Ngathi
Changzhou Meditech Technology Co., Ltd., ibekwe kwiDolophu yeNzululwazi yaseChangzhou, kwiphondo laseJiangsu, igxile ekuveliseni ukufakelwa kwamathambo kunye nezixhobo.
Emva kweminyaka engaphezu kwe-10 yophando kunye nophuhliso, Sine-10 uchungechunge lweemveliso eziphambili kwaye ziyi-spinal system, i-intramedullary nail system, i-trauma plate kunye ne-screw system, i-plate yokutshixa kunye ne-screw system, inkqubo ye-CMF, inkqubo ye-fixator yangaphandle, inkqubo yesixhobo samandla onyango, inkqubo yezixhobo zotyando ngokubanzi, inkqubo ye-sterilization container kunye nenkqubo yezilwanyana zezilwanyana.
Njengomthengisi wezixhobo zonyango ezineminyaka engaphezu kweshumi yamava, kunye nezatifikethi ze-CE kunye ne-ISO, iimveliso zethu zithunyelwe kumazwe amaninzi afana ne-USA, iJamani, i-Argentina, iChile, iMexico, i-Indiya, iThailand, iMalaysia, iTurkey, i-Egypt, eMzantsi Afrika, i-Ivory Coast, njl.
Kumgaqo 'womgangatho wokuqala, inkonzo kuqala, i-R&D kuqala, ukusungula izinto ezintsha kuqala', inkampani yethu iphumelele igama elihle kakhulu ngaphakathi nangaphandle. Inkampani ithatha abaguli abazuzayo njengenjongo yayo esisigxina kwaye yenza iinzame ezingagungqiyo kwimpilo yabantu.
Uqhaqho loMnqonqo
Zininzi iintlobo zotyando lomnqonqo, ikakhulu olungenako kwaye luvuleleke kancinci. Ezinye iifractures ze-lumbar, i-disc herniation, i-spinal tuberculosis, i-scoliosis inokunyangwa ngotyando. Utyando olungenelelayo oluncinci lubandakanya: i-vertebroplasty, i-radiofrequency ablation, i-endoscopic nucleus pulposus ukususwa, i-percutaneous pedicle rod screw rod ukulungiswa kwangaphakathi, njl.
A. Isifo somlomo wesibeleko
Ukusebenza kwe-cervical disc herniation, i-spondylotic myelopathy yomlomo wesibeleko, kunye ne-ossification ye-posterior longitudinal ligament yomqolo wesibeleko, ezinye izibhedlele okanye oogqirha baqhuba kuphela utyando lwangaphambili okanye utyando lwangasemva. Enyanisweni, zininzi iintlobo zotyando onokukhetha kuzo. Abantu banamava amaninzi aphumeleleyo kwezi ntlobo zotyando, ezinokusetyenziswa ngokufanelekileyo ngokweemeko ezahlukeneyo, ngaphandle kobuchwephesha, iimeko, kunye neengcamango ezimxinwa, kwaye zinike ukudlala ngokupheleleyo kwiinzuzo ezichaphazelekayo zeentlobo ezahlukeneyo zotyando. Kwi-spondylosis yomlomo wesibeleko enzima, ukuchithwa kunye nokulungiswa ngeendlela zombini zangaphambili kunye nezasemva kunokunciphisa kakhulu ixesha lokulaliswa esibhedlele, kwaye umphumo wokunciphisa ngokupheleleyo ungcono.
Uxinzelelo lwangaphambili lomlomo wesibeleko kunye nokudityaniswa kunye nokufakelwa kwamathambo kunye nokulungiswa kwangaphakathi:
Isebenza kwi-spondylosis yomlomo wesibeleko kunye ne-protrusion ye-intervertebral discand amacandelo okunciphisa okufutshane (izithuba ze-1-3) zezityalo ze-spur. Inenzuzo yokutshatyalaliswa ngokuthe ngqo kwesilonda, esilula kwaye silungele. Yeyona ndlela ixhaphakileyo yokusebenza kwesiqhelo kunye nendlela esisiseko yokunyanga i-spondylosis yomlomo wesibeleko.
Ukuthotywa komlomo wesibeleko ngasemva kunye ne-laminoplasty:
Isebenza kwi-spondylosis yomlomo wesibeleko kunye nenani kunye necandelo le-intervertebral disc compression kunye ne-spinal canal stenosis, kunye noxinzelelo olunzima lwangaphambili (i-ossification ye-posterior longitudinal ligament, intervertebral disc). Yeyokuthotywa kwe-indirect decompression, enenzuzo yokugcina umsebenzi wokushukuma komlomo wesibeleko kwaye ikhuselekile.
Ukutshintshwa kwediskhi yomlomo wesibeleko eyenziweyo:
Isebenza kwizigulane ezingaphantsi kweminyaka engama-60 ubudala kunye necandelo elifutshane le-intervertebral disc compression. Nangona i-decompressing kunye nokunciphisa ukunyanzeliswa kwentambo yomgogodla, igcina umsebenzi womlomo wesibeleko, inciphisa ithuba lokukhawuleza ukuchithwa kwamacandelo asondeleneyo, ukwenzela ukuba izigulane zikwazi ukuhamba kwangaphambili emva kokuhlinzwa kwaye umsebenzi usondele kwimeko ye-physiological state.
Isigaba sokuqala sokuchithwa komlomo wesibeleko sangaphambili nasemva kunye nokulungiswa
I-Decompression iphelele kwaye ikhuselekile, ifanelekile kwi-spondylosis enzima kunye nekhethekileyo yomlomo wesibeleko. Kwiimeko ze-spondylotic myelopathy yomlomo wesibeleko kunye nohlobo lwe-clamp okanye i-long segment spinal stenosis kunye noxinzelelo olukhulu lwangaphambili, kukho imida kuqhaqho lwangaphambili okanye lwangasemva kuphela. Sithatha indawo ethambekeleyo yotyando lwangasemva, kwaye emva koko sithatha indawo ye-supine yotyando lwangaphambili, kunye nenqanaba lokuqala loxinzelelo lwangaphambili kunye nasemva.
Iingenelo : Emva kokuchithwa kwe-posterior, intambo yomgogodla yomlomo wesibeleko ingaqhubela ngasemva, indawo ephambi kwentambo yomlomo wesibeleko inyuka ngokulinganayo, kwaye uxinzelelo kwi-spinal canal luyancipha, lunciphisa umngcipheko wokuhlinzwa kwangaphambili. Ngelo xesha, ukunyanzeliswa kwamazwe amabini kukhululeka, ukuchithwa kuphelile, umphumo uyabonakala, kwaye luncedo ekubuyiseleni umsebenzi womgogodla; kunciphisa intlungu yezigulane kwaye kulula ukuba izigulane zamkele. Ithintela ukungalungi kokulaliswa esibhedlele kabini, utyando lwesibini, ixesha elide lokugula, kwaye igcina iindleko zokulaliswa esibhedlele.
I-posterior yomlomo wesibeleko ukuchithwa kwe-foraminal kunye ne-discectomy
Xa kuthelekiswa nendlela yangaphambili, i-posterior cervical foraminal decompression ayifuni i-bone graft fusion kwaye ayilahleki uluhlu lwentshukumo yomqolo wesibeleko. I-posterolateral cervical disc herniation nucleus pulposus ukususwa ngendlela yangemva yenziwa phantsi kombono othe ngqo kwaye ilula, ngoko ikhuselekile kwaye inokwethenjelwa. Izibonakaliso: i-posterolateral cervical disc herniation, inqanaba elilodwa le-intervertebral foramen stenosis, i-multi-level intervertebral foramen stenosis ngaphandle kwe-spinal canal stenosis, kunye neempawu zengcambu eziqhubekayo emva kwe-discectomy yangaphambili kunye nokudibanisa.
Utyando lwesifo sentamo ephezulu
Ukulimala kunye nezifo zomgudu ophezulu womlomo wesibeleko zingabangela ukungasebenzi kakubi kwentambo yomgogodla. Ngenxa yesakhiwo esinzima se-anatomical, izibhedlele ezininzi azikwazi ukunyanga. Ngokomzekelo, i-atlantoaxial fracture kunye ne-dislocation, i-atlanto occipital malformation, kunye ne-rheumatoid upper spondylopathy yomlomo wesibeleko, ukukhululwa kwangaphambili kunye nokulungiswa kwe-posterior kungasetyenziselwa ukunciphisa ukuchithwa, ukukhulula ukunyanzeliswa kwentambo yomgogodla, nokugcina ubomi.
I-B.Lumbar disc herniation, i-lumbar spinal stenosis, i-lumbar spondylolisthesis, iintlungu ezisezantsi ze-discogenic
I-intervertebral fusion ayifuni ukususwa kwethambo le-pelvic kwi-lumbar spinal stenosis okanye i-spondylolisthesis ye-lumbar ebangelwa izizathu ezahlukeneyo. Injongo yokuqala yolu tyando kukuthomalalisa imithambo-luvo. Xa umqolo ungaqinisekanga, ukudibanisa komgogodla kunqunywe ngokwezinga lokungazinzi kunye ne-spondylolisthesis. I-posterolateral spinal bone graft (PLF) okanye i-interbody bone graft (PLIF) ikhethwe ngokubhekiselele ekubeni ifanelekile kwi-pedicle screw fixation yangaphakathi. Kwi-PLIF, yonke i-arch ye-vertebral ekhutshwe kunye ne-inferior articular process complex (i-median incision) isetyenziswa njenge-interbody bone bone graft ngokukhawuleza, engafumani nje kuphela i-bone best graft material, kodwa iphinde igweme ukuthatha ithambo kwi-pelvis okanye ukuthenga i-cage fusion ye-interbody, ephelisa iingxaki zokususwa kwamathambo kunye nokunciphisa kakhulu iindleko zokusebenza.
Ngokweentlobo ezahlukeneyo ze-pathological, i-fenestration ye-nucleus pulposus, i-laminectomy kunye ne-discectomy (ngamanye amaxesha kunye ne-bone graft fusion kunye nokulungiswa kwangaphakathi) kunye nokutshintshwa kwe-disc yokufakelwa.
Ukuthotywa komjelo womqolo kunye nomjelo weengcambu zemithambo-luvo kunokwenzeka. Kwizigulane ezinokungazinzi komgogodla, ukulungiswa okuguquguqukayo okanye ukulungiswa kwe-fusion kufuneka kwenziwe ngokukhethiweyo, ukwenzela ukuba izigulane zikwazi ukufezekisa injongo yonyango kwixabiso elincinci kwaye zifumana iziphumo ezanelisayo.
I-1) Ukulungiswa kwe-Dynamic ye-lumbar spine - akugcini nje ukuzinzisa umqolo, kodwa nokugcina umsebenzi we-lumbar motion. Iinzuzo zayo ziquka: (1) inokunciphisa kakhulu uxinzelelo lwe-intervertebral disc kunye nokukhusela ukuchithwa kwe-disc intervertebral disc; (2)Uxhulumaniso olulastiki lugcina kwaye lubuyisela ibhalansi ye-three-dimensional yecandelo lentshukumo.
I-2) Utyando oluncinci lokuthotywa kombhobho wokuthotywa kwe-spinal kunye nokuthembeka kwemisipha egciniweyo-indlela yotyando ephuculweyo eyaziswa phesheya. Emva kophuculo olongezelelweyo, umsebenzi une-incision encinci, ayifuni imisipha, igcina imilo ye-ligaments kunye ne-vertebrae, kunye ne-decompression phantsi kweglasi yokukhulisa kunye ne-microscope inokuthenjwa ngokupheleleyo, ayilonakalisi ukuzinza komqolo, kwaye inempendulo yokukhanya emva kokuhlinzwa. Izigulane zinokuhamba ngosuku lwesibini, kwaye ziphume esibhedlele emva kweentsuku ezi-5-7.
Yeyona nto ibonakalisa ukuthotywa kunye nokunciphisa, i-bone graft fusion, kunye nokulungiswa kwangaphakathi kwe-pedicle. Kwakhona lolona hlobo luqhelekileyo lotyando kusetyenziswa ukulungiswa kwepleyiti ye-titanium. Umsebenzi unzima kwaye mkhulu ngokwezinga. Isizathu okanye isigaba sokuqala se-spondylolisthesis, i-spondylolysis ye-lumbar, kulula kakhulu ukujongana nayo ngexesha.
I-1) I-spondylolysis ye-Lumbar inokubangelwa ukukhathala kokuphuka kwenxalenye ye-lumbar spine (isthmus, amajoyina amancinci) ngenxa yokuzivocavoca ngokuphindaphindiweyo. Ukuba ayiphili, ukwenzela ukukhusela i-spondylolisthesis ye-lumbar, ngakumbi xa iimpawu zibonakala, i-bone graft ingasetyenziselwa ukulungisa i-isthmus, i-screws ezimbini kunye nekhebula le-titanium, elilula kwaye likhuselekile.
I-2) I-spondylolisthesis ye-Lumbar yaphathwa ngokunciphisa utyando oluvulekileyo, i-intervertebral bone graft fusion (PLIF), kunye nokulungiswa kwangaphakathi kwe-pedicle. Injongo yokuqala yolu tyando kukuthomalalisa imithambo-luvo. Xa i-PLIF ibheka i-lumbar fusion cage yenziwa, i-arch yonke ye-vertebral cage kunye ne-inferior articular process complex (i-median incision) isetyenziselwa ukuxutywa kwethambo le-interbody ngokukhawuleza, elingenakufumana kuphela i-bone best graft material, kodwa kwakhona ugweme ukuthatha ithambo kwi-pelvis okanye uthenge i-interbody fusion device (i-interbody fusion cage), ukunciphisa ukukhutshwa kwethambo kunye neendleko ezinkulu.
Iintlungu ezisezantsi zeDiscogenic
Ukulungiswa kwe-lumbar Dynamic, ukutshintshwa kwediski eyenziweyo kunye ne-interbody fusion (ngaphambili okanye ngasemva) zikhethiwe.
C. Ukwaphuka komqolo
Ukusuka kwi-vertebra ephezulu yomlomo wesibeleko ukuya kwi-lumbosacral vertebra fracture, i-decompression yangaphambili okanye yangasemva kunye nokulungiswa komgudu kwamkelwa.
1. I-Intraoperative myelography kunye ne-transpedicular decompression
Ekunciphiseni okuvulekileyo, ukuchithwa kunye nokulungiswa kwangaphakathi kwe-thoracolumbar burst fracture, i-decompression effect inokulawulwa ngokufanelekileyo ukunciphisa ukulimala kwe-iatrogenic.
2. I-kyphoplasty encinci ye-percutaneous invasive kunyango lwe-vertebral compression fractures kubantu abadala.
Inye kuphela inaliti yesamente yethambo enokufakwa. Bubuchwephesha bokwenyani obungenabungozi bokuthomalalisa iintlungu kwaye uphume ebhedini kwiintsuku ezi-1-3 emva kotyando.
D. Utyando lomnqonqo olungenabungozi kancinci
A. Injongo ye-Minimal Invasive Spine Surgery (MISS) kukufezekisa umphumo wonyango oluqhelekileyo lotyando kunye nokunciphisa ukuxhatshazwa kokuhlinzwa kangangoko kunokwenzeka, ukuze kuncitshiswe iziganeko zeengxaki, ukuphuma kwegazi kwi-intraoperative, ukuhlala esibhedlele, njl., Ukuze izigulane zikwazi ukubuyisela kwaye zibuyele kubomi obuqhelekileyo kwaye zisebenze ngokukhawuleza.
Utyando olungundoqo olungephi lubandakanya:
Itekhnoloji ye-Endoscopic
I-endoscopy yomgogodla ibhekisela ekubeni ugqirha, phantsi kwesikhokelo se-X-ray okanye ukuhamba ngexesha lokusebenza, usebenzisa izixhobo zokwandisa i-puncture ukuhlatywa ukusuka kwesikhumba ukuya kwizilonda zomgogodla, ukuseka iziteshi ze-endoscopic kunye nokuhlinzwa, usebenzisa amanzi njengento ephakathi, ikhulisa kwaye ibonise iziphumo zangaphakathi kunye nezilonda kwi-high-definition screen display ngokusebenzisa inkqubo ye-screenndoscopic ukubonisa isikrini ngokusebenzisa umfanekiso we-endoscopic. Iindlela zotyando ezisetyenziswa ngokuqhelekileyo ziquka: i-endoscopy ye-lateral lumbar foraminal endoscopy, i-posterior lumbar lamina approach endoscopy, kunye ne-posterior cervical endoscopic operation. Xa kuthelekiswa notyando lwendabuko okanye i-microsurgery, ineenzuzo ezilandelayo: (1) Izibonakaliso ezibanzi, ukopha okuncinci kunye nokulimala, akukho monakalo kwisakhiwo esiqhelekileyo somnqonqo, kwaye i-incision ingaphantsi kwe-1 cm; (2) Ukusebenza phantsi kwe-anesthesia yendawo kunokukhethwa, kwaye unxibelelwano lwexesha langempela phakathi koogqirha kunye nezigulane luyafumaneka ukuququzelela ukusebenza kunye nokuphepha ukulimala kwe-nerve ye-intraoperative; (3) Iingxaki ezincinci, ukubuyiswa ngokukhawuleza, kunokuphuma ebhedini emva kokuhlinzwa, ukukhutshwa kwiintsuku ze-1-2, okanye utyando lwangaphandle; (4) Izinga losulelo oluphantsi; (5) Ingxaki yexesha elide yokunciphisa ngokukhawuleza kwamacandelo akufutshane ekuhlanganiseni kwangaphambili kuyagwenywa. Izinto ezingeloncedo ziquka: (1) Kukho umlinganiselo othile wokuphindaphinda. Emva kokuba ukuphindaphinda kwenzeka, ukusebenza kwakhona kuya kuba nzima kwaye kube yingozi ngenxa yokubambelela kwesiva somsebenzi wokuqala. (2) Kukho ezinye iingxaki, ezifana ne-residual nucleus pulposus compression, i-dural kunye ne-nerve root root, ukusuleleka kwendawo ye-intervertebral, ukopha, ukungahambi kakuhle kwengqondo emva kokuhlinzwa; (3) Izibonakaliso zotyando zingatshatanga, ngokukodwa kunyango lwe-intervertebral disc herniation elula. Kwi-intervertebral disc herniation eyinkimbinkimbi okanye i-spinal stenosis edibeneyo, inokunyangwa kwakhona. Ukuba isiphumo sibi, utyando oluvulekileyo luyafuneka kwakhona.
2. I-fusion encinci ye-invasive kunye ne-teknoloji yokulungiswa kwangaphakathi
I-Lumbar fusion kunye nokulungiswa kwangaphakathi yindlela esisiseko yokuhlinzwa yonyango lweengxaki ze-lumbar. Ngokusebenzisa indlela yangaphambili, i-anterolateral, i-lateral, i-posterolateral kunye ne-posterior ye-lumbar spine, i-bone grafting okanye i-fusion cage, i-facet joint kunye ne-intertransverse inkqubo ifakwe kwi-intervertebral space, ukwenzela ukuba ukudibanisa kwamathambo phakathi kwamalungu e-lumbar kuyenzeka, ngaloo ndlela kusekwa kwaye kugcinwe ukuzinza kwe-lumbar spine. Ngokwethiyori, icandelo lotyando aliyi kuphinda libekho. I-fusion ye-invasive encinci kunye ne-invasive fixation techniques ibandakanya i-minimal invasive transforaminal lumbar interbody fusion (MIS-TLIF) kunye ne-mining invasive lateral lumbar interbody fusion (LLIF). I-LLIF ikwabandakanya i-vertical lateral fusion cage (DLIF) kunye ne-oblique lateral fusion ethandwa kakhulu (OLIF). Itekhnoloji yokulungiswa kwangaphakathi yokudibanisa okuncinci yangaphakathi yazisa ikakhulu izandisi ezikhethekileyo kunye ne-tubular retractors ukunciphisa ukonakala kwezicubu ezithambileyo kunye nokwenza umbono obalaseleyo wendawo yokusebenza kunokwenzeka. Iyakwazi ukusebenzisana ne-microscope yokusebenza okanye iglasi yokukhulisa amandla aphezulu ukuze kwandiswe ibala lotyando lombono, ukuze kuncitshiswe ukutsalwa kwesikhumba kunye nomonakalo wangaphakathi wezicubu, kwaye wenze utyando lomqolo luphumeze olona nyango lusebenzayo kunye nomonakalo omncinci we-iatrogenic. Xa kuthelekiswa notyando oluvulekileyo, iteknoloji yokulungiswa kwangaphakathi kwe-fusion encinci ineziphumo ezingcono malunga nokuhlala esibhedlele, ukulahleka kwegazi, ixesha lokubuyisela kunye nexesha lokubuyela kubomi obuqhelekileyo. Ngexesha elifanayo, liyakwazi ukugcina i-posterior column structure, ukunciphisa umonakalo we-muscle, kwaye ngaloo ndlela unciphise intlungu emva kokuhlinzwa. I-fusion encinci ye-invasive kunye ne-teknoloji yokulungiswa kwangaphakathi ineendlela ezininzi zezibonakaliso, kubandakanywa izifo ezahlukahlukeneyo zomgogodla, i-spinal stenosis, i-disc herniation eyinkimbinkimbi, ukungazinzi, i-scoliosis, njl.
3. I-Percutaneous vertebroplasty
Ngowotyando olungephi, kubandakanywa i-vertebroplasty (PVP) kunye ne-percutaneous balloon kyphoplasty (PKP). Ithekhnoloji yokuba i-samente yamathambo yonyango okanye i-bone biomaterials eyenziweyo ifakwe kwi-vertebral body egulayo ngokugqabhuka kwesikhumba ukuqinisa umzimba we-vertebral. Izifo ezisebenzayo ziquka: 1. I-Osteoporotic vertebral compression fracture, engasebenziyo kunye ne-brace okanye unyango lweziyobisi; 2. Iimvumba ze-Benign okanye izicubu ezinobungozi ze-metastatic ze-vertebral body; 3. Ukuphuka komgogodla kunye ne-osteonecrosis okanye i-nonunion emva kokuphuka; 4. Ukuqhekeka koxinzelelo olungazinzanga okanye i-multi segment vertebral compression fracture; 5. Ukuqhekeka kokuqhuma kunye nodonga olungasemva olungasemva lomzimba we-vertebral. Iimpawu zalo msebenzi: 1. Unyango olungenelelayo oluncinci phantsi kwe-anesthesia yendawo inexesha elifutshane lokusebenza, i-incision ingaphakathi kwe-0.5cm, ukuphuma kwegazi ku-2-3ml, kwaye umphumo we-analgesic ucacile. Inomsebenzi wokunciphisa intlungu kunye nokuvuselela amandla e-biomechanical of bone ngexesha elifanayo. 2. Kubantu abadala kunye nezigulane ezibuthathaka, umngcipheko wokuhlinzwa uncinci, kwaye iingxaki ezinokuthi zibangelwa yi-immobilization ziyagwenywa. 3. Ukubuyisela emva kokuhlinzwa ngokukhawuleza kwaye ixesha lokulaliswa esibhedlele lifutshane. 4. Ngenxa yokukhululeka ngexesha leentlungu, imiphumo emibi kunye nokuxhomekeka kweziyobisi ngokuthatha i-painkillers kuyagwenywa, kwaye umgangatho wobomi uphuculwe. 5. Inciphisa kakhulu ixesha lokuba izigulane ziphumle ebhedini kwaye zifuna abanonophelo.
4. Uncedo lwerobhothi kunye notyando lomqolo oluqhutywayo
Utyando lomqolo lufuna ukuba oogqirha basebenze ngokuchaneka okuphezulu, kwaye iimpazamo ezincinci ziya kukhokelela kwimiphumo emibi. Ngokomzekelo, iteknoloji yokufaka i-screw screw ye-lumbar, ngexesha lokufakwa kwe-screw, kufuneka kuqinisekiswe ukuba i-screw ifakwe ngaphakathi kwe-pedicle. Ububanzi be-lumbar pedicle bu malunga ne-8mm, kwaye amacala angaphakathi nangaphantsi kwe-pedicle abalulekile kwi-nerve. I-screw diameter yethu yi-6.5 mm, okuthetha ukuba xa isikrufu sigqabhuka ngaphakathi nangaphantsi kweendonga ze-pedicle, umonakalo omkhulu wemithambo-luvo unokukhokelela. Ngoko ke, ukuchaneka kunye nokhuseleko lokufakela isikrufu kubaluleke kakhulu. Irobhothi yokuhlinzwa yamathambo kunye nenkqubo yokuhamba, ekhokelwa yimifanekiso ye-3D, inokubeka ngokuchanekileyo izikhonkwane ngokwendlela ecwangcisiweyo, ngokuzenzekelayo okanye i-semi-automatically screw kwi-pedicle screws, ukunciphisa umonakalo kwimisipha ejikelezayo kunye nezinye izicubu ezithambileyo, kwaye uqinisekise ukuchaneka kunye nokhuseleko lotyando. Kwitekhnoloji ye-endoscopic, ukuhamba okudityanisiweyo kunokunciphisa kakhulu ixesha lokubhoboza, ukonakala kwezicubu ezithambileyo kunye nokungonwabi kwezigulana ngexesha lotyando. Ukusetyenziswa kwerobhothi encedisiweyo kunye nokuhamba utyando lomqolo kuya kunceda kakhulu izigulane ezinezifo zomgogodla.
Ngelizwi, iteknoloji encinci ye-invasive spine inokufezekisa injongo yonyango ngokukhuselekileyo nangempumelelo ngokunciphisa ukulimala kangangoko kunokwenzeka. Ngelixa ukufikelela kwisiphumo esifanayo okanye esingcono njengotyando lomqolo ovulekileyo, kunokunciphisa umonzakalo wotyando lwezigulane, ukukhuthaza ukuchacha kwabo kwangoko, kunye nokunciphisa i-sequela yotyando. Nangona kunjalo, utyando lomnqonqo olungephi alukwazi ukuthatha indawo ngokupheleleyo utyando lomnqonqo. Isicwangciso esithile sokusebenza kufuneka simiselwe ngokwemeko yesigulane, iteknoloji yezonyango, unxibelelwano phakathi koogqirha kunye nezigulane kunye nezinye izinto. Ukuqokelelwa kwamava otyando oluvulekileyo lwesiqhelo sisiseko sotyando olungephi. Xa utyando olungephi ludibana nobunzima, kufuneka lutshintshwe ukuze luvuleke utyando kwangethuba ukuze kuqinisekiswe ngcono ukhuseleko lwezigulane kunye nokusebenza kotyando. Ekugqibeleni, kufuneka sikhumbuze izigulana zotyando ukuba ukugcinwa ngokucophelela kunye nokusebenza kwesayensi emva kokuhlinzwa okuyimpumelelo kubaluleke kakhulu, okungenakukwazi ukuphucula ngokufanelekileyo umgangatho wokubuyisela, kodwa ukuphepha ukuphindaphinda okanye isifo esisondeleyo se-vertebral.
E. Ithumba lomqolo kunye nokuvuvukala
I-Tumor, isifo sephepha kunye nokuvutha komlomo wesibeleko, i-thoracic kunye ne-lumbar vertebrae.
F. Isiphelo
1. Akukho ndawo eyimfama kuqhaqho lomqolo
Ukhuseleko kunye nokuthembeka kuyinjongo yokuqala yokuhlinzwa komgogodla. Ikakhulu ixilonga kwaye iphathe izifo eziphazamisayo zomgudu, ezifana ne-spondylotic myelopathy yomlomo wesibeleko, i-ossification ye-thoracic ligamentum flavum, i-lumbar spinal stenosis, i-disc ye-disc kwicandelo ngalinye ukusuka kwisigxina somlomo wesibeleko ukuya kwi-lumbar spine, kunye ne-ossification ye-posterior ligament longitudi. Ukongeza, ikwajongana nazo zonke iintlobo zokonzakala kunye nezifo ezenzeka kumqolo, njengokuqhekeka komnqonqo kunye nokuqhekeka, ukukhubazeka komqolo, i-tumor yomqolo (esisiseko kunye ne-metastatic), isifo sephepha somqolo okanye usulelo olunamandla.
2. Utyando lomlomo wesibeleko olungenamkhawulo
Ngokusebenza kwe-spondylotic myelopathy yomlomo wesibeleko kunye ne-ossification ye-posterior longitudinal ligament yomqolo wesibeleko, ezinye izibhedlele okanye oogqirha baqhuba kuphela imisebenzi yangaphambili okanye yangasemva. Enyanisweni, kukho iintlobo ezininzi zemisebenzi onokukhetha kuyo - ukuchithwa komlomo wesibeleko kunye nokuxutywa kwethambo kunye nokulungiswa kwangaphakathi, i-laminoplasty yangasemva yomlomo wesibeleko (umnyango omnye, umnyango ophindwe kabini), kunye nenqanaba elinye langaphambili kunye ne-posterior decompression kunye nokulungiswa kwangaphakathi. Sinamava amaninzi aphumeleleyo kwezi ntlobo zemisebenzi, enokusetyenziswa ngokufanelekileyo ngokwemiqathango eyahlukeneyo, ayithintelwanga nayiphi na iteknoloji, iimeko kunye neengcamango emxinwa, kwaye inika ukudlala ngokupheleleyo kwiinzuzo ezifanelekileyo zeendlela ezahlukeneyo.
3. Utyando lwe-Thoracic vertebra lulula kwaye luthembekile
Ukufumana i-ossification ye-thoracic posterior longitudinal ligament, enzima kwaye yoyikwa zizibhedlele ezininzi ezinkulu, senze i-segmental posterior decompression. Kwizigulane ezinoxinzelelo lwangaphambili (i-ossification ye-ligaments okanye i-protrusion ye-intervertebral discs), i-decompression yangaphambili ye-spinal cord yenziwa yindlela yokufumana i-360 ° epheleleyo yoxinzelelo olujikelezayo kwintambo yomgogodla, eyathintela ukunyanzeliswa kwangaphambili nge-thoracotomy kunye nokunciphisa kakhulu ukuxhatshazwa. Le ndlela yokunciphisa i-360 ° iphinda isetyenziswe ekusebenzeni kwemilenze ephantsi yokukhubazeka okubangelwa yi-thoracic intervertebral disc prolapse kunye ne-osteoporotic compression fracture.
4. I-intervertebral fusion ayifuni i-pelvic bone extraction
Kwi-lumbar spinal stenosis okanye i-spondylolisthesis ye-lumbar ebangelwa izizathu ezahlukahlukeneyo, injongo yokuqala yokusebenza kukuchithwa kwe-nerve. Xa umqolo ungaqinisekanga, ukudibanisa komgogodla kunqunywe ngokwezinga lokungazinzi kunye ne-spondylolisthesis. I-posterolateral spinal bone graft (PLF) okanye i-interbody bone graft (PLIF) ikhethwe ngokubhekiselele ekubeni ifanelekile kwi-pedicle screw fixation yangaphakathi. Kwi-PLIF, yonke i-arch ye-vertebral ekhutshwe kunye ne-inferior articular process complex (i-median incision) isetyenziswa njenge-interbody bone bone graft ngokukhawuleza, engafumani nje kuphela i-bone best graft material, kodwa iphinde igweme ukuthatha ithambo kwi-pelvis okanye ukuthenga i-cage fusion ye-interbody, ephelisa iingxaki zokususwa kwamathambo kunye nokunciphisa kakhulu iindleko zokusebenza.
Kuba CZMEDITECH , sinomgca opheleleyo wemveliso implanti zotyando lomqolo kunye izixhobo ezihambelanayo , iimveliso ezibandakanya i-5.5mm kunye ne-6.0mm i-spinal pedicle screw system, i-anterior cervical plate system, i-posterior cervical screw system, i-anterior thoracic plate system, i-anterior thoracolumbar plate system, i-titanium mesh cage, i-peek cage system, i-titanium cage, i-screw posterior cervical system i-laminolying system, i-pedical system exhasayo i-laminovasive system. Ukongeza, sizibophelele ekuqhubekeni siphuhlisa iimveliso ezintsha kunye nokwandisa imigca yemveliso, ukuze sihlangabezane neemfuno zotyando zoogqirha abaninzi kunye nezigulana, kwaye senze inkampani yethu ikhuphisane ngakumbi kulo lonke ilizwe lehlabathi lokufakelwa kwamathambo kunye nezixhobo.
