Yɛn Ho Nsɛm
Changzhou Meditech Mfiridwuma Adwumakuw, Ltd., a ɛwɔ Changzhou Nyansahu & Nhomasua Kurow, Jiangsu mantam mu,isspecialized wɔ manufacturing nnompe a wɔde hyɛ nipadua mu ne nnwinnade.
Afei bɛboro mfe 10 nhwehwɛmu ne nkɔso, Yɛwɔ 10 titiriw nneɛma series na wɔyɛ akyi berɛmo nhyehyɛe, intramedullary nnadewa nhyehyɛe, trauma mprɛte ne screw nhyehyɛe, locking mprɛte ne screw nhyehyɛe, CMF nhyehyɛe, abɔnten fixator nhyehyɛe, aduruyɛ tumi adwinnade nhyehyɛe, general oprehyɛn nnwinnade nhyehyɛe, sterilization container nhyehyɛe ne mmoa nnompe nhyehyɛe.
Sɛ́ obi a ɔde nnuruyɛ mfiri kɔ amannɔne a ɔwɔ bɛboro mfe du osuahu, na ɔwɔ CE ne ISO adansedi nkrataa no, wɔde yɛn nneɛma akɔ aman pii te sɛ USA, Germany, Argentina, Chile, Mexico, India,Thailand, Malaysia, Turkey, Egypt, South Africa, Ivory Coast, ne nea ɛkeka ho.
Wɔ nnyinasosɛm a ɛne 'quality first, service first, R&D first, innovation first' mu no, yɛn adwumakuw no nya din pa wɔ ɔman no mu ne amannɔne nyinaa. Adwumakuw no fa ayarefo a wɔbɛboa wɔn sɛ wɔn botae a ɛtra hɔ daa na wɔbɔ mmɔden a ennyae sɛ wobenya nnipa akwahosan.
Akyi berɛmo mu Oprehyɛn
Akyi berɛmo mu oprehyɛn ahorow pii wɔ hɔ, titiriw no, wɔmfa wɔn ho nhyɛ mu kɛse na wobue. Wobetumi de oprehyɛn ayɛ akyi berɛmo bi a abubu, disc herniation, akyi berɛmo mu nsamanwaw, scoliosis. Minimally invasive oprehyɛn titiriw bi ne: vertebroplasty, radiofrequency ablation, endoscopic nucleus pulposus removal, percutaneous pedicle screw rod mu fixation, ne nea ɛkeka ho Open oprehyɛn titiriw ka open reduction ne emu fixation, laminectomy, open decompression ne internal fixation, ne nea ɛkeka ho Na yɛde eyinom bɛba mmiako mmiako:
A. Awotwaa mu ntini a ɛyɛ mmerɛw
Wɔ oprehyɛn a ɛfa awotwaa mu ntini a ɛyɛ mmerɛw, awotwaa mu spondylotic myelopathy, ne nnompe a ɛyɛ awotwaa no akyi ntini tenten no ho no, ayaresabea anaa nnuruyɛfo binom yɛ anim oprehyɛn anaa akyi oprehyɛn nkutoo. Nokwarem no, oprehyɛn ahorow pii wɔ hɔ a wubetumi apaw bi. Nkurɔfo wɔ osuahu pii a edi mu wɔ oprehyɛn ahorow yi mu, a wobetumi de adi dwuma wɔ ntease mu sɛnea tebea horow te, a mfiridwuma, tebea horow, ne nsusuwii teateaa biara nni mu, na ɛma mfaso ahorow a ɛwɔ oprehyɛn ahorow so no di agoru koraa. Wɔ awotwaa mu akisikuru a ɛyɛ den ho no, decompression ne fixation denam anim ne akyi akwan nyinaa so betumi ama bere a wɔde kɔ ayaresabea no ayɛ tiaa kɛse, na nkɛntɛnso a efi decompression so koraa nya no ye.
Anterior cervical decompression ne fusion ne nnompe a wɔde ahyɛ mu ne emu fixation:
Ɛyɛ adwuma wɔ awotwaa mu spondylosis a protrusion of intervertebral discand ntiantiaa compression afã horow (1-3 spaces) spur afifide. Ɛwɔ mfaso a ɛne sɛ wotwa akuru no tẽẽ, na ɛnyɛ den koraa na ɛyɛ mmerɛw. Ɛyɛ oprehyɛn a wɔtaa yɛ daa ne ɔkwan titiriw a wɔfa so sa awotwaa mu akisikuru.
Akyi awotwaa mu decompression ne laminoplasty: .
Ɛyɛ adwuma wɔ awotwaa mu spondylosis a ɛwɔ dodow ne fã a ɛwɔ intervertebral disc compression ne spinal canal stenosis, ne anim compression a emu yɛ den (ossification of posterior longitudinal ligament, intervertebral disc). Ɛyɛ indirect decompression a ɛwɔ mfaso a ɛne sɛ ɛkora awotwaa no kankyee dwumadi so na ahobammɔ nnim koraa no dea.
Awotwaa mu ntini a wɔde nsa ayɛ a wɔde besi ananmu: .
Ɛfa ayarefo a wonnii mfe 60 a wɔwɔ short segment anterior intervertebral disc compression ho. Bere a ɛtew akyi berɛmo mu nhyɛso so na ɛma ɛyɛ mmerɛw no, ɛkora awotwaa mu akyi berɛmo no dwumadi so, ɛtew hokwan a ɛwɔ hɔ sɛ ɛbɛma afã horow a ɛbɛn ho no asɛe ntɛmntɛm no so, sɛnea ɛbɛyɛ a ayarefo betumi atu ntɛm wɔ oprehyɛn akyi na dwumadi no abɛn nipadua tebea no.
Ɔfã a edi kan no anim ne akyi awotwaa no decompression ne fixation
Decompression yɛ nea edi mũ na ahobammɔ wom, ɛfata ma awotwaa mu spondylosis a emu yɛ den na ɛyɛ soronko. Wɔ nsɛm a ɛfa awotwaa mu spondylotic myelopathy a ɛwɔ clamp type anaa long segment spinal stenosis ne anim compression kɛse ho no, anohyeto ahorow bi wɔ anim anaa akyi oprehyɛn nkutoo mu. Yɛfa gyinabea a ɛkɔ fam no ma akyi oprehyɛn, na afei yɛfa gyinabea a ɛda fam no ma anim oprehyɛn, ne ɔfã a edi kan no anim ne akyi decompression.
Mfaso a ɛwɔ so : Sɛ wɔtew akyi ntini no so wie a, awotwaa no akyi berɛmo no tumi kɔ akyi, baabi a ɛwɔ awotwaa no akyi berɛmo no anim no yɛ kɛse kakra, na nhyɛso a ɛwɔ akyi berɛmo no mu no so tew, na ɛma asiane a ɛwɔ hɔ sɛ wɔbɛyɛ oprehyɛn wɔ anim no so tew. Bere koro no ara mu no, nhyɛso a ɛwɔ afã abien no so tew, nhyɛso no fi hɔ koraa, nkɛntɛnso no da adi, na ɛboa ma akyi berɛmo no dwumadi san ba; ɛtew ayarefo yaw so na ɛnyɛ den sɛ ayarefo begye atom. Ɛkwati ɔhaw ahorow a ɛwɔ ayaresabea a wɔde obi bɛkɔ mprenu, oprehyɛn a ɛto so abien, yare a ɛkɔ so bere tenten, na ɛmma ayaresabea a wɔde obi bɛkɔ no ho ka nkɔ fam.
Akyi awotwaa mu foraminal decompression ne discectomy
Sɛ wɔde toto anim kwan ho a, akyi awotwaa mu foraminal decompression nhia sɛ wɔde nnompe a wɔde hyɛ nipadua mu no bom na ɛnhwere baabi a awotwaa no akyi berɛmo no tumi keka ne ho. Wɔyɛ posterolateral cervical disc herniation nucleus pulposus removal denam posterior kwan no so wɔ anisoadehu tẽẽ ase na ɛnyɛ den koraa, enti ahobammɔ wom na wotumi de ho to so. Nsɛnkyerɛnne: akyi berɛmo mu akisikuru a ɛyɛ mmerɛw, akyi berɛmo ntam a ɛyɛ mmerɛw wɔ ɔkwan biako so, akyi berɛmo ntam a ɛyɛ mmerɛw a ɛwɔ akyi berɛmo no ntam a ɛyɛ mmerɛw a enni akyi berɛmo no mfinimfini a ɛyɛ mmerɛw, ne ntini mu sɛnkyerɛnne a ɛkɔ so tra hɔ wɔ anim a wɔatwa ne fusion akyi.
Oprehyɛn a wɔyɛ ma kɔn a ɛwɔ soro yare
Apirakuru ne nyarewa a ɛwɔ awotwaa no atifi no betumi ama akyi berɛmo no ayɛ adwuma yiye. Esiane sɛnea nipadua no mu nneɛma yɛ den nti, ayaresabea dodow no ara ntumi nsa wɔn yare. Sɛ nhwɛso no, wobetumi de atlantoaxial a ɛpaapae na ɛpaapae, atlanto occipital malformation, ne rheumatoid upper cervical spondylopathy, anterior release ne posterior fixation adi dwuma de atew akisikuru so, ama akyi berɛmo mu ntini a ɛtwetwe no so atew, na wɔagye nkwa.
B.Akyi berɛmo mu akisikuru, akyi berɛmo mu akisikuru, akyi berɛmo mu akisikuru, akyi berɛmo mu yaw a ɛyɛ discogenic
Intervertebral fusion nhia sɛ woyi pelvic bone fi akyi akyi berɛmo a ɛyɛ den anaasɛ akyi berɛmo mu spondylolisthesis a nneɛma ahorow de ba no. Oprehyɛn no atirimpɔw a edi kan ne sɛ ɛbɛma ntini ahorow no ayɛ mmerɛw. Sɛ akyi berɛmo no ntumi nnyina a, wɔkyerɛ sɛnea akyi berɛmo no bɛka abom sɛnea entumi nnyina ne spondylolisthesis te. Wɔpaw posterolateral spinal bone graft (PLF) anaa interbody bone graft (PLIF) sɛnea ɛfata sɛ wɔde pedicle screw internal fixation kyerɛ anaa. Wɔ PLIF mu no, wɔde vertebral arch a wɔayi afi mu no nyinaa ne inferior articular process complex (median incision) di dwuma sɛ interbody bone graft fast, a ɛnyɛ sɛ ɛma nnompe a wɔde hyɛ mu a eye sen biara nko, na mmom ɛkwati sɛ wobegye dompe afi pelvis mu anaasɛ ɛsɛ sɛ wɔtɔ interbody fusion cage, a eyi nsɛnnennen a ɛwɔ nnompe a woyi mu no fi hɔ na ɛtew oprehyɛn ho ka so kɛse.
Sɛnea ɔyare ahorow kyerɛ no, wɔpaw fenestration of nucleus pulposus, laminectomy ne discectomy (ɛtɔ mmere bi a wɔde bone graft fusion ne emu fixation) ne artificial disc a wɔde besi ananmu.
Lumbar akyi berɛmo mu a ɛyɛ mmerɛw
Ntini a ɛwɔ akyi berɛmo ne ntini ntini mu no a wɔbɛtew so no yɛ nea wobetumi ayɛ. Wɔ ayarefo a wɔn akyi berɛmo ntumi nnyina pintinn fam no, ɛsɛ sɛ wɔyɛ dynamic fixation anaa fusion fixation wɔ ɔkwan a wɔpaw so, sɛnea ɛbɛyɛ a ayarefo betumi adu ayaresa botae no ho wɔ ɛka a ɛba fam koraa mu na wɔanya nea ɛma abotɔyam.
1) Dynamic fixation of lumbar spine - ɛnyɛ sɛ ɛma akyi berɛmo no gyina nko, na mmom ɛkora akyi berɛmo no dwumadi nso so. Mfaso a ɛwɔ so no bi ne: (1)ebetumi atew nhyɛso a ɛwɔ akyi berɛmo ntam diski no so kɛse na asiw akyi berɛmo ntam diski a ɛsɛe no ano; (2)Elastic nkitahodi no hwɛ na ɛsan de afã abiɛsa kari pɛ a ɛwɔ kankyee fã no ba.
2) Minimally invasive spinal canal decompression oprehyɛn a wɔkora ntini mudi mu kura so - oprehyɛn kwan a ɛkɔ anim a wɔde fi amannɔne bae. Bere a wɔanya nkɔso foforo akyi no, oprehyɛn no nya ntwitwiridii ketewaa bi, ɛntetew ntini ahorow no mu, ɛkora ntini ne akyi berɛmo no nsusuwii so, na wotumi de ho to so koraa sɛ wɔde ahwehwɛ a ɛma nneɛma yɛ kɛse ne afiri a wɔde hwɛ nneɛma nketenkete gyae nhyɛso no, ɛnsɛe sɛnea akyi berɛmo no gyina pintinn, na ɛyɛ oprehyɛn akyi mmuae a ɛyɛ hare. Ayarefo tumi nantew da a ɛto so abien no, na wofi ayaresabea nnafua 5-7 akyi.
Lumbar spondylolisthesis a ɛma obi ho yɛ hyew
Ɛyɛ ade a eye sen biara a ɛkyerɛ sɛ wɔde decompression ne reduction, bone graft fusion, ne pedicle mu fixation. Ɛsan nso ne oprehyɛn a wɔtaa yɛ a wɔde titanium mprɛte a wɔde si hɔ. Oprehyɛn no yɛ den na ɛsõ wɔ ne kɛse mu. Nea ɛde spondylolisthesis ba anaasɛ ne mfiase, lumbar spondylolysis, yɛ mmerɛw kɛse sɛ wobedi ho dwuma bere a bere kɔ so no.
1) Lumbar spondylolysis betumi afi ɔbrɛ a ɛbubu akyi berɛmo no fã bi (isthmus, nkwaa nketewa) esiane apɔw-mu-teɛteɛ a wɔyɛ no mpɛn pii nti. Sɛ ɛnsa a, sɛnea ɛbɛyɛ a wobesiw lumbar spondylolisthesis ano, titiriw bere a sɛnkyerɛnne ahorow no da adi no, wobetumi de nnompe a wɔde ahyɛ mu no asiesie isthmus no, nkɔnsɔnkɔnsɔn abien ne titanium nhama, a ɛyɛ mmerɛw na ahobammɔ wom.
2) Wɔde oprehyɛn a wɔde tew ano a wɔabue so, intervertebral bone graft fusion (PLIF), ne pedicle internal fixation saa akyi berɛmo mu spondylolisthesis yare. Oprehyɛn no atirimpɔw a edi kan ne sɛ ɛbɛma ntini ahorow no ayɛ mmerɛw. Sɛ wɔyɛ PLIF peek lumbar fusion cage a, wɔde vertebral cage arch ne inferior articular process complex (median incision) no nyinaa di dwuma sɛ interbody bone graft ntɛmntɛm, a ɛnyɛ sɛ ebetumi anya bone graft ade a eye sen biara nko, na mmom ɛsan nso kwati sɛ wobegye dompe afi pelvis anaasɛ ɛsɛ sɛ wɔtɔ interbody fusion device (interbody fusion cage), yi nsɛnnennen a ɛwɔ bone yiyi mu no fi hɔ, na ɛtew oprehyɛn ho ka so kɛse.
Discogenic akyi yaw a ɛba fam
Wɔpaw dynamic lumbar fixation, artificial disc a wɔde besi ananmu ne interbody fusion (anim anaa akyi).
C. Akyi berɛmo mu akisikuru
Efi awotwaa no atifi akyi berɛmo a ɛpaapae so kosi lumbosacral akyi berɛmo a ɛpaapae so no, wɔfa anim anaa akyi decompression ne fixation of the spine.
1. Oprehyɛn mu myelography ne transpedicular decompression
Wɔ open reduction, decompression ne mu fixation a thoracolumbar burst fracture, wobetumi ahwɛ decompression nkɛntɛnso no yiye de atew iatrogenic opira.
2. Minimally invasive percutaneous kyphoplasty a wɔde sa akyi berɛmo mu ntini a ɛyɛ den a ɛpaapae wɔ nkwakoraa ne mmerewa mu
Nnompe semɛnte ade biako pɛ na wobetumi de ahyɛ mu. Ɛyɛ mfiridwuma a ɛnyɛ den koraa ankasa a ɛma ɛyaw no so tew na wofi mpa so nnafua 1-3 wɔ oprehyɛn akyi.
D. akyi berɛmo mu oprehyɛn a wɔmfa biribiara nhyɛ mu
A. Botae a ɛwɔ akyi berɛmo mu oprehyɛn a wɔmfa biribiara nhyɛ mu (MISS) mu ne sɛ ɛbɛma wɔanya oprehyɛn a wɔtaa yɛ no nkɛntɛnso na wɔatew oprehyɛn mu ahodwiriw so sɛnea ɛbɛyɛ yiye biara, sɛnea ɛbɛyɛ a wɔbɛtew nsɛnnennen a ɛba, mogya a ɛtɔ wɔ oprehyɛn mu, ayaresabea a wɔbɛtra, ne nea ɛkeka ho so, sɛnea ɛbɛyɛ a ayarefo no betumi anya ahoɔden na wɔasan akɔ asetra a ɛfata mu na wɔayɛ adwuma ntɛm ara.
Oprehyɛn titiriw a wɔmfa biribiara nhyɛ mu no bi ne:
Endoscopic mfiridwuma
Spinal endoscopy kyerɛ sɛ oduruyɛfo a ɔyɛ oprehyɛn no, wɔ X-ray anaa akwantu akwankyerɛ ase bere a wɔreyɛ oprehyɛn no, de nnwinnade a wɔde trɛw akutu mu di dwuma de tow fi honam ani kɔ akyi berɛmo no mu akuru no so, ɔde endoscopic ne oprehyɛn oprehyɛn akwan sisi hɔ, ɔde nsu di dwuma sɛ ade, ɔma nea efi mu ba ne akuru a ɛwɔ mu no yɛ kɛse na ɔda no adi wɔ high-definition display screen no so denam endoscopic system no so, na oduruyɛfo no nam screen no so yɛ oprehyɛn mfonini no. Akwan a wɔtaa fa so yɛ oprehyɛn no bi ne: akyi akyi akyi berɛmo mu endoscopy, akyi akyi berɛmo lamina approach endoscopy, ne akyi awotwaa mu endoscopic oprehyɛn. Sɛ wɔde toto oprehyɛn a wɔde di dwuma wɔ amanne kwan so anaa oprehyɛn nketenkete ho a, ɛwɔ mfaso horow a edidi so yi: (1) Nsɛnkyerɛnne a ɛtrɛw, mogya a ɛtɔ nketenkete ne ahodwiriw, ɛnsɛe akyi berɛmo no nhyehyɛe a ɛfata, na mpɛn pii no, nea wɔatwa no nnu sɛntimita 1; (2) Wobetumi apaw oprehyɛn a wɔde nnuru a wɔde kum nipadua no wɔ mpɔtam hɔ, na nkitahodi a ɛkɔ so wɔ bere ankasa mu wɔ nnuruyɛfo ne ayarefo ntam na ama oprehyɛn no ayɛ mmerɛw na wɔakwati ntini a opira wɔ oprehyɛn no mu; (3) Nsɛnnennen kakraa bi, ne ho tɔ no ntɛmntɛm, obetumi asɔre afi mpa so bere a wɔayɛ no oprehyɛn akyi, ayi no afi ayaresabea wɔ nnafua 1-2 mu, anaasɛ oprehyɛn a wɔde kɔ ayaresabea; (4) Nyarewa dodow a ɛba fam; (5) Wɔkwati ɔhaw a ɛtra hɔ kyɛ a ɛne sɛ afã horow a ɛbɛn ho no sɛe ntɛmntɛm wɔ fusion a edi kan mu no. Nea enye wɔ ho ne: (1) Nnipa dodow bi wɔ hɔ a ɛsan ba bio. Sɛ ɛsan ba a, oprehyɛn a wɔsan yɛ no bɛyɛ den kɛse na asiane wom esiane oprehyɛn a edi kan no akuru a ɛbata ho nti. (2) Nsɛnnennen bi wɔ hɔ, te sɛ residual nucleus pulposus compression, dural ne nerve ntini mu opira, intervertebral space infection, mogya a ɛtɔ, oprehyɛn akyi nkate a ɛnteɛ; (3) Oprehyɛn ho nsɛnkyerɛnne no yɛ biako pɛ, titiriw na wɔde sa akyi berɛmo ntam akisikuru a ɛnyɛ den. Wɔ intervertebral disc herniation a ɛyɛ den anaasɛ akyi berɛmo mu stenosis a wɔaka abom ho no, wobetumi nso asa. Sɛ nkɛntɛnso no nyɛ papa a, ɛho hia sɛ wɔyɛ oprehyɛn a wɔabue ano bio.
2. Minimally invasive fusion ne emu fixation mfiridwuma
Lumbar fusion ne internal fixation yɛ oprehyɛn kwan titiriw a wɔfa so sa akyi berɛmo mu yare. Ɛnam akyi berɛmo no anim, anim, akyi, akyi ne akyi kwan so no, nnompe a wɔde hyɛ mu anaa fusion cage no, wɔde facet joint ne intertransverse process no hyɛ akyi berɛmo no ntam, sɛdeɛ ɛbɛyɛ a nnompe a ɛbɛka akyi berɛmo no ntam no bɛtumi aba, na ɛnam so ama akyi berɛmo no agyina pintinn na akura mu. Wɔ nsusuwii mu no, oprehyɛn no fã no rensan mma bio. Akwan a wɔfa so de fusion a ɛnyɛ den pii ne nea wɔde hyɛ nipadua no mu no bi ne transforaminal lumbar interbody fusion a ɛnyɛ den pii (MIS-TLIF) ne lateral lumbar interbody fusion a ɛnyɛ den pii (LLIF). LLIF nso ka vertical lateral fusion cage (DLIF) ne oblique lateral fusion (OLIF) a agye din sen biara no ho. Minimally invasive fusion internal fixation mfiridwuma no titiriw de expanders soronko ne tubular retractors ba na ama ntini a ɛyɛ mmerɛw a wɔsɛe no so atew na ama wɔatumi ahu beae a wɔyɛ oprehyɛn no yiye. Ebetumi ne oprehyɛn afiri a wɔde hwɛ nneɛma nketenkete anaa ahwehwɛ a ɛma nneɛma yɛ kɛse a ahoɔden kɛse wom no ayɛ biako ma oprehyɛn no aniwa no ayɛ kɛse, sɛnea ɛbɛyɛ a ɛbɛtew honam ani ntwitwiridii ne ntini a ɛwɔ nipadua no mu a ɛsɛe so, na ama akyi berɛmo mu oprehyɛn atumi de ayaresa a etu mpɔn sen biara adi dwuma a iatrogenic sɛe kakraa bi. Sɛ wɔde toto oprehyɛn a wɔabue ano ho a, minimally invasive fusion internal fixation mfiridwuma no nya nea eye sen biara wɔ ayaresabea tra, mogya a wɔhwere, bere a obi ho tɔ no ne bere a ɔde bɛsan akɔ asetra a ɛfata mu. Bere koro no ara mu no, sɛnea ɛte biara no, ebetumi akura akyi berɛmo no akyi adum nhyehyɛe no mu, atew ntini a ɛsɛe no so, na ɛnam so atew ɛyaw a ɛba wɔ oprehyɛn akyi no so. Fusion ne internal fixation mfiridwuma a ɛnyɛ den pii no wɔ nneɛma ahorow pii a ɛkyerɛ, a nea ɛka ho ne akyi berɛmo mu nyarewa ahorow a ɛyɛ mmerɛw, akyi berɛmo mu akisikuru, complex disc herniation, instability, scoliosis, ne nea ɛkeka ho Wɔ ayarefo a wɔwɔ tebea horow a emu yɛ den koraa a ɛmfata sɛ wɔyɛ endoscopy fam no, ɛsɛ sɛ wɔyɛ oprehyɛn a ɛte saa mpɛn pii.
3. Akyi berɛmo a wɔde fa honam ani
Ɛyɛ oprehyɛn a wɔmfa biribiara nhyɛ mu, a nea ɛka ho ne percutaneous vertebroplasty (PVP) ne percutaneous balloon kyphoplasty (PKP) dea. Ɛyɛ mfiridwuma a wɔde nnuruyɛ mu nnompe semɛnte anaa nnompe mu nneɛma a wɔde yɛ nneɛma gu akyi berɛmo nipadua a yare no mu denam honam ani a wɔtow so de hyɛ akyi berɛmo nipadua no den. Nyarewa a ɛfata ne: 1. Osteoporotic vertebral compression fracture, a ɛnyɛ nea etu mpɔn wɔ brace anaa nnuru a wɔde sa yare mu; 2. Akisikuru a ɛnyɛ hu anaasɛ akisikuru bɔne a ɛkɔ mmeae afoforo wɔ akyi berɛmo nipadua no mu; 3. Akyi berɛmo a ɛpaapae a nnompe mu yare anaasɛ ɛnyɛ biako wɔ akisikuru akyi; 4. Unstable compression fracture anaasɛ multi segment akyi berɛmo mu nhyɛso abubu; 5. Burst fracture a akyi ɔfasu a enni dɛm wɔ vertebral nipadua no. Oprehyɛn yi su: 1. Ayaresa a wɔde wɔn ho hyɛ mu a ɛnyɛ den pii wɔ aduru a wɔde kum nipadua no mu no wɔ oprehyɛn bere tiaa bi, nea wɔatwa no wɔ 0.5cm mu, mogya a ɛtɔ no yɛ 2-3ml, na ɛyaw ano aduru no tumi da adi pefee. Ɛwɔ adwuma a ɛma ɛyaw fi hɔ na ɛsan yɛ dompe no biomechanical ahoɔden bere koro no ara mu. 2. Wɔ ayarefo a wɔn mfe akɔ anim ne wɔn a wɔyɛ mmerɛw fam no, asiane a ɛwɔ oprehyɛn mu no sua, na wɔkwati nsɛnnennen a ebetumi aba esiane sɛ wɔmma wontumi nkɔ baabiara nti. 3. Oprehyɛn akyi ho tɔ no ntɛmntɛm na bere a wɔde kɔ ayaresabea no yɛ tiaa. 4. Esiane sɛ ɛyaw no ano brɛ ase wɔ bere a ɛsɛ mu nti, wɔkwati nneɛma bɔne a efi nnuru a wɔde kum ɛyaw ano a wɔnom mu ba ne nnuru a wɔde di dwuma no, na asetra tu mpɔn. 5. Ɛtew bere a ayarefo de gye wɔn ahome wɔ mpa so na wohia wɔn a wɔhwɛ wɔn no so kɛse.
4. Robot boa akyi berɛmo mu oprehyɛn
Akyi berɛmo mu oprehyɛn hwehwɛ sɛ nnuruyɛfo yɛ oprehyɛn pɛpɛɛpɛ kɛse, na mfomso nketenkete de ɔhaw bɛba. Sɛ nhwɛso no, wɔ lumbar pedicle screw insertion technology no ho no, bere a wɔde screw no hyɛ mu no, ɛsɛ sɛ wɔhwɛ hu sɛ wɔde skru no ahyɛ pedicle no mu. Akisikuru no ntwemu bɛyɛ 8mm, na ntini no mu ne fam afã horow no yɛ ntini nhyehyɛe a ɛho hia. Yɛn skru no ntwemu yɛ mm 6.5, a ɛkyerɛ sɛ sɛ skru no bubu fa pedicle no mu ne fam afasu mu pɛ a, ntini no betumi asɛe kɛse. Enti, sɛnea wɔde skru bɛhyɛ mu pɛpɛɛpɛ na ahobammɔ wom no ho hia yiye. Nnompe mu oprehyɛn robɔt ne akwankyerɛ nhyehyɛe a wɔde 3D mfonini kyerɛ no kwan no betumi de nkɔnsɔnkɔnsɔn no asi hɔ pɛpɛɛpɛ sɛnea ɔkwan a wɔayɛ ho nhyehyɛe no te, ɛde nkɔnsɔnkɔnsɔn no hyɛ pedicle nkɔnsɔnkɔnsɔn no mu wɔ ɔkwan a ɛyɛ adwuma so anaasɛ ɛyɛ ne fã bi, brɛ ntini a atwa ho ahyia ne ntini afoforo a ɛyɛ mmerɛw no sɛe, na ɛhwɛ hu sɛ oprehyɛn no bɛyɛ pɛpɛɛpɛ na ahobammɔ wom. Wɔ endoscopic mfiridwuma ho no, akwantu a wɔaka abom nso betumi atew oprehyɛn a wɔde tow bere, ntini a ɛyɛ mmerɛw a ɛsɛe ne ayarefo a wɔn ho nyɛ wɔn dɛ bere a wɔreyɛ oprehyɛn no so kɛse. Akyi berɛmo mu oprehyɛn a robɔt boa ne nea wɔde fa kwan so a wɔde bedi dwuma no bɛboa ayarefo a wɔwɔ akyi berɛmo mu nyarewa kɛse.
Sɛ yɛbɛka no tiawa a, mfiridwuma a ɛmma akyi berɛmo no nsɛe pii no betumi adu ayaresa atirimpɔw no ho dwoodwoo na etu mpɔn denam opira no a ɛbɛtew so sɛnea ɛbɛyɛ yiye biara so. Bere a ɛma wonya nkɛntɛnso koro no ara anaasɛ eye sen saa sɛnea akyi berɛmo mu oprehyɛn a wɔabue mu yɛ no, ebetumi atew oprehyɛn mu ahodwiriw a ayarefo nya no so, ama wɔn ho atɔ wɔn ntɛm, na atew oprehyɛn a efi mu ba no so. Nanso, akyi berɛmo mu oprehyɛn a wɔmfa biribiara nhyɛ mu no ntumi nsi akyi berɛmo mu oprehyɛn a wɔtaa yɛ no ananmu koraa. Ɛsɛ sɛ wɔkyerɛ oprehyɛn nhyehyɛe pɔtee no sɛnea ɔyarefo no tebea, aduruyɛ mfiridwuma, nkitahodi a ɛda nnuruyɛfo ne ayarefo ntam ne nneɛma afoforo te. Osuahu a wɔboaboa ano wɔ oprehyɛn a wɔtaa yɛ a wɔabue ano mu no ne nea wogyina so yɛ oprehyɛn a wɔmfa biribiara nhyɛ mu. Sɛ oprehyɛn a wɔmfa biribiara nhyɛ mu no hyia nsɛnnennen a, ɛsɛ sɛ wɔsakra no ma ɛyɛ oprehyɛn a wobue ano wɔ bere ano na ama wɔahwɛ ahu sɛ ayarefo no ahobammɔ ne oprehyɛn no atu mpɔn yiye. Awiei koraa no, ɛsɛ sɛ yɛkae ayarefo a wɔyɛ wɔn oprehyɛn no sɛ ahwɛyiye a wɔde siesie ne nyansahu mu apɔw-mu-teɛteɛ wɔ oprehyɛn a edi mu akyi nso ho hia yiye, a ɛnyɛ sɛ ebetumi ama ahosiesie no atu mpɔn yiye nko, na mmom ebetumi akwati sɛ ɛbɛsan aba bio anaasɛ akyi berɛmo mu yare a ɛbɛn ho nso.
E. Akyi berɛmo mu akisikuru ne ɔfe
Tumor, nsamanwaw ne suppurative inflammation a ɛwɔ awotwaa, ahurututu ne akyi berɛmo mu.
F. Nsɛm a wɔde wie
1. Beae biara nni hɔ a anifuraefo yɛ wɔ akyi berɛmo mu oprehyɛn mu
Ahobammɔ ne ahotoso ne ade a edi kan a wɔyɛ wɔ akyi berɛmo mu oprehyɛn mu. Ɛhwehwɛ akyi berɛmo mu nyarewa a ɛsɛe te sɛ awotwaa mu ntini a ɛyɛ mmerɛw, ahurututu mu ntini a ɛyɛ nnompe a ɛyɛ mmerɛw, akyi berɛmo a ɛyɛ mmerɛw, diski a ɛyɛ mmerɛw wɔ ɔfã biara a efi awotwaa mu akyi berɛmo no mu kɔ akyi berɛmo no mu, ne akyi ntini a ɛware no mu nnompe a ɛyɛ mmerɛw titiriw na ɛsa. Bio nso, ɛsan nso di opira ne nyarewa ahorow nyinaa a ɛba akyi berɛmo mu, te sɛ akyi berɛmo a ɛpaapae ne nea ɛpue, akyi berɛmo mu dɛmdi, akyi berɛmo mu akisikuru (mfitiase ne nea ɛkɔ mmeae afoforo), akyi berɛmo mu nsamanwaw anaasɛ suppurative infection.
2. Awotwaa mu oprehyɛn a anohyeto nnim
Wɔ oprehyɛn a ɛfa awotwaa mu spondylotic myelopathy ne nnompe a ɛyɛ awotwaa mu akyi berɛmo no akyi tenten ntini no ho no, ayaresabea anaa nnuruyɛfo binom yɛ anim anaa akyi oprehyɛn nkutoo. Nokwarem no, oprehyɛn ahorow pii wɔ hɔ a wubetumi apaw bi - anim awotwaa no a wɔma ɛyɛ mmerɛw ne nnompe a wɔde hyɛ mu ne nea wɔde hyɛ mu, akyi awotwaa mu laminoplasty (ɔpon biako, ɔpon abien), ne anim ne akyi a wɔde gyae nhyɛso ne emu a wɔde hyɛ mu wɔ ɔkwan biako so. Yɛwɔ osuahu pii a edi mu wɔ saa dwumadi ahorow yi mu, a wobetumi de adi dwuma wɔ ntease mu sɛnea tebea horow te, Ɛnyɛ nea mfiridwuma, tebea horow ne adwene teateaa biara nsiw ano, na ɛma agoru a edi mũ ma mfaso ahorow a ɛwɔ akwan horow so no.
3. Thoracic vertebra oprehyɛn yɛ mmerɛw na wotumi de ho to so
Wɔ nnompe a ɛwɔ thoracic posterior longitudinal ligament a ɛyɛ den na ayaresabea akɛse pii suro no ho no, yɛyɛɛ segmental posterior decompression. Wɔ ayarefo a wɔwɔ anim nhyɛso (nnompe a ɛyɛ nnompe anaasɛ intervertebral discs a ɛpuepue) fam no, wɔde tunneling kwan no yɛɛ akyi berɛmo no anim decompression no sɛnea ɛbɛyɛ a wobenya 360 ° decompression koraa atwa akyi berɛmo no ho ahyia, a ɛkwatii anim decompression denam thoracotomy so na ɛtew adwenemhaw so kɛse. Wɔde saa 360 ° decompression kwan yi nso di dwuma wɔ oprehyɛn a ɛfa akwaa a ɛwɔ fam a ɛyɛ mmerɛw a ɛnam thoracic intervertebral disc prolapse ne osteoporotic compression fracture so ba no mu.
4. Intervertebral fusion nhia sɛ woyi pelvic bone
Wɔ akyi berɛmo mu akisikuru anaa akyi berɛmo mu akisikuru a nneɛma ahorow de ba ho no, oprehyɛn no atirimpɔw a edi kan ne ntini a ɛma nipadua no yɛ mmerɛw. Sɛ akyi berɛmo no ntumi nnyina a, wɔkyerɛ sɛnea akyi berɛmo no bɛka abom sɛnea entumi nnyina ne spondylolisthesis te. Wɔpaw posterolateral spinal bone graft (PLF) anaa interbody bone graft (PLIF) sɛnea ɛfata sɛ wɔde pedicle screw internal fixation kyerɛ anaa. Wɔ PLIF mu no, wɔde vertebral arch a wɔayi afi mu no nyinaa ne inferior articular process complex (median incision) di dwuma sɛ interbody bone graft fast, a ɛnyɛ sɛ ɛma nnompe a wɔde hyɛ mu a eye sen biara nko, na mmom ɛkwati sɛ wobegye dompe afi pelvis mu anaasɛ ɛsɛ sɛ wɔtɔ interbody fusion cage, a eyi nsɛnnennen a ɛwɔ nnompe a woyi mu no fi hɔ na ɛtew oprehyɛn ho ka so kɛse.
Ma CZMEDITECH , yɛwɔ nneɛma a edi mũ yiye a akyi berɛmo mu oprehyɛn a wɔde hyɛ nipadua mu ne corresponding instruments , nneɛma a ɛka ho ne 5.5mm ne 6.0mm akyi berɛmo pedicle skru nhyehyɛe, anim awotwaa mprɛte nhyehyɛe, akyi awotwaa skru nhyehyɛe, anim thoracic mprɛte nhyehyɛe, anim thoracolumbar mprɛte nhyehyɛe, titanium mesh afiri, peek afiri nhyehyɛe, titanium afiri, akyi awotwaa laminoplasty nhyehyɛe, minimally invasive pedicle screw nhyehyɛe ne wɔn nnwinnade a wɔde boa wɔn. Bio nso, yɛasi yɛn bo sɛ yɛbɛkɔ so ayɛ nneɛma foforo na yɛatrɛw nneɛma ahorow mu, sɛnea ɛbɛyɛ a yebedi nnuruyɛfo ne ayarefo pii oprehyɛn ahiade ho dwuma, na yɛama yɛn adwumakuw no nso asi akan kɛse wɔ wiase nyinaa nnompe a wɔde hyɛ nipadua mu ne nnwinnade adwuma no nyinaa mu.
