980nm 1470nm Diode Laser Percutaneous Laser Disc Decompression (PLDD)
Mu njira yochotsera ma disc a laser opangidwa ndi percutaneous, mphamvu ya laser imatumizidwa kudzera mu ulusi woonda wa kuwala kupita ku disk.
Cholinga cha PLDD ndikutulutsa nthunzi pang'ono pakati pa mtima. Kuchotsa voliyumu yochepa pakati pa mtima kumapangitsa kuti kuthamanga kwa magazi mkati mwa dis-discal kuchepe kwambiri, zomwe zimapangitsa kuti disc herniation ichepe.
PLDD ndi njira yochiritsira yosavulaza kwambiri yomwe idapangidwa ndi Dr. Daniel SJ Choy mu 1986 yomwe imagwiritsa ntchito kuwala kwa laser pochiza ululu wammbuyo ndi khosi womwe umachitika chifukwa cha herniated disc.
Kuchotsa ma disc a percutaneous laser (PLDD) ndi njira yochepetsera kwambiri kugwiritsa ntchito laser percutaneous laser pochiza ma disc hernias, cervical hernias, dorsal hernias (kupatula gawo la T1-T5), ndi lumbar hernias. Njirayi imagwiritsa ntchito mphamvu ya laser kuyamwa madzi mkati mwa herniated nucleus pulpous ndikupanga decompression.
Pulatifomu ya TR-C® DUAL imachokera ku makhalidwe a kuyamwa kwa mafunde a 980 nm ndi 1470 nm, omwe, chifukwa cha kuyanjana kwake bwino m'madzi ndi hemoglobin komanso kuzama pang'ono kulowa mu minofu ya disc, zimathandiza kuti njira zichitike mosamala komanso molondola, makamaka pafupi ndi kapangidwe kake kofewa. Kulondola kwa opaleshoni ya microsurgical kumatsimikiziridwa ndi makhalidwe aukadaulo a PLDD yapadera.
Kodi PLDD ndi chiyani?
Kuchotsa ma disc a percutaneous laser (PLDD) ndi njira yomwe ma disc a intervertebral herniated amachiritsidwa mwa kuchepetsa kuthamanga kwa intradiscal kudzera mu mphamvu ya laser. Izi zimayambitsidwa ndi singano yomwe imayikidwa mu nucleus pulposus pansi pa anesthesia yapafupi ndi kuyang'aniridwa kwa fluoroscopic. Kuchuluka kochepa kwa nucleus vaporized kumapangitsa kuti kuthamanga kwa intradiscal kugwe kwambiri, zomwe zimapangitsa kuti herniation isunthike kuchoka ku muzu wa mitsempha. Choyamba idapangidwa ndi Dr. Daniel SJ Choy mu 1986. PLDD yatsimikiziridwa kuti ndi yotetezeka komanso yothandiza. Ndi yovulaza pang'ono, imachitidwa kuchipatala chakunja, sikufuna anesthesia wamba, imapangitsa kuti pasakhale zipsera kapena kusakhazikika kwa msana, imachepetsa nthawi yochira, imatha kubwerezedwanso, ndipo siletsa opaleshoni yotseguka ngati pakufunika kutero. Ndi chisankho chabwino kwa odwala omwe ali ndi zotsatira zoyipa pakulandira chithandizo chopanda opaleshoni. Singano imayikidwa m'dera lomwe lakhudzidwa la ntervertebral disc ndipo laser fiber imalowetsedwa kudzera mu iyo kuti ipse nucleus pulposus ndi laser. Kuyanjana kwa minofu ndi TR-C® DUAL laser fibers, zomwe zimathandiza kuti opaleshoni igwire bwino ntchito, kuigwira mosavuta, komanso chitetezo chokwanira. Kugwiritsa ntchito ulusi wofewa wa laser wokhala ndi mainchesi apakati a 360 micron pamodzi ndi microsurgical PLDD kumathandiza kuti munthu athe kupeza ndi kulowerera m'malo ovuta monga khosi ndi lumbar disc zones malinga ndi zosowa zachipatala. Mankhwala a laser a PLDD amagwiritsidwa ntchito kwambiri pambuyo pa njira zochiritsira zosagwira ntchito motsogozedwa ndi MRT/CT.
— Kugwiritsa ntchito mkati mwa discal pa msana wa khomo lachiberekero, msana wa pachifuwa, msana wa lumbar
— Medial branch neurotomy ya mafupa a ziwalo
— Kuchotsa ubongo wa nthambi ya lateral kwa mafupa a sacroiliac
— Ma disc herniation omwe ali ndi foraminal stenosis motsatizana
— Discogenic spinal stenosis
— Matenda a ululu wa discogenic
— Matenda a Chronic facet ndi sacroiliac joint syndrome
— Kugwiritsa ntchito opaleshoni ina, mwachitsanzo, tennis elbow, calcaneal spur
— Mankhwala oletsa ululu am'deralo amalola kuchiza odwala omwe ali pachiwopsezo.
— Nthawi yochepa kwambiri yogwirira ntchito poyerekeza ndi njira zotseguka
— Mavuto ochepa komanso kutupa pambuyo pa opaleshoni (Palibe kuvulala kwa minofu yofewa, Palibe chiopsezo cha
epidural fibrosis kapena zipsera)
— Singano yopyapyala yokhala ndi malo obowoledwa pang'ono kwambiri motero palibe chifukwa chosokera
- Kuchepetsa ululu mwachangu komanso kusuntha mwachangu
— Kufupikitsidwa kwa nthawi yogona kuchipatala komanso kuchira
— Mitengo yotsika
Njira ya PLDD imachitika pogwiritsa ntchito mankhwala oletsa ululu am'deralo. Ulusi wa kuwala umayikidwa mu cannula yapadera pogwiritsa ntchito fluoroscopicmalangizo. Mukagwiritsa ntchito chosiyanitsa ndi mbali, n'zotheka kuwona malo a cannula ndi momwe diski ilili.Kutupa. Laser yoyambira imayambitsa kupsinjika ndikuchepetsa kuthamanga kwa magazi mkati mwa dislope.
Njirayi imachitika kuchokera ku posterior-lateral approach popanda kusokoneza vertebral canal, chifukwa chake, paliPalibe kuthekera kowononga chithandizo chobwezeretsa, koma palibe kuthekera kolimbitsa annulus fibrosus.PAMENE kuchuluka kwa ma disc a PLDD kumachepa pang'ono, komabe, kuthamanga kwa ma disc kumatha kuchepetsedwa kwambiri.Pogwiritsa ntchito laser pochotsa ma disc, nucleus pulposus yochepa imaphwanyika.
Chida choyeretsera chikuphatikizapo fifiber ya 400/600 micron yokhala ndi chitetezo cha jekete, singano za 18G/20G (kutalika kwa 15.2cm), ndi Y Connector yomwe imalola fifiber kulowa ndi kuyamwa. Cholumikizira ndi singano zimayikidwa payekhapayekha kuti zitheke kusinthasintha kwakukulu pakuchiza.
| Mtundu wa laser | Diode Laser Gallium-Aluminium-Arsenide GaAlAs |
| Kutalika kwa mafunde | 980nm + 1470nm |
| Mphamvu | 30W+17W |
| Njira Zogwirira Ntchito | CW, Kugunda ndi Chimodzi |
| Mzere Wolunjika | Kuwala kofiira kosinthika 650nm |
| Mtundu wa ulusi | Ulusi wopanda kanthu |
| Ululu wa ulusi | Ulusi wa 300/400/600/800/1000um |
| Cholumikizira cha ulusi | Muyezo wapadziko lonse wa SMA905 |
| Kugunda | 0.00s-1.00s |
| Kuchedwa | 0.00s-1.00s |
| Voteji | 100-240V, 50/60HZ |
| Kukula | 41*33*49cm |
| Kulemera | 18KG |
