Kuvunika femoral cortrochanter nubutaka bukunze kuvuka mumyitozo yubuvuzi kandi nimwe mubice bitatu bisanzwe bifitanye isano na osteoporose mumaze ageze mu zabukuru. Gutunganya ibihano bisaba ikiruhuko kirekire, shyira ibyago byinshi by'ibisebe by'igitutu, kwandura ibihaha, embolisism, embolisism, inyama zikomeye, n'ibindi bibazo. Ingorane zonsa zifite akamaro, kandi igihe cyo gukira ni kirekire, gishyiraho umutwaro uremereye kuri societe ndetse n'imiryango. Kubwibyo, gutabara hakiri kare, igihe cyose byihanganirwa, ni ngombwa kugirango habeho ibisubizo byiza mubikorwa byo kuvunika ibibuno.
Kugeza ubu, pfna (imisumari ya femorale ya femoral ya antirotition) ifatwa ryimbere ifatwa nkibisanzwe bya zahabu yo kuvura ibijumba. Kugera ku nkunga nziza mugihe cyo kugabanya imivurungano ni ngombwa kugirango wemererwe imyitozo yo hambere. Kuraho flueroscopi ikubiyemo anteroposition (ap) hamwe nikibazo cyo gusuzuma kugabanya igabanuka rya cortex yo hagati ya femoral. Nyamara, amakimbirane arashobora kuvuka hagati yibitekerezo byombi mugihe cyo kubagwa (ni ukuvuga ibintu byiza mubibona ariko atari muri anteroposteior, cyangwa ubundi). Mu bihe nk'ibi, suzuma niba igabanywa ryemewe kandi niba hakenewe hakenewe ikibazo kitoroshye kubamenyereye amavuriro. Intiti zo mu bitaro byo mu rugo nk'ibitaro by'iburasirazuba n'ibitaro bya Zhongshan byakemuye iki kibazo mu gusesengura ubuyobozi bwiza kandi bubi mu gihe cya nyuma ya CT scan scan scan nka gare.
Igishushanyo cyerekana inkunga nziza (a), inkunga itabogandutse (b), hamwe ninkunga mbi (c) uburyo bwo kuvunika hip muri anteroposition.
Igishushanyo cyerekana inkunga nziza (D), inkunga itabogandutse (e), hamwe ninkunga mbi (f) yimiterere yiki kibaho mubikorwa byuruhande.
Ingingo ikubiyemo amakuru yimanza kuva abarwayi 128 bafite imivurungano. Ibishushanyo bya AnteropoSpion Imbere hamwe namashusho yerekanwe kubaganga babiri (umwe ufite uburambe buke numwe ufite uburambe) kugirango asuzume inkunga nziza cyangwa idashoboka. Nyuma yo gusuzuma kwambere, gusubiramo byakorwa nyuma y'amezi 2. Amatangazo ya CT yahawe umwarimu w'inararibonye, wagennye niba urubanza ari rwiza cyangwa rutari rwiza, rukora nk'ubusanzwe gusuzuma neza isuzuma ry'ishusho n'abaganga babiri ba mbere. Kugereranya nyamukuru mu ngingo ni ibi bikurikira:
. Byongeye kandi, ingingo ishakisha guhuza interineti hagati yamatsinda make yiboneye kandi yiboneye kugirango isuzume zombi hamwe nubukorikori bwinjiriro hagati yisuzuma ryibisebe byombi.
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Ibisubizo by'ubushakashatsi
1. Mu byiciro bibiri byo gusuzuma, hamwe na CT nkibipimo byingenzi byingenzi, umwihariko, umwihariko, igipimo cyiza cyibinyoma, nibindi bipimo bifatika, nibindi bipimo bifatika, hamwe nibindi bipimo bifatika hagati yabaganga bombi bafite uburambe bwabura.
2.Mu gusuzuma kugabanya ubuziranenge, gufata isuzuma ryambere nkurugero:
- Niba hari amasezerano hagati yisuzuma rya Anteroposterior no kuruhande (byombi byiza cyangwa byombi bitari byiza), kwizerwa mu guhanura ubuziranenge kuri CT 100%.
- Niba hari ukutumvikana hagati yisuzuma rya Anteroposition, hashyizweho isuzuma rya Anteroposition, kwizerwa kw'ibipimo ngenderwaho bibanza mu guharanira imico yo kugabanya kuri CT iri hejuru.
▲ Igishushanyo cyerekana inkunga nziza yerekanwe muri anteroposition ikurikije mugihe igaragara nkibintu bitari byiza mubikorwa byuruhande. Ibi byerekana kudahuza ibisubizo hagati yibitekerezo bya anteroposition.
On Recransinel CT Recrans yo muri CT itanga amashusho-angle inguni, akora nkibipimo byo gusuzuma ubuziranenge bwo kugabanya.
Mu mahame ashingiye ku kugabanya kuvunika gutandukanya, usibye inkunga nziza kandi mbi, hariho igitekerezo cyo gushyigikirwa "kutagira aho bibogamiye". Ariko, kubera ibibazo bijyanye no gukemura amasura hamwe nijisho ryabantu, "kugabanuka kwa anatomique" mubyukuri ntibibaho, kandi burigihe habaho gutandukana gato kugabanuka "ryiza". Iri tsinda ryayoboye na Zhang Shimin mu bitaro byangpu muri Shanghai byasohoye impapuro (byerekana niba umuntu ashobora kubitanga) atanga igitekerezo cyo kunganya neza mu bijyanye no guhagarika ibikorwa ugereranije n'igabanuka rikora. Kubwibyo, urebye ubu bushakashatsi, imbaraga zigomba gukorwa mugihe cyo kubagwa kugirango ugere ku nkunga nziza mu kuvunika gutandukanya, haba mu kitekerezo cya Anteroposterior no kure.
Igihe cyohereza: Jan-19-2024
