Kupititsa patsogolo Njira Zopangira Opaleshoni mu Mankhwala Achi China: Single Hole Dual Media Spinal Endoscopy (DMSE) ya Lumbar Spinal Canal Expansion Decompression ndi Nucleus Medullae Removal

Posachedwapa, gulu la opaleshoni lotsogozedwa ndi Shang Hongming wa ku Qingyun County Traditional Chinese Medicine Hospital anathandiza bwino odwala awiri omwe ali ndi lumbar spinal stenosis pogwiritsa ntchito teknoloji yaposachedwa yapakhomo imodzi (1cm) yapawiri yapakatikati ya msana wa msana (DMSE technology).

Mlandu Woyamba

Bambo Zhou, wazaka 48,
Kupweteka kwam'munsi kumbuyo komwe kumayendera limodzi ndi ululu m'munsi chakumanja,
Kuthamanga kwapang'onopang'ono kwa mita 10,
Mayeso okwera mwendo wakumanja wakumanja anali wabwino pa madigiri 45,
Mukagona mopanda phokoso, ngati kaimidwe kameneka ndi kolakwika, kungayambitse kupweteka kwambiri m'munsi kumanja

Preoperative

Deta yojambula ya Bambo Zhou inasonyeza stenosis kumbali yakumanja ya L4 / 5, ndi mithunzi yowoneka yowonjezereka ya nucleus pulposus. Ponena za opaleshoni, nkhope yake inasintha. Atauzidwa kuti tingathe kugwiritsa ntchito luso lapamwamba kwambiri la msana la endoscopy kuti athetse ululu wake, wodwalayo pamapeto pake anaganiza zochita. Gulu lochita opaleshoni linachotsa bwino diski ya intervertebral kuchokera pa dzenje laling'ono la 1 centimita pogwiritsa ntchito luso lamakono. Kupweteka kwa bedi kunachepa tsiku lotsatira pambuyo pa opaleshoni, ndipo nkhope ya Bambo Zhou inasonyezanso kumwetulira kotayika kwautali;

Kuchira kwa Bambo Zhou pambuyo pa opaleshoni ndibwino

Mlandu Wachiwiri

Preoperative

Bambo Li, chifukwa cha kupweteka kwa msana limodzi ndi kuwonjezereka kupweteka kwa m'munsi kumanzere kwa chaka chimodzi ndi masiku atatu, anabwera ku chipatala. Wodwalayo anali ndi ululu waukulu kumanzere kumanzere ndi matako, ndipo ankawopa kudzuka pabedi. Kuyesa kwa mwendo wakumanzere kwa mwendo wakumanzere kunali madigiri 15, ndipo ululuwo unali waukulu komanso wosapiririka. Mbali yakumanzere ya m'munsi inali yadzanzi, ndipo panali mbiri ya kupweteka kwa m'munsi ndi dzanzi. Deta yojambula inasonyeza kutsekemera kwa disc mu L4 / 5 ndi L5 / S1, kuwerengera kwa posterior longitudinal ligament mu L5 / S1, ndi spinal stenosis. Wodwalayo ali muvuto lalikulu, ali wamng'ono mu msinkhu, ndipo amafunikira ntchito yolimbitsa thupi kwambiri. Pambuyo poyang'anitsitsa filimuyo ndikusankha mapulani opangira opaleshoni ndi Director Hongming of Commerce, pamapeto pake adaganiza zopanga opaleshoni yochepa kwambiri pogwiritsa ntchito endoscopy yapakatikati yapakatikati ya msana. Panthawi ya opaleshoniyo, ma discs atatu otayika omwe amachotsedwa anachotsedwa, ndipo calcified posterior longitudinal ligament inachotsedwa kwathunthu, kukwaniritsa cholinga cha unilateral and bilateral decompression. Kupweteka kwa m'munsi kwa wodwalayo kunatsitsimula mwamsanga pambuyo pa opaleshoni, ndipo chisangalalo chochotsa ululu chinawonekera pa nkhope ya Bambo Li.

Dr. Shang Hongming amachita opareshoni yocheperako pang'ono yokhala ndi ma endoscopy a msana wapawiri kwa odwala

Chotsani zidutswa zazikulu za intervertebral disc minofu panthawi ya opaleshoni

Poyerekeza ndi ena
Pansi pa endoscopy (DMSE) imatha kupewa zolakwika za opaleshoni yotseguka
Sinthani chilonda chachikulu cha 10 centimita
Kusinthidwa kukhala dzenje losalowerera pang'ono la 1 centimita
Kupeza kuvulala kochepa ndi zotsatira za opaleshoni yofulumira
Ubwino wa nthawi yochepa yochira komanso mtengo wotsika wamankhwala
Opaleshoniyo inayenda bwino kwambiri
Intraoperative magazi okha 10 milliliters
Ululu zizindikiro mbisoweka onse odwala pambuyo opaleshoni
Ntchito yobwezeretsa mkodzo ndi ndowe
Tulukani pabedi ndikuyenda nokha patatha masiku awiri mutatha opaleshoni

Kodi dual medium spinal endoscopy ndi chiyani?

Director Shang Hongming adalengeza kuti ukadaulo wapawiri wapakatikati wa msana wa endoscopy ndi njira yatsopano yopangira ma endoscopic m'makampani, yomwe imapangidwa bwino pophatikiza chikhalidwe cha intervertebral disc endoscopy ndi intervertebral foramen mirror water medium. Monga kufunikira, zofalitsa zamadzi ndi mpweya zimatha kusinthidwa nthawi iliyonse kuti zikwaniritse zosowa zenizeni za opaleshoni yachipatala.

Pofika anthu okalamba, chiwerengero cha anthu azaka zapakati ndi okalamba omwe ali ndi chithandizo cha opaleshoni chachipatala chofuna chithandizo chamankhwala chifukwa cha matenda a msana chikuwonjezeka. Okalamba ambiri samangokhala ndi matenda ofunikira azachipatala: matenda oopsa, shuga, matenda a mtima (kuphatikiza pambuyo pa kuikidwa kwa coronary stent implantation, pacemaker implantation, etc.), komanso amakhala ndi matenda osokonekera monga scoliosis ndi kuzungulira kwa msana. Kumbali imodzi, odwala amavutika kulekerera opaleshoni yotseguka (kuwonongeka kwakukulu, kulumikiza mafupa, kukonza mkati), ndipo kumbali ina, odwala ali ndi stenosis yambiri ya msana (kuphatikizapo msana wapakati wa msana, lateral recess, ndi mitsempha ya mitsempha). Izi zachititsa kuti anthu ambiri okalamba ayambe kusiya chithandizo cha opaleshoni ndikusankha kupirira zowawa komanso kuyenda kochepa, kubweretsa mtolo waukulu kwa mabanja awo ndi anthu. Opaleshoni yapakatikati yapakatikati ya endoscopic ya msana imakhala ndi malo ambiri ogwirira ntchito, kuyendetsa bwino kwambiri, kuwonongeka kwa minofu yofewa pang'ono, komanso kumachepetsa bwino kupezeka kwa zovuta monga kuvulala kwa mitsempha.

Dragon Crown Medical Co., Ltd. ndi bizinesi yapamwamba kwambiri yophatikiza R&D, kupanga ndi kugulitsa zinthu zamankhwala. Ndife apainiya komanso olimbikitsa zida zachipatala za mafupa ndi matekinoloje ochepa kwambiri ku China kwa zaka 20.