Txog Peb
Changzhou Meditech Technology Co., Ltd., nyob rau hauv Changzhou Science & Education Town, Jiangsu xeev, tshwj xeeb hauv kev tsim orthopedic implants thiab instruments.
Tom qab ntau tshaj 10 xyoo kev tshawb fawb thiab kev loj hlob, Peb muaj 10 cov khoom tseem ceeb series thiab lawv yog txha caj qaum, intramedullary ntsia thawv system, kev puas tsuaj phaj thiab ntsia hlau system, xauv phaj thiab ntsia hlau system, CMF system, sab nraud fixator system, kho mob fais fab cuab yeej system, dav siv phais instruments system, sterilization thawv system thiab veterinary orthopedic system.
Raws li tus xa tawm ntawm cov khoom siv kho mob nrog ntau tshaj kaum xyoo dhau los, thiab nrog CE thiab ISO daim ntawv pov thawj, peb cov khoom tau raug xa tawm mus rau ntau lub tebchaws xws li Asmeskas, Lub Tebchaws Yelemees, Argentina, Chile, Mexico, Is Nrias teb, Thaib, Malaysia, Qaib ntxhw, Egypt, South Africa, Ivory Coast, thiab lwm yam.
Nyob rau hauv lub hauv paus ntsiab lus ntawm 'zoo ua ntej, kev pab ua ntej, R & D ua ntej, innovation ua ntej', peb lub tuam txhab yeej ib tug zoo lub koob npe nrov nyob rau hauv domestic thiab txawv teb chaws. Lub tuam txhab siv cov neeg mob tau txais txiaj ntsig raws li nws lub hom phiaj mus tas li thiab ua rau tsis muaj zog rau tib neeg kev noj qab haus huv.
Kev phais mob txha caj qaum
Muaj ntau ntau hom kev phais txha caj qaum, feem ntau yog me me invasive thiab qhib. Qee qhov lumbar pob txha, disc herniation, spinal tuberculosis, scoliosis tuaj yeem kho tau phais. Kev phais me me feem ntau suav nrog: vertebroplasty, radiofrequency ablation, endoscopic nucleus pulposus tshem tawm, percutaneous pedicle ntsia hlau pas nrig sab hauv fixation, thiab lwm yam. Qhib kev phais feem ntau suav nrog qhib txo thiab sab hauv fixation, laminectomy, qhib decompression thiab internal fixation, thiab lwm yam.
A. Cervical spondylosis
Rau kev ua haujlwm ntawm lub ncauj tsev menyuam herniation, cervical spondylotic myelopathy, thiab ossification ntawm posterior longitudinal ligament ntawm lub ncauj tsev menyuam nqaj qaum, qee lub tsev kho mob lossis kws kho mob tsuas yog ua kev phais sab nrauv lossis kev phais tom qab. Qhov tseeb, muaj ntau hom kev phais xaiv los ntawm. Cov tib neeg muaj kev vam meej ntau ntawm cov hom kev phais no, uas tuaj yeem siv tau raws li cov xwm txheej sib txawv, tsis muaj kev siv tshuab, cov xwm txheej, thiab cov tswv yim nqaim, thiab muab kev ua si tag nrho rau qhov zoo ntawm ntau hom kev phais. Rau qhov nyuaj cervical spondylosis, decompression thiab fixation los ntawm ob qho tib si anterior thiab posterior mus kom ze tuaj yeem ua rau lub sijhawm pw hauv tsev kho mob sai, thiab cov txiaj ntsig ntawm kev ua tiav decompression zoo dua.
Anterior cervical decompression thiab fusion nrog pob txha graft thiab internal fixation:
Nws muaj feem xyuam rau cervical spondylosis nrog protrusion ntawm intervertebral discand luv compression ntu (1-3 qhov chaw) ntawm spur zaub. Nws muaj qhov zoo ntawm qhov ncaj qha resection ntawm qhov txhab, uas yog qhov yooj yim thiab yooj yim. Nws yog qhov kev ua haujlwm niaj hnub tshaj plaws thiab yog txoj hauv kev los kho cervical spondylosis.
Posterior cervical decompression thiab laminoplasty:
Nws muaj feem xyuam rau lub ncauj tsev menyuam spondylosis nrog tus lej thiab ntu ntawm intervertebral disc compression thiab spinal kwj dej stenosis, nrog rau qhov hnyav anterior compression (ossification ntawm posterior longitudinal ligament, intervertebral disc). Nws belongs rau indirect decompression, uas muaj qhov zoo ntawm kev khaws cia lub ncauj tsev menyuam txoj haujlwm thiab muaj kev nyab xeeb.
Artificial cervical disc hloov:
Nws muaj feem xyuam rau cov neeg mob hnub nyoog qis dua 60 xyoo nrog luv ntu anterior intervertebral disc compression. Thaum decompressing thiab relieving compression ntawm tus txha caj qaum, nws khaws cov kev ua haujlwm ntawm lub ncauj tsev menyuam nqaj qaum, txo qhov muaj peev xwm ua kom lub cev degeneration ntawm cov ntu uas nyob ib sab, kom cov neeg mob tuaj yeem txav mus tom ntej tom qab kev phais thiab kev ua haujlwm ze dua rau lub xeev lub cev.
Thawj theem anterior thiab posterior cervical decompression thiab fixation
Decompression yog ua tiav thiab muaj kev nyab xeeb, haum rau qhov hnyav thiab tshwj xeeb ntawm lub ncauj tsev menyuam spondylosis. Rau cov neeg mob ntawm ncauj tsev menyuam spondylotic myelopathy nrog hom clamp lossis ntu ntu ntu txha caj qaum thiab loj anterior compression, muaj qee qhov kev txwv hauv kev phais sab hauv lossis tom qab ib leeg. Peb coj txoj haujlwm yooj yim rau kev phais tom qab, thiab tom qab ntawd coj txoj haujlwm supine rau kev phais sab nrauv, thiab thawj theem anterior thiab posterior decompression.
Qhov zoo : Tom qab decompression tom qab, lub ncauj tsev menyuam nqaj qaum tuaj yeem txav mus rau tom qab, qhov chaw nyob rau hauv pem hauv ntej ntawm lub ncauj tsev menyuam tus txha caj qaum yog nce ntxiv, thiab lub siab ntawm tus txha caj qaum yog txo, txo qhov kev pheej hmoo ntawm kev phais sab nrauv. Nyob rau tib lub sij hawm, ob sab compression yog relieved, lub decompression yog tiav, cov nyhuv yog pom tseeb, thiab nws yog pab tau rau cov rov qab ntawm tus txha caj qaum muaj nuj nqi; nws txo qhov mob ntawm cov neeg mob thiab yooj yim rau cov neeg mob txais. Nws zam qhov tsis zoo ntawm kev mus pw hauv tsev kho mob ob zaug, kev phais thib ob, kev mob ntev ntev, thiab txuag nqi tsev kho mob.
Tom qab lub ncauj tsev menyuam foraminal decompression thiab discectomy
Piv nrog rau anterior mus kom ze, posterior cervical foraminal decompression tsis xav tau pob txha graft fusion thiab tsis poob qhov ntau ntawm kev txav ntawm lub ncauj tsev menyuam qaum. Lub posterolateral cervical disc herniation nucleus pulposus tshem tawm ntawm txoj kev tom qab yog ua raws li kev pom ncaj qha thiab yog qhov yooj yim, yog li nws muaj kev nyab xeeb thiab txhim khu kev qha. Cov lus qhia: posterolateral cervical disc herniation, ib theem intervertebral foramen stenosis, ntau theem intervertebral foramen stenosis tsis muaj nruab nrab tus txha caj qaum stenosis, thiab cov tsos mob tsis tu ncua tom qab anterior discectomy thiab fusion.
Kev phais mob caj dab sab sauv
Kev raug mob thiab kab mob ntawm lub ncauj tsev menyuam qaum qaum tuaj yeem ua rau tus txha caj qaum tsis ua haujlwm loj. Vim muaj cov qauv anatomical complex, feem ntau cov tsev kho mob tsis tuaj yeem kho lawv. Piv txwv li, atlantoaxial fracture thiab dislocation, atlanto occipital malformation, thiab rheumatoid sab sauv ntawm ncauj tsev menyuam spondylopathy, anterior tso thiab posterior fixation yuav siv tau los txo dislocation, txo tus txha caj qaum compression, thiab cawm txoj sia.
B. Lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, discogenic low back pain
Intervertebral fusion tsis tas yuav tshem tawm pob txha pelvic rau lumbar spinal stenosis lossis lumbar spondylolisthesis tshwm sim los ntawm ntau yam laj thawj. Thawj lub hom phiaj ntawm kev ua haujlwm yog kom decompress cov hlab ntsha. Thaum tus txha nraub qaum tsis ruaj khov, tus txha caj qaum yog txiav txim siab raws li qib ntawm kev tsis ruaj khov thiab spondylolisthesis. Lub posterolateral spinal pob txha graft (PLF) los yog interbody pob txha graft (PLIF) yog xaiv raws li seb nws puas haum rau pedicle ntsia hlau sab hauv fixation. Nyob rau hauv PLIF, tag nrho cov muab rho tawm vertebral arch thiab inferior articular txheej txheem complex (qhov nruab nrab incision) yog siv raws li interbody pob txha graft ceev, uas tsis tsuas yog tau txais cov pob txha zoo tshaj plaws graft khoom, tab sis kuj tsis txhob noj cov pob txha los ntawm lub plab mog los yog yuav tsum tau yuav ib tug interbody fusion tawb, uas tshem tawm cov teeb meem ntawm pob txha tshem tawm thiab zoo heev txo nqi.
Raws li ntau hom pathological, fenestration ntawm nucleus pulposus, laminectomy thiab discectomy (qee zaum nrog cov pob txha graft fusion thiab sab hauv fixation) thiab cov khoom siv hluav taws xob hloov tau raug xaiv.
Decompression ntawm tus txha caj qaum thiab cov hlab ntsha hauv paus kwj dej yog ua tau. Rau cov neeg mob uas muaj tus txha caj qaum tsis ruaj khov, dynamic fixation lossis fusion fixation yuav tsum tau xaiv, kom cov neeg mob tuaj yeem ua tiav lub hom phiaj kev kho mob ntawm tus nqi tsawg kawg nkaus thiab tau txais txiaj ntsig zoo.
1) Dynamic fixation ntawm lumbar qaum - nws tsis tsuas yog stabilizes tus txha nraub qaum, tab sis kuj khaws cov haujlwm ntawm lumbar suab. Nws qhov zoo muaj xws li: (1) nws tuaj yeem txo qhov siab ntawm intervertebral disc thiab tiv thaiv qhov degeneration ntawm intervertebral disc; (2) Kev sib txuas elastic tswj thiab kho qhov sib npaug ntawm peb sab ntawm ntu ntu.
2) Kev phais me me ntawm tus txha caj qaum decompression phais nrog cov leeg kev ncaj ncees khaws cia - ib qho kev phais zoo tshaj plaws qhia los ntawm txawv teb chaws. Tom qab kev txhim kho ntxiv, kev ua haujlwm muaj qhov txiav me me, tsis tev cov leeg, khaws cov duab ntawm ligaments thiab vertebrae, thiab decompression nyob rau hauv lub iav tsom iav thiab lub tshuab tsom iav muaj kev ntseeg siab, tsis ua rau kev ruaj ntseg ntawm tus txha nraub qaum, thiab muaj lub teeb pom kev tom qab. Cov neeg mob tuaj yeem taug kev rau hnub ob, thiab tawm hauv tsev kho mob 5-7 hnub tom qab.
Nws yog qhov zoo tshaj plaws qhia rau decompression thiab txo, pob txha graft fusion, thiab pedicle internal fixation. Nws kuj yog hom kev phais feem ntau siv titanium phaj fixation. Kev ua haujlwm yog qhov nyuaj thiab loj hauv nplai. Qhov ua rau lossis thaum ntxov ntawm spondylolisthesis, lumbar spondylolysis, yog yooj yim dua rau kev daws nrog lub sijhawm.
1) Lumbar spondylolysis tuaj yeem tshwm sim los ntawm kev qaug zog tawg ntawm ib feem ntawm lub lumbar qaum (isthmus, pob qij txha me) vim rov ua haujlwm dua. Yog tias nws tsis kho, txhawm rau tiv thaiv lumbar spondylolisthesis, tshwj xeeb tshaj yog thaum cov tsos mob pom tseeb, cov pob txha pob txha tuaj yeem siv los kho cov isthmus, ob lub hau ntswj thiab titanium cable, uas yooj yim thiab nyab xeeb.
2) Lumbar spondylolisthesis tau kho nrog kev phais qhib txo, intervertebral pob txha graft fusion (PLIF), thiab pedicle internal fixation. Thawj lub hom phiaj ntawm kev ua haujlwm yog kom decompress cov hlab ntsha. Thaum PLIF peek lumbar fusion tawb yog ua tiav, tag nrho cov vertebral tawb arch thiab inferior articular txheej txheem complex (nruab nrab incision) yog siv raws li ib tug ceev interbody pob txha graft, uas yuav tsis tau tsuas yog tau txais cov pob txha zoo tshaj plaws graft khoom, tab sis kuj tsis txhob noj cov pob txha los ntawm lub plab mog los yog yuav tsum tau yuav ib tug interbody fusion ntaus ntawv (interbody fusion cage), txo tus nqi ntawm cov pob txha.
Disogenic mob qis rov qab
Dynamic lumbar fixation, artificial disc hloov thiab interbody fusion (anterior los yog posterior) raug xaiv.
C. Pob txha pob txha
Los ntawm sab sauv ncauj tsev menyuam pob txha pob txha mus rau lumbosacral vertebra pob txha, anterior los yog posterior decompression thiab fixation ntawm tus txha nraub qaum yog saws.
1. Intraoperative myelography thiab transpedicular decompression
Hauv kev txo qis, decompression thiab kev txhim kho sab hauv ntawm thoracolumbar tawg tawg, cov nyhuv decompression tuaj yeem raug saib xyuas kom txo tau qhov mob iatrogenic.
2. Minimally invasive percutaneous kyphoplasty rau kev kho mob vertebral compression fractures hauv cov neeg laus
Tsuas yog ib rab koob ntawm pob txha cement tuaj yeem txhaj. Nws yog ib tug tiag tiag minimally invasive technology los txo qhov mob thiab taug kev tawm ntawm txaj 1-3 hnub tom qab kev phais.
D. Kev phais tus txha caj qaum tsawg tsawg
A. Lub hom phiaj ntawm minimally invasive spine phais (MISS) yog kom ua tiav cov txiaj ntsig ntawm kev kho mob ib txwm siv thiab txo qhov kev phais mob kom ntau li ntau tau, txhawm rau txo qhov tshwm sim ntawm cov teeb meem, intraoperative los ntshav, nyob hauv tsev kho mob, thiab lwm yam, kom cov neeg mob tuaj yeem rov zoo thiab rov qab mus rau lub neej zoo thiab ua haujlwm sai li sai tau.
Mainstream minimally invasive phais muaj xws li:
Endoscopic technology
Spinal endoscopy refers to that the surgeon, under the guidance of X-ray or navigation during the operation, uses puncture expansion tools to puncture from the skin to the spinal lesions, establishes endoscopic and surgical operation channels, uses water as the medium, magnifies and displays the internal results and lesions on the high-definition display screen through the endoscopic system, and the doctor operates through the npo duab. Cov kev phais feem ntau siv xws li: lateral lumbar foraminal endoscopy, posterior lumbar lamina approach endoscopy, thiab posterior cervical endoscopic surgery. Piv nrog rau kev phais ib txwm siv los yog kev phais mob microsurgery, nws muaj qhov zoo hauv qab no: (1) Cov lus qhia dav dav, me me los ntshav thiab raug mob, tsis muaj kev puas tsuaj rau tus txha caj qaum, thiab qhov kev txiav feem ntau yog tsawg dua 1 cm; (2) Kev ua haujlwm raws li kev siv tshuaj loog hauv zos tuaj yeem xaiv tau, thiab kev sib txuas lus tiag tiag ntawm cov kws kho mob thiab cov neeg mob muaj los pab txhawb kev ua haujlwm thiab zam kev raug mob ntawm lub paj hlwb; (3) Cov teeb meem tsawg dua, rov zoo sai, tuaj yeem tawm hauv txaj tom qab kev phais, tso tawm hauv 1-2 hnub, lossis kev phais sab nraud; (4) Tsawg tus kab mob; (5) Qhov teeb meem mus sij hawm ntev ntawm kev ceev degeneration ntawm cov ntu uas nyob ib sab hauv fusion thaum ntxov yog zam. Qhov tsis zoo suav nrog: (1) Muaj qee qhov kev rov ua dua tshiab. Thaum qhov rov tshwm sim dua, kev rov ua haujlwm yuav nyuaj dua thiab pheej hmoo vim qhov caws pliav ntawm thawj qhov kev ua haujlwm. (2) Muaj qee qhov teeb meem, xws li residual nucleus pulposus compression, dural thiab paj hlwb raug mob, intervertebral chaw kab mob, los ntshav, postoperative sensory abnormalities; (3) Cov lus qhia phais yog ib leeg xwb, feem ntau yog rau kev kho mob ntawm cov kab mob intervertebral herniation yooj yim. Rau qhov nyuaj intervertebral disc herniation los yog ua ke ntawm tus txha caj qaum stenosis, nws kuj tuaj yeem kho. Yog tias cov nyhuv tsis zoo, qhib kev phais yuav tsum tau rov ua dua.
2. Minimally invasive fusion thiab internal fixation technology
Lumbar fusion thiab internal fixation yog ib qho kev phais yooj yim rau kev kho mob ntawm lub lumbar. Los ntawm anterior, anterolateral, lateral, posterolateral thiab posterior txoj hauv kev ntawm lumbar qaum, pob txha grafting los yog fusion tawb, facet joint thiab intertransverse txheej txheem yog implanted nyob rau hauv lub intervertebral qhov chaw, kom cov pob txha sib txuas ntawm lub lumbar pob qij txha tuaj yeem tshwm sim, yog li tsim thiab tswj kev ruaj ntseg ntawm lumbare spine. Raws li txoj cai, ntu kev phais yuav tsis rov muaj dua. Cov kev sib xyaw ua ke me me thiab cov txheej txheem txhim kho sab hauv muaj xws li kev cuam tshuam me me ntawm kev hloov pauv ntawm lub lumbar interbody fusion (MIS-TLIF) thiab kev sib tw tsawg kawg ntawm lub lumbar interbody fusion (LLIF). LLIF kuj suav nrog ntsug lateral fusion tawb (DLIF) thiab qhov nrov tshaj plaws oblique lateral fusion (OLIF). Lub minimally invasive fusion internal fixation technology mas qhia tshwj xeeb expanders thiab tubular retractors kom txo tau cov ntaub so ntswg puas thiab ua qhov zoo tshaj plaws visualization ntawm lub lag luam cheeb tsam. Nws tuaj yeem koom tes nrog kev ua haujlwm microscope lossis lub zog loj iav tsom iav kom nthuav dav qhov kev phais ntawm lub zeem muag, txhawm rau txo cov tawv nqaij incision thiab sab hauv cov ntaub so ntswg puas tsuaj, thiab pab txhawb kev phais txha caj qaum los siv cov kev kho mob zoo tshaj plaws nrog kev puas tsuaj iatrogenic tsawg. Piv nrog rau kev phais qhib, qhov tsawg kawg nkaus invasive fusion internal fixation thev naus laus zis tau zoo dua ntawm kev nyob hauv tsev kho mob, ntshav poob, lub sijhawm rov qab los thiab lub sijhawm rov qab mus rau lub neej qub. Nyob rau tib lub sijhawm, nws feem ntau tuaj yeem khaws cov qauv hauv qab ntawm tus txha nraub qaum, txo cov leeg nqaij, thiab yog li txo qhov mob tom qab phais. Kev sib xyaw ua ke me me thiab cov cuab yeej siv kho mob sab hauv muaj ntau yam kev qhia, suav nrog ntau yam kab mob ntawm tus txha caj qaum, txha caj qaum, nyuaj disc herniation, instability, scoliosis, thiab lwm yam.
3. Percutaneous vertebroplasty
Nws belongs rau kev phais me me, suav nrog percutaneous vertebroplasty (PVP) thiab percutaneous balloon kyphoplasty (PKP). Nws yog ib lub tshuab uas kho mob pob txha cement los yog cov pob txha pob txha biomaterials raug txhaj rau hauv cov kab mob vertebral lub cev los ntawm daim tawv nqaij puncture kom ntxiv dag zog rau lub cev vertebral. Cov kab mob uas siv tau muaj xws li: 1. Osteoporotic vertebral compression fracture, uas tsis muaj txiaj ntsig nrog kev kho mob los yog siv tshuaj; 2. Cov qog nqaij hlav zoo lossis cov qog nqaij hlav malignant ntawm lub cev vertebral; 3. Pob txha pob txha nrog osteonecrosis lossis nonunion tom qab pob txha; 4. Tsis ruaj khov compression puas los yog ntau ntu vertebral compression puas; 5. Kev tawg tawg nrog cov phab ntsa tsis zoo tom qab ntawm lub cev vertebral. Cov yam ntxwv ntawm qhov kev ua haujlwm no: 1. Kev kho mob tsawg kawg nkaus nyob rau hauv cov tshuaj loog hauv zos muaj lub sijhawm ua haujlwm luv luv, qhov kev txiav tawm tsis pub dhau 0.5cm, los ntshav yog 2-3ml, thiab cov nyhuv analgesic yog qhov tseeb. Nws muaj kev ua haujlwm ntawm kev txo qhov mob thiab rov tsim kho lub zog biomechanical ntawm cov pob txha tib lub sijhawm. 2. Rau cov neeg laus thiab cov neeg mob uas tsis muaj zog, qhov kev phais mob me me, thiab cov teeb meem tshwm sim los ntawm immobilization raug zam. 3. Kev rov ua haujlwm tom qab ua haujlwm sai thiab lub sijhawm pw hauv tsev kho mob luv luv. 4. Vim tias qhov kev kho mob raws sij hawm, cov kev mob tshwm sim thiab kev cia siab ntawm kev siv tshuaj tua kab mob raug zam, thiab kev ua neej zoo dua. 5. Nws txo lub sijhawm rau cov neeg mob so hauv txaj thiab xav tau cov neeg saib xyuas.
4. Neeg hlau pab thiab navigated txha caj qaum
Kev phais tus txha caj qaum xav kom cov kws kho mob ua haujlwm nrog qhov raug siab, thiab kev ua yuam kev me me yuav ua rau muaj kev puas tsuaj loj. Piv txwv li, rau lub lumbar pedicle ntsia hlau insertion tshuab, thaum lub sij hawm ntsia hlau ntxig txheej txheem, nws yuav tsum tau xyuas kom meej tias cov ntsia hlau muab tso rau hauv lub pedicle. Txoj kab uas hla ntawm lub lumbar pedicle yog hais txog 8 hli, thiab sab hauv thiab sab hauv ntawm lub pedicle yog cov paj hlwb tseem ceeb. Peb lub taub hau ntsia hlau yog 6.5 hli, uas txhais tau hais tias ib zaug cov ntsia hlau tawg los ntawm sab hauv thiab sab phab ntsa ntawm lub pedicle, cov hlab ntsha loj tuaj yeem ua rau. Yog li ntawd, qhov tseeb thiab kev nyab xeeb ntawm cov ntsia hlau ntxig yog qhov tseem ceeb heev. Cov neeg hlau phais orthopedic thiab navigation system, coj los ntawm 3D cov duab, tuaj yeem muab cov ntsia hlau kom raug raws li txoj kev npaj, txiav los yog semi-automatically ntsia hlau rau hauv pedicle screws, txo qhov kev puas tsuaj rau cov leeg thiab lwm cov nqaij mos, thiab xyuas kom meej thiab kev nyab xeeb ntawm kev phais. Rau kev siv tshuab endoscopic, kev sib xyaw ua ke kuj tseem tuaj yeem txo lub sijhawm ua haujlwm puncture, cov ntaub so ntswg puas thiab tsis xis nyob ntawm cov neeg mob thaum lub sijhawm ua haujlwm. Kev siv cov neeg hlau pab thiab navigation spinal phais yuav muaj txiaj ntsig zoo rau cov neeg mob uas muaj kab mob txha caj qaum.
Nyob rau hauv ib lo lus, minimally invasive spine thev naus laus zis tuaj yeem ua tiav cov hom phiaj kho mob kom nyab xeeb thiab ua tau zoo los ntawm kev txo qhov raug mob ntau npaum li qhov ua tau. Thaum ua tiav cov txiaj ntsig zoo ib yam lossis zoo dua li kev phais pob txha qhib, nws tuaj yeem txo qhov kev phais mob ntawm cov neeg mob, txhawb lawv txoj kev rov qab los thaum ntxov, thiab txo qis qhov kev phais. Txawm li cas los xij, minimally invasive spine phais tsis tuaj yeem hloov qhov kev phais pob txha. Txoj kev npaj ua haujlwm tshwj xeeb yuav tsum tau txiav txim siab raws li tus neeg mob tus mob, kev kho mob technology, kev sib txuas lus ntawm cov kws kho mob thiab cov neeg mob thiab lwm yam. Cov kev paub ntau ntxiv ntawm cov pa qhib kev phais yog lub hauv paus rau kev phais me me. Thaum qhov kev phais mob me me ntsib teeb meem, nws yuav tsum tau hloov pauv mus qhib kev phais hauv lub sijhawm kom zoo dua kom muaj kev nyab xeeb ntawm cov neeg mob thiab qhov ua tau zoo ntawm kev phais. Thaum kawg, peb yuav tsum ceeb toom rau cov neeg mob phais kom ceev faj txog kev saib xyuas thiab kev tawm dag zog kev tshawb fawb tom qab kev phais mob tau zoo kuj tseem ceeb heev, uas tuaj yeem tsis tsuas yog txhim kho cov kev kho kom zoo, tab sis kuj tsis txhob rov tshwm sim lossis kab mob vertebral uas nyob ib sab.
E. Tus txha caj qaum thiab mob
Tumor, tuberculosis thiab suppurative o ntawm ncauj tsev menyuam, thoracic thiab lumbar vertebrae.
F. Xaus
1. Tsis muaj qhov muag tsis pom kev hauv kev phais tus txha caj qaum
Kev nyab xeeb thiab kev ntseeg siab yog thawj zaug nrhiav kev phais tus txha caj qaum. Nws feem ntau kuaj xyuas thiab kho cov kab mob degenerative ntawm tus txha nqaj qaum, xws li ncauj tsev menyuam spondylotic myelopathy, ossification ntawm thoracic ligamentum flavum, lumbar spinal stenosis, disc herniation ntawm txhua ntu los ntawm lub ncauj tsev menyuam mus rau lumbar qaum, thiab ossification ntawm posteriorment ntev. Tsis tas li ntawd, nws tseem cuam tshuam nrog txhua yam kev raug mob thiab cov kab mob tshwm sim hauv tus txha caj qaum, xws li pob txha pob txha thiab kev tsis sib haum xeeb, tus txha caj qaum deformity, tus txha caj qaum (thawj thiab metastatic), tus txha caj qaum los yog kab mob suppurative.
2. Kev phais ncauj tsev menyuam Unlimited
Rau kev ua haujlwm ntawm lub ncauj tsev menyuam spondylotic myelopathy thiab ossification ntawm posterior longitudinal ligament ntawm lub ncauj tsev menyuam nqaj qaum, qee lub tsev kho mob lossis kws kho mob tsuas yog ua haujlwm sab nrauv lossis tom qab. Qhov tseeb, muaj ntau hom kev ua haujlwm xaiv los ntawm - anterior cervical decompression thiab pob txha grafting thiab internal fixation, posterior cervical laminoplasty (ib qhov rooj, ob lub qhov rooj), thiab ib-theem anterior thiab posterior decompression thiab sab hauv fixation. Peb muaj ntau txoj kev vam meej hauv cov kev ua haujlwm no, uas tuaj yeem siv tau raws li cov xwm txheej sib txawv, Nws tsis txwv los ntawm kev siv tshuab, cov xwm txheej thiab cov tswv yim nqaim, thiab muab kev ua si tag nrho rau qhov zoo ntawm ntau txoj kev.
3. Kev phais thoracic vertebra yog qhov yooj yim thiab txhim khu kev qha
Rau ossification ntawm thoracic posterior longitudinal ligament, uas yog nyuaj thiab ntshai los ntawm ntau lub tsev kho mob loj, peb tau ua segmental posterior decompression. Rau cov neeg mob uas muaj anterior compression (ossification ntawm ligaments los yog protrusion ntawm intervertebral discs), lub anterior decompression ntawm tus txha caj qaum tau ua los ntawm txoj kev tunneling kom tiav 360 ° decompression nyob ib ncig ntawm tus txha caj qaum, uas tsis txhob anterior decompression los ntawm thoracotomy. Qhov txheej txheem 360 ° decompression no kuj tseem siv rau kev ua haujlwm ntawm cov ceg qis qis uas tshwm sim los ntawm thoracic intervertebral disc prolapse thiab osteoporotic compression pob txha.
4. Intervertebral fusion tsis xav tau cov pob txha pelvic extraction
Rau lumbar spinal stenosis lossis lumbar spondylolisthesis tshwm sim los ntawm ntau yam laj thawj, thawj lub hom phiaj ntawm kev ua haujlwm yog paj hlwb decompression. Thaum tus txha nraub qaum tsis ruaj khov, tus txha caj qaum yog txiav txim siab raws li qib ntawm kev tsis ruaj khov thiab spondylolisthesis. Lub posterolateral spinal pob txha graft (PLF) los yog interbody pob txha graft (PLIF) yog xaiv raws li seb nws puas haum rau pedicle ntsia hlau sab hauv fixation. Nyob rau hauv PLIF, tag nrho cov muab rho tawm vertebral arch thiab inferior articular txheej txheem complex (qhov nruab nrab incision) yog siv raws li interbody pob txha graft ceev, uas tsis tsuas yog tau txais cov pob txha zoo tshaj plaws graft khoom, tab sis kuj tsis txhob noj cov pob txha los ntawm lub plab mog los yog yuav tsum tau yuav ib tug interbody fusion tawb, uas tshem tawm cov teeb meem ntawm pob txha tshem tawm thiab zoo heev txo nqi.
Rau CZMEDITECH , peb muaj cov khoom tiav heev ntawm spinal phais implants thiab Cov khoom siv xws li 5.5mm thiab 6.0mm spinal pedicle screw system, anterior cervical plate system, posterior cervical screw system, anterior thoracic plate system, anterior thoracolumbar plate system, titanium mesh tawb, peek tawb system, titanium cervical tawb system, pedicle ntsia hlau system thiab lawv cov cuab yeej txhawb nqa. Tsis tas li ntawd, peb tau cog lus los tsim cov khoom tshiab thiab nthuav dav cov khoom lag luam, txhawm rau ua kom tau raws li kev xav tau ntawm kev phais ntawm ntau tus kws kho mob thiab cov neeg mob, thiab tseem ua rau peb lub tuam txhab muaj kev sib tw ntau dua nyob rau hauv tag nrho lub ntiaj teb orthopedic implants thiab instruments kev lag luam.
