Kuyini Ukuhlinzwa Kwe-OLIF?
I-OLIF(i-oblique lateral interbody fusion), iyindlela engenele kancane yokuhlinzwa kokuhlanganiswa komgogodla lapho udokotela ohlinzayo efinyelela futhi alungise umgogodla ophansi (i-lumbar) kusukela ngaphambili nangaseceleni komzimba.Ukuhlinzwa okuvamile.
I-intervertebral disc ingaphambili kuso sonke isakhiwo somgogodla, okungukuthi, indlela ye-oblique yangaphambili inezinzuzo ezinkulu.
●Indlela yokubuyela emuva yangaphambili ibe nendlela ende okufanele idlule.Kudingeka isikhumba, i-fascia, imisipha, amalunga, ithambo, bese kuba i-dura mater ukubona i-disc.
● Ukuhlinzwa kwe-OLIF kuyindlela ye-oblique lateral, kusukela endaweni ye-retroperitoneal kuya endaweni ye-intervertebral disc, bese kwenziwa uchungechunge lwemisebenzi, njengokunciphisa, ukulungiswa, nokuhlanganiswa, kwenziwa.
Ngakho-ke uma uqhathanisa izindlela ezimbili ezihlukene, kulula ukwazi ukuthi iyiphi indlela engcono, akunjalo?
Inzuzo Yokuhlinzwa Kwe-OLIF
1. Inzuzo enkulu kakhulu ye-oblique lateral approach ukuthi iwukuhlinzwa okuhlaselayo kancane, igazi linciphe kanye Nezicubu ezibomvu.
I-2.Ayibhubhisi isakhiwo esivamile, ayidingi ukusika isistimu ye-skeletal evamile noma i-muscle system kakhulu, futhi ifinyelela ngokuqondile isikhundla se-intervertebral disc kusuka kugebe.
3.Izinga eliphezulu lokuhlanganisa.Ngenxa yokuthuthukiswa kwensimbi, i-OLIF ifakwe kakhulu ngekheji elikhulu.Ngokungafani nendlela yangemuva, ngenxa yokuvinjelwa kwesikhala, ikheji elifakiwe lincane kakhulu.Kuyacatshangelwa ukuthi ukuhlanganisa imizimba emibili yama-vertebral ndawonye, uma ikheji likhudlwana elifakiwe, izinga lokuhlangana liya phezulu.Njengamanje, kunemibiko yezincwadi yokuthi ngokwethiyori, izinga lokuhlanganisa le-OLIF lingafinyelela ngaphezu kwama-98.3%.Uma kusondele ikheji elingemuva, kungakhathaliseki ukuthi ikheji elincane limise okwenhlamvu noma limise okwezinso, indawo okuhlala kuyo cishe ayidluli ku-25% kakhulu, futhi izinga lokuhlanganisa elizuziwe liphakathi kuka-85% -91%.Ngakho-ke, izinga lokuhlanganisa le-OLIF liphezulu kakhulu kukho konke ukuhlinzwa kwe-fusion.
4. Iziguli zinesipiliyoni esihle sangemva kokuhlinzwa kanye nobuhlungu obuncane.Kuzo zonke izinhlelo zokusebenza, ukuhlanganiswa kwesigaba esisodwa, ngemuva kokuhlanganiswa ngaphansi komzila wendlela yangemuva, isiguli ngokuqinisekile sizodinga izinsuku ezimbalwa zokulawula ubuhlungu nokuvuselela ngemuva kokuhlinzwa.Kuthatha cishe izinsuku ezimbili noma ezintathu ukuthi isiguli siphume kancane kancane embhedeni sihambe sihamba.Kodwa ngokuhlinzwa kwe-OLIF, uma wenza nje i-Stand-Alone noma ukulungisa okuhlanganisa isikulufa se-pedicle esingemuva, ulwazi lwesiguli lwangemva kokuhlinzwa luyoba luhle kakhulu.Ngosuku lwesibili ngemva kokuhlinzwa, isiguli sasizwa ubuhlungu obuncane futhi sasikwazi ukunyakaza phansi.Lokhu kungenxa yokuthi ingena ngokuphelele esiteshini, ngaphandle kokulimala kunoma yiliphi izinga elihlobene nemizwa, futhi ubuhlungu buyancipha.
I-5, ukutakula kwe-OLIF ngemuva kokuhlinzwa kuyashesha.Uma kuqhathaniswa nokuhlinzwa okungokwesiko kwe-posterior, iziguli ngemuva kwe-OLIF zingalulama ngokushesha futhi zibuyele empilweni evamile futhi zisebenze maduze.
Ekuphetheni
Ngokwezinga elithile, izinkomba zobuchwepheshe be-OLIF ngokuyisisekelo zihlanganisa zonke izifo eziwohlokayo zomgogodla we-lumbar, njenge-inclusive disc herniation, i-lumbar spinal stenosis, i-lumbar spondylolisthesis, njll. Kukhona ezinye izici ezidinga ukususwa, njengesifo sofuba somgogodla. kanye nokutheleleka okudingeka kususwe ngaphambili.
Lezi zifo zingelashwa kahle yi-OLIF futhi zingathola imiphumela engcono yokuhlinzwa uma kuqhathaniswa nokuhlinzwa kwendabuko kwasekuqaleni.
Ithimba Lezobuchwepheshe le-XC MEDICO lingochwepheshe Bokuhlinza Uhlelo Lomgogodla, linganikeza izixazululo zokuhlinzwa zomtholampilo kumaklayenti ethu.
Isikhathi sokuthumela: Jun-08-2022