I-980nm 1470nm Diode Laser Percutaneous Laser Disc Decompression (PLDD)
Kwinkqubo yokunciphisa i-percutaneous laser disc decompression, amandla e-laser adluliselwa nge-fiber encinci ye-optical kwi-disc.
Injongo ye-PLDD kukufunxa inxalenye encinci yombindi wangaphakathi. Ukususwa komthamo omncinci wombindi wangaphakathi kubangela ukuncipha okukhulu koxinzelelo lwangaphakathi kwe-discal, ngaloo ndlela kubangele ukwehla kokwaphuka kwe-disc.
I-PLDD yindlela yonyango engangenisi mandla eyaphuhliswa nguGqr. Daniel SJ Choy ngo-1986 esebenzisa umqadi welaser ukunyanga iintlungu zomqolo nentamo ezibangelwa yidiski ehluthwe yiherniated disc.
Ukucocwa kwediski yelaser ye-Percutaneous (PLDD) yeyona ndlela ingcono kakhulu yokunciphisa ukudumba kwe-percutaneous laser ekunyangeni i-disc hernias, i-cervical hernias, i-dorsal hernias (ngaphandle kwe-segment T1-T5), kunye ne-lumbar hernias. Le nkqubo isebenzisa amandla elaser ukufunxa amanzi angaphakathi kwi-nucleus pulpous ye-herniated, nto leyo eyenza ukucocwa.
Iqonga le-TR-C® DUAL lisekelwe kwiimpawu zokufunxa zombini ii-wavelengths ezingama-980 nm kunye ne-1470 nm, ezithi, ngenxa yokusebenzisana kwazo okubalaseleyo emanzini nakwi-haemoglobin kunye nobunzulu bokungena okuphakathi kwizicubu zediski, zenze ukuba iinkqubo zenziwe ngokukhuselekileyo nangokuchanekileyo, ingakumbi kufutshane nezakhiwo ezibuthathaka ze-anatomical. Ukuchaneka kwe-Microsurgical kuqinisekiswa ziimpawu zobugcisa ze-PLDD ekhethekileyo.
Yintoni i-PLDD?
Ukucocwa kwe-laser disc nge-percutaneous (PLDD) yinkqubo apho ii-discs ze-intervertebral herniated zinyangwa ngokunciphisa uxinzelelo lwe-intradiscal ngamandla e-laser. Oku kungeniswa yinaliti efakwe kwi-nucleus pulposus phantsi kwe-anesthesia yendawo kunye nokujonga i-fluoroscopic. Umthamo omncinci we-nucleus vaporized ubangela ukwehla okukhulu koxinzelelo lwe-intradiscal, okubangela ukufuduka kwe-herniation kude neengcambu zemithambo-luvo. Yaqalwa yaphuhliswa nguGqr. Daniel SJ Choy ngo-1986. I-PLDD ibonakalise ukuba ikhuselekile kwaye isebenza kakuhle. Ayingeni kakhulu, yenziwa kwindawo yokulaliswa ngaphandle, ayifuni anesthesia ngokubanzi, ayibangeli zikrweqe okanye ukungazinzi komqolo, inciphisa ixesha lokuvuselelwa, iyaphindwa, kwaye ayithinteli utyando oluvulekileyo ukuba oko kuyimfuneko. Lukhetho olufanelekileyo kwizigulana ezineziphumo ezimbi kunyango olungelulo utyando. Inaliti ifakwe kwindawo echaphazelekayo ye-intervertebral disc kwaye i-laser fiber ifakwa kuyo ukuze kutshiswe i-nucleus pulposus nge-laser. Ukusebenzisana kwezicubu kunye ne-TR-C® DUAL laser fibers, evumela ukusebenza kakuhle kotyando, ukulula kokuphatha, kunye nokhuseleko oluphezulu. Ukusetyenziswa kweefayibha zelaser ezithambileyo ezineedayamitha eziphambili ze-360 micron kunye ne-microsurgical PLDD kwenza kube lula ukufikelela ngokuchanekileyo nangokuchanekileyo kunye nokungenelela kwiindawo ezibuthathaka ezifana neendawo zediski yomlomo wesibeleko kunye ne-lumbar ngokusekelwe kwiimfuno zonyango lweklinikhi. Unyango lwelaser ye-PLDD lusetyenziswa kakhulu emva kweendlela zonyango zesiqhelo ezingaphumelelanga phantsi kolawulo oluqinileyo lwe-MRT/CT.
— Ukufakwa ngaphakathi kwe-discal kumqolo wesibeleko, umqolo wesifuba, umqolo we-lumbar
— I-medial branch neurotomy yamalungu e-facet
— Utyando lwe-neurotomy yesebe elisecaleni lamalungu e-sacroiliac
— Iidiski eziqulethwe zi-disc kunye ne-foraminal stenosis elandelelanayo
— I-discogenic spinal stenosis
— Iintlungu ze-discogenic
— I-Chronic facet kunye ne-sacroiliac joint syndrome
— Ezinye iindlela zotyando, umz. i-tennis elbow, i-calcaneal spur
— I-local anaesthesia ivumela unyango lwezigulane ezisengozini.
— Ixesha lokusebenza lifutshane kakhulu xa lithelekiswa neenkqubo ezivulekileyo
— Izinga eliphantsi leengxaki kunye nokudumba emva kotyando (Akukho kwenzakala kwezicubu ezithambileyo, akukho mngcipheko wokuba
i-epidural fibrosis okanye amanxeba)
— Inaliti encinci enesithuba esincinci kakhulu sokubhoboza kwaye ngenxa yoko akukho mfuneko yokuthunga
— Ukunciphisa iintlungu ngokukhawuleza kunye nokunyakaza
— Ukuhlala esibhedlele okufutshane kunye nokuvuselelwa
— Amaxabiso aphantsi
Inkqubo ye-PLDD yenziwa kusetyenziswa i-local anesthesia. I-optical fiber ifakwa kwi-cannula ekhethekileyo phantsi kwe-fluoroscopicisikhokelo. Emva kokusebenzisa umahluko kwi-facet, kunokwenzeka ukujonga indawo ye-cannula kunye nemeko yediski.I-laser yokuqala iqalisa ukunciphisa uxinzelelo kwaye yehlisa uxinzelelo lwangaphakathi kwe-discal.
Le nkqubo yenziwa ngendlela engasemva-ecaleni ngaphandle kokuphazamiseka komjelo womqolo, ngoko ke, akukhoAkukho ndlela yokonakalisa unyango oluphinda lusebenze, kodwa akukho ndlela yokuqinisa i-annulus fibrosus.Ngexesha lomthamo wediski ye-PLDD uncitshiswa kancinci, nangona kunjalo, uxinzelelo lwediski lunokwehla kakhulu.Ukusebenzisa i-laser ukukhulula idiski, inani elincinci le-nucleus pulposus liyaphela.
Isixhobo esingenazintsholongwane siquka i-400/600 micron bare fifiber ene-jacket protection, iinaliti ze-18G/20G (ubude be-15.2cm), kunye ne-Y Connector evumela ukungena kunye nokufunxa i-fifiber. Isixhobo esidibanisayo kunye neenaliti zipakishwa nganye nganye ukuze kube lula ukuguquguquka xa kunyangwa.
| Uhlobo lwelaser | I-Diode Laser Gallium-Aluminium-Arsenide GaAlAs |
| Ubude bamaza | 980nm+1470nm |
| Amandla | 30W+17W |
| Iindlela Zokusebenza | CW, Pulse kunye neSingle |
| Umqadi ojolise kuwo | Isibane esiBomvu esihlengahlengiswayo esingu-650nm |
| Uhlobo lwefayibha | Ifayibha engenanto |
| Ububanzi befayibha | Ifayibha engama-300/400/600/800/1000um |
| Isixhumi sefayibha | Imigangatho yamazwe ngamazwe ye-SMA905 |
| Ukubetha kwentliziyo | 0.00s-1.00s |
| Ukulibaziseka | 0.00s-1.00s |
| I-Voltage | 100-240V, 50/60HZ |
| Ubungakanani | 41*33*49cm |
| Ubunzima | 18KG |
