I-980nm 1470nm Diode Laser Percutaneous Laser Disc Decompression (PLDD)
Enkambisweni yokususa i-percutaneous laser disc decompression, amandla e-laser adluliselwa nge-fibre encane ye-optical ku-disc.
Inhloso ye-PLDD ukufutha ingxenye encane yomgogodla wangaphakathi. Ukususwa kwevolumu encane yomgogodla wangaphakathi kuholela ekunciphiseni okubalulekile kwengcindezi yangaphakathi kwe-discal, ngaleyo ndlela kubangele ukwehla kwe-disc herniation.
I-PLDD inqubo yezokwelapha engadingi ukungenelela okuningi eyasungulwa nguDkt. Daniel SJ Choy ngo-1986 esebenzisa umsebe we-laser ukwelapha ubuhlungu bomhlane nentamo obubangelwa yi-disc ehlutshiwe.
Ukususwa kwe-laser disc nge-percutaneous (PLDD) kuyindlela ye-laser ye-percutaneous engavamile kakhulu ekwelapheni ama-disc hernias, ama-cervical hernias, ama-dorsal hernias (ngaphandle kwe-segment T1-T5), kanye nama-lumbar hernias. Le nqubo isebenzisa amandla e-laser ukumunca amanzi ngaphakathi kwe-herniated nucleus pulpous okwenza kube ukuhlukaniswa.
Ipulatifomu ye-TR-C® DUAL isekelwe ezicini zokumunca zombili ubude bamaza obungu-980 nm no-1470 nm, okuthi, ngenxa yokusebenzisana kwayo okuvelele emanzini nase-hemoglobin kanye nokujula okuphakathi kokungena kwezicubu zediski, kuvumela izinqubo ukuthi zenziwe ngokuphephile nangokunembile, ikakhulukazi eduze kwezakhiwo ezithambile zomzimba. Ukunemba kwe-Microsurgical kuqinisekiswa yizici zobuchwepheshe ze-PLDD ekhethekile.
Iyini i-PLDD?
Ukususwa kwe-percutaneous laser disc decompression (PLDD) inqubo lapho ama-disc e-intervertebral herniated ephathwa khona ngokunciphisa ingcindezi yangaphakathi kwe-discal ngamandla e-laser. Lokhu kwethulwa ngenaliti efakwe ku-nucleus pulposus ngaphansi kwe-anesthesia yendawo kanye nokuqapha kwe-fluoroscopic. Umthamo omncane we-nucleus vaporized uphumela ekwehleni okukhulu kwengcindezi yangaphakathi kwe-discal, okuholela ekufudukeni kwe-herniation kude nezimpande zemizwa. Yasungulwa okokuqala nguDkt. Daniel SJ Choy ngo-1986. I-PLDD ibonakale iphephile futhi isebenza kahle. Ayihlaseli kakhulu, yenziwa endaweni yokulaliswa esibhedlela, ayidingi i-anesthesia ejwayelekile, ayibangeli izibazi noma ukungazinzi komgogodla, inciphisa isikhathi sokuvuselelwa, iyaphindwa, futhi ayivimbeli ukuhlinzwa okuvulekile uma lokho kudingeka. Kuyisinqumo esifanele iziguli ezinemiphumela emibi ekwelashweni okungeyona ukuhlinzwa. Inaliti ifakwa endaweni ethintekile ye-intervertebral disc bese i-laser fiber ifakwa ngayo ukuze kushiswe i-nucleus pulposus nge-laser. Ukusebenzisana kwezicubu ne-TR-C® DUAL laser fibers, okuvumela ukusebenza kahle kokuhlinzwa, ukuphathwa kalula, kanye nokuphepha okuphezulu. Ukusetshenziswa kwemicu ye-laser ethintekayo eguquguqukayo enobubanzi obungu-360 micron kanye ne-PLDD yokuhlinzwa okuncane kwenza kube nokufinyelela okunembile nokunembile kanye nokungenelela ezindaweni ezibucayi njengezindawo ze-disc zomlomo wesibeletho kanye ne-lumbar ngokusekelwe ezidingweni zokwelapha zezokwelapha. Ukwelashwa nge-laser ye-PLDD kusetshenziswa kakhulu ngemuva kwezinketho zokwelapha ezivamile ezingaphumelelanga ngaphansi kokulawulwa okuqinile kwe-MRT/CT.
— Ukufakwa ngaphakathi kwe-discal emgogodleni wesibeletho, emgogodleni wesifuba, emgogodleni we-lumbar
— Ukuhlinzwa kwe-medial branch neurotomy kwamalunga e-facet
— Ukuhlinzwa kwe-neurotomy yegatsha eliseceleni kwamalunga e-sacroiliac
— Ukuhlinzwa kwama-disc okuqukethe i-foraminal stenosis elandelanayo
— I-discogenic spinal stenosis
— Izimpawu zobuhlungu be-discogenic
— I-Chronic facet kanye ne-sacroiliac joint syndrome
— Ukuhlinzwa okwengeziwe, isib. i-tennis elbow, i-calcaneal spur
— Ukubulala izinzwa kwendawo kuvumela ukwelashwa kweziguli ezisengozini.
— Isikhathi sokusebenza esifushane kakhulu uma siqhathaniswa nezinqubo ezivulekile
— Izinga eliphansi lezinkinga kanye nokuvuvukala ngemva kokuhlinzwa (Akukho ukulimala kwezicubu ezithambile, Akukho bungozi bokuthi
i-epidural fibrosis noma izibazi)
— Inalithi encane kakhulu enendawo encane kakhulu yokubhoboza ngakho-ke asikho isidingo sokuthunga
- Ukuqeda ubuhlungu obukhulu ngokushesha kanye nokunyakaza
— Ukuhlala esibhedlela okufushane kanye nokuvuselelwa
— Izindleko eziphansi
Inqubo ye-PLDD yenziwa kusetshenziswa i-anesthesia yendawo. I-fiber ye-optical ifakwa ku-cannula ekhethekile ngaphansi kwe-fluoroscopicisiqondiso. Ngemva kokusebenzisa umehluko ohlangothini, kungenzeka ukuhlola indawo ye-cannula kanye nesimo sediski.ukukhukhumala. I-laser yokuqala iqala ukudambisa ukucindezeleka futhi yehlise ingcindezi yangaphakathi kwe-discal.
Inqubo yenziwa ngendlela ye-posterior-lateral ngaphandle kokuphazamiseka komsele womgogodla, ngakho-ke, kukhonaAkukho ndlela yokulimaza ukwelashwa okuvuselelayo, kodwa akukho ndlela yokuqinisa i-annulus fibrosus.Ngesikhathi ivolumu yediski ye-PLDD yehliswa kancane, noma kunjalo, ingcindezi yediski ingancishiswa kakhulu. Uma kwenzekaUkusebenzisa i-laser ukuze kuhlukaniswe amadiski, inani elincane le-nucleus pulposus liyahwamuka.
Ikhithi ehlanzekile ifaka i-fifiber engenalutho engu-400/600 micron enesivikelo sejakethi, izinaliti ezingu-18G/20G (ubude obungu-15.2cm), kanye ne-Y Connector evumela ukungena nokumuncwa kwe-fifiber. Isixhumi nezinaliti zipakishwa ngazinye ukuze kube lula ukuguquguquka ekuphathweni.
| 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 |
| Ugongolo Oluqondiwe | Isibani sesikhombisi esibomvu esilungisekayo esingu-650nm |
| Uhlobo lwefayibha | I-fiber engenalutho |
| Ububanzi befayibha | I-fiber engu-300/400/600/800/1000um |
| Isixhumi sefayibha | Izinga lomhlaba wonke le-SMA905 |
| Ukushaya kwenhliziyo | 0.00s-1.00s |
| Ukubambezeleka | 0.00s-1.00s |
| I-voltage | 100-240V, 50/60HZ |
| Usayizi | 41*33*49cm |
| Isisindo | 18KG |
