980nm 1470nm Diode Laser Percutaneous Laser Disc Decompression (PLDD)
Mukuita kwe percutaneous laser disc decompression, simba relaser rinofambiswa kuburikidza neatete optical fiber mu disc.
Chinangwa chePLDD ndechekunyungudutsa chikamu chidiki chemukati musimboti. Kubviswa kwehuwandu hushoma hwemukati wepakati kunoguma nekuderedza kwakakosha kwemukati-discal pressure, nokudaro zvichiita kuti kuderedzwa kwe disc herniation.
PLDD ndiyo nzira yezvokurapa zvishoma-inopisa yakagadzirwa naDkt Daniel SJ Choy mu1986 iyo inoshandisa laser beam kurapa marwadzo emusana uye emutsipa anokonzerwa ne disc herniated.
Percutaneous laser disc decompression (PLDD) ndiyo yakanyanya diki invasive percutaneous laser technique mukurapa disc hernias, cervical hernias, dorsal hernias (kunze kwechikamu T1-T5), uye lumbar hernias. Maitiro acho anoshandisa laser simba kutora mvura mukati meiyo herniated nucleus pulpous ichigadzira decompression.
Iyo TR-C® DUAL papuratifomu yakavakirwa pakunyura hunhu hwezvose zviri zviviri 980 nm uye 1470 nm wavelengths, iyo, nekuda kwekudyidzana kwayo kunoshamisa mumvura uye hemoglobin uye nepakati kudzika kwekupinda mu disc tishu, inoita kuti maitiro aitwe zvakachengeteka uye nemazvo, kunyanya padyo neakatetepa maumbirwo anatomi. Microsurgical precision inovimbiswa nehunyanzvi hunhu hweiyo yakakosha PLDD.
Chii chinonzi PLDD?
Percutaneous laser disc decompression (PLDD) inzira iyo herniated intervertebral discs inobatwa nekuderedza intradiscal pressure kuburikidza nelaser simba. Izvi zvinounzwa netsono inopinzwa munucleus pulposus pasi peanesthesia yemunharaunda uye fluoroscopic monitoring. Iyo vhoriyamu diki yenucleus vaporized inokonzeresa kudonha kwakanyanya kwe intradiscal pressure, zvichikonzera kutama kweiyo herniation kure netsinga midzi. Yakatanga kugadzirwa naDr. Daniel SJ Choy muna 1986. PLDD yakaratidza kuva yakachengeteka uye inoshanda. Inoita zvishoma, inoitwa munzvimbo yekunze, haidi kutindivadza, inoita kuti pasava nemavanga kana kusagadzikana kwemusana, inoderedza nguva yekudzorera, inodzokororwa, uye hairegi kuvhiyiwa pachena kana zvichidikanwa. Icho chisarudzo chakanaka kune varwere vane migumisiro yakaipa mukurapa kusina kuvhiyiwa. Tsono inopinzwa munzvimbo yakakanganiswa ye ntervertebral disc uye laser fiber inobayiwa kuburikidza nayo kupisa nucleus pulposus nelaser. Kudyidzana kwetishu neTR-C® DUAL laser fibers, iyo inobvumira kushanda kwekuvhiya, nyore kubata, uye kuchengetedzwa kwakanyanya. Kushandiswa kwe flexible tactile laser fibers ne core diameters ye 360 micron pamwe chete ne microsurgical PLDD inogonesa kunyatsojeka uye kwakarurama kuwana uye kupindira kune dzimwe nzvimbo dzakaoma seyekervical uye lumbar disc zones pamusana pezvinodiwa zvekliniki zvekurapa. PLDD Laser marapiro anonyanya kushandiswa mushure mekusabudirira echinyakare marapirwo sarudzo pasi pekusimba kweMRT/CT control.
-Intra-discal application pane cervical spine, thoracic musana, lumbar musana
-Medical branch neurotomy yemajoini eparutivi
-Lateral bazi neurotomy yemajoini e sacroiliac
- Iine disc herniations ine inoteedzana foraminal stenosis
- Discogenic spinal stenosis
- Discogenic pain syndrome
-Chimiro chisingaperi uye sacroiliac joint syndrom
- Zvimwe zvekuvhiya, semuenzaniso tennis gokora, calcaneal spur
- Nharaunda yemunharaunda inobvumira kurapwa kwevarwere vari pangozi.
-Inguva pfupi kwazvo yekushanda kana ichienzaniswa neyakavhurika maitiro
-Kuderera kwehuwandu hwematambudziko uye postoperative kuzvimba (Hapana kukuvara kwenyama yakapfava, Hapana njodzi ye
epidural fibrosis kana mavanga)
- Tsono ine diki-diki yekubaya nzvimbo uye nekudaro hapana kudiwa kwema sutures
-Kukurumidza kusununguka kukuru kwemarwadzo uye kuunganidza
- Kupfupika kwekugara muchipatara nekugadziriswa
- Mari yakaderera
PLDD maitiro anoitwa uchishandisa anesthesia yemunharaunda. Optical fiber inoiswa mune yakakosha cannula pasi pefluoroscopickutungamira.Mushure mekushandisa kusiyanisa kune facet zvinokwanisika kutarisa nzvimbo yecannula uye mamiriro eiyo disc.bulge. Kutanga laser kunotanga decompression uye kunoderedza intradiscal pressure.
Iyo nzira inoitwa kubva kune posterior-lateral nzira isina kupindira kune vertebral canal, saka, ipapo.hapana mukana wekukuvadza mushonga wekudzorera, asi hapana mukana wekusimbisa annulus fibrosus.Munguva yePLDD disc vhoriyamu yakadzikira zvishoma, zvisinei, disc pressure inogona kudzikiswa zvakanyanya. In case ofuchishandisa laser kudhisiki decomperssion, idiki huwandu hwenyucleus pulposus inoputika.
Iyo kit isina utachiona inosanganisira 400/600 micron isina fifiber ine bhachi dziviriro, 18G/20G tsono (kureba 15.2cm), uye Y Connector inobvumira fifiber kupinda nekusveta. Iyo yekubatanidza netsono inorongedzerwa yega kuti igone kugonesa kubhururuka mukurapa.
| Laser mhando | Diode Laser Gallium-Aluminium-Arsenide GaAlAs |
| Wavelength | 980nm+1470nm |
| Simba | 30W+17W |
| Working Modes | CW, Pulse uye Single |
| Aiming Beam | Inogadziriswa Red chiratidzo mwenje 650nm |
| Fiber type | Bare fiber |
| Fiber dhayamita | 300/400/600/800/1000um faibha |
| Fiber connector | SMA905 yepasi rose mwero |
| Pulse | 0.00s-1.00s |
| Kunonoka | 0.00s-1.00s |
| Voltage | 100-240V, 50/60HZ |
| Size | 41*33*49cm |
| Kurema | 18KG |
