Spinal stenosis uye disc herniation ndizvo zvinonyanya kukonzera lumbar tsinga midzi compression uye radiculopathy.Zviratidzo zvakadai sekurwadziwa kwemusana nemakumbo nekuda kweboka iri rematambudziko zvinogona kusiyana zvakanyanya, kana kushaya zviratidzo, kana kuva zvakanyanya.
Ongororo dzinoverengeka dzakaratidza kuti kuvhiyiwa decompression kana kurapa kusiri-kuvhiya kusingashande kunoguma nemhedzisiro yekurapa kwakanaka.Kushandiswa kwemaitiro ekuita zvishoma kunogona kuderedza mamwe matambudziko eperioperative uye kunogona kupfupisa nguva yekupora kwemurwere kana ichienzaniswa neyakavhurika lumbar decompression oparesheni.
Muchinyorwa chazvino cheTech Orthop, Gandhi et al.kubva kuDrexel University College yeMishonga inopa tsananguro yakadzama yekushandiswa kweTubular Retraction System mukuvhiyiwa kusinganyanyi kupindira lumbar decompression.Chinyorwa chinoverengwa zvakanyanya uye chakakosha pakudzidza.Pfungwa huru dzemaitiro avo ekuvhiya dzinotsanangurwa muchidimbu sezvinotevera.
Mufananidzo 1. Zvisungo zvakabata Tubular retraction system zvakaiswa pamubhedha wekuvhiya kune rumwe rutivi sechiremba anovhiya, apo C-arm uye microscope inoiswa padivi rinonyanya kunaka maererano nekugadzirisa kwekamuri.
Mufananidzo 2. Mufananidzo weFluoroscopic: mapini ekumisa musana anoshandiswa asati aita chigadziro chekuvhiya kuti ave nechokwadi chekumisikidza kwakanyatsogadziriswa.
Mufananidzo 3. Parasagittal incision ine blue dot inomaka nzvimbo yepakati.
Mufananidzo 4. Kuwedzera zvishoma nezvishoma kwekucheka kwekugadzira nzira yekushanda.
Mufananidzo 5. Kuiswa kweTubular Retraction System ne X-ray fluoroscopy.
Mufananidzo 6. Kucheneswa kwenyama yakapfava mushure me cautery kuti ive nechokwadi chekuona kwakanaka kwemabhoni.
Mufananidzo 7. Kubviswa kwe-protruding disc tissue nekushandiswa kwepituitary biting forceps
Mufananidzo.8. Decompression negrinder drill: nzvimbo yacho inoshandiswa uye mvura inoiswa jekiseni kuti isuke marara emapfupa uye kuderedza kuwanda kwekupisa kwekupisa nekuda kwekupisa kunokonzerwa negrinder drill.
Mufananidzo 9. Kuiswa kwejekiseni yenguva yakareba yeanesthetic yemunharaunda mukati mekucheka kuti kuderedze kurwadziwa kwepashure.
Vanyori vakagumisa kuti kushandiswa kweTubular retraction system ye lumbar decompression kuburikidza nemaitiro mashoma ekudzivirira kune zvingave zvakanakira pamusoro pechinyakare chakavhurika lumbar decompression kuvhiyiwa.Iyo yekudzidza curve inogoneka, uye vazhinji vanovhiya vanogona zvishoma nezvishoma kupedzisa nyaya dzakaoma kuburikidza nemaitiro ekudzidzira cadaveric, shadowing, uye maoko-pakudzidzira.
Sezvo tekinoroji ichiramba ichikura, vanachiremba vanovhiya vanotarisirwa kukwanisa kuderedza kubuda ropa pakuvhiyiwa, marwadzo, huwandu hwehutachiona, uye kugara muchipatara kuburikidza nemaitiro mashoma ekuderedza decompression.
Nguva yekutumira: Zvita-15-2023
