X-QUANG SO

Bs.Le Van Dung 1.2006 Khoa CHA Ch Ray

AI CNG
-Khao sat hnh anh trong benh ly so nao -Chieu the :Thang, nghieng, Towne, Hirtz -Vai tro XQ trong mot so benh ly so nao: Chan thng, u, viem,

Towne

Hirtz

Phan chia hop so.

-Thanh hai phan chnh: Vom so, nen so va khoi xng mat. -Vom so:Kch thc, hnh dang, o day, khp, cac vet an mach mau. -Khoang hop so. -Vung nen so. 8 -Vung ban le cham co.

Vom so
-Kch thc: Co s thay oi gia cac ca the va chung lo i (Ch so Cronqvist) -Dang hop so:Mo ta Can oi, dai, ngan -o day ban so va cau truc ban so:Lien quan o day khoang tuy So tuy, so ac. 9 -V tr mong:Tran, cham, TD, ho tieu

Day xng khong thay oi cau truc xng

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-Day lan toa: To cc chi, giam san nhu mo nao. -Day khu tru so tran: +15% phu n sau 40 tuoi +h/c noi tiet(beo ph, ram long, RL tam than) Hai ben oi xng.

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Acromegaly

Day ban so tran N 70t

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Day xing tran/N 53 tuoi

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Mong xng khong thay oi cau truc xng

-Cac dau an ngon tay:Cuon nao an vao ban so, ro TE, mat ngi ln(Tang ap noi so nhieu) -Ho Pachioni:Hat nhen ep ban so, canh ng gia (Tran 1/3 sau nh), Khuyet vien khong hoan toan. -Mong so nh:Vung cao nh(1 14 hoac 2 ben).

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Khp so
+Cac khp: -Khp vanh (Coronal). -Khp doc (Sagittal) -Khp Lambda. -Khp trai-nh. -Khp phu khac. +Khp bat ong.
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Cac ranh va vet an mach mau

-Ranh ong mach(M mang nao gia) V tr, t net, khau knh giam dan, can xng (phan biet nt so). -Tnh mach tuy xng so:ng sang dang ng cong, t oan, kch thc khong eu b khong ro Ngoi sao, li(nh). -Xoang mang cng Ban so trong. -TM xuyen so: Noi TM mang cng 18 vi TM nong da au.

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Ranh M mang nao gia

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Vet an xoang ngang

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Khoang hop so
Chu yeu phan tch cac voi trong hop so: -Voi tuyen tung: Tren 20t, tren 1cm (bat thng), moc xem di lech ng gia. -Voi am roi mach mac:Thng gap nga ba nao that hai ben, pha tren sau so tuyen tung. -ong voi mang cng:Liem 23 nao(gia), xoang TM doc tren(V,Y),

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Nen so
-Cha cau truc TK va cac lo nen

so. -Chia thanh 3 vung: Ho so trc, gia, sau. -Gii han ho so trc va gia:Mang th giac, b sau canh be xng bm. - Gii han ho so gia va sau:Manh 26 vuong xng bm va b tren

Ho yen
-Hnh dang Dang hop so: So dai(dai-nong), so ngan(tron). -Kch thc: Dai<16mm, Cao < 11-12 mm. -Cac thanh phan ho yen: mon yen -Chu y tuyen yen bat thng 27 nhng ho yen co the bnh

Ho yen

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U so hau

Pituitary adenoma

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Pituitary adenoma

U so hau

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ong voi trong noi so

-Benh x nao cu:Vung nao that, nhan nen, di vo(<15mm). -H/C Sturge-Weber-Dimitri:Vo nao. -Benh nhiem trung: Lao, toxoplasmosis -U nao: U so hau, mang nao, te bao em. Voi noi so Sinh ly, viem nhiem, u, 33 hoi chng TK-da, mach mau

Hoi chng Sturge Weber

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Tang ap noi so
1.Dan khp so: TE : <3mm(<2t); <2mm(>3t). 2.Thay oi tuyen yen: Mong vo xng thanh trc lng yen nen, mau gng sau. 3.Dau an ngon tay: Ro va 36 nhieu

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Dan khp so

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Thay oi am o xng so

*Nguyen nhan: Nhiem trung, u, chuyen hoa, noi tiet.. *Khu tru hoac lan toa. *Tang giam am o, huy xng khong ro hoac ro (co x?)
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Giam am o xng so
-Benh ly loang xng -U a tuy: Huy so dang o nhieu ni. -Di can: Huy nhieu ni, b khong x. -U hat a axt: Ton huy xng b ro, khong x. -U mau: Giam am o dang nang hoa. -U thng b: Hnh tron, bau duc, b ro, gan khp vanh. *Huy xng khong x: U, nhiem trung, chan thng, chuyen hoa, Paget 40

EG RES:Ban ngoai>ban trong.

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HPT

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Di can

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Eosinophilic Granuloma

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So muoi tieu

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Hon hp (CHONDROSACOMA)

CT

Dermoid.

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Tang am o xng so
*Tang am o lan toa:Di can,Paget,.. * Tang am o khu tru:Viem man, dican, loan san si, osteoma -U mang nao:Thng thay oi xng (day xng). -Loan san si: Thng gap x hoa xng, rong khoang tuy. +am o hon hp.

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Paget

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Chan thng so
-Xng so V so. +Nt so:ng sang (hn cac mach mau), b net, khong co hng nhat nh, kch thc khong oi. +Lun so: *Khong ong nhat am o *Thay ro tren chup tiep tuyen. -Cac thay oi khac Thoai v mang nao, phau thuat,nhiem trung
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Lun so

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Chan thng vung mat

-Gay xng: +V hoc mat. +Gay 3 nhanh:Cung go ma, xoang ham, khp tran go ma. +Gay Lefor:I III. +Khac:Xng mui,ham di -M cac xoang (mau, DNT), mc dchkh.
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LeFort

I - III

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Chan thng

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BT

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VIEM XOANG CAP

-Ham > sang, tran > bm. -Ket hp nhiem trung ng ho hap tren Tac cac ong dan. -Nhiem trung xoang cap va man. -D ng. -Nhiem trung rang va viem xoang.
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Hnh anh XQuang

-M xoang co the mot phan hoac hoan toan. -Day niem mac. -Mc dch-kh. -Viem xoang man: Ph ai niem mac, gia polyp, tang sinh xng. -Bien chng: Nang nhay ton ong, mucocele, viem xng tuy xng, huyet khoi xoang hang, nhiem trung trong so(viem nao, ap xe)

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Vien a xoang

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Tom tac
-Cau truc giai phau XQ so . -Nhng thay oi bnh thng tren XQ so ong voi, vet an, day mong ban so -Thay oi ho yen. -Voi hoa bat thng trong khoang so. -Bat thng am o ban so. -Chan thng so mat.

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