{"id":336,"date":"2016-10-17T23:05:19","date_gmt":"2016-10-17T16:05:19","guid":{"rendered":"https:\/\/benhvienvietbi.vn\/en\/?p=336"},"modified":"2016-11-23T20:02:57","modified_gmt":"2016-11-23T13:02:57","slug":"gian-tinh-mach-tinh","status":"publish","type":"post","link":"https:\/\/benhvienvietbi.vn\/en\/gian-tinh-mach-tinh\/","title":{"rendered":"[:vi]Gi\u00e3n t\u0129nh m\u1ea1ch tinh[:]"},"content":{"rendered":"

[:vi]<\/p>\n

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<\/h1>\n<\/header>\n
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L\u00e0 t\u00ecnh tr\u1ea1ng gi\u00e3n h\u1ec7 th\u1ed1ng t\u0129nh m\u1ea1ch tinh (bao g\u1ed3m t\u0129nh m\u1ea1ch tinh trong, t\u0129nh m\u1ea1ch tinh sau v\u00e0 t\u0129nh m\u1ea1ch tinh b\u00ecu).<\/p>\n

Gi\u00e3n t\/m tinh g\u1eb7p kho\u1ea3ng 15% nam gi\u1edbi; 35% nam v\u00f4 sinh ti\u00ean ph\u00e1t v\u00e0 70-81% v\u00f4 sinh nam th\u1ee9 ph\u00e1t (Theo Gorclick v\u00e0 Goldstein, 1993; Witt v\u00e0 Lipshultz, 1993)<\/p>\n

Nguy\u00ean do khi\u1ebfm khuy\u1ebft c\u1ee7a h\u1ec7 th\u1ed1ng val t\u0129nh m\u1ea1ch, b\u00ecnh th\u01b0\u1eddng d\u00f2ng m\u00e1u t\u0129nh m\u1ea1ch \u00a0ch\u1ec9 \u0111i 1 chi\u1ec1u t\u1eeb tinh ho\u00e0n theo h\u01b0\u1edbng \u1ed5 b\u1ee5ng. tinh ho\u00e0n th\u01b0\u01a1ng t\u1ed5n do d\u00f2ng m\u00e1u t\u0129nh m\u1ea1ch ch\u1ea3y ng\u01b0\u1ee3c t\u1eeb \u1ed5 b\u1ee5ng v\u00e0o b\u00ecu v\u00e0 l\u00e0m r\u1ed1i lo\u1ea1n m\u00f4i tr\u01b0\u1eddng ph\u00e1t tri\u1ec3n c\u1ee7a tinh tr\u00f9ng.<\/p>\n

T\u1eeb nhi\u1ec1u th\u1ebf k\u1ef7 tr\u01b0\u1edbc, nh\u00e0 sinh l\u00fd h\u1ecdc Celcius m\u00f4 t\u1ea3 gi\u00e3n t\u0129nh m\u1ea1ch tinh : C\u00e1c t\u0129nh m\u1ea1ch ph\u1ed3ng to v\u00e0 so\u1eafn ph\u00eda tr\u00ean tinh ho\u00e0n, l\u00e0m tinh ho\u00e0n nh\u1ecf \u0111i nh\u01b0 do thi\u1ebfu nu\u00f4i d\u01b0\u1ee1ng.<\/p>\n

T\u1ea1i sao gi\u00e3n t\/m tinh l\u1ea1i g\u00e2y v\u00f4 sinh<\/strong>.<\/p>\n

Ng\u01b0\u1eddi b\u1ecb b\u1ecb gi\u00e3n t\u0129nh m\u1ea1ch tinh, t\u00f9y m\u1ee9c \u0111\u1ed9 t\u00e1c \u0111\u1ed9ng l\u00ean tinh ho\u00e0n m\u00e0 s\u1ed1 l\u01b0\u1ee3ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng tinh tr\u00f9ng b\u1ecb gi\u1ea3m, c\u00f3 th\u1ec3 kh\u00f4ng c\u00f2n tinh tr\u00f9ng trong tinh d\u1ecbch g\u00e2y v\u00f4 sinh. C\u00e1c t\u00e1c gi\u1ea3 tr\u00ean Th\u1ebf gi\u1edbi gi\u1ea3i th\u00edch c\u00f3 4 v\u1ea5n \u0111\u1ec1 c\u01a1 b\u1ea3n:<\/p>\n

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  1. Nhi\u1ec7t \u0111\u1ed9 tinh ho\u00e0n t\u0103ng:<\/strong> b\u00ecnh th\u01b0\u1eddng\u00a0 nhi\u1ec7t \u0111\u1ed9 tinh ho\u00e0n 350<\/sup>C- khi b\u1ecb gi\u00e3n t\u0129nh m\u1ea1ch tinh nhi\u1ec7t \u0111\u1ed9 t\u0103ng l\u00ean \u0111\u1ebfn 370<\/sup>C b\u1eb1ng nhi\u1ec7t \u0111\u1ed9 trong \u1ed5 b\u1ee5ng- Nhi\u1ec7t \u0111\u1ed9 t\u0103ng k\u00e9o d\u00e0i l\u00e0m cho s\u1ea3n xu\u1ea5t tinh tr\u00f9ng gi\u1ea3m xu\u1ed1ng.<\/li>\n
  2. \u1ee8 m\u00e1u T\u0129nh m\u1ea1ch t\u1ea1i tinh ho\u00e0n: <\/strong>l\u00e0m cho s\u1ea3n ph\u1ea9m chuy\u1ec3n h\u00f3a t\u1ea1i tinh ho\u00e0n b\u1ecb \u1ee9 \u0111\u1ecdng, \u0111\u00e0o th\u1ea3i kh\u1ecfi tinh ho\u00e0n ch\u1eadm l\u1ea1i g\u00e2y \u201cng\u1ed9 \u0111\u1ed9c\u201d t\u1ebf b\u00e0o sinh tinh tr\u00f9ng.<\/li>\n
  3. M\u00e1u \u0111\u1ed9ng m\u1ea1ch \u0111\u1ebfn nu\u00f4i tinh ho\u00e0n gi\u1ea3m<\/strong>\u2013 Do \u1ee9 m\u00e1u t\u0129nh m\u1ea1ch l\u00e0m cho m\u00e1u \u0111\u1ed9ng m\u1ea1ch \u0111\u1ebfn tinh ho\u00e0n gi\u1ea3m \u0111i d\u1eabn \u0111\u1ebfn Oxy v\u00e0 ch\u1ea5t dinh d\u01b0\u1ee1ng nu\u00f4i tinh ho\u00e0n b\u1ecb gi\u1ea3m \u1ea3nh h\u01b0\u1edfng sinh tinh tr\u00f9ng.<\/li>\n
  4. R\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft t\u1ea1i tinh ho\u00e0n<\/strong> t\u00e1c \u0111\u1ed9ng l\u00ean Tr\u1ee5c\u00a0 \u0110\u1ed3i th\u1ecb \u2013 Tuy\u1ebfn y\u00ean- Tinh ho\u00e0n,\u00a0\u00a0 l\u00e0m cho n\u1ed9i ti\u1ebft t\u1ed1 h\u01b0\u1edbng sinh d\u1ee5c b\u1ecb r\u1ed1i lo\u1ea1n. \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn s\u1ea3n xu\u1ea5t tinh tr\u00f9ng.<\/li>\n<\/ol>\n

    Theo c\u00e1c t\u00e1c gi\u1ea3 tr\u00ean th\u1ebf gi\u1edbi, gi\u00e3n t\/m tinh th\u00ec\u00a0 85% b\u00ean tr\u00e1i- 15% b\u00ean ph\u1ea3i v\u00e0 20% b\u1ecb c\u1ea3 2 b\u00ean.<\/p>\n

    T\u1ea1i sao b\u00ean tr\u00e1i nhi\u1ec1u h\u01a1n, c\u00e1c t\u00e1c gi\u1ea3 l\u00fd gi\u1ea3i:\u00a0 v\u00ec t\/m tinh tr\u00e1i d\u00e0i h\u01a1n, t\/m tinh tr\u00e1i \u0111\u1ed5 tr\u1ef1c ti\u1ebfp v\u00e0o t\/m th\u1eadn tr\u00e1i v\u00e0 n\u1eb1m k\u1eb9t gi\u1eefa g\u00f3c \u0111\u1ed9ng m\u1ea1ch m\u1ea1c treo v\u00e0 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng. B\u00ean ph\u1ea3i, n\u01a1i t\u0129nh m\u1ea1ch tinh \u0111\u1ed5 tr\u1ef1c ti\u1ebfp v\u00e0o t\u0129nh m\u1ea1ch ch\u1ee7 xung quanh l\u00e0 t\u1ed5 ch\u1ee9c m\u1ec1m m\u1ea1i. Ch\u00ednh y\u1ebfu t\u1ed1 gi\u1ea3i ph\u1eabu (t\u1ea1o tr\u1ecdng l\u1ef1c) c\u01a1 h\u1ed9i \u0111\u1ec3 d\u00f2ng m\u00e1u ch\u1ea3y ng\u01b0\u1ee3c v\u00e0o t\u0129nh m\u1ea1ch tinh tr\u00e1i. H\u1eadu qu\u1ea3 l\u00e0 trong \u1ee9 m\u00e1u, nhi\u1ec7t \u0111\u1ed9 t\u0103ng cao v\u00e0 \u1ee9 m\u00e1u \u1edf tinh ho\u00e0n.<\/p>\n

    Trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng, t\u1eeb 2007-2009 ch\u00fang t\u00f4i \u0111\u00e3 m\u1ed5 h\u01a1n 200 tr\u01b0\u1eddng h\u1ee3p, th\u1ea5y gi\u00e3n t\u0129nh m\u1ea1ch tinh 2 b\u00ean chi\u1ebfm t\u1ef7 l\u1ec7 97,29%. (B\u00e1o c\u00e1o t\u1ea1i H\u1ed9i ngh\u1ecb V\u00f4 sinh Nam l\u1ea7n th\u1ee9 nh\u1ea5t<\/em><\/strong>)<\/p>\n

    Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh:<\/strong><\/p>\n

    B\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n qua kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 si\u00eau \u00e2m. V\u1ec1 m\u1ee9c \u0111\u1ed9 c\u1ee7a b\u1ec7nh, gi\u00e3n t\/m tinh \u0111\u01b0\u1ee3c chia th\u00e0nh 3 \u0111\u1ed9:<\/p>\n

    \u2013 \u0110\u1ed9 1: T\/m tinh ch\u1ec9 th\u1ea5y khi l\u00e0m nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c m\u00e0 ng\u01b0\u1eddi b\u1ec7nh trong t\u01b0 th\u1ebf \u0111\u1ee9ng ho\u1eb7c l\u00e0m nghi\u1ec7m ph\u00e1p Valsaval<\/p>\n

    \u2013 \u01102: S\u1edd th\u1ea5y t\/m tinh gi\u00e3n r\u00f5, nghi\u1ec7m ph\u00e1p Valsaval r\u1ea5t \u0111i\u1ec3n h\u00ecnh<\/p>\n

    \u2013 \u0110 3: Ch\u1ec9 nh\u00ecn c\u0169ng th\u1ea5y t\/m tinh gi\u00e3n n\u1ed5i r\u00f5 d\u01b0\u1edbi da<\/p>\n

    M\u1ed9t d\u1ea1ng l\u00e2m S\u00e0ng \u00edt \u0111\u01b0\u1ee3c nh\u1eafc \u0111\u1ebfn, \u0111\u00f3 l\u00e0 gi\u00e3n t\u0129nh m\u1ea1ch tinh d\u1ea1ng \u1ea9n (Subvaricocele<\/strong>), d\u1ea1ng n\u00e0y c\u0169ng c\u00f3 th\u1ec3 l\u00e0m cho tinh ho\u00e0nkh\u00f4ng s\u1ea3n xu\u1ea5t tinh tr\u00f9ng<\/strong>.<\/p>\n

    Si\u00eau \u00e2m Doppler \u0111o \u0111\u01b0\u1eddng k\u00ednh t\u0129nh m\u1ea1ch tinh, n\u1ebfu D \u22653mm \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 Gi\u00e3n t\/m tinh.<\/p>\n

    Ngo\u00e0i ra b\u1ec7nh nh\u00e2n c\u00f2n \u0111au t\u1ee9c t\u1ea1i tinh ho\u00e0n, \u0111au m\u1ed9t c\u00e1ch m\u01a1 h\u1ed3, r\u1ea5t kh\u00f3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed \u0111au c\u1ee5 th\u1ec3, \u0111a u nhi\u1ec1u khi m\u1ec7t m\u1ecfi hay n\u1eafng n\u00f3ng. Tinh ho\u00e0n c\u00f3 th\u1ec3 b\u1ecb nh\u1ecf \u0111i so v\u1edbi b\u00ean b\u00ecnh th\u01b0\u1eddng<\/p>\n

    Ngo\u00e0i g\u00e2y t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn sinh s\u1ea3n, g\u00e2y v\u00f4 sinh b\u1ec7nh nh\u00e2n c\u00f2n b\u1ecb r\u1ed1i lo\u1ea1n sinh l\u00fd t\u00ecnh d\u1ee5c.<\/p>\n

    B\u1ec7nh ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m v\u00e0 ng\u00e0y c\u00e0ng n\u1eb7ng theo th\u1eddi gian. T\u1eeb \u0111i\u1ec1u tr\u1ecb h\u1ed3i ph\u1ee5c \u0111\u1ea1t k\u1ebft qu\u1ea3 cao, \u0111\u1ebfn r\u1ea5t kh\u00f3 h\u1ed3i ph\u1ee5c khi b\u1ec7nh n\u1eb7ng- l\u00e2u n\u0103m- cao tu\u1ed5i kh\u00f3 h\u1ed3i ph\u1ee5c. Th\u1eadm ch\u00ed kh\u00f4ng ch\u1eefa \u0111\u01b0\u1ee3c.<\/p>\n

    Kh\u00e1m b\u1ec7nh nh\u00e2n trong t\u01b0 th\u1ebf \u0111\u1ee9ng, n\u1ebfu gi\u00e3n nhi\u1ec1u, th\u1ea7y thu\u1ed1c nh\u00ecn v\u00e0 s\u1edd th\u1ea5y kh\u1ed1i t\/m gi\u00e3n nh\u01b0 \u201cT\u00fai giun \u2013 bag of worms\u201d. Khi n\u1eb1m \u0111\u1ea7u th\u1ea5p c\u00f3 c\u1ea3m gi\u00e1c x\u1eb9p xu\u1ed1ng.<\/p>\n

    \"giantinhmach01\"<\/a><\/p>\n

    \u0110i\u1ec1u tr\u1ecb gi\u00e3n t\/m tinh ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt l\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t.<\/strong><\/p>\n

    Gi\u00e3n t\/m tinh c\u00f3 ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p ch\u1ec9 khi ng\u01b0\u1eddi v\u1ee3 b\u00ecnh th\u01b0\u1eddng ho\u1eb7c c\u00f3 ti\u1ec1m n\u0103ng sinh s\u1ea3n b\u00ecnh th\u01b0\u1eddng v\u00e0 ch\u1ed3ng c\u00f3 b\u1ea5t th\u01b0\u1eddng v\u1ec1 ch\u1ec9 s\u1ed1 tinh d\u1ecbch. Ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi \u0111au ho\u1eb7c kh\u00f3 ch\u1ecbu ho\u1eb7c c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 k\u00edch th\u01b0\u1edbc tinh ho\u00e0n<\/p>\n

    Ngo\u00e0i ra c\u00f2n ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p ED (r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng, xu\u1ea5t tinh s\u1edbm\u2026<\/p>\n

    L\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb:<\/strong><\/p>\n

    \u0110\u1ec3 tr\u1ee3 g\u00fap sinh s\u1ea3n bao g\u1ed3m ph\u1eabu thu\u1eadt s\u1eefa ch\u1eefa varicocele, l\u00e0m t\u1eafc m\u1ea1ch, th\u1ee5 tinh nh\u00e2n t\u1ea1o (b\u01a1m tinh tr\u00f9ng v\u00e0o bu\u1ed3ng t\u1eed cung) ho\u1eb7c th\u1ee5 tinh \u1ed1ng nghi\u1ec7m (IVF). Trong \u0111\u00f3 Ph\u1eabu thu\u1eadt cho k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t- sau ph\u1eabu thu\u1eadt c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 s\u1ed1 l\u01b0\u1ee3ng tinh tr\u00f9ng, 69% c\u00f3 thai t\u1ef1 nhi\u00ean trong 2 n\u0103m sau m\u1ed5 (nghi\u00ean c\u1ee9u c\u1ee7a\u00a0 Madagar Cs\u00a0 Fertility & Sterility, vol.63, no., 1995). Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng tinh tr\u00f9ng do gi\u00e3n t\/m tinh c\u00f3 t\u1edbi 50% t\u00e1i xu\u1ea5t hi\u1ec7n tinh tr\u00f9ng sau m\u1ed5.<\/p>\n

    \"giantinhmach02\"<\/a><\/p>\n

    Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ph\u00e3u thu\u1eadt trong Varicocele.<\/strong><\/p>\n

    M\u1ed5 gi\u00e3n t\/m tinh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1eeb h\u01a1n 100 n\u0103m- hi\u1ec7n \u1edf Vi\u1ec7t nam m\u1ed5 gi\u00e3n t\/m tinh<\/strong> \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf nhi\u1ec1u tuy\u1ebfn, k\u1ec3 c\u1ea3 b\u1ec7nh vi\u1ec7n tuy\u1ebfn huy\u1ec7n v\u00e0 ph\u1eabu thu\u1eadt ch\u1ec9 m\u1ee5c ti\u00eau duy nh\u1ea5t th\u1eaft \u0111\u01b0\u1ee3c t\u0129nh m\u1ea1ch tinh trong \u0111\u1ec3 ch\u1eefa gi\u00e3n t\/m<\/p>\n

    Ch\u00fang t\u00f4i, nh\u1eefng ng\u01b0\u1eddi l\u00e0m chuy\u00ean s\u00e2u Nam h\u1ecdc v\u00e0 V\u00f4 sinh, \u0111\u1eb7t ra m\u1ee5c ti\u00eau c\u1ee7a ph\u1eabu thu\u1eadt: Ngo\u00e0i m\u1ee5c ti\u00eau th\u00f4ng th\u01b0\u1eddng, sinh s\u1ea3n v\u00e0 t\u00ecnh d\u1ee5c \u0111\u01b0\u1ee3c \u0111\u1eb7t l\u00ean tr\u00ean h\u1ebft. N\u00ean ph\u1eabu thu\u1eadt c\u00f3 nh\u1eefng y\u00eau c\u1ea7u c\u1ee5 th\u1ec3:<\/p>\n

    Y\u00eau c\u1ea7u c\u1ee7a ph\u1eabu thu\u1eadt:<\/p>\n

      \n
    1. X\u1eed tr\u00ed \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 h\u1ec7 th\u1ed1ng t\/m tinh gi\u00e3n<\/li>\n
    2. B\u1ea3o t\u1ed3n \u0111\u1ed9ng m\u1ea1ch tinh trong v\u00e0 \u0111\u1ed9ng m\u1ea1ch \u1ed1ng d\u1eabn tinh- N\u1ebfu th\u01b0\u01a1ng t\u1ed5n s\u1ebd teo tinh ho\u00e0n sau m\u1ed5<\/li>\n
    3. B\u1ea3o t\u1ed3n nguy\u00ean v\u1eb9n \u1ed1ng d\u1eabn tinh<\/li>\n
    4. B\u1ea3o t\u1ed3n B\u1ea1ch m\u1ea1ch.<\/li>\n<\/ol>\n

      K\u1ef9 thu\u1eadt m\u1ed5 gi\u00e3n t\/m tinh:<\/strong><\/p>\n

      M\u1ed5 gi\u00e3n t\/m tinh c\u00f3 nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p:<\/p>\n

        \n
      1. Ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111\u1ec3 th\u1eaft t\/m tinh trong- kh\u1ea3 n\u0103ng t\u00e1i ph\u00e1t c\u1ee7a ph\u1eabu thu\u1eadt: t\u01b0\u01a1ng t\u1ef1 ph\u1eabu thu\u1eadt sau ph\u00fac m\u1ea1c.<\/li>\n
      2. T\u1eafc m\u1ea1ch can thi\u1ec7p (angiographic embolization) r\u1ea5t t\u1ed1n k\u00e9m, k\u1ebft qu\u1ea3 t\u00e1i ph\u00e1t: 4-11%<\/li>\n
      3. Th\u1eaft t\/m tinh trong sau ph\u00fac m\u1ea1c b\u1eb1ng m\u1ed5 m\u1edf t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t 7-33%- \u1edf tr\u1ebb em 15-45%<\/li>\n
      4. Ph\u00e3u thu\u1eadt kinh \u0111i\u1ec3n qua \u0111\u01b0\u1eddng b\u1eb9n ho\u1eb7c b\u00ecu l\u00e0 ph\u1eabu thu\u1eadt c\u00f3 k\u1ef9 thu\u1eadt \u00edt ph\u1ee9c t\u1ea1p nh\u1ea5t nh\u01b0ng\u00a0 c\u00f3 t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t cao nh\u1ea5t.<\/li>\n
      5. Vi ph\u1eabu thu\u1eadt \u0111\u01b0\u1eddng b\u1eb9n (microsurgical inguinal varicocele) \u0111\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt vi\u00ean \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o k\u1ef9 thu\u1eadt vi ph\u1eabu, trang thi\u1ebft b\u1ecb \u0111\u1eaft ti\u1ec1n, th\u1eddi gian m\u1ed5 k\u00e9o d\u00e0i 2-3h. Nh\u01b0ng k\u1ebft qu\u1ea3 cao nh\u1ea5t. T\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t r\u1ea5t \u00edt g\u1eb7p-<\/li>\n<\/ol>\n

        Theo t\u00e1c gi\u1ea3 Goldstein v\u00e0 Cs \u2013 1992- ph\u1eabu thu\u1eadt 1500 cases- k\u1ebft qu\u1ea3 43% c\u00f3 thai sau 1 n\u0103m v\u00e0 69% sau 2 n\u0103m, kh\u00f4ng g\u1eb7p b\u1ec7nh nh\u00e2n t\u00e1i ph\u00e1t.<\/p>\n

        Trong h\u01a1n 200 tr\u01b0\u1eddng h\u1ee3p m\u1ed5 gi\u00e3n t\u0129nh m\u1ea1ch tinh b\u1eb1ng k\u1ef9 thu\u1eadt vi ph\u1eabu qua ng\u1ea3 b\u1eb9n t\u1eeb 2007-2009 t\u1ea1i b\u1ec7nh vi\u1ec7n chuy\u00ean khoa Nam h\u1ecdc v\u00e0 Hi\u1ebfm mu\u1ed9n H\u00e0 n\u1ed9i v\u00f4 sinh 1 chi\u1ebfm t\u1ef7 l\u1ec7: 68,00%;\u00a0 V\u00f4 sinh th\u1ee9 ph\u00e1t: 11,00%; ch\u01b0a v\u1ee3: 15,00%<\/p>\n

        Ch\u1ea5t l\u01b0\u1ee3ng, s\u1ed1 l\u01b0\u1ee3ng tinh tr\u00f9ng c\u0169ng nh\u01b0 n\u1ed9i ti\u1ebft t\u1ed1 h\u01b0\u1edbng sinh d\u1ee5c thay \u0111\u1ed5i c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea. T\u1ef7 l\u1ec7 c\u00f3 thai sau 2 n\u0103m 55,71%.<\/p>\n<\/div>\n

        [:]<\/p>\n","protected":false},"excerpt":{"rendered":"

        [:vi]L\u00e0 t\u00ecnh tr\u1ea1ng gi\u00e3n h\u1ec7 th\u1ed1ng t\u0129nh m\u1ea1ch tinh (bao g\u1ed3m t\u0129nh m\u1ea1ch tinh trong, t\u0129nh m\u1ea1ch tinh sau v\u00e0 t\u0129nh m\u1ea1ch tinh b\u00ecu).
        \nGi\u00e3n t\/m tinh g\u1eb7p kho\u1ea3ng 15% nam gi\u1edbi; 35% nam v\u00f4 sinh ti\u00ean ph\u00e1t v\u00e0 70-81% v\u00f4 sinh nam th\u1ee9 ph\u00e1t (Theo Gorclick v\u00e0 Goldstein, 1993; Witt v\u00e0 Lipshultz, 1993).
        \n[:]<\/p>\n","protected":false},"author":3,"featured_media":531,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[46],"tags":[],"class_list":["post-336","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cac-benh-ly-nam-hoc"],"acf":[],"yoast_head":"\n[:vi]Gi\u00e3n t\u0129nh m\u1ea1ch tinh[:] - VIET \u2013 BI SPECIALIZED HOSPITAL IN ANDROLOGY AND INFERTILITY<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/benhvienvietbi.vn\/en\/gian-tinh-mach-tinh\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:vi]Gi\u00e3n t\u0129nh m\u1ea1ch tinh[:] - VIET \u2013 BI SPECIALIZED HOSPITAL IN ANDROLOGY AND INFERTILITY\" \/>\n<meta property=\"og:description\" content=\"[:vi]L\u00e0 t\u00ecnh tr\u1ea1ng gi\u00e3n h\u1ec7 th\u1ed1ng t\u0129nh m\u1ea1ch tinh (bao g\u1ed3m t\u0129nh m\u1ea1ch tinh trong, t\u0129nh m\u1ea1ch tinh sau v\u00e0 t\u0129nh m\u1ea1ch tinh b\u00ecu). 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