N'oge na-adịbeghị anya, Dr Zhang Guofeng, osote onye dibia bekee nke Ngalaba Ọkpụkpụ Oncology, Yantai Affiliated Hospital of Binzhou Medical College, na ndị otu ya na-etinyere LDK akpụ prosthesis omenala emebere nke ọma ma rụọ ọrụ siri ike "mere femoral tumor prosthesis nnọchi" ịwa ahụ. on a ọrịa nwere mgbagwoju ọnọdụ, nke na-abụghị nanị akara ọganihu mmepe nke Department of Bone Oncology, Yantai Affiliated Hospital nke Binzhou Medical College, na ọgwụgwọ nke malignant ọkpụkpụ akpụ ma na-anọchi anya ya elu larịị ịwa nkà eruwo anụ ụlọ elu larịị. .
Nkọwa nke ọnọdụ
Onye ọrịa, nwanyị, afọ 70
Otu afọ gara aga onye ọrịa ahụ nwetara mgbaàmà na-egbu mgbu n'apata ụkwụ aka nri ya, nke ji nwayọọ nwayọọ na-akawanye njọ.Onye ọrịa ahụ chere na ya nwere necrosis isi femoral, mana mgbu ahụ ka dị njọ mgbe ọ nwụsịrị ọgwụ mgbu.N'oge na-adịbeghị anya, ọ gakwuru Yantai Affiliated Hospital nke Binzhou Medical College ebe ọ bụ na mgbu ahụ siri ike nke na ọ pụghị ihi ụra n'abalị ma ọ bụ na-eje ije ọzọ.
MRI nke nkwonkwo ya na-atụ aro nnukwu mgbaàmà na-adịghị mma na njedebe dị nso nke femur aka nri, a na-atụlekwa ọnya tumor.A nabatara onye ọrịa ahụ na Ngalaba Ọkpụkpụ Oncology maka ọgwụgwọ ọzọ.
Mgbe nyochachara nke ọma, ndị otu osote onye dibịa bekee Zhang Guofeng kwadoro nchoputa nke etuto metastatic na femur aka nri, a na-ewerekwa ọnya nke mbụ dị ka ọrịa cancer akpa ume.Mgbe ya na onye ọrịa na ezinụlọ ya nwechara mkparịta ụka zuru oke, e kpebiri ịwa ahụ.
Ihe ịma aka nabata!Njikọ ahụike-ụlọ ọrụ maka ịwa ahụ nnọchi siri ike
Nsogbu kacha sie ike maka ndị dọkịta bụ na onye ọrịa ahụ dị afọ 70 na femur aka nri nke elu na nke etiti emebiwo nke ukwuu site na mmebi nke tumor, ọbụna femur distal nke na-emebibeghị ahapụbeghị nke ukwuu, ya mere usoro nrụgharị a na-emekarị mgbe ụbụrụ gasịrị. resection adịkwaghị.Mgbe ịme anwansị na mkparịta ụka ugboro ugboro, Dr. Zhang Guofeng's otu kpebiri ịrụ akpụ resection nke elu na etiti femur + ahaziri etuto prosthesis nnọchi.
MRI tupu ịwa ahụ
CT tupu ịwa ahụ
Ndepụta ihe isi ike
1.
Ihe isi ike mbụ a ga-eche ihu maka usoro a bụ ma onye ọrịa ahụ nwere ike ịnagide ịwa ahụ n'enweghị nsogbu na-atụle afọ 70 ya, ụbụrụ ọjọọ na ọnọdụ ahụ adịghị mma.
2.
Ihe isi ike nke abụọ bụ na ịwa ahụ na-agụnye ngbanwe nke ukwuu nke etuto ahụ na nhazigharị akụkụ ahụ, ogologo oge ọrụ, nnukwu ọbara ọgbụgba nke nwere ike ịkpata ujo hemorrhagic, na nnukwu ohere nke ibute ọrịa.
3.
Akụkụ dịpụrụ adịpụ nke femur, nke na-adịghị emebi emebi, dị mkpụmkpụ iji jide ntụtụ medullary nke prosthesis, ya mere otu esi emepụta prosthesis dị mma ma dị irè maka nwughari bụ ihe ịma aka nke atọ.
4.
Ebe ọ bụ na a na-edochi akụkụ nke elu na nke etiti femoral site n'iwepụ anụ ahụ nke elu na nke etiti femoral (gụnyere isi femoral) na akwara na-akwụsị na-eme ka nkwonkwo hip, otu esi emegharị anụ ahụ dị nro na gburugburu prosthesis ma weghachite ọrụ nke akụkụ ahụ. bụ ihe ịma aka nke anọ na ịwa ahụ a.
Dr. Zhang Guofeng, osote onye isi dọkịta na-awa ahụ, buru ụzọ gwa ndị otu LDK tumor prosthesis injinia ka ha chepụta prosthesis akpụ ahaziri.N'ihi ọkwa dị elu nke ịwa ahụ a na ihe isi ike yana ihe ize ndụ nke ọrụ ahụ, a haziri ndụmọdụ na mkparịta ụka multidisciplinary na ndị ọkachamara sitere na Ngalaba Pathology, Department of Imaging, Department of Respiratory Medicine, Department of Cardiovascular Medicine, Oncology Center na Ngalaba Anesthesiology iji nyochaa ọnọdụ ahụ ma chọpụta atụmatụ ọgwụgwọ.
Ngwọta Imepụta Prosthesis
1).Nrụgharị 3D nke data onyonyo 3D nwughari nke ụdị ọkpụkpụ nke onye ọrịa dabere na data onyonyo.
2).Atụmatụ imewe prosthesis na ihe nlele mgbe edochiri ya
nnọchi mmetụta sample
Prosthesis ahaziri na akụkụ akpụ akpụgharịrị
Mgbe nkwadebe nke ọma, na tacit imekọ ihe ọnụ nke ahụike na nọọsụ mkpara nke anesthesia ngalaba na ime ụlọ, Dr. Zhang Guofeng, osote onye isi dọkịta na-awa ahụ, rụrụ nke ọma "oke na etiti femoral akpụ resection + ahaziri akpụ prosthesis nnọchi" maka ndidi.
X-ray arụchara arụ ọrụ
Emere ọrụ ahụ iji mezuo ebumnuche nke iwepụ ọkpụkpụ tumor, na-ebelata ihe mgbu nke onye ọrịa, iweghachi ọrụ aka na ime ka ndụ dịkwuo elu.Mgbe nyocha na nlekọta nke ọma site n'aka ndị ọrụ ahụike na ndị nọọsụ niile nke Ngalaba Ọkpụkpụ Oncology, onye ọrịa ahụ gbakere nke ọma ma wepụ ya n'ụlọ ọgwụ.A na-edozi ihe mgbu dị ukwuu n'apata ụkwụ nke na-enye onye ọrịa ahụ nsogbu ruo ogologo oge, onye ọrịa ahụ maliteghachiri ijegharị nkịtị mgbe ọrụ ahụ gasịrị ma nwee afọ ojuju na mmetụta ọgwụgwọ ahụ.
Ndụmọdụ sitere n'aka Dr. Zhang Guofeng, osote onye dibia bekee
Ọtụtụ etuto dị njọ nwere ike ịmalite metastases ọkpụkpụ.Ọkpụkpụ metastases nwere mgbu mpaghara dị ka isi ihe ngosi nke ụlọ ọgwụ, nke dị aghụghọ na ọ naghị adị mfe ịchọta n'oge, ma nwee ike ịkpata mbibi ọkpụkpụ siri ike na ọbụna mgbawa pathological.Na mbụ, ndị ọrịa na-emehiekarị ya maka ọrịa ogbu na nkwonkwo, ma emesia ọ na-etolite n'oké mgbu, karịsịa mgbu abalị na-adịgide adịgide.N'ebe a, anyị na-echetara nke ọma na mgbe mgbaàmà ndị a dị n'elu pụtara, ọ dị mkpa ịga ụlọ ọgwụ oge niile maka ọgwụgwọ n'oge, ma ọ bụrụ na ọ dị mkpa, enwere ike ịme nyocha X-ray, CT na MRI iji chọpụta ọtụtụ n'ime ọrịa ọkpụkpụ ọkpụkpụ.Ozugbo a na-enyo enyo metastases ọkpụkpụ, ọ dị mkpa ịga na ebe a na-ahụ maka ọkpụkpụ ọkpụkpụ pụrụ iche maka nyocha na ọgwụgwọ.
Oge nzipu: Ọktoba 24-2022