Kusintha kwa Microscopic pansi pa Kuwala Kopanda Mthunzi: Mitundu Isanu ya Microscopes Yopangira Opaleshoni Yosintha Maopaleshoni Amakono

 

Kuyambira kukonza ma aneurysms a ubongo mu opaleshoni ya mitsempha mpaka kuchiza mizu ya ngalande za mano, kuyambira pakumanga mitsempha yamagazi ya 0.2mm mpaka kusintha bwino ma mazenera amkati mwa khutu,ma microscope opangidwa opaleshoniakhala "maso achiwiri" osasinthika mu zamankhwala amakono.

Mu chipinda chochitira opaleshoni cha chipatala cha Yantai Yeda, madokotala a mafupa akuchita opaleshoni yobwezeretsa zala. Anatenga mtsempha wamagazi wokhala ndi mainchesi 0.2 okha okhala ndi ma tweezers m'manja mwawo ndipo anayika singano pansi pa singano.maikulosikopu yogwira ntchitomonga nsalu. Nthawi yomweyo, m'chipinda chochitira opaleshoni cha Federal University of Sã o Paulo ku Brazil, madokotala a mitsempha amatha kusiyanitsa bwino malire pakati pa ma cysts a arachnoid ndi minofu yozungulira ubongo kudzera mu diso laMaikulosi a opaleshoni ya ubongo.

Maikulosikopu a opaleshoniZasintha kuchoka pa zida zosavuta zokulitsa zinthu kupita ku machitidwe olondola omwe amaphatikiza kujambula kwa optical, fluorescence navigation, augmented reality, ndi ukadaulo wina, kukhala "maso achiwiri" mu opaleshoni.

 

01 Maikusikopu ya opaleshoni ya ubongo, kuyenda molondola kwa mabowo akuya

Ma microscope a opaleshoni ya ubongoangaonedwe ngati mwala wofunika kwambiri pa ntchito ya opaleshoni ya microsurgery, ndipo kusinthasintha kwawo kwaukadaulo kumayimira gawo lapamwamba kwambiri mumakampaniwa. Mu gawo la opaleshoni ya mitsempha,ma microscope a opaleshoni ya mitsemphaayenera kuchitidwa opaleshoni m'mabowo akuya komanso opapatiza a m'mutu pamene akupewa mapangidwe ofunikira a thupi.

Mndandanda wa CORDER ASOM-630maikulosikopu yogwira ntchitoimagwirizanitsa ukadaulo waukulu watatu: ukadaulo wa augmented reality fluorescence ukhoza kuwonetsa kuyenda kwa magazi nthawi yeniyeni panthawi ya opaleshoni ya mitsempha ya ubongo; ukadaulo wa Fusion Optics umapereka kuzama kwakukulu kwa malo; Dongosolo la kuwala lapamwamba limapereka zithunzi kumunda wa mawonekedwe a dokotala wa opaleshoni, kukwaniritsa zofunikira zolondola za opaleshoni yaying'ono. Mu opaleshoni ya Galassi III arachnoid cyst,Maikusikopu ya opaleshoni ya mitsempha ya ASOM-630zinawonetsa bwino ubale wovuta pakati pa khoma la chotupa ndi mitsempha yamagazi yozungulira ndi mitsempha, zomwe zinalola madokotala kulekanitsa molondola popanda kuwononga nyumba zofunika kwambiri.

Mu opaleshoni ya mitsempha ya ubongo, ukadaulo wa fluorescence umaphatikiza kuwala kobiriwira kwa indocyanine ndi zithunzi za minofu yachilengedwe nthawi yomweyo. Madokotala amatha kuwona nthawi yomweyo mawonekedwe ndi kayendedwe ka magazi a aneurysms popanda kusintha pakati pa njira zakuda ndi zoyera za fluorescence, zomwe zimathandizira kwambiri chitetezo cha opaleshoni.

 

02 Maikusikopu ya opaleshoni ya mano, kusintha kochepa kwambiri mkati mwa ngalande ya mizu

Mu gawo la udokotala wa mano, kugwiritsa ntchitoma microscope ogwiritsira ntchito manoIzi zapangitsa kuti chithandizo chikhale cholondola kwambiri.ma microscope a manoOnjezerani kukula kwake kufika nthawi zoposa 20, kuphatikiza ndi makina ojambula zithunzi apamwamba kwambiri, zomwe zimapangitsa kuti chithandizo cha zamkati za mano chikhale mu 'nthawi ya microscopic'.

Vuto lalikulu lama microscope a manoZimakhudza kugwirizanitsa kulondola kwa kuwala ndi kapangidwe ka ergonomic. Mainjiniya aukadaulo aChengdu CORDER Optics&Electronics Co., Ltd.Amadziwika ndi "maso awo akuthwa", ndipo kupotoka kwawo kwa binocular optical path kumayang'aniridwa mosamala mkati mwa mamilimita 0.2. Kupitilira izi, madokotala adzakumana ndi mikangano yosiyana pakati pa maso awo, zomwe zimapangitsa kuti asamaone bwino, "adatero woyang'anira zaukadaulo Zhu.

Pochiza matenda a mizu ya m'mimba, madokotala amatha kuona bwino momwe thupi limagwirira ntchito mosiyanasiyana monga root canal isthmus ndi lateral branch root canal, zomwe zimachepetsa kwambiri mwayi woti zilonda zomwe zapezeka zisamawonekere. Kafukufuku waposachedwa akusonyeza kuti kugwiritsa ntchito njira yodziwira matendamaikulosikopu yogwiritsira ntchito manoKuchita opaleshoni kumathandizira kwambiri kulondola kwa ulusi pambuyo pochotsa ulusi. Ngakhale kuti nthawi yochita opaleshoni yawonjezeka pang'ono, ili ndi phindu lofunika kwambiri pakusunga minofu ya mano yathanzi.

 

03 Maikulosikopu ya ENT, Tsamba Lakuthwa Lowala Lozizira la Opaleshoni ya Chipinda Chakuya

Themaikulosikopu ya opaleshoni ya otolaryngologyYapangidwa kuti igwire ntchito yokonza ngalande zovuta kuyambira pa tympanic cavity mpaka pa glottis.ma microscope a otolaryngologyMagalasi owonera oyambira ndi achiwiri amatha kuwona zinthu motsatizana pa kukula komweko, mawonekedwe, ndi momwe zinthu zilili. Chubu chake chozungulira chimatha kupendekeka madigiri 0-90, zomwe zimathandiza madokotala kukhala pamalo abwino.

Kuwala kwa coaxial kowala kwambiri pamodzi ndi makina ozungulira amagetsi a 1:5 kungawonetse bwino kapangidwe kake ka unyolo wa ossicular panthawi ya tympanoplasty. Dongosolo lowunikira lochokera ku kuwala kozizira limapereka kuwala kwa 100000LX popanda kuwononga nyumba zamkati mwa khutu chifukwa cha kutentha.

 

04 Maikusikopu ya opaleshoni ya mafupa, luso lopaka mitsempha yamagazi ya mulingo wa millimeter

Ma microscope ogwira ntchito m'mafupaakupanga chozizwitsa cha moyo m'munda wobwezeretsa ziwalo ndi kumanganso. Gulu la dipatimenti ya mafupa la Chipatala cha Yantai Yeda limachita maopaleshoni angapo obwezeretsa zala sabata iliyonse, ndipo "luso lawo lokongoletsa" limachokera pa zida zenizeni zosaoneka ndi maso.

Mu njira yodziwika bwino yobzala chala chakutali, madokotala amakumana ndi vuto la kufalikira kwa mitsempha yamagazi yokhala ndi mainchesi 0.2 okha, zomwe zimafanana ndi kapangidwe ka tsitsi.Maikulosi ya mafupa, madokotala amatha kuzindikira bwino momwe mitsempha yamagazi ilili ndi kudziwa ngati achotse gawo lowonongeka kuti apewe thrombosis pambuyo pa opaleshoni. Ngati pali kupotoka munjira yowunikira, ndikofanana ndi diso lakumanzere kukhala labwinobwino ndi diso lakumanja kukhala lokwezedwa. Pakapita nthawi, maso amatopa kwambiri, "anatero katswiri wamkulu wa microscopy pofotokoza kufunika kolondola kwa calibration.

Dipatimentiyi imachitanso maopaleshoni ovuta kwambiri monga kulowetsa chipolopolo cha thovu, ndipo imagwiritsa ntchito njira za microsurgical kuti ikonze zolakwika za minofu m'miyendo. Amagwiritsa ntchito njira ya free skin flap yomwe imachotsa mitsempha yamagazi kuti ilumikize bwino thovu la khungu ndi mitsempha yaying'ono yamagazi m'dera lolandira magazi pansi pa chivindikirocho.maikulosikopu yogwira ntchito.

 

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Ndi kuphatikiza kwakukulu kwa ukadaulo wa augmented reality (AR) ndima microscope ogwira ntchito, madokotala a opaleshoni ya mitsempha tsopano amatha "kuona" mwachindunji zizindikiro zoyendera ndi kuyenda kwa magazi m'kati mwa ubongo. Mu chipatala cha mano, zithunzi za 4K ultra high definition zimawonetsedwa pazenera lalikulu kudzera muukadaulo wotsika wa kutumiza kwa latency, zomwe zimathandiza gulu lonse lachipatala kugawana mawonekedwe a microscopic.

M'chipinda chochitira opaleshoni chamtsogolo, dokotala wa opaleshoni angagwiritse ntchitomaikulosikopu ya opaleshoni ya mafupakuti amalize "kusoka kwa moyo wonse" kwa mitsempha yamagazi ya 0.2mm m'mawa, kenako nkusamukira ku chipinda chochitira opaleshoni ya neurosurgery masana kuti akanikizire aneurysm ya ubongo motsogozedwa ndi augmented reality fluorescence.

Ma Microscope a Opaleshoniidzapitirirabe kudutsa malire a masomphenya a opaleshoni ya m'mimba yozama, kuunikira ngodya zobisika kwambiri za thupi la munthu ndi njira zomveka bwino zowunikira.