Rongoa Whakararuraru o te Whakamutunga Hauora i roto i te Maatauranga Whanau me te Whakawhanaketanga Rongoa Whakawhanake me te Maimoatanga

1, He pakaruhanga hurihanga i roto i te hangarau hysteroscopy

(1)Pūnaha histeroscopy maripi makariri

Porearea Hangarau:

Mahere miihini (pēnei i MyoSure) ®）： Ko te mata hurihuri me te tere o te 2500rpm ka tango tika i nga fibroid hei karo i te kino o te whakamahana hiko ki te taputapu kirikiri o roto.

Pūnaha whakahaere pehanga wai: Kia mau tonu te pehanga uterine i waenga i te 50-70mmHg (te hikohiko tawhito> 100mmHg) hei whakaiti i te mate o te nui o te wai.

Uara haumanu:

Ko te wa whakatikatika o te endometrium i muri i te tangohanga fibroid submucosal kua whakapotohia mai i te 12 wiki ki te 4 wiki i muri i te electrocautery.

Ko te tere o te haputanga taiao o nga turoro matekore i muri i te pokanga ka piki ake ki te 58% (kua whakaritea ki te 32% anake i roto i te roopu electrocautery).

(2)3D hysteroscopy navigation

Nga Tohu Hangarau:

Te whakatauira 3D mo te wa tuturu (pēnei i a Karl Storz IMAGE 1 S Rubina): whakaatu i te hohonutanga o te haona uterine me te ahua o te whakatuwheratanga o te ngongo fallopian.

Ka honohia me nga raraunga MRI o mua, ko te tika o te tautuhi i nga kino o te kopu (penei i te mediastinum oti) he 100%.

Taupānga tauari:

Te karaehe ine ine o te adhesions intrauterine (Asherman syndrome).

(3)Hysteroscope whakakorikori

Te pakaruhanga hangarau:

Ko te 5-ALA e whakaawe ana i te puku o te protoporphyrin IX fluorescence, me te 91% te tairongo mo te mate pukupuku endometrial moata (65% anake i raro i te miihini marama ma).

E ai ki nga raraunga mai i te National Cancer Center o Hapani, ka kitea nga whara o te endometrial hyperplasia iti iho i te 1MM.

2、 Ko te hanga paradigm o te hangarau laparoscopic

(1) tauranga kotahi karetao laparoscope (SPRS)

Da Vinci SP Pūnaha:

Ka whakamahia te 25mm mokowhiti kotahi ki te whakaoti i te hysterectomy katoa, e whakanui ana i te tohu whakapaipai ma te 80% ka whakaritea ki te pokanga porous.

Ko te taputapu ringaringa arai ka tutuki i te mahi 7-tohu-o-te kore utu, me te tuitui me te 0.1mm te tika o te tuitui.

Raraunga haumanu:

He nui ake i te 95% te tere pupuri o te kiko ovarian i te wa o te cystectomy ovarian (te 70% te laparoscopy tawhito.

(2) Tata ki te whakaterenga tiare infrared (NIR)

Mahere lymphatic ICG:

Ko te whakaatu i nga waa tuuturu o nga ngongo lymph sentinel i te wa e pokai ana te mate pukupuku mate pukupuku ka whakaiti i te wehenga koretake o te kopuku lymph ma te 43%.

Te Mahere Hohipera Mate pukupuku o te Whare Wananga o Fudan: Ko te whakakotahi i nga tapanga takirua o te indocyanine me te nanocarbon rua, kua piki ake te reeti kitenga ki te 98%.

(3)Whakahoutanga o te Ultrasonic Energy Platform

Harmonic ACE+7:

Te whakatikatika mohio o te auau wiri (55.5kHz ± 5%), te tapahi me te kati i nga oko toto 5mm i te wa kotahi.

He iti iho i te 50ml te nui o te toto i te wa o te tangohanga fibroid uterine (te hiko hiko>200ml).

3、 Nga rongoā whakaekea iti mo te rongoa whanau

(1) Te wawaotanga Hysteroscopy mo te whakatikatika i nga ngongo fallopian

Pahekotanga Hangarau:

0.5mm ultra-pai whakaata muka (pērā i Olympus HYF-1T) ngā ki te waea aratohu roha waipēhi.

Pūnaha aroturuki pēhanga wā tūturu (<300mmHg) hei aukati i te pakaru o te ngongo fallopian.

Te hua whakaora:

Ko te reanga reanalization o te aukati tata ko te 92%, a ko te reeti haputanga taiao i te 6 marama i muri i te pokanga he 37%.

(2) Te whakatio kiko ovarian+whakawhitinga endoscopic

Hātepe whakapōrearea:

Hipanga 1: Tikina te uho ovarian na roto i te laparoscopy transvaginal (kaore i te pokarotomy).

Hipanga 2: Vitrification me te tiaki mīti.

Hipanga 3: Te whakawhitinga aunoa ki roto i te kopu ovarian i muri i te chemotherapy hei whakaora i te mahi endocrine.

raraunga

Ko te kaupapa Brussels i Belgium: Ko te tere o te kohungahunga o te 68% i muri i te whakawhitinga i nga turoro i muri i te taiohi.

(3) Whakamātautau Whakamātautau Endometrial Receptive Test (ERT)

Hangarau endoscopic molecular:

Kohia te kiko endometrial i raro i te histeroscopy me te whakatau i te matapihi whakaurunga ma te raupapa RNA.

Whakapai ake i te reiti haputanga haumanu o nga turoro me nga ngoikoretanga o te whakato mai i te 21% ki te 52%.

4、 He iti rawa te whakaeke i nga mahi whakatikatika i te papa pelvic

(1) Whakatoonga Mata Puawai (TVM)

Putanga Hangarau:

Ko te ta 3D mesh polypropylene whakawhaiaro me te porosity>70% ka whakaiti i te tupono o te mate.

I awhinahia e te Robot te whakatakotoranga tika kia kore ai e pakaru te nerve obturator.

Te hua whakaora:

He iti iho i te 10% te reeti 5-tau o te whakahekenga o te okana pelvic (POP) (te 40% te pokanga tui tuku iho).

(2) Sacral nerve regulation implantation endoscopic

InterStim ™ Mahere whakaeke iti:

Ko te werohanga Sacral 3-poka i raro i te cystoscopy, me te reeti whai hua neke atu i te 80% i roto i te waa whakamatautau i mua i te whakaurunga tuturu.

Ko te tere o te whakapai ake i te whakahaere mimi i roto i te maimoatanga o te aukati urinary refractory he 91%.

5、 Nga tohutohu hangarau a meake nei

(1)I te wa tuturu o nga mate o te kohanga uterine AI: Ko te punaha EndoFinder mai i Samsung he 96% te reeti tika mo te tautuhi i nga polyps endometrial me te mate pukupuku.

(2) Awhi hiko mokowhiti: Ko te scaffold e hangai ana i te konupora i hangaia e te Whare Wananga o Te Taitokerau o te Hauauru o te United States ka whakaheke me te tuku i nga mea whakatairanga tipu i roto i te ono marama.

(3) Te whakahurihanga o te maramara okana: Whakaharatau i te rautaki anastomosis vascular anastomosis i runga i te maramara microfluidic.

Ripanga Whakataurite Hua Haumanu

Nga mamae o nga tikanga hangarau tawhito / te whai hua o nga otinga whakararuraru

Naipi matao histeroscopy/hapara hiko o nga pūtau kakau endometrial/reiti piri i muri i te mahi i whakahekehia mai i te 28% ki te 5%

Kohanga kotahi karetao laparoscopic / poka maha kohao me nga whiu kitea / whakahokinga mai o te oranga o ia ra 24 haora i muri i te pokanga

He nui te reeti pai teka o te fluorescence falloposcopy/hysterosalpingography/whakataka tika o te arai pono ki te 0.1mm

Te tukunga mīti o te kikokiko ovarian/i muri mai i te haumanu mate ovarian te rahungatanga o mua/te reanga whakaora o te paheketanga>60%

Nga whakaaro ara whakatinana

Nga hōhipera tuatahi: kua rite ki te hysteroscopy whakamaramatanga teitei me te punaha maripi matao, e hipoki ana i te 90% o nga whara i roto i te kopu.

Te Whare Whakawhanaketanga: Whakaritehia he papahanga whakauru mo te endoscopy ngongo fallopian me te whakawhitinga embryo.

Oncology Speciality: Whakatairangahia te tangohanga puku tika ma te whakamahi i te whakatere rere o te NIR.

Ko enei hangarau kei te tautuhi ano i nga paerewa o te pokanga whakawhanau iti rawa atu na roto i nga waahanga matua e toru: te tika o te taumata mitamano, te kore o te kino o te hua, me te hanga-a-tinana. E matapaetia ana hei te tau 2027, e 90% o nga pokanga mate mate wahine ka tutuki i te maimoatanga "ao".