Spinal stenosis thiab disc herniation yog feem ntau ua rau lumbar paj hauv paus compression thiab radiculopathy.Cov tsos mob xws li mob nraub qaum thiab ceg vim yog pab pawg ntawm cov kab mob no tuaj yeem sib txawv heev, lossis tsis muaj tsos mob, lossis hnyav heev.
Ntau cov kev tshawb fawb tau pom tias kev phais decompression thaum cov kev kho mob uas tsis yog phais tsis muaj txiaj ntsig ua rau cov txiaj ntsig kho tau zoo.Kev siv cov tswv yim ua kom tsawg tsawg yuav txo tau qee yam teeb meem perioperative thiab yuav ua rau tus neeg mob lub sij hawm rov qab los ua piv rau cov kev phais qhib lumbar decompression.
Hauv qhov teeb meem tsis ntev los no ntawm Tech Orthop, Gandhi li al.los ntawm Drexel University College of Medicine muab cov lus piav qhia ntxaws txog kev siv Tubular Retraction System hauv kev phais mob lumbar decompression tsawg kawg nkaus.Cov ntawv nyeem tau zoo heev thiab muaj txiaj ntsig rau kev kawm.Cov ntsiab lus tseem ceeb ntawm lawv cov txheej txheem phais yog piav qhia luv luv raws li hauv qab no.
Daim duab 1. Cov clamps tuav lub Tubular retraction system tau muab tso rau ntawm lub txaj phais ntawm tib sab raws li tus kws phais neeg tuaj koom, thaum lub C-arm thiab lub tshuab tsom xam muab tso rau ntawm qhov yooj yim tshaj plaws raws li kev teeb tsa ntawm chav tsev.
Daim duab 2. Fluoroscopic duab: tus spinal positioning pins yog siv ua ntej ua qhov phais incision los xyuas kom meej qhov chaw ntawm qhov incision.
Daim duab 3. Parasagittal incision nrog xiav dot kos lub midline txoj hauj lwm.
Daim duab 4. Maj mam nthuav qhov incision los tsim cov kev ua haujlwm channel.
Daim duab 5. Qhov chaw ntawm Tubular Retraction System los ntawm X-ray fluoroscopy.
Daim duab 6. Kev tu cov ntaub so ntswg tom qab cautery kom paub tseeb tias qhov zoo ntawm cov pob txha thaj chaw.
Daim duab 7. Kev tshem tawm cov ntaub so ntswg tawm los ntawm kev siv cov pituitary tom forceps
Daim duab.8. Decompression nrog ib tug grinder xyaum: lub cheeb tsam yog manipulated thiab dej yog txhaj los ntxuav cov pob txha khib nyiab thiab txo cov thermal puas vim lub tshav kub generated los ntawm lub grinder xyaum.
Daim duab 9. Txhaj tshuaj loog hauv zos ntev mus rau hauv qhov phais kom txo tau qhov mob tom qab phais.
Cov kws sau ntawv tau xaus lus tias daim ntawv thov Tubular retraction system rau lumbar decompression los ntawm cov txheej txheem minimally invasive muaj peev xwm zoo dua li kev phais qhib lumbar decompression.Txoj kev kawm nkhaus yog tswj tau, thiab cov kws phais feem ntau tuaj yeem ua tiav cov teeb meem nyuaj los ntawm cov txheej txheem ntawm kev cob qhia cadaveric, duab ntxoov ntxoo, thiab kev xyaum ua haujlwm.
Raws li cov thev naus laus zis tseem tab tom loj hlob, cov kws phais yuav tsum muaj peev xwm txo tau cov ntshav phais, qhov mob, tus kab mob kis tau, thiab tsev kho mob nyob los ntawm cov txheej txheem decompression tsawg kawg nkaus.
Post lub sij hawm: Dec-15-2023
