Nhazi R&D ọhụrụ

MIS | Nkwalite teknụzụ - Uru nka na ụzụ - Nsonaazụ arụ ọrụ gachara | czmeditech

The Minimally Invasive Spine System (MIS) bụ nkà na ụzụ ọgbara ọhụrụ nke na-enyere aka ọgwụgwọ kpọmkwem site na obere mbepụ maka ọnọdụ ndị dị ka diski herniated na spinal stenosis.

Nkọwa atụmatụ ọhụrụ

Uru ndị na-akpa ike dị ntakịrị

Obere mmerụ ahụ

Nhazi mbepụ dị nta:

Ntụpu a na-ahụkarị bụ naanị 1-2 cm, na-ebelata mwepu akwara na mmebi anụ ahụ dị nro.

Teknụzụ nhazi nke ọma:

Emelitere izi ezi nke ntinye ntinye n'ime intraoperative (dịka O-ogwe aka, 3D-C-arm) ma ọ bụ enyemaka roboti (dịka Mazor X, Globus Medical).

Mbelata ọbara ọgbụgba intraoperative:

Nkà na ụzụ ohere dị ntakịrị na-ebelata ohere nke mmerụ ahụ vaskụla, karịsịa maka ndị agadi ma ọ bụ ndị ọrịa na-arịa ọrịa.

Mgbake ngwa ngwa mgbe ịwachara ahụ gasịrị

Obere oge ọnụnọ ụlọ ọgwụ:

A na-ahapụ ọtụtụ ndị ọrịa awa 24-48 ka a wachara ha ahụ, ma e jiri ya tụnyere ụbọchị 3-5 maka ịwa ahụ mepere emepe.

Mbugharị mbugharị:

Obere ihe mgbu na nchebe anụ ahụ ka mma na-enye ndị ọrịa ohere ịlaghachi n'ọrụ ha kwa ụbọchị ngwa ngwa.

Nkwalite biomechanical

Ngwa ihe ọhụrụ:

eg 3D e biri ebi titanium alloys, PEEK (polyether ether ketone) ihe iji nweta a modul nke elasticity nso nke ọkpụkpụ ma belata nrụgide masking.

Sistemụ nkwụsi ike dị ike:

ụfọdụ ihe etinyere (dịka Dynesys, Coflex) na-echekwa ijegharị azụ azụ ma belata ihe egwu nke mmebi akụkụ dị n'akụkụ.

Ngosipụta gbasaara

Na-ekpuchi ụdị ọrịa dị iche iche nke ọkpụkpụ azụ dị ka ọrịa diski degenerative, stenosis spinal lumbar, spondylolisthesis dị nro na ọkpụkpụ vertebral.

临床案列

Ndị a bụ ikpe nyocha nnochite anya n'afọ ndị na-adịbeghị anya:

1. Nnwale a na-achịkwa nke a na-achịkwa nke lumbar spine fusion (TLIF)

Nhazi ọmụmụ:

multicenter RCT (2022) na-atụnyere MIS-TLIF (obere mkparị) na TLIF mepere emepe.

Nha nlele:

Ndị ọrịa 120 nwere otu akụkụ degenerative lumbar spine ọrịa.

Nsonaazụ:

Oge ịwa ahụ:

ntakịrị ogologo na otu MIS (pụtara 150 min vs. 130 min), mana 60% obere ọbara ọgbụgba (<100 ml vs. 250 ml).

mgbu mgbe ịwachara ahụ gasịrị:

Mbelata 50% na akara VAS 1 izu mgbe arụchara ọrụ na otu MIS, enweghị nnukwu ọdịiche dị n'etiti otu abụọ ahụ ka ọnwa 3 gachara.

Ọnụọgụ ngwakọta:

1 afọ postoperative CT gosiri>90% fusion ọnụego na abụọ otu.

Nsogbu:

Ọnụọgụ ọrịa 2% n'ime otu MIS vs. 8% na otu mepere emepe.

2. Nnyocha nyocha ogologo oge nke usoro nkwụsi ike ike (Coflex)

Nhazi ọmụmụ:

Ọmụmụ ihe nleba anya nke afọ 5 nke Europe (2021) na-enyocha ntinye Coflex maka ọgwụgwọ nke spinal spinal stenosis.

Nha nlele:

Ndị ọrịa 80.

Mpụta:

Mmelite arụ ọrụ:

ODI (nkọwa dysfunction) belatara site na isi 45 na ntọala ruo isi 20 na afọ 5.

Mbelata nke ngalaba agbataobi:

Naanị 12% nke ndị ọrịa butere nsogbu akụkụ dị n'akụkụ, nke dị ala karịa njikọ nkịtị (~ 30%).

Ọnụego nrụpụta ọrụ:

ngụkọta afọ 5 nrụgharị ọrụ nke 8%, tumadi n'ihi ịtọpụ ihe ọkụkụ (4%) ma ọ bụ nlọghachi nke mgbaàmà.

3. Multicenter ọmụmụ nke robot-enyere MIS implants

Nhazi ọmụmụ:

ọmụmụ ihe nlegharị anya nke ebipụtara na 2023 iji nyochaa nsonaazụ MIS skru site na enyemaka Robot Mazor.

Nha nlele:

500 ịghasa ntinye (thoracolumbar spine).

Nsonaazụ:

Nkenkenke:

98.6% nke ọnọdụ ịghasa nwere afọ ojuju (Gertzbein-Robbins grading A/B).

Nsogbu:

Ọnụego mmerụ ahụ mgbọrọgwụ akwara 0.4% tụnyere 3-5% maka ntinye aka n'efu.

Maka ihe ọmụma ngwaahịa na nkọwa ndị ọzọ, biko kpọtụrụ anyị!