Zambiri zaife
Malingaliro a kampani Changzhou Meditech Technology Co., Ltd., yomwe ili ku Changzhou Science & Education Town, m'chigawo cha Jiangsu, ndi akatswiri opanga Zoyikidwa m'mafupa ndi zida.
Pambuyo pa kafukufuku ndi chitukuko cha zaka zoposa 10, Tili ndi mndandanda waukulu wa mankhwala a 10 ndipo ndi dongosolo la msana, intramedullary nail system, trauma plate and screw system, Locking plate ndi screw system, CMF system, External Fixator system, Chida chamagetsi chachipatala system, general instruments system, sterilization kapena containerthopedic system ndi veterinary system.
Monga wogulitsa kunja kwa zipangizo zachipatala zomwe zakhala zikugwira ntchito zaka zoposa khumi, ndipo tili ndi ziphaso za CE ndi ISO , katundu wathu watumizidwa kumayiko ambiri monga USA, Germany, Argentina, Chile, Mexico, India,Thailand, Malaysia, Turkey, Egypt, South Africa, Ivory Coast, ndi zina zotero.
Pa mfundo ya 'khalidwe loyamba, utumiki choyamba, R & D choyamba, luso loyamba', kampani yathu yapambana mbiri yabwino kwambiri m'nyumba ndi kunja. Kampaniyo imatenga odwala opindula ngati cholinga chake chokhazikika ndipo imayesetsa mosalekeza paumoyo wa anthu.
Opaleshoni Yamsana
Pali mitundu yambiri ya maopaleshoni a msana, makamaka osasokoneza pang'ono komanso otseguka. Ena fractures lumbar, disc herniation, chifuwa chachikulu cha msana, scoliosis akhoza kuchitidwa opaleshoni. Opaleshoni yaying'ono kwambiri imaphatikizapo: vertebroplasty, radiofrequency ablation, endoscopic nucleus pulposus kuchotsa, percutaneous pedicle screw rod internal fixation, etc. Opaleshoni yotsegula makamaka imaphatikizapo kuchepetsa ndi kukonza mkati, laminectomy, decompression yotseguka ndi kukonza mkati, ndi zina zotero.
A. Cervical spondylosis
Kuti agwire ntchito ya khomo lachiberekero, khomo lachiberekero spondylotic myelopathy, ndi ossification wa posterior longitudinal ligament ya khomo lachiberekero, zipatala zina kapena madokotala amangochita opaleshoni yapambuyo kapena opaleshoni yapambuyo. Ndipotu pali mitundu yambiri ya opaleshoni yomwe mungasankhe. Anthu ali ndi zochitika zambiri zopambana mu opaleshoni yamtunduwu, yomwe ingagwiritsidwe ntchito molingana ndi mikhalidwe yosiyanasiyana, popanda teknoloji, mikhalidwe, ndi malingaliro opapatiza, ndikupereka masewera athunthu ku ubwino wa mitundu yosiyanasiyana ya opaleshoni. Kwa zovuta za khomo lachiberekero spondylosis, decompression ndi fixation kudzera m'njira zonse zam'mbuyo ndi zam'mbuyo zimatha kufupikitsa kwambiri nthawi yogonera kuchipatala, ndipo zotsatira za decompression kwathunthu zimakhala bwino.
Anterior khomo lachiberekero decompression ndi kuphatikizika ndi kumezanitsa mafupa ndi kukonza mkati:
Imagwiritsidwa ntchito ku khomo lachiberekero spondylosis ndi protrusion ya intervertebral discand short compression magawo (1-3 spaces) wa spur zomera. Ili ndi mwayi wochotsa mwachindunji chotupacho, chomwe ndi chosavuta komanso chosavuta. Ndi ntchito yodziwika bwino komanso njira yoyambira yochizira khomo lachiberekero spondylosis.
Kuchepetsa khomo lachiberekero ndi laminoplasty:
Zimagwiritsidwa ntchito ku khomo lachiberekero spondylosis ndi chiwerengero ndi gawo la intervertebral disc compression ndi spinal canal stenosis, komanso kupanikizika kwakukulu kwapambuyo (ossification ya posterior longitudinal ligament, intervertebral disc). Ndi ya decompression yosalunjika, yomwe ili ndi mwayi wosunga mayendedwe a khomo lachiberekero ndipo imakhala yotetezeka.
Kusintha kwa cervical disc m'malo:
Imagwiritsidwa ntchito kwa odwala omwe ali ndi zaka zosakwana 60 omwe ali ndi gawo lalifupi la anterior intervertebral disc compression. Ngakhale kuti decompressing ndi kuthetsa kupsinjika kwa msana, imasungabe ntchito ya msana wa khomo lachiberekero, imachepetsa mwayi wofulumizitsa kuwonongeka kwa zigawo zoyandikana, kotero kuti odwala amatha kusuntha kale pambuyo pa opaleshoni ndipo ntchitoyo ili pafupi ndi chikhalidwe cha thupi.
Gawo loyamba kutsogolo ndi kumbuyo kwa khomo lachiberekero decompression ndi kukonza
Kuwotcha kumakhala kokwanira komanso kotetezeka, koyenera kwa owopsa komanso apadera a khomo lachiberekero spondylosis. Pamilandu ya khomo lachiberekero spondylotic myelopathy yokhala ndi mtundu wa clamp kapena gawo lalitali la spinal stenosis ndi kupsinjika kwakukulu kwapambuyo, pali zolephera mu opaleshoni yapambuyo kapena yakumbuyo yokha. Timatenga malo opangira opaleshoni yam'mbuyo, ndiyeno timatenga malo opangira opaleshoni yam'mbuyo, ndi gawo loyamba lakumbuyo ndi lakumbuyo.
Ubwino : Pambuyo pakuwonongeka kwapambuyo, msana wa msana ukhoza kuyendayenda kumbuyo, malo omwe ali kutsogolo kwa msana wa chiberekero amawonjezeka, ndipo kupanikizika kwa msana wa msana kumachepetsedwa, kuchepetsa chiopsezo cha opaleshoni yam'mbuyo. Panthawi imodzimodziyo, kuponderezana kwa mayiko awiri kumatsitsimutsidwa, kutsekemera kwatha, zotsatira zake zimakhala zoonekeratu, ndipo zimathandiza kubwezeretsa ntchito ya msana; zimachepetsa ululu wa odwala ndipo zimakhala zosavuta kuti odwala avomereze. Iwo amapewa kuipa kawiri m`chipatala, opaleshoni yachiwiri, yaitali matenda, ndi kupulumutsa ndalama kuchipatala.
Pambuyo pa khomo lachiberekero foraminal decompression ndi discectomy
Poyerekeza ndi njira yapambuyo, kuponderezana kwapambuyo kwa khola lachiberekero sikufuna kuphatikizika kwa mafupa ndipo sikutaya kusuntha kwa msana wa khomo lachiberekero. The posterolateral cervical disc herniation nucleus pulposus kuchotsa kudzera m'njira yapambuyo imachitidwa pansi pa masomphenya achindunji ndipo ndi yosavuta, choncho ndi yotetezeka komanso yodalirika. Zizindikiro: posterolateral cervical disc herniation, single level intervertebral foramen stenosis, multi-level intervertebral foramen stenosis popanda msana wapakati wa msana stenosis, ndi zizindikiro zosalekeza za mizu pambuyo pa anterior discectomy ndi fusion.
Opaleshoni ya matenda apamwamba a khosi
Kuvulala ndi matenda a kumtunda kwa khomo lachiberekero kungayambitse vuto lalikulu la msana. Chifukwa cha mawonekedwe ovuta a anatomical, zipatala zambiri sizingathe kuwachiritsa. Mwachitsanzo, atlantoaxial fracture and dislocation, atlanto occipital malformation, ndi rheumatoid upper cervical spondylopathy, kumasulidwa kwapambuyo ndi kukhazikika kwapambuyo kungagwiritsidwe ntchito kuchepetsa kusokonezeka, kuthetsa kupanikizika kwa msana, ndi kupulumutsa miyoyo.
B.Lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, discogenic low back ululu
Kuphatikizika kwa intervertebral sikufuna kuchotsedwa kwa mafupa a m'chiuno kwa lumbar spinal stenosis kapena lumbar spondylolisthesis chifukwa cha zifukwa zosiyanasiyana. Cholinga choyamba cha opaleshoniyi ndikuchepetsa mitsempha. Pamene msana umakhala wosakhazikika, kusakanikirana kwa msana kumatsimikiziridwa molingana ndi kuchuluka kwa kusakhazikika ndi spondylolisthesis. The posterolateral spinal bone graft (PLF) kapena interbody bone graft (PLIF) amasankhidwa malinga ngati ali oyenera pedicle screw internal fixation. Mu PLIF, zonse zotengedwa vertebral arch ndi inferior articular process complex (median incision) zimagwiritsidwa ntchito ngati interbody fupa kumezanitsa mofulumira, amene osati amapeza bwino mafupa kumezanitsa zakuthupi, komanso kupewa kutenga fupa m'chiuno kapena kugula interbody fusion khola, amene amathetsa mavuto kuchotsa mafupa ndi kuchepetsa kwambiri ntchito mtengo.
Malingana ndi mitundu yosiyanasiyana ya pathological, fenestration ya nucleus pulposus, laminectomy ndi discectomy (nthawi zina ndi kuphatikizika kwa fupa la mafupa ndi kukonza mkati) ndi kusintha kwa disc yochita kupanga kumasankhidwa.
Kuwonongeka kwa ngalande ya msana ndi mitsempha ya mitsempha ndizotheka. Kwa odwala omwe ali ndi vuto la msana, kukonza kwamphamvu kapena kusakaniza kumayenera kuchitidwa mwasankha, kuti odwala athe kukwaniritsa cholinga cha chithandizo pamtengo wochepa ndikupeza zotsatira zokhutiritsa.
1) Kukhazikika kwamphamvu kwa lumbar msana - sikumangokhazikika msana, komanso kumasunganso ntchito ya lumbar motion. Ubwino wake ndi monga: (1) imatha kuchepetsa kwambiri kupanikizika kwa intervertebral disc ndikuletsa kuwonongeka kwa intervertebral disc; (2) Kulumikizana kolimba kumasunga ndikubwezeretsanso magawo atatu a gawo loyenda.
2) Opaleshoni yochepetsetsa ya msana ya msana ndi kukhulupirika kwa minofu kusungidwa - njira yapamwamba yopangira opaleshoni yomwe idayambitsidwa kunja. Pambuyo pa kuwongolera kwina, opareshoniyo imakhala ndi kabowo kakang'ono, sichimasenda minofu, imasunga mawonekedwe a mitsempha ndi vertebrae, ndipo decompression pansi pa galasi lokulitsa ndi maikulosikopu ndi yodalirika kwathunthu, sikuwononga kukhazikika kwa msana, ndipo imakhala ndi kuyankha kopepuka pambuyo pa opaleshoni. Odwala amatha kuyenda tsiku lachiwiri, ndikuchoka kuchipatala patatha masiku 5-7.
Ndichizindikiro chabwino kwambiri cha decompression ndi kuchepetsa, kuphatikizika kwa mafupa, ndi kukonza kwamkati kwa pedicle. Ndiwonso mtundu wodziwika bwino wa opaleshoni pogwiritsa ntchito titaniyamu mbale fixation. Ntchitoyi ndi yovuta komanso yayikulu pamlingo. Chifukwa kapena gawo loyambirira la spondylolisthesis, lumbar spondylolysis, ndilosavuta kuthana nalo nthawi.
1) Lumbar spondylolysis ikhoza kuyambitsidwa ndi kutopa kwapang'onopang'ono kwa gawo la lumbar msana (isthmus, mafupa ang'onoang'ono) chifukwa chochita masewera olimbitsa thupi mobwerezabwereza. Ngati sichichiza, pofuna kupewa lumbar spondylolisthesis, makamaka pamene zizindikiro zikuwonekera, fupa la mafupa lingagwiritsidwe ntchito kukonzanso kachidutswa, zitsulo ziwiri ndi chingwe cha titaniyamu, chomwe chiri chophweka komanso chotetezeka.
2) Lumbar spondylolisthesis inachitidwa ndi kuchepetsa opaleshoni yotseguka, intervertebral bone graft fusion (PLIF), ndi pedicle internal fixation. Cholinga choyamba cha opaleshoniyi ndikuchepetsa mitsempha. Pamene PLIF peek lumbar fusion khola ikuchitika, lonse vertebral khola arch ndi inferior articular process complex (median incision) amagwiritsidwa ntchito ngati fupa lachangu la interbody, lomwe silingathe kupeza fupa labwino kwambiri la mafupa, komanso kupewa kutenga fupa kuchokera m'chiuno kapena kugula chipangizo cha interbody fusion ( interbody fusion khola ), kuchepetsa kuchotsedwa kwa fupa, ndi kuwononga ndalama zambiri.
Discogenic low back ululu
Kukonzekera kwamphamvu kwa lumbar, kusintha kwa disc disc ndi interbody fusion (anterior kapena posterior) anasankhidwa.
C. Kuthyoka kwa msana
Kuchokera kumtunda kwa khomo lachiberekero fracture mpaka lumbosacral vertebra fracture, anterior or posterior decompression ndi fixation ya msana amatengedwa.
1. Intraoperative myelography ndi transpedicular decompression
Pakuchepetsa kotseguka, kusokoneza komanso kukonza mkati mwa thoracolumbar kupasuka kwapang'onopang'ono, zotsatira za decompression zimatha kuyang'aniridwa bwino kuti zichepetse kuvulala kwa iatrogenic.
2. Minimally invasive percutaneous kyphoplasty pochiza vertebral compression fractures mwa okalamba
Ndi singano imodzi yokha ya simenti ya mafupa yomwe ingathe kubayidwa. Ndiukadaulo weniweni wocheperako kuti muchepetse ululu ndikutuluka pabedi patatha masiku 1-3 mutatha opaleshoni.
D. Opaleshoni yocheperako ya msana
A. Cholinga cha opaleshoni ya msana (MISS) ndi kukwaniritsa zotsatira za chithandizo chamankhwala ochiritsira komanso kuchepetsa kupwetekedwa kwa opaleshoni monga momwe zingathere, kuti achepetse mavuto, kutulutsa magazi m'thupi, kukhala m'chipatala, ndi zina zotero, kuti odwala athe kuchira ndikubwerera ku moyo wabwino ndikugwira ntchito mwamsanga.
Opaleshoni yaing'ono yaing'ono imaphatikizapo:
Tekinoloje ya Endoscopic
Endoscopic endoscopy imatanthawuza kuti dokotalayo, motsogozedwa ndi X-ray kapena navigation panthawi ya opaleshoni, amagwiritsa ntchito zida zowonjezera mphuno kuti aziwombera kuchokera pakhungu kupita ku zotupa za msana, amakhazikitsa njira zowonongeka ndi opaleshoni, amagwiritsa ntchito madzi monga sing'anga, amakulitsa ndi kuwonetsa zotsatira zamkati ndi zotupa pazithunzi zapamwamba zowonetseratu kupyolera mu chithunzi cha endoscopic kudzera pa chithunzi cha endoscopic. Njira zopangira opaleshoni zomwe zimagwiritsidwa ntchito kwambiri ndi izi: lateral lumbar foraminal endoscopy, posterior lumbar lamina approach endoscopy, ndi posterior khomo lachiberekero endoscopic opaleshoni. Poyerekeza ndi opaleshoni yachikale kapena microsurgery, ili ndi ubwino wotsatirawu: (1) Zizindikiro zambiri, kutuluka magazi pang'ono ndi kupwetekedwa mtima, palibe kuwonongeka kwa dongosolo la msana, ndipo kudulidwa kumakhala kosakwana 1 cm; (2) Opaleshoni pansi opaleshoni m`deralo akhoza kusankhidwa, ndi zenizeni nthawi kulankhulana pakati pa madokotala ndi odwala atsogolere ntchito ndi kupewa intraoperative mitsempha kuvulala; (3) Zovuta zochepa, kuchira msanga, kumatha kudzuka pabedi pambuyo pa opaleshoni, kutulutsa m'masiku 1-2, kapena opaleshoni yakunja; (4) Chiwopsezo chochepa cha matenda; (5) Vuto la nthawi yayitali la kuchepa kwachangu kwa magawo oyandikana nawo pakusakanikirana koyambirira kumapewedwa. Zoipa ndi izi: (1) Pali mlingo wina wobwereza. Kubwerezabwereza kumachitika, kubwezeretsanso kudzakhala kovuta komanso koopsa chifukwa cha kuphatikizika kwa zipsera za opaleshoni yoyamba. (2) Pali zovuta zina, monga kuponderezedwa kotsalira kwa nucleus pulposus, kuvulala kwapawiri ndi mitsempha ya mitsempha, matenda a intervertebral space, kutuluka magazi, kusokonezeka kwamaganizo; (3) Zizindikiro za opaleshoni zimakhala zosakwatiwa, makamaka pofuna kuchiza intervertebral disc herniation. Kwa zovuta za intervertebral disc herniation kapena kuphatikiza spinal stenosis, imathanso kuthandizidwa. Ngati zotsatira zake sizikuyenda bwino, opaleshoni yotseguka imafunikanso.
2. Kuphatikizika kocheperachepera komanso ukadaulo wokonza mkati
Kuphatikizika kwa lumbar ndi kukonza mkati ndi njira yoyambira yopangira opaleshoni yochizira matenda a lumbar. Kupyolera mu njira zam'mbuyo, zam'mbuyo, zam'mbali, zam'mbuyo ndi zam'mbuyo za msana wa lumbar, kulumikiza fupa kapena fusion khola, ndondomeko ya mbali ndi intertransverse imayikidwa mu intervertebral space, kotero kuti kugwirizana kwa fupa pakati pa ziwalo za lumbar zikhoza kuchitika, motero kukhazikitsa ndi kusunga bata la lumbar msana. Mwachidziwitso, gawo la opaleshoni silingabwerenso. Kuphatikizika kosautsa pang'ono ndi njira zokonzera mkati kumaphatikizapo kuphatikizika kwapang'onopang'ono kwa transforaminal lumbar interbody fusion (MIS-TLIF) ndi kuphatikizika kwapang'onopang'ono kwa lumbar interbody fusion (LLIF). LLIF imaphatikizaponso vertical lateral fusion cage (DLIF) ndi oblique lateral fusion (OLIF) otchuka kwambiri. Ukadaulo wapakatikati wophatikizika wophatikizika wamkati makamaka umayambitsa zowonjezera zowonjezera ndi ma tubular retractors kuti achepetse kuwonongeka kwa minofu yofewa ndikupanga mawonekedwe abwino kwambiri a malo ogwirira ntchito. Ikhoza kugwirizana ndi ma microscope opangira opaleshoni kapena galasi lokulitsa mphamvu kuti likulitse malo opangira opaleshoni, kuti achepetse kudulidwa kwa khungu ndi kuwonongeka kwa minofu yamkati, ndikupangitsa opaleshoni ya msana kuti agwiritse ntchito chithandizo chothandizira kwambiri ndi kuwonongeka kochepa kwa iatrogenic. Poyerekeza ndi opaleshoni yotseguka, teknoloji ya minimally invasive fusion internal fixation imakhala ndi zotsatira zabwino zokhudzana ndi kukhala m'chipatala, kutaya magazi, nthawi yochira komanso nthawi yobwerera ku moyo wamba. Panthawi imodzimodziyo, nthawi zambiri imatha kusunga ndondomeko ya msana wa msana, kuchepetsa kuwonongeka kwa minofu, motero kuchepetsa kupweteka kwapambuyo. Kuphatikizika kwapang'onopang'ono komanso luso lokonzekera mkati limakhala ndi zizindikiro zambiri, kuphatikizapo matenda osiyanasiyana a msana, stenosis ya msana, zovuta za disc herniation, kusakhazikika, scoliosis, ndi zina zotero.
3. Percutaneous vertebroplasty
Ndi ya opaleshoni yochepa kwambiri, kuphatikizapo percutaneous vertebroplasty (PVP) ndi percutaneous balloon kyphoplasty (PKP). Ndi ukadaulo womwe simenti ya fupa lachipatala kapena ma biomaterials opangira mafupa amabayidwa m'thupi la vertebral lomwe lili ndi matenda kudzera pakubowola pakhungu kuti lilimbikitse thupi la vertebral. Matenda ogwiritsidwa ntchito ndi awa: 1. Osteoporotic vertebral compression fracture, yomwe siigwira ntchito ndi brace kapena mankhwala osokoneza bongo; 2. Zotupa zowopsa kapena zotupa zowopsa zamtundu wa vertebral; 3. Kuphulika kwa msana ndi osteonecrosis kapena nonunion pambuyo pa kusweka; 4. Kuphwanyidwa kosasunthika kwapang'onopang'ono kapena kuphwanya kwapang'onopang'ono kwa vertebral; 5. Kuphulika kwapang'onopang'ono ndi khoma lakumbuyo la thupi la vertebral. Makhalidwe a opaleshoniyi: 1. Chithandizo chochepetsera pang'onopang'ono pansi pa opaleshoni ya m'deralo chimakhala ndi nthawi yochepa yopangira opaleshoni, kudulidwa kumakhala mkati mwa 0.5cm, kutuluka kwa magazi ndi 2-3ml, ndipo zotsatira za analgesic zimamveka bwino. Lili ndi ntchito yochepetsera ululu ndi kukonzanso mphamvu ya biomechanical ya fupa nthawi yomweyo. 2. Kwa okalamba ndi odwala ofooka, chiopsezo cha opaleshoni ndi chaching'ono, ndipo mavuto omwe angakhalepo chifukwa cha immobilization amapewa. 3. Kuchira pambuyo pa opaleshoni kumathamanga ndipo nthawi yogonera kuchipatala ndi yochepa. 4. Chifukwa cha mpumulo wa nthawi yake wa ululu, zotsatira zake ndi kudalira mankhwala ochepetsa ululu amapewa, ndipo moyo umakhala wabwino. 5. Zimachepetsa kwambiri nthawi yoti odwala apume pabedi ndikusowa osamalira.
4. Robot yothandizira ndi kuyendetsa opaleshoni ya msana
Kuchita opaleshoni ya msana kumafuna kuti madokotala azigwira ntchito molondola kwambiri, ndipo zolakwika zazing'ono zidzabweretsa zotsatira zoopsa. Mwachitsanzo, kwa ukadaulo wolowetsa mpukutu wa lumbar pedicle, panthawi yoyika wononga, ziyenera kutsimikiziridwa kuti screw imayikidwa mkati mwa pedicle. Kutalika kwa lumbar pedicle ndi pafupifupi 8mm, ndipo mbali zamkati ndi zapansi za pedicle ndizofunikira kwambiri za mitsempha. Screw diameter yathu ndi 6.5 mm, zomwe zikutanthauza kuti wonongazo zikadutsa mkati ndi m'munsi mwa makoma a pedicle, kuwonongeka kwakukulu kwa mitsempha kumatha kuchitika. Choncho, kulondola ndi chitetezo cha kuyika wononga ndizofunikira kwambiri. Maloboti opangira opaleshoni ya mafupa ndi makina oyendetsa, motsogozedwa ndi zithunzi za 3D, amatha kuyika zomangira molondola molingana ndi njira yomwe idakonzedweratu, modzidzimutsa kapena modzidzimutsa modzidzimutsa muzitsulo za pedicle, kuchepetsa kuwonongeka kwa minofu yozungulira ndi minyewa yofewa, ndikuwonetsetsa kulondola ndi chitetezo cha opaleshoniyo. Pakuti endoscopic luso, ophatikizana panyanja angathenso kwambiri kuchepetsa ntchito puncture nthawi, zofewa minofu kuwonongeka ndi kusapeza odwala pa opareshoni. Kugwiritsidwa ntchito kwa robot yothandizira ndi kuyendetsa opaleshoni ya msana kudzapindulitsa kwambiri odwala omwe ali ndi matenda a msana.
Mwachidule, teknoloji yochepetsetsa ya msana imatha kukwaniritsa cholinga chachipatala mosamala komanso mogwira mtima pochepetsa kuvulala momwe zingathere. Ngakhale kukwaniritsa zomwezo kapena zabwinoko monga opaleshoni ya msana, ikhoza kuchepetsa kuvulala kwa opaleshoni ya odwala, kulimbikitsa kuchira kwawo koyambirira, ndi kuchepetsa sequela ya opaleshoni. Komabe, opaleshoni ya msana yocheperako pang'ono sangathe m'malo mwa opaleshoni yachikhalidwe ya msana. Ndondomeko yeniyeni ya opaleshoni iyenera kutsimikiziridwa malinga ndi momwe wodwalayo alili, luso lachipatala, kulankhulana pakati pa madokotala ndi odwala ndi zina. Kuchulukirachulukira kwa maopaleshoni otseguka ochiritsira ndiye maziko a opaleshoni yocheperako. Opaleshoni yocheperako ikakumana ndi zovuta, iyenera kusinthidwa kuti itsegule opaleshoni munthawi yake kuti zitsimikizire chitetezo cha odwala komanso mphamvu ya opaleshoniyo. Potsirizira pake, tiyenera kukumbutsa odwala opaleshoni kuti kusamalira mosamala ndi kuchita masewera olimbitsa thupi pambuyo pa opaleshoni yopambana ndizofunikira kwambiri, zomwe sizingangowonjezera ubwino wa kukonzanso, komanso kupewa kubwereza kapena matenda oyandikana nawo.
E. Chotupa cha msana ndi kutupa
Chotupa, chifuwa chachikulu komanso kutupa kwapakhosi, thoracic ndi lumbar vertebrae.
F. Mapeto
1. Palibe malo akhungu pa opaleshoni ya msana
Chitetezo ndi kudalirika ndizoyamba kufunafuna opaleshoni ya msana. Makamaka amazindikira ndi kuchiza matenda osokonekera a msana, monga khomo lachiberekero spondylotic myelopathy, ossification wa thoracic ligamentum flavum, lumbar spinal stenosis, disc herniation pa gawo lililonse kuchokera ku khomo lachiberekero kupita ku lumbar msana, ndi ossification wa posterior ligamentongitu. Kuonjezera apo, imagwiranso ntchito ndi mitundu yonse ya kuvulala ndi matenda omwe amapezeka msana, monga kuphulika kwa msana ndi kusokonezeka, kusokonezeka kwa msana, chotupa cha msana (choyambirira ndi metastatic), chifuwa chachikulu cha msana kapena matenda opatsirana.
2. Opaleshoni yopanda malire ya khomo lachiberekero
Kwa opaleshoni ya khomo lachiberekero spondylotic myelopathy ndi ossification ya posterior longitudinal ligament ya khomo lachiberekero, zipatala zina kapena madokotala amangochita maopaleshoni apambuyo kapena kumbuyo. M'malo mwake, pali mitundu ingapo ya maopareshoni omwe mungasankhe - kutsika kwa khomo lachiberekero ndi kulumikiza mafupa ndi kukonza mkati, laminoplasty yapambuyo ya khomo lachiberekero (khomo limodzi, khomo lapawiri), ndi gawo limodzi lakutsogolo ndi lakumbuyo komanso kukhazikika kwamkati. Tili ndi zochitika zambiri zopambana mumitundu iyi yantchito, zomwe zitha kugwiritsidwa ntchito molingana ndi mikhalidwe yosiyanasiyana, sizimaletsedwa ndiukadaulo uliwonse, mikhalidwe ndi malingaliro opapatiza, ndipo zimapereka kusewera kwathunthu pazopindulitsa za njira zosiyanasiyana.
3. Opaleshoni ya thoracic vertebra ndi yosavuta komanso yodalirika
Chifukwa cha ossification ya thoracic posterior longitudinal ligament, yomwe imakhala yovuta komanso yowopedwa ndi zipatala zambiri zazikulu, tinachita segmental posterior decompression. Kwa odwala omwe ali ndi minyewa yam'mbuyo (ossification of ligaments kapena protrusion of intervertebral discs), kusokonezeka kwapambuyo kwa msana kunkachitidwa ndi njira yopangira tunneling kuti akwaniritse 360 ° decompression kwathunthu kuzungulira msana, zomwe zimapewa kuwonongeka kwapambuyo kupyolera mu thoracotomy ndi kuchepetsa kwambiri kuvulala. Njira iyi ya 360 ° decompression imagwiritsidwanso ntchito pakugwira ntchito kwa ziwalo zam'munsi zomwe zimayambitsidwa ndi kuphulika kwa thoracic intervertebral disc ndi kuphwanya kwa mafupa osteoporotic.
4. Kuphatikizika kwa intervertebral sikufuna kuchotsa mafupa a m'chiuno
Kwa lumbar spinal stenosis kapena lumbar spondylolisthesis chifukwa cha zifukwa zosiyanasiyana, cholinga choyamba cha opaleshoni ndi kusokoneza mitsempha. Pamene msana umakhala wosakhazikika, kusakanikirana kwa msana kumatsimikiziridwa molingana ndi kuchuluka kwa kusakhazikika ndi spondylolisthesis. The posterolateral spinal bone graft (PLF) kapena interbody bone graft (PLIF) amasankhidwa malinga ngati ali oyenera pedicle screw internal fixation. Mu PLIF, zonse zotengedwa vertebral arch ndi inferior articular process complex (median incision) zimagwiritsidwa ntchito ngati interbody fupa kumezanitsa mofulumira, amene osati amapeza bwino mafupa kumezanitsa zakuthupi, komanso kupewa kutenga fupa m'chiuno kapena kugula interbody fusion khola, amene amathetsa mavuto kuchotsa mafupa ndi kuchepetsa kwambiri ntchito mtengo.
Za CZMEDITECH , tili ndi mzere wathunthu wazogulitsa wa implants opareshoni ya msana ndi zida zofananira , zinthuzo kuphatikiza 5.5mm ndi 6.0mm spinal pedicle screw system, anterior cervical plate system, posterior cervical screw system, anterior thoracic plate system, anterior thoracolumbar plate system, titaniyamu mesh khola, peek cage system, titaniyamu khola, screw posterior cervical seplasty system yothandizira ndi zida zawo. Kuonjezera apo, ndife odzipereka kupitiriza kupanga zinthu zatsopano ndi kukulitsa mizere ya mankhwala, kuti tikwaniritse zosowa za maopaleshoni a madokotala ndi odwala ambiri, ndikupangitsanso kampani yathu kukhala yopikisana kwambiri padziko lonse lapansi Zoyikidwa m'mafupa ndi mafakitale a zida.
