Posachedwapa, Li Haomiao, mkulu wa dipatimenti ya Bone Oncology pa Third Affiliated Hospital of Southern Medical University, anamaliza kusintha kwa hemipelvic defect pambuyo pochotsa chotupa ndi LDK makonda chotupa prosthesis, ndipo opareshoni inayenda bwino.
Wodwalayo adapezeka kuti ali ndi chiuno chakumanzere mu 2007 ndipo adakumana ndi "chotupa cham'chiuno chakumanzere + kulumikiza mafupa" kuchipatala china.2010, misa inabwereranso ndipo iye anakumana "kumanzere fupa chotupa chotupa chotupa + fupa simenti kudzazidwa" kachiwiri, ndi postoperative matenda anasonyeza kubwereza kwa chondroblastoma.Achipatala adamuuza kuti apite ku chipatala cha oncology kuti akalandire chithandizo china, koma wodwalayo sanamvere.
M'zaka zaposachedwa, wodwalayo adamva kupweteka kwambiri m'chiuno chakumanzere, ndipo mu Novembala 2021, adamuyesa ndi chipatala chakunja, chomwe chidawonetsa "kusuntha kwa ntchafu kumanzere ndi ischemic necrosis ya mutu wa chikazi", limodzi ndi kusintha kwa morphological ndi ma sign a kumanzere kwa chiuno ndi minofu yozungulira, ischemic necrosis ya kumanzere kwa femoral mutu ndi kumanzere kwa ntchafu yamanzere, ndi ma lymph nodes angapo kukulitsa kumanzere kwa inguinal dera.
Kuti athandizidwe mwadongosolo, wodwalayo adakumana ndi "kutsekeka kwa mtsempha wam'munsi ndi kutsekemera kwa urethral" komanso "kuchotsa mafupa a chiuno + kumanzere kwa chiuno arthroplasty + kukonza chikhodzodzo" mu Ogasiti 2022, ndikuchira bwino.
Tsopano, wodwalayo amavutika kusunthanso ngakhale kutembenuka.Pofuna kukonzanso chiuno, wodwalayo adabwera ku dipatimenti ya Bone Oncology ya Third Affiliated Hospital of Southern Medical University.
Preoperative
Director Li Haomiao atamaliza mayeso oyenera, adatsimikizira kuti ali ndi vuto la hemipelvic atachotsa chotupa chakumanzere.Gululo linapanga zokambirana zosiyanasiyana, linapanga njira yabwino yothandizira opaleshoni, kupanga prosthesis yosinthidwa ndi gulu la LDK oncology, ndipo potsirizira pake anachita opaleshoniyo bwino, ndipo opaleshoniyo inapita patsogolo kwambiri.
Kufotokozera:
Wodwala, wamwamuna, wazaka 31
Dandaulo:
Kusayenda bwino kwa miyezi yopitilira 7 pambuyo pochotsa chiuno.
Mayeso apadera:
Chilonda cha opaleshoni cha 30cm chinkawoneka m'chiuno chakumanzere, popanda khungu lodziwikiratu kapena kutupa kwa minofu yofewa, palibe kupasuka kapena mitsempha ya varicose, kumva bwino m'miyendo yonse yapansi, mphamvu yachibadwa ya minofu m'miyendo yonse yapansi, kalasi ya V, kamvekedwe kabwino ka minofu, zotumphukira zabwino. Kuthamanga kwa magazi, bondo lodziwika bwino komanso ma Achilles tendon reflexes, chizindikiro cha Hoffmann cholakwika, chizindikiro cha Babinski choyipa, chizindikiro cha Kernig choyipa.Chiwalo chokhudzidwacho chinali chachifupi ndi 3 masentimita kuposa chiwombankhanga, ndipo mgwirizano wa m'chiuno unali woletsedwa kwambiri, koma ziwalo zina zonse zinali ndi kayendedwe kabwino kakumva.
Mayeso othandizira:
2022-08-19 Pelvic CT: Kusintha kwapambuyo pa pelvis yakumanzere.
Kuzindikira kwachipatala:
1, Chilema cha Hemipelvic pambuyo pochotsa chotupa cham'chiuno chakumanzere
2, Kuchira pambuyo pa opaleshoni
Intrntchito
Popaleshoni
Surgeon Chiyambi
Hawomiao LI
Chief of the Department of Bone Oncology, Chief Doctor
MD, Mlangizi wa Postgraduate
Dr. mu opaleshoni ya mafupa ochokera ku Sun Yat-sen University.Adathandizidwa ndi Unduna wa Zamaphunziro ku People's Republic of China pa "Young Backbone Teacher Training Programme Kumayiko Ena" ndipo adaphunzira ku Italy ngati wophunzira waukadaulo.Pulofesa Boriani adamuphunzitsa luso la opaleshoni.Iye wakhala akuchita udokotala kwa zaka zoposa 20 ndipo ali ndi luso lapadera lapadera la chotupa cha mafupa.Iye wayendera ambiri fupa chotupa malo ku Ulaya, America ndi Japan, ndi lalikulu fupa chotupa pakati China, Bone ndi Soft Tissue chotupa Center wa Peking University People's Hospital, kuphunzira mphamvu za masukulu osiyanasiyana maganizo.Wasindikiza mapepala 8 omwe ali ndi SCI komanso mapepala opitilira 20 m'manyuzipepala apanyumba.Anapatsidwa ma patent 4 amitundu yothandiza komanso 1 patent yopanga.Watsogolera ndikuchita nawo ntchito zisanu zadziko lonse ndi zigawo.Anapatsidwa udindo wa "Yangcheng Good Doctor" mu 2017, "Lingnan Famous Doctor" mu 2017 ndi 2020, "Guangzhou Strong Young Doctors" mu 2018. Iye anasankhidwa monga "Wapadera Young Medical Luso la Guangdong Province" ndipo anapambana wachiwiri. Mphoto ya "Pepala Labwino Kwambiri la Achinyamata ndi Azaka Zapakati" mu 20th National Bone Chotupa Conference pa pepala lake "Whole Block Resection of Complex Lumbosacral Spine Malignant Tumor".
Masankhidwe a Maphunziro:
Wachiwiri kwa Wapampando wa Chinese Division of the International Society of Orthopedics and Traumatology (SICOT) Bone Tumor Society.
Komiti Yoyimilira ya Bone Tumor ndi Bone Metastasis Committee ya China Anti-Cancer Association
Wayimilira wa Komiti ya Sarcoma ya China Anti-Cancer Association
Wachiwiri kwa Wapampando wa Pelvic Chotupa Gulu, Sarcoma Specialized Committee of China Anti-Cancer Association
Wachiwiri kwa Wapampando wa Spine Tumor Group ya Sarcoma Specialized Committee ya Chinese Anti-Cancer Association
National Member of the Bone Tumor Group of the Orthopedic Branch ya Chinese Medical Association
Director of Orthopedic Repair and Reconstruction Committee ya Guangdong Primary Medicine Association
Maluso Otsogola Achichepere Akuchipatala a Chigawo cha Guangdong
Katswiri wachipatala:
zotupa za msana, zotupa za m'chiuno, zotupa zam'mimba, zotupa zam'mafupa, zotupa zofewa, ma metastases a mafupa, odziwa bwino opaleshoni yoteteza miyendo, kusintha m'malo mwa m'chiuno, kuchotsa chotupa cha sacral, chotupa chonse (En-bloc) cha zotupa za msana.Amakhala ndi chithandizo chochepa kwambiri cha zotupa zoyambirira ndi metastatic za msana.
Nthawi yotumiza: Apr-17-2023