Kev Ntsuam Xyuas Kev Ua Haujlwm Ntawm Cov Ntaub Ntawv Siv Ntawm Kev Kho Mob Lub Vev Xaib
Cov kev ntsuas cuam tshuam: 1. Sichuan cov neeg hauv lub tsev kho mob, Sichuan Academy ntawm Medical Sciences; 2. Sichuan zaub mov thiab tshuaj tshuaj xyuas thiab lub koom haum kuaj 3. Urology Department of THIB OB EFFILIALIALIALIALIALIES NTAWM CHANGDU UNIVERSITY TSHUAJ SABCKUCKS; 4. Cixi Tsev Kho Mob ntawm Tsoos Suav Tshuaj, Chav Haujlwm Kev Kho Mob Tes thiab ko taw
lub hom phiaj
Lub cerrestic countder hom-4 phais tsom tau raug rov ntsuas dua tom qab GB 9706.1-2007, CORDER CRENTICT tsom tsom tau muab piv nrog cov khoom lag luam txawv teb chaws. Ntxiv rau kev ntsuam xyuas cov khoom lag luam, kev ntsuas xyuas tsom xam, kev ua haujlwm tau zoo, thiab muaj kev lag luam muaj txiaj ntsig, thiab muaj kev lag luam ntau dua li cov khoom lag luam txawv teb chaws. Nws yog tsim nyog pom zoo raws li lub tsev ua haujlwm ua haujlwm hauv tsev.
lub hauv paus rau phau ntawv
Lub tsom iav ua haujlwm yog siv rau microsuralurgery xws li phais mob hlwb, thiab yog cov khoom siv kho mob tsim nyog rau microsurgery [1-6]. Tam sim no, tus nqi ntawm cov khoom siv txawv teb chaws los ntawm txawv teb chaws yog ntau tshaj 500000 Yuan, thiab muaj cov nqi haujlwm siab thiab cov nqi txij nkawm. Tsuas yog ob peb lub tsev kho mob loj hauv Suav tau tuaj yeem yuav cov cuab yeej no, uas cuam tshuam rau kev txhim kho ntawm microsurgery hauv Suav teb. Yog li ntawd, kev phais mob hauv tsev nrog cov kev ua tau zoo sib xws thiab cov nqi siab dua tau los ua. Raws li thawj zaug ntawm kev kho mob kho mob tshiab, kev phais mob thoracope thiab kev phais mob thorac Txawm li cas los xij, qee cov neeg siv khoom hauv tsev yog ib txwm tsis ntseeg cov khoom lag luam hauv tsev, uas txo cov koob muaj npe ntawm microsurgery. Txoj kev kawm no npaj yuav ua ntau lub chaw tom qab kev lag luam rov ua lag luam rov ntsuas dua ntawm ASom-4 phais tsom taws xob ntawm hom corder. Ntxiv rau kev soj ntsuam cov khoom lag luam ntawm cov kev ntsuas cov txheej txheem, kev ua haujlwm kho qhov muag, nws tseem yuav ua kom pom tseeb txog nws txoj kev ntseeg tau, kev khwv nyiaj txiag, kev khwv nyiaj txiag thiab tom qab muag kev pab.
1 lub hom phiaj thiab txoj kev
1.1 Tshawb Nrhiav Yam
Cov pab pawg sim siv tau siv ASOM-4 phais tsom taws ntawm hom corder, uas tau muab los ntawm kev ua haujlwm Chengdu corser OPDERS & Electronics Chlotics & Electronics Co.; Cov pab pawg tswj hwm xaiv tau xaiv cov yuav txawv teb chaws tsom iav (OPMI VAR10700, Carl Zeiss). Txhua cov khoom siv tau xa mus thiab muab tso rau hauv kev siv ua ntej Lub Ib Hlis 2015. Thaum lub sijhawm ntsuas thiab pawg tswj hwm tau siv hloov, raws li qhia hauv daim duab 1.
1.2 Tshawb Fawb
Xaiv ib chav kawm III chav tsev kho mob (Sich Lub lim tiam). Cov phiaj xwm kev ua haujlwm tau txiav txim los ntawm Sichuan Kev Kuaj Tshuaj Kho Mob Ntaus Ntawv.
1.3 Kev Tshawb Fawb
1.3.1 Kev Ntsuam Xyuas Kev Siv
Cov kev nyab xeeb yog ntsuas raws li GB 9706.1-2007 Kev Tsim Kho Mob Hluav Taws Xob Tshooj 1: thiab lub ntsiab kho qhov muag tau muab piv rau cov cai ntawm GB 11239.1-2005 [9].
1.3.2 Kev Tshawb Xyuas Kev Tiv Thaiv
Sau cov xov tooj ntawm cov khoom ua haujlwm thiab cov naj npawb ntawm cov khoom ua tiav los ntawm lub sijhawm khoom xa khoom mus rau Lub Xya hli ntuj 2017, thiab sib piv thiab ntsuas qhov tsis ua haujlwm. Tsis tas li ntawd, cov ntaub ntawv ntawm National Center rau kev kho mob tsis ntev los no tau nug qhov tshwm sim tsis ntev los no ntawm cov cuab yeej sim thiab pawg tswj.
1.3.3 Kev Ntsuam Xyuas Haujlwm
Cov neeg teb xov tooj siv khoom, yog tus kws kho mob uas yog cov kev txhawb nqa ntawm cov lus qhia, thiab muab tus qhab nia ntawm qhov kev txaus siab tag nrho. Ib qho ntxiv, tus naj npawb ntawm kev ua haujlwm tsis tau vim yog siv cov laj thawj uas yuav tsum muab sau cia.
1.3.4 kev tshuaj xyuas kev lag luam
Sib piv cov cuab yeej khoom siv (tus nqi siv tus nqi siv) thiab muab cov khoom siv ntawm cov cuab yeej sim tag nrho ntawm cov cuab yeej sim khoom thiab pawg tswj hwm thaum lub sijhawm ntsuas.
1.3.5 Tom qab tshuaj ntsuam xyuas
Cov txheej txheem tswj cov ntaub ntawv ntawm peb lub tsev kho mob yuav muab cov qhab nia ntawm kev teeb tsa, cov neeg ua haujlwm thiab kev saib xyuas.
1.4 Quantitative Txoj Kev Kawm
Txhua qhov khoom ntawm cov ntsiab lus kev tshuaj xyuas saum toj no yuav tsum tau tw ntau zaus nrog tag nrho cov qhab nia ntawm 100 ntsiab lus. Cov ntsiab lus tau qhia hauv cov lus 1. Raws li cov qhab nia nruab nrab ntawm peb cov khoom lag luam, yog tias qhov sib txawv ntawm cov khoom lag luam tawm)
2 qhov tshwm sim
Tag nrho ntawm 2613 kev ua haujlwm tau muaj nyob hauv txoj kev kawm no, suav nrog 1302 cov khoom siv hauv tsev thiab 1311 imported khoom. Kaum cov kws kho mob laus orthopedic assocical thiab cov kws kho mob tus txiv neej laus thiab siab dua 30 tus kws kho mob laus tau koom rau hauv kev ntsuam xyuas. Cov qhab nia ntawm peb lub tsev kho mob raug suav, thiab cov qhab nia tshwj xeeb yog qhia hauv lub rooj sib tham ntawm Asomer yog 1.8 cov ntsiab lus tsawg dua li ntawm kev siv lub tsom iav. Saib Daim Duab 2 rau cov qhab nia sib piv ntawm cov cuab yeej siv thiab cov cuab yeej sim hauv pawg tswj hwm.
3 sib tham
Tag nrho cov qhab nia ntsuas ntawm asom-4 phais tsom ntawm lub tshuab phais corder yog 1.8 cov ntsiab lus tsawg dua ntawm cov qhab nia phais, thiab ASOM-4 yog ≤ 5 ntsiab lus. Yog li ntawd, cov txiaj ntsig ntawm txoj kev tshawb fawb no qhia tias asom-4 phais tsom tua cov khoom lag luam txawv teb chaws tuaj yeem hloov pauv cov cuab yeej ua haujlwm txawv.
Lub radar chard pom qhov txawv ntawm cov khoom siv hauv tsev thiab khoom siv txawv teb (Daim Duab 2). Nyob rau hauv cov nqe lus ntawm kev ntsuas kev ua haujlwm, kev ruaj khov thiab tom qab muag txhawb, ob qho sib npaug; Nyob rau hauv cov nqe lus ntawm cov ntawv thov tshwj xeeb, cov khoom siv import yog qhov zoo dua qub, qhia tias cov khoom siv hauv tsev tseem muaj kev txhim kho txuas ntxiv; Nyob rau hauv cov nqe lus ntawm cov cim kev lag luam, cov hom corder li-4 hauv cov khoom siv hauv tsev tau pom tseeb zoo.
Hauv kev ntsuas xyuas kev ua tau zoo, cov ntsiab lus tseem ceeb ntawm kev phais tsiaj thiab raug phais ntawm kev phais me me pom kev ua tau raws li GB11239.1-2005 txheem. Cov cim kev nyab xeeb tseem ceeb ntawm ob lub cav tov raws li qhov yuav tsum tau ua GB 9706.1-2007. Yog li ntawd, ob qho tib si raws li qhov yuav tsum tau ntawm cov qauv hauv tebchaws, thiab tsis muaj qhov sib txawv ntawm kev nyab xeeb; Hais txog kev ua tau zoo, cov khoom lag luam muaj qee qhov zoo dua cov khoom siv kho mob kho mob hauv tsev, thaum lwm txoj kev ntsuas kho qhov muag tsis muaj qhov sib txawv; Nyob rau hauv cov nqe lus ntawm kev ntseeg tau, thaum lub sijhawm ntsuas, qhov kev ua tsis tiav ntawm cov khoom lag luam yuav tsum tau hloov, thiab feem ntau ntawm cov khoom lag luam yuav tsum tau hloov pauv, thiab feem ntau ntawm qhov kev hloov kho tsis raug ntawm cov kev sib hloov. Tsis muaj kev ua tsis tiav lossis khoom siv kaw.
Lub Hom Phiaj Chaw Txheeb Ze-4 phais tsom tus tswv tsev tus nqi tsuas yog li 1/10 ntawm pawg tswj (import) khoom siv. Nyob rau tib lub sijhawm, vim tias nws tsis tas yuav tiv thaiv tus kov, nws yuav tsum tau ua tsawg dua cov neeg tau txais txiaj ntsig mus rau kev phais mob. Ib qho ntxiv, hom no siv lub tsom iav ua haujlwm siv teeb pawg LED teeb liab, thiab tus nqi tswj hwm tag nrho yog qis dua. Yog li ntawd, cerrer hom astxoos asom-4 phais tsom Tsom iav tau pom tseeb kev lag luam. Hais txog kev txhawb nqa tom qab muag, cov khoom siv hauv pawg sim thiab pawg tswj tau txaus siab heev. Ntawm chav kawm, raws li kev lag luam sib koom ntawm cov khoom siv txawv teb chaws muaj siab dua, kev kho cov lus teb ceev nrawm dua. Kuv ntseeg tias nrog maj mam muaj kev sib tw ntawm cov khoom siv hauv tsev, qhov sib txawv ntawm ob yuav maj mam maj mam nqaim.
Raws li thawj zaug ntawm cov khoom lag luam kho mob tshiab, lub xeev hluav taws xob tsim los ntawm Chengdu Cloder OptenDS & Electronics Co. yog nyob rau theem hauv ntiaj teb ua. Nws tau raug teeb tsa thiab siv ntau lub tsev kho mob hauv Suav teb, thiab tau xa tawm mus rau Sab Hnub Tuaj Tebchaws Asmeskas, Middle East, Africa thiab lwm thaj chaw, uas yog favored los ntawm cov neeg siv. Kev Tsim Kho Mob Ntse muaj lub tshuab hluav taws xob muaj zog, thiab lub zog ua kom zoo nkauj, muaj zog ua haujlwm, tshwj xeeb tshaj yog tsim nyog rau microsurgery thiab qhia kev ua qauv qhia.
Hauv hom xaus, lub cerrer hom astxoos asom-4 phais tsom rau cov qauv kev kawm no tuaj yeem ua tau zoo li cov kev xav tau, thiab muaj txiaj ntsig ntau dua li cov khoom siv tswj. Nws yog ib qho khoom siv kho mob ua haujlwm siab tsim nyog ntawm kev pom zoo.
[Recre]
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[2] Zhang Changqing. Keeb kwm thiab kev cia siab ntawm kev txhim kho ntawm Shanghai Orthohopedics [J]. Shanghai Medical Journal, 2017, (6): 333-336.
[3] Zhu Jun, Wang Zhong, Jin Yufei, li al. Lub tsom iav-pab txhawb kev txhim kho sab nrauv thiab kev sib koom ua ke ntawm Atlantooaxial sib koom nrog cov ntsia hlau thiab cov pas nrig ntawm kev ua haujlwm tau hloov kho GELL [J]. Cov ntaub ntawv Suav ntawm lub cev thiab cov chaw kuaj mob sciences, 2018,23 (3): 184-189.
[4] Li Fubao. Qhov zoo ntawm cov tshuab micro infasive hauv spine cuam tshuam kev phais [j]. Suav phau ntawv xov xwm ntawm microsurigery, 2007,30 (6): 401.
[5] Tian Wei, Han Xiao, nws da, li al. Kev sib piv ntawm cov teebmeem hauv kev kho mob los ntawm kev hloov kho lub tsom iav thiab lub khob loj pab pab lumbar ua kom tiav [J]. Cov ntawv xov xwm Suav ntawm Orthopedics, 2011 :31 (10): 1132-1137.
[6] Zheng Zheng. Cov ntawv thov kev kho mob ua tau zoo ntawm kev kho hniav tsom rau kev kho hniav canal kho [j]. Cov Lus Qhia Txog Kho Mob Suav, 2018 (3): 101-102.
Lub sijhawm Post: Jan-30-2023
