Kugulitsa Kotentha kwa 1470 pldd laser 1470nm laser ya pldd- 980+1470 PLDD

Kugulitsa Kotentha Kwambiri kwa laser ya 1470 pldd laser ya 1470nm ya pldd- 980+1470 PLDD Chithunzi Chowonetsedwa

Kufotokozera Kwachidule:

PLDD - Kuchepetsa Kupanikizika kwa Diski ya Laser Yozungulira

NDANI AYENERA KUGANIZIRA ZA PLDD?

Njira ya PLDD idapangidwa mwapadera kuti igwirizane ndi zizindikiro za khosi ndi lumbar, kuphatikizapo:

♦ Kupweteka kwambiri kwa mwendo, mkono, khosi kapena m'munsi mwa msana.

♦ Ululu womwe sunathe kuchira pambuyo pa milungu isanu ndi umodzi ya chithandizo chokhazikika - kupuma, mankhwala kapena chithandizo cha thupi.

♦ Ma disc a lumbar omwe ali ndi herniated omwe atsimikiziridwa ndi maphunziro a x-ray omwe angaphatikizepo chimodzi kapena zingapo mwa izi:

Kujambula kwa Magnetic Resonance (MRI), Kujambula kwa CAT, Kujambula kwa Myelography, Kujambula Zithunzi

Tumizani imelo kwa ife

Tsatanetsatane wa Zamalonda

Ma tag a Zamalonda

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 laser energy. Izi zimayambitsidwa ndi singano yomwe imayikidwa mu nucleus pulposus pansi pa anesthesia yapafupi ndi kuyang'aniridwa ndi flfluoroscopic. Kuchuluka kochepa kwa nucleus komwe kumatuluka kumapangitsa kuti kuthamanga kwa intradiscal kuchepe kwambiri, zomwe zimapangitsa kuti herniation isunthike kuchoka ku muzu wa mitsempha. Choyamba idapangidwa ndi Dr. Daniel SJ Choy mu 1986.

PLDD yatsimikizika kuti ndi yotetezeka komanso yothandiza. Siivulaza kwambiri, imachitidwa kuchipatala chakunja, siifuna mankhwala oletsa ululu, siimabweretsa zipsera kapena kusakhazikika kwa msana, imachepetsa nthawi yochira, imatha kubwerezedwanso, ndipo siiletsa opaleshoni yotseguka ngati pakufunika kutero. Ndi chisankho chabwino kwa odwala omwe alibe zotsatira zoyipa pa chithandizo chopanda opaleshoni.

Singano imalowetsedwa m'dera lomwe lakhudzidwa la diski ya ntervertebral ndipo laser fifiber imalowetsedwa kudzera mu iyo kuti ipse nucleus pulposus ndi laser.

Kugwirizana kwa minofu ndi LASEEV® DUAL

Pulatifomu ya LASEEV® DUAL imachokera ku mawonekedwe a kuyamwa kwa ma wavelength 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 microsurgical kumatsimikiziridwa ndi mawonekedwe aukadaulo a PLDD yapadera Kodi PLDD ndi chiyani? Percutaneous laser disc decompression (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 yakomweko ndi kuyang'aniridwa ndi 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 yogwira mtima. Sizimalowa m'thupi mokwanira, zimachitidwa kuchipatala chakunja, sizifuna mankhwala oletsa ululu, sizimavulaza kapena kusakhazikika kwa msana, zimachepetsa nthawi yochira, zimatha kubwerezedwanso, ndipo siziletsa opaleshoni yotseguka ngati pakufunika kutero. Ndi chisankho chabwino kwa odwala omwe ali ndi zotsatira zoyipa pa chithandizo chosagwiritsa ntchito opaleshoni. Singano imayikidwa m'dera lomwe lakhudzidwa la diski ya ntervertebral ndipo ulusi wa laser umalowetsedwa kudzera mu izo kuti utenthe nucleus pulposus ndi laser. Kuyanjana kwa minofu ndi ulusi wa laser wa LASEEV® DUAL, komwe kumalola kuti opaleshoni igwire bwino ntchito, kuigwira mosavuta, komanso chitetezo chokwanira. Kugwiritsa ntchito ulusi wa laser wosinthasintha wokhala ndi mainchesi apakati a 360 micron kuphatikiza ndi microsurgical PLDD kumapangitsa kuti munthu athe kupeza ndi kulowererapo m'malo ovuta monga madera a chiberekero ndi lumbar disc kutengera zosowa zachipatala. Mankhwala a laser a PLDD amagwiritsidwa ntchito kwambiri pambuyo pa njira zochiritsira zosagwira ntchito motsogozedwa ndi MRT/CT.

Mapulogalamu

— 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

Zizindikiro

— 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

Ubwino wa njira ya PLDD yosavulaza kwambiri

— 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

PLDD: Singano yopyapyala ndi ulusi zonse zimalowetsedwa mu diski yodwalayo pansi pa fluoroscopy.

Ndondomeko

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.

Zipangizo Zaukadaulo za Njira ya PLDD

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.

gawo

Mtundu wa laser	Diode Laser Gallium-Aluminium-Arsenide GaAlAs
Kutalika kwa mafunde	650nm+980nm+1470nm
Mphamvu	30W+17W/60W+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 400/600 um
Cholumikizira cha ulusi	Muyezo wapadziko lonse wa SMA905
Kugunda	0.00s-1.00s
Kuchedwa	0.00s-1.00s
Voteji	100-240V, 50/60HZ
Kukula	34.53934cm
Kulemera	8.45KG