Kugabana Urubanza

Ubwoko bwa V Bichannel Endoscopy (VBE) bwakozwe nitsinda rya Porofeseri He Shisheng mu kigo cyitwa Minimally Invasive Spine Centre cy’ibitaro by’abantu icumi bya Shanghai bifatanije na Guanlong. Nuburyo bubiri bwa spinal endoscopy sisitemu ifite uburenganzira bwubwenge bwigenga. VBE igizwe no hejuru no hepfo hamwe numuyoboro umwe wa endoskopi numuyoboro umwe ukora kumurongo muto, utanga ishusho ya 'V' kuruhande. Trocar ikora igizwe n'imiyoboro ibiri, imwe ya endoskopi imwe yo gukora. Imiyoboro yombi ifite inguni nkeya kandi ifite 'V' iyo urebye kuruhande. Imiyoboro yombi irashobora guhurizwa hamwe kugirango yemererwe gukoresha endoskopi isanzwe, kimwe na endoskopi yateguwe neza ya diametre nziza kubikorwa byo mu kirere kinini, nka microscopique fusion, decompression posterior, hamwe no kubaga fusion.

Umugabo w'imyaka 67 yinjiye mu bitaro afite "ububabare bwo mu mugongo no gukomeretsa ingingo yo hepfo y’iburyo mu gihe cy’imyaka ibiri no kubabaza ububabare mu ngingo yo hepfo y’iburyo ukwezi". Yasuzumwe indwara yo mu bwoko bwa disiki na lumbar spinal stenosis.

Mbere yo gutangira MRI yerekanye L4 / 5 umugongo stenosis hamwe na disiki yiburyo.

Mbere yo gutangira CT

VBE endoscopic decompression hamwe na fusion percutaneous endoprosthesis byasabwe.

Gutegura mbere yo gutangira: 5-6cm median paracentesis

Isesengura mbere yo gutangira imizi yumutima: umubiri wurugingo ruzunguruka gato, kandi umuzi wiburyo wa L4 uri munsi gato.

Mbere yo gutangira MRN: mubyukuri guhuza bisanzwe, nta mitsi igaragara yimitsi.

Interaoperative microscopique fusion ukoresheje V-Bichannel Endoscopy (VBE).

Interaoperative microscopique fusion ukoresheje V-Bichannel Endoscopy (VBE).

Nyuma yo gutangira gukomeretsa byoroheje kugaragara; ubutabazi bwihuse nyuma yuburwayi; kabisa nta bubabare bwa nyuma yo kubagwa bitewe no kuva amaraso mungingo zingana na ml 20 gusa kandi nta gukangura gukomeye kumasaho ya dural.

Nyuma yo gukorerwa X-ray: umwanya ushimishije wimashini ikosora imbere hamwe nibikoresho bya fusion.