Nezvedu
Iyo kambani Changzhou Meditech Technology Co., Ltd., iri muChangzhou Sayenzi & Dhorobha reDzidzo, mudunhu reJiangsu, yakasarudzika mukugadzira orthopedic implants uye zviridzwa.
Mushure memakore anopfuura gumi ekutsvagisa nekusimudzira, Tine gumi makuru chigadzirwa akateedzana uye iwo spinal system, intramedullary chipikiri system, trauma plate uye screw system, yekuvhara ndiro uye screw system, CMF system, yekunze fixator system, yekurapa simba chishandiso system, general kuvhiya zviridzwa system, sterilization mudziyo system uye veterinary orthopedic system.
Semutengesi wemidziyo yekurapa ane makore anopfuura gumi echiitiko, uye aine CE neISO zvitupa, zvigadzirwa zvedu zvakatengeswa kune dzakawanda nyika dzakaita seUSA, Germany, Argentina, Chile, Mexico, India, Thailand, Malaysia, Turkey, Egypt, South Africa, Ivory Coast, nezvimwe.
Mune musimboti we 'mhando yekutanga, sevhisi kutanga, R&D kutanga, innovation kutanga', kambani yedu inohwina mukurumbira wakanaka mudzimba nekune dzimwe nyika. Iyo kambani inotora varwere vanobatsirwa sechinangwa chayo chekusingaperi uye inoita nhamburiko dzisingaperi dzehutano hwevanhu.
Kuvhiya Muzongoza
Kune marudzi mazhinji ekuvhiya musana, kunyanya kupinza uye kuvhurika. Dzimwe lumbar fractures, disc herniation, spinal tuberculosis, scoliosis inogona kurapwa nekuvhiyiwa. Minimally invasive kuvhiyiwa kunonyanya kusanganisira: vertebroplasty, radiofrequency ablation, endoscopic nucleus pulposus kubviswa, percutaneous pedicle screw rod internal fixation, nezvimwewo.
A. Cervical spondylosis
Nokuda kwekushanda kwekervical disc herniation, cervical spondylotic myelopathy, uye ossification ye posterior longitudinal ligament ye cervical spine, zvimwe zvipatara kana vanachiremba vanongoita kuvhiyiwa kwepamberi kana kuvhiyiwa kwemashure. Kutaura zvazviri, kune marudzi akawanda ekuvhiya kusarudza kubva. Vanhu vane ruzivo rwakawanda rwakabudirira mumhando idzi dzekuvhiya, izvo zvinogona kushandiswa zvine musoro zvinoenderana nemamiriro akasiyana, pasina tekinoroji, mamiriro, uye pfungwa dzakamanikana, uye kupa kutamba kwakazara kune zvakanakira zvakanakira marudzi akasiyana ekuvhiya. Kune yakaoma cervical spondylosis, decompression uye kugadzirisa kuburikidza nezvose zviri mberi uye shure kwemashure zvinogona kupfupisa zvakanyanya nguva yechipatara, uye mhedzisiro yekuderera kwakakwana kuri nani.
Anterior cervical decompression uye fusion ine bhonzo graft uye yemukati kugadzirisa:
Inoshandiswa kune cervical spondylosis neprotrusion ye intervertebral discand short compression segments (1-3 nzvimbo) yezvinomera zvinomera. Iine bhenefiti yeresection yakananga yekukuvadza, iyo iri nyore uye yakanakira. Ndiyo inonyanya kushandiswa maitiro uye nzira yekutanga yekurapa cervical spondylosis.
Posterior cervical decompression uye laminoplasty:
Inoshandiswa kune cervical spondylosis nenhamba uye chikamu che intervertebral disc compression uye spinal canal stenosis, pamwe nekudzvinyirira kwakanyanya kwepamberi (ossification ye posterior longitudinal ligament, intervertebral disc). Iyo ndeye indirect decompression, iyo ine mukana wekuchengetedza cervical motion function uye yakachengeteka.
Artificial cervical disc kutsiva:
Inoshandiswa kune varwere vari pasi pemakore e60 vane chikamu chiduku anterior intervertebral disc compression. Kunyange zvazvo kuderedza uye kubvisa kudzvinyirira kwemutsipa wepelinha, inochengetedza basa remutsipa wepelinha, inoderedza mukana wekukurumidza kuparara kwezvikamu zviri pedyo, kuitira kuti varwere vagone kufamba kare mushure mekuvhiyiwa uye basa racho riri pedyo nemamiriro ehupenyu.
Nhanho yekutanga anterior uye posterior cervical decompression uye kugadzirisa
Decompression yakakwana uye yakachengeteka, yakakodzera kune yakaoma uye yakakosha cervical spondylosis. Kune zviitiko zvecervical spondylotic myelopathy ine clamp type kana refu segment spinal stenosis uye yakakura anterior compression, pane zvimwe zvisingakwanisi mukuvhiya kwepamberi kana kumashure chete. Isu tinotora chinzvimbo chekuvhiya kwemashure, tozotora chinzvimbo chepamusoro chekuvhiya kwepamberi, uye nhanho yekutanga anterior uye posterior decompression.
Advantages : Mushure mokuderera kwemashure, mutsara wepervical spinal unogona kukwira kumashure, nzvimbo iri pamberi pemutsipa wepelinha inowedzera, uye kudzvinyirira mumusana wepelinha kunoderedzwa, kuderedza dambudziko rekuvhiyiwa kwepamberi. Panguva imwecheteyo, kusungirirwa kwemaviri kunosunungurwa, kusvibiswa kwapera, mhedzisiro yacho iri pachena, uye inobatsira pakudzorerwa kwemutsipa wepelinha; zvinoderedza marwadzo evarwere uye zviri nyore kuti varwere vagamuchire. Inodzivirira zvipingamupinyi zvekuiswa muchipatara kaviri, kuvhiyiwa kwechipiri, chirwere chenguva refu, uye inochengetedza mari yechipatara.
Posterior cervical foraminal decompression uye discectomy
Kuenzaniswa neanterior approach, posterior cervical foraminal decompression haitsvaki bone graft fusion uye haina kurasikirwa nehuwandu hwekufamba kwekervical spine. Iyo posterolateral cervical disc herniation nucleus pulposus kubviswa kuburikidza ne posterior nzira inoitwa pasi pekuona kwakananga uye iri nyore, saka yakachengeteka uye yakavimbika. Zviratidzo: posterolateral cervical disc herniation, single level intervertebral foramen stenosis, multi-level intervertebral foramen stenosis pasina central spinal canal stenosis, uye zviratidzo zvinoramba zvichiitika mushure me anterior discectomy uye fusion.
Kuvhiya kwechirwere chepamusoro chemutsipa
Kukuvara uye zvirwere zvepamusoro cervical spine zvinogona kukonzera kukanganisa kwakakomba kwepelinha. Nekuda kweiyo yakaoma anatomical chimiro, zvipatara zvakawanda hazvigone kuvarapa. Semuenzaniso, atlantoaxial fracture uye dislocation, atlanto occipital malformation, uye rheumatoid upper cervical spondylopathy, anterior release uye posterior fixation inogona kushandiswa kuderedza kuparara, kubvisa musana, uye kuchengetedza hupenyu.
B.Lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, discogenic low back pain
Intervertebral fusion haidi kuti pelvic bone ibviswe kune lumbar spinal stenosis kana lumbar spondylolisthesis inokonzerwa nezvikonzero zvakasiyana. Chinangwa chekutanga chekushanda ndechekudzikisa tsinga. Kana musana usina kugadzikana, kusanganiswa kwepelinha kunotarirwa maererano nehuwandu hwekusagadzikana uye spondylolisthesis. Iyo posterolateral spinal bone graft (PLF) kana kuti interbody bone graft (PLIF) inosarudzwa maererano kana yakakodzera pedicle screw internal fixation. MuPLIF, iyo yose yakabviswa vertebral arch uye yakaderera articular process complex (median incision) inoshandiswa seyo interbody bone graft fast, iyo isingangowani chete yakanakisa pfupa graft zvinhu, asiwo inodzivisa kutora pfupa kubva pachiuno kana kutenga interbody fusion cage, iyo inobvisa matambudziko ekubvisa pfupa uye inoderedza zvikuru mari yekushanda.
Maererano nemhando dzakasiyana-siyana dzehutano, fenestration ye nucleus pulposus, laminectomy uye discectomy (dzimwe nguva nefupa rekubatanidza fusion uye kugadziriswa kwemukati) uye kugadziriswa kwe disc kunosarudzwa.
Decompression yepinal canal uye nerve root canal inogoneka. Kune varwere vane kusagadzikana kwepelinha, kugadzirisa kwakasimba kana fusion kugadzirisa kunofanira kuitwa zvakasarudzwa, kuitira kuti varwere vawane chinangwa chekurapa pamutengo wakaderera uye vawane migumisiro inogutsa.
1) Dynamic fixation ye lumbar spine - haisi kungogadzirisa musana, asiwo inochengetedza basa rekufamba kwelumbar. Zvakanakira zvayo zvinosanganisira: (1) inogona kuderedza zvakanyanya kudzvinyirira kwe intervertebral disc uye kudzivirira kupera kwe intervertebral disc; (2) Iyo elastic yekubatanidza inochengetedza uye inodzoreredza iyo matatu-dimensional chiyero chechikamu chekufamba.
2) Minimally invasive spinal canal decompression kuvhiyiwa netsandanyama kuperera kwakachengetedzwa - nzira yekuvhiya yepamusoro yakaunzwa kubva kunze kwenyika. Mushure mekuwedzera kuvandudzwa, kuvhiyiwa kune chidimbu chidiki, hachisvuura tsandanyama, chinochengetedza chimiro chemitsipa uye vertebrae, uye decompression pasi pegirazi rinokudza uye microscope inovimbika zvizere, haikuvadzi kugadzikana kwemusana, uye ine chiedza postoperative mhinduro. Varwere vanogona kufamba pazuva rechipiri, uye vobva muchipatara mazuva 5-7 gare gare.
Ndiyo yakanakisa chiratidzo chekudzikisa uye kuderedza, bone graft fusion, uye pedicle mukati mekugadzirisa. Iyo zvakare ndiyo yakajairika mhando yekuvhiya uchishandisa titanium plate fixation. Kuvhiya kwakaoma uye kwakakura muchiyero. Chikonzero kana nhanho yekutanga yespondylolisthesis, lumbar spondylolysis, iri nyore kubata nayo munguva.
1) Lumbar spondylolysis inogona kukonzerwa nekuneta kuputsika kwechikamu chechiuno chechiuno (isthmus, majoini maduku) nekuda kwekudzokororazve. Kana iyo isingaporese, kuitira kudzivirira lumbar spondylolisthesis, kunyanya kana zviratidzo zviri pachena, kusungirirwa kwepfupa kunogona kushandiswa kugadzirisa isthmus, zviputi zviviri uye titanium cable, iyo iri nyore uye yakachengeteka.
2) Lumbar spondylolisthesis yakabatwa nekuvhiyiwa yakazaruka kuderedza, intervertebral bone graft fusion (PLIF), uye pedicle internal fixation. Chinangwa chekutanga chekushanda ndechekudzikisa tsinga. Kana PLIF inotarisa lumbar fusion cage inoitwa, iyo yose vertebral cage arch uye inferior articular process complex (median incision) inoshandiswa sekukurumidza interbody bone graft, iyo isingagoni kungowana zvakanakisisa pfupa rekugadzirisa zvinhu, asiwo kudzivisa kutora pfupa kubva pachiuno kana kutenga imwe interbody fusion cage (interbody fusion cage), kuderedza kubviswa kwepfupa, uye kudhura kukuru.
Dynamic lumbar fixation, artificial disc replacement uye interbody fusion (anterior kana posterior) zvakasarudzwa.
C. Kutyoka kwemusana
Kubva kumusoro wekervical vertebra fracture kusvika ku lumbosacral vertebra fracture, anterior kana posterior decompression uye kugadziriswa kwemusana kunogamuchirwa.
1. Intraoperative myelography uye transpedicular decompression
Mukudzikisa kuvhurika, kuderedzwa uye kugadziriswa kwemukati kwe thoracolumbar kuputika kuputsika, iyo decompression effect inogona kunyatsoongororwa kuderedza iatrogenic kukuvara.
2. Minimally invasive percutaneous kyphoplasty yekurapa vertebral compression fractures kune vakwegura.
Tsono imwe chete yesamende yebhonzo inogona kubaiwa. Iyo chaiyo ishoma invasive tekinoroji yekubvisa marwadzo uye kufamba kubva pamubhedha 1-3 mazuva mushure mekuvhiyiwa.
D. Minimally invasive musana kuvhiyiwa
A. Chinangwa cheminimaly invasive spine surgery (MISS) ndechokuwana kushanda kwemaitiro ekuvhiyiwa kwemaitiro uye kuderedza kushungurudzika kwekuvhiya zvakanyanya sezvinobvira, kuitira kuti kuderedze kuitika kwematambudziko, kubuda ropa kwemukati, kugara muchipatara, nezvimwewo, kuitira kuti varwere vagone kupora uye kudzokera kuhupenyu hwemazuva ose uye kushanda nokukurumidza sezvinobvira.
Mainstream kuvhiyiwa zvishoma kunosanganisira:
Endoscopic tekinoroji
Spinal endoscopy inoreva kuti chiremba anovhiya, ari pasi pekutungamirirwa kweX-ray kana kufamba panguva yekushanda, anoshandisa puncture yekuwedzera maturusi kuti abaya kubva paganda kusvika kune maronda emuzongoza, anogadza endoscopic uye nzira dzekuvhiya, anoshandisa mvura seyepakati, anokudza uye anoratidza mhedzisiro yemukati uye maronda pane yakakwira-tsanangudzo yekuwedzera dhizaini kuburikidza neiyo screenndoscopic chiratidziro kuburikidza neiyo skrini yechiratidzo chechiremba. Nzira dzinonyanya kushandiswa dzekuvhiya dzinosanganisira: lateral lumbar foraminal endoscopy, posterior lumbar lamina approach endoscopy, uye posterior cervical endoscopic operation. Kuenzaniswa nekuvhiyiwa kwechinyakare kana microsurgery, ine zvinotevera zvakanakira: (1) Zviratidzo zvakapararira, kubuda ropa kudiki uye kukuvadzwa, hapana kukuvadzwa kune yakajairika musana wemuzongoza, uye kuchekwa kazhinji kusingasviki 1 cm; (2) Kushanda pasi peanesthesia yemunharaunda inogona kusarudzwa, uye nguva chaiyo yekukurukurirana pakati pevanachiremba nevarwere inowanikwa kuti iite basa uye kudzivisa intraoperative nerve kukuvara; (3) Zvinetso zvishoma, kupora nokukurumidza, zvinogona kubuda pamubhedha mushure mekuvhiyiwa, kubudiswa mumazuva 1-2, kana kuvhiyiwa kunze; (4) Kuderera kwehutachiona hwehutachiona; (5) Dambudziko renguva refu yekukurumidza kuderera kwezvikamu zviri pedyo mukutanga fusion inodziviswa. Zvakaipa zvinosanganisira: (1) Pane mwero wakati wekudzokorora. Kamwe kudzokorora kunoitika, kudzokorora kuchava kwakaoma uye kune njodzi nekuda kwekunamatira kwevanga rekutanga oparesheni. (2) Kune mamwe matambudziko, akadai seyakasara nucleus pulposus compression, dural uye nerve root kukuvara, intervertebral space infection, kubuda ropa, postoperative sensory abnormalities; (3) Zviratidzo zvekuvhiya zvinenge zvisina kuroorwa, kunyanya pakurapa nyore intervertebral disc herniation. Kune yakaoma intervertebral disc herniation kana kusanganiswa spinal stenosis, inogonawo kurapwa. Kana mhedzisiro yacho isina kunaka, kuvhiyiwa kwakavhurika kunodiwa zvakare.
2. Minimally invasive fusion uye mukati mekugadzirisa teknolojia
Lumbar fusion uye kugadziriswa kwemukati inzira yekutanga yekuvhiya yekurapa lumbar kusagadzikana. Kuburikidza neanterior, anterolateral, lateral, posterolateral uye posterior approaches ye lumbar spine, bone grafting kana fusion cage, facet joint uye intertransverse process inosimwa mukati me intervertebral space, kuitira kuti pfupa rinosungirirwa pakati pemakumbo emakumbo rinogona kuitika, nokudaro kusimbisa nekuchengetedza kugadzikana kwechiuno. Theoretically, chikamu chekuvhiya hachizodzokeri. Iyo ishoma invasive fusion uye mukati mekugadzirisa maitiro anosanganisira minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) uye minimally invasive lateral lumbar interbody fusion (LLIF). LLIF inosanganisirawo vertical lateral fusion cage (DLIF) uye inonyanya kufarirwa oblique lateral fusion (OLIF). Iyo ishoma invasive fusion yemukati yekugadziridza tekinoroji inonyanya kuunza akakosha ekuwedzera uye tubular retractors kudzikisa nyoro kukuvara kwetishu uye kuita yakanyanya kutaridzika kwenzvimbo yekuvhiya inogoneka. Inogona kushandira pamwe neyekushandisa maikorosikopu kana girazi rekukudza simba repamusoro-soro kuwedzera nzvimbo yekuvhiya yekuona, kuitira kuti kuderedze kuchekwa kweganda uye kukuvara kwemukati, uye kugonesa kuvhiyiwa kwepelinha kuita kurapa kunoshanda zvakanyanya nekukuvadza kushoma iatrogenic. Kuenzaniswa nekuvhiyiwa kwakazaruka, minimally invasive fusion internal fixation teknolojia ine migumisiro iri nani maererano nekugara muchipatara, kurasikirwa kweropa, nguva yekudzorera uye nguva yekudzoka kuhupenyu hwemazuva ose. Panguva imwecheteyo, inogona kuwanzochengetedza posterior column chimiro chemusana, kuderedza kukuvara kwemhasuru, uye nokudaro kuderedza marwadzo epashure. Iko kusanganisa zvishoma uye teknolojia yekugadzirisa mukati ine zviratidzo zvakasiyana-siyana, kusanganisira zvirwere zvakasiyana-siyana zvepelinha, spinal stenosis, yakaoma disc herniation, kusagadzikana, scoliosis, etc. Kune varwere vane mamiriro ezvinhu akaoma asina kukodzera endoscopy, maitiro akadaro anofanira kutorwa kakawanda.
3. Percutaneous vertebroplasty
Iyo ndeyekuvhiyiwa kusinganyanyi kupindira, kusanganisira percutaneous vertebroplasty (PVP) uye percutaneous balloon kyphoplasty (PKP). Iyo tekinoroji iyo yekurapa bone simende kana yekugadzira bhonzo biomaterials inopinzwa muchirwere chevertebral muviri kuburikidza nekuputika kweganda kusimbisa vertebral muviri. Zvirwere zvinoshandiswa zvinosanganisira: 1. Osteoporotic vertebral compression fracture, iyo isingabatsiri nekugadzirisa kana kurapwa kwemishonga; 2. Benign tumors kana metastatic tumors yakaipa ye vertebral body; 3. Kutyoka kwemusana neosteonecrosis kana kuti nonunion mushure mekuputsika; 4. Kusagadzika compression fracture kana multi segment vertebral compression fracture; 5. Kuputika kwekuputika nemadziro ekupedzisira emashure emuviri wevertebral. Zvimiro zvekushanda uku: 1. Kurapa kupindira kuduku pasi peanesthesia yemunharaunda ine nguva shoma yekushanda, iyo incision iri mukati me 0.5cm, kubuda ropa kune 2-3ml, uye analgesic effect yakajeka. Iine basa rekubvisa marwadzo nekugadzirisa zvakare biomechanical simba refupa panguva imwe chete. 2. Kune vakwegura uye varwere vasina simba, njodzi yekuvhiya iduku, uye zvinetso zvinogona kukonzerwa nekushaya simba zvinodziviswa. 3. The postoperative recovery inokurumidza uye nguva yechipatara ipfupi. 4. Pamusana pekusunungurwa panguva yekurwadziwa, migumisiro yechirwere uye kuvimba kwezvinodhaka kwekutora painkillers kunodziviswa, uye hupenyu hwehupenyu hunovandudzwa. 5. Inoderedza zvakanyanya nguva yekuti varwere vazorore pamubhedha uye vanoda vanochengeta.
4. Robhoti yakabatsirwa uye yakafamba nekuvhiya musana
Kuvhiyiwa kwemusana kunoda kuti vanachiremba vashande nehupamhi hwepamusoro, uye zvikanganiso zviduku zvinotungamirira kumigumisiro yakaipa. Semuenzaniso, kune iyo lumbar pedicle screw yekupinza tekinoroji, panguva yekuisa screw process, inofanirwa kuve nechokwadi kuti screw yakaiswa mukati me pedicle. Iyo dhayamita ye lumbar pedicle inenge 8mm, uye mukati uye pasi mativi e pedicle inokosha tsinga zvivako. screw yedu dhayamita i6.5 mm, zvinoreva kuti kana screw yangotyora mukati nemukati memadziro e pedicle, kukuvara kwakanyanya kwetsinga kunogona kuguma. Naizvozvo, iko kurongeka uye kuchengetedzeka kwekupinza screw kwakakosha. Iyo orthopedic yekuvhiya robhoti uye sisitimu yekufambisa, inotungamirwa nemifananidzo ye3D, inogona kunyatso kumisa screws zvinoenderana nenzira yakarongwa, otomatiki kana semi-otomatiki screw mu pedicle screws, kuderedza kukuvadzwa kwemhasuru dzakatenderedza uye mamwe matishu akapfava, uye kuve nechokwadi chechokwadi uye kuchengetedzwa kwekuvhiya. Kune endoscopic tekinoroji, kusanganisa kutenderera kunogona zvakare kuderedza zvakanyanya kuvhiya nguva yekubaya, kukuvara kwetishu dzakapfava uye kusagadzikana kwevarwere panguva yekuvhiya. Iko kushandiswa kwerobhoti yakabatsirwa uye kuvhiya musana kunobatsira zvikuru varwere vane zvirwere zvemusana.
Mushoko, minimally invasive spine tekinoroji inogona kuzadzisa chinangwa chekurapa zvakachengeteka uye zvinobudirira nekudzikisa kukuvara zvakanyanya sezvinobvira. Ndichiri kuwana zvakafanana kana zvirinani kuita sekuvhiyiwa kwemuzongoza, zvinogona kuderedza kukuvadzwa kwekuvhiya kwevarwere, kukurudzira kupora kwavo kwekutanga, uye kuderedza sequela yekuvhiya. Nekudaro, kuvhiyiwa kwemuzongoza zvishoma hakugone kutsiva zvachose kuvhiya kwemuzongoza. Iyo chaiyo chirongwa chekushanda chinofanira kutariswa zvinoenderana nemamiriro emurwere, tekinoroji yekurapa, kutaurirana pakati pevanachiremba nevarwere uye zvimwe zvinhu. Iko ruzivo rwekuunganidza kwekuvhiyiwa kwakajairwa kwakavhurika ndiyo hwaro hwekuvhiyiwa kwekushomeka. Kana kuvhiyiwa kushoma kunosangana nematambudziko, kunoda kuchinjwa kuti kuvhure kuvhiyiwa nenguva kuti kuve nechokwadi chekuchengetedzwa kwevarwere uye kushanda kwekuvhiya. Pakupedzisira, tinofanira kuyeuchidza varwere vanovhiya kuti kunyatsochengetedza uye kushandiswa kwesayenzi mushure mekuvhiyiwa kwakabudirira kunokoshawo zvakanyanya, izvo zvisingagoni kungovandudza hutano hwekugadzirisa, asiwo kudzivirira kudzokorora kana pedyo nechirwere che vertebral.
E. Spinal bundu uye kuzvimba
Tumor, tuberculosis uye suppurative kuzvimba kwekervical, thoracic uye lumbar vertebrae.
F. Mhedziso
1. Hapana nzvimbo yebofu mukuvhiyiwa kwemusana
Kuchengetedza uye kuvimbika ndiko kutanga kutsvaga kwekuvhiyiwa kwemusana. Inonyanya kuongorora uye inobata zvirwere zvinopera zvemusana, zvakadai secervical spondylotic myelopathy, ossification ye thoracic ligamentum flavum, lumbar spinal stenosis, disc herniation pane imwe neimwe chikamu kubva kumutsipa wepelinha kusvika kune lumbar spine, uye ossification ye posterior longitudi. Pamusoro pezvo, inobatawo nemhando dzese dzekukuvadzwa uye hosha dzinoitika muzongoza, senge spinal fracture uye dislocation, spinal deformity, spinal tumor (primary uye metastatic), spinal tuberculosis kana suppurative hutachiona.
2. Kuvhiyiwa kwechibereko kusingagumi
Nokuda kwekushanda kwekervical spondylotic myelopathy uye ossification ye posterior longitudinal ligament ye cervical spine, zvimwe zvipatara kana vanachiremba vanongoita mabasa epamberi kana shure. Muchokwadi, kune akati wandei marudzi emaoparesheni ekusarudza kubva - anterior cervical decompression uye bone grafting uye mukati mekugadzirisa, posterior cervical laminoplasty (musuwo mumwechete, kaviri gonhi), uye imwe-nhanho anterior uye posterior decompression uye kugadzirisa mukati. Tine ruzivo rwakawanda rwakabudirira mumhando idzi dzekushanda, izvo zvinogona kushandiswa zvine musoro zvinoenderana nemamiriro akasiyana, Hazvirambidzwe nechero tekinoroji, mamiriro uye pfungwa dzakamanikana, uye inopa kutamba kwakazara kune zvakanangana zvakanakira nzira dzakasiyana.
3. Thoracic vertebra kuvhiyiwa iri nyore uye yakavimbika
Nokuda kwe ossification ye thoracic posterior longitudinal ligament, iyo yakaoma uye inotyiwa nezvipatara zvakawanda zvakakura, takaita segmental posterior decompression. Kune varwere vane anterior compression (ossification of ligaments kana protrusion of intervertebral discs), iyo anterior decompression yemuzongoza yakaitwa netunneling nzira yekuwana 360 ° kupera kwakakwana kumativi emusana wepelinha, iyo yakadzivisa kuparara kwepamberi kuburikidza nethoracotomy uye yakanyanya kuderedza kushungurudzika. Iyi 360 ° decompression technique inoshandiswawo pakushanda kwekuremara kwemakumbo kunokonzerwa ne thoracic intervertebral disc prolapse uye osteoporotic compression fracture.
4. Intervertebral fusion haidi kubviswa kwefupa repelvic
Kune lumbar spinal stenosis kana lumbar spondylolisthesis inokonzerwa nezvikonzero zvakasiyana-siyana, chinangwa chekutanga chekushanda ndechekuderera kwetsinga. Kana musana usina kugadzikana, kusanganiswa kwepelinha kunotarirwa maererano nehuwandu hwekusagadzikana uye spondylolisthesis. Iyo posterolateral spinal bone graft (PLF) kana kuti interbody bone graft (PLIF) inosarudzwa maererano kana yakakodzera pedicle screw internal fixation. MuPLIF, iyo yose yakabviswa vertebral arch uye yakaderera articular process complex (median incision) inoshandiswa seyo interbody bone graft fast, iyo isingangowani chete yakanakisa pfupa graft zvinhu, asiwo inodzivisa kutora pfupa kubva pachiuno kana kutenga interbody fusion cage, iyo inobvisa matambudziko ekubvisa pfupa uye inoderedza zvikuru mari yekushanda.
For CZMEDITECH , isu tine yakazara yakazara chigadzirwa mutsara we kuvhiyiwa kwemusana kudyara uye midziyo inowirirana , zvigadzirwa zvinosanganisira 5.5mm uye 6.0mm spinal pedicle screw system, anterior cervical plate system, posterior cervical screw system, anterior thoracic plate system, anterior thoracolumbar plate system, titanium mesh cage, peek cage system, titanium cage, screw posterior cervical laminoly system muplastic system yavo. Pamusoro pezvo, takazvipira kuenderera mberi nekugadzira zvigadzirwa zvitsva uye kuwedzera mitsara yechigadzirwa, kuitira kuti tisangane nekuvhiyiwa kwevamwe vanachiremba nevarwere, uye zvakare kuita kuti kambani yedu iwedzere kukwikwidza muindasitiri yepasi rose yemapfupa emapfupa uye zviridzwa.
