Uguquko lweMicroscopic phantsi koKhanya olungenasithunzi: Iindidi ezintlanu zeMikroskopu yoTyando yokuLungisa uTyando lwale mihla

 

Ukusuka ekulungiseni i-cerebral aneurysms kwi-neurosurgery ukuya kunyango lweengcambu kwi-pulp yamazinyo, ukusuka kwi-suturing 0.2mm yemithambo yegazi ukuya ekuphathweni okuchanekileyo kwe-mazes yangaphakathi yendlebe,imikroskopu yotyandoziye zaba "isibini samehlo" esingenakuphinda sifumaneke kumayeza anamhlanje.

Kwigumbi lokusebenza kwiSibhedlele saseYantai Yeda, oogqirha bamathambo benza utyando lokubuyisela umnwe. Bachola isitya segazi esinobubanzi obuyi-0.2 millimeters kuphela bephethe i-tweezers ezandleni zabo kwaye bafake inaliti phantsi kwenaliti.imicroscope yokusebenzanjengeembroidery. Kwangaxeshanye, kwigumbi lotyando leFederal University of S ã o Paulo eBrazil, oogqirha botyando bemithambo-luvo banokwahlula ngokucacileyo umda phakathi kwamaqhakuva e-arachnoid kunye nezicubu zobuchopho ezijikelezileyo ngeso leliso.Ngemakroskopu yeNeurosurgery.

Imikroskopu yotyandoziye zavela kwizixhobo ezilula zokukhulisa ukuya kwiinkqubo ezichanekileyo ezidibanisa i-optical imaging, fluorescence navigation, augmented reality, kunye nobunye ubuchwepheshe, ibe "isibini samehlo" kwiinkqubo zotyando.

 

01 Imakroskopu yotyando lweNeurosurgical, ukukhangela okuchanekileyo kwimingxuma enzulu

Iimicroscopes zeNeurosurgeryinokuthathwa njenge-jewel kwisithsaba se-microsurgery, kwaye ubunzima babo bobugcisa bumele inqanaba eliphezulu kwishishini. Kwinkalo ye-neurosurgery,iimicroscopes neurosurgicalkufuneka iqhutywe kwimingxuma enzulu kunye nemxinwa ye-cranial ngelixa uphepha izinto ezibalulekileyo ezisebenzayo ze-anatomical.

I-CORDER ASOM-630 seriesimicroscope yokusebenzaidibanisa ubuchwephesha obuphambili obuthathu: ubuchwephesha be-augmented reality fluorescence bungabonisa ukuhamba kwegazi ngexesha langempela ngexesha lotyando lwe-cerebrovascular; Itekhnoloji yeFusion Optics ibonelela ngobunzulu bentsimi; Inkqubo ye-optical high-definition iprojekthi yemifanekiso kwintsimi yokujonga ugqirha, ukufezekisa iimfuno ezichanekileyo ze-microsurgery. Kwi-Galassi III yotyando lwe-cyst arachnoid, iI-ASOM-630 ye-neurosurgical microscopeibonise ngokucacileyo ubudlelwane obunzima phakathi kodonga lwe-cyst kunye nemithambo yegazi ejikelezileyo kunye nemithambo-luvo, evumela oogqirha ukuba bahlukane ngokuchanekileyo ngaphandle kokonakalisa izakhiwo ezibalulekileyo.

Kutyando lwe-cerebrovascular, itekhnoloji ye-fluorescence idibanisa i-indocyanine ye-fluorescence eluhlaza kunye nemifanekiso yenyama yendalo ngexesha lokwenyani. Oogqirha banokujonga ngaxeshanye i-morphology kunye ne-hemodynamics ye-aneurysms ngaphandle kokutshintsha phakathi kweendlela ezimnyama kunye ezimhlophe ze-fluorescence, ukuphucula kakhulu ukhuseleko lotyando.

 

02 Imakroskopu yotyando lwamazinyo, i-microscopic revolution ngaphakathi kwingcambu yengcambu

Kwintsimi yonyango lwamazinyo, ukusetyenziswa kweiimicroscopes zokusebenza zamazinyokukhokelele kumtsi osemgangathweni wokuchaneka konyango. Eziiimicroscope zamazinyoukwandisa ukukhulisa amaxesha angaphezu kwama-20, zidityaniswe neenkqubo zokucinga ezikwisisombululo esiphezulu, ukungenisa unyango lwentlama yamazinyo 'kwixesha lemicroscopic'.

Owona mceli mngeni weiimicroscope zamazinyoilele ekulinganiseni ukuchaneka kwe-optical kunye noyilo lwe-ergonomic. Iinjineli zobuchwephesha zeI-Chengdu CORDER Optics & Electronics Co., Ltd.baziwa "ngamehlo abo abukhali", kunye ne-calibrated binocular optical path indlela yabo ilawulwa ngokungqongqo ngaphakathi kwe-0.2 millimeters. Ngaphaya kwalo mda, oogqirha baya kuba neengxabano zokungavisisani phakathi kwamehlo abo, okukhokelela ekudinweni okubonakalayo, utshilo umphathi wezobugcisa uZhu.

Kunyango lomsele weengcambu, oogqirha banokubona ngokucacileyo i-anatomy entsonkothileyo efana ne-root canal isthmus kunye ne-lateral ye-root canal canals, ukunciphisa ngokuphawulekayo ukuba nokwenzeka kokungabikho kwezilonda ezosulelekileyo. Uphando lwamva nje lubonisa ukuba ukusebenzisa aImakroskopu yokusebenza kwamazinyoukusebenza kuphucula kakhulu ukuchaneka kwe-fiber post extraction. Nangona ixesha lokusebenza liye landa kancinane, linexabiso elibalulekileyo ekugcineni izicubu zamazinyo ezisempilweni.

 

03 Imakroskophu ye-ENT, UkuKhanya okubandayo okubukhali kwiBlade yoTyando lweGumbi eliNzulu

Ii-otolaryngology yotyando yemakroskopuyenzelwe ukujongana nesakhiwo somjelo onzima ukusuka kwi-tympanic cavity ukuya kwi-glottis. Yangokuiimicroscopes ze-otolaryngologyube namadigri amathandathu enkululeko yokuhamba, Izibuko zokujonga eziziiprayimari kunye nezesekondari zinokufezekisa uqwalaselo oluhambelanayo ngokukhuliswa okufanayo, indawo yokujonga, kunye nokuqhelaniswa. Ityhubhu yayo ehonjiswe nge-optical inokuthambeka i-0-90 degrees, ivumela oogqirha ukuba bagcine indawo etofotofo.

Ukukhanya okuphezulu kwe-coaxial illumination kudityaniswe ne-1: 5 yombane eqhubekayo yokusondeza i-zoom system ingabonisa ngokucacileyo isakhiwo esihle se-ossicular chain ngexesha le-tympanoplasty. Inkqubo yokukhanya yomthombo wokukhanya okubandayo ibonelela ngaphezulu kwe-100000LX ukukhanya ngaphandle kokonakalisa izakhiwo ezibuthathaka zendlebe yangaphakathi ngenxa yobushushu.

 

04 Imakroskopu yotyando lwamathambo, i-millimeter level vascular suturing art

Imikroskopu yokusebenza ye-Orthopedicbadala ummangaliso wobomi kwicandelo lokutyalwa ngokutsha kwamalungu kunye nokwakhiwa ngokutsha. Iqela lesebe lethambo leSibhedlele saseYantai Yeda ligqiba utyando lokuphinda lwenziwe iminwe rhoqo ngeveki, kwaye "izakhono zabo zokuhombisa" zisekelwe kwizixhobo ezichanekileyo ze-microscopic.

Kwi-distal finger replantation eqhelekileyo, oogqirha bajongene nomngeni we-vascular anastomosis kunye nobubanzi obuyi-0.2 millimeters kuphela, elilingana nesakhiwo esihle seenwele zeenwele. Ngaphantsi kweImakroskopu yamathambo, oogqirha banokuhlukanisa ngokucacileyo imeko ye-vascular endothelium kwaye banqume ukuba basuse inxalenye eyonakalisiweyo ukuphepha i-postoperative thrombosis. Ukuba kukho ukuphambuka kwindlela ye-optical, ilingana neso lasekhohlo liqhelekileyo kwaye iliso lasekunene liphakanyiswe. Ngokuhamba kwexesha, amehlo aya kudinwa kakhulu, ”yatsho ingcali ephezulu ye-microscope ichaza ukubaluleka kokuchaneka kokulinganisa.

Isebe likwaqhuba utyando olunobunzima obufana nokufakelwa kwe-perforator flap, kwaye lisebenzisa ubuchule be-microsurgical ukulungisa iziphene zezicubu ezidibeneyo kumalungu. Basebenzisa ubuchule be-flap yesikhumba sasimahla esenza i-anastomoses imithambo yegazi ukudibanisa ngokuchanekileyo i-flap yesikhumba kunye nemithambo yegazi emincinci kwindawo yomamkeli phantsiimicroscope yokusebenza.

 

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Ngokudityaniswa okunzulu kokwenyani (AR) iteknoloji kunyeiimicroscopes zokusebenza, iiNeurosurgeons ngoku ziyakwazi "ukubona" ​​ngokuthe ngqo iziphawuli zokuhamba kunye nokuhamba kwegazi okufluorescent kubunzulu bendalo bendawo yobuchopho. Kwiklinikhi yamazinyo, imifanekiso ye-4K ephezulu yenkcazo ephezulu iqikelelwa kwisikrini esikhulu ngokusebenzisa iteknoloji yokuhambisa i-latency ephantsi, evumela iqela lonke lezonyango ukuba libe nombono we-microscopic.

Kwigumbi lotyando lexesha elizayo, ugqirha unokusebenzisa iImakroskopu yotyando lwamathamboukugqiba "i-embroidery yobomi" ye-0.2mm yemithambo yegazi ekuseni, kwaye emva koko idluliselwe kwigumbi lokusebenza lwe-neurosurgery emva kwemini ukuze ibambe i-aneurysm ye-cerebral phantsi kwe-augmented reality fluorescence guided.

IiMkroskopu zoTyandoiya kuqhuba ngokuqhubekayo kwimida yemimandla ebonakalayo yotyando olunzulu lwe-cavity, ukukhanyisa iikona ezifihlakeleyo zomzimba womntu ngeendlela ezicacileyo ze-optical.