Nguva pfupi yadarika, Li Haomiao, director weDhipatimendi reBone Oncology yeThird Affiliated Hospital yeSouthern Medical University, akapedza kutsiva hemipelvic chirema mushure mekubviswa bundu neLDK customized bundu prosthesis, uye kuvhiya kwakafamba zvakanaka.
Murwere akaonekwa aine hudyu yekuruboshwe muna 2007 uye akawana "rection hip tumor resection + bone grafting" mune chimwe chipatara.2010, kuwanda kwacho kwakadzokororwa uye akaitwa "kuruboshwe hudyu bhonzo lesion resection + bone simende kuzadza" zvakare, uye postoperative pathology yakaratidza kudzoka kwechondroblastoma.Vechipatara vakakurudzira murwere kuti aende kuchipatara cheoncology kuti arapwe zvakare, asi murwere haana kuita hanya nazvo.
Mumakore achangopfuura, murwere akanzwa kuwedzera kurwadziwa muhudyu yekuruboshwe, uye munaNovember 2021, akaongororwa nechipatara chekunze, icho chakaratidza "kutsemuka kwechiuno chekuruboshwe uye ischemic necrosis yemusoro wevakadzi", pamwe chete nekuchinja kwemaitiro uye zviratidzo zve chiuno chekuruboshwe uye tsandanyama dzakatenderedza, ischemic necrosis yemusoro wekuruboshwe wechikadzi uye kuputika kwehudyu yekuruboshwe, uye malymph nodes akawanda kuwedzera munzvimbo yekuruboshwe.
Kuti uwedzere kurapwa kwakarongeka, murwere akaita "percutaneous yezasi limb artery embolization uye transurethral ureteral stenting" uye "pelvic mass resection + kuruboshwe hip arthroplasty + bladder kugadziriswa" muna Nyamavhuvhu 2022, nekupora kwakanaka.
Iye zvino, murwere ane dambudziko rekufamba zvakare uye kunyange kutendeuka.Nekuvakazve pelvic, murwere akauya kuDhipatimendi reBone Oncology reTatu Affiliated Hospital yeSouthern Medical University.
Preoperative
Mushure mekunge Director Li Haomiao vapedza kuongororwa kwakakodzera, vakasimbisa kuongororwa kwehemipelvic chirema mushure mekuruboshwe pelvic bundu resection.Chikwata chakaronga kubvunzana kwakawanda, kwakagadzira chirongwa chekuvhiya chakakwana, chakagadzira prosthesis yakagadziridzwa neLDK oncology timu, uye pakupedzisira yakavhiya zvakanaka, uye kuvhiyiwa kwakafamba zvakanaka kwazvo.
Tsanangudzo:
Murwere, murume, 31 makore
Chichemo:
Kukanganiswa kwekufamba kweanopfuura mwedzi 7 mushure mekuita pelvic mass resection.
Specialized bvunzo:
Chironda chekuvhiya che30cm chakaonekwa pahudyu yekuruboshwe, pasina ganda riri pachena kana kuzvimba kwenyama yakapfava, pasina kuputika kana tsinga dzevaricose, kunzwa kwakajairika mumakumbo maviri ezasi, kusimba kwemhasuru mumakumbo ese ezasi, giredhi V, yakajairika tsandanyama toni, yakanaka peripheral. kuyerera kweropa, zvakajairika bilateral ibvi uye Achilles tendon reflexes, yakaipa Hoffmann chiratidzo, yakaipa Babinski chiratidzo, yakaipa Kernig chiratidzo.Nhengo yakabatwa yakanga iri pfupi ye 3 cm kupfupika kudarika nhengo ye contralateral, uye chikwata chehudyu chakanga chakarambidzwa zvakanyanya, asi mamwe majoini aive nekufamba kwakanaka kwekunzwa.
Mazama ebetsero:
2022-08-19 Pelvic CT: postoperative shanduko muchiuno chekuruboshwe.
Clinical kuongororwa:
1, Hemipelvic defect mushure mekuruboshwe pelvic bundu resection
2、 Kupora mushure mekuvhiyiwa
Intraoperative
Postoperative
Surgeon Nhanganyaya
Haomiao LI
Mukuru weDhipatimendi reBone Oncology, Chiremba Mukuru
MD, Postgraduate Advisor
Dr. mukuvhiyiwa kwemapfupa kubva kuSun Yat-sen University.Akatsigirwa neBazi reDzidzo rePeople's Republic of China ye "Young Backbone Teacher Training Program kunze kwenyika" uye akadzidza kuItaly semudzidzi wechikoro chepamusoro.Purofesa Boriani akamudzidzisa unyanzvi hwekuvhiya.Anga achidzidzira mushonga kwemakore anopfuura makumi maviri uye akawana ruzivo rwakapfuma muhunyanzvi hwemabhonzo.Akashanyira nzvimbo dzakawanda dzebundu remapfupa muEurope, America neJapan, uye nzvimbo huru yebhonzo muChina, Bone uye Soft Tissue Tumor Center yePeking University People's Hospital, kuti vadzidze kubva pakusimba kwezvikoro zvakasiyana-siyana zvekufunga.Akaburitsa mapepa masere eSCI-akaiswa uye anopfuura makumi maviri mapepa mumabhuku epakati epakati.Akapiwa ma patent mana emhando dzekushandisa uye 1 patent yezvigadzirwa.Akatungamira nekutora chikamu muzvirongwa zvishanu zvenyika nepurovhinzi.Akapiwa zita rekuti "Yangcheng Good Doctor" muna 2017, "Lingnan Famous Doctor" muna 2017 uye 2020, "Guangzhou Strong Young Doctors" muna 2018. Akasarudzwa se "Outstanding Young Medical Talents yeGuangdong Province" uye akakunda wechipiri. mubairo we "Outstanding Young and Middle-aged Pepa" mu 20th National Bone Tumor Musangano webepa rake "Whole Block Resection of Complex Lumbosacral Spine Malignant Tumor".
Kugadzwa Kwedzidzo:
Mutevedzeri Sachigaro weChinese Division yeInternational Society of Orthopedics uye Traumatology (SICOT) Bone Tumor Society.
Komiti Yakamira Nhengo yeBone Tumor uye Bone Metastasis Komiti yeChina Anti-Cancer Association
Yakamira nhengo yeSarcoma Committee yeChina Anti-Cancer Association
Mutevedzeri wasachigaro wePelvic Tumor Group, Sarcoma Specialized Committee yeChina Anti-Cancer Association
Mutevedzeri wasachigaro weSpine Tumor Group yeSarcoma Specialized Committee yeChinese Anti-Cancer Association
Nhengo yeNyika yeBone Tumor Group yeOrthopedic Branch yeChinese Medical Association
Mutungamiriri weOrthopedic Repair uye Reconstruction Committee yeGuangdong Primary Medicine Association
Akanakisa Vechidiki Kurapa Matarenda eGuangdong Province
Unyanzvi hwekiriniki:
spinal tumors, pelvic tumors, extremity bone tumors, soft tissue tumors, bone metastases, nyanzvi mukuvhiyiwa kwekuchengetedza mitezo, kutsiva pelvic, sacral tumor resection, block block (En-bloc) resection yemamota emusana.Ane ruzivo rwakanyanya mukurapwa kudiki kwekutanga uye metastatic tumors yemuzongoza.
Nguva yekutumira: Kubvumbi-17-2023