I-Spinal stenosis kunye ne-disc herniation yizona zizathu eziqhelekileyo zokunyanzeliswa kweengcambu ze-lumbar kunye ne-radiculopathy. Iimpawu ezinjengeentlungu zomqolo kunye nomlenze ngenxa yeli qela leengxaki zinokuhluka kakhulu, okanye zingabikho iimpawu, okanye zibe nzima kakhulu.
Izifundo ezininzi zibonise ukuba ukuchithwa kotyando xa unyango olungasebenzisiyo lungasebenzi kakuhle kwiziphumo zonyango olulungileyo. Ukusetyenziswa kobuchule obuncinci bunokunciphisa iingxaki ezithile zeperioperative kwaye kunokunciphisa ixesha lokubuyisela isigulane xa kuthelekiswa notyando oluvulekileyo lwe-lumbar decompression.
Kushicilelo lwakutsha nje lweTech Orthop, uGandhi et al. ukusuka kwiYunivesithi yaseDrexel yeKholeji yezoNyango inikezela ngenkcazo ecacileyo yokusetyenziswa kweSistim ye-Tubular Retraction System kwi-mining invasive lumbar decompression surgery. Eli nqaku lifundeka kakhulu kwaye lixabisekile ekufundeni. Iingongoma eziphambili zobuchule babo botyando zichazwe ngokufutshane ngolu hlobo lulandelayo.
Umzobo 1. Izibonda ezibambe i-Tubular retraction system zibekwe kwibhedi yotyando kwicala elifanayo njengogqirha ohambayo, ngelixa i-C-arm kunye ne-microscope zibekwe kwicala elifanelekileyo kakhulu ngokumalunga nokuhlelwa kwegumbi.
Umzobo 2. Umfanekiso we-Fluoroscopic: izikhonkwane zokumisa umgogodla zisetyenziselwa ngaphambi kokwenza utyando lotyando ukuze kuqinisekiswe indawo efanelekileyo yokusikwa.
Umzobo 3. I-Parasagittal incision enechaphaza eliluhlaza okwesibhakabhaka ephawula indawo ephakathi.
Umzobo 4. Ukwandiswa ngokuthe ngcembe kwe-incision ukudala umjelo wokusebenza.
Umzobo 5. Ukubekwa kwe-Tubular Retraction System nge-X-ray fluoroscopy.
Umzobo 6. Ukucocwa kwezicubu ezithambileyo emva kwecautery ukuqinisekisa ukubonwa kakuhle kweempawu zomhlaba ezinamathambo.
Umzobo 7. Ukususwa kwezicubu zediski eziphumayo ngokusetyenziswa kwe-pituitary biting forceps
Umzobo. 8. Ukunciphisa i-grinder drill: indawo iqhutywe kwaye ifakwe emanzini ukuze ihlambe i-debris yamathambo kunye nokunciphisa ubungakanani bomonakalo we-thermal ngenxa yokushisa okwenziwa yi-grinder drill.
Umzobo 9. I-injection ye-anesthetic yendawo ehlala ixesha elide kwi-incision yokunciphisa intlungu emva kokuhlinzwa.
Ababhali baqukumbele ukuba ukusetyenziswa kwenkqubo ye-Tubular retraction system ye-lumbar decompression ngokusebenzisa ubuchule obuncinci be-invasive inenzuzo enokubakho ngaphezu kotyando oluvulekileyo lwe-lumbar decompression. Ijika lokufunda liyalawuleka, kwaye uninzi lweengcali zotyando zinokugqibezela ngokuqhubekayo iimeko ezinzima ngenkqubo yoqeqesho lwe-cadaveric, i-shadowing, kunye nokuziqhelanisa nezandla.
Njengoko itekhnoloji iqhubeka nokukhula, oogqirha botyando kulindeleke ukuba babe nako ukunciphisa ukopha kotyando, iintlungu, amazinga osulelo, kunye nokuhlala esibhedlele ngokusebenzisa iindlela zoxinzelelo oluncinci.
Ixesha lokuposa: Dec-15-2023
