nghiên cứu đặc điểm lâm sàng phim chụp cắt lớp vi tính của bệnh lý xoang bướm đơn thuần tại bệnh viện tai mũi họng trung ương - Pdf 23

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NGHIÊN CứU ĐặC ĐIểM LÂM SàNG,
PHIM CHụP CắT LớP VI TíNH CủA BệNH Lý XOANG BƯớM
ĐƠN THUầN TạI BệNH VIệN TAI MũIHọNG TRUNG ƯƠNG
Từ THáNG 1/2009- THáNG 8/2014
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NGHIÊN CứU ĐặC ĐIểM LÂM SàNG,
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ĐƠN THUầN TạI BệNH VIệN TAI MũIHọNG TRUNG ƯƠNG
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2. Nghiên cứu đặc điểm phim chụp cắt lớp vi tính và đối chiếu với kết quả
phẫu thuật của bệnh lý xoang bướm đơn thuần.
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Hình 1.1: Quá trình phát triển của xoang bướm [26].
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;X.G#‚;/(.GME-
A10<1†1aCBc2Y,Y+
L$7--+2*-.GH9
--#<1\1Ha?qtCTBc2Y
.G()*+#<1-1HafVBc2
Y.G9*9E-*+>CV@#

+S_(4X'9-()'9*E-#R&.9-H
*7.9E-H+E-#p9&.
724*+S# †&K-)(1
3(4#|S†&.&%;‡
J&1;L2"Kˆ;;aK&c#M.kY
l)&,HK#
$,-%0)*-2&j7(+,
('2,%;S2*†&9-3
+S#N])-7#-
L&*(83/C21*LW
*W.#
‰I;.E-0(81H9*[EL†
&9-&*2%;.E-*ƒH
W*#
‰I;.0(81H-1*L&*
10
3+S#
‰pW*0jA\W2(81H9
†&29*-L&*29
7&kYH9E-#pW*(8N*.
Z*%(O††&#<N9-LW*l
$.9L†&#p4-W**ƒN
-.]K%3fVB.8%†&.
7#I3?TB.8\W*N-.
.%†&.*"+S>AA@#
‰<kY0';H†&2,H'9
S-*E-LW*#<k&\;2%9-et
??ECtV#
‰p/8k.0(8(7'/i7(7'3
^2x.j3^H.

1. TB Onodi, 2. Dây II, 3. Xoang bướm
012%! !%34'5
12
F-,H$*"(8"
NH4N"0„1324%'
.2`12.E$4%]OPPP2P:2:P2
/2)24%$-5Yk&C
-%Y(2j%Y-&E1
\xV>e@>??@>?T@>Cf@>A?@>AU@0
t Thành trước:(G)]-^]#
†2&kE^+L-#r9
-2Sl-.iYN3(/7*
7.92CN-**2H'9j4
j())vEa(OY3Hc#
t Thành sau:7(+E+2i.-37QH
?37E2%3.X-()%3g#
t Thành trên hay trần xoang0†27/-4-
4SL(.*"#<NX-*x04%'.2
'.)#4L-l-4*
+N"N.\^]#
t Thành dưới hay sàn xoang bướm0&GN*.
(8,*2&\n(Xd*9n"2
&E$4%:E;,H*.*2E(&4]"%
1*#
13
Hình 1.4: Xoang bướm và các thành phần liên quan [26].
t Thành ngoài0N()jN"2X-*x0
p4*L+_2[L%;-2+4%'.
(1_2C&`1a&
„ M.E$4%*"PPP2P:2:?2:C2:Pc#(&&C

; #p*M;;;>CV@'9LkY-,H9E-
L4*;29d*?2H9
.iq2U2.-%3eHH
8-*&AqtTq
 
#;!tŠI>Af@2%3.
\XE-LkY[()-UV2U‹A2C
()dVC2e‹g2q28-*&AU2g

‹A2f

#
I3.\XkY[()4?q2V‹T2A
()*?q2A‹T2A#
Hình 1.6: Vị trí lỗ thông xoang bướm tự nhiên [39].
t!\E10%\E1LkY(E12&G\%;2
\2\n>A@>Ae@#•;*>U@2%3*.VqkY-
HAq.$Œ]0TeB\&E1\n2TqB&E1
;2?AB&E1\(4(%#
tI9-0%9-kY-(6X?t
16
U2Y&(%9C()A#•;*>U@2?ABk
Y--7T2CqBXC2etT2UeB†7C2e#
A !1-%
<(7'/i,9d*(8-1H0
tp94a3*c#
tp9+a+Kc#
tp9*--#
tp9.i#
tp9E--1%YZ2Hd*n"#

A3!B%>
1L(8LH-
†#4L-xgUB-2AB4S
72CB%.#4S7L);
&9E‡E.)Y)2n&.4
%.Pu2P|2;ˆ;.)5
t<-xC-0<-†E1*OHE-
_*.$.)2j+YG&GG(
.EWE2-(E1;H,H9(4j.Y
G2-&.El1*/iE'Y#M.
18
L)\((&n1-On
)\(.)E-11-(>Cq@#
t <-&nN"2Q2
*1%Y%9E\1(\L+YG#
ACD'!#
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t :](LYG0-YG1
%Y(/&Y1(.'#M.
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*&%99(+-.Y1&G(;2*
(&.YiNm;K-1*&
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t M&)+3H()1(LYG0
R(2(Q2x(2MvC%Y%92*[(6
8*+8E'2.4I

2M
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####2

M./0
20
t 6&4*(l2(*+_(H*$2(H
S(42(97Q2*72(+
.2+#S7+.(i&G
`()O6%Y/2S7(
%Y'3HLS+3(*2;5
Y?qB--1&.
El3(?#
t F>"*E'2L2^.3d
*(Y%E9n$&3.-HK"
%YG%'2%1(8#
t(FJG!*E3H()E$4%'.
'.5
t2HM*3.E$]O(&G'67
(&E$:PE$4%EW'675
D *+/%.0
‰\K2*l###
‰’2;%mEW%Q8EnS$
S#
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N3#
KEF;-
R*&nN"Q(.('
#R*mj(...E)\
1L.E'\L+29
12E')(K/8k..-*N(&
21
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‰B*2
    -  (74      %Y  
u*;*#
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‰S#<-#1<*
TS1#1*
%AcA2o*R]fO)=*R)*lR
M&C(9%^]-0
U+:2%#1G!35?@#1
„$(8*
t R0
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23
‰ HkY-0•%.('(8kY[
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