Kutshanje, u-Li Haomiao, umlawuli weSebe le-Bone Oncology yeSibhedlele esiNxibeleneyo seSithathu seYunivesithi yezoNyango yaseMazantsi, ugqibe indawo ye-hemipelvic yesiphene emva kokususwa kwe-tumor 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, isigulana sava intlungu eyongeziweyo kwi-hip ekhohlo, kwaye ngoNovemba 2021, waxilongwa kwisibhedlele sangaphandle, esibonisa "i-hip dislocation kunye ne-ischemic necrosis yentloko ye-femoral", ehamba kunye nokutshintsha kwe-morphological kunye nesignali I-pelvis ekhohlo kunye nezihlunu ezijikelezileyo, i-ischemic necrosis yentloko ye-femoral yasekhohlo kunye nokuchithwa kwe-hip ekhohlo, kunye nokwandiswa kwee-lymph nodes ezininzi kwingingqi ye-inguinal 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 yotyando yotyando yabonwa kwi-hip ekhohlo, ngaphandle kwesikhumba esicacileyo okanye ukuvuvukala kwezicubu ezithambileyo, akukho ukugqabhuka okanye i-varicose veins, imvakalelo eqhelekileyo kwimilenze yomibini ephantsi, amandla aqhelekileyo emisipha kumalungu omabini angaphantsi, ibakala V, ithoni ye-muscle eqhelekileyo, i-peripheral enhle. ukuhamba kwegazi, idolo eliqhelekileyo lamacala amabini kunye ne-Achilles tendon reflexes, uphawu olubi lwe-Hoffmann, uphawu olubi lwe-Babinski, uphawu olubi lwe-Kernig.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
Intrutyando
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 Good Doctor" ngo-2017, "Lingnan Famous Doctor" ngo 2017 kunye 2020, "Guangzhou Strong Young Doctors" ngo 2018. Wonyulwa "Ografting Young Medical Talents kwiPhondo Guangdong" kwaye waphumelela yesibini. ibhaso "Iphepha elibalaseleyo eliNcinci kunye neliPhakathi eliPhakathi" kwiNkomfa yeSizwe yeBone Tumor ye-20 yephepha 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