{"id":584,"date":"2026-10-13T08:32:27","date_gmt":"2026-10-13T01:32:27","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/13\/gay-khi-cu-noi-soi-trong-khop-xu-tri-va-cach-lay-manh-gay\/"},"modified":"2026-10-13T08:32:27","modified_gmt":"2026-10-13T01:32:27","slug":"gay-khi-cu-noi-soi-trong-khop-xu-tri-va-cach-lay-manh-gay","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/13\/gay-khi-cu-noi-soi-trong-khop-xu-tri-va-cach-lay-manh-gay\/","title":{"rendered":"G\u00e3y kh\u00ed c\u1ee5 n\u1ed9i soi trong kh\u1edbp: x\u1eed tr\u00ed v\u00e0 c\u00e1ch l\u1ea5y m\u1ea3nh g\u00e3y"},"content":{"rendered":"<p><strong>G\u00e3y kh\u00ed c\u1ee5 n\u1ed9i soi trong kh\u1edbp<\/strong> l\u00e0 m\u1ed9t s\u1ef1 c\u1ed1 c\u00f3 th\u1ec3 x\u1ea3y ra trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt n\u1ed9i soi. Khi m\u1ed9t ph\u1ea7n d\u1ee5ng c\u1ee5 r\u01a1i v\u00e0o \u1ed5 kh\u1edbp, \u01b0u ti\u00ean kh\u00f4ng ph\u1ea3i l\u00e0 ti\u1ebfp t\u1ee5c ngay th\u1ee7 thu\u1eadt ban \u0111\u1ea7u m\u00e0 l\u00e0 ki\u1ec3m so\u00e1t t\u00ecnh hu\u1ed1ng, x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed m\u1ea3nh g\u00e3y v\u00e0 l\u1ea5y ra an to\u00e0n. T\u00e0i li\u1ec7u chuy\u00ean ng\u00e0nh nh\u1ea5n m\u1ea1nh r\u1eb1ng ph\u1eabu thu\u1eadt vi\u00ean c\u1ea7n gi\u1eef b\u00ecnh t\u0129nh, h\u1ea1n ch\u1ebf di \u0111\u1ed9ng kh\u1edbp v\u00e0 lu\u00f4n duy tr\u00ec m\u1ea3nh g\u00e3y trong t\u1ea7m quan s\u00e1t khi c\u00f3 th\u1ec3 [4].<\/p>\n<h2>G\u00e3y kh\u00ed c\u1ee5 n\u1ed9i soi trong kh\u1edbp c\u1ea7n x\u1eed tr\u00ed th\u1ebf n\u00e0o?<\/h2>\n<p>Ngay khi ph\u00e1t hi\u1ec7n d\u1ee5ng c\u1ee5 b\u1ecb g\u00e3y v\u00e0 m\u1ed9t ph\u1ea7n r\u01a1i v\u00e0o kh\u1edbp, quy tr\u00ecnh x\u1eed tr\u00ed \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong t\u00e0i li\u1ec7u g\u1ed3m c\u00e1c \u0111i\u1ec3m ch\u00ednh:<\/p>\n<ul>\n<li><strong>T\u1eaft ho\u1eb7c d\u1eebng d\u00f2ng d\u1ecbch t\u01b0\u1edbi r\u1eeda<\/strong> \u0111\u1ec3 h\u1ea1n ch\u1ebf l\u00e0m m\u1ea3nh g\u00e3y di chuy\u1ec3n kh\u1ecfi v\u1ecb tr\u00ed \u0111ang quan s\u00e1t [4].<\/li>\n<li><strong>Gi\u1ea3m t\u1ed1i \u0111a vi\u1ec7c di \u0111\u1ed9ng kh\u1edbp<\/strong>, v\u00ec thay \u0111\u1ed5i t\u01b0 th\u1ebf c\u00f3 th\u1ec3 khi\u1ebfn m\u1ea3nh v\u1ee1 tr\u00f4i v\u00e0o c\u00e1c ng\u00f3c ng\u00e1ch kh\u00f3 ti\u1ebfp c\u1eadn [4].<\/li>\n<li><strong>Gi\u1eef m\u1ea3nh g\u00e3y trong t\u1ea7m nh\u00ecn<\/strong> v\u00e0 kh\u00f4ng ti\u1ebfp t\u1ee5c th\u1ee7 thu\u1eadt d\u1ef1 ki\u1ebfn tr\u01b0\u1edbc khi m\u1ea3nh d\u1ee5ng c\u1ee5 \u0111\u01b0\u1ee3c l\u1ea5y ra [4].<\/li>\n<li>N\u1ebfu ch\u01b0a th\u1ea5y m\u1ea3nh g\u00e3y, c\u1ea7n ki\u1ec3m tra k\u1ef9 \u1ed5 kh\u1edbp b\u1eb1ng quan s\u00e1t v\u00e0 th\u0103m d\u00f2. Khi v\u1eabn kh\u00f4ng \u0111\u1ecbnh v\u1ecb \u0111\u01b0\u1ee3c, c\u00f3 th\u1ec3 ch\u1ee5p X-quang kh\u1edbp theo ch\u1ec9 \u0111\u1ecbnh [5].<\/li>\n<\/ul>\n<p>C\u00e1c b\u01b0\u1edbc n\u00e0y nh\u1eb1m tr\u00e1nh b\u1ecf s\u00f3t d\u1ecb v\u1eadt trong kh\u1edbp v\u00e0 gi\u00fap ekip chuy\u1ec3n t\u1eeb m\u1ee5c ti\u00eau ph\u1eabu thu\u1eadt ban \u0111\u1ea7u sang m\u1ee5c ti\u00eau ki\u1ec3m so\u00e1t s\u1ef1 c\u1ed1. T\u00e0i li\u1ec7u kh\u00f4ng cung c\u1ea5p m\u1ed9t ph\u00e1c \u0111\u1ed3 chung cho m\u1ecdi kh\u1edbp ho\u1eb7c m\u1ecdi lo\u1ea1i d\u1ee5ng c\u1ee5, v\u00ec v\u1eady l\u1ef1a ch\u1ecdn ti\u1ebfp theo ph\u1ee5 thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc, h\u00ecnh d\u1ea1ng c\u1ee7a m\u1ea3nh g\u00e3y v\u00e0 kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn trong t\u1eebng ca.<\/p>\n<h2>C\u00e1ch \u0111\u1ecbnh v\u1ecb v\u00e0 l\u1ea5y m\u1ea3nh kh\u00ed c\u1ee5 b\u1ecb g\u00e3y<\/h2>\n<h3>Quan s\u00e1t, th\u0103m d\u00f2 v\u00e0 t\u1ea1o \u0111\u01b0\u1eddng ti\u1ebfp c\u1eadn<\/h3>\n<p>Sau khi ph\u00e1t hi\u1ec7n s\u1ef1 c\u1ed1, ph\u1eabu thu\u1eadt vi\u00ean c\u1ea7n ki\u1ec3m tra c\u00f3 h\u1ec7 th\u1ed1ng c\u00e1c v\u00f9ng trong \u1ed5 kh\u1edbp, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng khoang m\u00e0 m\u1ea3nh g\u00e3y c\u00f3 th\u1ec3 di chuy\u1ec3n ho\u1eb7c b\u1ecb che khu\u1ea5t. N\u1ebfu m\u1ea3nh n\u1eb1m \u1edf v\u1ecb tr\u00ed kh\u00f3 quan s\u00e1t, k\u1ef9 thu\u1eadt <strong>triangulation<\/strong> c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. \u0110\u00e2y l\u00e0 nguy\u00ean t\u1eafc \u0111\u01b0a \u1ed1ng soi v\u00e0 d\u1ee5ng c\u1ee5 thao t\u00e1c qua c\u00e1c c\u1ed5ng ri\u00eang, \u0111\u1ec3 \u0111\u1ea7u d\u1ee5ng c\u1ee5 v\u00e0 \u0111\u1ea7u camera t\u1ea1o th\u00e0nh m\u1ed9t h\u00ecnh tam gi\u00e1c trong tr\u01b0\u1eddng nh\u00ecn [3].<\/p>\n<p>K\u1ef9 thu\u1eadt n\u00e0y gi\u00fap t\u00e1ch bi\u1ec7t camera kh\u1ecfi d\u1ee5ng c\u1ee5 thao t\u00e1c, c\u1ea3i thi\u1ec7n tr\u01b0\u1eddng quan s\u00e1t, c\u1ea3m nh\u1eadn chi\u1ec1u s\u00e2u v\u00e0 cho ph\u00e9p hai d\u1ee5ng c\u1ee5 di chuy\u1ec3n \u0111\u1ed9c l\u1eadp [3]. Khi b\u1ecb m\u1ea5t \u0111\u1ecbnh h\u01b0\u1edbng, c\u00f3 th\u1ec3 \u0111\u01b0a d\u1ee5ng c\u1ee5 ph\u1ee5 v\u00e0o kh\u1edbp, ti\u1ebfp c\u1eadn theo v\u1ecf \u1ed1ng soi r\u1ed3i tr\u01b0\u1ee3t d\u1ee5ng c\u1ee5 v\u1ec1 ph\u00eda \u0111\u1ea7u \u1ed1ng soi \u0111\u1ec3 \u0111\u01b0a \u0111\u1ea7u d\u1ee5ng c\u1ee5 v\u00e0o tr\u01b0\u1eddng nh\u00ecn [9].<\/p>\n<h3>D\u00f9ng d\u1ee5ng c\u1ee5 k\u1eb9p ho\u1eb7c d\u1ee5ng c\u1ee5 h\u1ed7 tr\u1ee3<\/h3>\n<p>Khi \u0111\u00e3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c m\u1ea3nh g\u00e3y, c\u00f3 th\u1ec3 \u0111\u01b0a d\u1ee5ng c\u1ee5 k\u1eb9p qua m\u1ed9t c\u1ed5ng ph\u1ee5 \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh v\u00e0 l\u1ea5y m\u1ea3nh ra. N\u1ebfu c\u1ea7n, m\u1ed9t d\u1ee5ng c\u1ee5 k\u1eb9p b\u1ed5 sung c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u01b0a qua c\u1ed5ng th\u1ee9 ba nh\u1eb1m gi\u1eef ch\u1eafc m\u1ea3nh v\u1ee1 [5]. T\u00e0i li\u1ec7u c\u0169ng \u0111\u1ec1 c\u1eadp kh\u1ea3 n\u0103ng s\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng h\u00fat ho\u1eb7c nam ch\u00e2m qua c\u1ed5ng ph\u1ee5 \u0111\u1ec3 \u1ed5n \u0111\u1ecbnh v\u00e0 l\u1ea5y c\u00e1c m\u1ea3nh nh\u1ecf, khi \u0111i\u1ec1u ki\u1ec7n c\u1ee7a ca m\u1ed5 ph\u00f9 h\u1ee3p [5].<\/p>\n<p>V\u1edbi nh\u1eefng m\u1ea3nh n\u1eb1m \u1edf khoang sau c\u1ee7a kh\u1edbp g\u1ed1i, vi\u1ec7c ti\u1ebfp c\u1eadn c\u00f3 th\u1ec3 kh\u00f3 do c\u00e1c d\u1ee5ng c\u1ee5 d\u1ec5 va ch\u1ea1m v\u00e0 kh\u00f4ng gian thao t\u00e1c ch\u1eadt. M\u1ed9t ph\u01b0\u01a1ng \u00e1n \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 l\u00e0 d\u00f9ng \u1ed1ng soi g\u00f3c nh\u00ecn 70 \u0111\u1ed9 \u0111\u1ec3 quan s\u00e1t qua khe li\u00ean l\u1ed3i c\u1ea7u, sau \u0111\u00f3 \u0111\u01b0a d\u1ee5ng c\u1ee5 k\u1eb9p qua c\u1ed5ng sau trong khi v\u1eabn duy tr\u00ec nguy\u00ean t\u1eafc tam gi\u00e1c h\u00f3a [6]. Tuy nhi\u00ean, \u0111\u00e2y l\u00e0 k\u1ef9 thu\u1eadt chuy\u00ean m\u00f4n, kh\u00f4ng ph\u1ea3i thao t\u00e1c c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n b\u00ean ngo\u00e0i ph\u00f2ng m\u1ed5.<\/p>\n<h2>Nh\u1eefng \u0111i\u1ec1u c\u1ea7n tr\u00e1nh khi l\u1ea5y m\u1ea3nh g\u00e3y<\/h2>\n<p>Kh\u00f4ng n\u00ean d\u00f9ng c\u00e1c d\u1ee5ng c\u1ee5 n\u1ed9i soi m\u1ea3nh ho\u1eb7c k\u00ecm r\u1ed5 tinh t\u1ebf \u0111\u1ec3 b\u1ebb nh\u1ecf m\u1ed9t v\u1eadt th\u1ec3 l\u1edbn, v\u00ec thao t\u00e1c n\u00e0y c\u00f3 th\u1ec3 g\u00e2y h\u01b0 h\u1ecfng nghi\u00eam tr\u1ecdng cho d\u1ee5ng c\u1ee5 [1]. N\u1ebfu m\u1ed9t v\u1eadt th\u1ec3 trong kh\u1edbp \u0111\u1ee7 l\u1edbn v\u00e0 c\u1ea7n \u0111\u01b0\u1eddng m\u1ed5 r\u1ed9ng \u0111\u1ec3 l\u1ea5y ra, t\u00e0i li\u1ec7u m\u00f4 t\u1ea3 vi\u1ec7c l\u00e0m nh\u1ecf v\u1eadt th\u1ec3 b\u1eb1ng k\u00ecm Kerrison ho\u1eb7c burr n\u1ed9i soi thay v\u00ec d\u00f9ng c\u00e1c d\u1ee5ng c\u1ee5 m\u1ea3nh n\u00f3i tr\u00ean [1]. N\u1ed9i dung n\u00e0y ch\u1ee7 y\u1ebfu \u00e1p d\u1ee5ng cho v\u1eadt th\u1ec3 r\u1eddi trong kh\u1edbp; l\u1ef1a ch\u1ecdn th\u1ef1c t\u1ebf \u0111\u1ed1i v\u1edbi m\u1ea3nh kh\u00ed c\u1ee5 b\u1ecb g\u00e3y c\u1ea7n do ph\u1eabu thu\u1eadt vi\u00ean \u0111\u00e1nh gi\u00e1 ri\u00eang.<\/p>\n<p>Trong m\u1ecdi t\u00ecnh hu\u1ed1ng, vi\u1ec7c c\u1ed1 l\u1ea5y b\u1eb1ng l\u1ef1c m\u1ea1nh ho\u1eb7c ti\u1ebfp t\u1ee5c thao t\u00e1c khi kh\u00f4ng c\u00f2n ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c tr\u01b0\u1eddng nh\u00ecn c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng. T\u00e0i li\u1ec7u v\u1ec1 n\u1ed9i soi kh\u1edbp nh\u1ea5n m\u1ea1nh r\u1eb1ng ph\u1eabu thu\u1eadt vi\u00ean n\u00ean th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt trong gi\u1edbi h\u1ea1n n\u0103ng l\u1ef1c; m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p m\u1ed5 m\u1edf \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ed1t c\u00f3 th\u1ec3 ph\u00f9 h\u1ee3p h\u01a1n m\u1ed9t th\u1ee7 thu\u1eadt n\u1ed9i soi kh\u00f3 nh\u01b0ng ki\u1ec3m so\u00e1t k\u00e9m [8].<\/p>\n<h2>Nguy c\u01a1 li\u00ean quan v\u00e0 vai tr\u00f2 c\u1ee7a kinh nghi\u1ec7m<\/h2>\n<p>G\u00e3y d\u1ee5ng c\u1ee5 l\u00e0 m\u1ed9t trong c\u00e1c bi\u1ebfn ch\u1ee9ng \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u1ee7a n\u1ed9i soi kh\u1edbp khu\u1ef7u, c\u00f9ng v\u1edbi nhi\u1ec5m tr\u00f9ng, c\u1ecd x\u00e1t g\u00e2y t\u1ed5n th\u01b0\u01a1ng b\u1ec1 m\u1eb7t kh\u1edbp, v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn gar\u00f4 v\u00e0 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch th\u1ea7n kinh [2]. \u1ede v\u00f9ng khu\u1ef7u, c\u00e1c d\u00e2y th\u1ea7n kinh n\u1eb1m g\u1ea7n \u0111\u01b0\u1eddng v\u00e0o v\u00e0 bao kh\u1edbp m\u1ecfng l\u00e0m t\u0103ng y\u00eau c\u1ea7u v\u1ec1 hi\u1ec3u bi\u1ebft gi\u1ea3i ph\u1eabu, \u0111\u00e1nh d\u1ea5u m\u1ed1c v\u00e0 ki\u1ec3m so\u00e1t h\u01b0\u1edbng \u0111i c\u1ee7a d\u1ee5ng c\u1ee5 [7].<\/p>\n<p>V\u00ec v\u1eady, x\u1eed tr\u00ed m\u1ea3nh kh\u00ed c\u1ee5 g\u00e3y n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi ekip c\u00f3 n\u0103ng l\u1ef1c n\u1ed9i soi kh\u1edbp ph\u00f9 h\u1ee3p v\u1edbi v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng. Khi s\u1ef1 c\u1ed1 x\u1ea3y ra, \u01b0u ti\u00ean l\u00e0 b\u1ea3o to\u00e0n kh\u1ea3 n\u0103ng quan s\u00e1t, h\u1ea1n ch\u1ebf m\u1ea3nh v\u1ee1 di chuy\u1ec3n, l\u1ea5y d\u1ecb v\u1eadt c\u00f3 ki\u1ec3m so\u00e1t v\u00e0 chuy\u1ec3n sang ph\u01b0\u01a1ng \u00e1n kh\u00e1c n\u1ebfu n\u1ed9i soi kh\u00f4ng c\u00f2n an to\u00e0n. C\u00e1c \u0111o\u1ea1n t\u00e0i li\u1ec7u \u0111\u01b0\u1ee3c cung c\u1ea5p kh\u00f4ng m\u00f4 t\u1ea3 chi ti\u1ebft ch\u0103m s\u00f3c sau l\u1ea5y m\u1ea3nh g\u00e3y ho\u1eb7c ti\u00eau ch\u00ed theo d\u00f5i ri\u00eang cho t\u1eebng lo\u1ea1i kh\u1edbp.<\/p>\n<h2>K\u1ebft lu\u1eadn<\/h2>\n<p><strong>G\u00e3y kh\u00ed c\u1ee5 n\u1ed9i soi trong kh\u1edbp<\/strong> c\u1ea7n \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t t\u00ecnh hu\u1ed1ng ph\u1ea3i x\u1eed tr\u00ed ngay trong cu\u1ed9c m\u1ed5. C\u00e1c nguy\u00ean t\u1eafc c\u1ed1t l\u00f5i g\u1ed3m d\u1eebng d\u00f2ng t\u01b0\u1edbi r\u1eeda, h\u1ea1n ch\u1ebf di \u0111\u1ed9ng kh\u1edbp, gi\u1eef m\u1ea3nh g\u00e3y trong t\u1ea7m nh\u00ecn, \u0111\u1ecbnh v\u1ecb b\u1eb1ng quan s\u00e1t ho\u1eb7c h\u00ecnh \u1ea3nh h\u1ecdc khi c\u1ea7n, r\u1ed3i l\u1ea5y ra b\u1eb1ng k\u1ef9 thu\u1eadt k\u1eb9p, h\u00fat, nam ch\u00e2m ho\u1eb7c c\u1ed5ng ph\u1ee5 ph\u00f9 h\u1ee3p [4][5]. K\u1ef9 thu\u1eadt tam gi\u00e1c h\u00f3a h\u1ed7 tr\u1ee3 quan s\u00e1t v\u00e0 thao t\u00e1c ch\u00ednh x\u00e1c h\u01a1n, nh\u01b0ng quy\u1ebft \u0111\u1ecbnh cu\u1ed1i c\u00f9ng ph\u1ea3i d\u1ef1a tr\u00ean gi\u1ea3i ph\u1eabu, v\u1ecb tr\u00ed m\u1ea3nh g\u00e3y v\u00e0 n\u0103ng l\u1ef1c c\u1ee7a ekip ph\u1eabu thu\u1eadt [3][8].<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ul>\n<li>[1] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3077<\/li>\n<li>[2] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3238<\/li>\n<li>[3] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3014<\/li>\n<li>[4] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3077<\/li>\n<li>[5] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3018<\/li>\n<li>[6] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3077<\/li>\n<li>[7] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3238<\/li>\n<li>[8] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3014<\/li>\n<li>[9] Campbell&#x27;s Operative Orthopaedics, 15th Edition, 2026, trang 3014<\/li>\n<\/ul>\n<p><!-- aiwriter:cb4747451da84fc18443d112 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>G\u00e3y kh\u00ed c\u1ee5 n\u1ed9i soi trong kh\u1edbp c\u1ea7n x\u1eed tr\u00ed c\u00f3 ki\u1ec3m so\u00e1t \u0111\u1ec3 \u0111\u1ecbnh v\u1ecb v\u00e0 l\u1ea5y m\u1ea3nh v\u1ee1, h\u1ea1n ch\u1ebf t\u1ed5n th\u01b0\u01a1ng s\u1ee5n, th\u1ea7n kinh v\u00e0 m\u00f4 quanh kh\u1edbp.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-584","post","type-post","status-publish","format-standard","hentry","category-noi-soi-khop"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - 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