Kev ntsuam xyuas dav dav ntawm kev siv tswv yim ntawm kev phais mob hauv tsev
Cov kev ntsuam xyuas ntsig txog: 1. Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences; 2. Sichuan Food and Drug Inspection and Testing Institute; 3. Urology Department of the Second Affiliated Hospital of Chengdu University of Traditional Chinese Medicine; 4. Cixi Tsev Kho Mob ntawm Tsob Ntoo Suav Tshuaj, Department of Hand and Foot Surgery
lub hom phiaj
Lub CORDER hom hom ASOM-4 phais microscope tau rov ntsuam xyuas tom qab kev ua lag luam.Cov txheej txheem: Raws li cov kev cai ntawm GB 9706.1-2007 thiab GB 11239.1-2005, CORDER phais microscope tau muab piv nrog cov khoom txawv teb chaws zoo sib xws. Ntxiv rau qhov kev ntsuam xyuas kev nkag mus rau cov khoom, qhov kev ntsuam xyuas tau tsom rau kev ntseeg siab, kev ua haujlwm, kev lag luam thiab kev pabcuam tomqab muag.Tseem tau: Lub CORDER kev ua haujlwm microscope tuaj yeem ua tau raws li cov kev cai ntawm cov qauv kev lag luam, thiab nws txoj kev ntseeg siab, kev ua haujlwm thiab kev pabcuam tomqab muag tuaj yeem ua tau raws Cov kev xav tau ntawm kev kho mob, thaum nws txoj kev lag luam yog qhov zoo.Kev xaus: CORDER kev ua haujlwm microscope yog qhov zoo thiab muaj nyob rau hauv ntau yam microsurgeries, thiab yog kev lag luam ntau dua li kev lag luam. cov khoom. Nws tsim nyog pom zoo raws li cov khoom siv kho mob hauv tsev.
kev taw qhia
Lub tshuab ntsuas kev khiav hauj lwm feem ntau yog siv rau kev phais mob xws li ophthalmology, orthopedics, phais hlwb, neurology thiab otolaryngology, thiab yog cov khoom siv kho mob tsim nyog rau kev phais mob microsurgery [1-6]. Tam sim no, tus nqi ntawm cov khoom siv los ntawm txawv teb chaws yog ntau tshaj 500000 yuan, thiab muaj cov nqi khiav lag luam thiab cov nqi tu. Tsuas yog ob peb lub tsev kho mob loj hauv Suav teb tuaj yeem yuav cov khoom siv zoo li no, uas cuam tshuam rau kev loj hlob ntawm microsurgery hauv Suav teb. Yog li ntawd, domestic phais microscopes nrog kev ua tau zoo sib xws thiab cov nqi siab dua tau los ua. Raws li thawj pawg ntawm cov khoom siv kho mob tshiab ua qauv qhia hauv Sichuan Province, ASOM-4 kev ua haujlwm microscope ntawm CORDER hom yog ib qho ntawm nws tus kheej tsim kev ua haujlwm microscope rau orthopedics, thoracic phais, tes phais, phais yas thiab lwm yam kev ua haujlwm microsurgical [7]. Txawm li cas los xij, qee cov neeg siv hauv tsev yeej ib txwm tsis ntseeg cov khoom siv hauv tsev, uas txwv tsis pub muaj koob npe ntawm microsurgery. Txoj kev tshawb no npaj siab los ua ntau qhov chaw tom qab kev lag luam rov ntsuam xyuas ntawm ASOM-4 phais microscope ntawm CORDER hom. Ntxiv nrog rau kev nkag mus rau cov khoom lag luam kev soj ntsuam ntawm cov khoom siv tsis zoo, kev ua haujlwm kho qhov muag, kev nyab xeeb thiab lwm yam khoom, nws tseem yuav tsom rau nws txoj kev ntseeg siab, kev ua haujlwm, kev lag luam thiab kev pab cuam tom qab muag.
1 Yam khoom thiab txoj kev
1.1 Cov khoom tshawb fawb
Cov pab pawg sim siv ASOM-4 phais microscope ntawm CORDER hom, uas yog muab los ntawm domestic Chengdu CORDER Optics & Electronics Co.; Cov pab pawg tswj tau xaiv qhov yuav khoom txawv teb chaws phais tsom iav (OPMI VAR10700, Carl Zeiss). Tag nrho cov khoom siv tau raug xa thiab muab tso rau hauv kev siv ua ntej Lub Ib Hlis 2015. Thaum lub sij hawm ntsuam xyuas, cov khoom siv hauv pawg sim thiab pawg tswj tau siv sib hloov, raws li qhia hauv daim duab 1.
1.2 chaw tshawb fawb
Xaiv ib lub tsev kho mob Class III Class A (Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences, ≥ 10 microsurgeries ib as thiv) hauv Sichuan Province uas tau ua microsurgery rau ntau xyoo thiab ob lub tsev kho mob Class II Class A hauv Suav teb uas tau ua microsurgery tau ntau xyoo (Lub Tsev Kho Mob Thib Ob ntawm Chengdu University of Traditional Suav Tshuaj thiab Cixi Tsev Kho Mob ntawm Cov Tshuaj Suav Tshuaj, ≥ 5 microsurgeries ib lub lis piam). Cov kev ntsuas ntsuas tau txiav txim los ntawm Sichuan Medical Device Testing Center.
1.3 txoj kev tshawb fawb
1.3.1 Kev ntsuam xyuas nkag
Kev nyab xeeb raug soj ntsuam raws li GB 9706.1-2007 Cov Khoom Siv Hluav Taws Xob Kho Mob Ntu 1: Cov Lus Qhia dav dav rau kev nyab xeeb [8], thiab cov ntsuas kev ua haujlwm tseem ceeb ntawm lub tshuab ntsuas hluav taws xob tau muab piv thiab ntsuas raws li qhov xav tau ntawm GB 11239.1-2005 [9] .
1.3.2 Kev ntsuam xyuas kev ntseeg tau
Sau tus naj npawb ntawm cov rooj khiav hauj lwm thiab tus naj npawb ntawm kev ua tsis tiav ntawm cov khoom siv los ntawm lub sijhawm xa khoom mus rau Lub Xya Hli 2017, thiab sib piv thiab ntsuas qhov ua tsis tiav. Tsis tas li ntawd, cov ntaub ntawv ntawm National Center for Clinical Adverse Reaction Detection nyob rau hauv peb lub xyoos tsis ntev los no tau nug los sau cov xwm txheej tsis zoo ntawm cov khoom siv hauv pawg sim thiab pawg tswj.
1.3.3 Kev ntsuas kev ua haujlwm
Tus neeg siv khoom siv, uas yog, tus kws kho mob, muab cov qhab nia ntawm qhov yooj yim ntawm kev ua haujlwm ntawm cov khoom, kev nplij siab ntawm tus neeg teb xov tooj thiab cov lus qhia ntawm cov lus qhia, thiab muab cov qhab nia ntawm tag nrho cov kev txaus siab. Tsis tas li ntawd, tus naj npawb ntawm kev ua tsis tiav vim yog vim li cas cov khoom siv yuav tsum tau sau tseg nyias.
1.3.4 Kev ntsuam xyuas nyiaj txiag
Sib piv cov nqi yuav khoom (tus nqi siv lub tshuab) thiab cov nqi siv tau, sau tseg thiab sib piv cov nqi kho khoom siv tag nrho ntawm pawg sim thiab pawg tswj xyuas thaum lub sijhawm ntsuas.
1.3.5 Kev soj ntsuam kev pab cuam tom qab muag
Cov cuab yeej tswj hwm tus thawj tswj hwm ntawm peb lub tsev kho mob yuav muab cov qhab nia ntawm kev teeb tsa, kev cob qhia cov neeg ua haujlwm thiab kev saib xyuas.
1.4 Kev ntsuas qhov ntsuas ntau
Txhua yam ntawm cov ntsiab lus ntsuas saum toj no yuav tsum tau qhab nia ntau nrog rau tag nrho cov qhab nia ntawm 100 cov ntsiab lus. Cov ntsiab lus tau qhia hauv Table 1. Raws li qhov qhab nia nruab nrab ntawm peb lub tsev kho mob, yog tias qhov sib txawv ntawm cov qhab nia ntawm cov khoom hauv pawg sim thiab cov khoom hauv pawg tswj hwm yog ≤ 5 cov ntsiab lus, cov khoom ntsuam xyuas tau suav tias yog yuav sib npaug rau cov khoom tswj, thiab cov khoom hauv pawg sim (CORDER surgical microscope) tuaj yeem hloov cov khoom hauv pawg tswj (tshem tawm phais microscope).
2 ua
Tag nrho ntawm 2613 kev ua haujlwm tau suav nrog hauv txoj kev tshawb no, suav nrog 1302 cov khoom siv hauv tsev thiab 1311 cov khoom siv txawv teb chaws. Kaum tus kws kho mob orthopedic laus thiab siab dua, 13 tus txiv neej urological associate senior thiab saum toj no cov kws kho mob, 7 neurosurgical associate senior thiab saum toj no cov kws kho mob, thiab tag nrho ntawm 30 associate senior thiab saum toj no cov kws kho mob koom nyob rau hauv kev ntsuam xyuas. Cov qhab nia ntawm peb lub tsev kho mob raug suav, thiab cov qhab nia tshwj xeeb tau pom nyob rau hauv Table 2. Qhov qhab nia tag nrho ntawm ASOM-4 kev ua haujlwm microscope ntawm CORDER hom yog 1.8 cov ntsiab lus tsawg dua li cov khoom siv hluav taws xob txawv teb chaws. Saib daim duab 2 rau kev sib piv cov qhab nia ntawm cov cuab yeej hauv pawg sim thiab cov cuab yeej hauv pawg tswj hwm.
3 sib tham
Tag nrho cov qhab nia ntawm ASOM-4 phais microscope ntawm CORDER hom yog 1.8 cov ntsiab lus tsawg dua li ntawm cov khoom siv phais mob tuaj txawv teb chaws ntawm kev tswj, thiab qhov sib txawv ntawm cov qhab nia ntawm cov khoom tswj thiab ASOM-4 yog ≤ 5 cov ntsiab lus. Yog li, cov txiaj ntsig ntawm txoj kev tshawb fawb no qhia tias ASOM-4 phais microscope ntawm CORDER hom tuaj yeem hloov cov khoom lag luam ntawm txawv teb chaws thiab tsim nyog txhawb raws li cov khoom siv hauv tsev siab heev.
Daim duab radar qhia meej meej qhov sib txawv ntawm cov khoom siv hauv tsev thiab cov khoom siv txawv teb chaws (Daim duab 2). Nyob rau hauv cov nqe lus ntawm kev ntsuas, kev ruaj ntseg thiab kev txhawb nqa tom qab muag, ob qhov sib npaug; Nyob rau hauv cov nqe lus ntawm daim ntawv thov, cov khoom siv txawv teb chaws yog me ntsis superior, qhia tias cov khoom siv hauv tsev tseem muaj chaw rau kev txhim kho tas li; Nyob rau hauv cov nqe lus ntawm kev lag luam ntsuas, CORDER hom ASOM-4 cov khoom siv hauv tsev muaj cov txiaj ntsig zoo.
Hauv kev ntsuam xyuas kev lees paub, cov ntsuas kev ua tau zoo tseem ceeb ntawm kev siv tshuaj kho mob hauv tsev thiab txawv teb chaws tau ua raws li qhov yuav tsum tau ua ntawm GB11239.1-2005 tus qauv. Cov ntsuas kev nyab xeeb tseem ceeb ntawm ob lub tshuab ua tau raws li qhov xav tau ntawm GB 9706.1-2007. Yog li ntawd, ob qho tib si ua tau raws li cov kev cai ntawm lub teb chaws cov qauv, thiab tsis muaj qhov txawv txav ntawm kev nyab xeeb; Nyob rau hauv cov nqe lus ntawm kev ua tau zoo, cov khoom siv txawv teb chaws muaj qee qhov zoo ntawm cov khoom siv kho mob hauv tsev raws li cov yam ntxwv ntawm lub teeb pom kev zoo, thaum lwm yam kev ua haujlwm kho qhov muag tsis pom qhov txawv; Nyob rau hauv cov nqe lus ntawm kev ntseeg siab, thaum lub sij hawm ntsuam xyuas, qhov tsis ua hauj lwm tus nqi ntawm cov khoom no yog tsawg tshaj li 20%, thiab feem ntau ntawm cov tsis ua hauj lwm yog tshwm sim los ntawm lub teeb yuav tsum tau hloov, thiab ob peb yog tshwm sim los ntawm kev hloov tsis raug ntawm lub teeb. counterweight. Tsis muaj teeb meem loj lossis khoom siv kaw.
CORDER hom ASOM-4 phais microscope host tus nqi tsuas yog kwv yees li 1/10 ntawm pawg tswj hwm (ntshuam) cov khoom siv. Nyob rau tib lub sijhawm, vim tias nws tsis tas yuav tiv thaiv tus kov, nws yuav tsum muaj cov khoom siv tsawg dua thiab muaj txiaj ntsig zoo rau txoj cai tsis muaj menyuam ntawm kev phais. Tsis tas li ntawd, hom kev ua haujlwm ntawm lub tshuab ntsuas hluav taws xob no siv lub teeb LED hauv tsev, uas tseem pheej yig dua li pawg tswj hwm, thiab tag nrho cov nqi kho mob qis dua. Yog li ntawd, CORDER hom ASOM-4 phais microscope muaj kev lag luam pom tseeb. Hais txog kev txhawb nqa tom qab muag, cov cuab yeej siv hauv pab pawg sim thiab pawg tswj tau txaus siab heev. Tau kawg, raws li kev lag luam sib koom ntawm cov khoom siv txawv teb chaws yog siab dua, kev saib xyuas cov lus teb nrawm dua. Kuv ntseeg tias nrog kev maj mam nrov ntawm cov khoom siv hauv tsev, qhov sib txawv ntawm ob yuav maj mam nqaim.
Raws li thawj pawg ntawm cov khoom siv kho mob tshiab ua qauv qhia hauv Sichuan Province, CORDER hom ASOM-4 phais microscope tsim los ntawm Chengdu CORDER Optics & Electronics Co. yog nyob rau hauv lub ntiaj teb advanced thiab domestic ua theem. Nws tau raug ntsia thiab siv nyob rau hauv ntau lub tsev kho mob hauv Suav teb, thiab xa tawm mus rau South Asia, Middle East, Africa thiab lwm thaj chaw, uas yog cov neeg siv nyiam. CORDER hom ASOM-4 phais microscope muaj qhov kev daws teeb meem siab, siab txhais qhov kho qhov muag, muaj zog stereoscopic kev nkag siab, qhov tob ntawm qhov loj, lub teeb txias txias dual optical fiber ntau coaxial teeb pom kev zoo, lub teeb pom kev zoo, ko taw tswj tsis siv neeg micro-focus, hluav taws xob txuas ntxiv. zoom, thiab muaj qhov muag pom, TV thiab yees duab yees ua haujlwm, ntau lub luag haujlwm khib, ua tiav cov haujlwm, tshwj xeeb tshaj yog tsim rau microsurgery thiab kev qhia kev ua qauv qhia.
Hauv kev xaus, CORDER hom ASOM-4 phais microscope siv nyob rau hauv txoj kev tshawb no tuaj yeem ua tau raws li cov qauv kev lag luam, ua tau raws li cov kev xav tau ntawm kev kho mob, ua tau zoo thiab muaj, thiab muaj kev lag luam ntau dua li cov khoom siv tswj. Nws yog ib qho khoom siv kho mob hauv tsev uas tsim nyog tau txais kev pom zoo.
[reference]
[1] Gu Liqiang, Zhu Qingtang, Wang Huaqiao. Cov kws tshaj lij kev xav ntawm lub rooj sib tham ntawm cov tswv yim tshiab ntawm vascular anastomosis hauv microsurgery [J]. Suav Journal of Microsurgery, 2014, 37 (2): 105.
[2] Zhang Qing. Keeb kwm thiab kev cia siab ntawm txoj kev loj hlob ntawm Shanghai orthopedics [J]. Shanghai Medical Journal, 2017, (6): 333-336.
[3] Zhu J., Wang Z., Jin Yufei, et al. Microscope-pab tom qab kho thiab fusion ntawm atlantoaxial sib koom nrog screws thiab rods - kev kho mob daim ntawv thov kev hloov kho Goel lag luam [J]. Suav Journal of Anatomy thiab Clinical Sciences, 2018, 23 (3): 184-189.
[4] Li Fubao. Qhov zoo ntawm micro-invasive thev naus laus zis hauv kev phais txha caj qaum [J]. Suav Journal of Microsurgery, 2007, 30 (6): 401.
[5] Tian W, Han Xu, He Da, et al. Kev sib piv ntawm kev soj ntsuam los ntawm kev phais microscope thiab magnifying iav pab lumbar discectomy [J]. Suav Journal of Orthopedics, 2011, 31 (10): 1132-1137.
[6] Zheng Zheng. Kev kho mob daim ntawv thov cov nyhuv ntawm kev kho hniav phais microscope ntawm refractory cag kwj dej kho [J]. Phau Ntawv Qhia Txog Kev Kho Mob Suav, 2018 (3): 101-102.
Post lub sij hawm: Jan-30-2023
