I-980nm 1470nm Diode Laser Percutaneous Laser Decompression (PLDD)
Enkambweni ye-percutaneous laser disc decompression, amandla e-laser adluliselwa nge-fiber optical encane ku-disc.
Inhloso ye-PLDD ukuhwashisa ingxenye encane yomgogodla ongaphakathi. Ukukhishwa kwevolumu encane yomgogodla wangaphakathi kuphumela ekunciphiseni okubalulekile kwengcindezi ye-intra-discal, ngaleyo ndlela kunciphise ukunciphisa i-disc herniation.
I-PLDD iyindlela yezokwelapha engavamile kakhulu eyakhiwe nguDkt Daniel SJ Choy ngo-1986 esebenzisa i-laser beam ukuphatha ubuhlungu beqolo nentamo obubangelwa i-disc herniated.
I-Percutaneous laser disc decompression (PLDD) iyindlela engcono kakhulu ye-laser ye-percutaneous engavamile kakhulu ekwelapheni i-disc hernias, i-hernia yomlomo wesibeletho, i-dorsal hernias (ngaphandle kwengxenye ye-T1-T5), kanye ne-lumbar hernias. Inqubo isebenzisa amandla e-laser ukumunca amanzi ngaphakathi kwe-nucleus pulpous ye-herniated edala ukuwohloka.
Iplathifomu ye-TR-C® DUAL isekelwe ezicini zokumuncwa kokubili okungu-980 nm kanye no-1470 nm wamaza wamaza, okuthi, ngenxa yokusebenzelana kwayo okuvelele emanzini ne-hemoglobin kanye nokujula kokungena okumaphakathi kumathishu e-disc, kwenza izinqubo zenziwe ngokuphepha nangokunembile, ikakhulukazi eduze kwezakhiwo ezithambile ze-anatomi. Ukunemba kwe-Microsurgical kuqinisekiswa izici zobuchwepheshe ze-PLDD ekhethekile.
Iyini i-PLDD?
I-Percutaneous laser disc decompression (PLDD) yinkqubo lapho i-herniated intervertebral discs iphathwa ngokunciphisa ingcindezi ye-intradiscal ngokusebenzisa amandla e-laser. Lokhu kwethulwa inaliti efakwe ku-nucleus pulposus ngaphansi kwe-anesthesia yendawo kanye nokuqapha kwe-fluoroscopic. Umthamo omncane we-nucleus vaporized uphumela ekwehleni okukhulu kwengcindezi ye-intradiscal, nomphumela wokufuduka kwe-herniation kude nempande yezinzwa. Yasungulwa okokuqala nguDkt. Daniel SJ Choy ngo-1986. I-PLDD ibonakale iphephile futhi isebenza ngempumelelo. Ihlasela kancane, yenziwa endaweni yokulaliswa ngaphandle, ayidingi ukulaliswa okuvamile, iphumela ekubeni kungabikho sibazi noma ukuntengantenga komgogodla, inciphisa isikhathi sokuvuselela, iyaphindaphindeka, futhi ayikuvimbeli ukuhlinzwa obala uma kudingekile. Kuyisinqumo esihle ezigulini ezinemiphumela engemihle ekwelashweni okungahlinzwa. Inaliti ifakwa endaweni ethintekile ye-tervertebral disc futhi i-laser fiber ijova ngayo ukuze kushiswe i-nucleus pulposus nge-laser. Ukusebenzisana kwezicubu nge-TR-C® DUAL laser fibers, evumela ukusebenza kahle kokuhlinzwa, ukuphatha kalula, nokuphepha okuphezulu. Ukusetshenziswa kwemicu ye-laser ethintekayo eguquguqukayo enobubanzi obuyingqikithi ye-360 micron ngokuhambisana ne-PLDD ye-microsurgical kwenza ukufinyelela okunembe kakhulu nokunembile kanye nokungenelela ezindaweni ezibucayi njengezindawo zomlomo wesibeletho kanye ne-lumbar disc ngesisekelo sezidingo zokwelapha zomtholampilo. Ukwelashwa nge-laser ye-PLDD kusetshenziswa kakhulu ngemva kwezinketho zokwelapha ezivamile ezingaphumeleli ngaphansi kokulawulwa okuqinile kwe-MRT/CT.
- Isicelo se-Intra-discal kumgogodla wesibeletho, umgogodla we-thoracic, umgogodla we-lumbar
- I-neurotomy yegatsha eliphakathi lama-facet joints
- I-Lateral branch neurotomy yamalunga e-sacroiliac
- Iqukethe ama-disc herniations ane-foraminal stenosis elandelanayo
- I-Discogenic spinal stenosis
- Izimpawu ze-discogenic pain
- I-Chronic facet kanye ne-sacroiliac joint syndrom
- Okunye ukuhlinzwa, isb indololwane yethenisi, i-calcaneal spur
- I-anesthesia yendawo ivumela ukwelashwa kweziguli ezisengozini.
- Isikhathi sokusebenza esifushane kakhulu uma siqhathaniswa nezinqubo ezivulekile
- Izinga eliphansi lezinkinga nokuvuvukala kwangemva kokuhlinzwa (Akukho kulimala kwezicubu ezithambile,Ayikho ingozi
i-epidural fibrosis noma izibazi)
- Inalithi enhle enendawo yokubhoboza encane ngakho-ke asikho isidingo sokuthunga
- Ukunciphisa ubuhlungu obukhulu kanye nokugqugquzela ngokushesha
- Ukuhlala esibhedlela kufushane kanye nokuvuselelwa
- Izindleko eziphansi
Inqubo ye-PLDD yenziwa kusetshenziswa i-anesthesia yendawo. I-fiber optical ifakwa ku-cannula ekhethekile ngaphansi kwe-fluoroscopicisiqondiso.Ngemva kokufaka umehluko ku-facet kungenzeka ukuhlola indawo ye-cannula kanye nesimo sediski.iqhubu. Ukuqala kwe-laser kuqala ukuwohloka futhi kwehlisa ingcindezi ye-intradiscal.
Inqubo yenziwa kusukela ku-posterior-lateral approach ngaphandle kokuphazamiseka emseleni we-vertebral, ngakho-ke, lapho.Akukhona ukuthi kungenzeka ukulimaza ukwelashwa kokulungisa, kodwa akwenzeki ukuqinisa i-annulus fibrosus.NGESIKHATHI ivolumu yediski ye-PLDD yehla kancane, nokho, ingcindezi yediski ingehliswa kakhulu. Uma kwenzekausebenzisa i-laser ukuze i-disc decomperssion, inani elincane le-nucleus pulposus liyahwamuka.
Ikhithi eyinyumba ihlanganisa i-micron engu-400/600 i-fifiber engenalutho enokuvikelwa kwejakhethi, izinaliti ezingu-18G/20G (ubude obungu-15.2cm), kanye nesixhumi se-Y esivumela ukungena nokudonsa i-fifiber. Isixhumi nezinaliti zipakishwa ngazinye ukuze zinike amandla ukuguquguquka okukhulu ekwelashweni.
| Uhlobo lwe-laser | I-Diode Laser Gallium-Aluminium-Arsenide GaAlAs |
| Ubude begagasi | 980nm+1470nm |
| Amandla | 30W+17W |
| Izindlela Zokusebenza | I-CW, i-Pulse kanye ne-Single |
| I-Beam ehlosiwe | Isibani esishintshashintshayo Esibomvu esingu-650nm |
| Uhlobo lwefiber | I-fiber engenalutho |
| Ububanzi befiber | 300/400/600/800/1000um fiber |
| Isixhumi se-Fiber | I-SMA905 izinga lamazwe ngamazwe |
| I-Pulse | 0.00s-1.00s |
| Libazisa | 0.00s-1.00s |
| Amandla kagesi | 100-240V, 50/60HZ |
| Usayizi | 41*33*49cm |
| Isisindo | 18KG |
