980nm 1470nm Diode Laser Percutaneous Laser Diskompression (PLDD)

Ibisobanuro bigufi:

Percutaneous laser disc decompression (PLDD) nuburyo bwo kugabanya umuvuduko kumizi yimitsi yumugongo, nko kuva kuri disiki ya herniated.


Ibicuruzwa birambuye

Ibicuruzwa

PLDD ni iki?

Muburyo bwo gutandukanya disiki ya lazeri, ingufu za laser zihererekanwa binyuze muri fibre optique muri disiki.

Intego ya PLDD ni uguhumeka igice gito cyimbere. Ivanwaho ryikigereranyo gito cyimbere yimbere itera kugabanuka gukomeye kwumuvuduko wimbere, bityo bigatuma kugabanuka kwa disiki.

PLDD ni uburyo bwo kuvura bworoheje bwakozwe na Dr. Daniel SJ Choy mu 1986 bukoresha urumuri rwa laser mu kuvura ububabare bw'umugongo no mu ijosi biterwa na disiki ya herniated.

Impanuka ya lazeri ya disiki (PLDD) nubuhanga bwa tekinike cyane ya laser ya tekinike ya lazeri mu kuvura disiki ya hernias, hernias cervical hernias, hernias dorsal (usibye igice T1-T5), na hernias lumbar hernias. Uburyo bukoresha ingufu za laser kugirango zinjize amazi muri herniated nucleus pulpous itera decompression.

pldd

Imikoranire yimyenda hamwe na TR-C® DUAL

Ihuriro rya TR-C® DUAL rishingiye ku kuranga ibintu byombi byinjira mu burebure bwa 980 nm na 1470 nm, ibyo, bitewe n’imikoranire idasanzwe mu mazi na hemoglobine hamwe n’ubujyakuzimu bwinjira mu bice bya disiki, bituma inzira zikorwa neza kandi neza, cyane cyane hafi y’imiterere ya anatomique. Microsurgical precision yemejwe nibiranga tekinike ya PLDD idasanzwe.
PLDD ni iki?
Percutaneous laser disc decompression (PLDD) nuburyo bukoreshwa mugihe disiki ya herniated intervertebral ivurwa no kugabanya umuvuduko wimisoro ukoresheje ingufu za laser. Ibi bizanwa nurushinge rwinjijwe muri nucleus pulposus munsi ya anesthesia yaho no gukurikirana fluoroscopique. Ingano ntoya ya nucleus ihumeka bivamo kugabanuka gukabije kwumuvuduko wimisoro, hamwe no kwimuka kwa herniation kure yumuzi. Yatunganijwe bwa mbere na Dr. Daniel SJ Choy mu 1986. PLDD yerekanye ko ifite umutekano kandi ikora neza. Irashobora kwibasirwa cyane, ikorerwa mubitaro by’ubuvuzi, ntibisaba ko habaho anesteziya rusange, bivamo nta nkovu cyangwa ihungabana ryumugongo, bigabanya igihe cyo gusubiza mu buzima busanzwe, birasubirwamo, kandi ntibibuza kubaga kumugaragaro bibaye ngombwa. Ni amahitamo meza kubarwayi bafite ibisubizo bibi mubuvuzi budasanzwe. Urushinge rwinjizwa ahantu hafashwe na disiki ya ntervertebral hanyuma fibre ya laser iraterwa muri yo kugirango itwike nucleus pulposus na laser. Imikoreshereze yimyenda hamwe na TR-C® DUAL laser fibre, itanga uburyo bwo kubaga neza, kuborohereza gukora, numutekano mwinshi. Gukoresha fibre yoroheje ya fibre fibre hamwe na diametre yibanze ya micron 360 hamwe na microsurgical PLDD ituma umuntu yinjira neza kandi neza kandi akaninjira mubice byoroshye nka zone cervical na lumbar disque hashingiwe kubikenewe byo kuvura. Ubuvuzi bwa PLDD bukoreshwa cyane nyuma yuburyo butari bwiza bwo kuvura busanzwe bugenzurwa na MRT / CT.

ibicuruzwa

Porogaramu

- Gukoresha intra-disal kumurongo winkondo y'umura, umugongo wa thoracic, umugongo
- Ishami ryo hagati neurotomy yo guhuza ibice
- Ishami ryuruhande rwa neurotomy kubice bya sacroiliac

Ibyerekana

- Harimo disiki ya herniations hamwe na stenosis ikurikirana
- Discogenic spinal stenosis
- Indwara ya syndogenic yububabare
- Imiterere idakira hamwe na syndrom ihuriweho na sacroiliac
- Ibindi bikorwa byo kubaga, urugero inkokora ya tennis, calcaneal spur

Inyungu zuburyo bwa PLDD butagaragara

- Anesthesi yaho yemerera kuvura abarwayi bafite ibyago.
- Igihe gito cyane cyo gukora ugereranije nuburyo bukinguye
- Igipimo gito cyibibazo no gutwikwa nyuma yo kubagwa (Nta gukomeretsa ingirangingo zoroshye, Nta ngaruka zo
fibrosis epidural cyangwa inkovu)
- Urushinge rwiza hamwe nurubuga ruto cyane kandi ntukeneye kudoda
- Ako kanya ububabare bukomeye no gukangurira
- Kugabanya ibitaro bigufi no gusubiza mu buzima busanzwe
- Ibiciro biri hasi

ibicuruzwa
PLDD: Urushinge rwiza na fibre byinjizwa muri disiki irwaye munsi ya fluoroscopi.

Inzira

Gahunda ya PLDD ikorwa hakoreshejwe anesthesi yaho. Fibre optique yinjizwa muri cannula idasanzwe munsi ya fluoroscopiqueubuyobozi.Nyuma yo gukoresha itandukaniro kuruhande birashoboka kugenzura aho urumogi ruhagaze nuburyo disiki imezebulge. Gutangira laser itangiza decompression kandi igabanya umuvuduko wimari.
Inzira ikorwa uhereye inyuma-kuruhande ntakabuza umuyoboro wurugingo, kubwibyo, ngahontabwo bishoboka kwangiza imiti isubirwamo, ariko ntabwo bishoboka gushimangira annulus fibrosus.DUring ya PLDD ingano ya disiki iragabanuka cyane, icyakora, umuvuduko wa disiki urashobora kugabanuka cyane. Mugiheukoresheje laser kugirango disike yangirika, umubare muto wa nucleus pulposus uhinduka.

ibicuruzwa

Ibikoresho byumwuga kubikorwa bya PLDD

Ibikoresho bya sterile birimo micron ya 400/600 yambaye ubusa hamwe na jacket ikingira, inshinge 18G / 20G (uburebure bwa 15.2cm), na Y Connector yemerera fifiber kwinjira no guswera. Umuhuza hamwe ninshinge bipakiye kugiti cyabo kugirango bishoboke guhinduka mukuvura.

PLDD

ibipimo

Ubwoko bwa Laser Diode Laser Gallium-Aluminium-Arsenide GaAlAs
Uburebure 980nm + 1470nm
Imbaraga 30W + 17W
Uburyo bw'akazi CW, Pulse na Ingaragu
Intego Guhindura urumuri rutukura urumuri 650nm
Ubwoko bwa fibre Bare fibre
Diameter ya fibre 300/400/600/800/1000 fibre
Umuhuza wa fibre SMA905 mpuzamahanga
Indwara 0.00s-1.00s
Gutinda 0.00s-1.00s
Umuvuduko 100-240V, 50 / 60HZ
Ingano 41 * 33 * 49cm
Ibiro 18KG

Ibisobanuro

PLDD LASER (11)

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PLDD (2)

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