Vuba aha, Umuyobozi Chengjie Liao w’ibitaro mpuzamahanga by’amajyaruguru y’iburasirazuba yabazwe “byombi” unicondylar yo gusimbuza umurwayi urwaye osteoarthritis yo mu ivi byombi hamwe na prothèse LDK XU UKA, kandi kubaga byagenze neza.
Umurwayi yari amaze imyaka 10 arwaye ububabare bw'amavi yombi kandi yagize ububabare mugihe agenda.Nyuma yo kurangiza ibizamini bijyanye, Umuyobozi Chengjie Liao yasanze amavi yombi yemerewe gusimburwa unicondylar, nuko ahitamo gukora umusimbura w’amavi unicondylar kugirango abungabunge imikorere yambere yivi kurwego runini.
Gusimbuza impande zombi no kubika neza ivi byakemuye neza ikibazo cy’uburwayi bw’ivi ry’umurwayi, kandi umurwayi yishimiye cyane ibyavuye mu kubaga.
Ibisobanuro:
Murebwayire, umugabo, imyaka 60
Ikirego:
Kubabara mu mavi byombi mumyaka 10, bikabije mumezi 2 ashize.
Amateka yubuvuzi agezweho:
Umurwayi yagize ububabare mu mavi yombi hashize imyaka 10, ububabare iyo ugenda, ivi ry'ibumoso ryarakabije gato, uruhande rwo hagati rwarushijeho kuba rubi, nta mbogamizi ikomeye yagaragaye mubikorwa byo guhindagurika no kwaguka, ububabare bwagaragaye mugihe ugendana uruhande rwo hagati rwombi amavi, ububabare bwiyongereye mu mezi 2 ashize, ingaruka z’imiti igabanya ububabare bwo mu kanwa ntabwo yari nziza, kubera ubundi buvuzi bwinjiye mu bitaro
Amateka ya kera:
Hypertension kumyaka 3.
Kugenzura umubiri:
Ubusanzwe kugabanuka kwa physiologique yumugongo, nta gitutu kijyanye no kuzunguruka kwumugongo wumugongo, nta kubyimba kw'amavi yombi, nta guhindagurika kugaragara guhindagurika, guhindagurika bisanzwe no kwagura amavi yombi, ububabare bwumuvuduko ukikije ivi ryibumoso (+), hamwe nububabare bwo hagati nkuko bigaragara, igeragezwa ryiza rya patellar, ikizamini cyiza kireremba patella, ikizamini cyo gukurura ibibi, kugendagenda kumavi: guhindukirira ivi ryibumoso 120 °, kwaguka 0 °, ivi ryiburyo 120 °, kwagura 0 °
Ibizamini by'abafasha:
Imbere na X-ray y'ivi ry'ibumoso yerekanyeosteophète kumpera yamagufa yikivi cyibumoso cyibumoso, umusozi wa intercondylar warakaye, bimwe mubice bya arctular byari sclerotic hamwe na osteofite, kandi umwanya uhuriweho wagabanutse gato.
Imbere na kuruhande X-imirasire yivi yiburyo yerekanyeosteofitite ityaye ku nkombe z'amagufwa y'ivi ry'iburyo ry'iburyo, umusozi wa intercondylar warakaye, ubuso bwahujwe bwari sclerotic hamwe na osteofite, kandi umwanya uhuriweho wabaye muto.
Magnetic resonance ishusho yivi ryibumoso yerekanye:sagittal T2WI-FS, coronale T1WI T2WI-FS, hamwe na transvers ya T2WI: osteophète na osteophète mu ivi ryibumoso, kugabanya umwanya uhuriweho hagati, kunanuka kwa karitsiye ya articular, kutubahiriza no kubura igice, ibimenyetso bihanitse munsi yubuso bwa rusange femur ya kure na tibia yegeranye, hamwe nibimenyetso bisa na cystic signal muri tibia yegeranye.Amashusho ya FS ya menisque yo hagati na kuruhande yerekanaga umurongo muremure.Ihembe ryinyuma rya menisque yo hagati ryakozwe muburyo budasanzwe kandi ryimurwa, kandi ikimenyetso kinini cyaguye kumpera.Urupapuro rwimbere rwimbere rwarushijeho kwiyongera hamwe nibimenyetso bya FS byiyongereye, kandi ishusho ya FS yerekana impande zombi zerekana ibimenyetso byerekana umurongo muremure;ligamenti yinyuma yimbere hamwe ningingo yo hagati yingwate ntago yerekanaga ibimenyetso bidasanzwe.Igice cya capsule cyagaragaye cyuzuyemo amazi, kandi karuncle yabonaga ari cystic.Amashusho ya FS yumubiri woroshye wa peripatellar hamwe namavuta ya infrapatellar yerekanaga ibimenyetso byinshi bya heterogeneous patchy.
Magnetic resonance yi ivi ryiburyo yerekanye. ubuso bwa femur ya kure na tibia yegeranye kumashusho ya FS.Amashusho ya FS ya menisque yo hagati na nyuma yerekanaga ibimenyetso byerekana umurongo muremure, kandi menisque yo hagati yari ifite imiterere idasanzwe kandi yimuwe hanze.Ligaments y'imbere n'inyuma yari ifite morphologie idasanzwe kandi yerekanaga ibimenyetso byinshi bitandukanijwe ku ishusho ya FS, mugihe ingwate yo hagati hamwe nimpande zombi itagaragaje ibimenyetso bidasanzwe.Ikimenyetso cyo gukusanya amazi adasanzwe cyagaragaye muri capsule ihuriweho.Ishusho ya FS ya peripatellar yoroheje nuduce twibinure bya subpatellar yerekanaga ibimenyetso byinshi bya heterogeneous patchy.
Imbere X-ray yibibuno byombi byerekanwe:Ubucucike bw'amagufwa hamwe na morfologiya y'amagufwa y'ibibuno byombi ntibyari bisanzwe, kandi umwanya uhuriweho werekanye neza, nta kwaguka cyangwa kugabanuka, nta kuvunika neza cyangwa ibimenyetso byo kwangirika kw'amagufwa byagaragaye.Nta bidasanzwe byari bisanzwe mu ngingo zoroshye.
Kwipimisha kwa muganga:
1. Osteoarthritis y'amavi yombi
2. Umuvuduko ukabije w'amaraso
Nyuma yo kubagwa:
XU UKA
LIAO Chengjie
Umuganga Mukuru, Ishami rishinzwe kubaga amagufwa, ibitaro mpuzamahanga byo mu majyaruguru y'uburasirazuba
Umusore ukiri muto wa komite yamagufwa hamwe na komite ihuriweho na rubagimpande
y'Ubushinwa Sosiyete ishinzwe ubuvuzi busubiza mu buzima busanzwe,
Umwe mu bagize komite ya mbere y’ishyirahamwe ry’ubuvuzi rya Liaoning ishami ry’ihungabana,
Umunyamuryango wa komite yumwuga ya Osteoporose yintara ya Liaoning.
Igihe cyo kohereza: Apr-19-2023