Kev nce qib ntawm kev siv cov exoscopes hauv cov txheej txheem neurosurgical

 

Daim ntawv thov ntawmcov tshuab kuaj mob phaisthiab neuroendoscopes tau ua kom zoo dua qhov ua tau zoo ntawm cov txheej txheem neurosurgical, Txawm li cas los xij, vim qee yam ntxwv ntawm cov khoom siv lawv tus kheej, lawv tseem muaj qee qhov kev txwv hauv kev siv kho mob. nyob rau hauv lub teeb ntawm qhov tsis txaus ntawmcov tshuab microscope ua haujlwmthiab neuroendoscopes, ua ke nrog kev nce qib hauv kev thaij duab digital, Wifi network kev sib txuas, thev naus laus zis screen thiab thev naus laus zis optical, lub exoscope system tau los ua tus choj ntawm cov microscopes phais thiab neuroendoscopes. Lub exoscope muaj cov duab zoo dua thiab thaj chaw pom kev phais, zoo dua ergonomic posture, kev qhia ntawv zoo dua nrog rau kev koom tes pab pawg phais zoo dua, thiab nws daim ntawv thov zoo ib yam li cov strical microscopes. Tam sim no, cov ntaub ntawv feem ntau qhia txog qhov sib txawv ntawm exoscopes thiab phais microscopes hauv cov khoom siv thev naus laus zis xws li qhov tob ntawm thaj chaw, thaj chaw pom, qhov ntev ntawm lub ntsej muag thiab kev ua haujlwm, tsis muaj kev sau luv luv thiab kev tshuaj xyuas ntawm daim ntawv thov tshwj xeeb thiab cov txiaj ntsig phais ntawm exoscopes hauv neurosurgery. Yog li ntawd, peb sau luv luv ntawm daim ntawv thov exoscopes hauv neurosurgery hauv xyoo tas los no, tshuaj xyuas lawv cov txiaj ntsig thiab kev txwv hauv kev xyaum kho mob, thiab muab cov ntaub ntawv rau kev siv cinical.

Keeb Kwm thiab Kev Loj Hlob ntawm exoscopes

Cov tshuab kuaj mob me me muaj lub teeb pom kev zoo heev, qhov pom kev zoo heev ntawm kev phais mob, thiab cov teebmeem stereoscopic, uas tuaj yeem pab cov kws phais mob saib xyuas cov qauv ntawm cov hlab ntsha thiab cov hlab ntsha tob ntawm thaj chaw phais mob kom meej dua thiab txhim kho qhov tseeb ntawm kev phais mob me me. Txawm li cas los xij, qhov tob ntawm thaj chaw ntawmlub tshuab kuaj mob phaisyog qhov ntiav thiab qhov pom yog nqaim, tshwj xeeb tshaj yog thaum muaj qhov loj dua. Tus kws phais yuav tsum tau tsom mus rau thiab kho lub kaum sab xis ntawm thaj chaw uas lub hom phiaj tau ua ntau zaus, uas muaj kev cuam tshuam loj rau lub sijhawm phais; Ntawm qhov tod tes, tus kws phais yuav tsum tau saib thiab ua haujlwm los ntawm lub qhov muag tsom iav, xav kom tus kws phais kom tswj tau qhov chaw ruaj khov ntev, uas tuaj yeem ua rau qaug zog yooj yim. Nyob rau ob peb xyoos dhau los, kev phais mob tsawg kawg nkaus tau tsim kho sai, thiab cov kab ke neuroendoscopic tau siv dav hauv kev phais mob hlwb vim lawv cov duab zoo, cov txiaj ntsig zoo dua, thiab kev txaus siab ntawm tus neeg mob siab dua. Txawm li cas los xij, vim yog txoj kab nqaim ntawm txoj hauv kev endoscopic thiab muaj cov qauv neurovascular tseem ceeb nyob ze ntawm txoj kab, ua ke nrog cov yam ntxwv ntawm kev phais mob taub hau xws li tsis muaj peev xwm nthuav dav lossis txo qhov cranial cavity, neuroendoscopy feem ntau yog siv rau kev phais mob taub hau thiab kev phais mob ventricular ntawm qhov ntswg thiab qhov ncauj.

Vim muaj qhov tsis zoo ntawm cov tshuab microscopes phais thiab neuroendoscopes, ua ke nrog kev nce qib hauv kev thaij duab digital, kev sib txuas WiFi network, thev naus laus zis screen, thiab thev naus laus zis optical, lub kaw lus iav sab nraud tau tshwm sim ua tus choj ntawm cov tshuab microscopes phais thiab neuroendoscopes. Zoo ib yam li neuroendoscopy, lub kaw lus iav sab nraud feem ntau muaj daim iav pom kev deb, lub teeb ci, lub koob yees duab siab, lub vijtsam zaub, thiab lub bracket. Lub qauv tseem ceeb uas sib txawv cov iav sab nraud ntawm neuroendoscopy yog daim iav pom kev deb nrog lub cheeb ntawm li 10 hli thiab ntev li 140 hli. Nws lub lens yog ntawm lub kaum sab xis 0 ° lossis 90 ° rau lub cev iav ntev, nrog qhov ntev focal ntawm 250-750 hli thiab qhov tob ntawm thaj chaw ntawm 35-100 hli. Qhov ntev focal ntev thiab qhov tob ntawm thaj chaw yog qhov zoo tseem ceeb ntawm cov kab ke iav sab nraud dua li neuroendoscopy.

Kev nce qib ntawm cov thev naus laus zis software thiab kho vajtse tau txhawb nqa kev tsim cov iav sab nraud, tshwj xeeb tshaj yog qhov tshwm sim ntawm 3D iav sab nraud, nrog rau qhov tseeb 3D 4K ultra siab txhais iav sab nraud. Lub kaw lus iav sab nraud tau hloov kho tshiab txhua xyoo. Hais txog software, lub kaw lus iav sab nraud tuaj yeem pom thaj chaw phais los ntawm kev koom ua ke preoperative magnetic resonance diffusion tensor imaging, intraoperative navigation, thiab lwm yam ntaub ntawv, yog li pab cov kws kho mob ua tiav kev phais mob kom raug thiab muaj kev nyab xeeb. Hais txog kho vajtse, daim iav sab nraud tuaj yeem koom ua ke 5-aminolevulinic acid thiab indocyanine lim rau angiography, pneumatic caj npab, adjustable operating handle, multi screen output, ntev focusing deb thiab loj dua magnification, yog li ua tiav cov duab zoo dua thiab kev paub ua haujlwm.

Kev sib piv ntawm exoscope thiab cov tshuab kuaj mob phais

Lub kaw lus iav sab nraud muab cov yam ntxwv sab nraud ntawm neuroendoscopy nrog cov duab zoo ntawm cov tshuab kuaj mob phais, ua kom tiav qhov zoo thiab qhov tsis muaj zog ntawm ib leeg, thiab sau qhov sib txawv ntawm cov tshuab kuaj mob phais thiab neuroendoscopy. Cov iav sab nraud muaj cov yam ntxwv ntawm qhov tob ntawm daim teb thiab qhov pom dav (qhov dav ntawm daim teb phais ntawm 50-150 hli, qhov tob ntawm daim teb ntawm 35-100 hli), muab cov xwm txheej yooj yim heev rau kev phais mob tob hauv qab qhov loj dua; Ntawm qhov tod tes, qhov ntev ntawm daim iav sab nraud tuaj yeem ncav cuag 250-750 hli, muab qhov deb ua haujlwm ntev dua thiab pab txhawb kev phais mob [7]. Hais txog kev pom ntawm cov iav sab nraud, Ricciardi et al. pom los ntawm kev sib piv ntawm cov iav sab nraud thiab cov tshuab kuaj mob phais tias cov iav sab nraud muaj cov duab zoo sib xws, lub zog kho qhov muag, thiab cov teebmeem loj dua rau cov tshuab kuaj mob. Daim iav sab nraud kuj tseem tuaj yeem hloov pauv sai sai los ntawm qhov pom ntawm lub tshuab kuaj mob mus rau qhov pom ntawm lub tshuab kuaj mob loj, tab sis thaum txoj kev phais mob "nqaim ntawm sab saum toj thiab dav ntawm hauv qab" lossis raug thaiv los ntawm lwm cov qauv ntaub so ntswg, qhov pom ntawm lub tshuab kuaj mob feem ntau txwv. Qhov zoo ntawm lub tshuab iav sab nraud yog tias nws tuaj yeem ua phais mob hauv qhov chaw ergonomic dua, txo lub sijhawm siv los saib thaj chaw phais mob los ntawm lub qhov muag ntawm lub tshuab microscope, yog li txo qhov qaug zog ntawm kev phais mob ntawm tus kws kho mob. Lub tshuab iav sab nraud muab cov duab phais 3D zoo ib yam rau txhua tus neeg koom nrog phais mob thaum lub sijhawm phais mob. Lub tshuab microscope tso cai rau ob tus neeg ua haujlwm los ntawm lub qhov muag, thaum lub iav sab nraud tuaj yeem sib koom tib daim duab hauv lub sijhawm tiag tiag, tso cai rau ntau tus kws phais mob ua haujlwm phais mob tib lub sijhawm thiab txhim kho kev ua haujlwm phais mob los ntawm kev sib qhia cov ntaub ntawv nrog txhua tus neeg ua haujlwm. Tib lub sijhawm, lub tshuab iav sab nraud tsis cuam tshuam rau kev sib txuas lus ntawm pab pawg phais mob, tso cai rau txhua tus neeg ua haujlwm phais mob koom nrog hauv cov txheej txheem phais mob.

exoscope hauv kev phais mob neurosurgery

Gonen et al. tau tshaj tawm 56 rooj plaub ntawm kev phais mob glioma endoscopic, uas tsuas yog 1 rooj plaub muaj teeb meem (los ntshav hauv thaj chaw phais) thaum lub sijhawm perioperative, nrog rau qhov tshwm sim ntawm tsuas yog 1.8%. Rotermund et al. tau tshaj tawm 239 rooj plaub ntawm kev phais mob transnasal transsphenoidal rau pituitary adenomas, thiab kev phais mob endoscopic tsis ua rau muaj teeb meem loj; Lub caij no, tsis muaj qhov sib txawv tseem ceeb hauv lub sijhawm phais, teeb meem, lossis kev txiav tawm ntawm kev phais mob endoscopic thiab kev phais mob microscopic. Chen et al. tau tshaj tawm tias 81 rooj plaub ntawm cov qog nqaij hlav tau phais tawm los ntawm txoj hauv kev retrosigmoid sinus. Hais txog lub sijhawm phais mob, qib ntawm kev txiav tawm ntawm cov qog nqaij hlav, kev ua haujlwm ntawm lub paj hlwb tom qab phais mob, kev hnov ​​​​lus, thiab lwm yam, kev phais mob endoscopic zoo ib yam li kev phais mob microscopic. Piv rau qhov zoo thiab qhov tsis zoo ntawm ob txoj kev phais mob, daim iav sab nraud zoo ib yam lossis zoo dua li lub tshuab microscope hauv cov nqe lus ntawm cov duab video zoo, thaj chaw phais mob, kev ua haujlwm, ergonomics, thiab kev koom tes pab pawg phais mob, thaum qhov kev pom tob yog ntsuas zoo ib yam lossis qis dua li lub tshuab microscope.

exoscope hauv Kev Qhia Txog Kev Phais Mob Hlwb

Ib qho ntawm cov txiaj ntsig tseem ceeb ntawm cov iav sab nraud yog tias lawv tso cai rau txhua tus neeg ua haujlwm phais kom sib koom cov duab phais 3D zoo ib yam, tso cai rau txhua tus neeg ua haujlwm phais kom koom nrog ntau dua hauv cov txheej txheem phais, sib txuas lus thiab xa cov ntaub ntawv phais, pab txhawb kev qhia thiab kev taw qhia ntawm kev phais, nce kev koom tes qhia, thiab txhim kho kev ua haujlwm ntawm kev qhia. Kev tshawb fawb tau pom tias piv rau cov tshuab microscopes phais, qhov nkhaus kev kawm ntawm cov iav sab nraud luv dua. Hauv kev cob qhia hauv chaw kuaj mob rau kev xaws, thaum cov tub ntxhais kawm thiab cov kws kho mob nyob hauv tsev kho mob tau txais kev cob qhia ntawm ob qho tib si endoscope thiab microscope, feem ntau cov tub ntxhais kawm pom tias nws yooj yim dua rau kev ua haujlwm nrog endoscope. Hauv kev qhia ntawm kev phais mob craniocervical malformation, txhua tus tub ntxhais kawm tau pom cov qauv anatomical peb-seem los ntawm cov iav 3D, txhim kho lawv txoj kev nkag siab txog craniocervical malformation anatomy, txhim kho lawv txoj kev txaus siab rau kev phais, thiab luv lub sijhawm cob qhia.

Kev Pom Zoo

Txawm hais tias lub kaw lus iav sab nraud tau ua tiav zoo hauv kev siv piv rau cov tshuab microscopes thiab neuroendoscopes, nws kuj muaj nws cov kev txwv. Qhov tsis zoo tshaj plaws ntawm cov iav saib sab nraud 2D thaum ntxov yog qhov tsis muaj kev pom stereoscopic hauv cov qauv tob, uas cuam tshuam rau kev phais thiab kev txiav txim siab ntawm kws phais. Lub iav sab nraud 3D tshiab tau txhim kho qhov teeb meem ntawm kev tsis muaj kev pom stereoscopic, tab sis qee zaum, hnav tsom iav polarized ntev tuaj yeem ua rau tsis xis nyob xws li mob taub hau thiab xeev siab rau tus kws phais, uas yog qhov tseem ceeb ntawm kev txhim kho kev txawj ntse hauv kauj ruam tom ntej. Tsis tas li ntawd, hauv kev phais mob taub hau endoscopic, qee zaum nws yuav tsum hloov mus rau lub tshuab microscope thaum lub sijhawm phais vim tias qee qhov qog nqaij hlav xav tau kev phais mob fluorescence, lossis qhov tob ntawm lub teeb pom kev zoo tsis txaus. Tsis tas li ntawd, hauv kev phais mob taub hau endoscopic, qee zaum nws yuav tsum hloov mus rau lub tshuab microscope thaum lub sijhawm phais vim tias qee qhov qog nqaij hlav xav tau kev phais mob fluorescence, lossis qhov tob ntawm lub teeb pom kev zoo tsis txaus. Vim yog tus nqi siab ntawm cov khoom siv nrog cov lim dej tshwj xeeb, fluorescence endoscopes tseem tsis tau siv dav rau kev phais mob qog nqaij hlav. Thaum lub sijhawm phais, tus pabcuam sawv ntawm qhov chaw sib txawv ntawm tus kws phais loj, thiab qee zaum pom daim duab tso saib uas tig tau. Siv ob lossis ntau daim duab 3D, cov ntaub ntawv duab phais raug ua los ntawm software thiab tso tawm rau ntawm lub vijtsam pabcuam hauv daim ntawv tig 180 °, uas tuaj yeem daws qhov teeb meem ntawm kev tig duab thiab ua rau tus pabcuam koom nrog hauv cov txheej txheem phais yooj yim dua.

Hauv kev xaus lus, kev siv cov txheej txheem endoscopic ntau ntxiv hauv kev phais hlwb sawv cev rau qhov pib ntawm lub sijhawm tshiab ntawm kev pom kev hauv kev phais hlwb. Piv nrog cov tshuab microscopes phais, cov iav sab nraud muaj cov duab zoo dua thiab qhov pom kev phais, ergonomic posture zoo dua thaum phais, kev qhia zoo dua, thiab kev koom tes pab pawg phais zoo dua, nrog cov txiaj ntsig phais zoo sib xws. Yog li ntawd, rau feem ntau cov kev phais cranial thiab spinal, endoscope yog qhov kev xaiv tshiab muaj kev nyab xeeb thiab ua tau zoo. Nrog kev nce qib thiab kev txhim kho ntawm thev naus laus zis, ntau cov cuab yeej pom kev hauv kev phais tuaj yeem pab hauv kev phais kom ua tiav cov teeb meem phais qis dua thiab kev kwv yees zoo dua.