Views: 0 Tus Sau: Tus xaib Editor Tshaj Tawm Lub Sijhawm: 2025-05-30 Keeb Kwm: Lub chaw
Anterior Cervical ua haujlwm nrog cov decoment thiab implant fusion (acdf) yog ib qho kev sib zog ntawm cov pob txha caj qaum thiab lwm yam kev tsis sib haum xeeb, thiab tsis muaj kev cuam tshuam ntawm kev txhim kho sab nraud, thiab lwm yam Kev sib tw postperative xws li nyuaj rau kev nqos, mob siab rau cov neeg taug kev thiab lwm yam kis ntawm cov teeb meem postalling yog li ntawm 8%.
Hauv kev teb rau cov teeb meem saum toj no, kev kawm zej zog yog kev txhim kho kev ua haujlwm tas li, lub tswv yim zoo, thiab cov prosthesis kev ua kom zoo. The self-stabilising cervical spine fusion device (zero-trace), which is fully accommodated in the intervertebral space and effectively reduces the risk of postoperative dysphagia and adjacent segment degeneration, has been widely accepted.
a. Kev sib raug zoo ntawm cov articular eminence ntawm Concha thiab cov leeg ntshav.
b. Nyob rau hauv phau ntawv, lub nruab nrab ntawm lub articular eminence yog tshem tawm, thiab lub ntug ntxiv yog khaws cia kom tsis txhob muaj kev puas tsuaj rau cov leeg ntshav.
a. Kev loj hlob ntawm cov pob txha thiab tus txha caj qaum ntawm cov pob qij txha sib txuas ntxiv txo qis kev sib tshuam ntawm cov foramina, yog li kev ua kom muaj cov hauv paus hniav sib tshuam.
b. Cuam tshuam kev fusion ntaus ntawv / cog yuav qhib qhov chaw sib tshuam rau thaj chaw ntawm cov foramen thiab tib lub sijhawm sib tshuam, hloov kho qhov ruaj khov ntawm tus txha nraub qaum.
Thawj qhov lus piav qhia ntawm kev ncua sij hawm ntawm sab nrauv ncauj tsev menyuam thiab smith hauv xyoo 1955 uas nws tau piav qhia txog cov leptokyhot sib koom ua ke. Cloward, lwm tus tsim ntawm ACDF, hais txog txhua tus kab mob leptokyphosphosphose tau raug muab cuam tshuam nrog kev sib tw tau cuam tshuam nrog kev tsim ntawm Leptokyphophosis.
Cov chaw khaws cia sib cav tias tus xov xwm sib luag ntawm cov kab mob skasterior, thiab cov qauv hluav taws xob zoo tshaj plaws ntawm kev sib koom tes ntawm lub ncauj tsev menyuam yaus Kev tshem tawm ntawm cov kev cog hniav ua haujlwm txo qhov kev ua tiav ntawm kev laj kab.
Raws li lub tsev kawm ntawv rov qab los ntawm kev xav, qhov qub, phab ntsa sab tom qab yog lub ntsej muag ib leeg tuaj yeem ua rau muaj kev sib tshuam rau kev kawm me nyuam yaus.
Hauv kev tshawb fawb tam sim no, kev txiav txim siab ntawm Leptokyphosphosis tseem tau tawm tswv yim rau cov neeg mob lperhoppasia ntawm cov hlab ntsha thiab pob txha caj qaum sai li sai tau.
Zuag qhia tag nrho, kev tsis sib haum ib txwm muaj, tab sis kev xaiv ntawm kev khaws cia, ib nrab txuag tau, lossis tshem tawm cov kab mob uas tau ua rau tus neeg mob kev soj ntsuam. Txoj kev kho mob ib leeg kev kho mob, txawm li cas los xij, cov chaw xav tau ntau ntawm qhov loj me ntawm cov khoom txom nyem.
Tus mob caj qaum ntawm Hematoma (Seh) yog qhov tsis tshua muaj kev cuam tshuam thiab muaj kev cuam tshuam nrog cov kab mob ib ntus ntawm 0.1 Kev phais mob ceev tom qab kev kuaj mob ntawm SEH tuaj yeem pab kev rov qab ntawm kev ua haujlwm neurological.
A. Kev kuaj mob yuav tsum ua tiav, thiab cov lus nug ntxaws ntxaws yuav tsum tau ua kom lawv puas muaj keeb kwm kev haus luam yeeb thiab haus cawv ntau; Yog tias muaj cov tib neeg noj tshuaj tiv thaiv tshuaj tiv thaiv, lawv yuav tsum tsum tsis txhob noj lawv rau ib lub lis piam ua ntej ua haujlwm;
B. Txhim kho introopitive haemostasis, tsis tiav haemostasis los ntawm electrocoagulation ntawm electrocoagulation, nws raug pom zoo kom siv bipolar electrocoagulation yuam; Nyob rau hauv cov txheej txheem ntawm vertebral lub cev subtotal resection, pob txha siv quav ciab yuav tsum tau siv kom tsis txhob muaj ntshav ntau dhau ntawm pob txha ua si; Daim ntawv thov ntawm Hausostatic cov tshuaj, xws li kev txhaj tshuaj Nws tsis tas yuav nrhiav kev rov qab ua tiav ntawm cov txheej txheem ntev ntev ntawm kev ua haujlwm ntawm ob tog tuaj yeem ua tiav qhov kev cuam tshuam ntawm decomression; Qhov kev tso chaw ntawm prosthesis yuav tsum tawm ntawm qhov chaw txaus ntawm sab xis thiab sab laug. Thaum cov pa prosthesis, qhov chaw txaus yuav tsum tau sab laug thiab sab xis kom los ntawm cov kab mob vertebrae thiab tau tso tawm ntawm qhov tsis zoo tso kua dej;
1. Muab cov tshuaj kho mob rau tus kheej rau kev tswj hwm ntawm cov hooked vertebal sib koom ua ke.
2. Txo cov sij hawm ntawm vertebal lub cev
3. Txo txoj kev pheej hmoo ntawm tus txha caj qaum ushidoga
Tsis tas yuav muaj chaw seem ntxiv rau cov ntsia hlau txuas, qhov tsawg kawg nkaus raug txo los ntawm 2.5cm txog 2.0cm.
Zoo ntxiv rau lub tswvyim ntawm lub chaw ua haujlwm ntawm tus txha caj qaum endoscopic, kev paub txog endo-acdf.
Cervical peek tawb (2 lossis 4 locking screws) yog precision orthopedic cov kev daws teeb meem tau ua tib zoo tsim los ntawm CZMEDACH CENTERED RAU INNTERIOR Cervical Decompress Thiab Tsav Los Ua Kom Muaj Kev Kho Mob Thoob Ntiaj Teb, Yooj Yim Rau Cov Neeg Mob Muaj Zog Thoob Ntiaj Teb Thoob Ntiaj Teb.