Iterambere ryokoresha exoscopes muburyo bwa neurosurgical

 

Porogaramu yamicroscopes yo kubagana neuroendoscopes yazamuye cyane imikorere yuburyo bwa neurosurgie, Nubwo bimeze bityo, bitewe nibintu bimwe na bimwe biranga ibikoresho ubwabyo, bikuraho inzitizi zimwe na zimwe zikoreshwa mubuvuzi. lnumucyo wibibi byaikora microscopesna neuroendoscopes, hamwe niterambere mu mashusho yerekana amashusho, guhuza imiyoboro ya Wifi, tekinoroji ya ecran na tekinoroji ya optique, sisitemu ya exoscope yabaye nkikiraro hagati ya microscopes yo kubaga na neuroendoscopes. Exoscope ifite ishusho isumba iyindi hamwe nububasha bwo kubaga amashusho, guhagarara neza kwa ergonomique, kwigisha neza kimwe no gukorana neza nitsinda ryabaganga, kandi ikoreshwa ryayo risa na microscopique idasanzwe. Kugeza ubu, ubuvanganzo buvuga cyane cyane itandukaniro riri hagati ya exoscopes na microscopes yo kubaga mu bikoresho bya tekiniki nko kuba ubujyakuzimu bw’umurima, umurima ugaragara, uburebure bwerekanwe hamwe n’imikorere, kubura incamake no gusesengura ibyavuye mu bikorwa byo kubaga no kubaga ibya exoscopes muri neurosurgie, Ni yo mpamvu, tuvuga mu ncamake imikoreshereze ya exoscopes mu mikorere ya clinique hamwe n’imbogamizi zikoreshwa mu mavuriro ya neurosurgie mu myaka yashize.

Amateka n'iterambere rya exoscopes

Mikorosikopi yo kubaga ifite urumuri rwimbitse, urwego rwo hejuru rwo kubaga rukomeye rwo kureba, hamwe n’ingaruka zo gufata amashusho ya stereoskopi, ibyo bikaba bishobora gufasha abaganga babaga kureba imiterere yimbitse y’imitsi n’imitsi y’imitsi yo kubaga neza kandi bikanoza neza imikorere ya microscopique. Ariko, ubujyakuzimu bwumurima wamicroscope yo kubagani ntoya kandi umurima wo kureba ni muto, cyane cyane mugukuza cyane. Umuganga abaga akeneye kwibanda cyane no guhindura inguni yahantu hagenewe, bigira ingaruka zikomeye kubitekerezo byo kubaga; Ku rundi ruhande, umuganga abaga agomba kwitegereza no kubaga akoresheje ijisho rya microscope, bisaba ko umuganga agumana igihagararo gihamye igihe kirekire, gishobora gukurura umunaniro byoroshye. Mu myaka mike ishize, kubaga byibasiye byateye imbere byihuse, kandi sisitemu ya neuroendoscopique yakoreshejwe cyane mubuvuzi bwa neurosurgie kubera amashusho yabo meza, ibisubizo byiza byubuvuzi, no kunyurwa kwabarwayi. Nyamara, kubera umuyoboro muto wuburyo bwa endoskopique no kuba hari imiterere yingenzi yimitsi itwara imitsi hafi yumuyoboro, hamwe nibiranga kubaga cranial nko kutabasha kwaguka cyangwa kugabanya urwungano ngogozi, neuroendoscopi ikoreshwa cyane cyane kubaga ibihanga bya gihanga no kubaga umuyaga hakoreshejwe uburyo bwo mu mazuru no mu kanwa.

Urebye ibitagenda neza kuri microscopes yo kubaga na neuroendoskopi, hamwe n’iterambere mu gufata amashusho, guhuza imiyoboro ya WiFi, ikoranabuhanga rya ecran, hamwe n’ikoranabuhanga rya optique, sisitemu yindorerwamo yo hanze yagaragaye nkikiraro hagati ya microscopes yo kubaga na neuroendoskopi. Kimwe na neuroendoscopi, sisitemu yindorerwamo yo hanze isanzwe igizwe nindorerwamo yo kureba kure, isoko yumucyo, kamera isobanura cyane, ecran yerekana, hamwe na bracket. Imiterere nyamukuru itandukanya indorerwamo zo hanze na neuroendoscopi ni indorerwamo yo kureba kure ifite diameter ya mm 10 n'uburebure bwa mm 140. Lens yayo iri kuri 0 ° cyangwa 90 ° inguni kugera kumurongo muremure wumubiri windorerwamo, hamwe nuburebure bwa metero 250-750 hamwe nubujyakuzimu bwa mm 35-100. Uburebure burebure hamwe nuburebure bwimbitse bwumurima ninyungu zingenzi za sisitemu yo hanze yindorerwamo hejuru ya neuroendoscopi.

Iterambere rya software hamwe nikoranabuhanga rya tekinoroji ryateje imbere iterambere ryindorerwamo zo hanze, cyane cyane kugaragara kwindorerwamo zo hanze ya 3D, hamwe nindorerwamo ya 3D 4K ultra high definition yo hanze. Sisitemu y'indorerwamo yo hanze ihora ivugururwa buri mwaka. Kubijyanye na software, sisitemu yindorerwamo yo hanze irashobora kwiyumvisha agace kokubaga muguhuza magnetiki resonance diffusion tensor yerekana amashusho, kugendagenda hagati, hamwe nandi makuru, bityo bigafasha abaganga kubaga neza kandi neza. Kubijyanye nibyuma, indorerwamo yo hanze irashobora guhuza 5-aminolevulinic aside na indocyanine muyunguruzi ya angiografiya, ukuboko kwa pneumatike, imikorere ikora, guhinduranya ibintu byinshi, kwerekana intera ndende no gukuza cyane, bityo bikagera ku ngaruka nziza zishusho hamwe nuburambe bwo gukora.

Kugereranya hagati ya exoscope na microscopes yo kubaga

Sisitemu yindorerwamo yo hanze ihuza ibintu byo hanze bya neuroendoskopi hamwe nubwiza bwibishusho bya microscopes yo kubaga, byuzuzanya imbaraga nintege nke za mugenzi we, no kuziba icyuho kiri hagati ya microscopes yo kubaga na neuroendoscopi. Indorerwamo zo hanze zifite ibiranga ubujyakuzimu bwimbitse bwumurima hamwe nubugari bwagutse (umurima wo kubaga diameter ya mm 50-150 mm, ubujyakuzimu bwa mm 35-100 mm), bitanga uburyo bworoshye cyane kubikorwa byo kubaga byimbitse bikabije; Ku rundi ruhande, uburebure bwibanze bw'indorerwamo yo hanze bushobora kugera kuri 250-750mm, bigatanga intera ndende kandi ikorohereza ibikorwa byo kubaga [7]. Kubireba amashusho yindorerwamo zo hanze, Ricciardi nibindi. byabonetse mugereranya hagati yindorerwamo zo hanze na microscopes zo kubaga ko indorerwamo zo hanze zifite ubuziranenge bwibishusho, imbaraga za optique, ningaruka zo gukuza kuri microscopes. Indorerwamo yo hanze irashobora kandi guhinduka byihuse bivuye kuri microscopique yerekeza kuri macroscopique, ariko iyo umuyoboro wo kubaga "ufunganye hejuru kandi mugari hepfo" cyangwa uhagaritswe nizindi nyama, umurima wo kureba munsi ya microscope usanga ari muto. Ibyiza bya sisitemu yindorerwamo yo hanze ni uko ishobora kubaga muburyo bwa ergonomic, bikagabanya umwanya umara ureba umurima wo kubaga ukoresheje ijisho rya microscope, bityo bikagabanya umunaniro wo kubaga kwa muganga. Sisitemu y'indorerwamo yo hanze itanga amashusho meza yo kubaga 3D kubantu bose bitabiriye kubaga mugihe cyo kubaga. Microscope yemerera abantu bagera kuri babiri gukora binyuze mu jisho, mugihe indorerwamo yo hanze ishobora gusangira ishusho imwe mugihe nyacyo, bigatuma abaganga benshi babaga icyarimwe kubaga icyarimwe no kunoza imikorere yo kubaga basangira amakuru nabakozi bose. Muri icyo gihe, sisitemu yo mu ndorerwamo yo hanze ntishobora kubangamira itumanaho ry’itsinda ry’abaganga, ryemerera abakozi bose babaga kugira uruhare mu gikorwa cyo kubaga.

exoscope mu kubaga neurosurgie

Gonen n'abandi. yatangaje ko abantu 56 barwaye indwara ya glioma endoscopique, muri bo 1 gusa ni bo bagize ibibazo (kuva amaraso mu gice cyo kubaga) mu gihe cyo kubaga, aho bangana na 1.8% gusa. Rotermund n'abandi. yatangaje ko abantu 239 barwaye transnaspenoidal kubagwa kwa adenoma ya pituito, kandi kubaga endoskopique ntabwo byaviriyemo ibibazo bikomeye; Hagati aho, nta tandukaniro rikomeye ryagaragaye mu gihe cyo kubaga, ingorane, cyangwa intera iri hagati yo kubaga endoskopi no kubaga microscopique. Chen n'abandi. yatangaje ko indwara 81 z’ibibyimba zavanyweho kubagwa hakoreshejwe uburyo bwa retrosigmoid sinus. Kubijyanye nigihe cyo kubaga, urugero rwo kuvura ibibyimba, imikorere ya neurologiya nyuma yo kubagwa, kumva, nibindi, kubaga endoskopique byari bisa no kubaga microscopique. Ugereranije ibyiza nibibi byubuhanga bubiri bwo kubaga, indorerwamo yo hanze irasa cyangwa iruta microscope mubijyanye nubwiza bwamashusho ya videwo, umurima wo kubaga, ibikorwa, ergonomique, hamwe nitsinda ryabagize itsinda ryo kubaga, mugihe imyumvire yimbitse isuzumwa nkibisa cyangwa biri munsi ya microscope.

exoscope muri Neurosirurgie Kwigisha

Kimwe mu byiza byingenzi byindorerwamo zo hanze ni uko zemerera abakozi bose babaga gusangira amashusho meza ya 3D yo kubaga 3D, bigatuma abakozi bose babaga bitabira byinshi mubikorwa byo kubaga, kuvugana no kohereza amakuru yo kubaga, koroshya kwigisha no kuyobora ibikorwa byo kubaga, kongera uruhare mu kwigisha, no kunoza imikorere y’inyigisho. Ubushakashatsi bwerekanye ko ugereranije na microscopes yo kubaga, umurongo wo kwiga indorerwamo zo hanze ni ngufi. Mu mahugurwa ya laboratoire yo kudoda, iyo abanyeshuri nabaganga bahatuye bahawe amahugurwa kuri endoskopi na microscope, abanyeshuri benshi basanga byoroshye gukorana na endoscope. Mu myigishirize yo kubaga maliocervical malformation kubaga, abanyeshuri bose barebeye hamwe muburyo butatu bwa anatomique bakoresheje ibirahure bya 3D, babongerera gusobanukirwa na anatomiya ya maliocervical malformation, bongera ishyaka ryabo ryo kubaga, no kugabanya igihe cyamahugurwa.

Outlook

Nubwo sisitemu yindorerwamo yo hanze yateye intambwe igaragara mubikorwa ugereranije na microscopes na neuroendoscopes, nayo ifite aho igarukira. Ingaruka nini yindorerwamo ya 2D yo hambere ni ukutagira icyerekezo cya stereoskopique mugukuza inyubako zimbitse, zagize ingaruka kumikorere yo kubaga no guca imanza zo kubaga. Indorerwamo nshya ya 3D yo hanze yateje imbere ikibazo cyo kubura icyerekezo cya stereoskopique, ariko mubihe bidasanzwe, kwambara ibirahuri bya polarize igihe kirekire birashobora gutera ikibazo nko kubabara umutwe no kugira isesemi kubaga, ibyo bikaba aribyo byibandwaho mu kuzamura tekinike mu ntambwe ikurikira. Byongeye kandi, mu kubaga endoskopique yo kubaga, rimwe na rimwe biba ngombwa ko uhindukira kuri microscope mu gihe cyo kubaga kuko ibibyimba bimwe na bimwe bisaba fluorescence iyobowe n'amashusho, cyangwa ubujyakuzimu bwo kumurika umurima ntibihagije. Byongeye kandi, mu kubaga endoskopique yo kubaga, rimwe na rimwe biba ngombwa ko uhindukira kuri microscope mu gihe cyo kubaga kuko ibibyimba bimwe na bimwe bisaba fluorescence iyobowe n'amashusho, cyangwa ubujyakuzimu bwo kumurika umurima ntibihagije. Bitewe nigiciro kinini cyibikoresho bifite akayunguruzo kadasanzwe, endoskopi ya fluorescence itarakoreshwa cyane mukurwanya ibibyimba. Mugihe cyo kubagwa, umufasha ahagarara muburyo bunyuranye nubuvuzi bukuru, kandi rimwe na rimwe abona ishusho yerekana ishusho. Ukoresheje ibyerekanwa bibiri cyangwa byinshi bya 3D, amakuru yo kubaga amakuru yo kubaga atunganywa na software kandi akerekanwa kuri ecran ya ecran muburyo bwa 180 °, bishobora gukemura neza ikibazo cyo guhinduranya amashusho kandi bigafasha umufasha kwitabira gahunda yo kubaga byoroshye.

Muri make, ikoreshwa rya sisitemu ya endoskopique muri neurosurgie yerekana intangiriro yigihe gishya cyo kubona amashusho muri neurosurgie. Ugereranije na microscopes yo kubaga, indorerwamo zo hanze zifite ubuziranenge bwibishusho hamwe nuburyo bwo kubaga, guhagarara neza kwa ergonomique mugihe cyo kubagwa, kwigisha neza, no kwitabira neza kubitsinda, hamwe nibisubizo bisa byo kubaga. Kubwibyo, kubisanzwe kubaga cranial na spinal, endoscope nuburyo bwiza kandi bwiza. Hamwe niterambere ryiterambere niterambere ryikoranabuhanga, ibikoresho byinshi byerekana amashusho birashobora gufasha mubikorwa byo kubaga kugirango bigere ku ngorane zo kubaga no kumenya neza.