Kutshanje, u-Li Haomiao, umlawuli weSebe le-Bone Oncology yeSibhedlele esiNxibeleneyo seSithathu seYunivesithi yezoNyango yaseMazantsi, ugqibe indawo ye-hemipelvic yesiphene emva kokususwa kwethumba nge-LDK eyenziwe ngokwezifiso ze-tumor prosthesis, kwaye utyando lwahamba kakuhle.
Isigulana safunyaniswa sinobunzima be-hip ekhohlo ngo-2007 kwaye senziwa "i-left hip tumor resection + i-bone grafting" kwesinye isibhedlele. Ngo-2010, ubuninzi buphindaphinda kwaye waphinda "washiya i-hip bone ye-lesion lesion resection + ithambo lesamente yokuzaliswa" kwakhona, kwaye i-postoperative pathology ibonise ukuphindaphinda kwe-chondroblastoma. Isibhedlele sicebise ukuba isigulana siye kwisibhedlele seengcali ze-oncology ukuze sifumane unyango oluthe kratya, kodwa isigulane asizange sikuhoye oko.
Kwiminyaka yakutshanje, isigulane saziva iintlungu ezikhulayo kwi-hip ekhohlo, kwaye ngoNovemba ka-2021, waxilongwa yisibhedlele sangaphandle, esibonisa "i-hip dislocation yasekhohlo kunye ne-ischemic necrosis yentloko ye-femoral", ehamba kunye nokuguqulwa kwe-morphological kunye nomqondiso we-pelvis yasekhohlo kunye nezihlunu ezijikelezayo, i-ischemic necrosis yentloko ye-femoral ekhohlo kunye ne-left hip kwi-lymph nodes ekhohlo.
Ukufumana unyango olucwangcisiweyo olongezelelweyo, isigulana siye senziwa "i-percutaneous low limb embolization kunye ne-transurethral ureteral stenting" kunye "ne-pelvic mass resection + i-hip arthroplasty yasekhohlo + ukulungiswa kwesinyi" ngo-Agasti ka-2022, ngokuchacha ngokufanelekileyo.
Ngoku, isigulana sinobunzima bokuhamba kwakhona kunye nokujika. Ukwakhiwa kwakhona kwe-pelvic, isigulane safika kwiSebe le-Bone Oncology yeSibhedlele seSithathu esiManyano neSibhedlele saseSouthern Medical University.
Utyando lwangaphambili
Emva kokuba uMlawuli u-Li Haomiao egqibe uviwo olufanelekileyo, waqinisekisa ukuxilongwa kwesiphene se-hemipelvic emva kokuhluma kwe-pelvic tumor. Iqela liququzelele ukubonisana kweendlela ezininzi, laqulunqa isicwangciso sonyango sotyando olugqibeleleyo, layila iprosthesis eyenziwe ngokwezifiso kunye neqela le-LDK ye-oncology, kwaye ekugqibeleni lwenziwa utyando ngokutyibilikayo, kwaye utyando lwaqhubela phambili kakuhle kakhulu.
Inkcazo:
Isigulane, indoda, iminyaka engama-31 ubudala
Isikhalazo:
Ukuphazamiseka kokuhamba ngaphezu kweenyanga ezi-7 emva kokususwa kwe-pelvic mass.
Iimviwo ezizodwa:
I-30cm utyando lotyando lwabonwa kwi-hip ekhohlo, ngaphandle kwesikhumba esicacileyo okanye ukuvuvukala kwezicubu ezithambileyo, akukho ukugqabhuka okanye i-varicose veins, ukuvakalelwa okuqhelekileyo kwimilenze yomibini ephantsi, amandla aqhelekileyo emisipha kumalungu omabini aphantsi, i-grade V, ithoni ye-muscle eqhelekileyo, ukuhamba kwegazi okulungileyo, idolo eliqhelekileyo le-bilateral kunye ne-Achilles tendon reflexes, uphawu olubi lwe-Achilles, uphawu olubi lwe-tendon ye-Achilles, uphawu olubi lwe-Hoffmann. Umlenze ochaphazelekayo wawu malunga ne-3 cm mfutshane kunomlenze we-contralateral, kwaye i-hip joint yayithintelwe kakhulu, kodwa amanye amalunga ayenokunyakaza okulungileyo.
Iimviwo ezincedisayo:
I-2022-08-19 I-Pelvic CT: utshintsho emva kokusebenza kwi-pelvis ekhohlo.
Uxilongo lweklinikhi:
I-1, isiphene se-Hemipelvic emva kokususwa kwe-tumor ye-pelvic ekhohlo
2, Ukuchacha emva kotyando
kwiutyando
Postoperative
Sugqirha Intshayelelo
Hiaomiao LI
Umphathi weSebe le-Bone Oncology, uGqirha oyiNtloko
MD, uMcebisi wesidanga sokuqala
UGqr kutyando lwamathambo kwiYunivesithi yaseSun Yat-sen. Wayexhaswa yi-Ofisi yoMphathiswa weMfundo kwiRiphabhlikhi yaBantu baseTshayina kwi-“Young Backbone Teacher Training Programme kumazwe angaphandle” kwaye wafunda e-Itali njengomfundi odibeneyo wobugqirha. UNjingalwazi Boriani wamfundisa izakhono zotyando. Sele eqhelisela amayeza iminyaka engaphezu kwama-20 kwaye uqokelele amava atyebileyo kubuchwephesha bamathambo. Utyelele amaziko amaninzi e-tumor amathambo eYurophu, eMelika naseJapan, kunye neziko le-tumor enkulu yethambo e-China, i-Bone kunye ne-Soft Tissue Tumor Centre yeSibhedlele seYunivesithi yasePeking, ukufunda kumandla ezikolo ezahlukeneyo zokucinga. Uye wapapasha amaphepha anezalathiso ze-SCI ezisi-8 kunye namaphepha angaphezu kwama-20 kwiijenali ezingundoqo zasekhaya. Uye wawongwa amalungelo awodwa omenzi wechiza ama-4 kwiimodeli eziluncedo kunye ne-1 patent yokuqanjwa. Uye wongamela kwaye wathatha inxaxheba kwiiprojekthi ezi-5 zesizwe nezephondo. Wawongwa isihloko "Yangcheng UGqirha oLungileyo" ngo-2017, "uGqirha odumileyo waseLingnan" ngo-2017 kunye no-2020, "i-Guangzhou Strong Young Doctors" ngo-2018. Wanyulwa njenge "Iitalente zezoNyango ezibalaseleyo zePhondo lase-Guangdong" kwaye waphumelela ibhaso lesibini le "Outstanding National Conference" ye-Outstanding 2per yeSizwe kwiphepha lakhe elithi "Whole Block Resection of Complex Lumbosacral Spine Malignant Tumor".
Ukuqeshwa kwezeMfundo:
USekela Sihlalo weCandelo laseTshayina le-International Society of Orthopedics and Traumatology (SICOT) Bone Tumor Society.
Ilungu leKomiti eMileyo yeBone Tumor kunye neBone Metastasis yeKomiti ye-China Anti-Cancer Association
Ilungu elimileyo leKomiti yeSarcoma ye-China Anti-Cancer Association
Usekela Sihlalo weQela le-Pelvic Tumor, iKomiti eKhethekileyo ye-Sarcoma ye-China Anti-Cancer Association
Usekela-Sihlalo weQela le-Spine Tumor ye-Sarcoma yeKomiti eKhethekileyo ye-Anti-Cancer Association yaseTshayina
Ilungu leSizwe leQela leBone Tumor yeSebe le-Orthopedic ye-Chinese Medical Association
UMlawuli weKomiti yokuLungisa i-Orthopedic kunye neKomiti yoKwakha kwakhona i-Guangdong Primary Medicine Association
Iitalente zoNyango eziNtsha ezibalaseleyo zePhondo laseGuangdong
Ubungcali beklinikhi:
amathumba omqolo, amathumba e-pelvic, amathumba e-sacral, amathambo aphelile, amathumba athambileyo, i-bone metastases, ichule kutyando lokugcinwa kwemilenze, ukutshintshwa kwe-pelvic, i-sacral tumor resection, ibhloko epheleleyo (En-bloc) yokuhluthwa kwamathumba omqolo. Unokufikelela okuphezulu kunyango olungephi lwe-primary kunye ne-metastatic tumors of the spine.
Ixesha lokuposa: Apr-17-2023