{"id":21281,"date":"2013-10-29T05:07:08","date_gmt":"2013-10-29T05:07:08","guid":{"rendered":"https:\/\/f55.01f.myftpupload.com\/are-recommended-spine-operations-either-unnecessary-or-too-complex-evidence-from-second-opinions\/"},"modified":"2024-12-26T15:59:07","modified_gmt":"2024-12-26T15:59:07","slug":"are-recommended-spine-operations-either-unnecessary-or-too-complex-evidence-from-second-opinions","status":"publish","type":"post","link":"https:\/\/mdvisitclinic.com\/vi\/are-recommended-spine-operations-either-unnecessary-or-too-complex-evidence-from-second-opinions\/","title":{"rendered":"C\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ed9t s\u1ed1ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft ho\u1eb7c qu\u00e1 ph\u1ee9c t\u1ea1p?\nB\u1eb1ng ch\u1ee9ng t\u1eeb \u00fd ki\u1ebfn th\u1ee9 hai"},"content":{"rendered":"<p><span class=\"mdvisit-highlight-content\">N\u0103m 2011, Epstein v\u00e0 Hood \u0111\u00e3 ghi nh\u1eadn r\u1eb1ng 17,2% trong s\u1ed1 274 b\u1ec7nh nh\u00e2n c\u00f3 khi\u1ebfu n\u1ea1i v\u1ec1 c\u1ed5 t\u1eed cung \/ th\u1eaft l\u01b0ng \u0111\u01b0\u1ee3c th\u1ea5y \u1edf \u00fd ki\u1ebfn th\u1ee9 nh\u1ea5t ho\u1eb7c th\u1ee9 hai trong m\u1ed9t n\u0103m \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o r\u1eb1ng h\u1ecd c\u1ea7n ph\u1eabu thu\u1eadt c\u1ed9t s\u1ed1ng &#8220;kh\u00f4ng c\u1ea7n thi\u1ebft&#8221;<\/span> (v\u00ed d\u1ee5: \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 ch\u1ec9 \u0111au, kh\u00f4ng c\u00f3 thi\u1ebfu h\u1ee5t th\u1ea7n kinh ho\u1eb7c b\u1ea5t th\u01b0\u1eddng X quang \u0111\u00e1ng k\u1ec3). Sau \u0111\u00f3, trong   <span class=\"mdvisit-highlight-content\">N\u0103m 2012, Gamache ph\u00e1t hi\u1ec7n ra r\u1eb1ng 69 (44,5%) trong s\u1ed1 155 b\u1ec7nh nh\u00e2n c\u00f3 \u00fd ki\u1ebfn th\u1ee9 hai \u0111\u01b0\u1ee3c kh\u00e1m trong kho\u1ea3ng th\u1eddi gian 14 th\u00e1ng \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u1ed9t s\u1ed1ng b\u00ean ngo\u00e0i n\u00f3i r\u1eb1ng h\u1ecd c\u1ea7n ph\u1eabu thu\u1eadt; b\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u00fd ki\u1ebfn th\u1ee9 hai (Gamache) th\u1ea5y nh\u1eefng ho\u1ea1t \u0111\u1ed9ng \u0111\u00f3 kh\u00f4ng c\u1ea7n thi\u1ebft. C\u00e0ng ng\u00e0y, b\u1ec7nh nh\u00e2n, <\/span>  B\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u1ed9t s\u1ed1ng, b\u1ec7nh vi\u1ec7n v\u00e0 h\u00e3ng b\u1ea3o hi\u1ec3m <span class=\"mdvisit-highlight-content\">kh\u00f4ng ch\u1ec9 n\u00ean \u0111\u1eb7t c\u00e2u h\u1ecfi li\u1ec7u c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ed9t s\u1ed1ng c\u00f3 &#8220;kh\u00f4ng c\u1ea7n thi\u1ebft&#8221; hay kh\u00f4ng, m\u00e0 c\u00f2n li\u1ec7u ch\u00fang c\u00f3 &#8220;sai&#8221; hay kh\u00f4ng (v\u00ed d\u1ee5: ph\u1eabu thu\u1eadt qu\u00e1 r\u1ed9ng, tr\u01b0\u1edbc so v\u1edbi sau) hay &#8220;\u0111\u00fang&#8221; (th\u00edch h\u1ee3p).<\/span> Ph\u01b0\u01a1ng ph\u00e1p: Trong t\u01b0\u01a1ng lai, 437 b\u1ec7nh nh\u00e2n c\u00f3 khi\u1ebfu n\u1ea1i v\u1ec1 c\u1ed5 t\u1eed cung ho\u1eb7c th\u1eaft l\u01b0ng \u0111\u00e3 \u0111\u01b0\u1ee3c kh\u00e1m t\u1ea1i t\u01b0 v\u1ea5n c\u1ed9t s\u1ed1ng trong kho\u1ea3ng th\u1eddi gian 20 th\u00e1ng. Trong s\u1ed1 254 (58,1%) b\u1ec7nh nh\u00e2n \u0111\u1ebfn \u0111\u1ec3 l\u1ea5y \u00fd ki\u1ebfn \u0111\u1ea7u ti\u00ean, nh\u1eefng ng\u01b0\u1eddi c\u00f3 t\u1ed5n th\u01b0\u01a1ng ph\u1eabu thu\u1eadt so v\u1edbi kh\u00f4ng ph\u1eabu thu\u1eadt \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh. Trong s\u1ed1 183 (41,9%) b\u1ec7nh nh\u00e2n \u0111\u1ebfn \u0111\u1ec3 c\u00f3 \u00fd ki\u1ebfn th\u1ee9 hai, nh\u1eefng ng\u01b0\u1eddi tr\u01b0\u1edbc \u0111\u00e2y \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt b\u00ean ngo\u00e0i n\u00f3i r\u1eb1ng h\u1ecd c\u1ea7n ph\u1eabu thu\u1eadt c\u1ed9t s\u1ed1ng, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u00fd ki\u1ebfn th\u1ee9 hai \u0111\u00e3 ghi l\u1ea1i s\u1ed1 l\u01b0\u1ee3ng c\u00e1c ho\u1ea1t \u0111\u1ed9ng &#8220;kh\u00f4ng c\u1ea7n thi\u1ebft&#8221;, &#8220;sai&#8221; ho\u1eb7c &#8220;\u0111\u00fang&#8221; \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb tr\u01b0\u1edbc \u0111\u00f3. K\u1ebft qu\u1ea3: B\u1ec7nh l\u00fd ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh \u1edf 138 (54,3%) b\u1ec7nh nh\u00e2n tr\u00ecnh b\u00e0y \u00fd ki\u1ebfn \u0111\u1ea7u ti\u00ean. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c kh\u00e1m \u1edf \u00fd ki\u1ebfn th\u1ee9 hai, <span class=\"mdvisit-highlight-content\">111 (60,7%) \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt b\u00ean ngo\u00e0i n\u00f3i r\u1eb1ng h\u1ecd y\u00eau c\u1ea7u c\u00e1c ho\u1ea1t \u0111\u1ed9ng &#8220;kh\u00f4ng c\u1ea7n thi\u1ebft&#8221;, 61 (33,3%) &#8220;sai&#8221;<\/span> ho\u1eb7c <span class=\"mdvisit-highlight-content\">11 (6%) c\u00e1c ho\u1ea1t \u0111\u1ed9ng &#8220;\u0111\u00fang&#8221;.<\/span> K\u1ebft lu\u1eadn:<\/p>\n<p><span class=\"mdvisit-highlight-content\">Trong s\u1ed1 183 \u00fd ki\u1ebfn th\u1ee9 hai \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y trong 20 th\u00e1ng, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u00fd ki\u1ebfn th\u1ee9 hai ghi nh\u1eadn r\u1eb1ng c\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u1ed9t s\u1ed1ng tr\u01b0\u1edbc \u0111\u00e2y \u0111\u00e3 \u0111\u1ec1 ngh\u1ecb c\u00e1c ho\u1ea1t \u0111\u1ed9ng &#8220;kh\u00f4ng c\u1ea7n thi\u1ebft&#8221; (60,7%), &#8220;sai&#8221; (33,3%) ho\u1eb7c &#8220;\u0111\u00fang&#8221; (6%).<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>N\u0103m 2011, Epstein v\u00e0 Hood \u0111\u00e3 ghi nh\u1eadn r\u1eb1ng 17,2% trong s\u1ed1 274 b\u1ec7nh nh\u00e2n c\u00f3 khi\u1ebfu n\u1ea1i v\u1ec1 c\u1ed5 t\u1eed cung \/ th\u1eaft l\u01b0ng \u0111\u01b0\u1ee3c th\u1ea5y \u1edf \u00fd ki\u1ebfn th\u1ee9 nh\u1ea5t ho\u1eb7c th\u1ee9 hai trong m\u1ed9t n\u0103m \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o r\u1eb1ng h\u1ecd c\u1ea7n ph\u1eabu thu\u1eadt c\u1ed9t s\u1ed1ng &#8220;kh\u00f4ng c\u1ea7n thi\u1ebft&#8221; (v\u00ed d\u1ee5: \u0111\u01b0\u1ee3c \u0111\u1ecbnh [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","hide_page_title":"","footnotes":""},"categories":[],"tags":[],"class_list":["post-21281","post","type-post","status-publish","format-standard","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>C\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ed9t s\u1ed1ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft ho\u1eb7c qu\u00e1 ph\u1ee9c t\u1ea1p? 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