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Ukwabelana Ngetyala

2024-01-05 09:19:24

I-V-type Bichannel Endoscopy (VBE) iye yaphuhliswa liqela likaNjingalwazi uHe Shisheng kwiziko le-Minimally Invasive Spine Centre yeSibhedlele seShumi saBantu saseShanghai ngokubambisana neGuanlong. Yinkqubo ye-endoscopy ye-spinal-channel-channel enamalungelo azimeleyo epropathi enomgangatho ophezulu wokuqonda. I-VBE inecasing ephezulu nasezantsi enetshaneli enye ye-endoscopic kunye netshaneli enye esebenzayo kwi-engile encinci, enika imilo 'V' kwimbonakalo yecala. I-trocar esebenzayo iquka iziteshi ezimbini, enye ye-endoscopy kunye neyokusebenza. Omabini amajelo aneengile kancinane kwaye anomfanekiso 'V' xa ejongwe ecaleni. Ezi tshaneli zimbini zinokudityaniswa ukuvumela ukusetyenziswa kwee-endoscopes eziqhelekileyo, kunye ne-endoscopes eyilwe ngokukodwa eyi-fine-diameter endoscopes ukwenzela imisebenzi ye-dorsal enkulu yendawo, efana ne-microscopic fusion, i-posterior decompression, kunye notyando lwe-fusion.

Oku kulandelayo ngumzekelo wokusetyenziswa ngokubonakalayo kwe-V-type Bichannel Endoscopy (VBE) kutyando:

Indoda eneminyaka engama-67 ubudala yangeniswa esibhedlele "intlungu yomqolo kunye ne-claudication yelungu elingaphantsi lasekunene iminyaka emibini kunye neentlungu ezikhuphayo kwilungu elingaphantsi lasekunene inyanga enye". Wafunyaniswa ukuba une-lumbar disc herniation kunye ne-lumbar spinal stenosis.

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I-MRI yangaphambi kokusebenza ibonise i-L4 / 5 i-spinal stenosis edibeneyo kunye ne-disc ye-disc ye-right side.

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I-CT yangaphambili

I-VBE endoscopic decompression kunye ne-fusion percutaneous endoprosthesis yacetywa.

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Ukucwangciswa kwangaphambili kwe-incision: i-5-6cm ye-median paracentesis

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Uhlalutyo lwangaphambi kokusebenza kwekhosi yengcambu ye-nerve: umzimba we-vertebral ujikelezwe kancinci, kwaye ingcambu ye-L4 efanelekileyo yokuphuma iphantsi kancinci.

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I-MRN yangaphambi kokusebenza: ngokusisiseko ulungelelwaniso oluqhelekileyo, akukho nto icacileyo yengcambu yemithambo-luvo.

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I-intraoperative microscopic fusion usebenzisa i-V-type Bichannel Endoscopy (VBE).

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I-intraoperative microscopic fusion usebenzisa i-V-type Bichannel Endoscopy (VBE).

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Ukubonakala kwenxeba emva kokuhlinzwa kancinci; ukukhululeka kweempawu kwangoko emva kokuhlinzwa; phantse akukho ntlungu yasemva kotyando ngenxa yokopha kwe-intraoperative malunga ne-20 ml kuphela kwaye akukho vuselelo lubalulekileyo lwe-dural sac.

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I-X-ray ye-postoperative: indawo eyanelisayo ye-screws yokulungiswa kwangaphakathi kunye nesixhobo sokuxuba.