Xalka qallafsan ee endoscopy caafimaad ee daaweynta habka kaadida

1. Horumarka kacaanka ee daaweynta dhagaxa

(1) Ureteroscope Digital ah (fURS)

Burburka tignoolajiyada:

Sawirka dhijitaalka ah ee 4K (sida Olympus URF-V3): xallinta ayaa kordhay 3840 × 2160, heerka aqoonsiga dhagaxa ayaa kordhay 30% marka loo eego microscopy fiber optic.

271 ° foorarsi firfircoon: Heerka guusha gaaritaanka miskaha kelyaha ayaa ka kordhay 65% endoscopy dhaqameed ilaa 98%.

Horumarka bukaan-socodka:

Laysarka holmium-ka ee la isku daray (sida Lumenis Pulse 120H) lithotripsy waxay gaari kartaa hal meel oo nadiifin dhagax ah oo ka badan 90% dhagxaan kelyaha ee ka hooseeya 2cm.

Qaliinka Tubeless: Ma jiro tuubo laba jibbaaran oo ka tagta qalliinka ka dib, bukaankana waa laga saarayaa isla maalintaas.

(2) Nephroscopy percutaneous aadka u fiican (UMP)

Tilmaamaha Farsamada:

13Fr kanaalka (qiyaastii 4.3mm): wuxuu yareeyaa dhaawaca 80% marka la barbar dhigo heerka PCNL (24-30Fr).

Nidaamka saarista cadaadiska xun ee dhagaxa (sida ClearPetra): nuugida wakhtiga dhabta ah ee jayga, cadaadiska miskaha kelyaha <20mmHg (si looga fogaado faafitaanka caabuqa).

Isbarbardhigga xogta:

(3) Falanqaynta waqtiga dhabta ah ee halabuurka dhagaxa

Laser-ku-dhaliyay burburin spectroscopy (LIBS):

Isla markiiba go'aami qaabka ay ka kooban yihiin dhagxaanta (sida uric acid/cysteine) inta lagu jiro qaliinka oo hage hagaajinta cuntada qalliinka kadib.

Xogta laga helay jaamacadda Munich ee dalka Jarmalka ayaa muujinaysa in heerka soo noqnoqda ee dhagxaanta uu hoos u dhacay 42%.

2. Saxnaanta iyo daawaynta ugu yar ee burooyinka

(1) Laysar buluug ah oo si dhammaystiran u kala baxay buro kaadi haysta

Faa'iidooyinka farsamada:

Laysarka mawjadda dhererka ee 450nm ayaa si xushmad leh u soo saaraya burooyinka, iyadoo si qoto dheer loo kontoroolo 0.5mm.

Marka la barbar dhigo koronto-cautery-dhaqameedka, dhacdooyinka fal-celinta obturator reflex waxay hoos uga dhacday 15% ilaa 0%.

Xogta caafimaad:

Heerka soo noqnoqda hal sano ee kansarka kaadiheysta aan muruqa ahayn (NMIBC) wuxuu ahaa kaliya 8% (24% kooxda dib-u-celinta).

(2) 3D daabacan navigation ee nephrectomy qayb ahaan

Habka hawlgalka:

Tallaabada 1. Daabac qaab kelyo hufan oo ku salaysan xogta CT oo calaamadee xadka burada.

tallaabo2. Lagu daray fluorescence laparoscopy (sida da Vinci SP) si sax ah loo kala saaro iyadoo la ilaalinayo unugyada kelyaha ee caadiga ah.

Saamaynta daweynta:

Heerka taban ee xad-dhaafka buro waa 100%, iyo heerka sifaynta glomerular (GFR) kaliya ayaa hoos u dhacaya 7%.

(3) Soo saarista uumiga qanjirka 'prostate' (Rez ū m)

Farsamaynta:

103 ℃ uumi ayaa laga duraa kaadi mareenka si si sax ah loo tirtiro qanjidhada hyperplastic (ka fogaanshaha xuubka kaadi mareenka).

Faa'iidooyinka

Adeegyada bukaan-socodka waxaa lagu dhammeyn karaa 15 daqiiqo gudahood, iyadoo heerka ilaalinta shaqada galmada uu ka badan yahay 95% (marka la barbardhigo 60% ee TURP).

3. Hal-abuurka Endoscopic ee cudurrada xannibaadda

(1) Nadaamka bracket garaadka

PH stent ka jawaab celinta kaadi mareenka:

Marka pH-ga kaadidu ay ka sarreyso 7, waxay si toos ah u ballaarin doontaa si ay u yareyso xannibaadda, iyo marka pH-gu caadi yahay, way soo laaban doontaa (si looga fogaado sii-haynta muddada dheer).

stent-dabiiciga ah:

Maaddada polylactic acid waxay si buuxda u nuugtaa 6 bilood gudahood umana baahna ka saarid labaad.

(2) Qalliinka joojinta kaadi mareenka endoscopic

Daawaynta diiqada dumarka kaadi-la'aanta kaadida:

Ka-hortagga xubinta taranka kaadi-mareenka ee ka-joojin la'aanta (TVT-O), waqtiga qalliinka<20 daqiiqo.

Heerka daawadu waa 92%, taas oo ah 90% hoos u dhaca dhaawacyada marka loo eego qalliinka furan.

4. Andrology iyo Urology functional

(1) Farsamada endoscopy vesicle vesicle

Codsiyada horumarka:

Muraayad 0.8mm aadka u dhuuban ayaa loo isticmaalay in dib loogu soo celiyo biyo baxa iyada oo loo marayo marinka shahwada si loogu daweeyo hematospermia (heerka guusha ee 96%).

Helitaanka iyo korantada korantada ee dhagxaanta xuubka xuubka maskaxda/burooyinka, ilaalinta shaqada bacriminta.

(2) Robot ku dhejinta sancada guska

Nidaamka Da Vinci SP:

Habka daloolka kelida ah wuxuu dhamaystiraa kala-soocida cavernosum corpus, hoos u dhigista dhaawaca xididdada iyo dareemayaasha.

Waqtiga soo kabashada shaqada kacsiga ee qalliinka kadib ayaa laga soo koobay 6 toddobaad ilaa 2 toddobaad.

5. Tilmaamaha teknoolajiyada mustaqbalka

(1) Nidaamka Digniinta Dhagaxa AI:

Sida falanqaynta kaadida ee Dario Health AI, saadaalinta khatarta dhagaxa 3 bilood ka hor.

(2) Nano robot endoscope:

Magnet nanorobot-ka laga sameeyay Iswisarlaan wuxuu si firfircoon uga saari karaa dhagxaanta miskaha kelyaha ee yar yar.

(3) Jilidda jajabka xubnaha:

Ku ekaysii dariiqa qalliinka endoscopic ee chip ka hor qalliinka si loo yareeyo qalooca waxbarashada.

Shaxda Isbarbardhigga Faa'iidada Clinical

Talooyinka fulinta

Isbitaalada aasaasiga ah: Horay u sii qaabaynta laser holium iyo ureteroscope dhijitaalka ah, oo daboolaya 90% kiisaska dhagxaanta.

Cusbitaalka heerka saddexaad: Samee xarun endoscopy-ga robot-ka si loo sameeyo qalliin adag sida kansarka qanjirka 'prostate'.

Diirada-saarista cilmi-baarista: Horumarinta sawirka molecular endoscopy (sida PSMA fluorescence bartilmaameedsan) ee meelaynta burooyinka yaryar.

Farsamooyinkani waxay dib u qaabeynayaan qaabka daaweynta kaadi mareenka iyada oo loo marayo saddex faa'iidooyin oo muhiim ah: saxnaanta millimitirka hoose, ilaalinta shaqada jireed, iyo baxnaanin degdeg ah. Waxaa la filayaa in marka la gaaro 2026, 70% qalliinnada kaadimareenka lagu dhammeeyo hababka dabiiciga ah ee endoscopic.