Tsis ntev los no, Li Haomiao, tus thawj coj ntawm Lub Tsev Haujlwm Saib Xyuas Pob Txha Oncology ntawm Lub Tsev Kho Mob Thib Peb ntawm Southern Medical University, ua tiav qhov kev hloov pauv ntawm hemipelvic tom qab hlav qog nrog LDK kho cov qog prosthesis, thiab kev ua haujlwm tau zoo.
Tus neeg mob tau kuaj pom tias muaj pob txha sab laug hauv xyoo 2007 thiab tau mus rau "sab laug hip qog resection + pob txha grafting" hauv lwm lub tsev kho mob.Xyoo 2010, qhov loj tau rov tshwm sim dua thiab nws tau mus rau "sab laug pob txha mob qog nqaij hlav kho + pob txha cement filling" dua, thiab cov kab mob tom qab tau qhia tias rov tshwm sim ntawm chondroblastoma.Lub tsev kho mob tau hais kom tus neeg mob mus rau lub tsev kho mob tshwj xeeb oncology kom kho ntxiv, tab sis tus neeg mob tsis tau xyuam xim rau nws.
Nyob rau hauv xyoo tas los no, tus neeg mob tau hnov qhov mob ntawm sab laug lub duav, thiab thaum lub Kaum Ib Hlis 2021, nws tau raug tshuaj xyuas los ntawm lub tsev kho mob sab nraud, uas qhia tau hais tias "sab laug lub duav dislocation thiab ischemic necrosis ntawm lub taub hau femoral", nrog rau kev hloov pauv ntawm morphological thiab teeb liab ntawm lub plawv. sab laug pelvis thiab ib puag ncig cov leeg, ischemic necrosis ntawm sab laug femoral taub hau thiab sab laug hip dislocation, thiab ntau cov qog nqaij hlav loj hauv thaj tsam sab laug inguinal.
Rau kev kho mob ntxiv, tus neeg mob tau txais "percutaneous qis qis leeg hlab ntsha embolization thiab transurethral ureteral stenting" thiab "pelvic mass resection + sab laug hip arthroplasty + zais zis kho" thaum Lub Yim Hli 2022, nrog kev rov zoo.
Tam sim no, tus neeg mob muaj kev nyuaj rau kev txav rov qab thiab txawm tig rov qab.Rau kev txhim kho pelvic, tus neeg mob tuaj rau Department of Bone Oncology ntawm Third Affiliated Tsev Kho Mob ntawm Southern Medical University.
Preoperative
Tom qab tus thawj coj Li Haomiao ua tiav qhov kev ntsuam xyuas cuam tshuam, nws tau lees paub qhov kev kuaj mob ntawm hemipelvic defect tom qab sab laug pelvic qog resection.Pab neeg no tau teeb tsa kev sib tham ntau yam, tsim cov phiaj xwm kev kho mob zoo meej, tsim cov kev kho mob prosthesis nrog LDK oncology pab pawg, thiab thaum kawg ua tiav qhov kev phais kom zoo, thiab kev phais tau zoo heev.
Nqe lus piav qhia:
Tus neeg mob, txiv neej, 31 xyoo
Kev tsis txaus siab:
Mobility tsis taus rau ntau tshaj 7 lub hlis tom qab pelvic loj resection.
Kev xeem tshwj xeeb:
Kev phais mob 30cm tau pom ntawm sab laug lub duav, tsis muaj qhov pom tseeb ntawm daim tawv nqaij lossis cov nqaij mos o, tsis muaj rupture los yog varicose veins, ib txwm hnov qab nyob rau hauv ob txhais ceg qis, ib txwm cov leeg nqaij muaj zog nyob rau hauv ob sab ceg ceg, qib V, ib txwm nqaij leeg, zoo peripheral. ntshav khiav, ob sab hauv lub hauv caug thiab Achilles tendon reflexes, tsis zoo Hoffmann kos npe, tsis zoo Babinski kos npe, tsis zoo Kernig kos npe.Cov ceg ntoo cuam tshuam yog li 3 cm luv dua li ntawm qhov tsis sib xws, thiab lub duav sib koom ua ke tau nruj heev, tab sis cov pob qij txha tau zoo txav.
Cov kev xeem pab:
2022-08-19 Pelvic CT: postoperative hloov nyob rau hauv sab laug pelvis.
Kev kuaj mob:
1, Hemipelvic defect tom qab sab laug pelvic qog resection
2. Convalescence tom qab phais
Intrkev ua haujlwm
Posoperative
Surgeon Kev Taw Qhia
Haomiao LI
Chief of the Department of Bone Oncology, Tus Kws Kho Mob
MD, Postgraduate Advisor
Dr. hauv kev phais orthopedic los ntawm Sun Yat-sen University.Nws tau txais kev txhawb nqa los ntawm Ministry of Education of the People's Republic of China rau "Young Backbone Teacher Training Program Abroad" thiab tau kawm hauv tebchaws Ltalis ua tus kws kho mob sib koom ua ke.Xib fwb Boriani tau qhia nws cov txuj ci phais.Nws tau xyaum tshuaj rau ntau tshaj 20 xyoo thiab tau txais kev nplua nuj nyob rau hauv cov pob txha qog tshwj xeeb.Nws tau mus xyuas ntau lub tsev kho mob pob txha hauv Tebchaws Europe, Amelikas thiab Nyij Pooj, thiab qhov chaw loj tshaj plaws ntawm cov pob txha hlav hauv Suav teb, Lub Pob Txha thiab Soft Tissue Tumor Center ntawm Peking University People's Hospital, kom kawm tau los ntawm lub zog ntawm ntau lub tsev kawm ntawm kev xav.Nws tau luam tawm 8 SCI-indexed cov ntaub ntawv thiab ntau dua 20 cov ntaub ntawv hauv cov ntawv xov xwm tseem ceeb hauv tsev.Nws tau txais 4 patents rau cov qauv siv hluav taws xob thiab 1 patent rau kev tsim khoom.Nws tau ua tus thawj tswj hwm thiab koom nrog 5 txoj haujlwm hauv lub tebchaws thiab lub xeev.Nws tau txais lub npe ntawm "Yangcheng Tus Kws Kho Mob Zoo" hauv 2017, "Lingnan Famous Doctor" hauv 2017 thiab 2020, "Guangzhou Strong Young Doctors" hauv 2018. Nws tau raug xaiv los ua "Cov Kws Kho Mob Zoo Tshaj Plaws ntawm Guangdong Province" thiab yeej thib ob. khoom plig ntawm "Cov Hluas thiab Cov Hnub Nyoog Zoo Tshaj Plaws" hauv 20th Lub Tebchaws Pob Txha Kho Mob Lub Rooj Sib Tham rau nws daim ntawv "Tag nrho Block Resection of Complex Lumbosacral Spine Malignant Tumor".
Kev teem caij kawm:
Tus Lwm Thawj Coj ntawm Suav Division ntawm International Society of Orthopedics thiab Traumatology (SICOT) Pob Txha Tumor Society
Pawg Neeg Sawv Cev Tus Tswv Cuab ntawm Pob Txha thiab Pob Txha Metastasis Committee ntawm Tuam Tshoj Anti-Cancer Association
Sawv cev tus tswv cuab ntawm Sarcoma Committee ntawm Tuam Tshoj Anti-Cancer Association
Tus Lwm Thawj Coj ntawm Pelvic Tumor Group, Sarcoma Specialized Committee ntawm Tuam Tshoj Anti-Cancer Association
Tus Lwm Thawj Coj ntawm Spine Tumor Group ntawm Sarcoma Specialized Committee ntawm Suav Anti-Cancer Association
Lub teb chaws tus tswv cuab ntawm Pob Txha Pab Pawg ntawm Orthopedic ceg ntawm Tuam Tshoj Medical Association
Tus Thawj Coj ntawm Orthopedic Kho thiab Reconstruction Committee ntawm Guangdong Primary Medicine Association
Cov Hluas Kev Kho Mob Zoo Tshaj Plaws ntawm Guangdong Xeev
Clinical kev txawj ntse:
Cov qog nqaij hlav hauv plab, qog nqaij hlav hauv plab, cov qog nqaij hlav, cov pob txha sab hauv, cov nqaij mos mos, cov pob txha metastases, muaj peev xwm hauv kev phais mob caj dab, hloov lub plab, sacral qog resection, tag nrho thaiv (En-bloc) resection ntawm tus txha caj qaum.Nws muaj peev xwm ua tau zoo hauv kev kho mob me me ntawm thawj thiab metastatic qog ntawm qaum.
Post lub sij hawm: Apr-17-2023