{"id":364,"date":"2026-10-11T11:48:25","date_gmt":"2026-10-11T04:48:25","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/bien-chung-cung-khop-goi-sau-mo-noi-soi-tai-tao-day-chang-nguyen-nhan-va-phong-ngua\/"},"modified":"2026-10-11T11:48:25","modified_gmt":"2026-10-11T04:48:25","slug":"bien-chung-cung-khop-goi-sau-mo-noi-soi-tai-tao-day-chang-nguyen-nhan-va-phong-ngua","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/bien-chung-cung-khop-goi-sau-mo-noi-soi-tai-tao-day-chang-nguyen-nhan-va-phong-ngua\/","title":{"rendered":"Bi\u1ebfn ch\u1ee9ng c\u1ee9ng kh\u1edbp g\u1ed1i sau m\u1ed5 n\u1ed9i soi t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng: Nguy\u00ean nh\u00e2n v\u00e0 ph\u00f2ng ng\u1eeba"},"content":{"rendered":"

Bi\u1ebfn ch\u1ee9ng c\u1ee9ng kh\u1edbp g\u1ed1i trong ph\u1eabu thu\u1eadt n\u1ed9i soi d\u00e2y ch\u1eb1ng<\/h2>\n

Ph\u1eabu thu\u1eadt n\u1ed9i soi t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng tr\u01b0\u1edbc Cruz (ACL) \u0111\u00e3 tr\u1edf th\u00e0nh ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb ti\u00eau chu\u1ea9n cho nhi\u1ec1u b\u1ec7nh nh\u00e2n, tuy nhi\u00ean n\u00f3 kh\u00f4ng tr\u00e1nh kh\u1ecfi c\u00e1c bi\u1ebfn ch\u1ee9ng sau m\u1ed5. M\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u1ea5t l\u00e0 c\u1ee9ng kh\u1edbp g\u1ed1i<\/strong>, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 arthrofibrosis. Theo t\u00e0i li\u1ec7u chuy\u00ean ng\u00e0nh, vi\u1ec7c g\u00e2y ra c\u1ee9ng kh\u1edbp g\u1ed1i sau ph\u1eabu thu\u1eadt n\u1ed9i soi ACL \u0111\u00e3 t\u1eebng l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 \u0111\u00e1ng lo ng\u1ea1i, d\u1eabn \u0111\u1ebfn h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng v\u00e0 m\u1ea5t \u1ed5n \u0111\u1ecbnh ch\u1ee9c n\u0103ng c\u1ee7a kh\u1edbp [1].<\/p>\n

Bi\u1ebfn ch\u1ee9ng n\u00e0y kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng m\u00e0 c\u00f2n c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a quy tr\u00ecnh t\u00e1i t\u1ea1o do d\u00e2y ch\u1eb1ng. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y r\u1eb1ng vi\u1ec7c tr\u00ec ho\u00e3n c\u00e1c b\u00e0i t\u1eadp v\u1eadn \u0111\u1ed9ng kh\u1edbp sau ph\u1eabu thu\u1eadt l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e0nh s\u1eb9o trong kh\u1edbp (arthrofibrosis) [2].<\/p>\n

Nguy\u00ean nh\u00e2n h\u00ecnh th\u00e0nh c\u1ee9ng kh\u1edbp g\u1ed1i<\/h3>\n

C\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh c\u1ee9ng kh\u1edbp g\u1ed1i li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh vi\u00eam v\u00e0 t\u1ea1o s\u1eb9o di\u1ec5n ra sau ph\u1eabu thu\u1eadt. Khi d\u00e2y ch\u1eb1ng b\u1ecb c\u1eaft ho\u1eb7c s\u1eeda ch\u1eefa, m\u00f4 m\u1ec1m xung quanh s\u1ebd ph\u1ea3n \u1ee9ng b\u1eb1ng c\u00e1ch t\u1ea1o ra c\u00e1c m\u1ea3ng s\u1ee5n d\u01b0\u1edbi m\u00e0ng ho\u1ea1t d\u1ecbch (synovitis). N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t, qu\u00e1 tr\u00ecnh n\u00e0y d\u1eabn \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c m\u00f4 li\u00ean k\u1ebft d\u00e0y \u0111\u1eb7c trong khoang kh\u1edbp, l\u00e0m gi\u1ea3m ph\u1ea1m vi v\u1eadn \u0111\u1ed9ng [1].<\/p>\n

\u0110\u1eb7c bi\u1ec7t, c\u00e1c th\u1ee7 thu\u1eadt ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n v\u00e0o khoang kh\u1edbp c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u nu\u00f4i d\u01b0\u1ee1ng m\u00f4 m\u1ec1m, t\u1eeb \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn qu\u00e1 tr\u00ecnh li\u1ec1n s\u1eb9o b\u00ecnh th\u01b0\u1eddng v\u00e0 gia t\u0103ng nguy c\u01a1 h\u00ecnh th\u00e0nh s\u1eb9o c\u1ee9ng [2]. Ngo\u00e0i ra, c\u00e1c ch\u1ea5n th\u01b0\u01a1ng k\u00e8m theo nh\u01b0 r\u00e1ch s\u1ee5n ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng ch\u00e9o sau c\u0169ng l\u00e0m t\u0103ng \u0111\u1ed9 ph\u1ee9c t\u1ea1p c\u1ee7a ph\u1eabu thu\u1eadt, d\u1eabn \u0111\u1ebfn th\u1eddi gian ph\u1eabu thu\u1eadt k\u00e9o d\u00e0i h\u01a1n v\u00e0 t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng [3].<\/p>\n

Bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 can thi\u1ec7p<\/h2>\n

\u0110\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 c\u1ee9ng kh\u1edbp g\u1ed1i, c\u00e1c chuy\u00ean gia ch\u1ec9nh h\u00ecnh hi\u1ec7n nay \u0111\u1ec1u nh\u1ea5n m\u1ea1nh t\u1ea7m quan tr\u1ecdng c\u1ee7a s\u1ef1 tham gia s\u1edbm v\u00e0o qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/strong>. Vi\u1ec7c b\u1eaft \u0111\u1ea7u th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp v\u1eadn \u0111\u1ed9ng kh\u1edbp ngay sau ph\u1eabu thu\u1eadt l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 ng\u0103n ch\u1eb7n arthrofibrosis [2].<\/p>\n

C\u1ee5 th\u1ec3, khuy\u1ebfn ngh\u1ecb b\u1eaft \u0111\u1ea7u c\u00e1c b\u00e0i t\u1eadp v\u1eadn \u0111\u1ed9ng kh\u1edbp t\u1eeb tu\u1ea7n th\u1ee9 4 sau ph\u1eabu thu\u1eadt \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh gi\u00fap gi\u1ea3m t\u1ef7 l\u1ec7 h\u00ecnh th\u00e0nh s\u1eb9o trong kh\u1edbp. C\u00e1c b\u00e0i t\u1eadp n\u00e0y bao g\u1ed3m vi\u1ec7c k\u00e9o gi\u00e3n c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i v\u00e0 l\u00e0m m\u1ec1m kh\u1edbp b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 ho\u1eb7c k\u1ef9 thu\u1eadt massage chuy\u00ean s\u00e2u [2].<\/p>\n

Vi\u1ec7c l\u1ef1a ch\u1ecdn v\u1eadt li\u1ec7u d\u00e2y ch\u1eb1ng (t\u1ef1 gh\u00e9p hay d\u1ecb gh\u00e9p) c\u0169ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt. M\u1eb7c d\u00f9 c\u1ea3 hai lo\u1ea1i \u0111\u1ec1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, nh\u01b0ng vi\u1ec7c qu\u1ea3n l\u00fd c\u1ea9n th\u1eadn qu\u00e1 tr\u00ecnh li\u1ec1n s\u1eb9o c\u1ee7a d\u00e2y ch\u1eb1ng l\u00e0 y\u1ebfu t\u1ed1 then ch\u1ed1t \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u1edbp kh\u00f4ng b\u1ecb c\u1ee9ng [3].<\/p>\n

B\u00ean c\u1ea1nh \u0111\u00f3, k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c t\u1ed1i \u01b0u h\u00f3a. C\u00e1c sai s\u00f3t trong k\u1ef9 thu\u1eadt nh\u01b0 \u0111\u1eb7t l\u1ed7 khoan kh\u00f4ng ch\u00ednh x\u00e1c ho\u1eb7c x\u1eed l\u00fd s\u1ee5n k\u00e9m c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c bao g\u1ed3m c\u1ea3 t\u00ecnh tr\u1ea1ng \u0111au k\u00e9o d\u00e0i v\u00e0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng [4].<\/p>\n

Vai tr\u00f2 c\u1ee7a ph\u1eabu thu\u1eadt s\u1edbm v\u00e0 k\u1ebft h\u1ee3p<\/h3>\n

\u0110\u1ed1i v\u1edbi c\u00e1c ch\u1ea5n th\u01b0\u01a1ng \u0111a d\u00e2y ch\u1eb1ng, xu h\u01b0\u1edbng hi\u1ec7n \u0111\u1ea1i l\u00e0 th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt s\u1edbm (trong v\u00f2ng 10-14 ng\u00e0y) \u0111\u1ec3 t\u00e1i t\u1ea1o \u0111\u1ed3ng th\u1eddi c\u00e1c c\u1ea5u tr\u00fac li\u00ean quan. C\u00e1ch ti\u1ebfp c\u1eadn n\u00e0y, khi k\u1ebft h\u1ee3p v\u1edbi ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng t\u00edch c\u1ef1c, \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh gi\u00fap c\u1ea3i thi\u1ec7n s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a kh\u1edbp v\u00e0 ph\u1ea1m vi v\u1eadn \u0111\u1ed9ng [3].<\/p>\n

Tuy nhi\u00ean, c\u1ea7n l\u01b0u \u00fd r\u1eb1ng trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t nh\u01b0 ch\u1ea5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u, ph\u1eabu thu\u1eadt li\u00ean quan \u0111\u1ebfn d\u00e2y ch\u1eb1ng c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i ho\u00e3n l\u1ea1i cho \u0111\u1ebfn khi t\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u \u1ed5n \u0111\u1ecbnh. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, vi\u1ec7c \u0111\u1ee3i kho\u1ea3ng 3 tu\u1ea7n \u0111\u1ec3 v\u1ebft m\u1ed5 l\u00e0nh v\u00e0 m\u00f4 m\u1ec1m \u0111\u1ee7 ch\u1ea5t l\u01b0\u1ee3ng l\u00e0 an to\u00e0n [5].<\/p>\n

T\u00f3m l\u1ea1i, bi\u1ebfn ch\u1ee9ng c\u1ee9ng kh\u1edbp g\u1ed1i sau ph\u1eabu thu\u1eadt n\u1ed9i soi ACL l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c c\u1ea7n \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd ch\u1ee7 \u0111\u1ed9ng th\u00f4ng qua k\u1ef9 thu\u1eadt ph\u1eabu thu\u1eadt ch\u00ednh x\u00e1c v\u00e0 quan tr\u1ecdng nh\u1ea5t l\u00e0 tu\u00e2n th\u1ee7 nghi\u00eam ng\u1eb7t ch\u01b0\u01a1ng tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng s\u1edbm. Vi\u1ec7c hi\u1ec3u r\u00f5 nguy\u00ean nh\u00e2n v\u00e0 \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba k\u1ecbp th\u1eddi s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
    \n
  • [1] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2701<\/li>\n
  • [2] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2700<\/li>\n
  • [3] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2748<\/li>\n
  • [4] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2726<\/li>\n
  • [5] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2748<\/li>\n<\/ul>\n

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

    C\u1ee9ng kh\u1edbp g\u1ed1i (arthrofibrosis) l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng ph\u1ed5 bi\u1ebfn sau ph\u1eabu thu\u1eadt n\u1ed9i soi t\u00e1i t\u1ea1o d\u00e2y ch\u1eb1ng tr\u01b0\u1edbc Cruz. 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