Y HQC VIET NAM THANG 5 - SO 1/2011 Ve chi djnh m d thay dTa dem cpt song co
cung giong nhff cac tru'dng hdp mo lay dia dem, ghep xu'dng, nep vit.
Chdng chi djnh mo khi cd mat vffng cot sdng cd, khe khdp lien ddt sdng hep nhieu, cot hda day chang dpc sau, hep dng sdng co do chen ep tff than dot sdng co. Chung tdi Uu tien lu^ chpn nhffng benh nhan tre, thoat vi dia dem dcfn thuan, hdi ehffng chen ep re hoac tiiy co ngang mffc dia dem tdn thu'dng.
V. KET LUAN
Qua nghien ciilJ 30 benh nhan mo thay 38 dia dem nhan tao ed khdp, ty le hoi phuc trieu ehffng lam sang d nhffng benh nhan chen ep re dat 100% het trieu ehffng sau 1 thang theo ddi.
6 nhffng benh nhan cd hdi chffhg chen ep tuy sau md 7 benh nhan dat 16 diem, 2 benh nhan 17 diem, JOA sau md trung binh 16.25 ± 0.4630 diem; 100% benh nhan dat ty le hoi phuc hdi chutig tiiy cd tdt va rat tdt vdi ty le hoi phuc trung binh 80.037 ± 0.12269 %.
X quang ddng danh gia cpt sdng co sau md cho thay van dam bao dUdc tam van ddng cpt sdng CO so vdi trUde md ea ve ddn vi chffc nang van ddng va toan bp cot sdng co.
T A I UEU T H A M K H A O
1. Ali A. Baaj, M.D., Juan S. Uribe, M.D., Fernando L. Vale, M.D„ Mark C. Preul, M.O., and Neil R. Crawford, Ph.D." History of cervical disc arthroplasty. Neurosurgical FOCUS Sep 2009, Vol. 27, No.3, Page ElO: ElO.
^. Hoang Le, M.D., Issada Thongtrangan, M.D., Daniel H. Kim, M.D. "Historical review of (Xrvical arthroplasty. Neurosurgical FOCUS Sep 2004, Vol.
17, No. 3, Pages 1-9: 1-9.
3. Lali H. Sekhon, "•'"Cervical arthroplasty in the management of spondylotic myelopathy: 18- month result^'. Neurosurgical FOCUS Sep 2004, Vol. 17, No. 3, Pages 55-62: 55-62.
4. Lali H. Sekhon, William S., Neil D., ""Cervical arthroplasty after previous surgery: results of treating 24 discs in 15 patient^'. Journal of Neurosurgery: Spine Nov 2005, Vol. 3, No. 5, Pages 335-341: 335-341.
J. Jonathon P.P., Lali H. Sekhon, '''"Cervical arthroplasty complicated by delayed spontaneous fusioii'. Journal of Neurosurgery: Spine Mar 2005, Vol; 2, No, 3, Pages 377-380: 377-380 6. Rod J. Oskouian, Richard Whitehill, Amir
Samii, Mark E. Shaffrey, J. Patrick Johnson.
" The future of spinal arthroplasty: a biomaterial perspectivd'. Neurosurgical FOCUS Sep 2004, Vol.
17, No. 3, Pages 1-14: 1-14.
DANH GIA TiNH TRANG TON THOffNG SAU RANG HAM LffN THIT NHAT CUA HOC SINH 7-11 TUOI B A N G THIET Bj LASER HUYNH QUANG
Nguyen Qudc Tmng * TOM TAT
Laser hujnh quang (DIAGNOdent) la mot phuong tien hieu qua, dOn gian, d l sff dung. Day la mot cong cu phat hien t^n thu'dng sSu rang va co kha nSng luong hda mffc do hOy khoang de theo doi ket qua ^ e u tn dU phong.
MiJC ti^ nghien ctiu Id:
- Xac dinh tf le sau rSng ham Idn thff nhat {RSng so 6) duoc danh gia bdi thiet bj Laser huynh Quang d hpc sinh 7-11 tuoi cOa Tnidng Tieu hpc Ddng Ngac A TyLlem-HaNra
- Oanh gia mffc dp tdn thudng sau rSng ham Idn thffnhat(Rangs66)bang thiet bj Laser huynh quang d nhom dcS tuong tr^n.
Ket qua
• Tf le sau rSng so 6 chiem tJ le cao (78.7%)- - Mu'c do ton thuang sau rang so 6 deu cao nhat d mat nhat; sau men {31,3%,sau nga (30.8%) sau nga sau (27,4%).
SUMMARY
ASSESS THE STATUS OFCARIES LESIONS FIST MOLAR OF 7-11 YEAR BY LASER FLUORESCENCE DIAGNODENT DIVICE In recent year, variour diagnosis tools have been developed in order to detect and assess caries lesions The aim of this study:
- To dentermine the rate of dental caries fist molar
* W0n 0^0 fao RSng Ham MSt- TrUdng Dai hgc Y H^ Ndi Phan biin khoa hgc: PGS.TS. TrutJng Uyen Thai
Y HQC VlgT NAM THANG S - S6 1/2011 Of 7-11 year of DONG NGAC A School children.
- To assessment early caries lesions fist molar by laser fluorescence DIAGNOdent,
Methodology The study war performed on 616 children from 7 to 11 years in Ddng ngac A schoolchilden were examined by two 'examined using ICDAS criteria and two examiner using DIAGNOdent device.
Results, The canes status fist molar were (78,7%) and The results of the study showed that caries lesions occlusal of fist molar. 31,3%
Keywords: caries status fist molar. Laser fluorescence
I.
OAT VANof
Rang h&m Idn vTnh vien thff nh§'t (rang 6) la mdt trong ba rang hSm Idn cd vai trd quan trpng trong viec nhai nghien thffc an va chffc nang giff kich thUdc doc cCia t^ng du'dl mat. VI vay dff phdng sau rang sd 6 cho hpc sinh cd tam quan trpng, dac biet quy^t djnh den viec bao ve sffc nhai cho bd rang vTnh vidn. Laser huynh quang DIAGNOdent (DD) la mdt phUOng tien hieu qua, ddn gian, d l sff dung, do nhay va dp dac hieu cao. D a y la mot cdng cu phat hien ton thUdng sSu rSng va cd kha nang li/dng hda mffc dp hdy khoang de theo ddi ket qua dieu tn dff phdng. Do vay chCing tdi tien hanh de tai (Danh gia tinh trang ton thu'dng sau rang ham Idn thff nhat cCia hpc sinh 7-11 tudi bang thiet bi Laser hu^'nh Quang). Vdi muc tieu nghien cffu la:
Xac dinh ty' le sSu rang ham Idn thff nhat (Rang sd 6) dUdc danh gia bdi thiet bj Laser
hu^nh Quang 6 hoc sinh 7 - 1 1 tudi cOa Tnidng Tidu h p c D d n g n g a c A T C r L i S m - H ^ N d i
- D^nh gia mffc d d tdn thudng sSu rang ham Idn thff nhgit (Rang s d 6) bSng thiet bi Laser huynh Quang d nhdm ddi tugng trdn.
II. o d i l a p N G VA PHUONG P H A P NGHtEN ClFU 1. D o i tU(?ng n g h i S n curu
Hpc sinh Iffa tuoi 7-11 dang hoc tai Trffdng T i ^ u hoc D d n g ngac A Tff Liem - Ha Ndi (2009-2010).
2. T h d i g i a n v a d i a d i e m n g h i e n cffu Thdi gian nghien cffu: Tff thang 3 den thang 10-2010.
- Oia d i l m nghidn cffu: T n i d n g T i l u hpc Ddng ngac A Tff Lidm - Ha Ndi (2009-2010).
3. P h U d n g p h a p n g h i e n curu
- Thiet k d nghien cffu: Sff dung phUdng phap nghien cffu mo ta c i t n g a n g .
- T d n g s d hoc sinh k h a m la 6 1 6 hpc sinh d 5 nhdm tuoi (7. 8, 9. 10,11).
- Danh gia ton thUOng sau rang 6 theo theo thang phan loai cda thi^t bi Diagnodent (DD).
4. Xff ly s o l i e u : S d lieu dUdc thu thap va phan tich bang phu'dng phap thdng kd y hpc sff dung phan m e m S P S S 13.0 va mdt sd thuat loan thd'ng ke khac.
5. D a o d f f c n g h i e n c f f u : Muc tieu nham ffng dung mot phu'dng tien mdi de phat hien nhffng tdn thu'dng sau rang s d m . Odi Tuong nghien cffu dUdc giai thich va tU nguyen tham gia nghien cffu
III. KET Q U A NGHIEN CCTU
B a n g i . Ty le sau rang 6 cCia hpc sinh dUdc kham bang phi/dng phap Laser huynh quang
Tinh trang r3ng So lupng Ty L9%
Sau Rang Khong sau Rang
Tong so uiiy hu I o m ]
Nhan xet:T^ le sSu rSng so 6 chiem t^ le cao 485/616 (78,7%) 100.0
B a n g 2. MCrc do ton thuong sau cac m3
~ M|it rang L i n h manh ( 0 - 1 3 ) Sau men ( 1 4 - 2 0 )
Sau nqa ( 21 - 30) Sau nga sau ( > 3 0 )
Nhai n 514 193 190 169
83,4
%
31,3 30,8 27,4
rang so 6 kham b^ng Gan
n 586
10 6 12
95,1
%
1,6 1,0 1,9
Ngoai n 587 164 111 67
95,3
%
26,6 18,0 10,9
aser Xa n 586
4 4 4
95,1
%
0,6 0,6 0,6
Trong n 588
72 67 47
95,5
%
117 10,9 7,6 NhSn x6t: Mile do lanh manh (DD tif 0-13) chiem ty le cao nhat cl mat trong 9 5 , 5 % va thap
Y HQC VlgT NAM THANG 5 - S6 1/2011
nhat d mat nhai 8 3 , 4 % . MCrc do tdn thuong sau men (DD tCr 14-20), cao nhat 6 mat nhai va chiem ii le 3 1 , 3 % va thap nhat 6 mat xa chiem t^ le 0,6%. MCfc d6 tdn thuang sau nga (DD tU 21-30) cao nha't 6 mat nhai va ohigm t j ' le 3 0 , 8 % va thap nhat 6 mat xa ohi^m t j ' le 0,6%. IVICfc do ton thuang sau nga sau (DD tCr 31-99) cao nhS't cl mat nhai va chiS'm 19 \i 2 7 , 4 % va thap nhat ci mat xa chiem tJ \i 0,6%. S u khac biet c 6 J nghla thong kS (p<0,001).
Being 3. Gia trj D D trung binh tuong Ung v6i cac giai doan sau rapg mat nhai rang 6 MOrc do SR
Lanh manh (0-13) Sau men (14-20) Sau nga nflng (21-30)
Sau nga sau (31-99) P
n 552 437 474 5 M
X±SD 2,52+2,49 14,80±3,52 21,40±5,63 31,02±6,70
<0.001
Nh^n xet: Gia tri DD trung binh tiTdng ffng vdi cac giai doan sau rang tren mat nhai rang 6 cao dan t9 le thuan theo mffc d d t i n thi/dng sau rang mat nhai:
- J^ le cao nhd't d mffc dp s a u rang 31 -99 (31.02±6.70).
- Ty' le tha'p nhat d mffc do sdu rang 0-13 (rang ianh manh) (2.52±2,49).
Sff khac biet cd ^ nghTa thd'ng k6 (p<0,001).
IV. BAN LUAN
T9 le sau rang sd 6 chiem t^ le cao (78,7%).
So sanh vdi ket qua kham bang phUdng phap thdng thudng cda cung nhdm doi tUdng tren ma chCing tdi da cdng b d tren Tap chf Y hpc Viet Nam thang 4 (2011), frii ket qua kham bang phiTdng phap Laser huynh quang cd t^ le cao hdn.
Hieu qua cda Laser trong viec phat hien mffc do ton thuOng: Ket qua bang 2. Cho tha'y, mffc dp lanh manh (DD tff 0-13) chiem tf- le cao nhat d mat trong 95,5% va tha'p nhat d mSt nhai 83,4%. Trorig khi dd. mffc do ton thudng sau rang s d 6 deu cao nhat d mat nhai; sau men (31,3%,sau n g ^ (30,8%) sSu nga sau (27,4%).
So sanh vdi tac gia Nguyen Thi Thu Ha (2010) Nghidn cffu tren hoc sinh 7-11 t u l i tai Trudng tieu hgc Lang thi/dng. Tac gia da cd nhan xet:
Mffc dd ton thUdng sau men chiem ^ ie 23,8%.
Do vay, chung tdi de xuat can phai kham c l n than d mat nhai clUa rang 6, dac biet vung h d ranh d l danh gia tdn thi/dng sau rang sdm tff dd cd phUdng phap can thiep phdng benh va dieu trj CO hieu qua. Ket qua bang 3. Cho thay, Gia tri tmng "binh cda thiet bj D D do dUdc deu d gia tij thap cda tffng mffc d d ton thu'dng. D d la cd sd khoa hoc de co phUdng phap dieu trj tai khoang hoa men rang cOa nhffng ton thUdng sau rang sdm va tram bit h d ranh dff phdng sau rang
K^t qua tr^n da chdng minh dUdc hieu qua cCia cda Laser huJDh quang c6 kha nSng frfiat hien nhOng ton ttiuang s i u rSng sdm trdn mat nhai cOa r^ng ham Idn thff nhat Nhan dinh cCia chung tdi
cung phu hdp v& ket luan cda Hoang Tff Hung (2009) da khuyen cao nen ap dung thiet bj Laser huynh quang de phat hidn t i n thudng sau rang sdm.
V. KET LUAN
- T ^ le sau rang so 6 chiem t^ le cao (78,7%) - Mffc dp ton thUdng sau rang so 6 deu cao nhat d mat nhai; sau men 1,3%, sau nga ndng (30,8%) sau nga sau (27,4%).
T A I UEU THAM KHAO
1. Ta To Tam, Hoang Tff Hung (2009), "Phat hien s i u rang sdm: D6\ chieu quan sat va thiet bj Laser huynh quang", Tuyen tap cong trinh nghien cffj khoa hpc Rang ham Mat, tr. 27-34.
2. Nguyen Thj H i u Ha (2010) "Danh gia ^ n ^uong sau rang so 6 bang laser huynh quang d hoc sinh 6 den 11 tuoi tai tnidng tilu hoc lang thuang - Ddng Da- Ha Noi '" Luan van thac sy y hoc. Trudng Dai hoc YHa Npi, tr. 50-70
1. KaVo. Dental Exellence: User introductions DIAGNOdent pen. http.//www.kavo.com/
diaqnodent-studies.
4. KaVo. Dental Exellence: The perfect way to validate finding in the diagnosis of caries.http;//www.kavo.com/diagnodent-studies 5 Pret^ IA (2006), "Review caries detecton and
diagnosis: Novel technologies", Journal of Dentistiy, 34, pp, 727-739.
6. EC. Sheehy S.R. Brailsfbrd E. (2001),
"Ctwnparison between Visual Examina-tion and a Laser Fluorescence System for in vivo Diagnosis of Occlusal Caries", Caries Res, 35, pp.421-426
