Kutshanje, uGqr Zhang Guofeng, uSekela Gqirha oyiNtloko weSebe le-Bone Oncology, iSibhedlele esiManyano neYantai kwiKholeji yezoNyango yaseBinzhou, kunye neqela lakhe lifake ngempumelelo i-LDK eyenziwe ngokwezifiso ye-tumor prosthesis kwaye lenze olona tyando lunzima “olwenziwe ngokwesiqhelo lwe-femoral tumor prosthesis replacement”. kwisigulana esinemeko entsonkothileyo, engazange iphawule kuphela uphuhliso lweSebe leBone Oncology, iYantai Isibhedlele esiManyathelwe kwiKholeji yezoNyango yaseBinzhou, kunyango lwethumba elibi lamathambo kodwa likwamele izakhono zalo zotyando olukwinqanaba eliphezulu lifikelele kwinqanaba eliphezulu lasekhaya. .
Inkcazo yemeko
Isigulane, umfazi, iminyaka engama-70
Kunyaka ophelileyo isigulana saba neempawu ezibuhlungu ethangeni lakhe lasekunene, nto leyo eyaya iba mandundu ngokuthe ngcembe.Isigulana sasicinga ukuba sine-necrosis yentloko ye-femoral, kodwa iintlungu zahlala zinamandla emva kokuthatha i-painkillers.Kutshanje, uye wabonisana neYantai Affiliated Hospital yeBinzhou Medical College ukusukela oko iintlungu ziye zaqatha kangangokuba wayengakwazi ukulala ebusuku okanye ukuhamba kwakhona.
I-MRI yejoyinti lakhe iphakamise umqondiso omkhulu ongaqhelekanga kwisiphelo esikufutshane se-femur yasekunene, kwaye isilonda sethumba siye saqwalaselwa.Isigulane ke sangeniswa kwiSebe le-Bone Oncology ukuze ufumane unyango olongezelelweyo.
Emva kovavanyo oluneenkcukacha, iqela likasekela ugqirha oyintloko uZhang Guofeng uqinisekisile ukuxilongwa kwethumba le-metastatic kwi-femur yasekunene, kwaye isilonda sokuqala sasithathwa njengomhlaza wemiphunga we-peripheral.Emva konxibelelwano olupheleleyo nomguli nentsapho yaso, kwagqitywa utyando.
Umngeni Yamkela!Medical-industrial Integration for utyando replacement nzima
Eyona ngxaki yayinzima koogqirha yayikukuba isigulana sasineminyaka engama-70 ubudala kwaye i-femur yasekunene ephezulu nephakathi yayitshatyalalisiwe kakhulu lukhukuliseko lwethumba, kwane-distal femur engazange ikhukuliswe ayizange ishiywe kangako, ngoko ke iindlela zokwakhiwa ngokutsha kwesiqhelo emva kwethumba. ukususwa ngokutsha kwakungasasebenzi.Emva kokulinganisa okuphindaphindiweyo kunye nengxoxo, iqela likaGqr Zhang Guofeng lagqiba ekubeni lenze i-tumor resection ye-femur ephezulu kunye nephakathi kwe-femur + ngokwezifiso i-tumor prosthesis replacement.
I-MRI yangaphambi kokuhlinzwa
I-CT yangaphambili
Ubunzima Inventory
1.
Ubunzima bokuqala ekufuneka kujongwene nabo kule nkqubo kukuba isigulana singakwazi na ukunyamezela ngokukhuselekileyo utyando sithathela ingqalelo iminyaka yakhe engama-70 ubudala, ithumba eliyingozi kunye nemeko embi emzimbeni.
2.
Ubunzima besibini kukuba olu tyando lubandakanya ukuqhaqheka kwakhona kwethumba kunye nokwakhiwa ngokutsha kwelungu, ixesha elide lotyando, ukopha okukhulu okunokubangela umothuko owophayo, kunye namathuba aphezulu osulelo.
3.
Icandelo elikude le-femur, elingenakuchithwa, lifutshane kakhulu ukuba libambe i-medullary pin ye-prosthesis, ngoko ke indlela yokuyila i-prosthesis ekhuselekileyo nesebenzayo yokwakhiwa kwakhona ngumngeni wesithathu.
4.
Ekubeni amacandelo aphezulu kunye naphakathi kwe-femoral athatyathelwa indawo ngokususa izicubu zethambo eziphezulu kunye nephakathi (kubandakanywa nentloko ye-femoral) kunye nokuyeka imisipha eqhuba i-hip joint, indlela yokuvuselela izicubu ezithambileyo ezijikeleze i-prosthesis kunye nokubuyisela umsebenzi welungu. yayilucelomngeni lwesine kolu tyando.
UGqr. Zhang Guofeng, usekela ugqirha oyintloko wotyando, waqala wanxibelelana neqela leenjineli ze-LDK ze-tumor prosthesis ukuyila i-tumor prosthesis eyenziwe ngokwezifiso.Ngenxa yomgangatho ophezulu wolu tyando kunye nobunzima kunye nobungozi bokusebenza, ukubonisana kunye neengxoxo ezininzi ziququzelelwe kunye neengcali ezivela kwiSebe lePathology, iSebe leMifanekiso, iSebe leMithi yokuphefumla, iSebe le-Cardiovascular Medicine, i-Oncology Centre kunye ISebe le-Anesthesiology ukuhlalutya imeko kunye nokumisela isicwangciso sonyango.
Prosthesis Design Solution
1).Ukwakhiwa kwakhona kwe-3D yedatha yomfanekiso Ukwakhiwa kwakhona kwe-3D yemodeli yethambo yesigulane ngokusekelwe kwidatha yokucinga.
2).Isicwangciso soyilo lweProsthesis kunye nesampulu yesiphumo emva kokutshintshwa
Isampulu yesiphumo sokutshintsha
Iprosthesis eyenziwe ngokwezifiso kunye nezahlulo zethumba elihlaziyiweyo
Emva kolungiselelo olucokisekileyo, ngentsebenziswano ecwangcisiweyo yabasebenzi bezonyango kunye nabongikazi kwisebe le-anesthesia kunye negumbi lotyando, uGqr. Zhang Guofeng, usekela ugqirha wotyando, uye wenza ngempumelelo "ukususwa kwethumba eliphakathi kunye neliphakathi le-femoral umonde.
I-X-Ray yasemva kotyando
Utyando lwenziwa ukuhlangabezana neenjongo zokususa ithambo lethumba, ukukhulula iintlungu zesigulana, ukubuyisela ukusebenza kwelungu kunye nokuphucula umgangatho wobomi ukuya kuthi ga kwinqanaba eliphezulu.Emva kokuxilongwa ngononophelo kunye nokhathalelo ngabo bonke abasebenzi bezonyango kunye nabongikazi beSebe le-Bone Oncology, isigulana sachacha kakuhle kwaye sakhutshwa esibhedlele.Intlungu ebuhlungu ethangeni eyayikhathaza isigulane ixesha elide yasonjululwa, kwaye isigulane saphinda saqala ukuhamba ngokuqhelekileyo emva kokusebenza kwaye sanelisekile kakhulu ngesiphumo sonyango.
Iingcebiso ezivela kuDkt Zhang Guofeng, iSekela likaGqirha oyiNtloko
Uninzi lwezicubu ezinobungozi zinokuvelisa i-metastases yamathambo.I-Bone metastases inentlungu yendawo njengeyona nto iphambili yokubonakaliswa kweklinikhi, engabonakaliyo kwaye ayibonakali ngokukhawuleza ngexesha, kwaye inokubangela ukutshatyalaliswa okukhulu kwamathambo kunye nokuphuka kwe-pathological fracture.Ekuqaleni, izigulana zihlala ziphosakele njenge-arthritis eqhelekileyo, kodwa kamva ikhula ibe ziintlungu ezibuhlungu, ngakumbi iintlungu ezingapheliyo ebusuku.Apha sikhumbuza ngokukhethekileyo ukuba xa kuvela ezi zimpawu zingasentla, kuyimfuneko ukuya esibhedlele rhoqo ukuze ufumane unyango ngexesha, kwaye ukuba kuyimfuneko, iimviwo ze-X-ray, i-CT kunye ne-MRI zingenziwa ukuze kubonwe uninzi lwezifo ze-skeletal tumor.Nje ukuba kurhanelwe i-metastases yamathambo, kubalulekile ukuya kwiziko elikhethekileyo lethumba lethambo ukuze ufumane iingcebiso kunye nonyango.
Ixesha lokuposa: Oct-24-2022