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

 

Daim ntawv thov ntawmphais microscopesthiab neuroendoscopes tau tshwj xeeb txhim kho kev ua tau zoo ntawm cov txheej txheem neurosurgical, Txawm li cas los xij, vim muaj qee yam khoom siv hauv lawv tus kheej, lawv muaj qee qhov kev txwv hauv kev siv tshuaj kho mob. Nyob rau hauv lub teeb ntawm lub deficiency ntawmua haujlwm microscopesthiab neuroendoscopes, ua ke nrog cov kev nce qib hauv digital imaging, Wifi network txuas, tshuaj ntsuam thev naus laus zis thiab kho qhov muag thev naus laus zis, exoscope system tau los ua tus choj ntawm kev phais microscopes thiab neuroendoscopes. Lub exoscope muaj cov duab zoo tshaj plaws thiab kev phais qhov muag pom, zoo dua ergonomic posture, kev qhia ua tau zoo nrog rau kev koom tes nrog pab pawg phais zoo dua, thiab nws daim ntawv thov kev ua tau zoo zoo ib yam li cov tshuab tsom iav. Tam sim no, cov ntawv nyeem feem ntau tshaj tawm qhov tsis sib xws ntawm exoscopes thiab phais microscopes hauv technicaequipment yam xws li qhov tob ntawm thaj teb, pom qhov chaw, focal ntev thiab kev ua haujlwm, tsis muaj cov ntsiab lus thiab kev soj ntsuam ntawm qhov tshwj xeeb applcation thiab phais cov txiaj ntsig ntawm exoscopes hauv neurosurgery, Li no, peb sau txog cov kev txwv tsis ntev los no hauv lawv cov txiaj ntsig exoscopes. kev siv tshuaj kho mob, thiab muab cov ntaub ntawv xa mus rau kev siv tshuaj kho mob.

Keeb kwm thiab kev loj hlob ntawm exoscopes

Surgical microscopes muaj qhov pom kev sib sib zog nqus zoo heev, kev pom kev pom kev zoo siab, thiab cov duab stereoscopic, uas tuaj yeem pab cov kws phais neeg soj ntsuam qhov sib sib zog nqus neural thiab vascular cov ntaub so ntswg ntawm qhov chaw phais kom meej meej thiab txhim kho qhov tseeb ntawm kev ua haujlwm microscopic. Txawm li cas los xij, qhov tob ntawm thaj tsam ntawm lubphais microscopeyog qhov ntiav thiab qhov chaw saib yog nqaim, tshwj xeeb tshaj yog nyob rau hauv siab magnification. Tus kws phais yuav tsum rov ua kom pom tseeb thiab kho lub kaum sab xis ntawm lub hom phiaj, uas muaj kev cuam tshuam loj rau kev phais mob; Ntawm qhov tod tes, tus kws phais yuav tsum tau soj ntsuam thiab ua haujlwm los ntawm lub tshuab tsom iav qhov muag, xav kom tus kws phais kom tuav lub cev ruaj khov rau lub sijhawm ntev, uas tuaj yeem ua rau qaug zog. Hauv ob peb lub xyoo dhau los, kev phais me me tau tsim sai heev, thiab cov tshuab neuroendoscopic tau siv dav hauv kev phais mob hlwb vim lawv cov duab zoo, cov txiaj ntsig kho mob zoo dua, thiab cov neeg mob siab dua. Txawm li cas los xij, vim qhov nqaim ntawm txoj hauv kev endoscopic thiab muaj cov txheej txheem tseem ceeb ntawm cov hlab ntsha nyob ze ntawm cov channel, ua ke nrog cov yam ntxwv ntawm kev phais cranial xws li tsis muaj peev xwm nthuav tawm lossis txo qis ntawm cov kab noj hniav, neuroendoscopy feem ntau yog siv rau kev phais pob txha taub hau thiab ventricular phais ntawm qhov ntswg thiab qhov ncauj.

Muab qhov tsis txaus ntawm kev phais microscopes thiab neuroendoscopes, ua ke nrog kev nce qib hauv cov duab digital, WiFi network txuas, tshuaj ntsuam thev naus laus zis, thiab kho qhov muag thev naus laus zis, daim iav sab nraud tau tshwm sim los ua tus choj ntawm kev phais microscopes thiab neuroendoscopes. Zoo ib yam li neuroendoscopy, daim iav sab nraud feem ntau muaj daim iav farsightedness, lub teeb ci, lub koob yees duab siab, lub vijtsam zaub, thiab lub bracket. Cov qauv tseem ceeb uas txawv cov iav sab nraud los ntawm neuroendoscopy yog daim iav farsightedness nrog ib txoj kab uas hla ntawm 10 hli thiab ntev li ntawm 140 hli. Nws lub lens yog nyob ntawm 0 ° lossis 90 ° lub kaum sab xis mus rau qhov ntev ntawm daim iav lub cev, nrog lub focal ntev ntawm 250-750 hli thiab qhov tob ntawm thaj tsam ntawm 35-100 hli. Qhov ntev focal ntev thiab qhov tob tob ntawm thaj teb yog qhov tseem ceeb ntawm cov iav sab nraud ntawm cov kab mob neuroendoscopy.

Kev nce qib ntawm software thiab kho vajtse thev naus laus zis tau txhawb nqa kev txhim kho ntawm cov iav sab nrauv, tshwj xeeb tshaj yog qhov tshwm sim ntawm 3D iav sab nrauv, nrog rau qhov tseeb 3D 4K ultra siab txhais sab nrauv iav. Daim iav sab nrauv yog qhov hloov kho tas li txhua xyoo. Hais txog software, lub iav sab nraud tuaj yeem pom qhov chaw phais los ntawm kev sib txuas ua ntej sib nqus resonance diffusion tensor imaging, intraoperative navigation, thiab lwm yam ntaub ntawv, yog li pab cov kws kho mob ua cov kev phais kom meej thiab nyab xeeb. Hais txog kev kho vajtse, daim iav sab nraud tuaj yeem ua ke 5-aminolevulinic acid thiab indocyanine lim rau angiography, pneumatic caj npab, kho tau kev khiav hauj lwm kov, ntau lub vijtsam tso tawm, ncua kev ncua deb thiab qhov loj dua, yog li ua tiav cov duab zoo dua thiab kev ua haujlwm.

Kev sib piv ntawm exoscope thiab phais microscopes

Cov iav sab nrauv ua ke nrog cov yam ntxwv sab nraud ntawm neuroendoscopy nrog cov duab zoo ntawm cov tshuab kuaj kab mob phais, ntxiv rau ib leeg lub zog thiab qhov tsis muaj zog, thiab ua kom muaj qhov sib txawv ntawm kev phais microscopes thiab neuroendoscopy. Cov iav sab nrauv muaj cov yam ntxwv ntawm qhov tob tob ntawm qhov chaw thiab qhov dav ntawm qhov pom (kev phais txoj kab uas hla ntawm 50-150 hli, qhov tob ntawm thaj tsam ntawm 35-100 hli), muab cov xwm txheej yooj yim heev rau kev ua haujlwm hauv kev phais mob tob tob hauv qhov kev nthuav dav; Ntawm qhov tod tes, lub focal ntev ntawm daim iav sab nraud tuaj yeem ncav cuag 250-750mm, muab kev ua haujlwm ntev dua thiab ua kom yooj yim rau kev phais mob [7]. Hais txog qhov pom ntawm daim iav sab nraud, Ricciardi li al. pom los ntawm kev sib piv ntawm cov iav sab nraud thiab cov tsom iav phais uas cov iav sab nraud muaj qhov sib piv cov duab zoo, lub zog kho qhov muag, thiab qhov cuam tshuam loj rau lub tshuab tsom. Daim iav sab nraud kuj tseem tuaj yeem hloov pauv sai sai los ntawm lub tshuab tsom mus rau qhov kev pom macroscopic, tab sis thaum cov kev phais mob "qis rau sab saum toj thiab dav hauv qab" lossis cuam tshuam los ntawm lwm cov ntaub so ntswg, thaj chaw saib hauv lub tshuab ntsuas feem ntau yog txwv. Qhov kom zoo dua ntawm daim iav sab nrauv yog tias nws tuaj yeem ua kev phais hauv lub cev ntau dua ergonomic, txo lub sijhawm siv los saib qhov chaw phais mob los ntawm lub tshuab tsom iav qhov muag, yog li txo tus kws kho mob phais mob nkees. Daim iav sab nrauv muab tib yam zoo 3D cov duab phais rau txhua tus neeg koom nrog kev phais thaum lub sijhawm phais. Lub tshuab tsom iav tso cai rau ob tus neeg ua haujlwm los ntawm lub qhov muag, thaum lub iav sab nraud tuaj yeem sib koom cov duab tib lub sijhawm, tso cai rau ntau tus kws phais neeg ua haujlwm phais ib txhij thiab txhim kho kev phais mob los ntawm kev sib qhia cov ntaub ntawv nrog txhua tus neeg ua haujlwm. Nyob rau tib lub sijhawm, daim iav sab nraud tsis cuam tshuam nrog kev sib txuas lus ntawm pab pawg phais, tso cai rau txhua tus neeg ua haujlwm phais tuaj koom rau hauv cov txheej txheem phais.

exoscope hauv kev phais neurosurgery

Gonen et al. tshaj tawm 56 tus neeg mob ntawm kev phais glioma endoscopic, uas tsuas yog 1 kis tau muaj teeb meem (los ntshav hauv thaj chaw phais) thaum lub sijhawm ua haujlwm, nrog qhov tshwm sim ntawm tsuas yog 1.8%. Rotermund et al. tshaj tawm 239 tus neeg mob ntawm transnasal transsphenoidal phais rau pituitary adenomas, thiab kev phais endoscopic tsis ua rau muaj teeb meem loj; Lub caij no, tsis muaj qhov sib txawv tseem ceeb hauv lub sijhawm phais, qhov teeb meem, lossis kev phais ntau ntawm kev phais endoscopic thiab kev phais microscopic. Chen et al. tau tshaj tawm tias 81 tus neeg mob qog nqaij hlav raug tshem tawm los ntawm txoj kev retrosigmoid sinus. Nyob rau hauv cov nqe lus ntawm lub sij hawm phais, degree ntawm qog resection, postoperative neurological muaj nuj nqi, hnov ​​lus, thiab lwm yam., endoscopic phais zoo ib yam li kev phais microscopic. Muab piv rau qhov zoo thiab qhov tsis zoo ntawm ob txoj kev phais, daim iav sab nraud zoo ib yam lossis zoo dua rau lub tshuab tsom iav hauv cov ntsiab lus ntawm cov duab thaij duab zoo, kev phais kev pom, kev ua haujlwm, ergonomics, thiab kev koom tes nrog pab pawg phais, thaum qhov kev nkag siab tob yog ntsuas raws li qhov zoo sib xws lossis qis dua rau lub tshuab tsom.

exoscope hauv Neurosurgery Teaching

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

Outlook

Txawm hais tias daim iav sab nrauv tau ua qhov kev vam meej hauv daim ntawv thov piv rau cov tshuab tsom iav thiab neuroendoscopes, nws kuj muaj nws cov kev txwv. Qhov teeb meem loj tshaj plaws ntawm 2D sab nraud saib iav thaum ntxov yog qhov tsis muaj qhov tsis pom kev stereoscopic hauv kev nthuav dav cov qauv sib sib zog nqus, uas cuam tshuam rau kev ua haujlwm phais thiab kev txiav txim ntawm tus kws phais. Daim iav 3D sab nrauv tshiab tau txhim kho qhov teeb meem ntawm qhov tsis pom kev tsis pom kev zoo, tab sis muaj tsawg zaus, hnav tsom iav polarized rau lub sijhawm ntev tuaj yeem ua rau tsis xis nyob xws li mob taub hau thiab xeev siab rau tus kws phais, uas yog lub hom phiaj ntawm kev txhim kho hauv cov kauj ruam tom ntej. Tsis tas li ntawd, hauv kev phais endoscopic cranial, qee zaum yuav tsum tau hloov mus rau lub tshuab kuaj kab mob thaum lub sijhawm ua haujlwm vim tias qee cov qog yuav tsum tau fluorescence coj qhov muag pom kev, lossis qhov tob ntawm qhov chaw phais illumination tsis txaus. Tsis tas li ntawd, hauv kev phais endoscopic cranial, qee zaum yuav tsum tau hloov mus rau lub tshuab kuaj kab mob thaum lub sijhawm ua haujlwm vim tias qee cov qog yuav tsum tau fluorescence coj qhov muag pom kev, lossis qhov tob ntawm qhov chaw phais illumination tsis txaus. Vim tias cov khoom siv nrog cov ntxaij lim dej tshwj xeeb, fluorescence endoscopes tseem tsis tau siv dav rau cov qog nqaij hlav. Thaum lub sij hawm phais, tus pab sawv ntsug nyob rau hauv qhov opposite txoj hauj lwm rau tus thawj kws phais, thiab tej zaum kuj pom ib tug rotating zaub duab. Siv ob lossis ntau dua 3D cov lus qhia, cov ntaub ntawv phais mob tau ua tiav los ntawm software thiab tso tawm rau ntawm lub vijtsam pabcuam hauv daim ntawv flipped 180 °, uas tuaj yeem daws qhov teeb meem ntawm cov duab sib hloov thiab pab kom tus neeg pabcuam koom nrog cov txheej txheem phais kom yooj yim dua.

Hauv cov ntsiab lus, kev siv cov tshuab endoscopic ntau ntxiv hauv neurosurgery sawv cev rau qhov pib ntawm lub sijhawm tshiab ntawm kev ua haujlwm pom kev hauv kev kho mob hlwb. Piv nrog rau kev phais microscopes, cov iav sab nraud muaj cov duab zoo dua thiab kev phais kev pom, zoo dua ergonomic posture thaum phais, kev qhia zoo dua, thiab kev koom tes nrog pab pawg phais zoo dua, nrog cov txiaj ntsig zoo sib xws. Yog li ntawd, rau feem ntau cov kev phais cranial thiab txha caj qaum, ib qho endoscope yog ib qho kev nyab xeeb thiab muaj txiaj ntsig kev xaiv tshiab. Nrog rau kev nce qib thiab kev loj hlob ntawm thev naus laus zis, cov cuab yeej ua haujlwm pom pom ntau dua tuaj yeem pab hauv kev phais mob kom ua tiav cov teeb meem kev phais qis dua thiab kev pom zoo dua.