Views: 88 Munyori: Wesaiti Editor Shirish: 2022-10-14 Mavambo: Saiti
Changzhou Meditech Technology CO, LTD., Inowanikwa mu Changzhou Science & Town Town, Dunhu reJiangsu, zvinoiswa muOrthopectures orthopedic misplant uye zviridzwa.
Mushure memakore anopfuura gumi ekutsvagisa uye kusimudzira, isu tine gumi huru yechigadzirwa, Intramedullary Plate System, Screw Systems, Sterection Curnation System, Sterealization Offery system uye Veteriner System uye Veterinary Orthopedic system.
Semidziyo yeanotambidza nezvekurapa ine makore anopfuura gumi ezvakaitika
Muchisimba che 'Hunhu kutanga, basa kutanga, r & d kutanga, ruzivo rwekutanga' Iyo kambani inotora varwere vacho chinangwa chayo chisingaperi uye vanoita basa risingaperi kune hutano hwevanhu.
Kune marudzi mazhinji ekuvhiyiwa kwespinal, kunyanya kusanzwisisika uye kuvhurika. Mamwe maLumbar Fractures, disc herniation, spinal tuberculosis, scliosis inogona kurapwa. Zvishoma kusanganisa kuvhiya zvinonyanya kusanganisira: radiofrequency kutuka, etcuscopic nucleus
Zvekuvhiya kweCervical Dish Herniation, Cervical Spongylotic MyElopathy Ligntured yeCervical Spine, zvimwe zvipatara kana vanachiremba vanongoita zvekuvhiya kwekunze kana kwekuvhiyiwa. Muchokwadi, kune akawanda marudzi mazhinji ekuvhiyiwa kuti asarudze kubva. Vanhu vane zvakawanda zvakabudirira ruzivo mumhando idzi dzekuvhiya, dzinogona kushandiswa zvine musoro zvichienderana nemamiriro ezvinhu akasiyana, pasina chero tekinoroji, uye ipa zvizere zvakanaka zvakanakira mhando dzakasiyana dzemhando dzakasiyana dzekuvhiya. Zvekutenderera zvigunwe zvechibereko, kushomeka uye kugadziriswa kuburikidza nemapepa ekunze uye posterior nzira dzinogona kupfupisa zvakanyanya nguva yekuparadza muchipatara, uye mhedzisiro yekupokana kwakazara kuri nani.
Izvo zvinoshanda kune cervical sponylosis ine protrussion yeInternationalbral discand pfupi compression zvikamu (1-3 nzvimbo) zve spur zvinomera. Iyo ine mukana wekutongwa kwakananga kweiyo lesion, iyo iri nyore uye yakakodzera. Iyo ndiyo inonyanya kujairika maitiro ekushandisa uye nzira yekutanga yekurapa cervical spanylosis.
Izvo zvinoshanda kune cervical sponylosis ine nhamba uye chikamu cheInternment yeInterncdebral disc compression uye spinal canal stenosis (pamwe nekunyanyisa kwekunetseka kweLongitudinal Ligament Ligament Ligament Rini Icho ndezvekunyongana zvisina kunanga, icho chine mukana wekuchengetedza chibereko chechiitiko chekufambisa uye chakachengeteka.
Izvo zvinoshanda kune varwere pasi pemakore makumi matanhatu emakore nekapfupi chikamu chinyoronyoro inthvertebral disc compression. Paunenge uchisunungura uye uchikwezva kumanikidzwa kwetambo, inochengetedza basa rekusanganisa musana
Decompressions yakakwana uye yakachengeteka, yakakodzera kune yakanyanya uye yakakosha cervical spanylosis. Kune zviitiko zveCervical Spongylotic MyElopathy nemhando yemhando kana chikamu chehurefu musinal Spinal Stenosis uye hombe anterior compression, pane mamwe miganho mune yekuvhiyiwa kana yekuvhiyiwa ndega. Isu tinotora chinzvimbo chekuratidzira kwekuvhiyiwa kwepashure, uye tobva tatora chinzvimbo chekuvhiya chekuvhiya, uye yekutanga nhanho inopindirana uye yepashure kusagadzikana.
Zvakanakira : Pashure pekupindirana kwekushambadzira, nzvimbo yechibereko chemusango inogona kutsauka kumashure, iyo nzvimbo pamberi pechibereko chechibereko chakawedzerwa, uye kumanikidzwa kwemuzongoza kunoderedzwa, kuderedza njodzi yekuvhiya kwekuvhiyiwa. Panguva imwecheteyo, kusunganidzwa kwehukama kwakazadziswa, kupesana kwacho kwapera, mhedzisiro iri pachena, uye zvinobatsira kuti kudzoreredzwa kwemuzongoza musango; Inoderedza kurwadziwa kwevarwere uye kuri nyore kune varwere kugamuchira. Inonenderedza zvakaipa zvechipatara kaviri, iyo yechipiri yekuvhiya, chirwere chezvirwere, uye inochengetedza muchipatara yechipatara.
Kuenzaniswa neAnterior nzira, Posterior Cervical Foraminal Decompressions haina Kuda Bone Grace Fusion uye haina kurasikirwa nehuwandu hwekufamba kwechibereko chechibereko. Iyo Posterolateral Cervical Disc Herniation Nucosus Pucusus Kubvisa kuburikidza neiyo nzira yepashure inoitwa pasi pechiratidzo chakananga uye iri nyore, saka yakachengeteka uye yakavimbika. Zviratidzo: Posterolateral Cervical Disc Herniation, single Level Intervertebral Forenist Stenosis Stepen Stal Stal Stenosis Stenosis Stenosis Spenas
Kukuvara uye chirwere cheiyo yepamusoro cervical spine inogona kukonzera zvakakomba musana cord dysfunction. Nekuda kwechimiro chakaomesesa chechimiro, zvipatara zvakawanda hazvigone kuvabata. Semuenzaniso, Atlattoxaxial bracture uye discation occciital malform, uye rheumatoid yepamusoro spervathy
Intiventtebral Fusion haidi Pelvic Bone kubviswa kweLumbar Spinal Stenosis kana Lumbar Spondylolistisis yakakonzerwa nezvikonzero zvakasiyana. Chinangwa chekutanga chekuvhiya ndechekubvisa mitsipa. Kana musana usina kugadzikana, iyo spinal fusion inotarisirwa maererano neyero yekusagadzikana uye sponylolistissis. Iyo posterolateral spinal bhegi graft (plf) MuPliif, iyo yakazara yakaburitswa vertebral arch uye yakaderera yekuita basa rakaoma
Sekureva kwemhando dzakasiyana dzekutengesa, kupararira kwebleius pulposus, laminectomy uye discellymy (dzimwe nguva nepafuma yekufukura uye yekugadziriswa kwemukati) uye yekugadzirisa disc kutsiva inosarudzwa.
Kuzvishambadzira kwespinal canal uye nerve midzi midzi inogoneka. Kune varwere vane musana kusagadzikana, simba rekugadzirisa kana fiusiction yekufungidzira inofanirwa kuitwa nekusarudza zvakasarudzika, kuti varwere vanogona kuzadzisa chinangwa chekurapa pamutengo wakaderera uye kuwana zvinogutsa.
1) Dynamic Kugadziriswa kweLumbar Spine - Izvo hazvingamisi chete musana, asi zvakare chengetedza basa reLumbar kufamba. Zvakanakira zvarinoridza zvinosanganisira: (1) Zvinogona kuderedza zvakanyanya kumanikidzwa kweInternctebral disc uye kudzivirira kuora kweStangerEbral Disc; .
2. Mushure mekuenderera mberi nekuvandudzwa, kusavhiya kwacho kushoma, hakuchina tsandanyama, inochengetedza chimiro cheLigamfels uye microscope yakavimbika zvakakwana, haina kukuvadza kugadzikana kwemuzongoza, uye ine mhinduro yechiedza. Varwere vanogona kufamba nezuva repiri, uye vakasiya muchipatara 5-7 mazuva gare gare.
Ndiwo chiratidzo chakanakisa chekushomeka uye kuderedza, pfupa grafike fusion, uye pedicle yemukati yekugadziriswa. Iyo zvakare ndiyo mhando yakajairika yekuvhiya uchishandisa Titanium Plate Fixation. Iko kuvhiya kwakaoma uye kwakakura pachiyero. Chikonzero kana padanho rekutanga rwe spondylolistisis, lumbar sponylysis, zviri nyore kwazvo kubata nenguva.
1) Lumbar SpondyLyis inogona kukonzerwa nekuneta kupwanyika kwechikamu cheiyo lumbar spine (isthmus, majoini madiki) nekuda kwekudzokorora kurovedza muviri. Kana zvikasaporesa, kuitira kudzivirira Lumbar SpondListisesis, kunyanya kana zviratidzo zvacho zviri pachena, grafiti rinogona kushandiswa kugadzirisa iyo Isthmus, zviyero zviviri uye toni titanium, iri nyore uye rakareruka uye rakachengeteka.
2) Lumbar Spondylolistesis yakarapwa nekuvhiya kuvhurika kuderedzwa, Intervertebral Bone Gragoni (Plif), uye Pedicle yemukati yekugadziriswa. Chinangwa chekutanga chekuvhiya ndechekubvisa mitsipa. Piif Piek lumbar Fusion Cage inoitwa, iyo vertebral cage arch
Dynamic Lumbar Kugadziriswa, Kugadzirisa Rec Kutsiva uye Intermu Fiusion (Anterior kana Posterior) akasarudzwa.
Kubva kumusoro kweCervical vertebra kukwenya kuLumbosachral vertebra bracture, anterior kana posterior yekushomeka uye kugadziriswa kwemuzongoza inotorwa.
1. Intrapaoperative myelography uye transpecular decompressions
Mukudzikama kwakavhurika, kushushikana uye kugadziriswa kwemukati kweToracolumbar kuputika, iyo yekushambadzira inogona kuongororwa zvinobudirira kuti ideredze iatrogenic kukuvara.
2.
Chete chingwe chefuma yemapepa inogona kuiswa. Iyo chaiyo chaiyo inosimbisa tekinoroji yekubvisa marwadzo uye kufamba kubva pamubhedha mazuva 1-3 mushure mekuvhiyiwa.
A.
Mainininikisi Mininani Kuvhiya Kuvhiya kunosanganisira:
Spinal endoscopy anoreva kuti chiremba wekuvhiya, pasi pekutungamirirwa kweX-ray panguva yekuvhiya, anokudza midziyo yemukati, anowedzera kuratidzwa kwemukati. kuburikidza neyechivande chifananidzo. Nzira dzinowanzo shandiswa dzinovhiya dzinosanganisira: Lalteral Lumbar Raminal Enteroscopy, Post Lumbar Lamina Ages Endoscopy, uye Posterior Cervical Edoscopic Surgery. Kuenzaniswa nekuvhiyiwa kwechinyakare kana microsurgery, zvine zvibodzwa zvinotevera: (1) Zviratidzo zvakakura, kutambudzika kwechidimbu, pasina kukuvadzwa kune yakajairika spinal chimiro, uye chiitiko chinowanzoita pasi pe1 cm; . . (4) Rato rakadzika-dzika; . Zvinokanganisika zvinosanganisira: (1) Pane imwe yekudzokorora yekudzokorora. Kamwe kudzokorora kunoitika, kudzokororwa kuchave kwakaoma uye kune njodzi nekuda kweiyo tsvuku yekushambadzira kwekutanga kushanda. . . Kune akaomarara synvertendebral disc herniation kana yakasanganiswa musanganiswa spinal stenosis, inogona kurapwa. Kana mhedzisiro iri murombo, kuvhiyiwa kwakashama kunodiwa zvakare.
Lumbar Fusion uye Yemukati Kugadziriswa ndiyo yekutanga yekuvhiya maitiro ekurapa kweRumbar kusagadzikana. Kuburikidza neAnterior, Anterolateral, Literal, Posteral uye Postereral Leging Spine, Sangano reCointreds riri pakati peLumbarjo, Saizvozvo kutanga uye kuchengetedza kugadzikana kweiyo Lumbar musana. Zvinonzwisisika, chidimbu chekuvhiya hachizoregi. Iyo miviri inosangana nekufungidzira kwemukati uye maitiro emukati inosanganisira zvishoma zvinosanganisira transforaminal lumbar internet LLIF zvakare inosanganisira vertical lateral folusion (dlif) uye iyo yakanyanya kuzivikanwa oblique lalusion (olif). Iyo madiki inosangana nekufungidzira kwemukati tekinoroji inonyanya kuendesa inowedzera inowedzera uye tubular retractors kuti udzore zvakapfava kupukuta uye ita iyo yakanaka yekuona yenzvimbo yekuvhiya inokwanisika. Inogona kushandira pamwe neiyo microscope yemigetsi kana yakakwirira-simba kukurudzira girazi rekuvhiya yekuvhiya yekuvhiya, uye kugonesa kuvhiyiwa kwemukati kuti zviite zvakanyanya kurapwa nekukuvara kwakanyanya kweIatrogenic kukuvara. Kuenzaniswa nekuvhiyiwa kwakashongedzwa, zvishoma zvinosanganisira fiusion yemukati tekinoroji ine mhedzisiro yechipatara, kurasikirwa kweropa, nguva yekupora uye nguva yekudzoka kune hupenyu hwakajairika. Panguva imwecheteyo, inogona kazhinji kuchengeta iyo yepashure korumende yemusana, kuderedza kukuvara kwemasuru, uye nekudaro kuderedza kurwadziwa kwekumashure. Iyo miviri inosangana neyakafungidzira uye yemukati tekinoroji ine huwandu hwakawanda hwezviratidzo, zvinosanganisira hosha dzisingarwadzi, scenosi, etc.
Izvo ndezve zvishoma kusanzwisisika kuvhiyiwa, kusanganisira percutaneous vertebrasty (Pvp) uye percutaneous balloon kyphelasty (pkp). Iyo tekinoroji iyo yechipfuva chechipfuva kana bone biomatidziro ye biomatired mune chirwere chevarwi vertebral kuburikidza neganda pundu rekusimbisa muviri weiyo vertebral. Zvirwere zvinoshanda zvinosanganisira: 1. Osteoporotic vertebral compraw bracture, iyo isiri kushanda neBrace kana kurapwa kwezvinodhaka; 2. Benign tumor kana yakaipa metastatic tumor yemuviri we vertebral; 3. Spinal kupwanya ne ostenecrosis kana nonunion mushure mekupwanya; 4. Kuregererwa kusagadzikana kukanganisika kana yakawanda segment vertebral compression inokanganisa; 5. Kuputika bracture ine yakasimba yepashure madziro emuviri we vertebral. Hunhu hwekushanda uku: 1 Iyo ine basa rekuzorodza kurwadziwa uye kudzosera iyo biomekantic is simba refupa panguva imwe chete. 2. Kune varwere vakwegura uye vasina simba, njodzi yekuvhiya idiki, uye zvinogona kuitika zvinokonzerwa nekusagadzikana zvinodzivirirwa. 3. Iko kupora kwekupora kuri kutsanya uye nguva yechipatara ipfupi. 4 5. Izvo zvinoderedza zvakanyanya nguva yevarwere kuzorora mumubhedha uye vanoda vanochengeta.
Kuvhiya kwespine kunoda vanachiremba kuti vashande nehuremu hwakanyanya, uye zvikanganiso zvidiki zvichatungamira kune zvakaipa zvinoitika. Semuenzaniso, kune Lumbar Pedelle Screw Screw Screw, panguva yeScrew Kuisa maitiro, inofanira kuve nechokwadi chekuti banga rakaiswa mukati meiyo pedicle. Iyo dhayamita yeiyo Lumbar Pedelle ndeye 8mm, uye mativi emukati uye akadzika ePedeicle akakosha midziyo yezvivakwa. Yedu screw diamita ndeye 6.5 mm, zvinoreva kuti kana iyo screw inopwanya kuburikidza nemadziro emukati uye akadzika madziro edicle, zvakakomba nerve kukuvara kunogona kukonzera. Naizvozvo, iko kurongeka uye kuchengetedzwa kwekukwereta kusajeka kwakakosha. Iyo erthopedic yekuvhiya robhoti uye yekufambisa neiyo 3D mifananidzo, inogona kuomesa ganda rakakomberedzwa nemapundu uye mamwe matishu akanyorovera, uye simbisa chokwadi uye kuchengetedzeka kwekuvhiyiwa. Kune tekinoroji yeEndoscopic, yakasanganiswa navigation inogona zvakare kuderedza zvakanyanya nguva yekuvhiringidza nguva, kukuvadzwa kwechidimbu uye kusagadzikana kwevarwere panguva yekushanda. Kushandiswa kwaRobhoti kwakabatsira uye kufamba kwekufamba kweSpinal Surgery kuchabatsira zvikuru varwere vane chirwere chebunzwi.
Mune izwi, zvishoma zvisingaonekwe spine tekinoroji inogona kuzadzisa icho chinangwa chakachengeteka zvakachengeteka uye zvinobudirira nekuderedza kukuvara zvakanyanya sezvinobvira. Paunenge uchizadzisa zvakafanana kana zviri nani sezvinoita sevhu kuvhurika kwespine kuvhiya, kunogona kuderedza kusavhiringidza kwevarwere, kusimudzira kupora kwavo kwekutanga, uye kuderedza kushorwa kwekuvhiyiwa. Nekudaro, zvishoma zvisingaonekwe spine kuvhiyiwa hakugone kutsiva chetsika chetsika spine kuvhiya. Iyo chaiyo yekuvhenekerwa kurongwa inofanirwa kutsanangurwa maererano nemamiriro emurwere, tekinoroji yekurapa, kutaurirana pakati pevanachiremba nevarwere uye nezvimwe zvinhu. Iko kuzivikanwa kwakaunganidzwa kwekuvhiyiwa kwakajairika kuvhiya kune hwaro hwekuvhiyiwa zvishoma. Kana kushungurudzika kusingagone kusangana nematambudziko, zvinofanirwa kushandurwa kuve nekuvhiyiwa kwakazaruka munguva yekuve nechokwadi chekuchengetedza kwevarwere uye nekubudirira kwekuvhiyiwa. Chekupedzisira, tinofanira kuyeuchidza varwere vekuvhiya kuti kuvhiyiwa nekuvhomedzerwa kwakakosha kwakakosha zvakare kwakakosha, izvo zvisingagoni kungogadzirisa hunhu hwekugadzirisa, asi zvakare kudzivisa kudzokorora kana kurwara nehasha.
E. Spinal bundu uye kuzvimba
Tumor, tuberculosis uye kuturika kuzvimba kwechibereko, thoracic uye lumbar vertebrae.
F. Mhedziso
1. Iko hakuna nzvimbo yebofu mukuvhiya kwespinal
Kuchengetedzwa uye kuvimbika ndiko kwekutanga kutsvaga kwekuvhiya kwemuzongoza. Inonyanya kuongorora uye inobata chirwere chinodhaka chemuzongoza, senge cervical spine myelopathy, lumbari spinacum flavar Mukuwedzera, iyo zvakare inobata nemhando dzese dzekukuvara uye zvirwere zvinoitika mumuzongoza, zvakadai sekukanganisika, musana, musana mutserendende.
2. Kusvina kusingaperi kuvhiya
Kune mashandiro echibereko spervical myolopathy uye kusagadzikana kweiyo yepashure longitudinal lignamo yechibereko, zvimwe zvipatara kana vanachiremba vanongoita anterior kana posterior mashandiro. Muchokwadi, kune akati wandei marudzi ekusarudza kuti asarudze kubva - anterior cervical decompress uye pfupa rekugadzira uye nemukati, pasuo remukati, uye imwe-stage anterior uye posterior yekushomeka uye yekugadziriswa kwemukati. Tine zvakawanda zvakabudirira ruzivo mumhando idzi dzekushanda, izvo zvinogona kushandiswa zvine musoro zvichienderana nemamiriro ezvinhu akasiyana, hazvirambidzwe ne chero tekinoroji, mamiriro akapfuurika, uye anopa zvizere zvakanaka zvakanakira nzira dzakasiyana.
3. Thoracic vertebra kuvhiya iri nyore uye yakavimbika
Zvekunyanyisa kweiyo thoracic posterior Longitudinal ligenjende, iyo yakaoma uye ichityiwa nezvipatara zvikuru, isu takaita segrecarior kushomeka. Kune varwere naAnterior compression (Ossion yeLigamernents Iyi 360 ° Decomprestou inoshandiswawo pakushanda kweshanduro yezasi mitezo yakakonzerwa neTooracic Intervertebral disc pravervation uye esteoporotic compreskura.
4. Interverttebral fusion haidi pelvic pfupa rekubvisa
Kune Lumbar Spinal Stenosis kana Lumbar Spondyloistesis yakakonzerwa nezvikonzero zvakasiyana, chinangwa chekutanga chekuvhiya ndeye nerve kusagadzikana. Kana musana usina kugadzikana, iyo spinal fusion inotarisirwa maererano neyero yekusagadzikana uye sponylolistissis. Iyo posterolateral spinal bhegi graft (plf) MuPliif, iyo yakazara yakaburitswa vertebral arch uye yakaderera yekuita basa rakaoma
Nekuti Czmeditech , isu tine yakakwana kwazvo chigadzirwa mutsara we Spinal Surgery Amburonts uye Zvinoenderana zviridzwa , zvigadzirwa zvinosanganisira 5.5mm uye 6.0mm spinal Scely System, Titarium Chandemo, Titanior Chandendels System, Titari chiridzwa chinosungirwa. Mukuwedzera, isu takazvipira kuramba tichikudziridza zvigadzirwa zvitsva uye tichiwedzera mitsara yechigadzirwa, kuti tisangane nezvinodiwa zvevamwe vanachiremba nevarwere, uyezve vanokwanisawo kukwikwidza vese muzvinyorwa zvepasirese uye zviridzwa.