Isisombululo esiphazamisayo se-endoscopy yonyango kwimeko yongxamiseko kunye nokuxilongwa okubalulekileyo kunye nonyango

1, iindlela zokusindisa ubomi ukopha kakhulu esiswini

(1) Inkqubo ye-Endoscopic Immediate Hemostasis

Hemospray hemostatic powder spray:

Umgaqo wobugcisa: Amasuntswana e-Titanate enza umqobo womatshini kwindawo yokopha, eyeka ukopha kwimizuzwana engama-30.

Idatha yezonyango: Izinga lolawulo lwejethi yodidi lweForrest Ia yi-92%, ekhawuleza ngokuphindwe kathathu kunekliphu zetitanium zesintu.

Ngaphezulu kweClip yoMda (OTSC):

I-Bear Claw Design: Vala ukugqabhuka kwezilonda ngobubanzi obuyi-3cm (efana ne-Dieulafoy lesion), kunye nesantya sokopha kwakhona esingaphantsi kwe-5%.

(2) I-AI yokuxela ingozi yokopha

Ixesha lokwenyani ialgorithm yokubona:

NjengoCosmo AI's BLEED Score, inqaku leRockall libalwa ngokuzenzekelayo kwimifanekiso ye-endoscopic ukukhokela unyango oluphambili.

I-2, Unyango oluncinci olungenabungozi kwiimeko zikaxakeka zomoya

(1) I-ECMO idibene ne-bronchoscopy

Impumelelo yetekhnoloji:

I-ECMO ephathekayo (efana neCardiohelp) isetyenziselwa ukugcina i-oxygen kunye nokwenza i-bronchoalveolar lavage (BAL) ukususa iiplagi ze-mucus ze-COVID-19.

Ixabiso leklinikhi: Ukuqinisekiswa kokhuseleko lokusebenza kwizigulane ezine-PaO ₂ / FiO ₂<100mmHg (Lancet Respir Med 2023).

(2) Ukuhlaziywa kwendlela yomoya yeCryoprobe

Itekhnoloji yokukhenkceza ngokukhawuleza:

-40 ℃ i-low-temperature probe (efana ne-ERBE CRYO2) isetyenziselwa ukukhenkceza amathumba omoya, kunye nomthamo owophayo<10ml (xa kuthelekiswa ne-electrocautery>200ml).

3, Ukungenelela kwe-Endoscopic kwi-pancreatitis enzima

(1) Ukuchithwa kwe-Endoscopic ekhokelwa yi-necrotic tissue (EUS-NEC)

Utshintsho lwetekhnoloji:

(2) Inkqubo yokuhlamba i-peritoneal eqhubekayo

Ukubekwa kwe-Endoscopic yecatheter yokunkcenkceshela:

Ngaphantsi kwesikhokelo se-endoscopy yeetshaneli ezimbini, inqanaba le-amylase kulwelo lokuhlambela lijongwa ngexesha lokwenyani.

I-4, isicelo se-Endoscopic kunyango olungxamisekileyo lokwenzakala

(1) I-hemostasis engxamisekileyo nge-thoracoscopy

Umngxuma omnye oqinileyo thoracoscopy:

Phonononga umngxuma wesifuba ngokusikeka okuyi-5mm, sebenzisa i-electrocoagulation ukunqanda ukopha, kwaye unqande i-thoracotomy (efana ne-Storz 26003BA).

Isicelo sonyango lwasemkhosini: ixesha lokulawula ukopha kwithafa ledabi lincitshiswe laya kutsho kwimizuzu eli-15.

(2) I-Duodenoscopy yonyango lokulimala kwe-biliary tract

Ukususwa kwelitye likaxakeka le-ERCP+stent:

Ukubekwa kwe-stent yentsimbi egqunywe ngokupheleleyo ngexesha lotyando lokugqabhuka kwenyongo eqhelekileyo kunokuphumelela kwe-98%.

5, Isisombululo esiphazamisayo sokujongwa ecaleni kwebhedi ye-ICU

(1) Ukubekwa kwe-Transnasal endoscopic ye-tube yokukhupha isisu

Itekhnoloji yokuhamba nge-Electromagnetic:

Cortrak ® Inkqubo ibonisa indlela ye-catheter ngexesha langempela, kwaye izinga lokungena ngengozi kwindlela yomoya libuyiselwa kwi-zero.

Ukuthelekiswa kokubekwa kweX-ray: Ixesha lokusebenza lincitshisiwe ukusuka kwiiyure ezi-2 ukuya kwimizuzu engama-20.

(2) I-Micro cystoscopy yokubeka iliso kumsebenzi wezintso

10Fr isiskopu ye-elektroniki:

Qhubeka ubeka iliso kwimeko ye-renal papillary ischemia yezigulana ezigula kakhulu (ezifana ne-AKI enxulumene ne-sepsis).

6. Izalathiso zobuchwepheshe bexesha elizayo

(1) Nano hemostatic endoscope:

I-Magnetic nanoparticles ephethe i-thrombin, i-magnetic field guided embolization echanekileyo (ixesha lovavanyo lwezilwanyana ze-hemostasis <10 imizuzwana).

(2) Holographic AR navigation:

I-Microsoft HoloLens 2 iprojekthi yolungelelwaniso lwe-dimensional ye-point of vascular rupture.

(3) Isigcini sendlela yomoya esonakaliswayo:

I-polycaprolactone material scaffold kufuneka ifakwe kwiiveki ezi-4 ukuphepha ukususwa kwesibini.

Itheyibhile yokuthelekisa iNzuzo yezonyango

Iingcebiso zokuphunyezwa kwesicwangciso

Isebe elingxamisekileyo: Iza kumgangatho kunye neHemofray + OTSC "Hemostasis Kit".

Iziko le-Trauma: Yakha igumbi lokusebenza elixubileyo (CT + endoscopic integration).

Ugxininiso lophando: Ukuphuhlisa inkqubo yokutshiza ye-bio adhesive endoscopic.

Ezi teknoloji zityhala i-endoscopy yengxakeko kwindawo engundoqo yonyango "lweyure yegolide" ngeendlela ezintathu eziphambili: "impendulo yenqanaba lomzuzu, umonakalo owongezelelweyo, kunye nokugcinwa komsebenzi womzimba". Kulindeleke ukuba ngo-2027, i-50% yonyango olungxamisekileyo lwe-abdominal / thoracic luya kutshintshwa yi-endoscopy.