I kēia mau lā, ʻo Dr Zhang Guofeng, Hope Nui Kauka o ka 'Oihana o Bone Oncology, Yantai Affiliated Hospital o Binzhou Medical College, a me kāna hui i hoʻohana pono i ka LDK custom-made tumor prosthesis a hana i ka hana paʻakikī loa "custom-made femoral tumor prosthesis replacement" ma ka mea maʻi me ka paʻakikī maʻi, ʻaʻole wale i hōʻailona i ka ulu ʻana o ke Keʻena ʻo Bone Oncology, Yantai Affiliated Hospital o Binzhou Medical College, i ka mālama ʻana i ka maʻi ʻaʻai iwi maʻi akā ua hōʻike pū ʻia kona kiʻekiʻe kiʻekiʻe o ka ʻokiʻoki ʻana i hiki i ka home holomua pae. .
ʻO ka wehewehe ʻana i ke kūlana
Ma'i, wahine, 70 makahiki
I hoʻokahi makahiki i hala aku nei ua hoʻomohala ka mea maʻi i nā hōʻailona ʻeha ma kona ʻūhā ʻākau, a ʻoi aku ka maʻalahi.Ua manaʻo ka mea maʻi he femoral head necrosis, akā mau ka ʻeha ma hope o ka lawe ʻana i nā lāʻau ʻeha.I kēia mau lā, ua nīnau ʻo ia i ka Halemai Hoʻohui ʻia ʻo Yantai o ke Kulanui Lapaʻau ʻo Binzhou ma muli o ka nui o ka ʻeha a hiki ʻole iā ia ke hiamoe i ka pō a i ʻole hele.
ʻO ka MRI o kāna hui i hōʻike ʻia he hōʻailona ʻano ʻē aʻe ma ka hope kokoke o ka femur ʻākau, a ua noʻonoʻo ʻia ka ʻeha ʻeha.Ua hoʻokomo ʻia ka mea maʻi i ke Keʻena ʻo Bone Oncology no ka mālama hou ʻana.
Ma hope o ka hoʻokolokolo kikoʻī ʻana, ua hōʻoia ka hui o ka hope kauka nui ʻo Zhang Guofeng i ka hōʻoia ʻana o ka metastatic tumor ma ka femur akau, a ʻo ka ʻeha mua i manaʻo ʻia ʻo ia ka maʻi kanesa āpau.Ma hope o ke kamaʻilio piha ʻana me ka mea maʻi a me kona ʻohana, ua hoʻoholo ʻia ke ʻoki.
E ʻae ʻia ka Paʻi!ʻO ka hoʻohui ʻana i nā lāʻau lapaʻau-ʻoihana no ka ʻokiʻoki paʻakikī
ʻO ka pilikia koʻikoʻi no nā kauka, ʻo ia ka mea maʻi he 70 mau makahiki a ʻo ka ʻaoʻao ʻākau o luna a me waena o ka femur ua luku nui ʻia e ka ʻaʻai ʻana o ka maʻi ʻaʻai, ʻaʻole hoʻi i waiho nui ʻia ka femur ʻokoʻa ʻaʻole i hoʻopau ʻia, no laila ke ʻano hana hou ʻana ma hope o ka ʻōpū. ʻAʻole pili hou ka wehe ʻana.Ma hope o ka hoʻohālikelike pinepine ʻana a me ke kūkākūkā ʻana, ua hoʻoholo ka hui o Dr. Zhang Guofeng e hana i ka wehe ʻana i ka ʻōpū o ka femur o luna a waena + hoʻololi i ka prosthesis maʻamau.
MRI preoperative
Mamua o ka hana CT
Inventory Paʻakikī
1.
ʻO ka paʻakikī mua e pono ai no kēia kaʻina hana inā hiki i ka mea maʻi ke ʻae palekana i ke ʻoki ʻana me ka noʻonoʻo ʻana i kona mau makahiki he 70, ka maʻi maʻi maʻi a me ke kūlana kino kino.
2.
ʻO ka pilikia ʻelua, ʻo ia ka hana ʻana i ka wehe nui ʻana o ka ʻōpū a me ke kūkulu hou ʻana o ka lālā, ka lōʻihi o ka hana ʻana, ke kahe nui ʻana o ke koko e hiki ai ke haʻalulu hemorrhagic, a me ka nui o ka maʻi.
3.
ʻO ka ʻāpana mamao o ka femur, ʻaʻole i hoʻopau ʻia, he pōkole loa ia e hoʻopaʻa i ka pine medullary o ka prosthesis, no laila pehea e hoʻolālā ai i kahi prosthesis palekana a maikaʻi no ke kūkulu hou ʻana ʻo ke kolu o ka luʻi.
4.
No ka mea ua hoʻololi ʻia nā ʻāpana femoral luna a me waena ma ka wehe ʻana i nā ʻiʻo iwi o luna a waena (me ke poʻo femoral) a me ka hoʻokuʻu ʻana o ka ʻiʻo e hoʻokele ai i ka ʻūhā, pehea e hana hou ai i nā ʻiʻo palupalu a puni ka prosthesis a hoʻihoʻi i ka hana o ka lālā. ʻo ka hā o ka luʻi ma kēia ʻoki.
Ua kamaʻilio mua ʻo Dr. Zhang Guofeng, ka hope nui o ke kauka lapaʻau me ka hui o LDK tumor prosthesis engineers e hoʻolālā i kahi prosthesis maʻamau.Ma muli o ke kiʻekiʻe kiʻekiʻe o kēia ʻoki a me ka paʻakikī a me ka pilikia o ka hana, ua hoʻonohonoho ʻia nā kūkākūkā multidisciplinary a me nā kūkākūkā me nā loea mai ke Keʻena ʻo Pathology, Department of Imaging, Department of Respiratory Medicine, Department of Cardiovascular Medicine, Oncology Center a 'Oihana o Anesthesiology e kālailai i ke kūlana a ho'oholo i ka papa hana lapa'au.
Hoʻolālā Prosthesis
1).Hana hou 3D o ka ʻikepili kiʻi Hana hou 3D o ke kumu hoʻohālike iwi o ka mea maʻi ma muli o ka ʻikepili kiʻi.
2).Hoʻolālā hoʻolālā prosthesis a me ka laʻana hopena ma hope o ke pani ʻana
hāpana hopena pani
ʻO ka prosthesis i hoʻopilikino ʻia a me nā ʻāpana tumor i hoʻokaʻawale ʻia
Ma hope o ka hoʻomākaukau maikaʻi ʻana, me ka hui pū ʻana o nā limahana lapaʻau a me nā kahu hānai o ka ʻoihana anesthesia a me ka lumi hana, ʻo Kauka Zhang Guofeng, ka hope o ke kaukaʻi nui, ua hoʻokō maikaʻi ʻia "ka wehe ʻana o ka ʻōpū o luna a me waena hoomanawanui.
X-Ray ma hope o ka hana
Ua hana ʻia ka hana no ka hoʻokō ʻana i nā pahuhopu o ka wehe ʻana i ka iwi tumo, hoʻomaha i ka ʻeha o ka mea maʻi, hoʻihoʻi i ka hana o nā lālā a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola i ka palena kiʻekiʻe.Ma hope o ka hoʻomaʻamaʻa ʻana a me ka mālama ʻana e nā limahana lapaʻau a me nā kahu hānai a pau o ka 'Oihana o Bone Oncology, ua ola maikaʻi ka mea maʻi a ua hoʻokuʻu ʻia mai ka haukapila.Ua hoʻopau ʻia ka ʻeha nui o ka ʻūhā i hoʻopilikia ai i ka mea maʻi no ka manawa lōʻihi, a ua hoʻomau ka mea maʻi i ka hele wāwae maʻamau ma hope o ka hana a ua ʻoluʻolu loa i ka hopena lapaʻau.
Nā ʻōlelo aʻoaʻo mai Dr. Zhang Guofeng, Hope Kauka Nui
Hiki i ka hapa nui o nā maʻi ʻino ke hoʻomohala i nā metastases iwi.Loaʻa i nā metastases iwi ka ʻeha kūloko ma ke ʻano he hōʻike lapaʻau nui, he mea hoʻopunipuni a ʻike ʻole ʻia i ka manawa, a hiki ke hana maʻalahi i ka luku ʻana i ka iwi a me ka haʻihaʻi pathological.I ka hoʻomaka ʻana, kuhi hewa pinepine nā poʻe maʻi i ka arthritis maʻamau, akā ma hope ua ulu aʻe i ka ʻeha nui, ʻoi aku ka ʻeha mau i ka pō.Maʻaneʻi mākou e hoʻomanaʻo nui i ka wā eʻikeʻia ai nā hōʻailona ma luna nei, pono e hele i ka haukapila maʻamau no ka lāʻau lapaʻau i ka manawa, a inā pono, hiki ke hana i nā hoʻokolohua X-ray, CT a me MRI no kaʻikeʻana i ka hapa nui o nā maʻi maʻi maʻi iwi.Ke kānalua ʻia ka metastases o ka iwi, pono e hele i kahi kikowaena ʻokoʻa iwi no ke kūkākūkā a me ka mālama ʻana.
Ka manawa hoʻouna: Oct-24-2022