Keeb kwm kev loj hlob ntawm cov tshuab kuaj mob phais
Txawm hais tiascov tshuab tsom iavtau siv rau hauv kev tshawb fawb txog kev tshawb fawb (chaw soj ntsuam) tau ntau pua xyoo, nws tsis yog txog thaum xyoo 1920 thaum cov kws kho mob Swedish otolaryngologists siv cov khoom siv microscope loj rau kev phais mob laryngeal uas kev siv cov microscopes hauv cov txheej txheem phais tau pib. 30 xyoo tom qab (1953), Zeiss tau tsimcov tshuab kuaj mob phais, thiab txij thaum ntawd los, kev phais me me tau loj hlob sai heev: hauv Suav teb,cov tshuab kuaj mob orthopedictau siv rau kev phais rov qab ceg thaum ntxov xyoo 1860; Nyob rau nruab nrab xyoo 1960,cov tshuab kuaj mob hlwbkuj tau siv rau hauv kev phais mob tes thiab hlab ntsha anastomosis hauv Tebchaws Meskas; Xyoo 1970, Yasargil siv alub tshuab kuaj mob hlwbrau kev phais mob lumbar disc. Tom qab ntawd, Williams thiab Caspar tau luam tawm lawv cov ntawv sau txog kev kho mob microsurgical ntawm tus kab mob lumbar disc, uas tom qab ntawd tau hais dav dav. Niaj hnub no, kev sivCov tshuab microscope ua haujlwmtab tom dhau los ua ntau zuj zus. Hauv kev phais mob cog dua tshiab lossis hloov pauv, cov kws kho mob tuaj yeem sivcov tshuab kuaj mob hlwblos txhim kho lawv lub peev xwm pom kev. Thiab rau lwm hom kev phais, xws li kev phais hniav, kev phais qhov muag, kev phais otolaryngology, thiab lwm yam, sib xwscov tshuab kuaj mob phaiskuj tau tsim kho.
Cov kws phais tau lees paub ntev lawm txog qhov tseem ceeb ntawm kev siv lub tsom iav loj thiab cov khoom siv teeb pom kev zoo kom pom tseeb dua. Hauv kev phais mob pob txha caj qaum, ntau tus kws phais siv cov tsom iav loj thiab lub teeb taub hau kom zoo dua qub. Piv rau kev siv alub tshuab kuaj mob phais, siv lub iav tsom iav phais thiab lub teeb taub hau muaj ntau qhov tsis zoo. Hmoov zoo,cov tshuab microscope ua haujlwmsiv dav hauv kev phais hlwb (neurosurgery), thiab lawv txaus siab thovcov tshuab tsom iavmus rau kev phais mob pob txha caj qaum. Txawm li cas los xij, feem ntau cov kws kho mob hauv kev kho pob txha tsis kam tso tseg cov tsom iav loj thiab hloov mus rauCov tshuab kuaj mob orthopedic, thiab cov kws phais pob txha thiab cov kws phais hlwb uas twb tau siv lawmcov tshuab kuaj pob txharau kev phais mob pob txha caj qaum tsis nkag siab qhov no. Nrog rau cov kws phais pob txha ua ntau dua kev phais tes thiab peripheral nerve microsurgery, cov kws kho mob nyob hauv tam sim no muaj kev nkag mus rau cov thev naus laus zis microscopy thaum ntxov thiab txais tos ntau dua rau kev sivCov tshuab kuaj mob hlwbrau kev phais mob pob txha caj qaum. Peb yuav tsum nco ntsoov tias piv rau kev phais me me ntawm tes thiab lwm cov nqaij ntshiv sab nraud, kev phais mob pob txha caj qaum ib txwm ua haujlwm hauv qhov tob. Yog li ntawd, siv aKev phais yas siv lub tshuab microscopetuaj yeem muab lub teeb pom kev zoo dua thiab ua kom thaj chaw phais loj dua, ua rau kev phais mob tsawg kawg nkaus ua tau.
Lub cuab yeej magnification thiab illumination ntawm ib lub tshuablub tshuab kuaj mob phaistuaj yeem muab ntau yam yooj yim rau kev phais, thiab qhov tseem ceeb tshaj plaws, nws tuaj yeem ua rau qhov phais me dua. Kev nce ntawm "keyhole" minimally invasive phais tau ua rau cov kws phais mob kom tshuaj xyuas qhov tseeb ntawm cov hlab ntsha compression thiab txiav txim siab qhov chaw ntawm cov khoom compression hauv tus txha caj qaum. Kev txhim kho ntawm keyhole phais kuj tseem xav tau cov txheej txheem tshiab ntawm cov ntsiab cai anatomical ua lub hauv paus.
Vim tias qhov pom kev phais tau nthuav dav rau npaug, cov kws phais yuav tsum ua haujlwm maj mam dua rau ntawm cov hlab ntsha, thiab lub teeb ci ntsa iab los ntawmLub tshuab kuaj mob ua haujlwmzoo dua li lwm cov teeb pom kev zoo, uas zoo heev rau kev nthuav tawm cov ntaub so ntswg ntawm qhov chaw phais. Yog li ntawd, nws tuaj yeem hais tias microsurgery yog tus kws kho mob uas muaj kev nyab xeeb phais siab dua!
Cov neeg tau txais txiaj ntsig kawg ntawm cov txiaj ntsig ntawmCov tshuab kuaj mob me meyog cov neeg mob.Kev Siv Tshuab Microscopy Phaistuaj yeem txo lub sijhawm phais, txo qhov tsis xis nyob ntawm tus neeg mob tom qab phais, thiab txo cov teeb meem tom qab phais. Cov txiaj ntsig phais ntawm microdissection zoo ib yam li kev phais discectomy ib txwm muaj.Kev Siv Lub Tshuab Microscopykuj tseem tuaj yeem tso cai rau feem ntau cov kev phais mob discectomy ua nyob rau hauv cov chaw kho mob sab nraud, yog li txo cov nqi phais.
Lub sijhawm tshaj tawm: Kaum Ib Hlis-14-2024