Nghiên cứu phục hồi chức năng bệnh nhân nhồi máu động mạch não giữa bằng bài

Oinh vi mach xuyen cua nhanh xudng dpng mach

ngUc lung, cac mach xuyen tap trung trong viing hinh

chi; nhat. Gidi han tren each nep gap sau hd nach

khoang 7cm, gidi han dUdi each khoang 16cm. Chieu

rong hinh chif nhat khoang 3cm tinh tU bd trUdc cd

lung to ve phia trong. Gidi han dinh vi nay cd dien tich

trung binh: 9x 3 cm. Viing tap trung nhieu mach

xuyen, day la cd sd de thiet ke dang vat c6 cudng

mach dUa tren mach xuyen ciia nhanh xudng ddng

mach ngUc lung.

Sd mach xuyen ciia ca hai ngudn dpng mach

ngifc lung va lien sUdn trung binh la 10,6 mach/vat (tU

7-13 mach/vat): mach xuyen tUdpng mach lien sUdn

sau la 5,6 mach/vat (tif 3 - 9 mach/vat); mach xuyen

cua cac nhanh ngoai va trong,vdi mang npi cd dong

mach ngUc lUng la 5,05mach/vat(tU 3 - 8 mach/vat).

Thong tin nay giiip phau thuat vien dinh hudng viing

cap mau ciia mach xuyen cd da.

Bang kich thUdc ciia dpng mach ngUc lUng

Kich thudc

Nguyen uy - Rdn mach

Vi tri DM ca rang trudc

- Rdn mach

Chieu dai tmng

binh (cm)

7,94 ±1,03

3,42 ± 0,93

Dudng l^inh trung

binh (mm)

2,15 ±0,28

1,48 ±0,31

KET LUAN

Ddng mach ngUe lUng ed nguyen uy hang dinh,

dudng kinh Idn, kich thudc dii dai de di chuyen vat

dudi dang cudng lien. He thdng mach xuyen cd da

phong phii cap mau tdt cho viing da lay ciing co khi

diing dang dao. Thiet ke dao da tai viing dinh vi mach

xuyen sifc sdng vat cao.

TAI LIEU THAM KHAO

LAngrygiani C, Grilli D., Siebert

J.(1995), Latissimus dorsi musculocutaneous flap

without muscle". Plast. Reconstr. Surg. V96(7): 1608-

1614.

2.Heitmann C, Guerra A., Metzinger S.W., Levin

L S , Allen R.J.(2003), "The thoracodorsal artery

perforator flap: anatomic basis and clinical

application". Ann. Plast. Surg.V51(1):23- 29.

3. Morns S.(2008), "Perforator flaps: A

microsurgical innovation". T/ie Med. Journal of

/Wec//c/ne,V10(11):266.

4. Mun G.H., Lee S.J., Jeon B.J.(2008),

"Perforator topography of the thoracodosal artery

perforator flap", Plast. Reconstr Surg.V121(2): 497-

504.

5. Schaverien M.V., Saint-Cyr M., Arbique G,,

Brown S.A., Rohrich R.J.(2008), "Three and four

dimensional arterial and venous anatomies of the

thoracodorsal artery perforator flap"

P/asf.Reconsf.surg. V121(5);1578-1587.

e.Silverton J. S., Nahai F., Jurkiewicz

M.J.(1978), "The latissimus dorsi myocutaneous

flap to replace a defect on the upper arm." Br. J.

PlasL Surg.V31(1); 29-31 .

NGHIEN Cliu PHUC HOI CHl)t NANG BENH NHAN NHOI MAU DONG MACH NAO GIUA

BANG BAI "THONG MACH DUONG NAO AM" VA DIEN CHAM

TOM TAT

Nghien cOu thac hien tren 52 benh nhan nhoi mau

nao ddng mach nao giaa, daac dieu tri bing bai thuoc

" Thdng mach dadng nao am" va dien cham trong 1

thing. Ket qua nghien cifu cho thay diem Glasgow

trung binh cua cac benh nhan sau dieu tn tang td

13,92± 1,20 len 15 diim. Liet than kinh Vll trung

aang, roi loan ngdn ngd va rdi loan ca trdn ta 100%,

50% va 19,23% giam xuong con 23%o, 9,62%, va

3,38%o. Theo thang diem Barthel chuyin dich daac 1

do la 28,85%o. chuyin dich 2 do la 71,15%o. Theo

thang diim Barthel trade va sau dieu tri diim trung

binh ting ditgc 41,58± 6,90 diem. Cac chi so huyet

hgc. sinh hda mau trade va sau dieu tri tren lam sang

thay doi khdng cd y nghTa thong ke (p> 0,05). Theo y

hoc CO truyen: st/ chuyin dich do liet theo Barthel,

trung phong tang phu chuyin 1 do la 35%, chuyin 2

do la 65%. Triing phong kinh lac chuyin 1 do la 25%,

chuyin 2 do la 75%o: chimg thac diim Badhel chuyin

1 dd la 13,34%o, chuyin 2 do la 86,66%.- chdng ha

diim Barthel chuyin 1 do la 35,74%, chuyin 2 do la

NGUYIN CONG DOANH, NGUYIN THUY H JONG

NGUYIN MINH TRANG, HOANG MINH HANG

64,86%o. Tren lam sang sau 1 thing dieu tri bing bai

"Thdng mach dadng nao am" va dien cham chua thay

xuat hien cac tac dting phu nao dang ki tren lam sang.

Tif khda: nhoi mau nao, Thong mach dadng nao am.

SUMMARY

Research on Functional Rehabilitation for tfie

patients of mid-brain artery infarction by "Thong mac/i

duong nao am" and Electropuncture

The reseach was done on 52 patients ofmiddle

cerebral artery infarction treated by "Thong mach

duong nao am" and electropuncture within one

month. The results showed that the average Glasgow

score of the patients after treatment increased from

13.92 to 15 points. Central facial paralysis, disorder ot

speech, disorder of orbicular muscle from 100%, 50%

and 19.23%o to 23%, 9.62%, 3.38%o. According to

Barthel Index, the decrease Is by 1 degree to 28.85%.

by 2 degree to 71.15Vo. According to Barthel Inde*

before and after treatment, average point increased

Y HOC THUC HANH (751) - SO 2/2011