Ithengiswa ngokushushu i-1470 pldd laser 1470nm laser ye-pldd- 980+1470 PLDD

Inkcazo emfutshane:

I-PLDD - Ukunciphisa iDiski yeLaser yePercutaneous

NGUBANI OMELE AQAPHELE I-PLDD?

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

♦ Intlungu ebuhlungu yomlenze, ingalo, intamo okanye umqolo ongezantsi.

♦ Intlungu engaphendulanga kunyango oluhlala ixesha elide lweeveki ezintandathu- ukuphumla, amayeza okanye unyango lomzimba.

♦ Iidiski ze-lumbar ezifakwe i-herniated eziqinisekiswe zizifundo ze-x-ray ezinokubandakanya enye okanye ezingaphezulu kwezi zilandelayo:

Umzobo weMagnetic Resonance (MRI), i-CAT Scanning, i-Myelography, i-Discography

Thumela i-imeyile kuthi

Iinkcukacha zeMveliso

Iithegi zeMveliso

Yintoni i-PLDD?

Ukuthomalalisa idiski ye-laser ye-Percutaneous (PLDD) yinkqubo apho iidiski ze-intervertebral ze-herniated zinyangwa ngokunciphisa uxinzelelo lwe-intradiscal ngamandla e-laser. Oku kungeniswa ngenaliti 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 nguGqr. Daniel SJ Choy ngo-1986.

I-PLDD ibonakalise ukuba ikhuselekile kwaye isebenza kakuhle. Ayingeni kakhulu, yenziwa kwindawo yokulaliswa ngaphandle, ayifuni sixhobo sokuthomalalisa iintlungu, ayibangeli zizilonda okanye ukungazinzi komqolo, inciphisa ixesha lokuvuselelwa, inokuphindwa, kwaye ayithinteli utyando oluvulekileyo ukuba oko kuyimfuneko. Lukhetho olufanelekileyo kwizigulana ezineziphumo ezimbi kunyango olungelulo utyando.

Inaliti ifakwa kwindawo echaphazelekayo yediski ye-intervertebral kwaye i-laser fifiber ifakwa kuyo ukuze kutshiswe i-nucleus pulposus nge-laser.

Ukusebenzisana kwezicubu neLASEEV® DUAL

Iqonga le-LASEEV® DUAL lisekelwe kwiimpawu zokufunxa zombini ubude be-980 nm kunye ne-1470 nm, nto leyo, ngenxa yokusebenzisana kwayo okubalaseleyo emanzini nakwi-hemoglobin kunye nobunzulu bokungena okuphakathi kwizicubu zediski, ivumela iinkqubo ukuba zenziwe ngokukhuselekileyo nangokuchanekileyo, ngakumbi kufutshane nezakhiwo ezibuthathaka ze-anatomical. Ukuchaneka kwe-Microsurgical kuqinisekiswa ziimpawu zobugcisa ze-PLDD ekhethekileyo Yintoni i-PLDD? I-Percutaneous laser disc decompression (PLDD) yinkqubo apho ii-discs ze-intervertebral herniated zinyangwa ngokunciphisa uxinzelelo lwe-intradiscal ngamandla e-laser. Oku kungeniswa ngenaliti efakwe kwi-nucleus pulposus phantsi kwe-anesthesia yendawo kunye nokujonga i-fluoroscopic. Umthamo omncinci we-nucleus vaporized uphumela ekwehleni 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. Ayingeni kakhulu, yenziwa kwindawo yokulaliswa ngaphandle, ayifuni sixhobo sokuthomalalisa i-anesthesia, ayibangeli zizilonda okanye ukungahlali kakuhle komqolo, inciphisa ixesha lokuvuselelwa, iphinda-phindwa, kwaye ayithinteli utyando oluvulekileyo ukuba oko kuyimfuneko. Lukhetho olufanelekileyo kwizigulana ezineziphumo ezibi kunyango olungelulo utyando. Inaliti ifakwa kwindawo echaphazelekayo yediski ye-intervertebral kwaye ifayibha yelaser ifakwe kuyo ukuze kutshiswe i-nucleus pulposus ngelaser. Ukusebenzisana kwezicubu kunye neefayibha zelaser ze-LASEEV® DUAL, ezivumela ukusebenza kakuhle kotyando, ukuba lula ukuyiphatha, kunye nokhuseleko oluphezulu. Ukusetyenziswa kweefayibha zelaser ezithambileyo ezineedayamitha eziphambili ze-360 micron kunye ne-microsurgical PLDD kwenza ukufikelela ngokuchanekileyo nangokuchanekileyo kunye nokungenelela kwiindawo ezinobuthathaka ezifana neendawo zediski yomlomo wesibeleko kunye ne-lumbar ngokusekelwe kwiimfuno zonyango lweklinikhi. Unyango lwelaser ye-PLDD lusetyenziswa kakhulu emva kokhetho lwezonyango oluqhelekileyo olungaphumelelanga phantsi kolawulo oluqinileyo lwe-MRT/CT.

Izicelo

— 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

Iimpawu

— 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

Iingenelo zenkqubo ye-PLDD engaphantsi kakhulu

— 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

I-PLDD: Zombini iinaliti ezincinci kunye nefayibha zifakwa kwidiski enesifo phantsi kwe-fluoroscopy.

Inkqubo

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.

Izixhobo zobungcali zeNkqubo ye-PLDD

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.

ipharamitha

Uhlobo lwelaser	I-Diode Laser Gallium-Aluminium-Arsenide GaAlAs
Ubude bamaza	650nm+980nm+1470nm
Amandla	30W+17W/60W+17W
Iindlela Zokusebenza	CW, Pulse kunye neSingle
Umqadi ojolise kuwo	Isibane esiBomvu esihlengahlengiswayo esingu-650nm
Uhlobo lwefayibha	Ifayibha engenanto
Ububanzi befayibha	Ifayibha ye-400/600 um
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	34.53934cm
Ubunzima	8.45KG