Isisombululo esiphazamisayo se-Endoscopy yezoNyango kwi-Gynecology kunye ne-Reproductive Medicine Diagnosis kunye noNyango

I-1, inguqu yempumelelo kwitekhnoloji ye-hysteroscopy

(1)Inkqubo ye-hysteroscopy yemela ebandayo

Ukuphazamiseka kwezobuchwepheshe:

Ukucwangciswa komatshini (okufana ne-MyoSure) ®): I-blade ejikelezayo ngesantya se-2500rpm isusa ngokuchanekileyo i-fibroids ukuphepha umonakalo wokufudumala kombane kwi-substrate ye-membrane yangaphakathi.

Inkqubo yokulawula uxinzelelo lwe-fluid: Gcina uxinzelelo lwe-uterine phakathi kwe-50-70mmHg (i-electrocautery yendabuko> 100mmHg) ukunciphisa umngcipheko wokugqithiswa kwamanzi.

Ixabiso lonyango:

Ixesha lokulungiswa kwe-endometrium emva kwe-submucosal fibroid resection liye lancitshiswa ukusuka kwiiveki ezili-12 ukuya kwiiveki ezi-4 emva kwe-electrocautery.

Izinga lokukhulelwa lendalo lezigulane ezingenanzala emva kotyando liye landa ukuya kuma-58% (xa kuthelekiswa ne-32% kuphela kwiqela le-electrocautery).

(2) I-3D hysteroscopy navigation

Amagqabantshintshi obugcisa:

Ixesha langempela imodeli ye-3D (efana neKarl Storz UMFANEKISO 1 S Rubina): ukubonisa ubunzulu bophondo lwe-uterine kunye nokumila kwe-fallopian tube yokuvula.

Ukudibanisa nedatha ye-MRI yangaphambili, ukuchaneka kokuchonga ukukhubazeka kwesibeleko (njenge-mediastinum epheleleyo) yi-100%.

Iimeko zesicelo:

I-stereoscopic quantitative grading ye-intrauterine adhesions (i-Asherman syndrome).

(3)Fluorescence staining hysteroscope

Impumelelo yetekhnoloji:

I-5-ALA yenza i-tumor protoporphyrin IX fluorescence, kunye novakalelo lokufumanisa lwe-91% kumhlaza we-endometrial yokuqala (kuphela i-65% phantsi kwe-microscopy yokukhanya okumhlophe).

Ngokutsho kwedatha evela kwiZiko loMhlaza leSizwe laseJapan, izilonda ze-endometrial hyperplasia ezingaphantsi kwe-1MM zingabonwa.

2, Ukwakhiwa kwakhona kweParadigm yeteknoloji ye-laparoscopic

(1) Izibuko elinye i-laparoscope (SPRS)

Inkqubo ye-SP yeDa Vinci:

I-25mm yokusikwa enye isetyenziselwa ukugqiba utyando olupheleleyo lwe-hysterectomy, okwandisa i-cosmetic degree ngama-80% xa kuthelekiswa notyando lwe-porous.

Isixhobo sesandla esinelungelo elilodwa lomenzi wechiza sifezekisa ukusebenza kwe-7-degree-of-freedom, ngokuthunga kunye nokuchaneka kwe-knotting ye-0.1mm.

Idatha yonyango:

Izinga lokugcinwa kwezicubu eziqhelekileyo ze-ovarian ngexesha le-cystectomy ye-ovarian likhulu kune-95% (i-laparoscopy yendabuko malunga ne-70%).

(2) Kufuphi ne-infrared fluorescence navigation (NIR)

ICG lymphatic mapping:

Ukuboniswa kwexesha langempela le-sentinel lymph nodes ngexesha lotyando lomhlaza womlomo wesibeleko kunciphisa i-lymph node dissection ngokungeyomfuneko ngama-43%.

IsiCwangciso seSibhedlele seCancer esiManyeneyo seYunivesithi yaseFudan: Ukudibanisa i-indocyanine eluhlaza kunye ne-nanocarbon yokubhala kabini, izinga lokufumanisa liye landa kwi-98%.

(3) Ukuphuculwa kwePlatform yaMandla e-Ultrasonic

Harmonic ACE+7:

Ukulungelelaniswa okuhlakaniphile kwe-vibration frequency (55.5kHz ± 5%), ukusika kunye nokuvala i-5mm imithambo yegazi ngaxeshanye.

Umthamo wokopha ngexesha lotyando lokususa i-uterine fibroid ungaphantsi kwe-50ml (i-electrocautery yesiqhelo>200ml).

3, Izisombululo ezingenelelayo kumayeza okuzala

(1) Ukungenelela kwe-Hysteroscopy yokuhlaziywa kweetyhubhu ze-fallopian

Indibaniselwano yobuchwephesha:

I-0.5mm ye-fiber mirror ye-ultra-fine (efana ne-Olympus HYF-1T) idibaniswe nesikhokelo sokwandiswa kwe-hydraulic ngocingo.

Inkqubo yokujonga uxinzelelo lwexesha langempela (<300mmHg) ukukhusela ukuphuka kwe-fallopian tube.

Isiphumo sonyango:

Isantya sokuvuselela i-proximal obstruction yi-92%, kwaye izinga lokukhulelwa kwendalo kwiinyanga ezi-6 emva kokuhlinzwa ngu-37%.

(2) Ukukhenkceza kwezicubu ze-Ovarian + ukufakelwa kwe-endoscopic

Inkqubo yokuphazamisa:

Inyathelo 1: Fumana i-ovarian cortex ngokusebenzisa i-laparoscopy ye-transvaginal (ukuphepha i-laparotomy).

Inyathelo 2: Vitrification kunye nokugcinwa komkhenkce.

Inyathelo lesi-3: Ukutshintshwa kwe-autologous kwi-ovarian fossa emva kwe-chemotherapy ukubuyisela umsebenzi we-endocrine.

idatha

Inkqubo yaseBrussels eBelgium: Izinga le-Ovulation ye-68% emva kokutshintshwa kwizigulane zasemva kokufikisa.

(3) Uvavanyo lwe-Endometrial receptivity (ERT)

Itekhnoloji ye-Endoscopic yeemolekyuli:

Ukuqokelela izicubu ze-endometrial phantsi kwe-hysteroscopy kwaye unqume ifestile yokufakelwa ngokulandelelana kwe-RNA.

Ukuphucula izinga lokukhulelwa kweklinikhi yezigulane ezinokusilela kokufakelwa ngokuphindaphindiweyo ukusuka kwi-21% ukuya kwi-52%.

I-4, Ubuncinci obungenabuqhetseba ekulungisweni komgangatho we-pelvic

(1) Ufakelo lwe-Transvaginal Mesh (TVM)

Ukuvela kobuchwepheshe:

Ushicilelo lwe-3D olulolwakho lwe-polypropylene mesh ene-porosity>70% yehlisa umngcipheko wosulelo.

Irobhothi incedise ekubekeni ngokuchanekileyo ukuthintela umonakalo kwi-obturator nerve.

Isiphumo sonyango:

Umlinganiselo weminyaka emi-5 wokuphindaphinda kwe-pelvic organ prolapse (POP) ungaphantsi kwe-10% (utyando lwesiqhelo lwe-suture 40%).

(2) Ukulawulwa kwe-nerve ye-Sacral endoscopic implantation

I-InterStim ™ Isicwangciso esingenabuncinci:

I-Sacral 3-hole puncture phantsi kwe-cystoscopy, enezinga elisebenzayo elingaphezu kwe-80% ngexesha lokuvavanya ngaphambi kokufakwa ngokusisigxina.

Izinga lokuphucula ukulawulwa komchamo kunyango lwe-refractory incontinence yomchamo ngu-91%.

5. Izalathiso zobuchwepheshe bexesha elizayo

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(2) Isibiyeli se-elektroniki esifunxwayo:Isikafula esisekwe kwi-magnesium ephuhliswe yiYunivesithi yaseNorthwestern eUnited States sehlisa isidima kwaye sikhupha izinto ezikhuthaza ukukhula kwiinyanga ezi-6.

(3) I-organ chip simulation transplantation: Ukuhlaziya i-uterine transplantation ye-vascular anastomosis isicwangciso kwi-microfluidic chip.

Itheyibhile yokuthelekisa iNzuzo yezonyango

Amanqaku eentlungu zeendlela zeteknoloji yendabuko / ukusebenza kwezisombululo eziphazamisayo

Imela ebandayo ihysteroscopy/electrosurgical injury of endometrial stem cells/postoperative adhesion rate yehliswe ukusuka kwi28% ukuya kwi5%

Umngxuma omnye werobhothi i-laparoscopic / utyando lwemingxuma emininzi eneziva ezicacileyo / ukubuyiselwa kobomi bemihla ngemihla kwiiyure ezingama-24 emva kotyando

Izinga eliphezulu lobuxoki eliqinisekileyo le-fluorescence falloposcopy/hysterosalpingography/indawo echanekileyo yothintelo lokwenyani ukuya kuthi ga kwi-0.1mm

Ukutshintshwa kwezicubu ze-Ovarian ezikhenkceza ukutshintshwa / emva kwechemotherapy ukusilela kwangaphambili kwe-ovarian / izinga lokubuyisela umjikelo wokuya exesheni> 60%

Iingcebiso zendlela yokuphumeza

Izibhedlele eziziiprayimari: zixhotywe nge-high-definition hysteroscopy kunye nenkqubo yomese ebandayo, egubungela i-90% yezilonda ze-intrauterine.

Iziko lokuzala: Ukuseka iqonga elidibeneyo le-endoscopy ye-fallopian tube kunye nokudluliselwa kwe-embryo.

I-Oncology Specialty: Khuthaza ukukhutshwa kwethumba ngokuchanekileyo usebenzisa i-NIR fluorescence navigation.

Obu bugcisa buchaza ngokutsha imigangatho yotyando lobufazi obungangeneleliyo ngokuphumelela okuthathu okungundoqo: ukuchaneka komgangatho wemilimitha, ukungabikho komonakalo wokuzala, kunye nokwakhiwa kwakhona kokusebenza komzimba. Kulindeleke ukuba ngo-2027, i-90% ye-gynecological benign disease surgeries iya kufezekisa unyango "lwemini".