Xalka qallafsan ee endoscope ee ogaanshaha iyo daawaynta laf dhabarta lafaha

1. Horumarka kacaanka ee qaliinka laf dhabarta ee ugu yar

(1) Qalliinka laf-dhabarka Endoscopic (FESS)

Burburka tignoolajiyada:

Farsamada kanaalka tooska ah ee tooska ah: Isku-dubbarid saxan dhex-dhexaad ah oo dhammaystiran oo la jeexay 7mm (qaliin furan oo dhaqameed wuxuu u baahan yahay jeexitaan 5cm ah).

Nidaamka miinshaarka wareegta ah ee muuqaalka ah (sida Joimax TESSYS): Si sax ah u nadiifi lafaha lafaha si aad uga fogaato dhaawaca neerfaha.

Xogta caafimaad:

(2) Farsamada UBE (Unilateral Dual Channel Endoscopy)

Faa'iidooyinka farsamada:

Samee kanaalka indho-indheynta 12mm iyo kanaalka hawlgalka 8mm si loo gaaro "qalliin furan sida meel qalliin oo kale".

Ku habboon stenosis laf-dhabarka laf-dhabarka, qiyaasta kala-baxa ayaa saddex jeer ka weyn kan hal kanaal.

Qalab cusub:

Xididdada radiofrequency ee laba-cirifoodka korantada (sida ArthroCare Coblation): dhiigbax sax ah iyadoo la ilaalinayo xididdada dareemayaasha.

(3) Isku-dhafka laf-dhabarka ee la caawiyay Endoscopic (Endo LIF)

Horumarka tignoolajiyada:

Marka la rakibo qalabka fiyuuska daabacan ee 3D (oo leh 80% porosity) iyada oo loo marayo saddex-xagalka Kambin, heerka korriinka lafaha ayaa kordhay 40%.

Marka lagu daro O-gacanta navigation, saxnaanta meelaynta ciddiyaha waa 100% (fluoroscopy dhaqameed waa qiyaastii 85%).

2. Dib u cusboonaysiinta farsamada arthroscopic

(1) 4K Ultra HD Nidaamka Arthroscopy

Tilmaamaha Farsamada:

Dareemaha Sony IMX535 wuxuu bixiyaa xallinta 10 μm, taasoo kordhinaysa heerka ogaanshaha ilmada meniscus ilaa 99%.

Sida Shi Lehui's 4K Insight nidaamka, waxay taageertaa muujinta HDR ee qaabdhismeedka xididdada dhiigga.

(2) Robot arthroscopy caawiyay

MAKO Robot Orthopedic:

Heerka Submillimeter-ka saxda ah osteotomy (qallad 0.1mm), oo leh leexsan khadka xoogga wax ka yar 1 ° ka dib wadarta qalliinka beddelka jilibka.

Sannadka 2023, cilmi-baadhista JBJS waxay muujisay in heerka badbaadada 10-sano ee saqafyada santuuqa uu ka kordhay 90% ee dhaqanka ilaa 98%.

(3) Farsamada dib-u-heshiisiinta oo la xoojiyey

Kicinta dhuuxa lafta Endoscopic+Diritaanka PRP:

Ka dib markii microfracture ee aagga cilladda carjawda, Plasma hodanka ah ee platelet (PRP) ayaa la isku duray, dhumucda dib u soo kabashada fibrocartilage waxay gaartay 2.1mm (hababka dhaqameed ee kaliya 0.8mm).

Ku dhejinta qolofka kolajka ee la nuugi karo: sida Geistlich Cholro Gide, tolan oo lagu dhejiyay mikroskoob hoostiisa.

3. Xalka ugu yar ee waxyeelada leh ee dhaawacyada iyo daawada isboortiga

(1) Dayactirka Endoscopic ee seedaha Achilles

Hal-abuurka farsamada:

Dual channel endoscopy (sida Arthrex SpeedBridge) waxay dhamaystirtaa tolida iyo tolida percutaneous, oo leh awood 30% ka saraysa qaliinka furan.

Wakhtiga soo kabashada qalliinka ka dib ayaa laga soo gaabiyey 12 toddobaad lagana dhigay 6 toddobaad.

(2) Siidaynta Endoscopic ee carpal tunnel syndrome

Nidaamka MicroAire:

Iska jar seedaha leexsan ee curcurka oo la jeexay 3mm, iyada oo wakhti qalliin ka yar 5 daqiiqo.

Heerka dhaawaca neerfaha dhexdhexaadka ah ayaa hoos uga dhacay 3.5% hababka dhaqanka ilaa 0.2%.

(3) Dib u hagaajin buuxda oo endoscopic ah ee dhaawaca wareegtada

Farsamada tolnimada aan gunta lahayn:

Isticmaal FiberTape saxan bir ah oo loop ah (sida Arthrex SwiveLock), oo leh awood xajin ka weyn 500N.

Heerka jeexjeexa dib ayaa hoos uga dhacay 20% qaliinka furan ilaa 8%.

4. Tignoolajiyada garaadka iyo hagidda

(1) AR Navigation System Endoscopy System

Hirgelinta farsamada:

Microsoft HoloLens 2 waxay dulmartaa xogta CT si ay u muujiso dariiqyada isku dhufashada ee waqtiga-dhabta ah.

Xogta Isbitaalka Jishuitan ee Beijing: Heerka saxnaanta meelaynta ciddiyaha waa 100%, tirada soo-gaadhista raajadana waa eber.

(2) Taageerada go'aanka intraoperative AI

Algorithms waxbarashada qoto dheer:

Nidaamka Johnson&Johnson VELYS wuxuu si toos ah u hagaajiyaa kala-duwanaanshaha meniscus-ka ee ku salaysan jihada dhaqdhaqaaqa wadajirka ah.

Yaree wakhtiga qalliinka 25% si aad uga fogaato dib u eegis xad dhaaf ah.

(3) Dareenka cadaadiska qalabka endoscopic

SmartDrill:

La socodka wakhtiga dhabta ah ee cadaadiska qodista, si toos ah u joojinaya wareegtada marka la galayo kiliyaha hore ee jidhka vertebral (qallad<0.1mm).

5. Tilmaamaha teknoolajiyada mustaqbalka

Nano arthroscopy:

Muraayad birlabeedka dhexroorkeedu yahay 1mm dhexroorka laga sameeyay Switzerland waxa uu geli karaa isku-dhafka interphalangeal.

Is hagaajinta maqaar-galaha caqliga leh:

Qaabka stent alloy-ga xusuusta ayaa ku fida heerkulka jirka si loo saxo scoliosis.

Dib-u-eegis Qalliin Mataano Dijital ah:

Ku ekaysii hababka endoscopic ee goobta metaverse ee ku salaysan xogta CT-ga bukaanka.

Shaxda Isbarbardhigga Faa'iidada Clinical

Talooyinka fulinta

Isbitaalada cawska: waxay ku qalabaysan yihiin nidaamka dual channel UBE, oo daboolaya 80% cudurada lumbar.

Xarunta Daawaynta Ciyaaraha: Dhisida 4K arthroscopy+madal-daawaynta noolaha.

Diirada-saarista cilmi-baarista: Kobcinta bidegradable magnesium alloy endoscopic implants (sida fur-fure jabka).

Farsamooyinkani waxay u riixayaan qalliinka lafaha dhinaca "xilliga aadka ugu yar ee faafa" iyada oo loo marayo saddexdooda faa'iidooyin ee asaasiga ah ee "jeexjeexyada sentimitir hoosaadka, waxyeellada eber ee dhismayaasha anatomical, iyo soo kabashada degdegga ah". Waxaa la filayaa in marka la gaaro 2028, 60% ee lafdhabarta iyo qalliinnada wadajirka ah lagu dhammeeyo iyada oo loo marayo kanaalada dabiiciga ah ama jeexjeexyada ka hooseeya 5mm.