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咨询",[],[],{"_uid":355,"text":356,"component":319,"text_style":357,"component_style":358},"679d2c76-1f2f-48ca-b15b-84d7b5de9f08","在详细的信息和咨询中，会将X射线图像投射在大型显示器上，并首先解释检查结果和所有发现。随后是对各种治疗方案的讨论，进行后续的评估和给出最终治疗建议。不严重的短小可以通过鞋垫或鞋底增高来弥补。然而，在有更多畸形的情况下，从长远来看这通常是不够的。因此，特别是对于年轻患者来说，通过手术解决问题的根本原因并消除短小和畸形往往更为有利。由于高度的专业化，ZEM-Germany的诊断和咨询的声誉远近闻名，且经常被当做值得信任的第二建议方。\n\n检查结果和我们的治疗建议，包括所要求的X光片，也会在一到两周内通过邮局寄出。当然，你可以由亲属或你信任的人陪同前来咨询。",[],[332],{"_uid":360,"image":361,"title":9,"component":338,"copyright":9,"image_style":364,"component_style":365},"05d08b1a-9ff5-4d32-b9b7-661e85ad95ce",{"id":362,"alt":9,"name":9,"focus":99,"title":9,"filename":363,"copyright":9,"fieldtype":11},1772377,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F6720x4480\u002Fecee866e78\u002Fgesprach.jpg",[341,340],[343],{"_uid":367,"text":368,"style":369,"component":370,"text_style":371,"component_style":372},"67b8921b-8d07-4b2f-9e54-e73c51c2e555","请预留足够的时间**（约3小时）**进行体检和咨询。","blue","Info",[],[],{"_uid":374,"text":375,"component":319,"text_style":376,"component_style":377},"658a274c-3a23-4806-a1ac-61c69c54acee","## 手术准备\n\n手术前约2-4周，在ZEM-Germany进行第二次门诊咨询，在此期间完成所有还未做的检查，并提供足够的机会直接与手术医生澄清所有剩余问题。住院时间，手术干预和整个后续治疗都会针对所有的特殊情况进行详细讨论，以便每个病人都能做好充分的准备，以良好的心态开始治疗。\n\n考虑到个人的特殊性，手术前的准备工作可以由您的家庭医生进行，也可以直接在慕尼黑的住院治疗前进行。在大多数情况下，在手术当天入院就可以了。我们的合作医院在各方面都具有最高的卫生标准。ZEM团队将很乐意帮助亲属寻找酒店，有各种类型的房间可供选择。根据手术的情况，预计住院时间为2至6天。",[],[332],{"_uid":379,"image":380,"title":9,"component":338,"copyright":9,"image_style":383,"component_style":385},"9e5cfad5-30e4-4549-9113-a78b63605dc7",{"id":381,"alt":99,"name":9,"focus":99,"title":99,"filename":382,"copyright":99,"fieldtype":11},1772374,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2420x908\u002F1aece293c3\u002Fop1.jpg",[340,384],"h-64",[386],"full-sm",{"_uid":388,"text":389,"component":319,"text_style":390,"component_style":391},"7dc101dc-96b3-4dc0-a46f-b3ad55a0ff30","## 手术\n\n手术本身是在全身麻醉的情况下在现代化的手术室进行的。手术的目的始终是在长度、轴线和旋转方面达到最佳的治疗效果（参见[腿部几何](\u002Fzh\u002Ftui3-bu4-de-ji3-he2-xing2-zhuang4))。ZEM-Germany开发的术前规划技术（反向规划法）以标准化的方式使用，通常能够在一次手术过程中完全纠正所有的偏差参数。轴线和旋转畸形在许多情况下可以在术中直接得到矫正。腿部延长术总是需要小心地进行骨切割，然后缓慢拉伸，以便新的骨组织能在所产生的缝隙中形成，软组织也能随之生长。在绝大多数情况下，可以使用完全植入的髓内牵引钉，因此，多年来外固定器已经成为例外。有了由薄壁管组成的新器械（Tube II系统），髓内钉手术也可以通过微创切口以一种对组织温和的方式进行，因此几乎不会留下任何疤痕。\n\n在ZEM-Germany，患者受益于这里开发的对骨骼和软组织都很温和的微创手术技术 -- 这是高度专业化和多年经验的结果。",[],[332],{"_uid":393,"text":394,"component":319,"text_style":395,"component_style":396},"7dd5325a-311f-4f1a-adae-63dd27a74ae8","## 住院期间\n\n手术后第1天，您可以在理疗团队的帮助下下床活动，必要时还会指导您使用拐杖。如果需要进行肢体延长，最早在术后第3天就会指导您使用轻便且方便使用的电子控制器，这些电子设备是借给您使用的。在手术后的第4天或第5天，通常就可以出院了。可以正常穿衣，淋浴和洗澡，并且在拐杖的帮助下，手术的腿也可承重。感染的低风险和治疗期间的高舒适度是全植入式牵引系统的显著优势。",[],[332],{"_uid":398,"text":399,"component":319,"text_style":400,"component_style":401},"2e89006a-9aaf-49b0-a223-90ab52be1be8","## 延长阶段\n\n在ZEM-Germany，治疗的一个核心重点是手臂和腿部的过短。没有其他医疗中心在这个领域能对全植入式电动髓内牵引钉拥有更多经验。通过一个轻巧的电子控制装置，只要按一下按钮，手术分割开的骨头就会被拉开大约1毫米\u002F天（在同时进行大腿（股骨）和小腿（胫骨）延长的情况下，甚至大约2毫米\u002F天）。延长过程只需要每天三次90秒，而且完全无痛。然而，在延长过程中疼痛感会随着对关节的压力越来越大而越来越明显，这时通常会服用止痛药。为了确保安全的治疗过程，有必要定期进行门诊检查，通常每隔一到两周在ZEM-Germany进行检查。",[],[332],{"_uid":403,"image":404,"title":9,"component":338,"copyright":9,"image_style":408,"component_style":409},"336ddbb4-be85-4530-be48-f2b76dbec285",{"id":405,"alt":9,"_uid":406,"name":9,"focus":99,"title":9,"filename":407,"copyright":9,"fieldtype":11},1772383,"f506bfb1-74bd-4703-bf6f-6186a9b5f0b0","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F4096x2731\u002Ff1238f41d5\u002Fbesprechung.jpg",[341,340],[343,410],"row-span-2",{"_uid":412,"text":413,"component":319,"text_style":414,"component_style":415},"4fe0cb00-c32b-49e7-b26a-79582ab72563","## 巩固阶段\n\n手术矫正治疗的骨骼愈合通常需要3个月左右。然而，在延长术的情况下，这个阶段可能要长得多，具体取决于延长的程度。延长过程中产生的新骨，在延长过程结束时还不能完全负重。在这时继续进行规定的锻炼，会明显加快恢复速度。骨骼完全巩固所需的时间通常是延长期本身的两到三倍。在这之后，可以在没有任何辅助工具的情况下行走，而且在许多情况下，可以重新进行轻度的劳动。新长的骨骼现在越来越适应负荷，变得越来越稳定，与自然生长的骨不再有区别。",[],[332],{"_uid":417,"text":418,"component":319,"text_style":419,"component_style":420},"181029b3-26a7-4be8-bb0d-56414689b4c9","## 重塑阶段\n\n随着完全负重的恢复，步态越来越正常，通过持续的自我锻炼，活动能力很快就会回归正常状态，因此，第一次体育运动成为可能。但是最开始还是需要避免剧烈运动。在这一阶段，植入体仍然留在骨内，但这并不影响，因为它们不会被察觉，从外表根本看不到。",[],[332],{"_uid":422,"text":423,"component":319,"text_style":424,"component_style":425},"cb05242a-0d98-4988-a4c2-f8792354eedf","## 植入体移除\n\n骨内植入体一般应在其作用发挥完后再次取出，否则在后续生活中可能造成问题。只有在老龄人身上，如果预计不会有不良后果，植入体才可以留在骨内。通常情况下，骨内植入体在植入后的12-18个月左右被取出，可以是门诊手术，也可以短期住院2-3天。手术后，可以立即恢复完全负重。这也适用于髓内牵引钉。",[],[332],{"_uid":427,"text":428,"component":319,"text_style":429,"component_style":430},"b2da84b1-d6ff-4eff-bbd8-7d5d676a9f7b","## 最后的体检\n\n在ZEM-Germany，出于对疗效的监测，会对所有病人进行例行的最后体检，这对患者和费用承担者都很重要。在这个时刻，与治疗开始时一样，要进行标准化的问卷调查以及拍照和录像记录。对手臂或腿部再一次进行临床诊断，并通过特定的X光片进行仔细测量。与手术前的检查结果进行比较，就可能判断出治疗的成功与否。最终的检查结果对突发事故后的保险查询也是非常重要的。最终的体检也意味着在ZEM-Germany的治疗结束了。",[],[332],{"_uid":432,"image":433,"title":9,"component":338,"copyright":9,"image_style":436,"component_style":437},"a05b0d61-da72-4623-9792-fabad78fca6d",{"id":434,"alt":9,"name":9,"focus":99,"title":9,"filename":435,"copyright":9,"fieldtype":11},1772378,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F6720x4480\u002Fdb146152a3\u002Fwartezimmer.jpg",[341,340],[410,343],{"id":99,"alt":99,"name":9,"focus":99,"title":99,"filename":9,"copyright":99,"fieldtype":11},"Page",[441],"lg:prose-lg",[],"ZEM-Germany的治疗是按照既定标准进行的，以保证最佳的效果和高水平的质量。",40,[446],"ToDo",0,"0a2c3909-5f97-4925-a1a8-47abdcfcfa9b","2021-05-17T15:59:53.000Z",[],[452,456,460,464,468],{"path":453,"name":454,"lang":455,"published":21},"treatment","Treatment","en",{"path":457,"name":458,"lang":459,"published":21},"tratamiento","Tratamiento","es",{"path":461,"name":462,"lang":463,"published":21},"alaj-aw-maamlh","علاج 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