Umklamo omusha we-R & D

MIS | Ukuthuthukiswa kwezobuchwepheshe - Izinzuzo Zobuchwepheshe - Imiphumela Post-Operative | czmeditech

Uhlelo oluhlaselayo lwe-spine olungaphakathi (MIS) luwubuchwepheshe bezwe-yobuciko obuvumela ukwelashwa okunembile ngezinhlaka ezincane zezimo ezinjengezinto ezinama-herniated kanye ne-stenosis yomgogodla.

Imininingwane emisha yokuqamba

Izinzuzo ezihlaselayo

Ukuncipha kwenhlungu

Idizayini encane ye-incision:

Ukukhubazeka okujwayelekile kungama-1-2 cm, kunciphisa ukuhlubula izicubu zomzimba nokulimala kwezicubu ezithambile.

Ubuchwepheshe bokubekwa ngokunemba:

Ukunemba okuthuthukisiwe kokufakwa okufakwayo ngokuhamba nge-intraperative (isib

Ukwehlisela ukopha kwe-intraperaperative:

Ubuchwepheshe bokufinyelela obusezingeni eliphansi bunciphisa ubungozi bokulimala kwe-vascular, ikakhulukazi iziguli ezikhulile noma ze-comorbid.

Ukuvuselelwa okusheshayo kwe-postoperative

Ukuhlala kwesibhedlela esifushane:

Iningi leziguli likhishwa amahora angama-24-48 ngemuva kokuhlinzwa, kuqhathaniswa nezinsuku ezingama-3-5 zokuhlinzwa kwendabuko okuvulekile.

Ukuhamba Kwasekuqaleni:

Ubuhlungu obuncane nokuvikelwa kwemisipha okungcono kuvumela iziguli ukuthi zibuyele emisebenzini yazo yansuku zonke ngokushesha okukhulu.

Ukwenziwa kwe-biomechanical

Izicelo ezintsha ezibonakalayo:

I-Eg 3D ephrintiwe ye-titanium alloys, i-Peek (ama-polythert ether ketone) ukufezekisa imodulus yokugcwala eduze kwaleyo yamathambo futhi inciphise ukuncipha kwe-string.

Ama-Dynamic Stingialization Systems:

Ezinye izimilo (isib. dynesys, i-coflex) zigcina ukuhamba komgogodla futhi zinciphise ubungozi bokuwohloka kwengxenye eseduze.

Izinkomba ezinwetshiwe

Ukumboza uhla olubanzi lwama-pathologies omgogodlana afana nesifo se-disc disc, i-lumbar stinal stenosis, umnene spondylolistesis kanye ne-vertebral fractures.

临床案列

Lokhu okulandelayo kukhona amacala okucwaninga okumele eminyakeni yamuva:

1. Ukuqulwa okungahleliwe okulawulwa kweLumbar Spine Fusion (TLIF)

Idizayini yokufunda:

I-Multicenter RCT (2022) eqhathanisa ukungaziphathi kahle (ngokuhlasela okuncane) nge-Open Tlif.

Isampula usayizi:

Iziguli eziyi-120 ezine-Lumbar Spikele esigabeni esisodwa.

Imiphumela:

Isikhathi Kuhlinzwa:

Kancane kancane eqenjini le-MIS (kusho amaminithi ayi-150 amaminithi we-130 amaminithi), kepha ama-60% angenawo okopha kancane (<100 ml vs. 250 ml).

Ubuhlungu be-Postperative:

Ukwehliswa kwama-50% kwizikolo ze-VAS 1 ngesonto postoperatively eqenjini le-MIS, akukho mehluko obalulekile phakathi kwamaqembu amabili ngemuva kwezinyanga ezi-3.

Izinga le-Fusion:

I-CT ye-1 POSTOperative CT ikhombise> 90% Izinga lokufuya amaqembu womabili.

Izinkinga:

Izinga lokutheleleka ngegciwane le-2% eqenjini le-MIS vs. 8% eqenjini elivulekile.

2. Ukutadisha okulandelayo okulandelayo kohlelo lokuqina olunamandla

Idizayini yokufunda:

Ukutadisha okulandelayo kweminyaka emi-5 (2021) Ukuhlola ukufakwa kweCoflex kokuphathwa kwe-Lumbar Stinal Stenosis.

Isampula usayizi:

Iziguli ezingama-80.

Umphumela:

Ukuthuthukiswa Okusebenzayo:

I-Odi (Dysfunction Index) yehle kusuka kumaphoyinti angama-45 eBaseline kuya kumaphuzu angama-20 eminyakeni emi-5.

Ukucekelwa phansi kwesigaba esingumakhelwane:

I-12% kuphela yeziguli ezithuthukisiwe izinkinga eziseduze, ephansi kakhulu kune-fusion ejwayelekile (~ 30%).

Izinga lokuhlaziywa:

Izinga lokuhlaziya leminyaka emi-5 leminyaka engu-8%, ikakhulukazi ngenxa yokukhulula ukukhulula (4%) noma ukuphindwaphindwa.

I-3

Idizayini yokufunda:

Ukutadisha okubuyisiwe okushicilelwe ngo-2023 ukuhlaziya imiphumela yokubekwa kwesikulufa se-MIS ngosizo lweMazor Robotic.

Isampula usayizi:

Ukubekwa kwesikulufa okungu-500 (umgogodla we-thoracolumbar).

Imiphumela:

Ukunemba:

I-98.6% yezikhundla zesikulufa yayigculisayo (Gertzbein-Robbins Grading A / B).

Izinkinga:

Izinga lokulimala kwezimpande le-nerve

Ngolwazi oluthe xaxa nemininingwane, sicela uxhumane nathi!