Chikadzi Chengetedza Kurapa kwekuchengetedza kunoda kwenguva refu zororo rekuzorora, pinda yakakwirira njodzi dzekumanikidza maronda, hutachiona hwePulmonary Kuomerwa kwekuyamwisa kwakakosha, uye nguva yekupora yakareba, ichisimbisa mutoro unorema pane imwe neimwe nzanga uye mhuri. Naizvozvo, kupindira kwekutanga kwekuvhiya, chero nguva ichishungurudzika, kwakakosha pakuzadzisa zvinobuda zvakanaka zvinobuda muhudyu.
Parizvino, iyo PFNA (Proximal Femore Mberi yeChikadzi Antiration System) Yemukati Kugadziriswa inoonekwa segoridhe yegoridhe yekuvhiya kwekuvhiya kwehuputi. Kuwana rutsigiro rwakanaka panguva yekudzikiswa kwehuputi hwakakosha hwekubvumidza kubvumidza kutanga kwebasa. Intraoperative fluoroscopy inosanganisira anteroposter Nekudaro, kukakavara kunogona kumuka pakati pezviverengero zviviri panguva yekuvhiya (kureva, yakanaka mukutaura kwakazotevera asi kwete mune anteroposter, kana zvinopesana). Muzviitiko zvakadaro, achiongorora kana kuderedzwa kuri kugamuchira uye kuti kugadzirisa kunodiwa kuchinetsa dambudziko rakaoma rekiriniki varapi vekiriniki. Nyanzvi dzinobva kuzvipatara zvezvipfuyo zvakadai sechipatara chechipatara uye zveZhongshan
▲ Dhiagiramu inoratidza zvakanaka rutsigiro (a), kusarerekera kutsigirwa (b), uye kutsigirwa kwakashata (c) mapatani ehudyu mumawindo ari munyatende.
▲ Dhizaini inoratidza zvakanaka kutsigirwa (d), kusarerekera kutsigirwa (e), uye kutsigira kwakashata (f) mapatani ehudyu mumaonero echiuno.
Chinyorwa chinosanganisira data yekesi kubva kune varume gumi nevaviri vane muhudyu zvibodzwa. Intrapaoperative anteroposter uye akazotevera mifananidzo yakapihwa kune vanachiremba vaviri (imwe ine ruzivo rwese uye imwe ine ruzivo rwakanaka kana kuti risingabvumirwe zvakanaka. Mushure mekuongororwa kwekutanga, kuongorora kwakaitwa mushure memwedzi miviri. Postoperative CT mifananidzo yakapihwa purofesa ane ruzivo, uyo akafunga kuti nyaya yacho yaive yakanaka kana isina kunaka, ichishanda sechiyero chekuongorora chokwadi chechiitiko chechifananidzo nevanachiremba vaviri vekutanga. Kuenzanisa kukuru mune chinyorwa ndizvo zvinotevera:
. Pamusoro pezvo, chinyorwa chinoongorora iyo intergroupment
.
Mhedzisiro yekutsvaga
1. Mumativi maviri ekuongorora, neCT sekureva kwetsanangudzo, pakanga pasina mutsauko wakakura, uye zvimwe zvenhema, uye zvimwe zvenhema.
2.Kuongorora kwekudzikisa hunhu, kutora yekutanga kuongororwa semuenzaniso:
- Kana paine chibvumirano pakati pechikamu cheAnteroposters uye Lateral Ongorora (zvese zvakanaka kana zviviri zvisiri-zvakanaka), kuvimbika mukufanotaura kuderedzwa kweCT ndeye 100%.
- Kana pasina kusawirirana pakati peanteeroposter uye anotevera ongororo, kuvimbika kweanotevera kuongorora maitiro ekufungidzira kuderedzwa kweCT yakakwira.
▲ Dhizaini inoratidza rutsigiro rwakanaka rwakaratidzwa mune anteroposters kana achibuda seisina kunaka mune yakawedzera maonero. Izvi zvinoratidza kusawirirana mumubhadharo mhedzisiro pakati peiyo anteroposters uye inofamba inoona.
【Kutaurisa--matatu CT Kuvasvanyudzwa Kwekuvakazve kweCanle
Muzviyero zvekare zvekudzikiswa zvechikanganiso, kunze kwekutsigirwa kwakanaka uye kwakashata, kune pfungwa ye "kusarerekera" kutsigira "kururamisa kureruka kweanatomical. Nekudaro, nekuda kwenyaya zvine chekuita neFluoroscopy resolution uye ziso remaziso, rechokwadi "kuderedzwa kwechokwadi" uye pane nguva diki diki kune "zvakanaka" kana "kuderedzwa" kuderedzwa. Chikwata chakatungamirwa naZhang Shimin paYangpu Hot Naizvozvo, uchifunga nezvechidzidzo ichi, kuedza kunofanirwa kuitwa panguva yekuvhiya kuti uwane rutsigiro rwakanaka muzvikamu zvakanyanya, zvese muAnteroposter uye maonero anotevera.
Kutumira Nguva: Jan-19-2024
