Ukuthengisa okushushu 1470 pldd laser 1470nm laser ye-pldd- 980+1470 PLDD

Inkcazelo emfutshane:

I-PLDD-I-Percutaneous Laser Disc Decompression

NGUBANI OKUMELE AYIQAPHELE I-PLDD?

Inkqubo ye-PLDD yenzelwe ngokukodwa kwaye iphuhliswe kwizibonakaliso zomlomo wesibeleko kunye ne-lumbar, kuquka:

♦ Umlenze onzima, ingalo, intamo okanye iintlungu ezisezantsi.

♦ Iintlungu ezingakhange ziphendule kwiiveki ezintandathu zonyango olulondolozayo- ukuphumla, imithi okanye unyango lomzimba.

♦ Iidiski ze-lumbar ze-Herniated eziqinisekisiwe ngezifundo ze-x-ray ezinokubandakanya enye okanye ngaphezulu kwezi zilandelayo:

I-Magnetic Resonance imaging (MRI), i-CAT Scanning, i-Myelography, i-Discography

Thumela i-imeyile kuthi

Iinkcukacha zeMveliso

Iithegi zeMveliso

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 nokubeka iliso kwi-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 fifiber ifakwe kuyo ukuze itshise i-nucleus pulposus nge-laser.

Ukusebenzisana kwezicubu kunye ne-LASEEV® DUAL

I-platform ye-LASEEV® DUAL isekelwe kwiimpawu zokufunxa zombini i-980 nm kunye ne-1470 nm wavelengths, leyo, ngenxa yentsebenziswano ebalaseleyo emanzini kunye ne-hemoglobin kunye nobunzulu bokungena obuphakathi kwi-disc tissue, yenza ukuba iinkqubo ziqhutywe ngokukhuselekileyo kwaye ngokuchanekileyo, ngakumbi xa kufutshane nezakhiwo ezibuthathaka ze-anatomical. Ukuchaneka kweMicrosurgical kuqinisekiswa ziimpawu zobugcisa zePLDD ekhethekileyo Yintoni iPLDD? 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-LASEEV® DUAL laser fibers, ezivumela 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.

Usetyenziso

-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

Iimpawu

- 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

Izibonelelo zenkqubo ye-PLDD ehlasela kancinci

- 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

I-PLDD: Zombini inaliti kunye nefiber zingeniswa kwidiski enesifo phantsi kwe-fluoroscopy.

Inkqubo

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.

Izixhobo zobuNgcali kwiNkqubo ye-PLDD

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.

ipharamitha

Uhlobo lweLaser	Diode Laser Gallium-Aluminium-Arsenide GaAlAs
Ubude bamaza	650nm+980nm+1470nm
Amandla	30W+17W/60W+17W
Iindlela zokusebenza	I-CW, i-Pulse kunye ne-Single
Ujoliso lweBeam	Isalathisi esiBomvu esinokulungiswa ngokukhanya okungama-650nm
Uhlobo lweFayibha	Ifiber engenanto
Idayimitha yeFayibha	400/600 um fiber
Isidibanisi seFayibha	SMA905 umgangatho wamazwe ngamazwe
Ukubetha	0.00s-1.00s
Ukulibazisa	0.00s-1.00s
I-Voltage	100-240V, 50/60HZ
Ubungakanani	34.53934cm
Ubunzima	8.45KG