Imbere y'inkondo y'umura hamwe na decompression hamwe na Stusion Fusion (ACDF) ni bumwe mu buryo bwo kubaga bwakoreshejwe mu rwego rwo gukomera, kandi ifite icyicaro cy'ihungabana ry'inkombe, kandi ifite icyicaro cyo mu rwego rwo hejuru, kugarura imizi yo hagati, kandi kubura hanze Gukosora, nibindi. Ibibazo bisanzwe byoherejwe nyuma nkibibazo byo kumira, kwangiza imitsi ya burundu, indabyongero, no kwandura ibigo byibasiwe, hamwe nibibangamira ibikorwa bya posita ni 8%.
Mu gusubiza ibibazo byavuzwe haruguru, umuryango wamasomo uhora ukora ku maringi ya tekiniki, ingendo zifatika, na prothèse. Kwiyuhagira guhangayikishwa n'inkondo y'umura (zeru-trace), yuzuyemo byuzuye mumwanya wibikorwa kandi bigabanya ingaruka mbi za sersippetia na seriveri yemewe.
Ingorabahizi nyuma yo guhura na prostate byaganiriweho hepfo -
1.Otrovery hejuru niba cyangwa udasakuza vertebral ihuriweho
Igishushanyo 1 Igishushanyo mbonera cyimiterere ya conotruncus, imiyoboro ya vertebrus, numugongo hamwe nimizi yumugongo.
a. Umubano hagati yubuhanzi butangaje bwa concha nububiko bwihishe.
b. Muri icyo gitabo, inkombe yo hagati yuburozi bwubukorikori bwakuweho, kandi kuruhande rwibanze rwabitswe neza kugirango birinde kwangiriza imiyoboro ya vertebral.
Igishushanyo cya 2 Igishushanyo cya Schematic cyimizi yimizi hamwe na decompression mugukwirakwiza ingingo za hyperplastique.
a. Amagufwa yo gukura hamwe no kwangirika kw'ingingo zihuriweho bigabanya ibice byambukiranya igice cya foramina, bityo bigabanya imizi.
b. Guhuza ibikoresho bya Fusion / Gutanga birashobora gufungura umwanya utabara kugirango wagure ahantu hateragira abakurambere no kuvugana numutima wumutima, kandi icyarimwe, vugurura ituze.
Gukenera kubaga inkondo yo kubaga intonga kugirango ukureho ihuriro ryibintu bya hook ryabaye igufwa ryamakimbirane kuva aho tekinike
Ibisobanuro byambere byigituba cyimbere hamwe no guhuza ibikorwa byimbere byatanzwe na Robinson na Smith mu 1955 yasobanuye uburyo butarimo kuvanaho amakuru ahinnye osteophyte ihuriro osteofyte. Cloward, undi washinze ACDF, yashimangiye ko kwikuramo byose bigomba kuvaho, kandi ubwo buryo bwo gukuraho mu buryo butaziguye kandi ko ingufu za Romany wasubijwemo kandi ko ingufu za Romany zimaze gusubirwamo, kandi ko itungo ridasanzwe ryasubijwemo kandi ko izo ngengabumenyi zidasanzwe zarasubijwemo, kandi ko izo nyungu zijyanye no gushikama kwa Leptokyphose.
Ababishikabikorwa bavuga ko gufatanya 48% kugeza kuri 60% byumuco winyuma uhuza umugongo wo muri inkingi, mugihe mubyukuri igice gihamye cya sturesio, mugihe mubyukuri igice gihamye cyimikorere, kandi koroshya kimwe no kwimura umwanya watewe bigabanya intsinzi ya fusion.
Niba ibizagurika bihwanye bidashobora kugerwaho utabanje kugushikaho guhuriza hamwe, kubungabunga ihuriro rya hook rishobora gutanga uburyo bukwiye bwo kugabana ibiciro byinshi. Byongeye kandi, kubungabunga ingingo ya hook vertebral ifasha kugabanya amahirwe yo gutukwa hakoreshejwe agahindagurika, kandi byagaragaye ko aho agace ka horterol ihuriweho na 38%, igipimo cyo guturika inshuro zirenga 38% biziyongera.
Nk'uko ishuri ryabo ryatekerezwaga, Anatonike, urukuta rw'inyuma rwa Leptospondylar hamwe ni urukuta rw'imbere rw'umuza w'imitsi, kandi ibisigisigi bya boosposposia by ibisimba bifite hyperpplasia bihuriweho na Syperplasia bitera intero ndende.
Mu myitozo ivuriro iriho, decompressipphose ya Leptokyphose iracyashyigikira abarwayi bafite ibitekerezo bikabije bya hyperplasia ihuriweho na hyperplasia ihuriweho na hyperplasia, kugirango bagabanye imiyoboro ya nervice cyangwa vertebral vuba bishoboka.
Muri rusange, impaka zahoragaho, ariko guhitamo kubungabunga, kubungabunga igice, cyangwa gukuraho burundu spondylolisthelisthelisthelisthesis ukurikije imiterere yumurwayi yabaye ubwumvikane butandukanye. Ingamba zicururizwa ryihariye, ariko, ahantu hasabwa cyane ku bunini bwa prostrasi.
Ibikoresho bisanzwe bya zeru ku isoko bigarukira kubikenewe mumigozi 4 yo gufunga, kandi akenshi ikeneye mm mirongo 17 zo gufunga, kandi akenshi ikeneye mm mirongo irindwi
Sagi 2-umusumari ufunga zeru zagabanutse kugera kuri 14.8 mu bugari bw'abaturage b'Abashinwa, kandi utanga uburyo bwo kuvura impinja, bigatuma habaho gufata icyemezo cyo gufata umwanzuro.
Nyuma yinyuma yigitutsi Epidia wo mu Bya Hemama
Igiti cya Epinal Epidia (SeH) nikibazo gidasanzwe kandi gikomeye nyuma yo kwikuramo intangarugero, hamwe na 0.1% kuri 0.2% bibaho ku bumuga bukabije bwimico, aho kwisiga bya hemama bidafatwa mugihe. Kubaga byihutirwa nyuma yo gusuzuma Seh birashobora gufasha kugarura imikorere yo kuvugurura.
Sersoperative Seh Schematic ya Accf
Igiti cya Epinal Haematos birashoboka nyuma ya AcDF na ACCF byombi bifite ibyago byinshi bya Haeetomas kubera ihungabana ryinshi ryamagufwa; Ariko, ingano rusange yuburyo bwa ACDF irakomeye, hamwe numubare munini wa Seh.
Kwirinda Seh nyuma yo kwikuramo inkoneza yo mu mujyi bigomba gukomeza mu gihe cyagenwe:
A. Isuzuma ryibibazo byateganijwe, kandi risobanura ibisobanuro birambuye bigomba gukorwa niba hari indwara zose zo gutura, kandi niba hari amateka yinyoni ndende no kunywa inzoga; Niba hari abantu bafata ibiyobyabwenge bitemewe, bagomba kureka kubajyana icyumweru kimwe mbere yo kubagwa;
B. Haenasive nziza ya Haenasives, Haenasis ituzuye ukoresheje icyuma cya electrocoagulation kirashobora kuganisha ku maraso mashya, birasabwa gukoresha bipolar electrocoagutions; Muburyo bwumubiri wa Verrterotral Subtotal, ibirango byamagufwa bigomba gukoreshwa kugirango wirinde amaraso menshi ava mumagufwa; Gushyira mu bikorwa ibiyobyabwenge, nk'intwaro ya tranexamic, n'ibindi, kugirango igabanye amaraso ahinnye; Ntabwo ari ngombwa gushakisha ubushakashatsi bwuzuye bwa ligament yibanze yinyuma yigice cyakoreshejwe, kandi kubungabunga umubare muto wa minini yinyuma kuri onide yinyuma kumpande zombi birashobora kandi kugera ku ngaruka zo gutesha agaciro; Gushyira prostèse bigomba gusiga umwanya uhagije kuruhande rwiburyo n'ibumoso. Mugihe ushyira prosthesi, umwanya uhagije ugomba gusigara kuruhande rwibumoso n'iburyo kugirango amaraso ya epide ashobora gutemba imbere ya vertebrae kandi arekuwe binyuze mumiti mibi yumuvuduko wamazi;
C. Nyuma yo kubagwa, kureba neza ibimenyetso byingenzi; Komeza imiyoboro myiza; Koresha ibiti birwanya anticogulant kugirango wirinde trombose; Gukurikirana neza imikorere ya sisitemu y'imitsi; Niba hari ibintu bidasanzwe, biyifate mugihe.
Yagenewe guhura n'ibipimo by'igihugu anatomical
1. Itanga igisubizo cyihariye cyo gucunga umutungo wa vertebral ifungiwe.
2. Kugabanya amahirwe yo gutukwa kumubiri
3. Gabanya ibyago byo kwigomeka kuri simatoma
Inguni inguni yashushanyijeho ibikorwa byoroshye
Imiyoboro ifite inguni ya coronal ya -1.5 ° 11.5 ° hamwe na Cephalad Swing Angle ya 36 ° 44 ° kubikorwa byoroshye imisumari
Nta mpamvu yo kubika umwanya winyongera kugirango ushishikarirwe, hagabanywa byibuze 2,5cm kugeza kuri 2.0cm.
Kumenyekana cyane kubitekerezo bya Endoscopic Igikorwa cya Endoscopic, Kumenya Endo-ACDF.
Ibyerekeye Czmeditech
Amashanyarazi ya Cervical Peek (Imiyoboro 2 cyangwa 4 yo gufunga) nibisubizo byamagufwa byateguwe neza na Czmeditech yibanze kuri cervical yinyuma yinyuma kandi idashidikanywaho kandi ikayoborwa nicyerekezo cyisi, cyeguriwe gutanga ibisubizo byiza, byoroshye kandi bihendutse byabarwayi birangaza kwisi yose.
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ئۇيغۇرچە
Imbere y'inkondo y'umura hamwe na decompression hamwe na Stusion Fusion (ACDF) ni bumwe mu buryo bwo kubaga bwakoreshejwe mu rwego rwo gukomera, kandi ifite icyicaro cy'ihungabana ry'inkombe, kandi ifite icyicaro cyo mu rwego rwo hejuru, kugarura imizi yo hagati, kandi kubura hanze Gukosora, nibindi. Ibibazo bisanzwe byoherejwe nyuma nkibibazo byo kumira, kwangiza imitsi ya burundu, indabyongero, no kwandura ibigo byibasiwe, hamwe nibibangamira ibikorwa bya posita ni 8%.
