea1i, d\u1ee5ng c\u1ee5 b\u00e0o c\u1eaft m\u00f4 ho\u1ea1t d\u1ecbch c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf ch\u00fang [2]. Tuy nhi\u00ean, c\u1ea7n tr\u00e1nh c\u1eaft m\u00e0ng ho\u1ea1t d\u1ecbch qu\u00e1 m\u1ee9c v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u0103ng vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch sau m\u1ed5 [2]. Cu\u1ed1i c\u00f9ng, kh\u1edbp \u0111\u01b0\u1ee3c b\u01a1m r\u1eeda v\u00e0 h\u00fat \u0111\u1ec3 lo\u1ea1i b\u1ecf m\u1ea3nh v\u1ee5n c\u00f2n l\u1ea1i [2].<\/p>\n

    V\u00ec sao kh\u00f4ng n\u00ean ch\u1ec9 r\u1ea1ch Plica?<\/h2>\n

    T\u00e0i li\u1ec7u kh\u00f4ng khuy\u1ebfn ngh\u1ecb ch\u1ec9 r\u1ea1ch ho\u1eb7c c\u1eaft ngang Plica, v\u00ec m\u00f4 c\u00f3 kh\u1ea3 n\u0103ng li\u1ec1n l\u1ea1i b\u1eb1ng m\u00f4 s\u1eb9o v\u00e0 ph\u1ee5c h\u1ed3i t\u00ednh li\u00ean t\u1ee5c. V\u1edbi Plica \u0111\u00e3 x\u01a1 h\u00f3a, vi\u1ec7c c\u1eaft b\u1ecf ph\u1ea7n b\u1ec7nh l\u00fd b\u1eb1ng k\u1ef9 thu\u1eadt ph\u00f9 h\u1ee3p \u0111\u01b0\u1ee3c xem l\u00e0 h\u01b0\u1edbng x\u1eed tr\u00ed \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong t\u00e0i li\u1ec7u [4].<\/p>\n

    Hi\u1ec7u qu\u1ea3 \u0111\u01b0\u1ee3c ghi nh\u1eadn v\u00e0 gi\u1edbi h\u1ea1n th\u00f4ng tin<\/h2>\n

    Trong m\u1ed9t nghi\u00ean c\u1ee9u tr\u00ean 135 b\u1ec7nh nh\u00e2n v\u1ecb th\u00e0nh ni\u00ean \u0111\u01b0\u1ee3c tr\u00edch d\u1eabn trong t\u00e0i li\u1ec7u, sau th\u1eddi gian theo d\u00f5i trung b\u00ecnh 4 n\u0103m, 36% h\u1ebft \u0111au, 46% c\u00f2n tri\u1ec7u ch\u1ee9ng nh\u1eb9 v\u00e0 18% kh\u00f4ng c\u1ea3i thi\u1ec7n \u0111au; ph\u1ea7n l\u1edbn b\u1ec7nh nh\u00e2n v\u1eabn h\u00e0i l\u00f2ng v\u1edbi k\u1ebft qu\u1ea3 v\u00e0 87% c\u00f3 th\u1ec3 quay l\u1ea1i th\u1ec3 thao [5]. Nh\u1eefng con s\u1ed1 n\u00e0y thu\u1ed9c nh\u00f3m b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3, v\u00ec v\u1eady kh\u00f4ng n\u00ean d\u00f9ng \u0111\u1ec3 d\u1ef1 \u0111o\u00e1n ch\u1eafc ch\u1eafn k\u1ebft qu\u1ea3 cho t\u1eebng ng\u01b0\u1eddi.<\/p>\n

    C\u00e1c \u0111o\u1ea1n t\u00e0i li\u1ec7u \u0111\u01b0\u1ee3c cung c\u1ea5p t\u1eadp trung v\u00e0o ch\u1ec9 \u0111\u1ecbnh, nguy\u00ean t\u1eafc k\u1ef9 thu\u1eadt v\u00e0 m\u1ed9t ph\u1ea7n k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. Ch\u00fang kh\u00f4ng tr\u00ecnh b\u00e0y \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 chu\u1ea9n b\u1ecb tr\u01b0\u1edbc m\u1ed5, g\u00e2y m\u00ea, ch\u0103m s\u00f3c sau m\u1ed5, th\u1eddi gian ph\u1ee5c h\u1ed3i, bi\u1ebfn ch\u1ee9ng ho\u1eb7c ti\u00eau ch\u00ed l\u1ef1a ch\u1ecdn b\u1ec7nh nh\u00e2n theo t\u1eebng tr\u01b0\u1eddng h\u1ee3p. V\u00ec v\u1eady, quy\u1ebft \u0111\u1ecbnh n\u1ed9i soi c\u1eaft l\u1ecdc c\u1ea7n d\u1ef1a tr\u00ean th\u0103m kh\u00e1m v\u00e0 \u0111\u00e1nh gi\u00e1 tr\u1ef1c ti\u1ebfp c\u1ee7a b\u00e1c s\u0129 ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh.<\/p>\n

    T\u00f3m l\u1ea1i:<\/strong> n\u1ed9i soi c\u1eaft l\u1ecdc Plica \u1edf kh\u1edbp g\u1ed1i \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc khi n\u1ebfp g\u1ea5p ph\u00eda trong c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m b\u1ec7nh l\u00fd, tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n th\u1ea5t b\u1ea1i. Quy tr\u00ecnh c\u1ea7n b\u1eaft \u0111\u1ea7u b\u1eb1ng n\u1ed9i soi ki\u1ec3m tra to\u00e0n b\u1ed9 kh\u1edbp, sau \u0111\u00f3 c\u1eaft b\u1ecf \u0111\u1ee7 ph\u1ea7n Plica b\u1ec7nh l\u00fd nh\u01b0ng tr\u00e1nh l\u1ea5y qu\u00e1 nhi\u1ec1u m\u00e0ng ho\u1ea1t d\u1ecbch.<\/p>\n

    T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
      \n
    • [1] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 3078<\/li>\n
    • [2] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 3078<\/li>\n
    • [3] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2751<\/li>\n
    • [4] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2752<\/li>\n
    • [5] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 3078<\/li>\n
    • [6] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2751<\/li>\n
    • [7] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2752<\/li>\n<\/ul>\n

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

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