N'oge na-adịbeghị anya, Liu Hucheng, onye nduzi nke Ngalaba Ọkpụkpụ na Ọkpụkpụ Oncology na Ụlọ Ọgwụ Mbụ nke Nanchang University, dechara "pelvic tumor resection + sacral osteotomy + pelvic replace + hip nnọchi + lumbar pedicle screw internal fixation" na LDK ahaziri pelvic prosthesis. , na ọrụ ahụ gara nke ọma.
E zigara onye ọrịa ahụ n'ụlọ ọgwụ dị n'èzí maka mgbu azụ na ahụ erughị ala ugboro ugboro.Mgbe emechara nyocha ndị metụtara hip, a tụrụ onye ọrịa aro ka ọ bụrụ ọnya osteo-malignant, ma ọ naghị elebara ya anya, mgbe ahụ, mgbaàmà mgbu ya na-akawanye njọ ma na-agagharị agagharị.Mgbe ahụ, onye ọrịa ahụ bịara na Ngalaba Ọkpụkpụ na Ọkpụkpụ Oncology nke Ụlọ Ọgwụ Mbụ nke Nanchang University maka ọgwụgwọ.
Mgbe a nabatara ya n'ụlọ ọgwụ ma mechaa biopsy ọkpụkpụ pelvic, a chọpụtara onye ọrịa nwere osteosarcoma.Mgbe emechara atụmatụ ịwa ahụ nke ọma site n'ọtụtụ ngalaba na nkwadebe tupu ịwa ahụ, ndị otu Director Liu Hu Cheng rụrụ "pelvic tumor resection + sacral osteotomy + pelvic replace + hip nnọchi + lumbar arch screw internal fixation" maka onye ọrịa.
Nkọwa:
Onye ọrịa, nwanyị, 52 afọ
Mkpesa:
Ihe karịrị ọnwa 3 ka ọgwụgwọ chemotherapy gasịrị maka ọkpụkpụ pelvic osteosarcoma
Akụkọ ahụike dị ugbu a:
Onye ọrịa ahụ mere mkpesa na n'afọ 2022-10, ọ dịghị ihe doro anya kpatara na ọ na-emeghachi azụ mgbu na ahụ erughị ala, na-egbu mgbu na ọzịza, na-esonyere ihe mgbu n'akụkụ aka ekpe nke aka ekpe, nke dị n'akụkụ aka ekpe, akụkụ aka ekpe nke aka ekpe, akụkụ azụ. nke apata ụkwụ, akụkụ azụ nke nwa ehi na ụkwụ aka ekpe, nhụjuanya na ala nke ụkwụ aka ekpe, ihe mgbu na-abawanye mgbe ogologo oge guzoro na ije ije, na enwere ike inwe ahụ iru ala mgbe ị na-ezu ike, n'oge nke a na-akwụghị ụgwọ, mgbe ahụ, mgbaàmà mgbu malitere ịba ụba ma enweghị ike ịga ije.
MRI na-atụ aro: 1) mgbaàmà na-adịghị mma nke ọkpụkpụ iliac aka ekpe, na-atụle ohere nke ọnya ọjọọ;2) ntakịrị mmiri mmiri na nkwonkwo hip aka ekpe.Ọ dịghị ọgwụgwọ pụrụ iche e nyere, ma ugbu a, a nabata onye ọrịa ahụ n'ụlọ ọgwụ maka ọgwụgwọ ọzọ.
Nchọpụta ụlọ ọgwụ:
nnabata "mgbe chemotherapy gachara"
Usoro a na-atụ aro bụ "mkpụkọ pelvic tumor resection + sacral osteotomy + nnọchi pelvic + ndochi hip + ndozi ime ya na ịghasa pedicle lumbar”
Ụdị ezigara maka nyocha:
E zigara ụbụrụ pelvic aka ekpe maka nyocha: anụ ahụ ọkpụkpụ na-adịghị ahụkebe, nha 19.5X17X9 cm, nke nwere anụ ahụ na-ejikọta ya, nha 16.5X16X3.5 cm, nkwụsị nke ọtụtụ akụkụ, 1.5 cm site na njedebe cautery, a hụrụ oke n'ime anụ ahụ anụ ahụ. , nha 8X6.5X4.5 cm, isi awọ ntụ ntụ-acha ọbara ọbara, siri ike, na nke na-adịghị mma n'etiti ebe mgbakwasị ụkwụ na anụ ahụ ọkpụkpụ.
Akpụ akwara sciatic aka ekpe: anụ ahụ na-acha ntụ ntụ-acha uhie uhie na-enweghị ọdịdị, nha 9.5X3X3m, isi awọ-ọcha isi awọ-acha ọbara ọbara siri ike n'elu ịkpụ.
Microscopically, etuto ahụ gosipụtara nkesa lamellar siri ike, na-awakpo fibrofat mpụta, akwara transverse na anụ ahụ akwara, nwere mkpụrụ ndụ na-adịghị agbanwe agbanwe, nucleoli doro anya, dị mfe ịhụ schizophrenia nuklia, heterotypes doro anya na ọtụtụ necrosis.
Nchọpụta ọrịa pathologic:
(pelvis ekpe) jikọtara ya na ụlọ ọgwụ, onyonyo na akụkọ ihe mere eme, ọ dabara na nzaghachi mgbe chemotherapy gasịrị maka osteosarcoma dị elu (ụdị nkịtị).
Huvos grading: ọkwa II (chemotherapy dị nro,> 50% necrosis tumor tissue, na-adị ndụ ụbụrụ).
Oke cautery nke anụ ahụ: ọ nweghị itinye aka ọnya ahụghị.
(Nri akwara sciatic aka ekpe) itinye aka na ọnya a na-ahụ anya: 2 lymph nodes ndị ọzọ hụrụ, ọ dịghị metastasis hụrụ (0/2) Immunohistochemistry na-egosi: CK (-) ；Vimentin (3+) ;Ki-67(75%+)；SATB2(+) IMP3 (+) ;MDM2 (+) ;P16 (+) , S-100 (gbasara +)
Atụmatụ ịwa ahụ:
Ọkpụkpụ pelvic tumor + sacral osteotomy + nnọchi pelvic + nnọchi hip + lumbar pedicle skru ime ime
Ịwa mbụ
Mgbe arụchara ọrụ ahụ
Okwu Mmalite dọkịta na-awa ahụ
Prof. Hucheng Liu
Hospitallọ ọgwụ mmekọ mbụ nke Nanchang University Orthopedic Hospital
Onye isi, Ngalaba Ọkpụkpụ na Ọkpụkpụ Oncology dị nro
Onye dibia bekee, Prọfesọ Associate, Master's superviser
Onye isi nke Ọkpụkpụ na Akpụkpọ anụ Tumor Group, Alaka Orthopedic, Jiangxi Medical Association
Onye osote onye isi oche nke kọmitii ọkpụkpụ na anụ ahụ dị nro nke ngalaba ndị dọkịta Jiangxi Orthopedic.
Oge nzipu: Eprel-26-2023