I-Spinal stenosis kanye ne-disc herniation yizona zimbangela ezivame kakhulu zokucindezelwa kwezimpande ze-lumbar nerve kanye ne-radiculopathy. Izimpawu ezifana nobuhlungu be-back and emlenzeni ngenxa yaleli qembu lokuphazamiseka zingahluka kakhulu, noma zingabi nezimpawu, noma zibe nzima kakhulu.
Ucwaningo oluningana lubonise ukuthi ukuwohloka kokuhlinzwa lapho ukwelapha okungahlinzeki kuyimiphumela engasebenzi emiphumeleni yokwelapha emihle. Ukusetshenziswa kwamasu angavamisile kancane kungase kunciphise izinkinga ezithile ze-perioperative futhi kungase kunciphise isikhathi sokululama sesiguli uma kuqhathaniswa nokuhlinzwa okuvamile kwe-lumbar decompression.
Kumagazini wakamuva we-Tech Orthop, u-Gandhi et al. kusuka ku-Drexel University College of Medicine inikeza incazelo enemininingwane yokusetshenziswa kwe-Tubular Retraction System ekuhlinzeni okungavamile kokunciphisa i-lumbar. I-athikili ifundeka kakhulu futhi ibalulekile ekufundweni. Amaphuzu ayinhloko amasu abo okuhlinza achazwe kafushane kanje.
Umfanekiso 1. Ama-clamps aphethe uhlelo lokuhlehlisa i-Tubular abekwe embhedeni wokuhlinza ohlangothini olufanayo nodokotela ohlinzayo, kuyilapho i-C-arm kanye ne-microscope zibekwe ohlangothini olulula kakhulu ngokusho kwesakhiwo sekamelo.
Umfanekiso 2. Isithombe se-Fluoroscopic: izikhonkwane zokumisa umgogodla zisetshenziswa ngaphambi kokwenza ukusika okuhlinzayo ukuze kuqinisekiswe ukuma okuhle kokusikwa.
Umfanekiso 3. I-Parasagittal incision enechashazi eliluhlaza elimaka indawo yomugqa omaphakathi.
Umfanekiso 4. Ukunwetshwa kancane kancane kokusika ukuze kudaleke isiteshi esisebenzayo.
Umfanekiso 5. Ukuma kwe-Tubular Retraction System nge-X-ray fluoroscopy.
Umfanekiso 6. Ukuhlanzwa kwezicubu ezithambile ngemva kokuhlinzwa ukuze kuqinisekiswe ukubonwa kahle kwezimpawu zomhlaba ezingamathambo.
Umfanekiso 7. Ukususwa kwezicubu ze-disc eziphumayo ngokusebenzisa i-pituitary biting forceps
Umfanekiso. 8. Ukunciphisa nge-grinder drill: indawo iyasetshenziswa futhi amanzi ajojowe ukuze kugezwe imfucumfucu yamathambo futhi kuncishiswe izinga lomonakalo oshisayo ngenxa yokushisa okukhiqizwa yi-grinder drill.
Umfanekiso 9. Ukujovwa kwe-anesthetic yendawo ethatha isikhathi eside ekusikeni ukuze kuncishiswe ubuhlungu bokusika ngemva kokuhlinzwa.
Ababhali baphethe ngokuthi ukusetshenziswa kwe-Tubular retraction system ye-lumbar decompression ngokusebenzisa amasu angavamisile kancane kunezinzuzo ezingaba khona ngaphezu kokuhlinzwa okuvulekile kwe-lumbar decompression. Ijika lokufunda liyalawuleka, futhi odokotela abaningi abahlinzayo bangaqhubeka beqeda amacala anzima ngenqubo yokuqeqeshwa kwe-cadaveric, shadowing, kanye nokuzilolonga ngezandla.
Njengoba ubuchwepheshe buqhubeka buvuthwa, odokotela abahlinzayo kulindeleke ukuthi bakwazi ukunciphisa ukopha uma behlinzwa, ubuhlungu, amazinga okutheleleka, kanye nokuhlala esibhedlela ngokusebenzisa amasu okunciphisa ukucindezeleka okuncane.
Isikhathi sokuthumela: Dec-15-2023
