LDK i hoʻopilikino ʻia no ka "post-tumor resection hemipelvic defect"

I kēia mau lā, ua hoʻopau ʻo Li Haomiao, ka luna o ke Keʻena ʻo Bone Oncology o ka Halemaʻi Hoʻohui ʻekolu o ke Kulanui Lapaʻau Hema, i kahi hoʻololi hemipelvic defect ma hope o ka wehe ʻana i ka ʻōpū me kahi prosthesis maʻamau LDK, a hele mālie ka hana.
Ua ʻike ʻia ka mea maʻi me ka nui o ka ʻūhā hema i ka makahiki 2007 a ua hana ʻia ʻo "ka ʻoki ʻana i ka ʻōpū hema hema + iwi grafting" ma kahi haukapila ʻē aʻe.I ka makahiki 2010, ua hoʻi hou ka nui a ua loaʻa hou ʻo ia i ka "ʻoki ʻoki ʻana i ka iwi ʻūhā hema + hoʻopiha ʻia ʻana o ka iwi", a ua hōʻike ʻia ka pathology postoperative i ka hoʻi hou ʻana o ka chondroblastoma.Ua ʻōlelo ka haukapila i ka mea maʻi e hele i ka haukapila oncology specialist no ka mālama hou ʻana, akā ʻaʻole i mālama ka mea maʻi.
I nā makahiki i hala iho nei, ua manaʻo ka mea maʻi i ka nui o ka ʻeha ma ka ʻūhā hema, a i Nowemapa 2021, ua nānā ʻia ʻo ia e kahi haukapila o waho, e hōʻike ana i ka "dislocation hip hema a me ka necrosis ischemic o ke poʻo femoral", i hui pū ʻia me nā loli morphological a me nā hōʻailona o ka ka pelvis hema a me nā ʻiʻo a puni, ka necrosis ischemic o ke poʻo femoral hema a me ka hoʻokaʻawale ʻana o ka ʻūhā hema, a me ka hoʻonui ʻia ʻana o nā puʻupuʻu lymph ma ka ʻāpana inguinal hema.
No ka hoʻomaʻamaʻa ʻōnaehana hou aku, ua hana ka mea maʻi i ka "percutaneous lower limb artery embolization and transurethral ureteral stenting" a me ka "pelvic mass resection + left hip arthroplasty + bladder repair" i ʻAukake 2022, me ka hoʻōla kūpono.
I kēia manawa, pilikia ka mea maʻi i ka neʻe hou a me ka huli ʻana.No ka hana hou ʻana o ke pelvic, ua hele mai ka mea maʻi i ke Keʻena o Bone Oncology o ka Halemai Hoʻohui ʻekolu o ke Kulanui Lapaʻau Hema.

 
Preoperative

Ma hope o ka hoʻokō ʻana o ka Luna Hoʻokele ʻo Li Haomiao i ka hoʻokolokolo kūpono, ua hōʻoia ʻo ia i ka hōʻoia ʻana o ka hemipelvic defect ma hope o ka wehe ʻana i ka ʻōpū pelvic tumor.Ua hoʻonohonoho ka hui i kahi kūkākūkā multidisciplinary, hoʻolālā i kahi hoʻolālā lapaʻau ʻokiʻoki kūpono, hoʻolālā i kahi prosthesis maʻamau me ka hui oncology LDK, a hope ua hoʻokō maikaʻi ʻia ke ʻoki ʻana, a ua holomua maikaʻi ke ʻoki.
 
wehewehe:
Ma'i, kane, 31 makahiki
Hoʻopiʻi:
ʻO ka hōʻino ʻana o ka neʻe ʻana ma mua o 7 mau mahina ma hope o ka wehe ʻana o ka pelvic mass resection.
Nā hoʻokolohua kūikawā:
Ua ʻike ʻia ka ʻili ma ka ʻūhā hema he 30cm, me ka ʻike ʻole ʻia o ka ʻili a i ʻole ka pehu ʻana o ka ʻiʻo palupalu, ʻaʻohe ʻāhaʻi a i ʻole nā ​​veins varicose, ʻike maʻamau i nā lālā haʻahaʻa ʻelua, ka ikaika maʻamau ma nā lālā haʻahaʻa ʻelua, ka papa V, ka leo ʻiʻo maʻamau, ka peripheral maikaʻi. ke kahe o ke koko, ke kuli bilateral maʻamau a me ka hoʻihoʻi ʻana o ka tendon Achilles, hōʻailona Hoffmann ʻino, hōʻailona Babinski maikaʻi ʻole, hōʻailona Kernig maikaʻi ʻole.ʻO ka lālā i hoʻopili ʻia ma kahi o 3 knm ka pōkole ma mua o ka lālā contralateral, a ua kaohi nui ʻia ka hui ʻūhā, akā ʻoi aku ka maikaʻi o ke koena o nā ami.
Nā hōʻike kōkua:
2022-08-19 Pelvic CT: hoʻololi postoperative i ka pelvis hema.
ʻO ka hōʻailona hōʻailona:
1、Hemipelvic defect ma hope o ka wehe ʻana i ka ʻōpū pelvic tumor
2、Convalescence ma hope o ka ʻoki ʻana

 
Intrhoʻohana ʻana

Postoperative

Surgeon Hoʻolauna

Haomiao LI

Luna Nui o ka Oihana Oncology, Kauka Nui
MD, Kākoʻo Postgraduate
ʻO Kauka ma ke ʻoki orthopedic mai ke Kulanui ʻo Sun Yat-sen.Ua kākoʻo ʻia ʻo ia e ke Kuhina Hoʻonaʻauao o ka Lepupalika Kanaka o Kina no ka "Young Backbone Teacher Training Program Abroad" a ua aʻo ʻia ʻo ia ma Italia ma ke ʻano he haumāna kauka kauka.Ua aʻo ʻo Polofesa Boriani iā ​​ia i nā mākau ʻoki.Ua hoʻomaʻamaʻa ʻo ia i ka lāʻau lapaʻau ma mua o 20 mau makahiki a ua hōʻiliʻili ʻo ia i ka ʻike waiwai ma ka ʻoihana kūikawā o ka iwi.Ua kipa aku ʻo ia i nā kikowaena ʻokoʻa iwi he nui ma ʻEulopa, ʻAmelika a me Iapana, a ʻo ke kikowaena iwi nui loa ma Kina, ʻo ka Bone and Soft Tissue Tumor Center o ka Halemai Kanaka o ke Kulanui o Peking, e aʻo mai i nā ikaika o nā kula like ʻole.Ua paʻi ʻo ia i nā pepa SCI-indexed 8 a ʻoi aku ma mua o 20 mau pepa i loko o nā puke pai kūloko.Ua hāʻawi ʻia ʻo ia i 4 patent no nā hiʻohiʻona pono a me 1 patent no nā mea hana.Ua noho pelekikena ʻo ia a komo i loko o 5 mau papahana aupuni a me ka panalāʻau.Ua loaʻa iā ia ke poʻo inoa o "Yangcheng Good Doctor" ma 2017, "Lingnan Famous Doctor" ma 2017 a me 2020, "Guangzhou Strong Young Doctors" ma 2018. Ua koho ʻia ʻo ia ʻo "Outstanding Young Medical Talents of Guangdong Province" a lanakila i ka lua ka makana o ka "Outstanding Young and Middle-Aged Paper" ma ka 20th National Bone Tumor Conference no kāna pepa "Whole Block Resection of Complex Lumbosacral Spine Malignant Tumor".
Koho Hoonaauao:
Hope Lunahoomalu o ka Mahele Kina o ka International Society of Orthopedics and Traumatology (SICOT) Bone Tumor Society
He lālā o ke Kōmike Kūʻokoʻa o Bone Tumor a me Bone Metastasis Committee o China Anti-Cancer Association
He lālā kūpaʻa o ke Kōmike Sarcoma o China Anti-Cancer Association
Hope Lunahoomalu o Pelvic Tumor Group, Sarcoma Specialized Committee of China Anti-Cancer Association
Hope Luna Hoʻomalu o ka Spine Tumor Group o ka Sarcoma Specialized Committee o ka Hui Anti-Cancer Association
Lahui Lahui o ka Bone Tumor Group o ka Orthopedic Branch o ka Hui Lapaau Kina
Luna Hoʻokele o ka Orthopedic Repair and Reconstruction Committee o Guangdong Primary Medicine Association
ʻO nā kālena Lapaʻau ʻōpio koʻikoʻi o ka ʻāina ʻo Guangdong
Ka loea lapaʻau:
'o'o kuamo'o, 'o'o o ke kuamo'o, 'o'o ko'iko'i, 'o'o iwi hope, 'o'o o ka iwi palupalu, metastases iwi, akamai i ka 'oki 'oki 'ana o ka lala, pani pani, ka wehe 'ana i ka ma'i sacral, ka wehe 'ana o ka iwi kuamo'o (En-bloc).Loaʻa iā ia ka loaʻa kiʻekiʻe ma ka mālama liʻiliʻi invasive o nā maʻi maʻi mua a me ka metastatic o ka iwi kuamoʻo.