Ho ea ka American Journal ea Roentgenology , tšebeliso ea kyphoplasty e le phekolo ea ho fereha ha methapo ea matšoao e ntse e phahama. Empa kyphoplasty ke eng?
Kyphoplasty ke mokhoa o fokolang oa lesapo la mokokotlo o fuoang bakuli ba lahlehileng bophahamong ba 'mele e le' ngoe kapa ho feta e mengata ka lebaka la ho robeha ha 'mele. Kyphoplasty e boetse e kenyelletsa vertebroplasty, e etsoang ho laola bohloko bo amanang le ho robeha.
Mekhoa ena ka bobeli e kenyelletsa lejoe la samente ea acrylic ka har'a lesapo, empa ka kyphoplasty , balune e kenngoa hape e le hore e tsosolose e meng kapa bophahamo bohle ba lesapo. Mesebetsi ea bobeli e buuoa ka thuso ea fluoroscopy, moo khamera e nyenyane e kenngoa sebakeng seo; setšoantšo se hlahisitsoeng skrineng se tataisa ngaka ha a sebetsa.
Li-Kyphoplasties hangata li akarelletsa ho hlola bosiu sepetlele ha li-vertebroplasties li atisa ho fuoa mehaho e ka ntle.
Botle ba opereishene tsena ke hore (maemong a mangata) phomolo ea bohloko e etsahala hang ha ba qetile. Hase feela hoo, empa tekanyo ea mathata a amanang le eona a tlaase.
Mathata a Kyphoplasty le Vertebroplasty
Le hoja kyphoplasty le vertebroplasty e le mekhoa e tummeng har'a lingaka, 'me ho bonolo haholo ho mokuli ka taba eo, ba ntse ba nkoa e le "tsekisano." Ka August 2009, New England Journal of Medicine e phatlalalitse liphello tsa liteko tse peli tse laoloang ke randomise, tse ileng tsa fumana hore bakuli ba vertebroplasty ba fumanoang ke ente ea samente le ba fumanang liente tsa placebo ba e-na le phihlelo ea ho phomola ho lekanang.
Phuputso e phatlalalitsoeng ho Maikutlo a Orthopedic Review ea May 2012 e fumane hore tekanyo ea mathata a balloon kyphoplasty e tlaase. Leha ho le joalo, bakuli ba 40 lekholong thupelong ea bona (e neng e shebile batho ba 297 ba neng ba e-na le balonta kyphoplasty) ba ile ba fumana samente e phallang ka ntle ho masapo. Thutong eona eo, mokuli e mong o ile a boela a arabela ka ho theoha ha li-balloon (ka hypotension le tachycardia) mme motho e mong o ile a tšoaroa ke pelo.
Phuputso e ile ea tlaleha mathata a mang, ka mohlala, tšoaetso, 'me, morao-ts'ebetso, li-fractures tse ncha tse hlokahalang hore e be lebalon kyphoplasty.
Ka linako tse ling leruo la samente le baka liphello tse ncha tsa bohloko 'me le ka eketsa kotsi ea ho robeha ha lesea le leng - ka lesapo le haufi. Thuto e nyenyane, e tsoang Univesithi ea Rochester, e bapisa vertebroplasties (vertebroplasty ke mokhoa o tšoanang le kyphoplasty), ho bakuli ba 38.
Sehlopha se seng se ile sa amohela ente ea samente ha sehlopha sa papiso se sa e fumane. Phuputso eo e fumane hore ho ba fumaneng samente, karolo ea 58 lekholong e na le ho robeha ha vertebra e haufi; ea ba sa kang ba kenngoa, ke karolo ea 12 lekholong feela e ileng ea e-ba le fracture e haufi.
E le ho leka ho rarolla tse ling tsa likhang tse pota-potiloeng samente ka likyphoplasties le li-vertebroplasties, tlhahlobo ea 2014 e phatlalalitsoeng ho Biomedical Research International e bapisa mekhoa ena ea tsamaiso ea tlhekefetso ka lebaka la bohloko, bokooa, boleng ba bophelo, fractures e ncha, katleho ea kyphosis ho lokisoa, ho tsosolosoa ha litlolo, le samente le mathata a mang.
Bafuputsi ba fumane hore ho buuoa ka bobeli ho etsa tharollo e molemo ho feta tlhokomelo e hlokang tlhokomelo (e bolelang kelello). Phuputsong ena, mathata a ne a sa tloaelehe, empa a sa utloe, 'me kyphoplasty e fumanoe e le molemo ho feta vertebroplasty ka samente e phallang.
> Mehloli:
> Bergmann M., Oberkircher L., Bliemel C., Frangen T., Ruchholtz S., Krüger A. Liphello tsa bongaka ba pele le mathata a amanang le balloon kyphoplasty. Orthop Rev (Pavia). May 2012.
> Lin EP, Ekholm S, Hiwatashi A, Westesson PL.Vertebroplasty: samente e kenang ka har'a disk e eketsa kotsi ea ho robeha ha setopo se haufi le 'mele. AJNR Am J Neuroradiol. 2004 Feb; 25 (2): 175-80.
> Nako e telele, Suzanne, S. le. al. Vertebroplasty le Kyphoplasty United States: Mokhoa oa ho fana ka tsamaiso le tataiso, 2001-2010. AJR December 2012 vol. 199 che. 6 1358-1364 dita: 10.2214 / AJR.12.8733.
> Papanastassiou, I., Filis A., Gerochristou M., Vrionis F. Litaba tse hanyetsanoang ka kyphoplasty le vertebroplasty li-fractures tse nyenyane tsa osteoporotic. Resom Res Res. 2014.