Kev ntsuam xyuas tag nrho ntawm kev siv lub tshuab kuaj mob hauv tsev
Cov chav ntsuam xyuas cuam tshuam: 1. Tsev Kho Mob Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences; 2. Sichuan Food and Drug Inspection and Testing Institute; 3. Urology Department ntawm Second Affiliated Hospital ntawm Chengdu University of Traditional Chinese Medicine; 4. Cixi Hospital of Traditional Chinese Medicine, Department of Hand and Foot Surgery
lub hom phiaj
Lub tshuab kuaj mob CORDER hom ASOM-4 hauv tebchaws tau rov ntsuam xyuas dua 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 lub tshuab kuaj mob tau piv rau cov khoom txawv teb chaws zoo sib xws. Ntxiv nrog rau kev ntsuam xyuas cov khoom nkag mus, kev ntsuam xyuas tau tsom mus rau kev ntseeg siab, kev ua haujlwm, kev lag luam thiab kev pabcuam tom qab muag. Cov txiaj ntsig: Lub tshuab kuaj mob CORDER tuaj yeem ua tau raws li cov kev cai ntawm cov qauv kev lag luam cuam tshuam, thiab nws qhov kev ntseeg siab, kev ua haujlwm thiab kev pabcuam tom qab muag tuaj yeem ua tau raws li cov kev xav tau hauv kev kho mob, thaum nws txoj kev lag luam zoo. Xaus lus: CORDER lub tshuab kuaj mob ua haujlwm zoo thiab muaj nyob rau hauv ntau yam kev phais me me, thiab pheej yig dua li cov khoom xa tuaj. Nws tsim nyog pom zoo ua cov khoom siv kho mob hauv tebchaws.
kev qhia
Lub tshuab microscope ua haujlwm feem ntau yog siv rau kev phais mob me me xws li kev kho qhov muag, pob txha, phais hlwb, kev kho mob hlwb thiab otolaryngology, thiab yog cov khoom siv kho mob tsim nyog rau kev phais mob me me [1-6]. Tam sim no, tus nqi ntawm cov khoom siv no xa tuaj ntawm txawv teb chaws yog ntau dua 500000 yuan, thiab muaj cov nqi ua haujlwm siab thiab cov nqi txij nkawm. Tsuas yog ob peb lub tsev kho mob loj hauv Suav teb thiaj li yuav tau cov khoom siv no, uas cuam tshuam rau kev txhim kho kev phais mob me me hauv Suav teb. Yog li ntawd, cov tshuab microscope phais hauv tsev uas muaj kev ua tau zoo sib xws thiab kev ua tau zoo dua tau tshwm sim. Raws li thawj pawg ntawm cov khoom siv kho mob tshiab hauv xeev Sichuan, lub tshuab microscope ua haujlwm ASOM-4 ntawm CORDER hom yog lub tshuab microscope ua haujlwm tsim los ntawm nws tus kheej rau kev phais mob pob txha, phais mob hauv siab, phais tes, phais yas thiab lwm yam kev phais mob me me [7]. Txawm li cas los xij, qee tus neeg siv hauv tsev yeej ib txwm tsis ntseeg cov khoom hauv tsev, uas txwv qhov nrov ntawm kev phais mob me me. Txoj kev tshawb fawb no npaj siab los ua qhov kev ntsuam xyuas ntau lub chaw tom qab kev lag luam ntawm ASOM-4 lub tshuab microscope phais ntawm CORDER hom. Ntxiv rau qhov kev ntsuam xyuas cov khoom siv ntawm cov txheej txheem kev teeb tsa, kev ua haujlwm kho qhov muag, kev nyab xeeb thiab lwm yam khoom, nws tseem yuav tsom mus rau nws qhov kev ntseeg tau, kev ua haujlwm, kev lag luam thiab kev pabcuam tom qab muag.
1 Khoom thiab txoj kev
1.1 Yam khoom tshawb fawb
Pawg neeg sim siv lub tshuab kuaj mob ASOM-4 ntawm CORDER hom, uas tau muab los ntawm Chengdu CORDER Optics & Electronics Co. hauv tebchaws; Pawg tswj tau xaiv lub tshuab kuaj mob txawv teb chaws uas yuav los (OPMI VAR10700, Carl Zeiss). Tag nrho cov khoom siv tau xa thiab muab tso rau hauv kev siv ua ntej Lub Ib Hlis 2015. Thaum lub sijhawm ntsuam xyuas, cov khoom siv hauv pawg sim thiab pawg tswj tau siv hloov pauv, raws li pom hauv Daim Duab 1.
1.2 chaw tshawb fawb
Xaiv ib lub tsev kho mob Qib III Qib A (Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences, ≥ 10 microsurgeries ib lub lim tiam) hauv Sichuan Province uas tau ua microsurgery tau ntau xyoo thiab ob lub tsev kho mob Qib II Qib A hauv Suav teb uas tau ua microsurgery tau ntau xyoo (Lub Tsev Kho Mob Thib Ob Affiliated ntawm Chengdu University of Traditional Chinese Medicine thiab Cixi Hospital of Traditional Chinese Medicine, ≥ 5 microsurgeries ib lub lim tiam). Cov ntsuas kev siv tshuab yog txiav txim siab los ntawm Sichuan Medical Device Testing Center.
1.3 txoj kev tshawb fawb
1.3.1 Kev ntsuam xyuas kev nkag mus
Kev nyab xeeb raug soj ntsuam raws li GB 9706.1-2007 Cov Khoom Siv Hluav Taws Xob Kho Mob Ntu 1: Cov Kev Cai Dav Dav rau Kev Nyab Xeeb [8], thiab cov ntsuas kev ua tau zoo ntawm lub tshuab microscope ua haujlwm raug piv thiab soj ntsuam raws li cov kev cai ntawm GB 11239.1-2005 [9].
1.3.2 Kev ntsuam xyuas kev ntseeg siab
Sau cov lej ntawm cov rooj ua haujlwm thiab cov lej ntawm qhov tsis ua haujlwm ntawm cov khoom siv txij li lub sijhawm xa khoom mus txog rau lub Xya Hli 2017, thiab piv thiab ntsuas qhov tsis ua haujlwm. Tsis tas li ntawd, cov ntaub ntawv ntawm Lub Chaw Haujlwm Saib Xyuas Kev Kho Mob Hauv Tebchaws hauv peb xyoos dhau los tau raug nug kom sau cov xwm txheej ntawm cov xwm txheej tsis zoo ntawm cov khoom siv hauv pawg sim thiab pawg tswj.
1.3.3 Kev ntsuam xyuas 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, qhov xis nyob ntawm tus neeg siv khoom thiab kev taw qhia ntawm cov lus qhia, thiab muab cov qhab nia ntawm kev txaus siab tag nrho. Tsis tas li ntawd, tus lej ntawm kev ua haujlwm tsis ua tiav vim yog cov laj thawj ntawm cov khoom siv yuav tsum tau sau tseg cais.
1.3.4 Kev ntsuam xyuas kev lag luam
Piv cov nqi yuav khoom siv (tus nqi tshuab tswj) thiab cov nqi siv khoom siv, sau thiab piv tag nrho cov nqi kho khoom siv ntawm pawg sim thiab pawg tswj thaum lub sijhawm ntsuam xyuas.
1.3.5 Kev ntsuam xyuas kev pabcuam tom qab muag
Cov thawj coj saib xyuas cov khoom siv 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 Txoj kev ntsuas qhov ntau thiab tsawg
Txhua yam khoom ntawm cov ntsiab lus ntsuam xyuas saum toj no yuav tsum tau qhab nia ntau nrog tag nrho cov qhab nia ntawm 100 cov ntsiab lus. Cov ntsiab lus tau qhia hauv Rooj 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 raug suav hais tias sib npaug rau cov khoom tswj hwm, thiab cov khoom hauv pawg sim (CORDER phais microscope) tuaj yeem hloov cov khoom hauv pawg tswj hwm (cov tshuab phais microscope xa tawm).
2 qhov tshwm sim
Tag nrho muaj 2613 qhov kev phais mob tau suav nrog hauv txoj kev tshawb fawb no, suav nrog 1302 cov khoom siv hauv tsev thiab 1311 cov khoom siv los ntawm txawv teb chaws. Kaum tus kws kho mob pob txha thiab cov kws kho mob laus dua, 13 tus kws kho mob txiv neej laus dua thiab cov kws kho mob urological, 7 tus kws kho mob neurosurgical laus dua thiab cov kws kho mob laus dua, thiab tag nrho 30 tus kws kho mob laus dua thiab cov kws kho mob laus dua tau koom nrog kev ntsuam xyuas. Cov qhab nia ntawm peb lub tsev kho mob raug suav, thiab cov qhab nia tshwj xeeb tau qhia hauv Rooj 2. Cov qhab nia tag nrho ntawm ASOM-4 lub tshuab microscope ua haujlwm ntawm CORDER hom yog 1.8 cov qhab nia tsawg dua li ntawm lub tshuab microscope ua haujlwm los ntawm txawv teb chaws. Saib Daim Duab 2 rau kev sib piv qhab nia ntawm cov khoom siv hauv pawg sim thiab cov khoom siv hauv pawg tswj.
3 tham txog
Qhov qhab nia tag nrho ntawm ASOM-4 lub tshuab kuaj mob phais ntawm CORDER hom yog 1.8 cov qhab nia tsawg dua li ntawm lub tshuab kuaj mob phais uas xa tuaj ntawm cov tswj hwm, thiab qhov sib txawv ntawm cov qhab nia ntawm cov khoom tswj hwm thiab ASOM-4 yog ≤ 5 cov qhab nia. Yog li ntawd, cov txiaj ntsig ntawm txoj kev tshawb fawb no qhia tias ASOM-4 lub tshuab kuaj mob phais ntawm CORDER hom tuaj yeem hloov cov khoom xa tuaj ntawm cov teb chaws txawv teb chaws thiab tsim nyog txhawb nqa ua cov khoom siv hauv tsev siab heev.
Daim duab qhia radar qhia meej meej qhov txawv ntawm cov khoom siv hauv tsev thiab cov khoom siv txawv teb chaws (Daim Duab 2). Hauv cov ntsiab lus ntawm cov ntsuas kev siv tshuab, kev ruaj khov thiab kev txhawb nqa tom qab muag, ob qho tib si sib npaug; Hauv cov ntsiab lus ntawm kev siv dav dav, cov khoom siv txawv teb chaws zoo dua me ntsis, qhia tias cov khoom siv hauv tsev tseem muaj chaw rau kev txhim kho tas mus li; Hauv cov ntsiab lus ntawm kev lag luam, CORDER hom ASOM-4 cov khoom siv hauv tsev muaj qhov zoo pom tseeb.
Hauv kev ntsuam xyuas kev lees paub, cov cim qhia kev ua tau zoo tseem ceeb ntawm cov tshuab kuaj mob hauv tsev thiab txawv teb chaws ua tau raws li cov cai ntawm GB11239.1-2005 tus qauv. Cov cim qhia kev nyab xeeb tseem ceeb ntawm ob lub tshuab ua tau raws li cov cai ntawm GB 9706.1-2007. Yog li ntawd, ob qho tib si ua tau raws li cov cai ntawm lub teb chaws cov qauv, thiab tsis muaj qhov sib txawv pom tseeb hauv kev nyab xeeb; Hauv kev ua tau zoo, cov khoom xa tuaj txawv teb chaws muaj qee qhov zoo dua li cov khoom siv kho mob hauv tsev hauv cov yam ntxwv ntawm lub teeb pom kev zoo, thaum lwm yam kev ua tau zoo ntawm kev thaij duab tsis muaj qhov sib txawv pom tseeb; Hauv kev ntseeg siab, thaum lub sijhawm ntsuam xyuas, tus nqi tsis ua haujlwm ntawm cov khoom siv no tsawg dua 20%, thiab feem ntau ntawm qhov tsis ua haujlwm yog vim lub teeb yuav tsum tau hloov, thiab ob peb qhov yog vim qhov kev hloov kho tsis raug ntawm qhov hnyav. Tsis muaj qhov ua tsis tiav loj lossis kaw cov khoom siv.
Tus nqi ntawm lub tshuab microscope phais CORDER hom ASOM-4 tsuas yog li ntawm 1/10 ntawm cov khoom siv hauv pawg tswj (cov khoom xa tuaj). Tib lub sijhawm, vim nws tsis tas yuav tiv thaiv lub tes tuav, nws xav tau cov khoom siv tsawg dua thiab zoo dua rau txoj cai phais kom huv. Tsis tas li ntawd, hom tshuab microscope no siv lub teeb LED hauv tsev, uas pheej yig dua li pawg tswj, thiab tus nqi txij nkawm tag nrho qis dua. Yog li ntawd, lub tshuab microscope phais CORDER hom ASOM-4 muaj kev lag luam zoo. Hais txog kev txhawb nqa tom qab muag, cov khoom siv hauv pawg sim thiab pawg tswj zoo heev. Tau kawg, vim tias feem ntawm kev ua lag luam ntawm cov khoom siv txawv teb chaws siab dua, qhov kev teb kho sai dua. Kuv ntseeg tias nrog kev nrov zuj zus ntawm cov khoom siv hauv tsev, qhov sib txawv ntawm ob qho yuav maj mam nqaim.
Ua thawj pawg khoom siv kho mob tshiab hauv xeev Sichuan, lub tshuab kuaj mob CORDER hom ASOM-4 uas Chengdu CORDER Optics&Electronics Co. tsim tawm yog nyob rau theem thoob ntiaj teb thiab qib siab hauv tsev. Nws tau raug teeb tsa thiab siv hauv ntau lub tsev kho mob hauv Suav teb, thiab xa tawm mus rau sab hnub tuaj Asia, Middle East, Africa thiab lwm thaj chaw, uas cov neeg siv nyiam. CORDER hom ASOM-4 lub tshuab kuaj mob muaj lub kaw lus kho qhov muag siab, lub kaw lus kho qhov muag siab, lub suab stereoscopic muaj zog, qhov tob ntawm thaj chaw loj, lub teeb txias los ntawm lub teeb fiber ntau coaxial, lub teeb ci zoo, kev tswj ko taw tsis siv neeg micro-focus, lub zog hluav taws xob txuas ntxiv mus, thiab muaj cov haujlwm thaij duab, TV thiab video, ntau lub luag haujlwm, ua tiav cov haujlwm, tshwj xeeb tshaj yog haum rau kev phais me me thiab kev qhia qhia.
Xaus lus, lub tshuab kuaj mob CORDER hom ASOM-4 siv rau hauv txoj kev tshawb fawb no tuaj yeem ua tau raws li cov qauv kev lag luam, ua tau raws li cov kev xav tau hauv kev kho mob, ua tau zoo thiab muaj, thiab pheej yig dua li cov khoom siv tswj. Nws yog cov khoom siv kho mob hauv tsev uas tsim nyog pom zoo.
[siv ua piv txwv]
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[4] Li Fubao. Qhov zoo ntawm kev siv tshuab micro-invasive hauv kev phais mob ntsig txog tus txha nqaj qaum [J]. Chinese Journal of Microsurgery, 2007,30 (6): 401.
[5] Tian Wei, Han Xiao, He Da, et al. Kev sib piv ntawm cov teebmeem hauv kev kho mob ntawm lub tshuab kuaj mob thiab lub iav loj pab kho lub duav discectomy [J]. Chinese Journal of Orthopedics, 2011,31 (10): 1132-1137.
[6] Zheng Zheng. Cov nyhuv ntawm kev siv tshuaj kho mob ntawm lub tshuab kuaj hniav rau kev kho cov hauv paus hniav uas tsis khov [J]. Phau Ntawv Qhia Kho Mob Suav, 2018 (3): 101-102.
Lub sijhawm tshaj tawm: Lub Ib Hlis-30-2023
