Kuenderera mberi Kukwidziridzwa kweMatanho ekuvhiya muChinyakare cheChinese Mishonga: Gomba Rimwechete Dual Media Spinal Endoscopy (DMSE) yeLumbar Spinal Canal Kuwedzera Decompression uye Nucleus Medullae Kubviswa.

Munguva pfupi yapfuura, timu yekuvhiya inotungamirwa naShang Hongming kubva kuQingyun County Traditional Chinese Medicine Hospital yakabudirira kurapa varwere vaviri vane yakanyanya lumbar spinal stenosis vachishandisa ichangoburwa imba imwechete diki incision (1cm) mbiri yepakati spinal endoscopy tekinoroji (DMSE tekinoroji).

Case One

VaZhou, makumi mana nemasere ekuberekwa,
Kurwadza kwezasi kumashure kunoperekedzwa nekurwadziwa mugumbo rezasi rekurudyi,
Kukamhina kwepakati kwemamita gumi,
Iyo yekurudyi yezasi nhengo yakatwasuka yegumbo bvunzo yaive yakanaka pa45 madhigirii,
Paunenge wakarara pasi, kana chimiro chisina kunaka, chinogona kukonzera kurwadziwa kwakanyanya muchikamu chezasi chekurudyi

Preoperative

Zhou's imaging data yakaratidza stenosis muchikamu chekurudyi cheL4 / 5, ine inooneka prolapsed nucleus pulposus tissue shadows. Paaitaura nezvekuvhiyiwa, chiso chake chakachinja. Paakaudzwa kuti taigona kushandisa tekinoroji yepamusoro-soro yepinal endoscopy yekunyaradza marwadzo ake, murwere akazosarudza. Chikwata chekuvhiya chakabudirira kubvisa iyo intervertebral disc kubva pane imwe centimita diki gomba vachishandisa yakanakisa tekinoroji. Marwadzo pamubhedha akapera zuva rakatevera mushure mekuvhiyiwa, uye chiso chaVaZhou chairatidzawo kunyemwerera kwenguva refu;

Kupora kwaVaZhou mushure mekuvhiyiwa kwakanaka

Nyaya Yechipiri

Preoperative

VaLi, nekuda kwemarwadzo emusana achiperekedzwa nekurwadziwa kwegumbo rekuruboshwe kuri kuwedzera kwegore rimwe nemazuva matatu, vakauya kuchipatara. Murwere aive nemarwadzo akanyanya mugumbo rezasi rekuruboshwe nemagaro, uye aitya kumuka pamubhedha. Muedzo wekusimudza gumbo rekuruboshwe rezasi raive madhigirii gumi nemashanu, uye marwadzo acho aive akaomarara uye asingatsungiririki. Gumbo rezasi rekuruboshwe rakanga rave nechiveve, uye pakanga paine nhoroondo yemarwadzo ezasi uye chiveve. Imaging data yakaratidza disc herniation muL4 / 5 uye L5 / S1, calcification ye posterior longitudinal ligament muL5 / S1, uye spinal stenosis. Murwere ari muhutano hwakakomba, mudiki muzera, uye anoda basa repamusoro remuviri. Mushure mekunyatsoongorora firimu uye kusarudzwa kwezvirongwa zvekuvhiya naDirector Hongming weCommerce, zvakazosarudzwa kuita kuvhiyiwa kusinganyanyi kupindira uchishandisa posterior dual medium spinal endoscopy. Munguva yekuvhiyiwa, matatu akadzingwa intervertebral discs akabviswa, uye calcified posterior longitudinal ligament yakabviswa zvachose, ichizadzisa chinangwa cheunilateral uye bilateral decompression. Marwadzo epazasi penhengo yemurwere akabva angonyevenuka pashure pokuvhiyiwa, uye mufaro wokubvisa marwadzo wakaoneka pachiso chaVaLi.

Dr. Shang Hongming vanoita kuvhiyiwa kusinganyanyi kukuvadza ne dual media spinal endoscopy yevarwere

Bvisa zvidimbu zvakakura zve intervertebral disc tissue panguva yekuvhiyiwa

Kuenzaniswa nevamwe
Pasi pe endoscopy (DMSE) inogona kudzivirira kukanganisa kwekuvhiyiwa kwakavhurika
Shandura chironda chikuru 10 centimita
Yakashandurwa kuita gomba risinganyanyi kupindira re 1 centimita
Wana kukuvadzwa kushoma uye nekukurumidza kuvhiya mhedzisiro
Zvakanakira zvenguva pfupi yekupora uye yakaderera mari yekurapa
Kuvhiya kwacho kwakabudirira zvikuru
Intraoperative kubuda ropa kwemamililita gumi chete
Zviratidzo zvekurwadziwa zvakanyangarika muvarwere vose mushure mekuvhiyiwa
Urinary uye fecal recovery function
Buda pamubhedha uye famba-famba wega 2 mazuva mushure mekuvhiyiwa

Chii chinonzi dual medium spinal endoscopy?

Director Shang Hongming vakazivisa kuti mbiri yepakati spinal endoscopy tekinoroji inzira nyowani endoscopic muindasitiri, iyo inovandudzwa nekubatanidza yechinyakare intervertebral disc endoscopy ine intervertebral foramen girazi remvura yepakati. Sezvinodiwa, mvura uye mhepo yemhepo inogona kuchinjwa chero nguva kuti isangane nezvido zvekuvhiya zvemakiriniki maitiro.

Nekusvika kwevanhu vakwegura, chikamu chepakati-kati uye vanhu vakwegura mumabasa ekuvhiyiwa kunze kwekutsvaka mazano ekurapa nekuda kwezvirwere zvepelinha zviri kuwedzera. Vanhu vakwegura vakawanda havangove nezvirwere zvehutano zvakakosha: hypertension, chirwere cheshuga, chirwere chemwoyo (kusanganisira mushure mekuiswa kwegoronary stent, pacemaker implantation, nezvimwewo), asiwo vane zvirwere zvinopera zvakadai se scoliosis uye spinal rotation. Kune rumwe rutivi, varwere vanoona zvakaoma kushivirira kuvhiyiwa kwakazaruka (decompression yakawanda, bone grafting, kugadziriswa kwemukati), uye kune rumwe rutivi, varwere vane yakakura spinal stenosis (kusanganisira central spinal canal, lateral recess, uye nerve root outlet). Izvi zvakaita kuti vanhu vakawanda vakwegura vapedzisire vasiya kurapwa kwekuvhiya uye kusarudza kutsungirira kurwadziwa uye kufamba zvishoma, kuunza mutoro mukuru kumhuri dzavo uye nzanga. Dual medium endoscopic spinal kuvhiyiwa kune nzvimbo yakakura yekushanda, yakakwirira decompression kunyatsoita, kushoma kwenyama yakapfava kukuvadzwa, uye zvakanyanya kuderedza kuitika kwematambudziko akadai sekukuvara kweurovascular.

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