Igisubizo kibangamiye ubuvuzi bwa endoskopi mubuvuzi bwinkari

1 Intambwe ya Revolution yo kuvura amabuye

(1) Digital ureteroscope (fURS)

Ihungabana ry'ikoranabuhanga:

4K yerekana amashusho ya digitale (nka Olympus URF-V3): imyanzuro yiyongereye kugera kuri 3840 × 2160, igipimo cyo kumenyekanisha amabuye cyiyongereyeho 30% ugereranije na microscopi fibre optique.

271 ° kunama cyane: Igipimo cyo gutsinda cyo munda yimpyiko cyavuye kuri 65% muri endoskopi gakondo kigera kuri 98%.

Iterambere rya Clinical:

Lizotripsy ya Holmium ikomatanyije (nka Lumenis Pulse 120H) irashobora kugera ku gipimo kimwe cyo gukuraho amabuye arenga 90% kumabuye yimpyiko munsi ya 2cm.

Kubaga Tubeless: Nta kabili J isigaye nyuma yo kubagwa, kandi umurwayi asohoka kumunsi umwe.

(2) Ultra nziza ya neproskopi (UMP)

Ibyingenzi bya tekinike:

13Fr umuyoboro (hafi 4.3mm): igabanya ihungabana 80% ugereranije na PCNL isanzwe (24-30Fr).

Sisitemu mbi yo gukuraho amabuye (nka ClearPetra): igihe nyacyo cyo gukuramo amabuye, umuvuduko wimpyiko <20mmHg (kugirango wirinde kwandura).

Kugereranya amakuru:

(3) Isesengura nyaryo ryibigize ibuye

Laser yatewe no gusenyuka (LIBS):

Hita uhita umenya ibuye (nka acide uric / cysteine) mugihe cyo kubagwa no kuyobora imirire nyuma yo gutangira.

Imibare yaturutse muri kaminuza ya Munich mu Budage yerekana ko igipimo cyo kongera amabuye cyagabanutseho 42%.

2 treatment Kuvura neza no kuvura byibibyimba

(1) Lazeri yubururu yuzuye ikibyimba cyuruhago

Ibyiza bya tekiniki:

450nm yumurambararo wa laser ihitamo guhumeka ibibyimba, hamwe nubugenzuzi bwimbitse bwa 0.5mm.

Ugereranije n'amashanyarazi gakondo, indwara ya obturator reflex yagabanutse kuva kuri 15% igera kuri 0%.

Amakuru y’ubuvuzi:

Igipimo cyumwaka umwe wongeye kugaruka kwa kanseri y'uruhago idasanzwe (NMIBC) yari 8% gusa (24% mumatsinda yo kwanga).

(2) Icapiro rya 3D ryanditse kuri nephrectomy igice

Igikorwa:

intambwe 1. Shyira ahagaragara impyiko iboneye ishingiye kumibare ya CT hanyuma ushireho imbibi yibibyimba.

intambwe2. Uhujwe na fluorescence laparoscopy (nka da Vinci SP) kugirango ibe yakira neza mugihe urinda ibice bisanzwe byimpyiko.

Ingaruka zo kuvura:

Igipimo kibi cyibibyimba ni 100%, naho igipimo cyo kuyungurura isi (GFR) kigabanukaho 7% gusa.

(3) Gukuraho amavuta ya prostate (Rez ū m)

Urwego:

103 ℃ umwuka uterwa muri urethra kugirango ugabanye neza glande hyperplastic (wirinde mucosa urethral).

Ibyiza:

Serivise zo hanze zirashobora kurangira muminota 15, hamwe nigikorwa cyo kubungabunga imikorere yimibonano mpuzabitsina hejuru ya 95% (ugereranije na 60% kuri TURP).

3 innovation Guhanga udushya kuri endoskopi yindwara zibuza

(1) Sisitemu yubwenge yubwenge

PH yita kuri ureteral stent:

Iyo pH yinkari iri hejuru ya 7, izahita yaguka kugirango igabanye inzitizi, kandi mugihe pH isanzwe, izasubira inyuma (kugirango wirinde kugumana igihe kirekire).

Ibinyabuzima bishobora kwangirika:

Ibikoresho bya aside polylactique byinjijwe neza mugihe cyamezi 6 kandi ntibisaba kuvanaho kabiri.

(2) Kubaga endoscopic urethral kubaga

Umuti wo guhangayika kwabagore inkari:

Transvaginal Urethral Guhagarika umutima (TVT-O), igihe cyo kubaga

Igipimo cyo gukira ni 92%, ni ukugabanya 90% ihahamuka ugereranije no kubaga kumugaragaro.

4 、 Andrologiya na Urologiya ikora

(1) Tekinike ya seminal vesicle endoscopy

Gusaba intambwe:

Indorerwamo ya 0.8mm ultra-thin yakoreshejwe kugirango retrograde isohore binyuze mumiyoboro yo gusohora kugirango ivure hematospermia (intsinzi ya 96%).

Kuvumbura na electrocoagulation ya seminal vesicle amabuye / ibibyimba, kubungabunga imikorere yuburumbuke.

(2) Gutera robot ya prostate

Sisitemu ya Da Vinci:

Umwobo umwe wuzuye urangiza gutandukanya corpus cavernosum, bigabanya kwangirika kwimitsi nimitsi.

Igihe cyo gukira cyimikorere yibikorwa nyuma yo kubagwa cyaragabanijwe kuva ibyumweru 6 kugeza ibyumweru 2.

5 direction Icyerekezo cy'ikoranabuhanga kizaza

(1) Sisitemu yo Kuburira Ibuye rya AI:

Kimwe nisesengura ryinkari za Dario Ubuzima AI, guhanura ibyago byamabuye amezi 3 mbere.

(2) Nano robot endoscope:

Magnetic nanorobot yatejwe imbere mubusuwisi irashobora gukuraho byimazeyo amabuye mato yimpyiko.

(3) Kwigana chip organisation:

Gereranya inzira ya endoskopi yinzira kuri chip mbere yo kubagwa kugirango ugabanye umurongo wo kwiga.

Imbonerahamwe yo Kugereranya Inyungu

Ibyifuzo byingamba zo gushyira mubikorwa

Ibitaro byibanze: Shyira imbere iboneza rya lazeri ya holmium na ureteroskopi ya digitale, bikingira 90% byamabuye.

Ibitaro byo mucyiciro cya gatatu: Gushiraho ikigo cya robo endoskopi yo kubaga ibintu bigoye nka kanseri ya prostate cryoablation.

Ubushakashatsi bwibanze: Gutezimbere molekulari yerekana amashusho endoskopi (nka PSMA igamije fluorescence) kugirango ibibyimba bito bibe.

Izi tekinoroji zirimo kuvugurura uburyo bwo kuvura urologiya binyuze mu nyungu eshatu zingenzi: sub milimetero zisobanutse neza, kubungabunga imikorere ya physiologiya, no gusubiza mu buzima busanzwe. Biteganijwe ko mu 2026, 70% yo kubaga urologiya bizarangira hakoreshejwe uburyo bwa endoskopique.