Igishushanyo gishya cya R&D

MIS | Kuzamura Ikoranabuhanga - Inyungu zikoranabuhanga - Ibisubizo nyuma yibikorwa | czmeditech

Sisitemu ya Minimally Invasive Spine Sisitemu (MIS) nubuhanga bugezweho butuma bivurwa neza binyuze mu tuntu duto ku bihe nka disiki ya herniated na spenosis.

Igishushanyo gishya

Ibyiza byibasiye

Ihahamuka ntarengwa

Igishushanyo gito cyo gutemagura:

Ibice bisanzwe ni cm 1-2 gusa, bigabanya gukuramo imitsi no kwangirika kwinyama.

Ikoranabuhanga ryerekana neza:

Kunonosora neza ibyashyizwe hamwe hamwe nogukora hagati (urugero O-ukuboko, 3D-C-ukuboko) cyangwa ubufasha bwa robo (urugero: Mazor X, Ubuvuzi bwa Globus).

Kugabanya kuva amaraso munda:

tekinoroji yo kwinjira cyane igabanya ibyago byo gukomeretsa kw'amaraso, cyane cyane kubarwayi bageze mu zabukuru cyangwa comorbid.

Gukira vuba nyuma yo gukira

Kumara igihe gito mu bitaro:

abarwayi benshi basezererwa nyuma yamasaha 24-48 nyuma yo kubagwa, ugereranije niminsi 3-5 yo kubaga gakondo.

Kugenda kare:

Ububabare buke no kurinda imitsi neza bituma abarwayi basubira mubikorwa byabo bya buri munsi vuba.

Gukoresha ibinyabuzima

Porogaramu nshya:

urugero 3D yanditseho titanium alloys, PEEK (polyether ether ketone) ibikoresho kugirango ugere kuri modulus ya elastique yegereye iy'amagufwa no kugabanya guhisha stress.

Sisitemu yoguhindura imbaraga:

bimwe byatewe (urugero Dynesys, Coflex) birinda umuvuduko wumugongo kandi bigabanya ibyago byo kwangirika kwicyiciro.

Ibimenyetso byagutse

Gupfukirana ibintu byinshi byindwara yumugongo nkindwara ya degenerative disque, lumbar spinal stenosis, spondylolisthesis yoroheje hamwe no kuvunika kwa vertebral.

临床案列

Ibikurikira nubushakashatsi buhagarariye mumyaka yashize:

1.

Igishushanyo mbonera cyo kwiga:

ibyifuzo byinshi bya RCT (2022) ugereranije MIS-TLIF (byibuze byibasiye) na TLIF ifunguye.

Ingano y'icyitegererezo:

Abarwayi 120 barwaye igice kimwe cya degenerative lumbar spine.

Ibisubizo:

Igihe cyo kubaga:

birebire gato mumatsinda ya MIS (bivuze min min 150 na 130 min), ariko 60% ntibiva amaraso (<100 ml na 250 ml).

Ububabare nyuma yo kubagwa:

Kugabanuka 50% mumanota VAS icyumweru 1 nyuma yibikorwa mumatsinda ya MIS, nta tandukaniro rikomeye riri hagati yaya matsinda nyuma y'amezi 3.

Igipimo cyo guhuza:

Umwaka 1 nyuma yibikorwa CT yerekanye> 90% igipimo cyo guhuza mumatsinda yombi.

Ingorane:

Igipimo cyanduye 2% mumatsinda ya MIS na 8% mumatsinda afunguye.

2. Gukurikirana igihe kirekire cyo kwiga sisitemu yo gutuza (Coflex)

Igishushanyo mbonera cyo kwiga:

Ubushakashatsi bwiburayi bwimyaka 5 (2021) busuzuma Coflex yatewe mumiti yo kuvura uruti rw'umugongo.

Ingano y'icyitegererezo:

Abarwayi 80.

HANZE:

Gutezimbere imikorere:

ODI (indangagaciro idahwitse) yagabanutse kuva ku manota 45 kuri baseline igera ku manota 20 mu myaka 5.

ITEGANYABIKORWA RY’ABATURANYI:

12% by'abarwayi gusa ni bo bagize ibibazo byegeranye, biri munsi cyane yo guhuza bisanzwe (~ 30%).

Igipimo cyo gufungura:

cumulative yimyaka 5 yo kwisubiraho ya 8%, ahanini biterwa no guterwa kwatewe (4%) cyangwa ibimenyetso byongeye kubaho.

3. Kwiga byinshi kubushakashatsi bwa MIS bwatewe na robot

Igishushanyo mbonera cyo kwiga:

ubushakashatsi bwisubireho bwasohotse mu 2023 kugirango busesengure ibyavuye mu gushyira MIS screw hamwe nubufasha bwa robot ya Mazor.

Ingano y'icyitegererezo:

Gushyira 500 screw (umugongo wa thoracolumbar).

Ibisubizo:

Icyitonderwa:

98,6% by'imyanya ya screw yari ishimishije (Gertzbein-Robbins amanota A / B).

Ingorane:

igipimo cyimvune yumuzi 0.4% ugereranije na 3-5% kubisanzwe bishyirwa kubusa.

Kubindi bumenyi bwibicuruzwa nibisobanuro birambuye, nyamuneka twandikire!