Isixhobo se-Hysteroscopy yezoNyango

I-Hysteroscopy, "njengomgangatho wegolide" wokuxilongwa kunye nonyango lwe-gynecological encinci, yenza ukuxilongwa okubonakalayo kunye nonyango oluchanekileyo lwemeko ye-intrauterine ngokusebenzisa imingxunya yendalo. Oku kulandelayo luhlalutyo olubanzi lwetekhnoloji ye-hysteroscopy yanamhlanje ukusuka kumacala asixhenxe:

I. Itekhnoloji engundoqo kunye nokwakhiwa kwezixhobo

Inkqubo yomfanekiso

I-4K ye-ultra-high-definition endoscope (isisombululo ≥3840×2160)

Usondezo olubonakalayo (3-50 amaxesha ukukhulisa okuqhubekayo)

Itekhnoloji yomfanekiso we-NBI emxinwa (umboniso ophuculweyo wemithambo)

Inkqubo yamandla

I-bipolar electrosurgical resection (umda wokhuseleko <200W)

I-laser yeHolmium (ubude obungama-2100nm)

I-Radiofrequency ablation (ubushushu obulawulekayo 42-70℃)

II. I-matrix yesicelo seklinikhi

Inkalo yesifo Ixabiso loxilongo Impumelelo yonyango

Ukopha okungaqhelekanga kwesibeleko Ukubeka ugxininiso lokopha (ubuntununtunu 98%) Ukuqhambuka kwe-Endometrial/ukuphuma

Ukungachumi Uvavanyo lwemeko yokuvula ityhubhu ye-fallopian Ukubola kwe-Intrauterine adhesion (izinga lempumelelo 85%)

Ukonakala kwesibeleko Ukwakhiwa kwakhona kwe-uterine dimensional reconstruction of the uterine cavity morphology Ukususwa kwe-Septum (izinga lokukhulelwa emva kokuhlinzwa ↑40%)

Umzimba wangaphandle we-Intrauterine Ukubekwa ngokuchanekileyo kwezicubu ezishiyekileyo Ukususwa kwe-Embry (ukugcina umsebenzi wokuzala)

III. Ukuthelekiswa kwezixhobo ezintsha

Iitshathi

Iikhowudi

IV. Ukuphucula iinkqubo zotyando

Ukulungiselela kwangaphambili

3-7 iintsuku emva kokuya esikhathini

Unyango loMbeleko (misoprostol 400μg)

Ulawulo loxinzelelo lwe-uterine distention (80-100mmHg)

V. Inkqubo yothintelo kunye nolawulo lwengxaki

Ukugcwala kolwelo

Ukubeka iliso ngexesha langempela: umahluko wolwelo <1000ml

isibeleko distention medium: saline (conductive) vs. Glucose (non-conductive)

Ukugqobhoza kwesibeleko

Inkqubo yesilumkiso sokuhamba (chaneke 0.5mm)

Ukujongwa kwe-ultrasound ye-Intraoperative

VI. Impumelelo yetekhnoloji ephucukileyo

Ukuxilongwa kwe-AI

Ukuchongwa ngokuzenzekelayo kwezilonda ze-endometrial (ukuchaneka kwe-92%)

Imodeli yokuqikelela ingozi yokopha (AUC=0.89)

Izixhobo ezitsha

Ushicilelo lwe-3D olulolwakho lwesipili sheath

Ukuzandisa kwe-uterine cavity stent

I-Nanorobot ijolise ekuhanjisweni kweziyobisi

VII. Isishwankathelo sexabiso leklinikhi

I-hysteroscopy yanamhlanje ifezekisa:

Ukuphuculwa kokuchaneka kokuxilonga: Izinga lokufunyanwa kwangoko komhlaza we-endometrial ↑60%

Ukuncipha koxinzelelo lonyango: I-90% yotyando "yimihla ngemihla"

Ukukhusela umsebenzi wokuzala: Izinga lokukhulelwa emva kwe-adhesion lysis ↑35%

Kwixesha elizayo, iya kuphuhlisa kwicala lobukrelekrele, i-miniaturization, kunye nonyango oludibeneyo, kwaye kulindeleke ukuba ifezekise oku kulandelayo kwiminyaka emi-5:

I-hysteroscopy yezigulane ngaphandle kwe-anesthesia

Autologous cell regeneration kunye nokulungiswa

Iqonga lokufundisa utyando lweMetaverse

Idatha ephambili: Ubungakanani bemarike ye-hysteroscopy yehlabathi buya kufikelela kwi-1.28 yeebhiliyoni zeedola ngo-2023, ngesantya sokukhula sonyaka se-8.7%.