Nws tau tshaj tawm tias Orthopedics thiab Tum SermeS thiab Tum SermeS thiab TUHAN Union Tsev Kho Mob tau ua tiav lub xub pwg thawj zaug ua tiav ntawm Hemi-Scapula Adas "phais. Kev ua haujlwm vam meej yog qhov kev ua haujlwm tshiab hauv tsev kho mob lub qog pob txha sib zog thiab thev naus laus zis rau cov neeg mob nrog cov neeg mob nyuaj.
Aun chim Liu, 56 xyoo xyoo no, muaj sab nraub qaum tau mob ntau xyoo dhau los. Nws tau loj hlob ntau 4 lub hlis dhau los, tshwj xeeb tshaj yog thaum tsaus ntuj. Lub tsev kho mob hauv zos pom "sab xis ntawm cov kab mob qog nqaij hlav mesions" ntawm zaj duab xis. Nws tuaj rau Orthopedics thiab Tum Serme Service Wuzan Union Tsev Kho Mob rau Kev Kho Mob. Tom qab xibfwb Liu Jianxiang cov pab pawg tau txais cov neeg mob, lub xub pwg sib koom ua ke tau ua, thiab cov qog tau koom nrog kev sib koom ua ke humerus thiab scapula, nrog ntau yam. Ua ntej, hauv zos pyopsy tau ua rau tus neeg mob, thiab kev kuaj mob kab mob tau lees paub tias yog "biphasic synovial sharitial sarcoma ntawm sab xub pwg". Xav tias cov qog yog ib qho qog ua rau cov qog mis thiab pab pawg uas muaj kev sib tw ua kom muaj kev tiv thaiv kev kho mob rau tag nrho cov kev coj noj coj ua, thiab cov ntawv luam tawm ib nrab ntawm lub xub pwg nyom. Lub hom phiaj yog kom ua tiav cov lus qeeb thiab kev tsim kho kom rov tsim kho, yog li rov kho dua tus neeg mob lub xub pwg tsheb sib koom ua ke thiab muaj nuj nqi.
After communicating the patient's condition, treatment plan, and expected therapeutic effects with the patient and their family, and obtaining their consent, the team began to prepare for the patient's surgery intensively. Txhawm rau kom ntseeg tau cov qog rov qab, ib nrab ntawm scapula yuav tsum tau muab tshem tawm hauv lub xub pwg sib koom tes yog qhov nyuaj taw tes. Tom qab ua tib zoo soj ntsuam ntawm cov yeeb yaj kiab, kev kuaj lub cev, thiab kev sib tham, tus kws tshaj lij hauv nroog, thiab Dr. Zhao Lei, thiab Dr. Prosthesister ntau lub sijhawm. Lawv sim cov qog nqaij hlav osteotomy thiab prosthesis installation, tsim "customized customization prosthesis uas phim lawv cov pob txha autologous nyob rau hauv 1: 1 piv.
A.Mas Muaj sia nyob ntawm osteotomy. B. Tsim 3D prosthesis. C. 3D luam tawm cov ntawv thov. D. Nruab hnub ua ntej ntawm prosthesis.
Rov qab ntawm lub xub pwg rov qab yog txawv los ntawm cov khoom siv dag sab sib txuas ntawm lub xub pwg ntawm lub ntsej muag ntawm lub ntsej muag ib nrab ntawm lub ntsej muag ib nrab ntawm lub ntsej muag ib nrab ntawm lub semi-tswj hwm tag nrho cov xub pwg sib koom ua ke prosthesis. Qhov kev phais no muaj cov txiaj ntsig hauv qab no: 1. Nws tuaj yeem phim cov pob txha loj loj los ntawm cov qog rov qab; 2 3. Cov qauv siv xyoob-mimetic rau saum npoo ntawm cov prosthesis tuaj yeem txhawb nqa cov pob txha nyob ib puag ncig thiab cov nqaij mos; 4. Tus kheej rov thim lub xub pwg sib koom tes yuav ua tau zoo txo cov postperative kev cuam tshuam ntawm cov ntawv thov. Tsis zoo li cov hloov chaw thim rov qab, qhov kev phais no tseem yuav tsum tau tshem tawm ntawm lub taub hau uas muaj kev txaj muag thiab lub taub hau scapular, uas yuav tsum tau tsim qauv thiab cov txheej txheem loj dua.
Tom qab npaj ua tib zoo thiab npaj thaum lub sijhawm phais, qhov ua tiav tau ua tiav ntawm tus neeg mob tsis ntev los no, raws li cov lus qhia ntawm xib hwb LIU Mianxiang. Pab neeg ua haujlwm ze ua ke thiab nqa tawm cov haujlwm ua tiav kom tiav cov qog ua tiav tiav, kev teeb tsa thiab sib dhos ntawm cov khoom cuav prosthesis, uas tau siv sijhawm 2 teev ua kom tiav.
D: precisely txiav tawm tag nrho humerus thiab scapula nrog cov ntawv qhia pob txha-txiav kom tshem tawm cov qog nqaij daim qog)
Posterivatively, tus neeg mob cov mob tau zoo, thiab lawv muaj peev xwm txav nrog kev pab ntawm ib qho kev cuam tshuam ntawm peb npaug thiab ua txhaum lub xub pwg kev sib koom tes. Kev taug qab X-Rays qhia tau zoo txoj haujlwm ntawm lub xub pwg koom ua ke prosthesis thiab kev ua haujlwm rov zoo li qub.
Kev phais mob tam sim no yog thawj rooj plaub hauv Wuhan Union Tsev Kho Mob Lub Tsev Kho Mob uas tau txais cov ntawv qhia txog customized thim rov qab lub xub pwg nyom thiab hemi-scapula hloov. Kev siv txoj kev ua tiav ntawm cov thev naus laus zis yuav ua rau kev cia siab los ntawm cov neeg mob qog, thiab tau txais txiaj ntsig ntau ntawm cov neeg mob.
Lub Sijhawm Post: Apr-28-2023
