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Nyaya Yekudzidza Kugovana | 3D yakadhindwa osteotomy kutungamira uye yakasarudzika prostises yekudzosera rester kutsiva kuvhiya "zvakavanzika"

Zvinonzi orthopedics neTumor Dhipatimendi reWuhan Union yapedza "3D-rakadhindwa rakadzoreredzwa rakadzoreredza rethroplasty neHemi-scapula kuvaka" Kuvhiya. Kushanda kwakabudirira kunoratidzira kureba kutsva mufudzi remukati mechipatongwa
Aunt Liu, ane makore makumi mashanu nemashanu gore rino, airwadziwa chaizvo marwadzo emakore akati wandei apfuura. Izvo zvakanyanyisa kuwedzera zvakanyanya pamusoro pemwedzi mina yadarika, kunyanya husiku. Chipatara chemunharaunda chakawanikwa "chakaringana huwandu hwekoramu tumor tumor lesions" pane iyo firimu. Akauya kune orthopedicholics neTumor Dhipatimendi reWuhan Uncoc Union kurapwa. Mushure meMurofesa Luu Jianxiang timu akagamuchira murwere, pfudzi ct uye mr vromination akaitwa, uye bundu raisanganisira humerushuma uye scapula, ine huwandu hwakawanda. Kutanga, munharaunda yemuno Biopsy akaitirwa murwere, uye kuongororwa kwechipfuva kwakasimbiswa se "biphastic synopial sarcoma yefudzi rekurudyi". Kufunga kuti bundu racho ibundo riripo uye murwere aripo parizvino mumuviri wese, timu yakazvimirira pakureba kweiyo humerus uye hafu yechipfuva, uye 3d-yakadhindwa yekudzosera mari yekudzosera mbichana. Chinangwa ndechekuzadzisa bundu rekutungamira uye prosthesis kuvakazve, nekudaro dzorubazve nhandare yemurwere yakajairwa.
CAS1

Mushure mekutaura mamiriro emurwere, kurapwa kuronga, uye akatarisira zvinokonzerwa nemurwere nemhuri yavo, uye kuwana mvumo yavo, timu yakatanga kugadzirira kuvhiya kwemurwere. Kuti ave nechokwadi chekutonga kwakazara kwebundo, hafu yechipfuva chinoda kubviswa mukuvhiya uku, uye kuvakwazve kwembambo kwakabatana chiitiko chakaoma. Mushure mekunyatsoongorora mafirimu, kuongororwa kwepanyama, uye hurukuro, purofesa Liu jianxiang, Dr. Zhao Lei, uye Dr. Zhong Bincal Surgical kuridza mhere uye kugadziriswa kweiyo prostista neinjiniya kakawanda. Vakateedzana tumor osteotomy uye prosthisis kuiswa pane imwe 3D yakadhindwa muenzaniso, yakavanzika (yeiyo murwere
Cass2

A.MEASURE iyo huwandu hwesteotomy. B. Dhizaini iyo 3D prostisisis. C. 3D Dhinda prosthesis. D. Pre-gadza prosthesa.
Iyo Reverse Lace Joint Yakasiyana neiyo Tsika Yakatambanudzwa Bafuma Kuvhiya uku kune izvo zvakabatsira: 1 2. Iyo pre-yakagadzirwa yekuvakazve maburi anogona kugadzirisa iyo yakapoteredzwa yakapfava tishu uye kudzivisa kubatana kwakonzerwa kunokonzerwa neRotator cuff polff. 3. Iyo Bio-mimetic trabecular chimiro pamusoro peprostises inogona kusimudzira iyo ingwiro yemapfupa akapoteredzwa uye nyoro nyoro; 4 Kusiyana nekudzoreredza kwezano
Mushure mekunyatsoronga kuronga uye kugadzirira kwenguva yekupindirana, kuvhiya kwakabudirira kuitwa pamurwere munguva pfupi yapfuura, pasi pekutungamira kwe purofesa luu jianxiang. Chikwata chakashanda pamwe chete uye chakaita kuti zvisizvo zvinopindirana kuti upedze kubviswa kwakazara kwebunako, rondedzero chaiyo yeHumerus uye Scapula, kuisirwa nePrassion prosthesis, iyo yakatora maawa maviri kuti upedze.
Cas3

D: Zvakanyatsogura Humerus uye Scapula neBone-Kucheka Plate Kuti ubvise Bundu (H: Intraoperative Fluoroscopy Kubviswa kweTumor Kubviswa)
Pashure pokutonga, mamiriro emurwere aive akanaka, uye vakakwanisa kufambisa nerubatsiro rwechibereko pane iyo yakakanganisika bumbiro pazuva repiri uye kuita mafudzi epakungwa ekufamba. Tevera-up X-Rays yakaratidza zvakanaka chinzvimbo chefudzi rakabatanidzwa prostisesis uye zvakanaka kushanda.
CASA4

Kuvhiya kwazvino ndechekutanga nyaya muWuhan Union Hospence department of Orthopeics Kubudirira kwakabudirira kweiyi tekinoroji kuchaunza tariro yekuponesa, kune vamwe varwere vane mapafudzi, uye vanobatsira vazhinji vevarwere.


Kutumira Nguva: Kubvumbi-28-2023