Kuvhiyiwa kweLaser Disc nePercutaneous PLDD Laser TR-C

TSANANGURO YECHIGADZIRWA

Kusamira zvakanaka pabasa uye kushaya maekisesaizi emuviri ndizvo zvikonzero zviviri zvinoita kuti vazhinji vatambure nekurwadziwa kwemusana.

Nhasi, zvinofungidzirwa kuti 70% kusvika 85% yenyika dzekumadokero dzichatambura nekurwadziwa kwemusana panguva yekurara. Muzviitiko gumi, kurwadziwa uku kunogara kwenguva refu.
Zvikuru sei, madhisiki eherniated anogona kukonzera marwadzo anowedzera anogona kutosvika kumigumo yemurwere.

Uye muUK kuvhiyiwa uku kwe laser disc kwakatenderwa neNational Institute for Clinical Excellence (NICE).

Kubvisa kumanikidzwa kwe disc ye laser inonzi Percutaneous laser disc (PLDD) inzira iyo herniated intervertebral discs inorapwa nekuderedza kumanikidzwa kwe intradiscal kuburikidza nesimba re laser. Izvi zvinounzwa netsono inopinzwa mu nucleus pulposus pasi peanesthesia yemuno uye fluoroscopic monitoring. Vhoriyamu diki ye nucleus vaporized inoguma nekuderera kwakanyanya kwe intradiscal pressure, zvichikonzera kufamba kwe herniation kubva pamudzi wetsinga. Yakatanga kugadzirwa naDr. Daniel SJ Choy muna 1986.

PLDD yaratidza kuti yakachengeteka uye inoshanda. Haipindi zvakanyanya mumuviri, inoitirwa muchipatara chekunze, haidi anesthesia, haigumiri pakusagadzikana kwemusana kana mavanga, inoderedza nguva yekuzorora, inogona kudzokororwa, uye haidzivisi kuvhiyiwa pachena kana zvikadikanwa. Iyi sarudzo yakakodzera varwere vane mhedzisiro yakaipa mukurapwa kusingavhiyiwi.

fiber dze laser, dzinobvumira kushanda zvakanaka kwekuvhiya, kubatika kuri nyore, uye kuchengetedzeka kwakanyanya.

Kushandiswa kwemafiber e-laser anochinjika ane dhayamita yepakati ye360 micron pamwe chete ne-microsurgical PLDD kunoita kuti pave nekusvika kwakarurama uye kwakarurama uye kupindira kunzvimbo dzine ganda rakapfava senge nzvimbo dzemumuromo wechibereko nedzemuchiuno zvichienderana nezvinodiwa nekurapa kwekiriniki.

ZVAKANAKA ZVE LASER

Mabhenefiti ekurapa kwePLDD kusinganyanyi kukuvadza muviri
— Kurapwa kwemudumbu kunobvumira kurapwa kwevarwere vari panjodzi.
— Nguva pfupi kwazvo yekushanda kana tichienzanisa nemaitiro akavhurika
— Kuwanda kwematambudziko uye kuzvimba mushure mekuvhiyiwa (Hapana kukuvara kwenyama yakapfava, Hapana njodzi ye epidural fibrosis kana mavanga)
— Tsono diki ine nzvimbo diki yekuboorwa saka hapana chikonzero chekusunga
— Kurerutsira marwadzo nekukurumidza uye kufamba-famba
— Kupfupikiswa kwenguva yekugara muchipatara uye kugadziriswa kwemuviri
— Mitengo yakaderera
-Mhedzisiro yakachengeteka, inoonekwa uye yekukurumidza
Kushandiswa kwema laser e diode TR-C 980nm 1470nm kunoita kuti nguva yekurapwa ikurumidze uye kunoita kuti pave nemigumisiro iri nani uye yakareba ukuwo kuchideredza migumisiro yakaipa.

Maitiro ePLDD anoitwa uchishandisa anesthesia yemudumbu. Optical fiber inoiswa mu cannula chaiyo pasi pekutungamirirwa ne fluoroscopic. Mushure mekushandisa contrast kune facet, zvinokwanisika kutarisa nzvimbo ye cannula uye mamiriro ekuputika kwe disc. Kutanga laser kunotanga decompression uye kuderedza intradiscal pressure.

Maitiro acho anoitwa kubva panzira yekumashure-kumativi pasina kupindirana ne vertebral canal, saka, hapana mukana wekukuvadza kurapwa kwe reparative, asi hapana mukana wekusimbisa annulus fibrosus. Munguva iyo PLDD disc volume inodzikira zvishoma, zvisinei, kumanikidzwa kwe disc kunogona kudzikiswa zvakanyanya. Kana uchishandisa laser ku decompersion ye disc, nucleus pulposus shoma inopwanyika.

ZVINHU ZVETEKINONI

MHINDURO YEKILINIKI

ZVIMWE ZVINOSHANDISWA