Muva nje, u-Li Haomiao, umqondisi womnyango we-Bone Oncology we-Third Affiliated Hospital of Southern Medical University, uqedele ukushintshwa kokukhubazeka kwe-hemipelvic ngemva kokukhishwa kwesimila nge-LDK eyenziwe ngokwezifiso isimila prosthesis, futhi ukuhlinzwa kwahamba kahle.
Isiguli kwatholakala ukuthi sinenqulu yesokunxele ngo-2007 futhi senziwa "ukususwa kwe-tumor ye-left hip + ithambo lokuxhunyelelwa" kwesinye isibhedlela.Ngo-2010, inqwaba yaphindeka futhi waphinde wabhekana "ne-left hip bone tumor lesion resection + bone cement filling" futhi i-postoperative pathology yabonisa ukuphindaphinda kwe-chondroblastoma.Isibhedlela saphakamisa ukuthi isiguli siye esibhedlela sikangoti we-oncology ukuze siqhubeke nokwelashwa, kodwa isiguli asizange sikunake.
Eminyakeni yamuva nje, isiguli sazwa ubuhlungu obuningi enqulwini yesokunxele, kwathi ngoNovemba 2021, sahlolwa isibhedlela esingaphandle, esabonisa "ukugudluka kwe-hip kwesokunxele kanye ne-ischemic necrosis yekhanda lesifazane", okuhambisana nezinguquko ze-morphological and signal of the I-pelvis yesokunxele kanye nemisipha ezungezile, i-ischemic necrosis yekhanda lesobunxele lesifazane kanye nokukhishwa kwe-hip kwesokunxele, kanye nokwandiswa kwama-lymph nodes amaningi esifundeni se-inguinal kwesokunxele.
Ukuze uthole olunye ukwelashwa okuhlelekile, isiguli “senze i-percutaneous low artery embolization kanye ne-transurethral ureteral stenting” kanye “nokukhishwa kwe-pelvic mass + i-hip arthroplasty yesokunxele + nokulungiswa kwesinye” ngo-August 2022, nokululama kahle.
Manje, isiguli sinenkinga yokunyakaza futhi ngisho nokuphenduka.Ukuze kwakhiwe kabusha i-pelvic, isiguli safika eMnyangweni We-Bone Oncology we-Third Affiliated Hospital of Southern Medical University.
Ngaphambi kokuhlinzwa
Ngemuva kokuthi uMqondisi u-Li Haomiao ephothule ukuhlolwa okufanele, ukuqinisekisile ukutholakala kokukhubazeka kwe-hemipelvic ngemuva kokukhishwa kwesimila se-pelvic kwesokunxele.Ithimba lahlela ukubonisana kwezinhlaka eziningi, lenza uhlelo lokwelapha lokuhlinzwa oluphelele, laklama i-prosthesis eyenziwe ngokwezifiso neqembu le-LDK oncology, futhi ekugcineni lahlinza ngokushelela, futhi ukuhlinzwa kwaqhubeka kahle kakhulu.
Incazelo:
Isiguli, owesilisa, oneminyaka engama-31 ubudala
Isikhalazo:
Ukukhubazeka kokuhamba isikhathi esingaphezu kwezinyanga ezingu-7 ngemva kokukhishwa kwe-pelvic mass.
Izivivinyo ezikhethekile:
Isibazi sokuhlinzwa esingama-30cm sibonakale okhalweni lwesokunxele, ngaphandle kwesikhumba esisobala noma ukuvuvukala kwezicubu ezithambile, akukho ukuphuka noma imithambo ye-varicose, ukuzwa okuvamile kuzo zombili izitho ezingezansi, amandla avamile emisipha kuzo zombili izitho ezingezansi, ibanga V, ithoni yemisipha evamile, i-peripheral enhle. ukugeleza kwegazi, idolo elivamile lamazwe amabili kanye ne-Achilles tendon reflexes, uphawu olubi luka-Hoffmann, uphawu lwe-Babinski olungalungile, uphawu lwe-Kernig olubi.Umlenze othintekile wawumfushane ngo-3 cm kune-contralateral, futhi i-hip joint yayivinjelwe kakhulu, kodwa amanye amalunga ayenokunyakaza okuhle kwezinzwa.
Izivivinyo ezisizayo:
2022-08-19 I-Pelvic CT: izinguquko zangemva kokuhlinzwa ku-pelvis yesokunxele.
Ukuxilongwa komtholampilo:
1, Ukukhubazeka kwe-Hemipelvic ngemva kokukhishwa kwesimila se-pelvic kwesokunxele
2. Ukululama ngemva kokuhlinzwa
I-Intrukuhlinzwa
Postoperative
Sudokotela ohlinzayo Isingeniso
Hamiao LI
Umphathi Womnyango Wezifo Zamathambo, Udokotela Omkhulu
MD, Umeluleki we-Postgraduate
UDkt ekuhlinzeni amathambo wase-Sun Yat-sen University.Uxhaswe uMnyango Wezemfundo WeRiphabhulikhi Yabantu YaseShayina "Uhlelo Lokuqeqeshwa Kothisha Olusha Kwamanye Amazwe" futhi wafunda e-Italy njengomfundi ohlangene wobudokotela.USolwazi Boriani wamfundisa amakhono okuhlinza.Ubelokhu enza ubudokotela iminyaka engaphezu kwengu-20 futhi uqongelele ulwazi olucebile ekukhethekileni kwesimila samathambo.Uvakashele izikhungo eziningi zesimila samathambo eYurophu, eMelika naseJapan, kanye nesikhungo esikhulu kunazo zonke samathambo e-China, i-Bone and Soft Tissue Tumor Center yasePeking University People's Hospital, ukuze afunde emandleni ezikole ezihlukahlukene zokucabanga.Ushicilele amaphepha anenkomba ye-SCI ayi-8 kanye namaphepha angaphezu kwama-20 kumajenali asemqoka asekhaya.Unikezwe amalungelo obunikazi ama-4 wamamodeli awusizo kanye ne-patent engu-1 yezinto ezisunguliwe.Usengamele futhi wabamba iqhaza ezinhlelweni ezi-5 zikazwelonke nezesifundazwe.Waklonyeliswa ngesihloko esithi “Yangcheng Udokotela Omuhle” ngo-2017, “Lingnan Famous Doctor” ngo-2017 nango-2020, “Guangzhou Strong Young Doctors” ngo-2018. Wakhethwa njengo “Outstanding Young Medical Talents of Guangdong Province” futhi wawina okwesibili. Umklomelo we-"Outstanding Young and Middle-Aged Paper" ku-20th National Bone Tumor Conference yephepha lakhe elithi "Whole Block Resection of Complex Lumbosacral Spine Malignant Tumor".
Ama-aphoyintimenti Wezemfundo:
IPhini likaSihlalo we-Chinese Division ye-International Society of Orthopedics and Traumatology (SICOT) Bone Tumor Society.
Ilungu Lekomidi Elimile Lekomidi Le-Bone Tumor kanye ne-Bone Metastasis le-China Anti-Cancer Association
Ilungu elimile leKomidi leSarcoma le-China Anti-Cancer Association
IPhini likaSihlalo we-Pelvic Tumor Group, i-Sarcoma Specialised Committee ye-China Anti-Cancer Association
IPhini likaSihlalo we-Spine Tumor Group yeKomidi Elikhethekile le-Sarcoma le-Chinese Anti-Cancer Association
Ilungu Likazwelonke Leqembu Le-Bone Tumor Yegatsha Lamathambo le-Chinese Medical Association
Umqondisi Wekomidi Lokulungisa Amathambo Nokwakha Kabusha le-Guangdong Primary Medicine Association
Amathalente Ezokwelapha Asesha Avelele EsiFundazweni sase-Guangdong
Ubuchwepheshe bomtholampilo:
amathumba omgogodla, amathumba e-pelvic, ama-sacral tumors, amathambo asemaphethelweni, izimila zezicubu ezithambile, ama-metastases amathambo, ingcweti ekuhlinzeni ukulondoloza izitho, ukushintshwa kwe-pelvic, ukukhishwa kwe-sacral tumor, ukukhishwa okuphelele kwe-block (En-bloc) yezimila zomgogodla.Unokufinyelela okuphezulu ekwelashweni okungavamisile okuncane kwezimila eziyinhloko kanye ne-metastatic yomgogodla.
Isikhathi sokuthumela: Apr-17-2023