Vai trò của siêu âm trong chuẩn đoán tắc tràng bẩm sinh ở trẻ sơ sinh

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7ӯꢀNKyDꢃꢀWҳFꢀWiꢀWUjQJꢁꢀEҭPꢀVLQKꢁꢀVLrXꢀkPꢁꢀQӝLꢀWҥLꢁꢀEyQJꢀÿ{Lꢄ  
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QKӳQJꢀ Gӏꢀ WұWꢀ SKәꢀ ELӃQꢀ QKҩWꢀ ӣꢀ WUҿꢀ Vѫꢀ VLQKꢃꢀ  
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WUҿꢀVѫꢀVLQKꢄ1  
ꢅꢄꢀĈӕLꢀWѭӧQJ  
&iFꢀ EӋQKꢀ QKLꢀ Vѫꢀ VLQKꢀ ꢁ”ꢀ ꢆꢇꢀ QJj\ꢀ WXәLꢂꢃꢀ OkPꢀ  
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WUҿꢀVѫꢀVLQKꢀEӋQKꢀYLӋQꢀ+ӳXꢀQJKӏꢀ9LӋWꢀĈӭFꢀYӟLꢀFKҭQꢀ  
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VLrXꢀkPꢀWKӵFꢀVӵꢀFҫQꢀWKLӃWꢃꢀQKӡꢀKuQKꢀҧQKꢀU}ꢀQpWꢀ  
Yjꢀ EDRꢀ TXiWꢃꢀ Eәꢀ VXQJꢀ ÿѭӧFꢀ QKӳQJꢀ KҥQꢀ FKӃꢀ  
FӫDꢀSKLPꢀFKөSꢀ;ꢀTXDQJꢀEөQJꢀNK{QJꢀFKXҭQꢀEӏꢃꢀ  
NK{QJQKLӉP[ҥꢃVҹQFyYjGӉWKӵFKLӋQꢄ9uꢀ  
Yұ\ꢃꢀFK~QJꢀW{LꢀWLӃQꢀKjQKꢀQJKLrQꢀFӭXꢀQj\ꢀQKҵPꢀ  
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.ΏꢂWKXͅWꢂVLrXꢂkPꢂͭꢂEͽQJ  
6ӱꢀGөQJꢀÿҫXꢀGzꢀ/LQHDUꢀWҫQꢀVӕꢀFDRꢀWӯꢀꢈꢃꢉꢀÿӃQꢀ  
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FҳWꢀEҵQJꢀFiFKꢀQJKLrQJꢀJyFꢀÿҫXꢀGzꢀWKHRꢀKѭӟQJꢀ  
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7Ú͵QJꢂĈ̹LꢂKͥFꢂ<ꢂ+jꢂ1ͱL  
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ꢀꢁ  
TCNCYH 138 (2) - 2021  
7Ҥ3ꢀ&+Ëꢀ1*+,Ç1ꢀ&Ӭ8ꢀ<ꢀ+Ӑ&  
TXDꢀÿѭӧFꢀVӵꢀFҧQꢀWUӣꢀFӫDꢀNKtꢀYjꢀTXDQꢀViWꢀÿѭӧFꢀ  
FҩXꢀWU~FꢀFҫQꢀTXDQꢀWkPꢀYӟLꢀKuQKꢀҧQKꢀU}ꢀQpWꢁꢀ  
ꢄꢍꢆGҩXKLӋXNuPÿӝQJPҥFK[iFÿӏQKNKLꢀ  
JyFꢀJLӳDꢀĈ0&%ꢀYjꢀÿӝQJꢀPҥFKꢀ0777ꢀQKӓꢀKѫQꢀ  
25oNKRҧQJFiFKJLӳDĈ0&%YjÿӝQJPҥFKꢀ  
0777ꢀꢀWѭѫQJꢀӭQJꢀÿRҥQꢀ'ꢈꢀQKӓꢀKѫQꢀꢅꢑPPꢂꢅꢑ  
ꢀꢁꢂ3KѭѫQJꢂSKiS  
7KXꢀWKұSꢀFiFꢀWK{QJꢀWLQꢀYӅꢀÿһFꢀÿLӇPꢀFӫDꢀPүXꢀ  
QJKLrQꢀFӭXꢀEDRꢀJӗPꢀFiFꢀWK{QJꢀWLQꢀYӅꢀWXәLꢂꢀJLӟLꢂꢀ  
FiFꢀGӏꢀWұWꢀNӃWꢀKӧSꢂꢀWULӋXꢀFKӭQJꢀOkPꢀVjQJꢂꢀNӃWꢀTXҧꢀ  
VLrXꢀ kPꢀ WUѭӟFꢀ VLQKꢂꢀ NӃWꢀ TXҧꢀ SKүXꢀ WKXұWꢁꢀ ĈһFꢀ  
ÿLӇPꢀKuQKꢀҧQKꢀWUrQꢀVLrXꢀkPꢀәꢀEөQJꢀEDRꢀJӗPꢃ  
ꢄꢅꢆꢀ³KuQKꢀҧQKꢀEyQJꢀÿ{L´ꢀOjꢀKuQKꢀҧQKꢀKDLꢀFҩXꢀ  
WU~FꢀGӏFKꢇGӏFKꢀ±ꢀNKtꢀÿѭӧFꢀQKұQꢀGLӋQꢀOjꢀGҥꢀGj\ꢀ  
Yjꢀ Wiꢀ WUjQJꢀ JLmQꢀ WUrQꢀ PһWꢀ SKҷQJꢀ FҳWꢀ VLrXꢀ kPꢀ  
QJDQJTXDYQJWKѭӧQJYӏYjNK{QJFyEyQJꢀ  
GӏFKWWKXӝFӕQJWLrXKyDÿѭӧFTXDQViWꢀ  
WKҩ\ꢂ5ꢀGҩXꢀKLӋXꢀFKX\ӇQꢀWLӃSꢀOjꢀKuQKꢀҧQKꢀWLӃSꢀQӕLꢀ  
JLӳDꢀFiFꢀTXDLꢀUXӝWꢀJLmQꢀYjꢀ[ҽSꢂꢀÿiQKꢀJLiꢀEҵQJꢀ  
YӏꢀWUtꢀQӕLꢀWLӃSꢀ[iFꢀÿӏQKꢀÿѭӧFꢀWҥLꢀYӏꢀWUtꢀ'ꢅꢉꢊꢂꢀ'ꢊꢉꢈꢀ  
KRһFꢀYQJꢀUXӝWꢀ[ҽSꢀWKXӝFꢀKӛQJꢀWUjQJꢂ6  
ꢄꢐꢆꢀQDQJꢀWiꢀWUjQJꢀÿ{LꢀOjꢀFҩXꢀWU~FꢀGҥQJꢀQDQJꢀ  
GӏFKꢀYQJꢀÿҫXꢀWө\ꢂꢀYiFKꢀQDQJꢀFyꢀÿһFꢀWUѭQJꢀFӫDꢀ  
WKjQKꢀ ӕQJꢀ WLrXꢀ KyDꢁꢀ 7LrXꢀ FKXҭQꢀ FKҭQꢀ ÿRiQꢀ  
FӫDꢀ WҳFꢀ Wiꢀ WUjQJꢀ WUrQꢀ VLrXꢀ kPꢃꢀ GӵDꢀ YjRꢀ ELӇXꢀ  
KLӋQꢀFӫDꢀWuQKꢀWUҥQJꢀWҳFꢀQJKӁQꢀÿѭӡQJꢀWLrXꢀKyDꢀ  
KRһFꢀSKiWꢀKLӋQꢀGҩXꢀKLӋXꢀQJX\rQꢀQKkQꢁꢀ6ꢀ&KҭQꢀ  
ÿRiQꢀVLrXꢀkPꢀWҳFꢀWiꢀWUjQJꢀGRꢀQJX\rQꢀQKkQꢀQӝLꢀ  
WҥLꢀÿѭӧFꢀ[iFꢀQKұQꢀQKѭꢀVDXꢃꢀWHRꢀWiꢀWUjQJꢀNKLꢀFyꢀ  
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KӛQJꢀWUjQJꢒꢀWUѭӡQJꢀKӧSꢀWҳFꢀNK{QJꢀKRjQꢀWRjQꢂꢀ  
NӃWOXұQOjWҳF77%6GRQJX\rQQKkQQӝLWҥLꢀ  
NKLꢀ Fyꢀ ³KuQKꢀ ҧQKꢀ EyQJꢀ ÿ{L´ꢀ NqPꢀ ORҥLꢀ WUӯꢀ FiFꢀ  
QJX\rQꢀ QKkQꢀ ErQꢀ QJRjLꢒꢀ FiFꢀ GҩXꢀ KLӋXꢀ NKiFꢀ  
JL~SꢀSKiWꢀKLӋQꢀQJX\rQꢀQKkQꢀKRһFꢀFӫQJꢀFӕꢇORҥLꢀ  
WUӯꢀFKҭQꢀÿRiQꢁꢈꢂꢀꢌ  
ꢄꢊꢆꢀGҩXꢀKLӋXꢀWăQJꢀQKXꢀÿӝQJꢀUXӝWꢀOjꢀVӵꢀFXӝQꢀ  
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WUӵFꢀQJD\ꢀYӏꢀWUtꢀWUѭӟFꢀFKӛꢀWҳFꢀQJKӁQꢂ5  
ꢃꢁꢂ;ӱꢂOêꢂVӕꢂOLӋX  
6ӕꢀ OLӋXꢀ ÿѭӧFꢀ QKұSꢀ Yjꢀ SKkQꢀ WtFKꢀ EҵQJꢀ  
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7ꢀKRһFꢀ8ꢀ0DQQꢀ:KLWQH\ꢂꢀFyꢀêꢀQJKƭDꢀWKӕQJꢀNrꢀ  
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GѭӟLꢀGҥQJꢀWӹꢀOӋꢀYjꢀÿѭӧFꢀNLӇPꢀÿӏQKꢀEҵQJꢀSKpSꢀ  
NLӇPꢀFKLꢀEuQKꢀSKѭѫQJꢀKRһFꢀ)LVKHUꢁ  
ꢄꢈꢆꢀPjQJꢀQJăQꢀWiꢀWUjQJꢀOjꢀGҧLꢀWăQJꢀkPꢀGj\ꢀ  
QҵPꢀ FҳWꢀ QJDQJꢀ WURQJꢀ OzQJꢀ Wiꢀ WUjQJꢀ ÿҫ\ꢀ GӏFKꢂꢀ  
KRjQꢀWRjQꢀKRһFꢀNK{QJꢀKRjQꢀWRjQꢂ7  
ꢄꢋꢆꢀKuQKꢀҧQKꢀWө\ꢀQKүQꢀÿѭӧFꢀJKLꢀQKұQꢀEҵQJꢀ  
KuQKꢀҧQKꢀFҩXꢀWU~FꢀOLrQꢀWLӃSꢀYӟLꢀQKXꢀP{ꢀWKkQꢀ±ꢀ  
ÿX{LꢀWө\ꢀQҵPꢀEDRꢀTXDQKꢀÿRҥQꢀ'ꢊꢀWiꢀWUjQJꢀKҽSꢂ5  
ꢄꢌꢆꢀEҩWꢀWKѭӡQJꢀYӏꢀWUtꢀFӫDꢀWƭQKꢀPҥFKꢀPҥFꢀWUHRꢀ  
WUjQJWUrQ0777ꢆNKLQyQҵPӣErQWUiLꢇSKtDꢀ  
WUѭӟFꢀVRꢀYӟLꢀÿӝQJꢀPҥFKꢀ0777ꢍ  
ĈӕLꢀFKLӃXꢀKuQKꢀҧQKꢀVLrXꢀkPꢀYӟLꢀNӃWꢀTXҧꢀSKүXꢀ  
WKXұWꢀÿӇꢀWtQKꢀVӕꢀEӋQKꢀQKkQꢀFyꢀNӃWꢀTXҧꢀGѭѫQJꢀ  
WtQKWKұWꢂGѭѫQJWtQKJLҧꢂkPWtQKWKұWYjkPꢀ  
WtQKJLҧꢂWӯÿyOұSEҧQJ[ÿӇ[iFÿӏQKÿӝꢀ  
QKҥ\ÿӝÿһFKLӋXꢂJLiWGӵEiRGѭѫQJWtQKꢂꢀ  
JLiꢀWUӏꢀGӵꢀEiRꢀkPꢀWtQKꢂꢀÿӝꢀFKtQKꢀ[iFꢀFӫDꢀVLrXꢀkPꢀ  
WURQJꢀFKҭQꢀÿRiQꢀWҳFꢀ77%6ꢀGRꢀFiFꢀQJX\rQꢀQKkQꢀ  
QӝLꢀWҥLꢀӣꢀWUҿꢀVѫꢀVLQKꢁ  
ꢄꢎꢆꢀ GҩXꢀ KLӋXꢀ :KLUOSRROꢀ Ojꢀ KuQKꢀ ҧQKꢀ FҳWꢀ  
QJDQJꢀFyꢀGҥQJꢀNKӕLꢀWUzQꢀJLҧPꢀkPꢂꢀQҵPꢀWUѭӟFꢀ  
FӝWꢀVӕQJꢀYjꢀÿӝQJꢀPҥFKꢀFKӫꢀEөQJꢀꢄĈ0&%ꢆꢂꢀPҥFꢀ  
WUHRꢀUXӝWꢀYjꢀWƭQKꢀPҥFKꢀ0777ꢀ[RҳQꢀTXDQKꢀÿӝQJꢀ  
PҥFKꢀ 0777ꢀ QҵPꢀ ӣꢀ YQJꢀ WUXQJꢀ WkPꢀ FӫDꢀ NKӕLꢀ  
WKHRꢀFKLӅXꢀNLPꢀÿӗQJꢀKӗꢀNKLꢀWUѭӧWꢀÿҫXꢀGzꢀWKHRꢀ  
KѭӟQJꢀÿҫXꢀ±ꢀFKkQꢂꢋ  
ꢄꢁꢂĈҥRꢂÿӭFꢂQJKLrQꢂFӭX  
ꢄꢏꢆꢀ KuQKꢀ ҧQKꢀ WƭQKꢀ PҥFKꢀ FӱDꢀ QҵPꢀ WUѭӟFꢀ Wiꢀ  
WUjQJÿѭӧFQKұQGLӋQWUrQVLrXkPEҵQJFҩXꢀ  
WU~FꢀWƭQKꢀPҥFKꢀQҵPꢀWUѭӟFꢀWө\ꢀYjꢀWiꢀWUjQJꢀKѭӟQJꢀ  
YӅꢀSKtDꢀUӕQꢀJDQꢂꢐ  
7K{QJꢀ WLQꢀ EӋQKꢀ QKkQꢀ WKDPꢀ JLDꢀ QJKLrQꢀ FӭXꢀ  
ÿѭӧFꢀJLӳꢀEtꢀPұWꢀYjꢀFKӍꢀVӱꢀGөQJꢀGjQKꢀFKRꢀPөFꢀ  
ÿtFKꢀQJKLrQꢀFӭXꢂꢀNK{QJꢀJk\ꢀUDꢀҧQKꢀKѭӣQJꢀJuꢀÿӃQꢀ  
VӭFꢀNKӓHꢀYjꢀTXiꢀWUuQKꢀÿLӅXꢀWUӏꢀFӫDꢀEӋQKꢀQKkQꢁ  
TCNCYH 138 (2) - 2021  
ꢀꢁ  
7Ҥ3ꢀ&+Ëꢀ1*+,Ç1ꢀ&Ӭ8ꢀ<ꢀ+Ӑ&  
,,,ꢀꢁ.ӂ7ꢁ48Ҧ  
ꢂꢀꢁĈһFꢁÿLӇPꢁÿӕLꢁWѭӧQJꢁQJKLrQꢁFӭX  
7URQJꢀWKӡLꢀJLDQꢀWӯꢀWKiQJꢀꢁꢂꢀQăPꢀꢃꢁꢄꢅꢀÿӃQꢀWKiQJꢀꢁꢆꢀꢀQăPꢀꢃꢁꢃꢁꢀFyꢀꢃꢁꢀEӋQKꢀQKLꢀÿӫꢀWLrXꢀFKXҭQꢀOӵDꢀ  
FKӑQꢀÿѭӧFꢀÿѭDꢀYjRꢀQJKLrQꢀFӭXꢇꢀYӟLꢀFiFꢀÿһFꢀÿLӇPꢀVDXꢈꢀWXәLꢀWUXQJꢀEuQKꢀꢄꢇꢉꢀ“ꢀꢁꢇꢅꢀQJj\ꢀꢊQKӓꢀQKҩWꢀOjꢀ  
ꢄꢀQJj\ꢇꢀOӟQꢀQKҩWꢀOjꢀꢂꢀQJj\ꢋꢇꢀFyꢀꢄꢃꢀWUҿꢀQDPꢀꢊꢌꢁꢍꢋꢇꢀꢎꢀWUҿꢀQӳꢀꢊꢂꢁꢍꢋꢏꢀ&iFꢀGӏꢀWұWꢀKD\ꢀJһSꢀOjꢀKӝLꢀFKӭQJꢀ  
'RZQꢀWKҩ\ꢀӣꢀꢉꢀWUҿꢀꢊꢄꢆꢍꢋꢇꢀFiFꢀWUҿꢀQj\ꢀÿӅXꢀÿѭӧFꢀFKҭQꢀÿRiQꢀVDXꢀSKүXꢀWKXұWꢀOjꢀWҳFꢀ77%6ꢀGRꢀQJX\rQꢀ  
QKkQꢀQӝLꢀWҥLꢐꢀGӏꢀWұWꢀWLPꢀPҥFKꢀFyꢀꢃꢀWUҿꢀꢊꢄꢁꢍꢋꢐꢀGӏꢀWұWꢀWLrXꢀKyDꢀNKiFꢀFyꢀꢄꢀWUҿꢀꢊꢆꢍꢋꢏꢀꢄꢌꢀWUҿꢀꢊꢎꢁꢍꢋꢀFyꢀWULӋXꢀ  
FKӭQJꢀQ{QꢇꢀWURQJꢀÿyꢀꢄꢂꢀWUҿꢀQ{QꢀGӏFKꢀPұWꢀꢊꢅꢁꢍꢋꢏꢀ*KLꢀQKұQꢀꢄꢆꢀFDꢀꢊꢅꢆꢍꢋꢀFyꢀFKҭQꢀÿRiQꢀWKHRꢀG}LꢀWҳFꢀ  
77%6ꢀWUѭӟFꢀVLQKꢏ  
ꢃꢀꢁ.ӃWꢁTXҧꢁSKүXꢁWKXұW  
&yꢀꢄꢆꢀWUҿꢀFyꢀFKҭQꢀÿRiQꢀVDXꢀSKүXꢀWKXұWꢀOjꢀWҳFꢀ77%6ꢀGRꢀQJX\rQꢀQKkQꢀQӝLꢀWҥLꢀꢊꢅꢆꢍꢋꢇꢀFyꢀꢆꢀWUҿꢀFyꢀ  
FKҭQꢀÿRiQꢀVDXꢀPәꢀOjꢀWҳFꢀ77%6ꢀGRꢀQJX\rQꢀQKkQꢀQJRҥLꢀODLꢀꢊꢄꢆꢍꢋꢏ  
ĈһFꢀÿLӇPꢀVLrXꢀkPꢀEөQJꢀWURQJꢀFKҭQꢀÿRiQꢀWҳFꢀWiꢀWUjQJꢀEҭPꢀVLQK  
%ҧQJꢁꢂꢀꢁĈһFꢁÿLӇPꢁKuQKꢁҧQKꢁFӫDꢁVLrXꢁkPꢄꢁ1ꢁ ꢁꢃꢅ  
+uQKꢁҧQK  
n
³+uQKꢀҧQKꢀEyQJꢀÿ{L´  
'ҩXꢀKLӋXꢀFKX\ӇQꢀWLӃS  
7ăQJꢀQKXꢀÿӝQJꢀUXӝW  
17  
17  
11  
15  
1
ꢎꢆ  
ꢎꢆ  
55  
75  
5
+ӛQJꢀWUjQJꢀ[ҽSꢇꢀNK{QJꢀFyꢀNKt  
0jQJꢀQJăQꢀKRjQꢀWRjQ  
0jQJꢀQJăQꢀNK{QJꢀKRjQꢀWRjQ  
+uQKꢀҧQKꢀWө\ꢀQKүQ  
1
5
2
ꢄꢁ  
5
'ҩXꢀKLӋXꢀ:KLUOSRRO  
1
%ҩWꢀWKѭӡQJꢀYӏꢀWUtꢀWƭQKꢀPҥFKꢀ0777  
1
5
%ҧQJꢀꢄꢀFKRꢀWKҩ\ꢀÿһFꢀÿLӇPꢀKuQKꢀҧQKꢀFӫDꢀVLrXꢀkPꢀәꢀEөQJꢏꢀ&yꢀꢄꢅꢀWUѭӡQJꢀKӧSꢀFyꢀ³KuQKꢀҧQKꢀEyQJꢀ  
ÿ{L´ꢀYjꢀꢄꢅꢀWUѭӡQJꢀKӧSꢀWKҩ\ꢀGҩXꢀKLӋXꢀFKX\ӇQꢀWLӃSꢀꢊÿӅXꢀFKLӃPꢀꢎꢆꢍꢋꢇꢀFyꢀꢄꢄꢀWUѭӡQJꢀKӧSꢀFyꢀKuQKꢀҧQKꢀ  
WăQJꢀQKXꢀÿӝQJꢀUXӝWꢀꢊꢆꢆꢍꢋꢇꢀꢄꢆꢀWUѭӡQJꢀKӧSꢀWKҩ\ꢀNK{QJꢀFyꢀNKtꢀWURQJꢀKӛQJꢀWUjQJꢀꢊꢅꢆꢍꢋꢇꢀꢄꢀWUѭӡQJꢀKӧSꢀ  
WKҩ\ꢀPjQJꢀQJăQꢀKRjQꢀWRjQꢀꢊꢆꢍꢋꢇꢀꢄꢀWUѭӡQJꢀKӧSꢀWKҩ\ꢀPjQJꢀQJăQꢀNK{QJꢀKRjQꢀWRjQꢀꢊꢆꢍꢋꢇꢀKuQKꢀҧQKꢀWө\ꢀ  
QKүQꢀÿѭӧFꢀTXDQꢀViWꢀӣꢀꢃꢀWUѭӡQJꢀKӧSꢀꢊꢄꢁꢍꢋꢇꢀGҩXꢀKLӋXꢀ:KLUOSRROꢀYjꢀEҩWꢀWKѭӡQJꢀYӏꢀWUtꢀWƭQKꢀPҥFKꢀ0777ꢀ  
TXDQꢀViWꢀÿѭӧFꢀӣꢀꢄꢀWUѭӡQJꢀKӧSꢀꢊꢆꢍꢋꢏꢀ.K{QJꢀJKLꢀQKұQꢀWUѭӡQJꢀKӧSꢀQjRꢀFyꢀKuQKꢀҧQKꢀWƭQKꢀPҥFKꢀFӱDꢀ  
QҵPꢀWUѭӟFꢀWiꢀWUjQJꢇꢀGҩXꢀKLӋXꢀNuPꢀÿӝQJꢀPҥFKꢀKD\ꢀQDQJꢀWiꢀWUjQJꢀÿ{Lꢏ  
ꢀꢀ  
TCNCYH 138 (2) - 2021  
7Ҥ3ꢀ&+Ëꢀ1*+,Ç1ꢀ&Ӭ8ꢀ<ꢀ+Ӑ&  
ꢀꢁꢂ*LiꢂWUӏꢂFӫDꢂVLrXꢂkPꢂWURQJꢂFKҭQꢂÿRiQꢂWҳFꢂ77%6ꢂGRꢂQJX\rQꢂQKkQꢂQӝLꢂWҥL  
%ҧQJꢂꢃꢁꢂ*LiꢂWUӏꢂFӫDꢂVLrXꢂkPꢂWURQJꢂFKҭQꢂÿRiQꢂWҳFꢂ77%6ꢂGRꢂQJX\rQꢂQKkQꢂQӝLꢂWҥL  
&KҭQꢂÿRiQ  
Ĉӝꢂ  
ĈӝꢂÿһFꢂ  
KLӋX  
339  
139  
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VDXꢂSKүXꢂWKXұW  
QKҥ\  
6LrXꢂkP  
&y  
.K{QJ  
³+uQKꢂ̻QKꢂEyQJꢂÿ{L´  
&y  
13  
2
ꢁꢂꢃꢄ  
ꢁꢂꢃꢄ  
ꢅꢆꢃꢆ  
ꢁꢂꢃꢄ  
25  
25  
ꢈꢇ  
ꢂꢇ  
ꢄꢂꢃꢅ  
ꢄꢂꢃꢅ  
ꢄꢉꢃꢄ  
ꢁꢂꢃꢄ  
ꢆꢆꢃꢆ  
ꢆꢆꢃꢆ  
ꢉꢉꢃꢉ  
ꢂꢇ  
ꢄꢇ  
ꢄꢇ  
ꢅꢇ  
ꢁꢇ  
.K{QJ  
1
'̽XꢂKL͟XꢂFKX\͛QꢂWL͗S  
&y  
13  
2
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1
7ăQJꢂQKXꢂÿͱQJꢂUXͱW  
&y  
3
2
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7
.͗WꢂOXͅQꢂFͿDꢂVLrXꢂkP  
7ҳFꢀQӝLꢀWҥL  
.K{QJꢀWҳFꢀQӝLꢀWҥL  
13  
2
2
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%ҧQJꢀꢉꢀFKRꢀWKҩ\ꢀJLiꢀWUӏꢀFӫDꢀFiFꢀGҩXꢀKLӋXꢀWUrQꢀVLrXꢀkPꢀYjꢀNӃWꢀOXұQꢀFӫDꢀVLrXꢀkPꢀWURQJꢀFKҭQꢀÿRiQꢀ  
WҳFꢀ77%6ꢀGRꢀQJX\rQꢀQKkQꢀQӝLꢀWҥLꢀӣꢀWUҿꢀVѫꢀVLQKꢀQKѭꢀVDXꢊꢀĈӝꢀQKҥ\ꢃꢀÿӝꢀÿһFꢀKLӋXꢃꢀJLiꢀWUӏꢀGӵꢀÿRiQꢀGѭѫQJꢀ  
WtQKꢃꢀJLiꢀWUӏꢀGӵꢀÿRiQꢀkPꢀWtQKꢃꢀÿӝꢀFKtQKꢀ[iFꢀFӫDꢀ³KuQKꢀҧQKꢀEyQJꢀÿ{L´ꢀOҫQꢀOѭӧWꢀOjꢀꢁꢂꢃꢄꢋꢃꢀꢉꢅꢋꢃꢀꢄꢂꢃꢅꢋꢃꢀ  
ꢆꢆꢃꢆꢋꢃꢀꢄꢇꢋꢌꢀ'ҩXꢀKLӋXꢀFKX\ӇQꢀWLӃSꢀFyꢀÿӝꢀQKҥ\ꢃꢀÿӝꢀÿһFꢀKLӋXꢃꢀJLiꢀWUӏꢀGӵꢀÿRiQꢀGѭѫQJꢀWtQKꢃꢀJLiꢀWUӏꢀGӵꢀ  
ÿRiQꢀkPꢀWtQKꢃꢀÿӝꢀFKtQKꢀ[iFꢀOҫQꢀOѭӧWꢀOjꢀꢁꢂꢃꢄꢋꢃꢀꢉꢅꢋꢃꢀꢄꢂꢃꢅꢋꢃꢀꢆꢆꢃꢆꢋꢃꢀꢄꢇꢋꢌꢀĈӝꢀQKҥ\ꢃꢀÿӝꢀÿһFꢀKLӋXꢃꢀJLiꢀ  
WUӏꢀGӵꢀÿRiQꢀGѭѫQJꢀWtQKꢃꢀJLiꢀWUӏꢀGӵꢀÿRiQꢀkPꢀWtQKꢃꢀÿӝꢀFKtQKꢀ[iFꢀFӫDꢀKuQKꢀҧQKꢀWăQJꢀQKXꢀÿӝQJꢀUXӝWꢀOҫQꢀ  
OѭӧWꢀOjꢀꢅꢆꢃꢆꢋꢃꢀꢈꢇꢋꢃꢀꢄꢉꢃꢄꢋꢃꢀꢉꢉꢃꢉꢋꢃꢀꢅꢇꢋꢌꢀĈӝꢀQKҥ\ꢃꢀÿӝꢀÿһFꢀKLӋXꢃꢀJLiꢀWUӏꢀGӵꢀÿRiQꢀGѭѫQJꢀWtQKꢃꢀJLiꢀWUӏꢀGӵꢀ  
ÿRiQꢀkPꢀWtQKꢃꢀÿӝꢀFKtQKꢀ[iFꢀFӫDꢀNӃWꢀOXұQꢀVLrXꢀkPꢀOҫQꢀOѭӧWꢀOjꢀꢁꢂꢃꢄꢋꢃꢀꢂꢇꢋꢃꢀꢁꢂꢃꢄꢋꢃꢀꢂꢇꢋꢃꢀꢁꢇꢋꢌ  
,9ꢂ%¬1ꢂ/8Ұ1  
7ҳFꢀWiꢀWUjQJꢀEҭPꢀVLQKꢀꢍ77%6ꢎꢀOjꢀPӝWꢀWURQJꢀ  
QKӳQJꢀGӏꢀWұWꢀSKәꢀELӃQꢀQKҩWꢀӣꢀWUҿꢀVѫꢀVLQKꢌ1ꢀ7X\ꢀ  
ÿmꢀFyꢀQKLӅXꢀWLӃQꢀEӝꢀWURQJꢀOƭQKꢀYӵFꢀKӗLꢀVӭFꢀYjꢀ  
QJRҥLꢀNKRDꢀQKѭQJꢀWҳFꢀ77%6ꢀYүQꢀOjꢀPӝWꢀWKiFKꢀ  
WKӭFꢀWURQJꢀÿLӅXꢀWUӏꢃꢀWURQJꢀÿyꢀFyꢀ\rXꢀFҫXꢀYӅꢀFKҭQꢀ  
ÿRiQꢀFKtQKꢀ[iFꢀYjꢀNӏSꢀWKӡLꢌ11ꢀ&iFꢀGҩXꢀKLӋXꢀJL~Sꢀ  
ÿӏQKꢀ KѭӟQJꢀ ÿӃQꢀ WҳFꢀ Wiꢀ WUjQJꢀ EDRꢀ JӗPꢀ ³KuQKꢀ  
ҧQKꢀ EyQJꢀ ÿ{L´ꢃꢀ GҩXꢀ KLӋXꢀ FKX\ӇQꢀ WLӃSꢀ Yjꢀ GҩXꢀ  
KLӋXꢀWăQJꢀQKXꢀÿӝQJꢀUXӝWꢀWUѭӟFꢀFKӛꢀWҳFꢌꢀ&iFꢀFKӍꢀ  
VӕꢀÿiQKꢀJLiꢀYӅꢀJLiꢀWUӏꢀFӫDꢀ³KuQKꢀҧQKꢀEyQJꢀÿ{L´ꢀ  
WUrQVLrXkPWURQJQJKLrQFӭXFK~QJW{LFKRꢀ  
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TCNCYH 138 (2) - 2021  
ꢀꢁ  
7Ҥ3ꢀ&+Ëꢀ1*+,Ç1ꢀ&Ӭ8ꢀ<ꢀ+Ӑ&  
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ꢀꢁ  
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7Ҥ3ꢀ&+Ëꢀ1*+,Ç1ꢀ&Ӭ8ꢀ<ꢀ+Ӑ&  
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