The Great Revolution in the Small Pinhole - Full Visualization Spinal Endoscopy Technology

Posachedwapa, Dr. Cong Yu, Wachiwiri kwa Dokotala wa Dipatimenti ya Orthopaedic ku Eastern Theatre Command General Hospital, anachita "opaleshoni ya msana yowonekera bwino" kwa Bambo Zong. Opaleshoni yocheperako kwambiri inathandiza Bambo Zong, yemwe ankadwala matenda a msana, kuti achire mwamsanga ndi kubwerera kuntchito atangomaliza opaleshoniyo.

Sindinayembekezere kuti opaleshoniyo idzakhala yabwino kwambiri. Ndinatha kumva kumasuka kwa kupsinjika kwa mitsempha mkati mwa opaleshoni,” anatero Bambo Zong, 56, mosangalala.

Zimanenedwa kuti Bambo Zong anali ndi zizindikiro za kupweteka kwa msana ndi mwendo zaka 5 zapitazo. Atapita kukaonana ndi madokotala otchuka m’malo osiyanasiyana, akatswiri onse anavomereza kuti amuchitire opaleshoni. Chifukwa choopa kuchitidwa opaleshoni, matenda a a Zong akhala akuchedwa nthawi ndi nthawi. Miyezi itatu yapitayo, ululu wake wam'munsi unakulanso, limodzi ndi ululu wosapiririka m'mbali yake yakumanzere. Iye sankatha kuyenda ndipo sankagona ndi ululu ngakhale atagona, zomwe zinali zosapiririka. Anapezanso chithandizo chamankhwala ku zipatala zingapo, kuyembekezera kulandira chithandizo chochepa cha zovuta zake. Potsirizira pake, adadza ku chipatala cha akatswiri a opaleshoni ya msana wa Dr. Congyu, katswiri wa mafupa pa chipatala cha Eastern Theatre Command General Hospital kuti alandire chithandizo. Atalandira wodwalayo, Dr. Cong Yu adasanthula zizindikiro za Bambo Zong, zizindikiro, ndi deta yojambula zithunzi, ndipo adazindikira kuti lumbar disc herniation ndi spinal stenosis. Kutengera ndi momwe Bambo Zong alili komanso kufunitsitsa kwawo kulandira chithandizo cha opaleshoni, adagonekedwa ku Orthopaedic District 23.

Pambuyo pololedwa, kufufuza kwa thupi kunawonetsa kuti Bambo Zong anali ndi chifundo m'dera la paraspinal kuchokera ku L5 kupita ku S1, ndi zofooka zazikulu za kayendetsedwe ka lumbar ndi ntchito yapansi ya galimoto. Mayeso a preoperative owongoka okwera mwendo anali 20 ° okha, ndipo mphamvu ya minofu ya chala chake chakumanzere idakhudzidwanso.

Ponena za mkhalidwe wa Bambo Zong, Mtsogoleri Cong Yu anafufuza kuti nyukiliya yodziwika bwino ya pulposus pamodzi ndi kufalikira kwa osteophyte imakakamiza mitsempha ya msana wa msana, zomwe zimabweretsa zizindikiro monga kupweteka kwa msana ndi mwendo, dzanzi, ndi kuchepetsa mphamvu ya m'munsi. Pokhapokha pochepetsa kupsinjika kwa minyewa tingapewe kuwonjezereka kwa kuwonongeka kwa mitsempha ndikupereka mikhalidwe yobwezeretsanso mitsempha. Ngati njira zopangira opaleshoni zimagwiritsidwa ntchito, m'pofunika kuchotsa minofu ya paraspinal, ndipo opaleshoniyi imakhala yaikulu, ndikutuluka magazi kwambiri komanso nthawi yayitali yochira pambuyo pa opaleshoni.

Pambuyo polankhulana mokwanira komanso kukonzekera koyambirira, Dr. Cong Yu anamaliza bwino opaleshoniyo pansi pa anesthesia wamba pogwiritsa ntchito "Full Visualization Spinal Endoscopy Technology (I See)". Panthawi ya opaleshoni, Bambo Zong amatha kumva kupweteka komwe kumabwera chifukwa cha kuchotsedwa kwa nucleus pulposus yomwe imatuluka. Nthawi ya opaleshoniyo inali yochepa, kudulako kunali mamilimita 7 okha, ndipo panalibe ngalande pambuyo pa opaleshoniyo. Anatha kuyendayenda tsiku lachiwiri pambuyo pa opaleshoni, yomwe ingafotokozedwe ngati "pinhole yaing'ono yothetsera vuto lalikulu".

Chithandizo chochepa cha matenda osokonekera a msana mu dipatimenti ya mafupa ku Eastern Theatre Command General Hospital ndi ntchito yaukadaulo. Njira zochepetsera pang'ono monga intervertebral foramen endoscopy, UBE, ndi MisTLIF zakhala zikuchitika nthawi zonse, kuphatikizapo kuunika kwapadera kwa wodwalayo, kuti apereke njira zambiri zothandizira opaleshoni. Tidzapitirizanso kugwiritsa ntchito zipangizo zamakono zowononga pang'ono kuti tipereke chithandizo chamankhwala chapamwamba kwambiri, chapamwamba kwambiri, komanso chachangu kwa anthu onse.

Pankhani ya Full Visualization Spinal Endoscopy Technology (Ndikuwona Zaukadaulo)

Minimally Invasive Spine Surgery (MISS) imatanthawuza teknoloji ndi njira zodziwira ndi kuchiza matenda a msana pogwiritsa ntchito njira zochiritsira zomwe sizinali zachikhalidwe komanso kugwiritsa ntchito zida zapadera zopangira opaleshoni, zipangizo, kapena njira. Zinaonekera ndi kugwiritsa ntchito zipangizo zamakono zachipatala, matekinoloje atsopano akupitiriza kuonekera, ndipo njira zochepetsera pang'ono zikudabwitsa. Pali chida champhamvu mu zida zazikulu za MISS, zomwe ndi percutaneous endoscopic lumbar discectomy (PELD), yofupikitsidwa ngati intervertebral foramen endoscope.

The chikhalidwe sukulu ya intervertebral forameni endoscopy luso lapanga kuchokera mfundo alowererepo, kotero ndondomeko puncture chubu makhazikitsidwe ndi intervertebral forameni kupanga zimadalira kwambiri X-ray fluoroscopy kumveketsa malo malo, amene ndi wovuta ndipo kwambiri zimakhudza odwala ndi madokotala opaleshoni ndi X-ray cheza.

Ndipo Ndikuwona teknoloji, yomwe imadziwikanso kuti teknoloji yowoneka bwino ya msana wa endoscopic, imalola kuwonetsetsa kwachindunji kwa intervertebral foramen mapangidwe pansi pa endoscopy, kuchepetsa kwambiri chiwerengero cha malingaliro komanso ngakhale kukwaniritsa malingaliro a 1-2. Makhalidwe a teknolojiyi ndi kusintha kwa filosofi ya opaleshoni: kugwiritsa ntchito opaleshoni ya endoscopic ngati njira yopangira opaleshoni, kukwaniritsa bwino endoscopization ya opaleshoni. Kusiya kuipa kwa chikhalidwe intervertebral foramen endoscopic kulowererapo opaleshoni amafuna mobwerezabwereza fluoroscopy.

Ponseponse, maubwino aukadaulo wowonera msana wa endoscopic (I See ukadaulo) ndi awa:

1. Kuchepetsa kwambiri X-ray fluoroscopy panthawi ya opaleshoni, kuchepetsa nthawi ya opaleshoni, kukonza chitetezo cha opaleshoni, ndi kuteteza odwala ndi opaleshoni;

2. Anesthesia ya m'deralo ingagwiritsidwe ntchito, yomwe ndi yosavuta, ndi opaleshoni ya opaleshoni yosachepera 1 centimita ndi magazi ochepa. Imasokoneza pang'ono kwambiri ndipo sichifuna kuthirira pambuyo pa opaleshoni. Patsiku lachiwiri pambuyo pa opaleshoni, wodwalayo amatha kuyenda ndikutulutsidwa, kuchepetsa chipatala ndikulola wodwalayo kubwerera ku moyo ndikugwira ntchito mofulumira;

3. Anasunga lumbar msana zoyenda zigawo; Osawononga ziwalo za m'chiuno, kupewa kusakhazikika kwapambuyo kwa magawo opangira opaleshoni;

4. Tekinolojeyi imapereka mwayi wochizira odwala ambiri omwe sangathe kulekerera opaleshoni yotseguka kapena anesthesia wamba (okalamba, omwe ali ndi matenda aakulu);

5. Mtengo wotsika, mtengo wotsika, kupulumutsa kwambiri ndalama za inshuwaransi yachipatala.