I-980nm 1470nm yeDiode yeLaser yePercutaneous Laser Disc Decompression (PLDD)
Kwinkqubo ye-percutaneous laser disc decompression, amandla e-laser ahanjiswa nge-fiber optical encinci kwi-disc.
Injongo ye-PLDD kukutshisa inxenye encinci yombindi wangaphakathi. Ukukhutshwa komthamo omncinci wesiseko sangaphakathi kubangela ukunciphisa okubalulekileyo koxinzelelo lwe-intra-discal, ngaloo ndlela kunciphisa ukunciphisa i-disc herniation.
I-PLDD yinkqubo yonyango encinci eyenziwa nguDkt Daniel SJ Choy kwi-1986 esebenzisa i-laser beam ukunyanga iintlungu zentlungu kunye nentamo ebangelwa yi-disc ye-herniated.
I-Percutaneous laser disc decompression (PLDD) yeyona ndlela incinci ye-laser ye-laser ye-laser kunyango lwe-disc hernias, i-cervical hernias, i-dorsal hernias (ngaphandle kwecandelo le-T1-T5), kunye ne-lumbar hernias. Inkqubo isebenzisa amandla e-laser ukufunxa amanzi ngaphakathi kwe-nucleus pulpous ye-herniated idala ukudodobala.
Iqonga le-TR-C® DUAL lisekelwe kwiimpawu zokufunxa zombini i-980 nm kunye ne-1470 nm wavelengths, leyo, ngenxa yokusebenzisana kwayo okugqwesileyo emanzini kunye ne-hemoglobin kunye nobunzulu bokungena obuphakathi kwi-disc tissue, yenza ukuba iinkqubo ziqhutywe ngokukhuselekileyo kwaye zichaneke ngokuchanekileyo, ngakumbi ngokusondeleyo kwi-anatomical structures. Ukuchaneka kweMicrosurgical kuqinisekiswa ziimpawu zobugcisa zePLDD ekhethekileyo.
Yintoni i-PLDD?
I-Percutaneous laser disc decompression (PLDD) yinkqubo apho iidiski ze-herniated intervertebral ziphathwa ngokunciphisa uxinzelelo lwe-intradiscal ngokusebenzisa amandla e-laser. Oku kwaziswa ngenaliti efakwe kwi-nucleus pulposus phantsi kwe-anesthesia yendawo kunye nokuhlolwa kwe-fluoroscopic. Umthamo omncinci we-nucleus vaporized uphumela ekuweni okubukhali koxinzelelo lwe-intradiscal, kunye nokufuduka kwe-herniation kude nengcambu ye-nerve. Yaphuhliswa okokuqala nguGqr Daniel SJ Choy ngo-1986. I-PLDD ibonakalise ukuba ikhuselekile kwaye iyasebenza. I-invasive kancinane, yenziwa kwindawo yokugula ngaphandle, ayifuni i-anesthesia jikelele, ibangela ukuba kungabikho scarring okanye ukungazinzi komgogodla, ukunciphisa ixesha lokubuyisela, ukuphindaphinda, kwaye akuthinteli utyando oluvulekileyo ukuba oko kuyimfuneko. Lukhetho olufanelekileyo kwizigulane ezineziphumo ezibi kunyango olungasebenzisi utyando. Inaliti ifakwe kwindawo echaphazelekayo yediski ye-tervertebral kunye ne-laser fiber ifakwe kuyo ukuze itshise i-nucleus pulposus nge-laser. Ukusebenzisana kwezicubu kunye ne-TR-C® DUAL laser fibers, evumela ukusebenza kotyando, ukukhululeka kokuphatha, kunye nokhuseleko oluphezulu. Ukusetyenziswa kwe-flexible tactile laser fibers kunye ne-core diameters ye-360 micron ngokudibanisa ne-PLDD ye-microsurgical yenza ukuba ufikelelo oluchanekileyo kunye noluchanekileyo kunye nokungenelela kwiindawo ezinobuthathaka njengemimandla yediski yomlomo wesibeleko kunye ne-lumbar ngesiseko seemfuno zonyango zonyango. Unyango lwe-laser ye-PLDD lusetyenziswa kakhulu emva kokhetho olungaphumelelanga lwesiqhelo lonyango phantsi kolawulo olungqongqo lwe-MRT/CT.
-Ukusetyenziswa kwe-Intra-discal kumqolo wesibeleko, umqolo we-thoracic, i-lumbar spine
-I-neurotomy yesebe eliphakathi kwi-facet joints
-I-neurotomy yesebe yeLateral yamalungu e-sacroiliac
- Iqulethe i-disc herniations kunye ne-foraminal stenosis elandelelanayo
-I-Discogenic spinal stenosis
- Iintlungu ze-discogenic syndrome
-I-facet engapheliyo kunye ne-sacroiliac joint syndrom
— Utyando olungaphaya, umz. ingqiniba yentenetya, icalcaneal spur
- I-anesthesia yendawo ivumela unyango lwezigulane ezisengozini.
- Ixesha lokusebenza elifutshane kakhulu xa lithelekiswa neenkqubo ezivulekileyo
-Izinga eliphantsi leengxaki kunye nokudumba kwangemva kokusebenza (Akukho kwenzakala kwezicubu ezithambileyo, Akukho mngcipheko wokuba
i-epidural fibrosis okanye ukukrala)
— Inaliti ecolekileyo enendawo yokugqobhoza encinci kakhulu kwaye ke akukho mfuneko yesutures
-Ukunciphisa intlungu ngokukhawuleza kunye nokuhlanganisa
— Ukuhlala esibhedlele kufutshane kunye nokuvuselelwa
- Iindleko eziphantsi
Inkqubo ye-PLDD yenziwa ngokusebenzisa i-anesthesia yendawo. Ifiber ye-Optical ifakwe kwi-cannula ekhethekileyo phantsi kwe-fluoroscopicisikhokelo.Emva kokusebenzisa umahluko kwi-facet kunokwenzeka ukujonga indawo ye-cannula kunye nemeko yediski.iqhuma. Ukuqala kwe-laser kuqalisa ukuchithwa kunye nokunciphisa uxinzelelo lwe-intradiscal.
Inkqubo yenziwa ukusuka kwindlela yangasemva-lateral ngaphandle kokuphazamiseka kwi-vertebral canal, ngoko ke, apho.akukho nokwenzeka kokonakalisa unyango lokubuyisela, kodwa akukho nokwenzeka kokuqinisa i-annulus fibrosus.NGEXESHA le-PLDD idiskhi yevolumu iyancipha kancinci, nangona kunjalo, uxinzelelo lwediski lunokuthotywa kakhulu. Mhlawumbi kuusebenzisa i-laser kwi-disc decomperssion, inani elincinci le-nucleus pulposus liyaphuphuma.
Ikiti eyinyumba ibandakanya i-400/600 micron i-fifiber engenanto kunye nokukhusela ijacket, iinaliti ze-18G / 20G (ubude be-15.2cm), kunye ne-Y Connector evumela ukungena kwe-fifiber kunye nokufunxa. Isidibanisi kunye neenaliti zipakishwe ngabanye ukwenza ukuba kube lula ukuguquguquka kunyango.
| Uhlobo lweLaser | Diode Laser Gallium-Aluminium-Arsenide GaAlAs |
| Ubude bamaza | 980nm+1470nm |
| Amandla | 30W+17W |
| Iindlela zokusebenza | I-CW, i-Pulse kunye ne-Single |
| Ujoliso lweBeam | Isalathisi esiBomvu esinokulungiswa ngokukhanya okungama-650nm |
| Uhlobo lweFayibha | Ifiber engenanto |
| Idayimitha yeFayibha | 300/400/600/800/1000um fiber |
| Isidibanisi seFayibha | SMA905 umgangatho wamazwe ngamazwe |
| Ukubetha | 0.00s-1.00s |
| Ukulibazisa | 0.00s-1.00s |
| I-Voltage | 100-240V, 50/60HZ |
| Ubungakanani | 41*33*49cm |
| Ubunzima | 18KG |
