Nguva pfupi yadarika, Dr Zhang Guofeng, Mutevedzeri waChiremba Mukuru weDhipatimendi reBone Oncology, Yantai Affiliated Hospital yeBinzhou Medical College, uye timu yake yakabudirira kushandisa LDK yakagadzirwa nebundu prosthesis uye vakaita yakaoma kwazvo "yakagadzirwa-yakagadzirwa femoral tumor prosthesis kutsiva" kuvhiya. pane murwere ane mamiriro akaomarara, ayo asina kungoratidza budiriro yeDhipatimendi reBone Oncology, Yantai Affiliated Hospital yeBinzhou Medical College, mukurapwa kwebundu remabhonzo asi yakamiririra hunyanzvi hwayo hwekuvhiya hwepamusoro hwasvika padanho repamusoro. .
Tsanangudzo yemamiriro ezvinhu
Murwere, mukadzi, makore makumi manomwe
Gore rakapfuura murwere akatanga zviratidzo zvinorwadza muchidya chake chokurudyi, izvo zvishoma nezvishoma zvakawedzera.Murwere aifunga kuti ane femoral head necrosis, asi kurwadziwa kwakaramba kwakanyanya mushure mekutora marwadzo.Nguva pfupi yadarika, akabvunza Yantai Affiliated Hospital yeBinzhou Medical College sezvo marwadzo akanyanya zvekuti akange asisagone kurara husiku kana kufamba zvakare.
Iyo MRI yejoint rake yakaratidza chiratidzo chakakura chisina kujairika mumagumo ekupedzisira kwemukadzi wekurudyi, uye ronda rebundu rakatariswa.Murwere akazoendeswa kuDhipatimendi reBone Oncology kuti awedzere kurapwa.
Mushure mekuongororwa kwakadzama, timu yemutevedzeri wachiremba Zhang Guofeng yakasimbisa kuongororwa kwebundu remetastatic mugumbo rekurudyi, uye ronda rekutanga raionekwa segomarara remapapu.Pashure pekurukurirano yakazara nomurwere nemhuri yake, kuvhiyiwa kwakasarudzwa.
Dambudziko Bvuma!Medical-industrial Integration kuti zvakaoma kutsiva kuvhiyiwa
Dambudziko rakanyanya kuoma kune vanachiremba nderekuti murwere aive nemakore makumi manomwe uye yekurudyi yekumusoro nepakati femur yakange yaparadzwa zvakanyanya nekukukurwa kwebundu, kunyangwe iyo distal femur yakanga isati yakukurwa haina kusiiwa zvakanyanya, saka nzira dzakajairwa dzekuvaka patsva mushure mebundu. resection yanga isisashande.Mushure mekudzokororwa kutevedzera uye nhaurirano, timu yaDr. Zhang Guofeng yakafunga kuita bundu resection yekumusoro nepakati femur + customized bundu prosthesis kutsiva.
Preoperative MRI
Preoperative CT
Zvakaoma Inventory
1.
Dambudziko rekutanga rinofanirwa kutarisana naro pakuita uku nderekuti murwere anogona kushivirira kuvhiyiwa zvakachengetedzeka achifunga nezvezera rake re70, bundu rakashata uye mamiriro asina kunaka emuviri.
2.
Dambudziko rechipiri nderekuti kuvhiyiwa kunosanganisira kubviswazve kwebundu nekuvakwa patsva kwegumbo, kuvhiyiwa kwenguva refu, kubuda ropa kukuru kunogona kukonzera hemorrhagic shock, uye mukana mukuru wekutapukirwa.
3.
Iyo distal segment yefemur, iyo isina kuparadzwa, ipfupi kwazvo kubata medullary pini yeprosthesis, saka nzira yekugadzira yakachengeteka uye inoshanda prosthesis yekuvaka patsva idambudziko rechitatu.
4.
Sezvo chikamu chepamusoro uye chepakati chechikadzi chakatsiviwa nekubvisa epamusoro uye yepakati femoral bone tishu (kusanganisira musoro wechikadzi) uye tsandanyama inomira iyo inotyaira mubatanidzwa wehudyu, maitiro ekugadzirisa zvakare matishu akapfava akatenderedza prosthesis uye kudzoreredza basa renhengo. rakanga riri dambudziko rechina mukuvhiyiwa uku.
Dr. Zhang Guofeng, mutevedzeri wachiremba mukuru, akatanga ataura nechikwata chemainjiniya eLDK bundu prosthesis kuti vagadzire bundu reprosthesis.Nekuda kwehupamhi hwekuvhiyiwa uku uye kuomerwa pamwe nenjodzi yekuvhiyiwa, kubvunzana kwakasiyana-siyana uye kukurukurirana kwakarongwa nenyanzvi kubva kuDhipatimendi rePathology, Dhipatimendi reImaging, Dhipatimendi reRespiratory Medicine, Dhipatimendi reCardiovascular Medicine, Oncology Center uye Dhipatimendi reAnesthesiology kuongorora mamiriro uye kuona chirongwa chekurapa.
Prosthesis Dhizaini Solution
1).3D kuvakwazve kwemufananidzo data 3D kuvakwazve kwepfupa remurwere modhi zvichibva pane yekufungidzira data.
2).Prosthesis dhizaini chirongwa uye mhedzisiro sampu mushure mekutsiva
replacement effect sample
Customized prosthesis uye resected bundu zvikamu
Mushure mekugadzirira kwakakwana, nekubatana kwakanyarara kwevashandi vezvokurapa nevakoti vedhipatimendi reanesthesia nekamuri yekuvhiyiwa, Dr. Zhang Guofeng, mutevedzeri mukuru wechiremba anovhiya, akabudirira kuita "yepamusoro nepakati femoral tumor resection + customized bundu prosthesis replacement" ye murwere.
Postoperative X-Ray
Oparesheni iyi yakaitwa kuti isangane nezvinangwa zvekubvisa bundu bhonzo, kubvisa marwadzo emurwere, kudzorera kushanda kwenhengo nekuvandudza hupenyu kusvika pamwero mukuru.Mushure mekunyatsoongororwa uye kutarisirwa nevashandi vese vekurapa uye mukoti veDhipatimendi reBone Oncology, murwere akapora chaizvo uye akaburitswa muchipatara.Marwadzo akanyanya muhudyu akange achinetsa murwere kwenguva yakareba akagadziriswa, uye murwere akatangazve kufamba kwakajairika mushure mekuvhiyiwa uye akagutsikana zvakanyanya nemhedzisiro yekurapa.
Mazano kubva kuna Dr. Zhang Guofeng, Mutevedzeri weChiremba Mukuru
Mamota mazhinji akashata anogona kugadzira metastases yemapfupa.Bone metastases ine marwadzo emunharaunda seyakanyanya kuratidzwa kwekiriniki, iyo inonyengera uye isingaonekwi nyore munguva, uye inogona kukonzera kuparadzwa kwakakomba kwemapfupa uye kunyange kutsemuka kwepathological.Pakutanga, varwere vanowanzozvikanganisa sechirwere cheArthritis, asi gare gare chinokura kuva kurwadziwa kwakanyanya, kunyanya marwadzo ehusiku anoramba aripo.Pano isu tinonyanya kuyeuchidza kuti kana zviratidzo zviri pamusoro zvichionekwa, zvakakosha kuti uende kuchipatara chenguva dzose kunorapwa munguva, uye kana zvichidiwa, X-ray, CT uye MRI bvunzo inogona kuitwa kuti ione mazhinji ezvirwere zvegomarara remafupa.Kana metastases yebhonzo ichifungidzirwa, zvakakosha kuti uende kune nyanzvi yebhonzo bundu centre kunobvunzurudzwa uye kurapwa.
Nguva yekutumira: Oct-24-2022