Kwanan nan, Liu Hucheng, darektan Sashen Kashi da Soft Tissue Oncology a Asibitin Farko na Farko na Jami'ar Nanchang, ya kammala "ciwon kumburin pelvic + sacral osteotomy + maye gurbin pelvic + maye gurbin hip + lumbar pedicle dunƙule gyaran ciki na ciki" tare da LDK na musamman na pelvic prosthesis. , kuma aikin ya tafi lami lafiya.
An tura mai haƙuri zuwa asibiti na waje don ciwon baya da rashin jin daɗi.Bayan kammala gwaje-gwajen da suka shafi hip, an ba wa majiyyacin shawarar yiwuwar ciwon osteo-malignant, amma ba ta kula da shi ba, sannan alamun ciwon ta ya kara tsananta kuma motsinta ya ragu.Sa'an nan kuma mai haƙuri ya zo Sashen Kashi da Soft Tissue Oncology na Asibitin Farko na Farko na Jami'ar Nanchang don magani.
Bayan an shigar da shi a asibiti kuma an kammala nazarin kasusuwa na pelvic, an gano majiyyacin yana da osteosarcoma.Bayan da aka tsara cikakken tsarin aikin tiyata tare da sassa da yawa kuma an kammala shirye-shiryen riga-kafi, Darakta Liu Hu Cheng tawagar sun yi "resection resection na pelvic tumor + sacral osteotomy + maye gurbin pelvic + maye gurbin hip + lumbar baka dunƙule gyaran ciki" ga majiyyaci.
Bayani:
Mara lafiya, mace, 52 shekaru
Ƙorafi:
Fiye da watanni 3 bayan chemotherapy don osteosarcoma kashi na pelvic
Tarihin likita na yanzu:
Mai haƙuri ya yi gunaguni cewa a cikin 2022-10, babu wani dalilin da zai iya haifar da ciwon baya mai tsanani da rashin jin daɗi, tare da ciwo da kumburi, tare da ciwo a cikin ƙananan ƙananan hagu, wanda yake a cikin kwatangwalo na hagu, hagu na hagu, gefen baya. na cinya, gefen maraƙi na baya zuwa ƙafar hagu, rashin jin daɗi a ƙasan ƙafar hagu, ciwon ya ƙaru bayan tsayin tsayi da tafiya, kuma yana iya samun sauƙi lokacin hutawa, lokacin da ba a kula da shi ba, sannan bayyanar cututtuka sun fara karuwa kuma sun kasa tafiya.
MRI ya ba da shawarar: 1) sigina mara kyau na kashin iliac na hagu, la'akari da yiwuwar mummunan rauni;2) karamin adadin ruwa a cikin haɗin gwiwar hip ɗin hagu.Ba a ba shi kulawa ta musamman ba, kuma a yanzu an kwantar da mara lafiyar a asibiti domin ci gaba da kula da lafiyarsa.
Binciken asibiti:
"Bayan-chemotherapy myelosuppression".
Hanyar da aka ba da shawarar ita ce "resection tumor + sacral osteotomy + maye gurbin pelvic + maye gurbin hip + gyaran ciki tare da dunƙule lumbar pedicle"
Samfuran da aka aika don gwaji:
An aika da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta, girman 19.5X17X9 cm, tare da ƙwayar tsoka da aka haɗe, girman 16.5X16X3.5 cm, ƙananan sassa masu yawa, 1.5 cm daga gefen cautery, an ga taro a cikin ƙwayar tsoka. , Girman 8X6.5X4.5 cm, launin toka-launin toka-ja, mai tauri, kuma mara kyau a rarrabe tsakanin wurin mai da hankali da nama na kashi.
Ciwon jijiya na hagu: launin toka-ja mara siffa, girman 9.5X3X3m, launin toka-fari-fari-ja mai tauri akan yanke saman.
A microscopically, da ƙari nuna wani m rabe rabe, mamaye na gefe fibrofat, transverse tsoka da jijiya nama, tare da irregularly sel, bayyanannun nucleoli, sauki ganin makaman nukiliya schizophrenia, bayyanannun heterotypes da yawa necrosis.
Cutar cututtuka:
(Hagu na hagu) Haɗe tare da na asibiti, hoto da tarihi, ya kasance daidai da amsawa bayan chemotherapy don babban osteosarcoma (nau'in na kowa).
Huvos grading: grade II (mai sauƙin amfani chemotherapy,> 50% ƙari nama necrosis, tsira ƙari nama).
Gefen cautery na nama: ba a ga sa hannun rauni ba.
(jijiya na sciatic na hagu) raunin gani na gani: 2 sauran ƙwayoyin lymph da aka gani, ba a ganin metastasis (0/2) Immunohistochemistry ya nuna: CK (-) ;Vimentin (3+) IMP3 (+) ; MDM2 (+) ; P16 (+) , S-100 (warwatse +) ;H3.3G34W (-)
Tsarin tiyata:
Gyaran ƙwayar ƙwayar ƙwayar cuta + sacral osteotomy + maye gurbin pelvic + maye gurbin hip + lumbar pedicle dunƙule gyaran ciki na ciki
Kafin tiyata
Bayan tiyata
Gabatarwar Likitan Likita
Farfesa Hucheng Liu
Asibitin Farko mai alaƙa na Asibitin Orthopedic na Jami'ar Nanchang
Babban, Sashen Kashi da Soft Tissue Oncology
Babban likita, Mataimakin Farfesa, Mai kula da Jagora
Daraktan Ƙungiyar Tumor na Kasusuwa da Soft Tissue Tumor, Branch Orthopedic, Jiangxi Medical Association
Mataimakin Shugaban Kwamitin Tumor na Kashi da Lauyi na Ƙungiyar Likitoci ta Jiangxi Reshen Kasusuwa.
Lokacin aikawa: Afrilu-26-2023