{"id":2024,"date":"2023-07-02T12:00:38","date_gmt":"2023-07-02T05:00:38","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&p=2024"},"modified":"2023-07-31T18:11:06","modified_gmt":"2023-07-31T11:11:06","slug":"gay-bennett","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-bennett\/","title":{"rendered":"G\u00e3y Bennett"},"content":{"rendered":"

T\u1ed4NG QUAN<\/strong><\/h2>\n

G\u00e3y Bennett \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 l\u1ea7n \u0111\u1ea7u ti\u00ean b\u1edfi gi\u00e1o s\u01b0 Edward Hallaran Bennett<\/a> (1837 \u2013 1907) v\u00e0o n\u0103m 1882. \u0110\u00e2y l\u00e0 lo\u1ea1i g\u00e3y x\u01b0\u01a1ng<\/a> ph\u1ed5 bi\u1ebfn nh\u1ea5t li\u00ean quan \u0111\u1ebfn n\u1ec1n x\u01b0\u01a1ng \u0111\u1ed1t b\u00e0n ng\u00f3n c\u00e1i t\u1ea1i v\u1ecb tr\u00ed kh\u1edbp thang b\u00e0n. T\u1ed5n th\u01b0\u01a1ng n\u00e0y th\u01b0\u1eddng do l\u1ef1c t\u00e1c \u0111\u1ed9ng qu\u00e1 t\u1ea3i d\u1ecdc tr\u1ee5c k\u00e8m l\u1ef1c g\u1ea5p l\u00ean ng\u00f3n c\u00e1i, \u0111\u00f4i khi c\u00f3 li\u00ean quan \u0111\u1ebfn g\u00e3y x\u01b0\u01a1ng c\u1ed5 tay, g\u00e3y x\u01b0\u01a1ng b\u00e0n tay<\/a> kh\u00e1c ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng c\u1ed5 tay.<\/p>\n

X-quang<\/a> r\u1ea5t c\u1ea7n thi\u1ebft trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng v\u00e0 gi\u00fap l\u00ean ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n hay ph\u1eabu thu\u1eadt \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y di l\u1ec7ch nhi\u1ec1u. C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ed1i v\u1edbi g\u00e3y Bennett nh\u01b0 n\u1eafn k\u00edn b\u00f3 b\u1ed9t<\/a> ho\u1eb7c ph\u1eabu thu\u1eadt c\u1ed1 \u0111\u1ecbnh xong b\u00ean trong.<\/p>\n

C\u01a0 CH\u1ebe CH\u1ea4N TH\u01af\u01a0NG<\/strong><\/h2>\n

Khi ch\u1ea5n th\u01b0\u01a1ng v\u1edbi t\u00e1c \u0111\u1ed9ng qu\u00e1 t\u1ea3i d\u1ecdc tr\u1ee5c c\u1ee7a x\u01b0\u01a1ng k\u00e8m g\u1ea5p ng\u00f3n c\u00e1i, d\u00e2y ch\u1eb1ng ch\u00e9o<\/a> gan tay gi\u1eef ph\u1ea7n n\u1ec1n x\u01b0\u01a1ng b\u00e0n I, \u0111\u1ea7u xa x\u01b0\u01a1ng b\u00e0n m\u1ed9t b\u1ecb kh\u00e9p v\u00e0 ng\u1eeda \u0111\u1ed3ng th\u1eddi do t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u01a1 kh\u00e9p ng\u00f3n c\u00e1i \u0111\u1ed3ng th\u1eddi di l\u1ec7ch g\u1ea7n do c\u01a1 du\u1ed7i ng\u00f3n c\u00e1i d\u00e0i.<\/p>\n

\"Picture25\"
H\u00ecnh 18.1.<\/strong> C\u01a1 ch\u1ebf g\u00e3y Bennett (theo AO surgery) [12]<\/figcaption><\/figure>
\"Picture26\"
H\u00ecnh 18.2 <\/strong>X-quang tr\u01b0\u1eddng h\u1ee3p g\u00e3y Bennet [13]<\/figcaption><\/figure><\/p>\n

D\u1ecaCH T\u1ec4 H\u1eccC<\/strong><\/h2>\n

G\u00e3y Bennet l\u00e0 m\u1ed9t d\u1ea1ng g\u00e3y x\u01b0\u01a1ng li\u00ean quan \u0111\u1ebfn ng\u00f3n c\u00e1i hay ng\u00f3n m\u1ed9t. Th\u01b0\u1eddng x\u1ea3y ra nh\u1ea5t \u1edf tr\u1ebb em v\u00e0 ng\u01b0\u1eddi gi\u00e0. \u1ede tr\u1ebb em trong \u0111\u1ed9 tu\u1ed5i t\u1eeb s\u01a1 sinh \u0111\u1ebfn 16 tu\u1ed5i c\u00f3 22% tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng li\u00ean quan \u0111\u1ebfn x\u01b0\u01a1ng b\u00e0n m\u1ed9t; trong khi \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n tr\u00ean 65 tu\u1ed5i, 20% tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng b\u00e0n tay x\u1ea3y ra \u1edf ng\u00f3n c\u00e1i. \u1ede ng\u01b0\u1eddi cao tu\u1ed5i, ng\u00f3n c\u00e1i b\u1ecb g\u00e3y x\u01b0\u01a1ng ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u1edbi ki\u1ec3u g\u00e3y c\u00f3 xu h\u01b0\u1edbng xi\u00ean v\u00e0 th\u1ea5u kh\u1edbp [2].<\/p>\n

L\u00c2M S\u00c0NG \u2013 C\u1eacN L\u00c2M S\u00c0NG<\/strong><\/h2>\n

L\u00e2m s\u00e0ng \u0111\u01a1n gi\u1ea3n b\u1eb1ng vi\u1ec7c ph\u00e1t hi\u1ec7n \u0111au nhi\u1ec1u \u2013 s\u01b0ng bi\u1ebfn d\u1ea1ng<\/a> v\u1ecb tr\u00ed g\u1ed1c ng\u00f3n c\u00e1i.<\/p>\n

X-quang x\u01b0\u01a1ng b\u00e0n tay ti\u00eau chu\u1ea9n bao g\u1ed3m h\u00ecnh chi\u1ebfu tr\u01b0\u1edbc sau (AP), m\u1eb7t b\u00ean v\u00e0 h\u00ecnh chi\u1ebfu xi\u00ean. C\u00e1c di\u1ec7n X-quang ng\u00f3n m\u1ed9t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ea5y \u0111\u1ec3 cung c\u1ea5p th\u00eam th\u00f4ng tin v\u1ec1 ch\u1ea5n th\u01b0\u01a1ng nh\u01b0 ch\u1ee5p phim d\u1ea1ng Robert [3]. G\u00f3c ch\u1ee5p n\u00e0y v\u1ec1 kh\u1edbp c\u1ed5 tay \u2013 x\u01b0\u01a1ng b\u00e0n m\u1ed9t; g\u00f3c ch\u1ee5p X-quang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi g\u00f3c \u0111\u1eb7t c\u1eb3ng tay c\u00f3 m\u1eb7t l\u01b0ng c\u1ee7a ng\u00f3n c\u00e1i \u0111\u1eb7t v\u00e0o t\u1ea5m ch\u1ee5p X-quang v\u00e0 ch\u00f9m tia X h\u01b0\u1edbng 90 \u0111\u1ed9 v\u00e0o t\u1ea5m. M\u1ed9t g\u00f3c nh\u00ecn kh\u00e1c l\u00e0 g\u00f3c ch\u1ee5p Bett [3], thu \u0111\u01b0\u1ee3c khi l\u00f2ng b\u00e0n tay nghi\u00eang qu\u00e1 m\u1ee9c 20o<\/sup> so v\u1edbi m\u1eb7t ph\u1eb3ng so v\u1edbi t\u1ea5m ch\u1ee5p X-quang v\u00e0 ch\u00f9m tia h\u01b0\u1edbng 15o<\/sup> t\u1eeb g\u1ea7n \u0111\u1ebfn xa.<\/p>\n

\"Picture27\"<\/p>\n

\"Picture28\"
H\u00ecnh 18.3.<\/strong> G\u00f3c ch\u1ee5p Robert v\u00e0 g\u00f3c ch\u1ee5p Bett [14]. A: G\u00f3c ch\u1ee5p Robert, B: X-quang g\u00f3c ch\u1ee5p Robert, C: G\u00f3c ch\u1ee5p Bett, X-quang g\u00f3c ch\u1ee5p Bett<\/figcaption><\/figure>\n

X-quang g\u1eafng s\u1ee9c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch \u1ea5n m\u1eb7t h\u01b0\u1edbng t\u00e2m c\u1ee7a c\u00e1c ng\u00f3n c\u00e1i l\u1ea1i v\u1edbi nhau tr\u00ean ch\u1ebf \u0111\u1ed9 xem AP, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 ch\u1ee9ng minh s\u1ef1 ph\u1ee5 thu\u1ed9c c\u1ee7a c\u01a1 c\u1ed5 tay v\u1ec1 ph\u00eda g\u1ea7n so v\u1edbi x\u01b0\u01a1ng thang \u1edf ph\u00eda c\u00f3 t\u1ed5n th\u01b0\u01a1ng. D\u1ef1a tr\u00ean h\u00ecnh \u1ea3nh ch\u1ee5p X-quang, Gredda \u0111\u00e3 ph\u00e2n lo\u1ea1i g\u00e3y Bennett th\u00e0nh ba lo\u1ea1i, v\u1edbi lo\u1ea1i 1 l\u00e0 g\u00e3y c\u00f3 m\u1ed9t m\u1ea3nh nh\u1ecf \u0111\u01a1n l\u1ebb v\u00e0 c\u00f3 ph\u1ea7n ph\u1ee5 c\u1ee7a n\u1ec1n x\u01b0\u01a1ng b\u00e0n m\u1ed9t, lo\u1ea1i 2 l\u00e0 lo\u1ea1i g\u00e3y do ch\u00e8n \u00e9p m\u00e0 kh\u00f4ng c\u00f3 \u0111\u1ea7u g\u1ea7n c\u1ee7a x\u01b0\u01a1ng b\u00e0n m\u1ed9t v\u00e0 lo\u1ea1i 3 l\u00e0 ch\u1ea5n th\u01b0\u01a1ng v\u1edbi m\u1ed9t m\u1ea3nh nh\u1ecf li\u00ean quan \u0111\u1ebfn s\u1ef1 tr\u1eadt kh\u1edbp thang b\u00e0n [4].<\/p>\n

\u0110I\u1ec0U TR\u1eca<\/strong><\/h2>\n

Vi\u1ec7c n\u1eafn ch\u1ec9nh th\u00edch h\u1ee3p \u0111\u00f2i h\u1ecfi l\u1ef1c k\u00e9o theo h\u01b0\u1edbng d\u1ecdc tr\u1ee5c ng\u00f3n m\u1ed9t \u0111\u1ed3ng th\u1eddi s\u1ea5p \u0111\u1ed1t b\u00e0n m\u1ed9t v\u00e0 t\u1ea1o l\u1ef1c \u00e9p v\u00e0o n\u1ec1n x\u01b0\u01a1ng b\u00e0n I [3]. Vi\u1ec7c du\u1ed7i ng\u00f3n tay<\/a> \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 th\u1ec3 g\u00e2y di l\u1ec7ch g\u00e3y x\u01b0\u01a1ng v\u00e0 n\u00ean th\u1eadn tr\u1ecdng [1]. Trong b\u00e0i b\u00e1o \u0111\u1ea7u ti\u00ean c\u1ee7a Bennett, \u00f4ng \u0111\u00e3 m\u00f4 t\u1ea3 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb nh\u1eefng g\u00e3y x\u01b0\u01a1ng n\u00e0y b\u1eb1ng c\u00e1ch n\u1eafn k\u00edn b\u1ea3o t\u1ed3n v\u00e0 n\u1eb9p b\u1ed9t, v\u1eabn l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng d\u00f9ng cho \u0111\u1ebfn nh\u1eefng n\u0103m 1970 [5,6]. C\u00e1c b\u00e1o c\u00e1o tr\u01b0\u1edbc \u0111\u00e2y cho th\u1ea5y k\u1ebft qu\u1ea3 t\u1ed1t v\u1edbi ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y, m\u1eb7c d\u00f9 nhi\u1ec1u nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y cho th\u1ea5y k\u1ebft qu\u1ea3 k\u00e9m khi \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng b\u1eb1ng b\u00f3 b\u1ed9t \u0111\u01a1n thu\u1ea7n [7].<\/p>\n

\"Picture1\"
H\u00ecnh 18.4.<\/strong> Ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn [12]<\/figcaption><\/figure>
\"Picture2\"
H\u00ecnh 18.5.<\/strong> B\u00f3 b\u1ed9t \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n g\u00e3y Bennett [12]<\/figcaption><\/figure><\/p>\n

Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb g\u00e3y Bennett r\u1ea5t \u0111a d\u1ea1ng nh\u01b0ng th\u01b0\u1eddng n\u1eafn k\u00edn v\u00e0 k\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u1eb1ng kim Kirschner qua da ho\u1eb7c m\u1ed5 m\u1edf k\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u1eb1ng kim Kirschner ho\u1eb7c v\u00edt c\u1ee9ng. T\u1ea5t c\u1ea3 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p k\u1ebft h\u1ee3p x\u01b0\u01a1ng \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 trong c\u00e1c b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1 v\u00e0 nghi\u00ean c\u1ee9u khoa h\u1ecdc. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u1eafn k\u00edn v\u00e0 c\u1ed1 \u0111\u1ecbnh gi\u1eefa c\u00e1c tr\u1ee5c x\u01b0\u01a1ng b\u00e0n m\u1ed9t v\u1edbi x\u01b0\u01a1ng b\u00e0n hai v\u00e0\/ho\u1eb7c x\u01b0\u01a1ng thang th\u01b0\u1eddng c\u00f3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c gi\u1ea3m thi\u1ec3u s\u1ef1 di l\u1ec7ch c\u1ee7a tr\u1ee5c x\u01b0\u01a1ng b\u00e0n m\u1ed9t. N\u1ebfu quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb g\u00e3y x\u01b0\u01a1ng n\u00e0y b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p m\u1ed5 m\u1edf, th\u01b0\u1eddng ph\u1eabu thu\u1eadt vi\u00ean th\u1ef1c hi\u1ec7n th\u00f4ng qua \u0111\u01b0\u1eddng r\u1ea1ch Wagner [3]. Quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb nh\u1eefng g\u00e3y x\u01b0\u01a1ng n\u00e0y b\u1eb1ng m\u1ed5 m\u1edf ho\u1eb7c n\u1eafn k\u00edn v\u1eabn c\u00f2n l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 tranh lu\u1eadn<\/p>\n

\"Picture3\"
H\u00ecnh 18.6.<\/strong> K\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u1eb1ng kim Kirschner [12]<\/figcaption><\/figure>
\"Picture4\"
H\u00ecnh 18.7.<\/strong> K\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u1eb1ng v\u00edt x\u1ed1p v\u00e0 kim Kirschner [12]<\/figcaption><\/figure>
\"Picture5\"
H\u00ecnh 18.8.<\/strong> K\u1ebft h\u1ee3p x\u01b0\u01a1ng b\u1eb1ng hai v\u00edt x\u1ed1p [12]<\/figcaption><\/figure><\/p>\n

Nhi\u1ec1u tranh lu\u1eadn trong c\u00e1c nghi\u00ean c\u1ee9u li\u00ean quan \u0111\u1ebfn di\u1ec7n kh\u1edbp t\u1ea1i v\u1ecb tr\u00ed \u0111\u1ee9t g\u00e3y c\u00f3 th\u1ec3 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c \u1edf c\u00e1c qu\u1ea7n th\u1ec3 nghi\u00ean c\u1ee9u. Trong \u0111\u00f3, m\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 kh\u00f4ng t\u00ecm th\u1ea5y m\u1ed1i t\u01b0\u01a1ng quan gi\u1eefa m\u1ee9c \u0111\u1ed9 ph\u1ee5c h\u1ed3i di\u1ec7n kh\u1edbp sau n\u1eafn v\u00e0 k\u1ebft qu\u1ea3 ch\u1ee5p X-quang ho\u1eb7c c\u00f2n mang t\u00ednh ch\u1ee7 quan [8,9], trong khi c\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 c\u01a1 ch\u1ebf sinh h\u1ecdc \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng b\u1ec1 m\u1eb7t kh\u1edbp h\u1eb9p d\u01b0\u1edbi 2 mm kh\u00f4ng l\u00e0m thay \u0111\u1ed5i \u00e1p l\u1ef1c ti\u1ebfp x\u00fac t\u1ea1i v\u1ecb tr\u00ed c\u1ee7a di\u1ec7n kh\u1edbp [10]. Do \u0111\u00f3, ng\u01b0\u1eddi ta k\u1ebft lu\u1eadn r\u1eb1ng vi\u1ec7c \u0111i\u1ec1u ch\u1ec9nh b\u1ea5t k\u1ef3 ph\u1ea7n d\u01b0\u1edbi kh\u1edbp n\u00e0o v\u1edbi v\u1ecb tr\u00ed c\u00e1c m\u1ea3nh x\u01b0\u01a1ng trong v\u00f2ng 2 mm \u0111\u1ec1u ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c m\u00e0 kh\u00f4ng l\u00e0m t\u0103ng nguy c\u01a1 vi\u00eam kh\u1edbp<\/a> sau ch\u1ea5n th\u01b0\u01a1ng. M\u1eb7c d\u00f9 b\u1eb1ng ch\u1ee9ng c\u01a1 ch\u1ebf sinh h\u1ecdc cho th\u1ea5y k\u1ebft qu\u1ea3 t\u1ed1t, nhi\u1ec1u nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng ph\u1ee5c h\u1ed3i gi\u1ea3i ph\u1eabu lu\u00f4n \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u01a1n [6].<\/p>\n

CH\u1ea8N \u0110O\u00c1N PH\u00c2N BI\u1ec6T<\/strong><\/h2>\n

G\u00e3y Rolando l\u00e0 d\u1ea1ng g\u00e3y v\u1edbi v\u1ecb tr\u00ed g\u00e3y \u1edf g\u1ed1c c\u1ee7a x\u01b0\u01a1ng b\u00e0n I v\u1edbi m\u1ed9t d\u00e2y ch\u1eb1ng m\u1eb7t l\u00f2ng c\u1ed5 tay \u0111\u01b0\u1ee3c b\u1ea5t \u0111\u1ed9ng<\/a>, ng\u0103n c\u1ea3n s\u1ef1 d\u1ecbch chuy\u1ec3n c\u1ee7a m\u1ea3nh v\u1ee1 \u0111\u1ea7u g\u1ea7n x\u01b0\u01a1ng b\u00e0n I. G\u00e3y Rolando th\u01b0\u1eddng t\u1ed5n th\u01b0\u01a1ng ho\u00e0n to\u00e0n kh\u1edbp thang b\u00e0n, trong khi g\u00e3y Bennett l\u00e0 t\u1ed5n th\u01b0\u01a1ng m\u1ed9t ph\u1ea7n kh\u1edbp thang b\u00e0n. Ch\u00ednh v\u00ec th\u1ebf, \u0111\u1ec3 ph\u00e2n bi\u1ec7t g\u00e3y Rolando v\u1edbi g\u00e3y Bennett c\u1ea7n x\u00e1c \u0111\u1ecbnh r\u00f5 tr\u00ean phim X-quang h\u00ecnh th\u00e1i m\u1ea3nh g\u00e3y n\u00ean x\u01b0\u01a1ng b\u00e0n I.<\/p>\n

TI\u00caN L\u01af\u1ee2NG<\/strong><\/h2>\n

Ph\u1ea1m vi c\u00e1c b\u00e0i t\u1eadp v\u1eadn \u0111\u1ed9ng c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u t\u1eeb 5 \u0111\u1ebfn 10 ng\u00e0y sau m\u1ed5 c\u1ed1 \u0111\u1ecbnh v\u00edt v\u00e0 sau b\u1ed1n tu\u1ea7n \u0111\u1ed1i v\u1edbi c\u1ed1 \u0111\u1ecbnh b\u1eb1ng kim Kirschner (sau khi th\u00e1o ch\u1ed1t) [11]. K\u1ebft qu\u1ea3 ti\u00ean l\u01b0\u1ee3ng xa d\u1ef1a tr\u00ean nghi\u00ean c\u1ee9u c\u1ee7a Kjaer-Petersen \u0111\u00e3 xem x\u00e9t 41 ca g\u00e3y Bennett l\u01b0u \u00fd r\u1eb1ng d\u1ef1a tr\u00ean ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a vi\u1ec7c ph\u1ee5c h\u1ed3i x\u01b0\u01a1ng g\u00e3y. B\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i gi\u1ea3i ph\u1eabu 86% (\u0111\u1ed9 di l\u1ec7ch d\u01b0\u1edbi 1 mm) kh\u00f4ng c\u00f3 di ch\u1ee9ng, trong \u0111\u00f3 ch\u1ec9 46% b\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i t\u1ed1t ho\u1eb7c k\u00e9m (\u0111\u1ed9 di l\u1ec7ch h\u01a1n 1 mm) kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng [5].<\/p>\n","protected":false},"featured_media":2270,"comment_status":"open","ping_status":"closed","template":"","tags":[175,44],"chuyen-muc":[61],"class_list":["post-2024","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-gay-bennett","tag-gay-xuong","chuyen-muc-benh-ly"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/2024","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang"}],"about":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/types\/bai-giang"}],"replies":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/comments?post=2024"}],"version-history":[{"count":0,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/2024\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/2270"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=2024"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=2024"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=2024"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}