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Kev Sib Koom

2024-01-05 09:19:24 TSİ

Lub V-hom Bichannel Endoscopy (VBE) tau tsim los ntawm Xib Fwb He Shisheng pab neeg ntawm Minimally Invasive Spine Center ntawm Shanghai Tenth People's Hospital koom nrog Guanlong. Nws yog dual-channel spinal endoscopy system nrog kev ywj pheej kev txawj ntse cov cai. Lub VBE muaj lub sab sauv thiab sab hauv nrog ib qho endoscopic channel thiab ib txoj haujlwm ua haujlwm ntawm lub kaum sab xis me ntsis, muab 'V' duab nyob rau sab saib. Lub trocar ua haujlwm muaj ob txoj hauv kev, ib qho rau kev tshuaj ntsuam xyuas thiab ib qho rau kev ua haujlwm. Ob lub channel yog me ntsis angled thiab muaj 'V' zoo thaum saib los ntawm sab. Ob txoj kev tuaj yeem sib xyaw ua ke kom tso cai rau kev siv cov khoom siv endoscopes, nrog rau tshwj xeeb tsim zoo-inch endoscopes rau dorsal loj qhov chaw ua haujlwm, xws li microscopic fusion, posterior decompression, thiab fusion phais.

Cov hauv qab no yog ib qho piv txwv ntawm kev siv V-type Bichannel Endoscopy (VBE) hauv kev phais:

Ib tug txiv neej hnub nyoog 67 xyoo tau mus pw hauv tsev kho mob nrog "mob nraub qaum thiab claudication ntawm sab xis sab xis rau ob xyoos thiab ua rau mob hauv sab xis sab xis rau ib hlis". Nws tau kuaj pom tias muaj lumbar disc herniation thiab lumbar spinal stenosis.

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Preoperative MRI pom L4/5 spinal stenosis ua ke nrog txoj cai sab xis disc herniation.

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Preoperative CT

VBE endoscopic decompression thiab fusion percutaneous endoprosthesis tau npaj.

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Preoperative incision Planning: 5-6cm nruab nrab paracentesis

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Kev tsom xam ua ntej ntawm cov paj hlwb: lub cev vertebral yog me ntsis tig, thiab txoj cai L4 qhov hluav taws xob hauv paus yog me ntsis qis.

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Preoperative MRN: ib txwm ua kom zoo, tsis muaj qhov pom tseeb ntawm cov paj hlwb deformity.

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Intraoperative microscopic fusion siv V-hom Bichannel Endoscopy (VBE).

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Intraoperative microscopic fusion siv V-hom Bichannel Endoscopy (VBE).

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Postoperative minimally invasive qhov txhab zoo li; tam sim tom qab kev phais cov tsos mob nyem; yuav luag tsis muaj qhov mob tom qab phais vim los ntshav los ntshav tsuas yog li 20 ml thiab tsis muaj qhov tseem ceeb ntawm lub hnab dural.

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Postoperative X-ray: txaus siab txoj hauj lwm ntawm sab hauv fixation screws thiab fusion ntaus ntawv.