Chingwe cha femucrochantic fracrekwe ndi chilombo chofala kwambiri m'chipatala chochita masewera olimbitsa thupi ndipo ndi imodzi mwazinthu zitatu zodziwika bwino zomwe zimagwirizanitsidwa ndi osteoforosis mu okalamba. Chithandizo cha Conservative chimafuna kupuma kwa nthawi yayitali, ndikuyika ziwopsezo zowopsa zopanikizika, matenda a m'mapapormoction, pullophsm ya m'mapapo, miyala yamkuntho, ndi zovuta zina. Mavuto okalamba ndi ofunika, ndipo nthawi yochirikizira ndi yayitali, ndikumanga anthu onse olemetsa anthu onse komanso mabanja. Chifukwa chake, kulowererapo koyambirira kwa opaleshoni, nthawi iliyonse yololeza, ndikofunikira kuti tikwaniritse zotsatira zabwino zogwirira ntchito mu chiuno.
Pakadali pano, pfna (proximal promroal systems) Kukonzekera kwamkati) kumawerengedwa muyezo wagolide wothandizira opaleshoni. Kukwaniritsa Thandizo Labwino Pakuchepetsa kwa zakumwa za m'chiuno ndikofunikira kuti mulole zolimbitsa thupi zoyambirira. Zovuta fluoroscopy zimaphatikizapo anteroproteond (AP) ndi malo ofanana ndi kuwunika kuchepetsa kwa cortheray cortex. Komabe, mikangano imatha kubuka pakati pa malingaliro awiriwa pakuchita opaleshoni (mwachitsanzo, zokhala ndi malingaliro ofananira koma osati mu fanizo). Zikatero, podziyesa ngati kuchepetsedwa ndikolandirika ndipo ngakhale zikufunika kusintha kumabweretsa vuto lovuta pakuchita zamankhwala. Akatswiri ochokera ku zipatala zapakhomo monga chipatala chakumadzulo ndi Zhongshan adanenanso za kuwunika kolondola komanso kosavomerezeka pogwiritsa ntchito mawonekedwe a zinthu zitatu monga muyezo.
Chojambula chikuwonetsa chithandizo chabwino (a), kulowerera ndale (b), komanso chithandizo cholakwika (c) mawonekedwe a fractures a m'chiuno mu fanizoli.
Chojambula chikuwonetsa chithandizo chabwino (d), kulowerera ndale (e), komanso chithandizo chosavomerezeka (f) cha zojambulajambula za m'chiuno motsatana.
Nkhaniyi ikuphatikiza deta ya odwala omwe ali ndi odwala 128 omwe ali ndi vuto la m'chiuno. Zovuta anteroperative ndi zifanizo zofananira zimaperekedwa mosiyanasiyana madokotala awiri (amodzi omwe ali ndi chidziwitso chochepa komanso chimodzi chomwe chikuyenera kuwunikira bwino kapena zosagwirizana. Pambuyo pakuwunika koyambirira, kuyerekezera kunachitika pambuyo pa miyezi iwiri. Zithunzi za Postoperative CT zidaperekedwa kwa pulofesa wodziwa zambiri, yemwe adatsimikiza ngati nkhaniyo idakhala yabwino kapena yopanda tanthauzo, ikugwiritsa ntchito ngati muyeso wowunikira kuwunika kwa madokotala awiri oyamba. Kufananiza kwakukulu m'nkhaniyi ndi motere:
. Kuphatikiza apo, nkhaniyo ikuwunikiranso kusasinthasintha pakati pa anthu odziwa zambiri komanso odziwa zambiri pazinthu zonse ziwirizo komanso kusasinthika kwa intragroup pakati pa ziwonetsero ziwiri.
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Zotsatira Zakufufuza
1. M'magawo awiri ozungulira, ali ndi mbiri yodziwika bwino, kunalibe kusiyana kwakukulu pakuzindikira, kutanthauza, kuchuluka kwabodza, ndi magawo ena okhudzana ndi kuwunika kwa madokotala awiri omwe ali ndi magawo osiyanasiyana.
2.Kodi kuwunika kwa mtundu wotsitsa, kutenga kuwunika koyamba monga chitsanzo:
- Ngati pali mgwirizano pakati pa anteroppan ndi okonda kuwunika (zonse zabwino kapena zonse zosakhala zabwino), kudalirika polosera) mtundu wolosera ku DT ndi 100%.
- Ngati pali kusagwirizana pakati pa anteropropnorsod ndi kuwunika kofananira, kudalirika kwa njira zowonereranso kulosera za kuchepetsa kwa ct ndikokwera.
Vewa likuwonetsa chithandizo chabwino chomwe chawonetsedwa mu anteroptornosteros powonekera ngati osakhala ndi malingaliro ofanana. Izi zikuwonetsa kusagwirizana komwe kumachitika pakati pa anteropropnornornorsor ndi ofananira nawo.
Kukhazikitsanso kogwirizana ndi mitundu itatu.
Mu mfundo zam'mbuyomu kuti muchepetse matenda a ma incrochantic, kupatula kuthandizidwa ndi zabwino komanso zoipa, palinso lingaliro la "kusalowerera ndale". Komabe, chifukwa cha zovuta zokhudzana ndi chitsimikizo cha ma fluoroscopy komanso kuzindikira kwa munthu kwa anthu, zowona "kuchepetsedwa" kulibe, ndipo nthawi zonse pamakhala kupatuka kochepa "kapena" zoipa ". Gululo lotsogozedwa ndi Zhang Shimin ku Chipatala cha Yangpa ku Shangha adasindikiza pepala (lomwe likuiwalika ngati wina angakwaniritse zifukwa zogwirira ntchito bwino poyerekeza ndi kutsika kwa anatomical. Chifukwa chake, poganizira kafukufukuyu, kuyeserera kuyenera kupangidwa pakuchita opaleshoni kuti akwaniritse chithandizo chabwino mu innirrochantic fractions, onse a anipoprotembaoconda komanso ofanana ndi malingaliro.
Post Nthawi: Jan-19-2024
