Kugwiritsa ntchito njira zosiyanasiyana komanso chitukuko chapadera cha maikulosikopu olondola kwambiri opangira opaleshoni

 

Njira zamakono zopangira opaleshoni zalowa m'nthawi ya microsurgery. Themicroscope opaleshonikumakulitsa munda opaleshoni ndi 4-40 nthawi kudzera mkulu-kusamvana kuwala dongosolo, coaxial ozizira gwero kuwala gwero, ndi wanzeru robotic mkono, zimathandiza madokotala pokonza microstructures monga mitsempha ya magazi ndi mitsempha ndi mwatsatanetsatane 0,1 millimeters, kwathunthu revolutionizing malire a chikhalidwe opaleshoni. Zofuna zapadera zaukadaulo wosiyanasiyana waukadaulo wapa microscopy zayendetsa chitukuko chapadera chamicroscopes opaleshoni, kupanga ukadaulo wamitundu yambiri yogwirizana ndi chilengedwe.

 

Ⅰ, Kusintha kwakukulu kwa maikulosikopu opangira opaleshoni ya neurosurgical

Themicroscope ya opaleshoni ya neurosurgicalamapangidwira maopaleshoni a cranial ndi msana. Ubwino wake waukulu uli mu:

1. Kujambula kwapamwamba kwa malo opangira maopaleshoni akuya:Pogwiritsa ntchito lens lalitali lalitali (200-400mm) ndi kuya kwaukadaulo wakumunda (1-15mm chosinthika), minofu yakuya yaubongo ndi maukonde a mitsempha amatha kuwonetsedwa momveka bwino;

2. Kuphatikizika kwa zithunzi zingapo:kuphatikiza fluorescence kusiyana (monga indocyanine green labeling) ndi 4K ultra-tanthauzo lapamwamba kulingalira kusiyanitsa zotupa ndi minofu wamba mu nthawi yeniyeni pa opaleshoni ndi kupewa chiopsezo kuwonongeka kwa mitsempha. Mwachitsanzo, m'badwo watsopano wamicroscope ntchito neurosurgerywakwanitsa 0.2mm mlingo mtima kuyerekezera, kuchepetsa intraoperative magazi kwa zosakwana 30% ya ochiritsira opaleshoni;

3. Kuyika mwanzeru mkono wa robotic:Madigiri asanu ndi limodzi a cantilever yamagetsi amathandizira 360 ° malo okhazikika opanda ngodya zakufa. Wogwira ntchitoyo amatha kuwongolera kayendedwe ka maikulosikopu kudzera pamawu kapena phazi, kukwaniritsa ntchito ya "kugwirizanitsa maso".

 

Ⅱ、 Kusinthika kolondola kwa maikulosikopu opangira ophthalmic

Ophthalmic opaleshoni microscopeimakwaniritsa kupita patsogolo kwa opaleshoni ya refractive:

- 3D navigation ntchito:Kutenga3D microscope ntchitomwachitsanzo, imaphatikiza ma intraoperative OCT (Optical Coherence Tomography) ndikuyenda kwa digito kuti muzitha kuyang'ana mbali ya axial ya mandala opangira astigmatic munthawi yeniyeni, kuchepetsa zolakwika zachikhalidwe kuchokera ku 5 ° mpaka mkati mwa 1 °. Yang'anirani nthawi yomweyo kutalika kwa crystalline lens arch dynamically kupewa postoperative positional kupatuka;

- Kuwala kwa kawopsedwe kochepa:kugwiritsa ntchito kuwala kozizira kwa LED (kutentha kwamtundu 4500-6000K) kuphatikiza ndi fyuluta yofiyira yowunikira kuti muchepetse chiopsezo cha kuwonongeka kwa retina ndikuwongolera chitonthozo cha odwala panthawi ya opaleshoni;

- Kuzama kwa Ukadaulo Wokulitsa Minda:M'machitidwe ang'onoang'ono monga opaleshoni ya macular, kuya kwakuya kwamtundu wa m'munda kumatha kukhalabe ndi mawonekedwe omveka bwino pakukula kwa 40x, kupereka malo ogwirira ntchito kwa dokotala wa opaleshoni.

 

Ⅲ、 Kusinthika kwaukadaulo kwa maikulosikopu opangira mano ndi mafupa

1. Malo a mano

Maikulosikopu ogwiritsira ntchito manondizofunikira kwambiri pakuchiza kwa mizu:

- 4-40 pindani wopandamalire magnification dongosolo akhoza poyera microtubules chikole mkati calcified mizu ngalande, kuthandiza m'zigawo za 18 millimeter yaitali zida zothyoka;

- Mapangidwe a coaxial dual light source source amachotsa madontho akhungu m'kamwa, ndipo mothandizidwa ndi prism yamtengo wapatali, amagwirizanitsa masomphenya a dokotala wa opaleshoni ndi wothandizira, kupititsa patsogolo mgwirizano wamagulu.

2. Orthopedics ndi munda wa msana

Ma microscope opangira opaleshoni ya Orthodonticndi ma microscope opangira opaleshoni ya msana amayang'ana kwambiri njira zowononga pang'ono:

- Kupyolera mu narrowband kujambula luso lamicroscope ntchito msana, magawo awiri a lumbar decompression (monga synchronous processing ya L4 / 5 ndi L5 / S1 magawo) akhoza kupindula mkati mwa 2.5-centimeter incision;

- Lens yamagetsi yamagetsi yamagetsi (monga Varioskop) ® Njirayi imagwirizana ndi kusintha kwa malo ogwira ntchito ndipo imakhala ndi mtunda wosinthika wa 150-300mm, kukwaniritsa zofunikira za ntchito zakuya za msana.

 

Ⅳ, Kusintha kwapadera pakati pa otolaryngology ndi opaleshoni yapulasitiki

1. Makutu, mphuno ndi mmero

Themicroscope ya opaleshoniadapangidwa makamaka kuti azipanga zopapatiza:

- Phatikizani gawo lolumikizana ndi laser kuti mukwaniritse kuwongolera kwapang'onopang'ono kwa laser focus ndi maikulosikopu yowonera mu micro resection ya khansa ya m'mphuno;

- Kukulitsa kwa benchmark kwa 12.5, kuphatikiza ndi kusintha kwa mtunda wogwirira ntchito kwamagetsi, ndikoyenera pazofunikira zingapo kuyambira pa tympanoplasty kupita ku opaleshoni yotsegulira sinus.

2. M'munda wa opaleshoni ya pulasitiki

Chiyambi chaopaleshoni ya pulasitiki yogwiritsira ntchito maikulosikopuZimakhala mu microscopic anastomosis:

- 0.3mm mlingo mtima anastomosis olondola, kuchirikiza kopitilira muyeso zabwino ntchito monga mitsempha yodutsitsa madzi mtsempha anastomosis;

- Galasi wothandizira wogawanika ndi mawonekedwe akunja a 3D amakwaniritsa mgwirizano wamawonedwe ambiri, kupititsa patsogolo kupambana kwa kupatsirana kwapakhungu.

 

Ⅴ、 Zatsopano zatsopano zamakina othandizira othandizira

Ziribe kanthu momwe iwo aliri apadera, ma microscope opangira opaleshoni ndimicroscope ntchitokugawana zisinthiko zitatu zofunika:

1. Kupanga zatsopano mu njira yoyika:The Table clamp operation microscopeimapereka kusinthasintha kwa kuyenda, kalembedwe ka denga kumapulumutsa malo, ndipo kalembedwe kapansi kamakhala kokhazikika komanso ufulu wosintha;

2. Kusintha kolumikizana kwa makompyuta a anthu:Kuwongolera mawu (monga Voice Control 4.0) ndi chitetezo cha kugundana kwachangu kumachepetsa kwambiri kusokoneza ntchito;

3. Kukula Kwapa digito:Makina a kamera a 4K/8K amathandizira kufunsira kwakutali ndikulemba zolemba zenizeni za AI (monga ma algorithms odziwikiratu mtsempha wamagazi), kuyendetsa ma microsurgery munthawi ya mgwirizano wanzeru.

 

Tsogolo lamtsogolo: kuchokera kuukadaulo kupita ku kuphatikiza kwaukadaulo

The specialization ofmicroscopes opaleshonisizinalepheretse kusakanikirana kwa matekinoloje amitundu yosiyanasiyana. Mwachitsanzo, ukadaulo wa fluorescence navigation mu neurosurgery wagwiritsidwa ntchito kuyang'anira mitsempha yamagazi mu retina.ophthalmology ntchito microscopes; Dental high deep optical modules akuphatikizidwa mumicroscope ya opaleshonikukulitsa kuya kwa gawo la opaleshoni ya m'mphuno. Nthawi yomweyo, zopanga zatsopano monga augmented reality (AR) zophimbidwa ndi zithunzi zomwe zisanachitike komanso kuwongolera kwakutali kwa maloboti zipitiliza kulimbikitsa kupita patsogolo kwa ma microsurgery ku "kulondola, luntha, komanso kusokoneza pang'ono".

 

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Chisinthiko chapadera chamicroscope ntchitokwenikweni ndikulumikizana pakati pa zosowa zachipatala ndi luso laukadaulo: zimafunikira kuwonetsetsa komaliza kwa kamangidwe kakang'ono ndi alangizi.Ophthalmic opaleshoni microscopendi kuyankha kosinthika kwa ma cavities akuya ndimicroscope ntchito msana. Ndipo mphamvu ya madipatimenti apadera ikafika pamlingo wovuta, kuphatikiza kwaukadaulo waukadaulo kumatsegula njira yatsopano ya microsurgery.