I-laser engu-1470 pldd laser engu-1470nm ethengiswa kakhulu ye-pldd- 980+1470 PLDD

Incazelo emfushane:

I-PLDD – Ukususwa Kwediski Ye-Laser Engacutshungulwanga

UBANI OKUFANELE ACABANGE NGOKUTHI I-PLDD?

Inqubo ye-PLDD yenzelwe futhi yathuthukiswa ngokukhethekile izinkomba zomlomo wesibeletho kanye nomgogodla, okuhlanganisa:

♦ Ubuhlungu obukhulu emlenzeni, engalweni, entanyeni noma emhlane ongezansi.

♦ Ubuhlungu obungaphendulanga emasontweni ayisithupha okwelashwa okulondolozayo - ukuphumula, imithi noma ukwelashwa ngokomzimba.

♦ Ama-disc e-lumbar ane-herniated aqinisekiswe yizifundo ze-x-ray ezingase zihlanganise okukodwa noma ngaphezulu kwalokhu okulandelayo:

Ukufanekisa i-Magnetic Resonance (MRI), Ukuskena kwe-CAT, i-Myelography, i-Discography

Sithumelele i-imeyili

Imininingwane Yomkhiqizo

Amathegi Omkhiqizo

Iyini i-PLDD?

Ukususwa kwe-percutaneous laser disc decompression (PLDD) inqubo lapho ama-disc e-intervertebral herniated elashwa khona ngokunciphisa ingcindezi yangaphakathi kwe-discal ngamandla e-laser. Lokhu kungeniswa ngenaliti efakwe ku-nucleus pulposus ngaphansi kwe-anesthesia yendawo kanye nokuqapha kwe-fluoroscopic. Umthamo omncane we-nucleus vaporized uholela 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 yokwelapha ngaphandle, ayidingi i-anesthesia ejwayelekile, ayibangeli izibazi noma ukungazinzi komgogodla, inciphisa isikhathi sokuvuselelwa, iyaphindwa, futhi ayivimbeli ukuhlinzwa okuvulekile uma kudingeka. Kuyisinqumo esifanele iziguli ezinemiphumela emibi ekwelashweni okungeyona ukuhlinzwa.

Inaliti ifakwa endaweni ethintekile yediski ye-intervertebral bese kufakwa i-laser fifiber ngayo ukuze kushiswe i-nucleus pulposus nge-laser.

Ukusebenzisana kwezicubu ne-LASEEV® DUAL

Ipulatifomu ye-LASEEV® DUAL isekelwe ezicini zokumunca zamaza angu-980 nm kanye no-1470 nm, okuthi, ngenxa yokusebenzisana kwayo okuvelele emanzini kanye ne-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-disc ye-laser ye-percutaneous (PLDD) inqubo lapho ama-disc e-intervertebral herniated ephathwa khona ngokunciphisa ingcindezi ye-intradiscal 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 ye-intradiscal, okuholela ekufudukeni kwe-herniation kude nezimpande zemizwa. Yasungulwa okokuqala nguDkt. Daniel SJ Choy ngo-1986. I-PLDD ibonakalisiwe iphephile futhi isebenza kahle. Ayihlaseli kakhulu, yenziwa endaweni yokulaliswa esibhedlela, ayidingi i-anesthesia ejwayelekile, ayibangeli izibazi noma ukungazinzile komgogodla, inciphisa isikhathi sokuvuselelwa, iyaphindwa, futhi ayivimbeli ukuhlinzwa okuvulekile uma kudingeka. Kuyisinqumo esifanele iziguli ezinemiphumela emibi ekwelashweni okungekhona ukuhlinzwa. Inaliti ifakwa endaweni ethintekile yediski yangaphakathi bese kufakwa i-laser fiber ngayo ukuze kushiswe i-nucleus pulposus nge-laser. Ukusebenzisana kwezicubu ne-LASEEV® DUAL laser fibers, okuvumela ukusebenza kahle kokuhlinzwa, ukuphathwa kalula, kanye nokuphepha okuphezulu. Ukusetshenziswa kwezintambo ze-laser ezithambile eziguquguqukayo ezinobubanzi obuyi-core dayamitha engu-360 micron kanye ne-microsurgical PLDD kwenza kube nokufinyelela okunembile nokunembile kanye nokungenelela ezindaweni ezibucayi njengezindawo zediski yomlomo 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.

Izicelo

— 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

Izinkomba

— 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

Izinzuzo zenqubo ye-PLDD engangenisi kakhulu

— 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

I-PLDD: Kokubili inaliti encane kanye nefayibha kungeniswa kudiski enesifo ngaphansi kwe-fluoroscopy.

Inqubo

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.

Izesekeli Zobungcweti Zenqubo ye-PLDD

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.

ipharamitha

Uhlobo lwe-laser	I-Diode Laser Gallium-Aluminium-Arsenide GaAlAs
Ubude begagasi	650nm+980nm+1470nm
Amandla	30W+17W/60W+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-400/600 um
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	34.53934cm
Isisindo	8.45KG