Imashini ya uroscope

Urologiya Endoscopi ni "zahabu" yo gusuzuma no kuvura indwara zifata inkari, kugera ku bushakashatsi budatera, gusuzuma neza no kuvura byoroheje binyuze mu mwobo karemano cyangwa uduce duto. Ibikurikira nisesengura ryuzuye kuva mubice bitandatu:

1. Amahame ya tekiniki nibikoresho byihindagurika

Ibice byingenzi

Sisitemu ya optique: 4K ultra-high-definition / amashusho ya 3D, urumuri rwa NBI rugufi rwo kumenya ibibyimba hakiri kare

Ubwoko bwa Scope:

Scope Ingano ikomeye (0 ° -70 ° kureba inguni, ikoreshwa mu ruhago / ureter)

Scope Ingano yoroshye (270 ° yunamye, igera ku mpyiko)

Umuyoboro ukora: ushyigikira fibre fibre, igitebo cyamabuye, imbaraga za biopsy nibindi bikoresho

Ikoranabuhanga

Kuva kuri fiberscope kugeza kuri elegitoronike: pigiseli yiyongera inshuro 100 (ubu igera kuri 500.000 pigiseli)

Kuva kumucyo wera kugeza kumashusho yubwenge: ibimenyetso bya fluorescent (nka 5-ALA) bituma kanseri ya kanseri "yiyumanganya"

2. Inzira yuzuye yubuvuzi

Indwara umurima Gusuzuma Porogaramu yo kuvura

Uruhago rwumubyimba rwateguwe, isuzumabumenyi rya cystitis interstitial isuzuma Tumor resection (TURBT), lithotripsy

Ureter Ikomeye ihagaze, gutahura umubiri wamahanga Kumenyekanisha Stent, laser lithotripsy

Gukurikirana impyiko Hematuria, gufata umwanya wa lesion biopsy Percutaneous nephrolithotomy (PCNL)

Isuzuma rya hyperplasia ya prostate na enucleation (HoLEP)

III. Kugereranya ibikoresho byingenzi

Andika Diameter Ibyiza bya kera

Cystoscopy 16-22Fr Umuyoboro munini nubufatanye bwibikoresho byinshi Prostate resection

Ureteroscopi 7.5-9.9Fr Igoramye igaragara 270 ° Ifu ya Laser yamabuye yimpyiko.

Nephroscope itandukanye 18-30Fr Gushiraho byimazeyo umuyoboro wimpyiko Gukuraho amabuye

Ikoreshwa rya elegitoroniki ikoreshwa 6.5Fr Zeru ibyago byo kwandura umusaraba Kwipimisha byihuse

IV. Ibyingenzi byuburyo bwo kubaga (gufata urugero rwa ureteroskopi lithotripsy nkurugero)

Mbere yo gutangira

Ibice bitatu-CT guteganya ahantu h'amabuye, anesthesia rusange

Imikoranire

Shyiramo endoscope yoroshye iyobowe na guidewire, na laser ya holmium "irya" amabuye kuri <2mm

Shira kabiri J tube kugirango wirinde stenosis nibiba ngombwa

Nyuma yo kubagwa

Kunywa 2000ml y'amazi kumunsi umwe, hanyuma ukure catheter muminsi 3

V. Gukumira no kugenzura ibibazo

Amaraso: plasma bipolar electrocoagulation

Kwandura: umuco winkari mbere yo gutangira + antibiyotike igamije

Gutobora: kugenzura igihe nyacyo mugihe cyo kubagwa (<40cmH₂O)

VI. Ibyerekezo bitanu byingenzi byiterambere mugihe kizaza

AI igihe-nyacyo cya patologiya: gutandukanya byikora hagati ya karcinoma yo mu rwego rwo hasi na murwego rwohejuru munsi ya microscope

Microrobot: capsule endoscope igenzurwa na magnetique kugirango yerekane ibikomere hakiri kare

Amahugurwa ya Virtual reality: abaganga bigana kubaga ingingo za 3D zubatswe

Ibinyabuzima bishobora kwangirika: nta mpamvu yo gukurwaho kabiri nyuma yo kubagwa

Ubuvuzi bugamije kuvura: kurandura neza ingirabuzimafatizo za kanseri

Incamake y'agaciro k'inganda

Ubuhanga bwa Uroscopic butuma urologiya igera:

Updance Gusuzuma indwara: igipimo cyo kumenya ibibyimba hakiri kare cyikubye inshuro 3

Innovation Ubuvuzi bushya: 90% yo kubaga amabuye ntibisaba kubagwa

Benefits Inyungu z'abarwayi: ibitaro bigumaho kugeza ku minsi 1-2

Hamwe no guhuza icyambu kimwe cya laparoskopi na endoskopi, ejo hazaza hazatangira ibihe bishya byo "kubaga bitagira ingano".