TRIEU CHNG XQ XNG

Bs.Le Van Dung Khoa CHA -BV Ch Ray

01/2005 1

AI CNG

e khao sat hnh anh he xng: -XQ quy c. -Khac:Chup cat lp vi tnh(CT),cong hng t (MRI), xa hnh Ket hp lam sang va xet
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I.CAU TAO XNG. II.TRIEU CHNG HOC X QUANG XNG. 1.Bat thng ve am o. 2.Bat thng ve cau truc. 3.Bat thng ve hnh dang.
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TRIEU CHNG HOC X-QUANG XXNG

CAU TAO XNG :

1.Mo xng. -Chat can ban: Mucopolysaccharit -Te bao xng: Tao cot bao va huy cot bao. -Khac: Si collagen,chat khoang (Ca,P..)
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TRIEU CHNG HOC X-QUANG XXNG 2.

Cac loai xng:

Xng ngan, dai, dep co ty le mo xop va ac khac nhau -Xng dai: au xng, than xng, hanh xng. -Sun xng: Sun khp va ban sun -Mang xng: Lp si va lp tao xng.
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Xng dai

S phat trien xng

-Xng phat trien Ban sun phat trien. -Xng trng thanh(25t). +Vo xng Xng ac +Xng xop:Be xng + nhng te bao tuy xng. +Nhng thay oi tuy xng: Tuy o Vang (ngoai bien trung tam) +Vit D va tuyen can giap Xng.
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TRIEU CHNG HOC X-QUANG XNG XBat thng ve am o: a.Giam am o (Osteopenia). Phim XQ Lng Ca giam tren 30%: *Toan the -Loang xng(Osteoporosis). -Nhuyen xng (Osteomalacia). -Thay oi tuy xng. -Cng tuyen can giap. *Khu tru: Viem, bat ong, u.
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Bnh thn g

Loan g xng
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Giam am o xng khu tru/ viem khp

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GIAM AM O XNG KHU TRU/ U MACH XNG

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TRIEU CHNG HOC X-QUANG XXNG Bat thng ve am o: b.Tang am o(Osteosclerosis): Tang s can quang cua xng. *Toan the: Bam sinh (benh xng a), chuyen hoa(tang Vit D), U(di can, lympho..), t phat (benh Paget) *Khu tru:ao xng, nhoi mau cu, u, s lanh xng sau cac ton thng...
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TANG AM O KHU TRU

DI CAN XNG

NHOI MAU XNG

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ao xng
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U xng dang xng

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TANG AM O KHU TRU

Lymphoma

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Tang am o xng lan toa.

Benh xng a. (Osteopetrosis)

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B.xg a,

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Tang am o xng

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Tang am o xng

Hyperparathyrodism

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K TLT

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B.xg a, loan san xng do than

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AM O HON HP (PAGET)
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TRIEU CHNG HOC XQ XNG

Bat thng ve cau truc: a.Qua trnh huy xng. -Tao hnh khuyet vung thau quang do nhieu nguyen nhan khac nhau nh u,viem, e nen -Bieu hien chat ton thng:n oc hay nhieu o, b co vien x hay khong, v tr huy xng, tien trien...
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Huy xng

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Huy b x

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Huy xng b ro/NOF

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Secondary Hyperparathyroidism

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(EG)

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Viem xng
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Huy xng mot gam/di can

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Huy mot gam/u a tuy

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Dang tham

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TRIEU CHNG HOC X-QUANG XXNG b.Qua trnh tao xng: -T xng:Tao t cac be xng. -Phan ng mang xng: Tao xng t mat trong mang xng. +Dang tien trien cham:Lien tuc,mot lp, ong nhat.Phat trien cham:U lanh,viem,gay xng +Dang tien trien nhanh:Khong lien tuc,nhieu lp, hnh tua gai:Viem,u ac. c.Qua trnh hon hp.
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Dang lp day ac
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Dang lp
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Sarcom Ewing

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Dang tua gai

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Codman

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CAC LOAI PHAN NG MANG XNG

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CAC LOAI PHAN NG MANG XNG

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NGUYEN NHAN GAY PHAN NG MANG X Phan ng mang xng tien trien cham. -NHIEM TRUNG -U LANH (osteoid osteoma) -U HAT A AXIT -Khac. Phan ng mang xng tien trien nhanh. -VIEM XNG TUY XNG -U AC TNH:osteosarcoma, chondrosarcoma, fibrosarcoma, lymphoma, leukemia, metastasis 54

Phong vo xng

NOF, ABC,GCT

Hon hp (CHONDROSACOMA)

CT
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TRIEU CHNG HOC X-QUANG XXNG

Bat thng hnh dang: Ph ai, thay oi truc, mong xng -Bam sinh. -Mac phai.

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Bat thng hnh dang

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Veo cot song. ot song ban phan

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Ph ai than xng/ Paget

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Ph ai cung sn

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Hyperparathyroidism

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(Tieu xng
trong psoriatic arthritis)

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DI CAN LYPHOMA, PAGET

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Di can va GCT

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Tang am o xng khu tru

OA,Viem,Di can

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TOM TAT TRIEU CHNG X QUANG XNG.

1.BAT THNG VE AM O. Tang va giam am o khu tru hoac lan toa. 2.BAT THNG VE CAU TRUC. Huy xng va x xng. 3.BAT THNG VE HNH DANG.

Cac benh ly ve xng: xng:

1.Gay xng. 2.Viem xng tuy xng. 3.U xng. 4.Cac benh ly khac .

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