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Iseshini yesihlanu ye-Spinal Minimally Invasive Technology Training Course ye-Physical Disability Rehabilitation Professional Committee ye-China Disabled Persons' Rehabilitation Association.

Ukwabelana Kwecala

2024-01-05 09:19:24

I-V-type Bichannel Endoscopy (VBE) ithuthukiswe ithimba likaSolwazi He Shisheng eSikhungweni Somgogodla Esihlasela Kancane sase-Shanghai Tenth People's Hospital ngokubambisana ne-Guanlong. Iwuhlelo lwe-endoscopy yomgogodla oluneziteshi ezimbili ezinamalungelo azimele empahla yobuhlakani. I-VBE iqukethe i-casing ephezulu nephansi eneshaneli eyodwa ye-endoscopic kanye neshaneli eyodwa esebenzayo nge-engeli encane, enikeza umumo 'V' ekubukeni oseceleni. I-trocar esebenzayo iqukethe iziteshi ezimbili, eyodwa eye-endoscopy kanye neyokusebenza. Zombili iziteshi zine-engeli kancane futhi zinesimo esithi 'V' uma zibukwa eceleni. Amashaneli amabili angahlanganiswa ukuze avumele ukusetshenziswa kwama-endoscopes avamile, kanye nama-endoscopes anobubanzi obuhle aklanywe ngokukhethekile ukuze ahlinzekwe emkhathini omkhulu, njengokuhlanganiswa kwe-microscopic, ukuwohloka kwangemuva, nokuhlinzwa kwe-fusion.

Okulandelayo yisibonelo sokusetshenziswa okungokoqobo kwe-V-type Bichannel Endoscopy (VBE) ekuhlinzeni:

Owesilisa oneminyaka engu-67 ubudala ungeniswe esibhedlela "inezinhlungu emhlane kanye nokuvuleka kwesitho esingezansi kwesokudla iminyaka emibili kanye nobuhlungu obukhazimulayo esithweni esingezansi kwesokudla inyanga eyodwa". Kwatholakala ukuthi une-lumbar disc herniation kanye ne-lumbar spinal stenosis.

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I-MRI yangaphambi kokuhlinzwa ibonise i-L4 / 5 i-spinal stenosis ehlanganiswe ne-disc herniation engakwesokudla.

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I-CT yangaphambi kokuhlinzwa

I-VBE endoscopic decompression kanye ne-fusion percutaneous endoprosthesis yahlongozwa.

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Ukuhlelwa kokusikwa kwangaphambi kokuhlinzwa: 5-6cm median paracentesis

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Ukuhlaziywa kwangaphambi kokuhlinzwa kwenkambo yezimpande zezinzwa: umzimba we-vertebral ujikeleziswa kancane, futhi impande ye-L4 ephumayo efanele iphansi kancane.

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I-MRN yangaphambi kokuhlinzwa: ukuqondanisa okujwayelekile ngokuyisisekelo, akukho ukukhubazeka okusobala kwezimpande zemizwa.

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I-Intraoperative microscopic fusion isebenzisa uhlobo lwe-V-Bichannel Endoscopy (VBE).

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I-Intraoperative microscopic fusion isebenzisa uhlobo lwe-V-Bichannel Endoscopy (VBE).

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Ukubukeka kwesilonda kwangemva kokuhlinzwa; ukukhululeka ngokushesha kwezimpawu ze-postoperative; cishe abukho ubuhlungu bangemva kokuhlinzwa ngenxa yokopha kwangaphakathi kokuhlinzwa okungaba ngu-20 ml kuphela futhi akukho ukukhuthazwa okubalulekile kwesaka eliseduze.

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I-X-ray yangemva kokuhlinzwa: indawo egculisayo yezikulufu zokulungisa zangaphakathi nedivayisi yokuhlanganisa.