Reba: 88 Umwanditsi: Muhinduzi ya Sing Esoms Gutanga Igihe: 2022-10-14 Inkomoko: Urubuga
Changzhou Theditech Ikoranabuhanga Co., Ltd., Muri siyanse ya Changzhou & Intara ya Jinggsu, watanzwe mu mafranga n'ibicurarangisho.
Nyuma yimyaka irenga 10 akora ubushakashatsi niterambere, dufite urukurikirane 10 rwibicuruzwa kandi sisitemu yimisumo, sisitemu yubuvuzi, sisitemu yubuvuzi, sisitemu ya sterisation hamwe na sisitemu yamatungo hamwe na sisitemu yamatungo hamwe na sisitemu yamatungo hamwe na sisitemu yamatungo hamwe na sisitemu yamatungo hamwe na sisitemu yamatungo hamwe na sisitemu yamatungo hamwe na sisitemu yamatungo hamwe na sisitemu yamatungo hamwe na sisitemu yamatungo.
Nka koherezwa mu mahanga hamwe n'imyaka irenga icumi, kandi hamwe n'ibyemezo bya CE na ISO, muri Tayilande, muri Thageyika, muri Afurika y'Epfo, Afurika y'Epfo, ETory, Etc.
Mu ihame rya 'ubuziranenge bwa mbere, serivisi mbere, R & D ubanza, guhanga udushya ', isosiyete yacu yatsindiye izina ryiza haba mu gihugu ndetse no mu mahanga. Isosiyete ifata abagirira akamaro abarwayi nkintego ihoraho kandi igatanga imbaraga zubuzima bwabantu.
Hariho ubwoko bwinshi bwo kubaga umugongo, cyane cyane bitera kandi bikinguye. Ibicuruzwa bimwe byo kuvuza, gutondeka imbuto, igituba igituba, scoliose irashobora gufatwa. Kubaga bike byibazwe ahanini birimo: Vertebroplasty, guhindagurika kwa radiofrequic, Endoscopic Nucleus Shub
Kugirango ukoreshwe ngurube yera, spondylondylotike ya moteri ya moelopathy, no kugabura imvugo yinyuma yumugongo, ibitaro bimwe cyangwa abaganga bituma gusa kubagwa byimbere cyangwa kubagwa inyuma. Mubyukuri, hariho ubwoko bwinshi bwo kubaga kugirango ahitemo. Abantu bafite uburambe bwinshi muri ubu bwoko bwo kubaga, bushobora gukoreshwa mu buryo bushyize mu gaciro hakurikijwe ibintu bitandukanye, nta tekinoroji, n'ibitekerezo bigufi, kandi bikinira byuzuye inyungu zitandukanye zo kubagwa. Kubijyanye na spondylose yinkondo y'umura, decompression no gukosora muburyo bumwe bwimbere kandi inyuma birashobora kugabanya cyane igihe cyo gutambirwa, kandi ingaruka zo gutandukana byuzuye nibyiza.
Irakoreshwa kuri spondylose yinkondo y'umura hamwe no guhagarika amakuru ateye isoni zo guhagarika ibice (1-3) yibimera. Ifite ibyiza byo guta muburyo butuje, bunini buroroshye kandi bworoshye. Nibikorwa bisanzwe bisanzwe nuburyo bwibanze bwo kuvura spondrylose yinkondo y'umura.
Irakoreshwa kuri spondylose yinkondo y'umura hamwe numubare nigice cyo guhuza disiki yo guhuza na stonal yinyuma, kimwe no kwikuramo imbere (kubira byinyuma byinyuma (ossimic of theigarant yinyuma yinyuma, muri disiki yinyuma). Ni iz'umurongo utaziguye, ufite ibyiza byo kubungabunga imikorere yintoki yinkondo y'umura kandi ifite umutekano.
Irakoreshwa kubarwayi bari munsi yimyaka 60 hamwe nibice bigufi byihuta byimbere muri disiki. Mugihe usuzugura no kugabanya kwikuramo imiti, bigumana imikorere yumugongo, bigabanya amahirwe yo kwihutisha gutandukana ibice byegeranye, kugirango abarwayi bashobore kwihutisha ibice byegeranye, kugirango abarwayi bashobore kwihutisha ibice byegeranye, kugirango abarwayi bashobore kwihutisha ibice byegeranye, kugirango abarwayi bashobore kwihutisha ibice byegeranye, kugirango abarwayi bashobore kwihutisha ibice byegeranye, kugirango abarwayi bashobore kwihutisha ibice byegeranye, kugirango abarwayi bashobore kwimuka mbere gato yo kubagwa kandi imikorere yegereye leta ya physiologiya.
Decompression irangiye kandi ifite umutekano, ikwiriye spondylose nziza kandi idasanzwe. Ku manza za Cervondylothic Myelopathy hamwe nubwoko bwa clamp cyangwa igice kinini cyurugongo hamwe na compression nini yimbere, hari imbogamizi haba kubagwa imbere cyangwa inyuma wenyine. Dufata umwanya wa prone kubagwa inyuma, hanyuma tujyane umwanya wo kubagwa imbere, hamwe na stade yambere yimbere kandi inyuma ya decompression.
Ibyiza : Nyuma yigituba inyuma, umugongo wumugongo ushobora kugenda inyuma, umwanya imbere yumugongo wumurinzi uriyongereye, kandi igitutu kiri mumuyoboro wumugongo kigabanuka, kugabanya ibyago byo kubagwa imbere. Muri icyo gihe, ibicuruzwa byombi biruhutse, igituba kirangiye, ingaruka ziragaragara, kandi ifasha kugarura imikorere y'umugongo; Igabanya ububabare bwabarwayi kandi biroroshye kubarwayi kubyemera. Irinda ibibi byo mu bitaro byikubye kabiri, kubaga kabiri, inzira ndende y'indwara, no kuzigama ibiciro byo mu mutwe.
Ugereranije nuburyo Imbere, inyuma yinyuma yinyuma ntabwo bisaba amagufwa fursion kandi ntabwo igabanya urwego rwumugongo wumugati. Gukwirakwiza inkondo y'umura kuri hernaus nucleus pulpos binyuze muburyo bwibanze bikorwa muburyo butaziguye kandi bufite umutekano kandi wizewe. Ibimenyetso: Gutoranya inkondo y'umura, urwego rumwe rwibitekerezo bya foramen, urwego rwinshi rushinzwe umutekano utabarika, kandi ibimenyetso byihutirwa byimigabane rusange, hamwe nibimenyetso byimizi nyuma yimbere hamwe na Fusion.
Gukomeretsa n'indwara zo hejuru by'inkondo y'umura bishobora gutera umugongo ukomeye. Bitewe nuburyo bugoye bwa anatox, ibitaro byinshi ntibishobora kubafata. Kurugero, kuvunika kwa Atlantaxial, imikorere ya Atlanto, na rheumatiod yo hejuru yinyuma yinyuma, Imbere yimbere hamwe no gukosorwa imbere birashobora gukoreshwa mukugabanya kwiba, kugabanya kwisiga, no kurokora ubuzima.
Kurwanya intera ntibisaba gukuramo amagufwa ya pelvic kuri lubr spanosis cyangwa spondylolisthesis yatewe nimpamvu zitandukanye. Intego ya mbere yibikorwa ni ugukuraho imitsi. Iyo umugongo udahungabana, uruzigo rumaze kugenwa hakurikijwe urwego rwibibazo na spondylolisthesis. Amagufa ya Sporrolate ya Poste (PLF) cyangwa Intermber Mone Graft (PLIF) yatoranijwe ukurikije niba ikwiriye PEDicle yakoresheje ikosora imbere. Muri Plif, ibishushanyo mbonera bya errtebral hamwe ninkoni ya articular (gutsindwa-median
Dukurikije ubwoko butandukanye bwa patologiya, kubyemera kwa nucleus pussus, serminectomy na dinecthicy (rimwe na rimwe hamwe na bone graft fusion no gukosora imbere) hamwe no gusimbuza ibihimbano).
Decompression yumuyoboro wumugongo hamwe numunyamazi wumuzi wumutima birashoboka. Ku barwayi bafite umutekano wimpungenge, gukosora imbaraga cyangwa gukosorwa gusohora bigomba gukorwa mbere, kugirango abarwayi bashobore kugera kuntego yo kuvura ku giciro gito kandi babona ibisubizo bishimishije.
1) Gukosora imbaraga za LUNSAR - ntabwo bitera umugongo gusa, ahubwo bigumana imikorere yikirere. Inyungu zayo zirimo: (1) Irashobora kugabanya cyane igitutu cya disiki yo guterana ibitekerezo no kubuza kwangirika muri disiki ishinzwe intertebral; .
2) Kubaga impungenge zitera umuvuduko wubukungu bwibaje hamwe nubunyangamugayo bwabitswe - uburyo bwo kubaga bwateye imbere butangijwe mumahanga. Nyuma yo kurushaho gutera imbere, igikorwa gifite uduce duto, ntigishobora gutera imitsi, kugumana imiterere ya ligame nizibacyuho na microscope byizewe, kandi ntibyangiza umutekano wumugongo, kandi bifite igisubizo cyoroheje cyasubije. Abarwayi barashobora kugenda kumunsi wa kabiri, bagasiga ibitaro nyuma yiminsi 5-7.
Nibimenyetso byiza byo kuri decompression no kugabanya, gushushanya amagufwa, na pedicle imbere. Nubwoko bukunze kubaga bakoresheje isahani ya titanium. Igikorwa nikibazo kandi kinini mubunini. Impamvu cyangwa icyiciro cya mbere cya Spondylolisthesis, Lumbar Spondylolyse, biroroshye cyane guhangana nigihe.
1) Spondylolyse irashobora guterwa no kuvunika umunaniro igice cya lumbar (isthmus, ingingo nto) kubera imyitozo myinshi. If it does not heal, in order to prevent lumbar spondylolisthesis, especially when the symptoms are obvious, bone graft can be used to repair the isthmus, two screws and a titanium cable, which is simple and safe.
2) Spondylolisthesis yavuwe hamwe no kugabana neza, guhuza amagufwa ya burne fursion (plf), na pedicle imbere. Intego ya mbere yibikorwa ni ugukuraho imitsi. Iyo Plif Peek Lumbar Fusion Cage irakorwa, Cage ya Vergebral Cage hamwe nigikoresho cyo hasi (kidashobora kubona ibikoresho byamagufwa, kandi bikaba bidashobora kubona amagufwa yo gukumira amagufwa, kandi bikaba bidashobora gusaza ibibazo byihuta byo gukuraho amagufwa, kandi bigabanya cyane igiciro cyimikorere.
Dynamic LUNDAR ikosora, gusimbuza ibihimbano hamwe no kubahuza (imbere cyangwa inyuma) byatoranijwe.
Kuva kuri vertebra yo hejuru ya vertebra kuri vertebra kuvunika vertebra, igituba imbere cyangwa inyuma yinyuma no gukosora umugongo byemejwe.
1.. Imyandikire ya Myelography hamwe na decompression decompression
Mugabanuka kumugaragaro, decompression hamwe no gukosora imbere kuvunika kwa Thoracolumbar, ingaruka zo kubitunganya zishobora gukurikiranwa neza kugirango ugabanye imvune ya Iathrogenic.
2. Ingamba ntoya ya percutaneous kyphoplaSty kugirango ivure ibiranganga byoroshye
Uruhunzi rumwe rwonyine rwa sima rushobora guterwa. Nibihangano byukuri biteye ubwoba kugirango ugabanye ububabare no gusohoka mu buriri nyuma yiminsi 1-3 nyuma yo kubaga.
A. Intego yumugongo ntarengwa wo kubaga (Miss) ni ukugera ku ngaruka zo kubaga neza no kugabanya ihungabana ryo kubaga rishoboka, kugirango ugabanye ibibazo byo kubaga, kugirango ubunebwe budashoboka, ku buryo abarwayi bashobora gukira no gukora vuba bishoboka.
Mainstream kubaga iteye ubwoba birimo:
Endoscopy yerekana ko umuganga ubaga, ayobowe na X-ray cyangwa kugendana ibitekerezo byo kwagura urubingo, kandi umuganga wa Endoscopic. Uburyo bwo kubaga bukunze gukoreshwa burimo: Intandaro LUBAR RYORAMIL Endoscopy, inyuma yinyuma Lanmia yegereye Endoscopy, kandi inyuma yinyuma yo kubaga Endoscopic. Ugereranije no kubaga gakondo cyangwa mikorobe, ifite ibyiza bikurikira: (1) Ibipimo ngenderwaho, kuva amaraso mato n'ihungabana ku buryo busanzwe bw'umugongo, kandi nta byangiritse muri kaburimbo isanzwe; .) (3) Ingorane nke, gukira vuba, zirashobora kuva mu buriri nyuma yo kubagwa, gusohoka mu minsi 1-2, cyangwa kubaga bidasanzwe; (4) igipimo cyo kwandura muke; . Ibibi birimo: (1) Hariho igipimo runaka. Isubiramo rimaze kugaragara, hazamurwaho bizagorana kandi bishobora guteza akaga kubera umutsima wa mbere. . . Kugirango uhangane purvebral dishoater cyangwa ihuriro ryimigabane, irashobora kandi kuvurwa. Niba ingaruka ari abakene, kubaga gufungura bisabwa.
Lumbar Fusion no gukosora imbere ni tekinike yibanze yo kubaga kugirango ivure indwara za Lumbar. Binyuze mu mambere, anterolate, kuruhande, imyanya yinyuma ya lumbar spine. Igicapo, igice cyo kubaga ntikizasubira. Ubuntu budatera hamwe nubuhanga bwo gukosora imbere burimo gutuma abantu badateye ubwoba lubr Intermannts Fusion (Mis-TLIF) kandi iteye ubwoba ya LUBAR LISION (LLIF). LLif ikubiyemo kandi akazu gahagaze kuruhande (Dlif) hamwe na oblique izwi cyane kumurongo (Olif). Ihuriro ridateye ubwoba Ikoranabuhanga ryimbere ryimbere ryangiza cyane cyane ryagutse hamwe nabasubiramo kugirango bagabanye ibyangiritse byoroshye no gukora amashusho meza yo gukora bishoboka. Irashobora gufatanya na microscope ikora microscope cyangwa imbaraga zisumbuye kugirango wagure imirongo yo kubaga iyerekwa, kugirango igabanye uruhu n'indwara y'imbere mu gushyira mu bikorwa ibintu neza hamwe n'ibyangiritse gake. Ugereranije no kubaga neza, ubukungu bwibasiwe bwikoranabuhanga bwimbere bufite ibisubizo byiza mubijyanye no kuguma mu bitaro, gutakaza amaraso, igihe cyo gukira nigihe cyo gusubira mubuzima busanzwe. Mugihe kimwe, mubisanzwe birashobora kugumana imiterere yinyuma yumugongo, kugabanya ibyangiritse byumutsima, bityo bikagabanya ububabare bwa nyuma. Iterabwoba ridakora hamwe nikoranabuhanga ryo gukosora imbere rifite intera nini yerekana, harimo indwara zitandukanye zangiritse, Stonosiation Herniation, guhungabana, ibibanza, nibindi bigomba gufatwa kenshi.
Ni iy'abagwaneza, harimo na sertebroplasty (pvp) na percataneous ballon kypholoty (PKP). Ni tekinoroji y'amagufwa y'ubuvuzi cyangwa ibinyabuzima by'amakuba aterwa mu mubiri urwaye binyuze mu gutondekanya uruhu kugirango ushimangire umubiri uhagaritse. Indwara zikoreshwa zirimo: 1. Osteopoletic Stoction Kuvunika 2. Ibibyimba bibi cyangwa ibibyimba bibi metastantatique yumubiri uhagaze; 3. Kuvunika urutisito hamwe na OsteoneCrosis cyangwa Nonunion nyuma yo kuvunika; 4. Kuvunika gucika intege cyangwa igice kinini cyo gutunganya imitekerereze; 5. Ibiranga iki gikorwa: 1. Ubuvuzi butagira uruhare runini mu gitsina gahoro gahoro gahoro gafite igihe gito, gutemangira biri muri 0.5cm, kuva amaraso ni 2-3ml, kandi ingaruka za anals zirasobanutse. Ifite imikorere yo kugabanya ububabare no kubaka imbaraga za biomenical yamagufwa icyarimwe. 2. Kubarwayi bageze mu zabukuru n'abacitse ku bakuru, ibyago byo kubaga ni bito, kandi ibibazo bishobora guterwa no kwibeshya biririndwa. 3. Kugarura nyuma yinyuma ni igihe cyo gutambirwa no kuba mugufi. 4. Kubera ubutabazi bwigihe, ingaruka zuruhande no kwishingikiriza kubiyobyabwenge byo gufata imiti igabanya ububabare bwirindwa, kandi ireme ryubuzima riratera imbere. 5. Bikagabanya cyane igihe cyabarwayi kuruhukira muburiri kandi bakeneye abarezi.
Kubaga umugongo bisaba abaganga gukorana neza, kandi amakosa mato azaganisha ku ngaruka mbi. Kurugero, kuri LUBAR PEDICHITIKI YO GUSHYIRA Ikoranabuhanga, mugihe cyo kwinjizamo ibikoresho, bigomba kwemerwa ko imirongo ishyirwa imbere ya pedicle. Diameter ya lumbar podicle igera kuri 8mm, hamwe nimpande yimbere ninyuma ya pedicle ninzego zingenzi. Diameter yacu ni mm 6,5, bivuze ko intsinzi imaze gucika ku rukuta rw'imbere n'inyuma ya pedicle, ibyangiritse bikomeye bishobora kuvamo. Kubwibyo, ukuri n'umutekano byo kwinjizamo ni ngombwa cyane. Sisitemu yo kubaga amagufwa na sisitemu yo kugendana n'amashusho ya 3D, birashobora gusoza neza imitsi iteganijwe, mu buryo bwikora cyangwa igabanya ibyangiritse ku mitsi ikikije iyo mitsi. Kubuhanga bwa sonoscopic, hamwe no kugendana kandi birashobora kugabanya cyane umwanya wo gutondekanya ibikorwa, kwangirika kworoheje kwangirika no kutamererwa neza nabarwayi mugihe cyo kubagwa. Gushyira mu bikorwa robot bifashwa no kugendana umugongo bizagirira akamaro cyane abarwayi indwara z'urugo.
Mw'ijambo, ridashishikajwe na tekinoroji ryinshi rirashobora kugera ku ntego ya Trapeutic neza kandi neza mugukagabanya ibikomere bishoboka. Mugihe ugera kubintu bimwe cyangwa byiza ko kubaga umugongo, birashobora kugabanya ihungabana ryubaruye abarwayi, bateza imbere gukira kwabo hakiri kare, kandi ugabanye igikombe cyo kubaga. Nyamara, ubudahangayikishije kubaga umugongo ntishobora gusimbuza burundu kubaga umugongo gakondo. Gahunda yihariye igomba kugenwa hakurikijwe imiterere yumurwayi, ikoranabuhanga ry'ubuvuzi, itumanaho hagati yabaganga n'abarwayi nibindi bintu. Uburambe bwo kwibasirwa busanzwe bukingurwa ni ishingiro ryo kubaga ibintu bidahuye. Iyo kubaga bidahuye bihuye nibibazo, bigomba guhinduka kugirango bibazwe mugihe kugirango babone umutekano w'abarwayi ndetse n'ibikorwa byo kubagwa. Hanyuma, dukwiye kwibutsa abarwayi borozi bafite imyitozo yo kubaga no mu bumenyi nyuma yo kubaga neza nabyo ni ngombwa, ariko nanone bidashobora gusa kuzamura indwara zo gusubiza mu buzima busanzwe cyangwa ngo zitemembere.
E. Ikibyimba no gutwika
Ikibyimba, igituntu hamwe no gutwika indwara ya servical, thoracic na lumbar na lumbar.
F. UMWANZURO
1. Nta gace gahumye mu kubaga umugongo
Umutekano no kwizerwa ni ugukurikirana bwa mbere kubaga umugongo. Ikigaragara ni ugusuzuma no kuvura indwara zo gukwirakwiza umugongo, nka cervondylotic ya Myelopathine, usohoka kuri flavubose ya tholopathine, gukurikiranya imigi ya thoeratique, gutondeka kuri slavune ya flavune, gukurikiranya kuri slavune ya flavune, hamwe na ligaments yumugongo wa Loritudinal. Byongeye kandi, ikemura kandi ibikomere n'indwara by'urugongo no kwimyanda, ubumuga bw'umugongo, ibibyimba by'igingoma (ibibyimba by'urugomo.
2. Kubaga inkondo y'umura
Kubikorwa bya Stungerlotlotlolotic Myelopathy na Ossification ya ligament yinyuma yinyuma yumugongo, ibitaro cyangwa abaganga bimwe cyangwa abaganga bikora ibikorwa byimbere cyangwa byihutirwa. Mubyukuri, hariho ubwoko bwinshi bwibikorwa byo guhitamo - decompressical cervical yinyuma hamwe no gufatwa amagufwa no gukosora imbere, inyuma yinyuma yinyuma (urugi rwa kabiri, hamwe ninyuma yimbere hamwe no gukosora imbere. Dufite uburambe bwatsinze muri ubu bwoko bwibikorwa, bishobora gukoreshwa muburyo busobanutse ukurikije ibihe bitandukanye, ibintu nibitekerezo bya bugufi, kandi bitanga ikinamico bwuzuye muburyo butandukanye.
3. Kubaga Vertebra biroroshye kandi byizewe
Kugirango uhitemo ubutumwa bwibanze bwinyuma, bugoye kandi butirwa nibitaro byinshi binini, twakoze ibibyimba byinyuma byingenzi. Ku barwayi borozi imbere (gusohora ligaments cyangwa protrusion ya disiki yimbere), igituba cyimbere cyakozwe muburyo bwa 30 ° yirinde kwikuramo uruzitizi binyuze muri thoracotom, yirinze ihungabana. Iyi 360 ° TECOMPELIT Tekinike ikoreshwa no gukora ubumuga bwo hasi bwamagambo yatewe na Thoracic Discrearal Disc Stracral Disc Prolapse na Osteorotic Kuvunika.
4. Kurwanya guhuza ntabwo bisaba gukuramo amagufwa
Kuri Lumbar Stonosis cyangwa Spondylolisthesis yatewe nimpamvu zitandukanye, intego yambere yibikorwa ni imitsi. Iyo umugongo udahungabana, uruzigo rumaze kugenwa hakurikijwe urwego rwibibazo na spondylolisthesis. Amagufa ya Sporrolate ya Poste (PLF) cyangwa Intermber Mone Graft (PLIF) yatoranijwe ukurikije niba ikwiriye PEDicle yakoresheje ikosora imbere. Muri Plif, ibishushanyo mbonera bya errtebral hamwe ninkoni ya articular (gutsindwa-median
Kuri Czmeditech , dufite umurongo wuzuye wibicuruzwa byuzuye kubaga umugongo imbaraga kandi Ibikoresho bihuye , ibicuruzwa birimo 5.5mm na 6.0mm Prusi ya Spicle, Sisitemu yo mu nyenzi, Titory Thore School School Igikoresho gishiraho. Byongeye kandi, twiyemeje guhora dukura ibicuruzwa bishya no kwagura imirongo yibicuruzwa, kugirango duhuze ibyifuzo byabaganga nabarwayi benshi, kandi binatuma sosiyete yacu irushanwa mubicurarango byose bya orttopedic.