Chuyển gân cơ mác dài và mác ngắn điều trị mất duỗi cổ chân và ngón chân

Sau 4

tuan uong

- thuo'c

P (sau 4

tuan)

339,4 ±

62,1

304,6 ±

72,5

PoTi>0,05

360,7 ±

40,0

Pc.T2>0,05.

Ket qua nghien cifu d cae bang 2, 3, 4, 5, 6 cho

tha'y, trude khi thCf nghiem cae thd thi nghiem dUde

kiem tra eac thdng sd ve huye't hpe thi khong cd sU

khac biet giifa nhdm chifng vS 2 nhdm thif ( p>0,05).

sau 4 tuan udng thudc, eac chi sd ve huye't hpe d cac

16 thif thay ddi khdng eo y nghTa thdng ke so vdi 16

chifng (p > 0,05).

BAN LUAN:

1. Doc tinh ca'p cua vien nang Thd'ng ta yeu

phUdng

Cho chupt udng thudc thCf den lieu cao nha't cd the

dUde (ndng dp va the ti'ch tdi da eho phep) la 60g/kg

the trpng nhUng chuS thay bieu hien ngp dpc va

khong cd chupt nao chet trong vong 72 gid, vi vay

chUa xSc djnh dUde LD50 tren chupt nhat trang theo

dudng udng.

Lieu 60g/kg chupt nhat trang tUdng dUdng tren

ngUdl 5g/kg( tfnh theo he sd 12). NhU vay vdi neu so

vdi lieu thudng diing tren ngUdi theo kinh nghiem dan

gian la 0,4g/kg thi lieu gap 12,5 lan vin chUa gay dpc.

Dieu nSy cho thS'y miu thif vien nang Thdng ta yeu

phUdng cd dpc tfnh ra't tha'p.

2. Tinh trang chung va trong lUdng cd the

Cae ket qua nghien cifu thu dUde cho tha'y: sau 4

tuan udng thudc lien tue thd d tat ca cac 16 deu an

udng, boat dpng binh thudng, long mUpt, phan khdng

thay ddi. Trpng lUdng thd d ca 3 16 (1 Id chifng va 2 Id

thilr) deu tang so vdi trUdc khi diing thudc, sU khac

biet cd y nghTa thdng ke (p < 0,01). So sanh sU tSng

can giifa eSc nhom nghien eifu va nhdm chung thi sU

khac biet khdng ed y nghTa thdng ke chifng td thudc

nghien cufu khong anh hudng den qua trinh tang can

cua thd.

3. Anh hudng tren cd quan tao mau

Ke't qua thu dUde d eSc bang tU 2 den 6 eho thS'y

cac chi sd dung de dSnh giS chife nang he thdng tao

mau ciia cd the nhU sd lUdng Hdng cau, Huye't sac td.

Hematocrit, sd lupng Bach cau vS sd lUdng Tieu cau

deu khdng thay ddi ed y nghTa thdng ke ( p> 0,05) d

hai 16 diing vien nang Thdng ta yeu phUdng lien tue 4

tuan so vdi trude khi diing thudc va so vdi 16 chifng.

Dieu do chifng td vien nang Thdng ta yeu phUdng vdi

lieu 0,28g/kg va 0,84g/kg kh6ng lam anh hudng tdi

chife phan he thdng tao mau ciia thd thUe nghiem.

KET LUAN

- Vien nang Thdng ta yeu phUdng lieu 60g/kg

chupt nhat la lieu gap 12,5 lan lieu thudng diing tren

ngudi khdng gay dpc tfnh ca'p.

- Vien nang Thdng ta yeu phUdng lieu 0,28g/kg va

0,84g/kg the trpng thd sau 4 tuan diing lien tue ISm

tang trpng lUdng thd so vdi trude nghien cifu, khdng

anh hudng tdi the trang vS chife nang he thdng tao

mSu cua thd thUe nghiem.

TAI LIEU THAM KHAO

1. Bp y te (1996), Hudng din kem theo quyet

djnh sd 3'71/BYT-QD ngSy 12/3/1996 ve xac djnh dp

an toan cho thudc cd truyen Bp Y te.

2. Giang Khac IVIinh, Bao IVlinh Hue. Gian minh

phUdng te tif dien (Tai ban lan 2). NXB Khoa hoc ky

thuat ThUdng Hai, 2002: 502 (tieng Trung).

3. Lull Cdng Vong. PhUdng te hoc. NXB Hoa

Ha, 2001: 356 (tieng Trung).

CHUYEN GAN 0 0 MAC DAI VA MAC NGAN DIEU TRj MAT DUOI 00 CHAN VA NGON CHAN

CAO THi

Dai hoc Y Duac TP. HCM

TOM TAT:

Trong eie trwdng hgp mit dudi eo ehan va cic

ngdn chin do eie eo d trong khoang trwdc eing ehan

bi giap nit ning hoac do liet thin kinh mie siu thi

hai eo mie d trong khoang ngoii eing chin vin edn

hoat ddng tdt va ed the dirge chgn di chuyen ra

tnrdc phue hoi ddng tie duoi. Chiing tdi chuyen gin

eo mie dai va mie ngan de diiu trj mit duoi eo chin

eho 6 benh nhin. Gin eo mie dai chuyin gin vio

xwong chdm giu'a de dudi co chin, gin co mic ngin

gin vio gin dudi ehung cic ngdn vi dudi ngdn cii

de duoi eie ngdn.

Kit qua: 5 benh nhin phue hoi dudi ed chin va

dudi eae ngdn tot, mdt benh nhan kit qua han ehe,

ehi dudi eo ehan gin 90°.

Kit qua ggi y nen diing co mie hon li co chay

sau de diiu tri mit dudi co chin vi ngdn chin do dap

nit hoac liet eie eo khoang trwdc.

TUkhda: mit duoi eo ehan vi eie ngdn chin

SUMMARY

TRANSFER OF PERONEUS LONGUS AND

BREVIS TENDON TO RESTORE EXTENSION OF

ANKLE AND TOES

In case of severe lesion of anterior compartment

or paralysis of deep fibular nerve, ankle and toes

can't extend. If lateral compartment is intact,

peroneus longus and brevis tendon is available for

transfer and they seem to be better than tibialis

posterior tendon.

We treated 6 patients by this way. Peroneus

52 Y HOC THVC HANH (729) - SO 8/2010