SIEU AM CAN THIEP DIEU TRI BENH LY TAI COT SONG THAT LUNG Ths, BNT NGO THI TRANG Trung lâm Co-xuong khop = Bénh vin Bach Ma Hol Nt se TOM tực WW Tay \uM / NOI DUNG TRINH BAY Gli phdu ct stg that ung Giiphdu su Am ot song that lung Céc ti hut cig ben jot singthtldui niug GIAIPHAU COT SONG THAT LUNG Cat sdng tat lng tL dn LS, Kt ni vi ot sOng tt ở Tên va xuong cing ở tui Xvong ola mot Ít in tt lưng a0 th Trên, Cun dt sng cuong cung, minh cung Cac mom: mom gang, mom gal, mom Khdp lấđI ig (8 ip hop: tan dt sn h cung dOt sng gi hn i (dot sng, cho ty sng than Kn dt sOng qua KHOP LIEN MAU - àIhúphuạ ịh ga tác tốn, - Mt tn tg halk in du Khúp lên mau tr ghép vid stg pha én Kn ibn mau dui gh voi dt sng pha di DAY CHANG COT SONG THAT LUNG 4 dy ching: dy ching lên gi, dy chang BJ nrg ia van, dy ching doc tudo, dy cng dc sau, roti gn Day ching doc trade hl mat tude tin dot Íy ` [mien th ma tude wong lng dé ti cl rude dt | [ml [sine stg C1 van dân, \Ñ M / Day chang doc sau: ph mat sau thn do sn, tnén avong chim dn mat sau wong ol, Day ching vang ph pn sau dg sng, Déy ching én giv rn ga: iy ching én gl nicdc mim gli mhau, DIA DEW VA ONG SONG 3 Dia dém tất ùn 3 thàh tần l dn dy, ving Soi mam sun (ing mam sun sd voi tân dot Annulus stg nc th oo tanh phn ca dt ng 4, Ong sng tht ung - Gitihan: pia tue thn db dng vacla dm, pha sau cy chang tàn va cd tín sing én can cde cudng stg ving cag va th, «Thanh: bao mang lng, thin kin vat chit quanh mang cling KHOANG NGOAI MANG CUNG Kiang ngodl mang cng mot koang do kin - 0i han cn hd, gi an di Whe clng gi han pla sau ly chang van, olan cud nh vb lan dl, thdng vi Khang anh stn, pla bud dy ching dc sau, ~Thanh pha dn bbc thd Ki hay a tty tng, bce,chi in Kt ng ko, bach hye vac ml ih mch aston (dng van, nti ty tip vi cd ih mach tong Khun chaU ah tinh mach Azygos), SIEU AM COT SONG THAT LUNG 3 lat cat Latcdtngang Latedt doc chinh gia Lat ct doc dc bén LAT CAT NGANG GIU'A QUA MOM GAl Latcdtngang 0 gia qua mom ga cu tc quan st mom gai cutting Am inh li lần, tú bing cin Am men pha sau, Kem theo hai ménh ngân, LAT CATDOC BEN COT SONG THAT LUNG LAT CATDOC BEN COT SONG THAT LUNG Hinh anh mat ct doc gia cét sng ti HLS (A) (B)hinh anh situ am (C} oii phéu ti thi Hin an ‘au hu dau ngu’ ola mom galva manh L3, LAT CATDOC BEN COT SONG THAT LUNG Hinh anh siéy am (A) va MRI (B) khoang gita L4val6, LAT CATDOC BEN COT SONG THAT LUNG Déu hu hinh lung lac da THU THUABTIEU TRI BENH LY COT SONG THAT LUNG DUI SIEU AN Tiên phong bénhnhbén é linh (Lume facet medial branch block) Tiên li lin méucdtsOng that lng (Face jin injcton Tiên ngodi mang tín ii siéu dm (Caudal epidural injection) Choc dich do tu) cdi hung dn cia sigu dm VSUM/ mouse) TIEM PHONG BE NHANH BEN RE THAN KINA (Lumber facet medial branch block) - Ch inh tot vi la dm, phn cla dm cn than Knh¢ dt (én phi hod bén totsdn - Thudctém: Thutmg ding Lidocin 2% va Hydrocortisone acela 25mg, hod Diprospan {ml - [tiêm đi điêu tên RI xem vt tn ih ich ep, sau 4 ay vi ola hop én mau tong ting vi dt sng 4, mi Km si qua úp lê ti vt phn han Kn (3.6 ngang han dot L2, éL4ngang mit thd L3 L5 thot ra bo ci thn At L4 $1 thot ra bo ci thn tL) Vi du chen p than nh L5 ben phi tl phl ay mc la Kn én mau dui ola 4 tol kp ign mau L45 bn ph - Tut ngubi bg:ob én nh hod ram sp } - Tu the du dob he ct rgang hoe ct doc NU (