Biravugwa ko ibitaro by'amagufwa n'igifuni byatumye "3D-yacapwe ku giti cya mbere arthroplasty hamwe na Hemi-Skapula yo kubaka" kubaga. Igikorwa cyatsinze kiranga uburebure bushya mu rutugu rw'ibitaro no kwiyubaka no kwiyubaka, bizana inkuru nziza ku barwayi imanza zitoroshye.
Nyirasenge Liu, ufite imyaka 56 uyu mwaka, afite ububabare bwiburyo bufite imyaka myinshi ishize. Byari birushijeho kuba mumezi 4 ashize, cyane cyane nijoro. Ibitaro byaho byasanze "ubushyuhe bukomeye bwububiko bukomeye" kuri filime. Yaje mu magufa n'ishami ry'ibitaro by'ibijumba by'ibitaro bya Wuhan kwivuza. Porofeseri Liu Jianxiang yakiriye umurwayi, igitugu CT CT yakozwe na Bwana Ibizamini byarakozwe, kandi ikibyimba cyarimo humerus na scapula nyinshi. Ubwa mbere, urwanya biopsy wakorewe umurwayi, kandi gusuzuma patologisi byemejwe ko ari "sarcoma ya barcovique yigitugu cyiburyo". Urebye ko ikibyimba ari ikibyimba kibisi kandi iki gihe gifite intego imwe mu mubiri wose, gukuraho gahunda yo kwivuza k'umurwayi, hamwe na kimwe cya kabiri cya Scapula, na 3d yacapishijwe ibitugu. Ikigamijwe ni ukugera ku mubyimba no kwiyubaka kwa Prosthos, bityo bigarure imiterere isanzwe y'umurwayi hamwe n'imikorere.
Nyuma yo gushyikirana imiterere y'umurwayi, gahunda yo kuvura, iteganya ko ingaruka zidasanzwe zifite umurwayi n'umuryango wabo, kandi zikaba barabyemereye, iyi kipe yatangiye kwitegura kubagwa umurwayi cyane. Kugirango umenye neza, igice cya scapula gikeneye gukurwaho muriki gikorwa, kandi iyubakwa ryibitugu hamwe ni ingingo igoye. Nyuma yo gusuzuma neza filime, isuzuma ry'umubiri, n'ibiganiro, umwarimu Liu Jianxiang yateguye gahunda irambuye yo kubaga kandi ikaganira kuri prostèse hamwe na injeniyeri inshuro nyinshi. Bakwigana ibibyimba osteotomy na prosthois kuri 3d byacapwe kuri 3D, bikora "ibicuruzwa byihariye" kubarwayi bihuriye hamwe na prostrace ihuriweho na prostraer ihuriweho na prothèse ihuriro ryibihe byigihembwe muri 1: 1.
A.Muranye na Osteotomy. B. Shushanya prothèse ya 3D. C. 3D Icapa Prosthos. D. Mbere yo gushyira prostrasi.
Igitugu gihindagurika gitandukanye nigitugu gakondo gihuriweho hamwe, hamwe nubuso bwa spherical bushyizwe kuruhande rwa glenoid hamwe nigikombe cyashyizwe kumurongo-wabujijwe muri kimwe cya kabiri cyuzuye. Uku kubaga rufite ibyiza bikurikira: 1. Irashobora guhuza cyane inenge nini yamagufwa yatewe no kugutwara; 2. Ibikorwa byo kubaka ubutumwa byakozwe na Ligaments birashobora gukosora tissue yoroheje kandi birinda guhungabana biterwa na rotator cuff ockection; 3. Imiterere ya bio-mimecular kumiterere hejuru ya prostrasi irashobora guteza imbere kwikinisha amagufwa akikije hamwe na tissue yoroshye; 4. Bitandukanye no gusimbuza ibitugu bitangaje, uku kubaga kandi bisaba kuvana umutwe wubuhinzi wose nigikombe cyinkenga, no kongera kubaka umutwe wubuhinzi nigikombe cyose, gisaba igishushanyo nyawe na tekinike yo kubaga neza.
Nyuma yo gutegura no gutegura mu gihe cyagenwe, kubaga byarakozwe neza ku murwayi vuba aha, uyobowe na Porofeseri Liu Jianxiag. Iri tsinda ryakoranye cyane kandi rikora ibikorwa byasobanutse kugirango ndangize gukuraho ikibyimba byose, Osteotomy ya Humerus na Scapula, no guterana no guterana kwa prosthosi ya artificiel, byatwaye amasaha 2 yo kurangiza.
D: Gukata neza humerus byose hamwe na Scapula hamwe nisahani yo gukata amagufwa kugirango ukureho ikibyimba (h: flueroscous yo gukuramo ibibyimba)
Nyuma yo gusubika inyuma, uko umurwayi yaba afite icyiza, kandi bashoboye kugenda bafite imfashanyo ya gikoni ku minota ya kabiri ku munsi wa kabiri no gukora ingendo zihuriweho. Kurikirana X-Imirasire yerekanaga umwanya mwiza wurugomo hamwe no gukira neza.
Kubaga ubu ni urubanza rwa mbere mu ishami ry'ibitaro bya Wuhan rivuga ko 3d yacapwemo imirongo yo gucamo hamwe n'iyanduza yihariye ku rutugu rwahinduwe hamwe na Hemi-Scapula. Ishyirwa mu bikorwa ry'iki ikoranabuhanga rizazana ibyiringiro bya libb kubarwayi benshi bafite ibibyimba byigitugu, kandi byungukire umubare munini w'abarwayi.
Igihe cya nyuma: APR-28-2023
