Y HOC VltT NAM THANG 3 SO 1/2014 Nhiem s aureus tt^ Khong 0,0 11,1 20,0 P < 0,05 Nhan xet Ket qua bang tren cho thay tren nhii''''ng dung cu nhiem VSV thi ty le nhiem VSV tren thye pha''''m chin cao hdn nhi[.]
Trang 1Nhiem
s.aureus
tt^
P < 0,05
Nhan xet: Ket qua bang tren cho thay: tren nhii'ng dung cu nhiem VSV thi ty le nhiem VSV tren thye
pha'm chin cao hdn nhii'ng dung cu khong nhiem VSV Sy khac biet co y nghTa thong ke vdi (P<0,05); Ket qua nay cho thay dung cu chira dyng thye pham chin la mdt trong nhffng yeu t d cd lien quan tdi VSATTP
IV KFT LUAN
Qua ket qua nghien cii'u tren, ehung tdi cd
nhutig ket luan sau:
- NPV dype tap huan ATVSTP cd kien thiTc nhan
biet thye pham t y d i , an toan cao hdn han so vdi
NPV khdng dydc tap huan, sy khac biet eo y
nghia vdi P < 0,05
- NPV dydc tap huan ATVSTP sir dung rieng
dung eu clie blen thye pham cao hdn han so vdi
NPV chya dydc tap huan, s y khac biet cd y nghTa
vdi P < 0,05
- NhDtig BATT cd cd sd ha tang khdng dat chuan
CO ty le nhiem VSV tren thye pham chin cao hdn
han vdi nhiitig BATT dat ehuan Sy khac biet cd y
nghTa vdi P < 0,001
- Tren ban tay NPV nhiem VSV thi b/ le nhiem
VSV tren thirc an chin cao hdn so vdi ban tay
NPV khong nhiem VSV Tuy nhien khdng thay sy
khae biet cd y nghia (P>0,05)
- Nhutig dung eu chira dyng nhiem VSV cd ty le nhiem VSV tren thye pham chin cao hPn ban so vdi nhutig dung cu khdng nhiem VSV, s y khae biet ed y nghTa vdi P<0,05
TAI UEU T H A M KHAO
1 Bo Y te (2012), Chien iWOc qu^ gia ve an toan
ve sinh thwc pham giai doan 2011-2020 va tam
nhin 2030, Ha Noi
2 Cue An toan thu'c pham (2012), Bao cao tong kit chwdng trinh muc tieu qudc gia ve sinh an nam 2012, Ha Noi
J Hoang Cao Sa (2011) ,ThWc trang an toan ve sinh thwc pham va hieu qua cua mo hinh can thiep dWa vao cgng ddng ciia mgt so xa, phWdng tinh Nam Dinh, Luan an Tien si y te cgng dong,
Vien ve smh d!ch te Trung UOng, Ha Ngi
4 CDC (2000) Foodborne illness, p,l-17,
5 Thein CC, Trinidad RM, Pavlin BI (2010), A large foodborne outbreak on a small Pacific Islan,
Pac Health Dialog 2010 Apr;16(l):75-80
THirC TRANG CONG TAC Q U A N LY CHAT THAI RAN Y TE TAI BENH
VIEN DA KHOA TINH KHANH HOA NAM 2 0 1 3
T 6 M TAT
Nghien ciru mo ta eSt ngang dUOc tien hanh tai
Benh vien da khoa tinh Khanh Hoa quy mo 1000
giydng b?nh (GB), thdi gian tir thang 01 den thang
chat, trang thiet bi de ptiuc vy qua trinh phin loai, thu
gom, v$n chuyen va luu gidCTRYJ tai 25 khoa lam
sing v i c?n lam sing cua benh vien nhim md ta thWc
tr^ng cdng tic quan ly chat thai rin y te (CTRYT) tai
B$nh vign (BV),
Ket qui nghien ciru cho thay khoi lydng CTKiJ
bung binh 50.596kg/thing (trong do CTRYT thong
thu'dng 35.648kg/thang v i CTRYT nguy hai
"SdY tidnh Hai Dudng
'* Bgnh vi$n Da khoa b'nh Khinh Hoa
Le Hihi Tho*, Dinh Tan Hiing**
14.948kg/thang); Khoi lu'dng CTRYT/G8/ngay trung binh la 1,67kg (trong dd CTRYT thong thu'dng la 1,18kg va CTRYT nguy hai la 0,49kg); Ty le CTRYT nguy hai/ CTRYT la 29,5% Hau het cac khoa deu cd thu gom CTRYT theo ma mau rieng biet va du'de dSt diing vi tri quy djnh ciia BV; Thiing di/ng vat sat nhon tai cac khoa theo diing beu chuan nhutig khong dung mau quy djnh (mau trang dan nhan vang); Mot so khoa phat smh CTRYT it du'dn^g nhu khong co xe va khong sy dung xe de van chuyen; Thdi gian va du'dng van chuyen CTRYT tai cac khoa dimg theo quy dinh chat thai Thdi gian IUu giir CTRYT tai khoa khong qua
24 gid v i tai BV khong qua 48 gid
Tdkh6a:Quan ly ehat thai r3n y te
Trang 2S U M M A R Y
STATUS OF MANAGEMENT MEDICAL
SOLID WASTE I N KHANH HOA
GENERAL HOSPITAL, 2 0 1 3
The descnptive cross-sectional survey was
conducted at Khanh Hoa General Hospital with 1000
subjects I.e healthcare facilities, equipments to serve
the process of sorting, collecting, transporting, and
storing Medical Solid Waste (MSV^) at hospital's 20
access the status of the management of medicai solid
waste (M5W) at Khanh Hoa General Hospital 2013
The study results showed that MSW's average
weight was 50.596kg/month (including normal M5W
was 35.648kg/month and harmful MSW was
14.948kg/month); MSW/GB/day's average weight was
1.67kg (including normal MSW was 1.18kg and
MSW/MSW was 29.5% Most departments have bags
with thickness and volume in accordance with
regulations, MSW bins with separate color-coded and
they placed at the designated loeabon; in the
departments, containers with sharp objects in
accordance with standards but they were not the
colors as regulabons (white and labeled yellow) There
are some departments which had few MSW; MSW's
time and transporting way followed to the regulations
while transporting MSW MSW's time for stormg was
not more than 24h and 48h in the departments and
hospital, respectively
Keywords: Management of medical solid waste
I O A T VAN OE
Chat thai y te la mdi trydng thuan ldi eho vi
khuan c y trii, phat trien va rat de gay 6 nhiem
Theo To chire Y te the gidi (WHO), thanh phan
CTRYT tai eac nydc phat trien thi lydng chat thai
ran y te nguy hai chiem 22,5% trong dd phan
Idn la chat thai ran lay nhiem [ 4 ] Dac biet, chat
thai sac nhon la nguyen nhan chinh lam lan
truyen cac tac nhan gay benh theo dydng mau d
N V r T [ 6 ]
Tai Viet Nam, van de quan ly va xii ly CTRYT
nguy hai la mot trong cae nhiem vu trpng tam
ciia nganh y te Moi ngay, tong lyong chat
thai tir cae ed sd y te tren ea nydc thai ra
khoang 350 tan rac thai ran (trong dd 40,5 tan la
CTRXT nguy hai phai dydc xii ly bang nhUng
bien phap phii hdp) Tuy nhien, chi khoang 5 0 %
so benh vien thye hien thu gom, phan loai
CTRYT dat yeu cau" [7]
BV da khoa tinh Khanh Hda la BV hang I tryc thupc Sd Y te Khanh Hda vi t r i nam gliJa trung tam thanh phd Nha Trang xung quanh la khu dan cu' dong due BV cd quy mo 1.000 giydng vdi 1.117 can bp edng chu'c, 35 khoa
phdng [ 1 ] Td'ng khoi lydng CTRXT ciia BV la 1.500 1.700kg/ngay; CTRYT nguy hai 480
-500kg/ngay [ 2 ] Tuy nhien, edng tac quan ly chat thai ran y te ciia BV cdn chya tdt nhy: toan BV chya cd hop dyng chat thai sac nhon diing mau theo quy dinh, van tan dung cac thiing d y n g dich Ipc than nhan tao mau trang de d y n g , thiing dyng chat thai cdn thieu, xe van ehuyen chat thai tir cac khoa xuong nha lyu 911? chya dong bp theo quy dinh Mat khac tir trydc den nay BV van chya co nghien ciru khoa hpc chinh thirc nao ve cdng tac quan ly CTRYT tai BV Khanh Hda Sau 6 nam trien khai va ap dung quy che quan ly CTYT eiia
Bp y te ban hanh [ 5 ] , de danh gia cdng tae quan
ly CTRYT tai BV, ehiing tdi nghien ciTu de t i l
"Thu'c trang cdng tie quan ly chat thai ran
Y tetai Benh vien da khoa tinh Khanh Hda, nam 2013"
II £>6l TU'DNG VA PHU'aNG PHAP NGHIEN CO'U
2 1 €>oi tu'dng nghien cu'u:
Cd sd vat chat, trang thiet bi quan ly CTRYT gom; so lypng rac thai phat sinh, dung eu phan loai, thu gom, phydng tien van chuyen, khu vyc lull giu* CTRYT d 25 khoa lam sang va can lam sang Cac so sach theo doi va bao cao lien quan ve quan ly chat thai ran y te
2 2 Thiet ke nghien cii'u: Nghien eiru
quan sat, mo ta cat ngang
2.3 Phu'dng phap t h u t h a p so lieu
Danh gia thye trang phan loai, thu gom, van chuyen, Iwu gid CTRYT dydc thye hien bang
phydng phap quan sat 1 trong 2 thdi diem dien
ra hoat dpng ehuyen mdn eao nhat va dien vao bang kiem tai 25 khoa lam sang va can lam sang Thdi gian quan sat la thdi diem dien ra hoat dong chuyen mdn eao nhat, dieu tra vien chpn vi tri quan sat khdng gay sy chii y doi vdl NVYT khi
thye hien nhii'ng thao tae phan loai, thu gom, van chuyen, lu'u gid CTRYT thdi gian quan sat
cho moi khoa la 60 phiit Cac thdng tin deu diCdc
Trang 3Thu thap cac so lieu duWc lay bJ" so saeh cua eae
khoa phdng; phdng xir ly rac thai, Khoa Kiem soat
nhiem khuan va cac so giao nhan rac hang ngay
2.4 Xir ly va phan tich so lieu:
2.4.1 Cich tinh diem cac bien: Moi quan
sat dung hoae tra Idi diing dypc 1 diem Quan
sat thay khac vdi quy trinh hoae tra Idi sai (khdng
day dil) du'de 0 diem Bien to hop dypc xem la
"Dat yeu cau" khi tong diem dat tir 50% trd len
2.4.2 Tinh diem quan sat: Bien dung cu
phan loai, thu gom va van chuyen CTRYT ed 14
cau hdi tir cau; 1 den eau 14, moi cau tra Idl
dung dyde 1 diem, tong diem la 14, diem dat la
tir 7 diem trd len; Blen phan loai CTRYT ed 11
cau hdi tir eau 15 den eau 25, moi eau tra Idi dung dydc 1 diem, tong diem la 11, diem dat la tir 6
diem trd len Bien thu gom CTKfi ed 5 eau hdi tir
cau 26 den cau 30, moi cau tra Idi diing dyoc 1 diem, tdng diem la 5, diem dat la tir 3 diem trd ien Bien van ehuyen CTRYT ed 6 cau hdi tir cau
31 den eau 36, mdi cau tra Idi dung du'pc 1 diem, td'ng diem la 6, diem dat la tir 3 diem trd len Bien lyu giii' CTRYT cd 3 eau hdi ty eau 37 den cau 39, moi eau tra Idi dung dypc 1 diem, tong diem la 3, diem dat la tir 2 diem trd len
2.4.3 So iieu sau khi thu thip: Se dydc
lam saeh ma hda va nhap bang phan mem Epidata 3.1 va phan ti'eh bang phan mem SPSS 16.0
KET QUA VA BAN LUJ?IN
3.1 Thu'c trang phan loai, thu gom, van chuyen va lu'u giu' chat thai ran y te
Bieu do 1: Khoi lydng eae loai (ZTKfT tai BV trong 05 thang dau nam 2013
Ke/thdng
120,000 1
100,000
BO,000
60,000
40.000
20,000
ThSng 1
D C T R Y T DCTRYT thong thtfong D C T R Y T nguy h
0.51( , 7,32 9,66: 3,29:: ; o,59(
Nh$n x6t: Ket qua nghien ciru cho thay
khdi lydng CJKCi phat sinh trong 5 thang dau
nam 2013 tal BV da khoa tinh Khanh Hda trung
binh la 50.596kg/thang Ty le nay thay ddi theo
moi thang, trong do khoi lypng CTRYT thdng
thydng la 35.648kg/thang va khdi lypng CTRXT
nguy hai la 14.948kg/thang (bieu dd 1) Khdi
lydng CTRYT binh quan tren 1 GB trong 1 ngay
eao nhat la vao thang 5 (1,72 kg), trong khi
thang 1 thap nhat ehi ed 1,63 kg/GB/ngay
Lyong CTRYT binh quan dydc trong 5 thang dau
Luan giai sy khac biet khdi lydng CTRYT giu'a eae thang, ehiing tdi eho rang lydng rac thai phu thudc vao lypng BN lyu trii tai BV qua so sach thong ke, cae bao eao thang va bao eao quy ciia BV nam 2013 [3] cho thay thang 1 cd sd lydng BN va sd BN phau thuat giam so vdi cae thang khae vi day la miia xuan, hdn nu'a la thang cudi nam va can tet am lich Thang 5 gia tang sd lydng BN va sd lan phau thuat do Khanh Hda vao miia he nang ndng nen cae benh ly tim mach va cac benh truyen nhiem cung gia tang vi the
Trang 4Bieu do 2: Khdi lydng eac loai CTRYT/GB/ngay tai BV Da khoa tinh Khanh Hda trong 05
thang dau nam 2013
J O C T R Y T D C T R Y T Ihong thutmg D C T R Y T nguy hat I
Thang I Thang 2 Thang 3 Thang 4 Thang 5 TB 5 thang
Nhan xet: Bieu do 2 cho thay tong khdi lydng
CTRYT binh quan tren 1 giydng benh trong 1
ngay eao nhat vao thang 5 la l,72kg/GB/ngay,
trong khi thang 1 thap nhat chi cd 1,63
kg/GB/ngay Lypng CTRYT binh quan dydc tinh
chung trong 5 thang dau nam 2013 la
l,67kg/GB/ ngay Khdi lydng CTRYT thdng
thydng binh quan tren 1 giydng benh trong 1
ngay cao nhat la vao thang 5 la l,21kg/GB/ngay,
thang 4 thap nhat chi cd l,16kg/GB/ngay Lypng
CTRYT thdng thydng binh quan dypc tinh chung
trong 5 thang dau nam 2013 la l,18kg/GB/ ngay, Ddi vdi khoi lydng CTRYT nguy hai binh quan tren 1 giydng benh trong 1 ngay, cung bien dpng theo tirng thang, cd sy khae biet giu'a cac thang: nhy thang 1 la 0,45kg/ngay/GB va thang 5 la 0,51 kg/GB/ngay Khdng cd sy khac biet Idn giOa cac thang 2, thang 3 va thang 4 (dao ddng trong
khoang 0,50 - 0,51kg/GB/ngay Lydng Z^'H
nguy hai binh quan dydc tinh chung trong 5 thang dau nam 2013 la 0,49 kg/GB/ ngay
3.2 Thu'c trang phan loai chat thai ran y te
Bing 3.1 Thye trang dung eu thu gom, phan loai, van chuyen CTRYT (n=100)
Noi dung danh gia
1 Co tui, tilting tliu gom ciiat tiiai rieng biet
1 Dung cu thiu gom ciiat ttiai co du mau tiieo
quy dinii
- I^au trang
I^iau xanii
Mau vang
- Mau den
3 Tui, tiiung co do day, dirdng l^e ngang va tiie ticii toi
da tiieo quy dinii
4 Co dunq cu du^q vat sat niion dunq quy dinii
5 Mau cua iiop dtrng vat sac niion dung tiieo quy dinii
6 Co tiiung tiiu gom ciiat thai va du'de dat dung ndi quy
dinii cua l<iioa
7 Cac i<tioa CO xe van chuyen chat thai trong BV theo
dunq quy dinh
Ket qua dat Tan so
100
100
100
100
24
100
96
00
100
76
Tv le {"/o)
100
100
100
100 24,0
100 96,0
00
100 76,0
Nhan xet: Bang 3.1 eho thay 100% eac loai chat thai ngay tai thdi diem phat sinh vS
khoa trong BV cd tiii va thiing thu gom rieng phan loai chat thai lay nhiem rieng biet vdi chit
Trang 5nhon va chat thai lay nhiem cd ty le kha eao
9 6 % Cac chat thai nhy bom kim tiem, chat thai
dyng eu sac nhon, chat thai sinh boat dydc diTng
trong cae tui mau xanh, chat thai lay nhiem
khdng sac nhon dypc dyng trong cae till mau
vang Cac khoa nhy: Khoa Kham, Phue hoi chu'c
dydng nhy khdng cd BN tiem thuoe, truyen djch
nen lypng chat thai sinh boat cd ty le 8 8 % va
chat thai tai che ty le 84% Ket qua eho thay
9 6 % cae khoa deu cd thiing dyng vat sac nhon
(rieng khoa Phue hoi chire nang khdng cd nhu
eau diing hop dyng vat sac nhon) Mau eua hop
dyng vat sac nhpn cd b/ le ( 6 % ) , vi theo_ quy
djnh ciia Bp Y te la mau vang nhyng vi de tiet
kiem kinh phi BV sir dung thiing nhya mau trang
(thiing dyng dyng dieh Ipc than nhan tao) dan
nhan mau vang de sir dung thay cho hop dyng
vat sac nhpn
76% cac khoa cd xe ehuyen dung van
ehuyen chat thai theo quy dinh, cac khoa d khdi
can lam sang do sd lydng CTRYT it nen khdng ed
xe van ehuyen
3.3 Thu'c trang thu gom chat thai ran y te
Ket qua nghien ciru eho thay ed den 100%
cac khoa cd thiing thu gom CTRYT tai ndi lam
• thil thuat va 100% cac khoa deu cd bang hydng
dan quy dinh ndi dSt thiing thu gom va tien hanh
thu gom dung quy djnh Viee thu gom CTRYT 1
lan/ngay ke ca ngay nghi hoac khi can theo quy
djnh dam bao khdng cd hien typng u rac tai nPi
phat sinh, hdn nu'a cdn dam bao ve sinh an toan
trong khudn vien BV Sd lypng CTRYT khdng
dan ten khoa trydc khi van ehuyen ve nha lyu
giu" Ngoai ra, b/ le cac khoa thye hien dimg quy
dinh tui dyng cliat thai phai dyoc bupc kin
mieng, dan ten khoa va sd lydng dat 100%
3.4 Thi/c tr^ng van chuyen chat thai
r i n y t e
Ket qua nghien ciru cho thay 100% cae khoa
cd quy djnh ch5t ehe gid va dydng van ehuyen
CTRYT; 100% cac khoa tuan thii quy'dinh phal
bupc kin mieng tui tren dydng van chuyen,
khdng lam rdi vai chat thai tren dydng van
chuyen; 7 6 % khoa cd sir dung xe van chuyen
CTRYT, mSc dii vay viec van chuyen CTRYT van
cdn mdt so ton tai dien hinh nhy: trang thiet bj
BV da cung cap day dii, xe van chuyen rac theo
tdi hc^ to va cao nen khi bd rac vao lay ra rat khd
khSn nen nhieu luc rac it may chj cam tay di cho
tien va khdi phal ve sinh xe
3.5 Thy'c trang luti giu' chat thai rSn y te
100% cac khoa thye hien dung quy djnh viec
dung quy dmh; dap irng day dii eac beu chi neu tren va dat ty le 100% nhy: budng lyu giu' CTRYT nguy hai cd may dieu hda nhiet dp theo
dung quy dmh, cac loai CTRYT tai che, CTRYT
nguy hai va CTRYT thdng thydng dype lyu giti' rieng; thdi gian lyu giff CTRYT tai cae khoa phdng khdng qua 24 gid va tai kho BV khdng qua 48 gid
Qua quan sat khu vyc lyu giCT CTRYT ciia BV cho thay: nha lu'u giy CTRYT dype xay dyng dam bao diing quy dinh va dien tich phii hpp, ed he thdng thoat nu'dc, tu'dng nen chdng tham, cd hang rao bao ve, cd mai che, cd cira va ed klida;
ed nha lyu gitr rieng cho tirng loai CTRYT va may dieu hda nhiet dp; ed dydng de xe chuyen
chd CTRYT tir ben ngoai den Ngoai ra cdn cd
rira tay, bao hd cho nhan vien thu gom,
IV KET LUyC(N
4 1 Lu'dng c h a t t h a i r a n y t e p h a t s i n h Tong lydng CTRYT phat sinh trong 5 thang dau nam 2013 tai BV da khoa tinh Khanh Hda la 252.982 kg (trung binh 50.986 kg/thang), trong
dd khdi lypng CTRYT thdng thydng la 178.240
kg (trung binh 35.648 kg/thang) va khdi lypng
CTRYT nguy hai la 74.740 kg (trung binh 14,948
kg/thang)
Khdi lypng CTRYT/GB/ngay trung binh trong
5 thang dau nam 2013 tai BV da khoa tinh Khanh Hda la l,67kg/GB/ngay; Khdi lypng CTRYT thdng thydng la l,18kg/GB/ngay; Khdi lydng CTRYT nguy hai la 0,49 kg/GB/ngay
4 2 Cong t a c thiTc h a n h p h a n l o a i , t h u
g o m , lu'u glQ', v a n c h u y e n CTRYT 100% cac khoa trong BV da thye hien viec phan loai CTRYT ngay tai thdi diem phat sinh va phan loai CTRYT nguy hai rieng biet vdi CTRYT thdng thydng theo quy djnh eiia Bd Y te 76% cac khoa phdng cd xe van chuyen CTRYT 100% eac khoa cd hop dyng vat sat nhpn nhyng chya diing mau theo quy dmh TAI UEU T H A M KHAO
1 Benh vien da khoa Tinh Khanh Hoa (2012),
Bao cao tdng ket nim 2012 va Ke hoach hoat dgng nam 2013
2 B^nh vien da khoa Tinh Khanh Hoa (2012),
Ke hoach quan ly chat thai y te Benh vien da khoa Tinh Khanh Hoa
3 B^nh vien da khoa Tinh Khanh Hoa (2013),
Bao cao Sd kit cong tac 6 thang dau nSm 2013
Trang 6B6 Tai nguyen & Moi tru'dng (2011), Bio do
moi trWdng quoc gia 2011 - Chat thai ran
Bo Y te (2007), Quy che quan iy chat thai y
te-BYT ngay 30/11/2007, Bo Yte, Ha Noi
WHO (2005), "Management of solid healthcan
waste at pnmary healthcare centers'; A decisioi making guide Geneva
Nguyin Thj Kim Tien (2012): Bio cio tai Ht
thao gidl thieu cong nghi xd ly chat thai y tengs) 18/6/2012, Ha Noi
DAC DIEM HINH ANH CONG HiraNG TIT
TRONG CHAN THU'aNG KHOT GOI
T O M TAT
_ Myc ti§u: md ta dae diem hinh anh CHT trong
chan doan chan thu'dng khdp gdi Doi tu'dng va
phu'dng phap nghien cu'u: Nghien ciTu hdi ciTu md
ta eat ngang 178 BN du'pc chan doan la chan thypng
du'a ra cae niian xet ve dae diem hinh anh cua CHT
trong chan thi/bng khdp gdi Ket qua: eac BN co tuoi
hydng t y phat hien phii xu'dng vdi 26,7% phii xtrdng
chay va xUdng dui, v6 XL/Ong gap 6,7% Co 68,8%
tru'dng hdp ton thu'dng day chang cheo tn/dc va
28,9% ton thUdng day ehang cheo sau Chan thUdng
sun chem trong co 36,1% va sun chem ngoai la 20,6%,
ton thu'dng ca hai sun chem la 6,1% Tran dich khdp
gdi gap 81,1% Ket luan: Cong hiTdng tir dong vai trd
quan trgng trong chan doan va danh gia tinh chat, myc
do ton thu'dng khdp goi trong chan thUdng
Tdkhda: Chan thu'dng goi, Cgng hu'dng td
S U M M A R Y
MR I M A G I N G FEATURES OF KNEE TRAUMA
Purposes: analyse the MR imaging features of
knee trauma ,<r^
Materials and methods: restrospective ly study
180 cases having diagnosed of knee trauma on MRI
from Jannuary to June/2012, in order to assesse the
MR imaging features
Results: the average age is 35,58 Male
prominent, MRI can detect osseous edeme with 16,7%
in tibia and femur, 6,7% osseous fracture We saw
68,8% anterior cruciate ligament and 28,9% posterior
cruciate ligament injur/ On the other hand, there
were 36,1% medial meniscal and 20,6% lateral
meniscal injury, 6 , 1 % for both 81,1% articular
effusion was seen
Conclusions: MRI imaging features play an
important role in diagnosing and accessing the
qualities and extenbon of knee injury
* Khoa CDHA Benh vien HN Viet Ddc
** Benh vien Da khoa huyen Me Unh - Ha Ndi
Nguyen Dinh Minh*, Do Viet Tuyen**
Keywords: knee trauma, MRI
I OAT V A N OE
Chan t h y d n g khdp goi t h y d n g do hoat dpng the thao, tai nan giao thdng, chiem mpt phan ldn trong benh ly ehan t h y d n g xypng khdp Tham kham lam sang thydng gap khd khan d giai doan sdm sau chan t h y d n g bdi khdp bj syng ne, dau, tran dich, han che van dpng Cpng hydng tir (CHT) la phypng phap ehan doan hinh anh cd gia trj trong chan doan cac ton t h y d n g chan thydng khdp goi Cac dau hieu tren CHT cd vai trd quan trpng cung cap thong tin tin eay ve eac ton thydng phan mem trong ehan thydng khdp goi nhy raeh sun chem hay dirt day chang giup cac nha lam sang ed thai dp dieu trj thfch hdp cho tirng trydng hdp Do vay, chimg tdi thye hien nghien ciru nay nham mue tieu md ta eac dac diem va dau hieu ton t h y d n g thydng gap trong chan thypng khdp goi tren hinh anh CHT
II OOI TUpTJa VA PHU'O'NG PHAP NGHIEN COU
2 1 Ooi tu'dng nghien cii'u: gom 178 benh
nhan ehan thydng gdi dyde chup CHT khdp goi
tai trung tam HANDIC (benh vien Tim Ha Ndi) t\i
thang 0 1 - 06/2012 Chimg tdi loai khdi nghien ciru eae trydng hdp benh ly khdp gdi cd tir tri/dc nhy thoai hda, viem khdp hoac khdng thay ton thydng
2.2 Phu'dng t i e n : may chyp cpng hydng tif
Essenza 1.5 TesIa ciia hang Siemen cd cudn thu tin hieu khdp goi
2.3 Phu'dng p h a p n g h i e n cii'u: phydng
phap md ta cat ngang tren ed sd thdng ke cac sS
lieu de dya ra cac nhan xet ve dac diem hinh anli