I tata nei, ko Liu Hucheng, te kaiwhakahaere o te Tari o te Bone and Soft Tissue Oncology i te Hohipera Hononga Tuatahi o te Whare Wananga o Nanchang, kua oti te "tangohanga pelvic tumor + sacral osteotomy + pelvic replacement + hip replacement + lumbar pedicle screw fixing internal fixation" me te LDK i whakarite i te porowhita pelvic. , a i pai te mahi.
I tukuna te manawanui ki te hohipera o waho mo te mamae o muri me te mamae.I muri i te whakaotinga o nga whakamatautau e pa ana ki te huha, i kiihia te manawanui ki te mate osteo-mate, engari kaore ia i aro ki a ia, katahi ka kaha haere nga tohu o te mamae me te iti o tana neke.Na ka tae mai te manawanui ki te Tari o te Bone and Soft Tissue Oncology o te Hospital Hononga Tuatahi o te Whare Wananga o Nanchang mo te maimoatanga.
I muri i te whakaurunga ki te hōhipera me te whakaoti i te koiora o te wheua pelvic, ka tohuhia te manawanui ki te osteosarcoma.I muri mai i te hangatahitanga o te mahere mahi pokanga e nga tari maha, ka oti te whakarite i mua i te mahi, ka mahia e te roopu Kaiwhakahaere a Liu Hu Cheng te "tangohanga pukupuku pelvic + osteotomy sacral + whakakapinga pelvic + whakakapi hipoki + riu riu o roto" mo te manawanui.
Whakaahuatanga:
Te manawanui, wahine, 52 tau
amuamu:
Neke atu i te 3 marama i muri mai i te chemotherapy mo te osteosarcoma wheua pelvic
Hītori hauora o nāianei:
I amuamu te manawanui i te 2022-10, kaore he take e kitea ana mo te mamae o te tuara iti me te mamae, me te mamae me te pupuhi, me te mamae i te taha maui o raro, kei roto i te hope maui, te taha maui o raro, te taha o muri. o te huha, te taha o muri o te kuao kau tae atu ki te waewae maui, te mate o te raro o te waewae maui, ka nui haere te mamae i muri i te roa o te tu me te haere, a ka taea te whakamama i te wa e okioki ana, kaore i arohia, katahi ka ka timata nga tohu mamae ki te piki haere, kare e taea te hikoi.
Ko te tohu a te MRI: 1) he tohu rerekee o te wheua iliac maui, me te whakaaro ki te tupono ka pa te mate kino;2) he iti te wai i roto i te hononga hope maui.Karekau he maimoatanga motuhake i tukuna, i tenei wa ka uru te turoro ki te hohipera mo etahi atu maimoatanga.
tātaritanga haumanu:
"Post-chemotherapy myelosuppression" whakaurunga
Ko te tukanga e whakaarohia ana ko te "tangohanga puku pelvic + osteotomy sacral + whakakapinga pelvic + whakakapi hipoki + whakatika o roto me te hurihanga riu lumbar"
Ko nga tauira i tukuna mo te whakamatautau：
I tukuna te puku pelvic maui mo te tirotiro: te kiko wheua kore ahua, te rahi 19.5X17X9 cm, me te kiko uaua e piri ana, te rahi 16.5X16X3.5 cm, te werohanga maha-waahanga, 1.5 cm mai i te taha o te cautery, i kitea he papatipu i roto i te kiko uaua. , te rahi 8X6.5X4.5 cm, hina hina-whero, he uaua, he iti te tohu i waenga i te waahi arotahi me te kiko wheua.
Te puku nerve sciatic maui: te kiko hina-whero kore ahua, te rahi 9.5X3X3m, hina-ma-hina-whero he uaua ki te mata kua tapahia.
Ma te mataiti, i whakaatu te puku i te tohatoha lamellar totoka, ka whakaekea te fibrofat peripheral, te uaua whakawhiti me te kiko nerve, me nga pūtau kohikohiko te ahua, te nucleoli kitea, ngawari ki te kite i te schizophrenia karihi, nga heterotypes kitea me te nui o te necrosis.
Te tātaritanga pathological:
(Te pelvis maui) I honoa ki te haumanu, te whakaahua me te hitori, i rite ki te whakautu i muri i te chemotherapy mo te osteosarcoma teitei (momo noa).
Te karaehe Huvos: te reanga II (he haumanu iti te whai hua, >50% te necrosis kiko pukupuku, te kiko pukupuku e ora ana).
Ko te tawhwhanga o te kopa: karekau i kitea he urunga.
(te nerve sciatic maui) kitea te urunga o te whara: 2 atu ngongo rewharewha i kitea, karekau he metastasis i kitea (0/2) Ka kitea te matū mate mate: CK(-)；Vimentin(3+)；Ki-67(75%+)；SATB2(+) ；IMP3(+)；MDM2(+)；P16(+)；S-100(marara +)；H3.3G34W(-)；Brachyury(-)；Desmin(-)；CD68(-).
Whakamahere pokanga:
Te tangohanga pukupuku o te kopu + te osteotomy sacral + te whakakapinga pelvic + te whakakapi hipoki + te hurihanga o te riu o roto
Tuhinga o mua
Postoperative
Te Whakatakinga Taonga
Ahorangi Hucheng Liu
Ko te Hospital Hononga Tuatahi o Nanchang University Orthopedic Hospital
Tumuaki, Te Tari o te Wheua me te Kopa Ngohe oncology
Te rata matua, Ahorangi Tuarua, Kaitirotiro Kaiwhakaako
Kaiwhakahaere o Bone and Soft Tissue Tumor Group, Orthopedic Branch, Jiangxi Medical Association
Heamana Tuarua mo te Komiti Tumor Bone and Tissue Soft of Jiangxi Physicians Association Peka Orthopedic
Te wa tuku: Apr-26-2023