Ciwon mahaifa na daya daga cikin mafi hadaddun da wahala na tiyatar ciwon kashi, kuma kawar da ciwon na iya haifar da asarar kashi babba.Tsarin halittar jiki da yanayin halittar ƙashin ƙugu yana da ɗan rikitarwa idan aka kwatanta da sauran wurare.Bugu da ƙari, ƙashin ƙugu yana kusa da gabobin mahimmanci a cikin rami na ciki tare da yawancin sassa masu laushi da ke kewaye da su, don haka akwai ƙalubale masu yawa a cikin shirye-shirye na farko da kuma gudanarwa na ciki.
A cikin tsarin da aka riga aka yi na gyaran gyare-gyare na gyaran kafa, yana buƙatar tsarawa da kyau bisa ga rashin lafiyar mara lafiya, sa'an nan kuma sake gina yankin da abin ya shafa da kuma dasa kayan aikin da ake bukata ya kamata a tsara shi bisa ga yankin resection.
Wahalhalun da ke tattare da zayyana “prosthesis tumor pelvic” ya ta’allaka ne ba kawai a cikin hadadden siffar jikin mahaifa ba har ma da cewa wuraren tsinkayar majiyyaci sun bambanta daga mutum zuwa mutum, don haka yadda za a zana prosthesis wanda zai fi dacewa da bukatun majiyyaci da cimma nasara. mafi kyawun sakamakon tiyata shine mabuɗin mahimmanci don nasarar aikin.
Injiniyoyin LDK suna tantance bambance-bambancen ilimin halittar mutum na kowane mai haƙuri, yanki na asarar ƙashi da yanayin injin da prosthesis zai rayu, “Keɓance” yankin da aka sake ginawa da aiwatar da kwamfyutar kwamfuta na dacewa da izgili don tabbatar da cewa prosthesis za a iya dasa ta intraoperatively.A cikin wannan labarin, mun zaɓi nau'ikan ƙirar ƙwayar ƙwayar ƙwayar cuta ta 6 don sassa daban-daban na ƙwayar ƙwayar cuta a cikin shekaru 5 na ƙarshe don tunani da tattaunawa.
1 yankin I Ƙashin ƙashin ƙugu ƙari
Wannan shari'ar ciwon daji ne na yanki na pelvic I tare da haɗin gwiwa na sacroiliac.Ƙarshen kusanci ya kasance osteotomized ta hanyar haɗin gwiwa na sacroiliac a gefen waje na sacral foramen, kuma ƙarshen ƙarshen an daidaita shi a kwance daga saman acetabular zuwa sama.An yi amfani da ƙayyadaddun ƙirar ƙashin ƙugu don sake gina reshen iliac mara kyau.An tsara siffar da girman prosthesis zuwa lahani na majiyyaci, da kumaprosthesis-kashi dubawa(wanda ke tuntuɓar ƙasusuwan sacral da iliac) an yi amfani da shi don yin kwaikwayi raƙuman raƙuman ƙashi don sauƙaƙe haɓakar ƙashi da cimma gyare-gyare na dogon lokaci na prosthesis.bangon baya na acetabulum yana da farantin karfe da aka buga guda ɗaya kuma ana iya haɗa tsarin shinge na ƙusa zuwa gefen baya na prosthesis don inganta kwanciyar hankali na prosthesis.
2 Yankin II Ciwon Haihuwa
Mai haƙuri yana da ƙananan rauni kuma kawai an yi amfani 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 ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta.An buga aikin gyaran ƙwanƙwasa da aka keɓance a cikin yanki ɗaya, tare da na'urar ƙirar ƙashin ƙashin ƙura don yin kwaikwayi raƙuman ramin trabeculae.An auna diamita na waje na acetabulum na majiyyaci kuma an ƙaddara ƙoƙon acetabular da aka yi da siminti wanda ya dace da ma'aunin acetabular mai haƙuri ya zama tushe don sake ginawa, tare da buga farantin a cikin yanki ɗaya a waje na prosthesis.Wannan bayani ya fi girma da adana reshe na sciatic da wani ɓangare na acetabulum ga mai haƙuri kuma ya sami daidaitattun daidaituwa da sake ginawa.
3 Yankin I + II ciwon ƙashin ƙugu
A wannan yanayin, ƙari ya faru a yankin I + II, sacral osteotomy na gefe ya yanke haɗin gwiwa na sacroiliac.an kiyaye rassan pubic da sciatic bisa ga halin da ake ciki.Fuskar tuntuɓar ƙirar ƙwanƙwasa da aka keɓance tare da sacrum an ƙera shi a cikin raga mai ƙyalli mai kwaikwayi trabeculae na ƙashi, tare da madaidaicin da aka ƙera don hutawa a gefen sacrum na ciki.Tallafin iliac da aka keɓance da ƙoƙon acetabular an haɗa su daban kuma ana iya daidaita su ta ciki don haɗin kai mai sauƙi da aminci.An tanada layuka biyu na ramukan ƙusa don haɗe-haɗe na reshen pubic da sciatic da aka riƙe.
4 Yankin I + II ciwon ƙashin ƙugu
A wannan yanayin, ƙari ya faru a yankin I + II, sacral osteotomy na gefe ya yanke haɗin gwiwa na sacroiliac.an kiyaye rassan pubic da sciatic bisa ga halin da ake ciki.The lamba surface na musamman pelvic prosthesis tare da sacrum aka machined a cikin wani porous raga yana kwaikwayon kasusuwa trabeculae, The posterior gefen prosthesis za a iya haɗa zuwa wani ƙusa bar tsarin, da tsawo da fuskantarwa na sukurori a sacrum an musamman daga haƙuri ta. Bayanan CT da gefen waje na prosthesis an tsara su tare da jere na ramukan suture don sauƙaƙe gyaran kayan laushi.
5 Yankin II + III ciwon ƙashin ƙugu
Wannan yanayin ƙari ne akan ƙashin ƙugu II + III tare da osteotomy a kwance daga gefen acetabular mafi girma.Prosthesis an yi shi da ƙashin ƙashin ƙugu na musamman da farantin abin da aka makala kashi.Girman fuskar lamba na ƙayyadaddun ƙirar ƙashin ƙugu an tsara shi bisa ga siffar osteotomy kuma an ƙarfafa shi ta wani farantin buga guda ɗaya na waje.An tsara farantin abin da aka makala kashi na majiyyaci zuwa ainihin siffar ƙashin ƙashin majiyyaci kuma an haɗa shi da lafiyayyen gefen ƙashin ƙashin.
6 Yankin IV ciwon ƙashin ƙugu
A wannan yanayin, ciwon daji ya faru a yankin IV, gefen dama da hagu sun kasance osteotomized daga haɗin gwiwa na sacroiliac, kiyaye wani ɓangare na olecranon, kuma an haɗa prosthesis zuwa kashi na iliac a bangarorin biyu kuma zuwa ƙananan ƙarshen na biyar na vertebra.An buga gyaran gyare-gyaren ƙwanƙwasa na musamman a cikin yanki ɗaya kuma yana da sukurori don ɓangarorin lumbar da dama da hagu bi da bi, tare da yiwuwar haɗa wani tsari mai mahimmanci a gefen baya.
Lokacin aikawa: Fabrairu-21-2023