PLDD Laser

The Principle OfPLDD

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 kudzvinyirira, nokudaro kuderedza 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 kunyanyisa invasive percutaneous laser technique mukurapa kwe disc hernias, cervical hernias, dorsal hernias (kunze kwechikamu T1-T5), uye lumbar hernias. Iyo nzira inoshandisa iyo laser simba kutora mvura mukati meiyo herniated nucleuspulposus ichigadzira decompression.

Mushonga wePLDD unoitwa pahwaro hwekunze uchishandisa anesthesia yemunharaunda chete. Munguva yemaitiro, tsono yakaonda inopinzwa mu herniated disc pasi pe x-ray kana CT kutungamira. An optical fiber inoiswa kuburikidza netsono uye laser simba inotumirwa kuburikidza nefiber, ichiputira chikamu chidiki che disc nucleus. Izvi zvinogadzira imwe vacuum inokwevera herniation kure nemudzi wetsinga, nekudaro ichibvisa marwadzo. Mhedzisiro yacho inowanzova yekukurumidza.

Nzira yacho inoratidzika semazuva ano nzira yakachengeteka uye inoshanda kune microsurgery, ine chiyero chekubudirira kwe80%, kunyanya pasi pehutungamiri hweCT-Scan, kuitira kuti uone mutsara wetsinga uye kushandisawo simba pamapoinzi akawanda e disc herniation. Izvi zvinobvumira kuve nekuderera kwakadzika munzvimbo yakakura, kuona kushoma kupindira pamuzongoza kunorapwa, uye kudzivirira zvinogona kuitika zvine chekuita neiyo microdiscectomy (kudzokororwa kweanopfuura 8-15%, peridural vanga mune anopfuura 6- 10%, dural sac misodzi, kubuda ropa, iatrogenic microinstability), uye haidziviriri kuvhiyiwa kwechinyakare, kana zvichidikanwa.

Advantages OfPLDD LaserKurapa

Haisi kupindira, kuchipatara hakuna basa, varwere vanoburuka patafura vaine bhandeji diki rekunamira vodzokera kumba kwemaawa makumi maviri nemana ekuzorora pamubhedha. Ipapo varwere vanotanga kufambira mberi, vachifamba kusvika maira. Vazhinji vanodzokera kubasa mumazuva mana kusvika mashanu.

Inoshanda zvakanyanya kana yakanyorwa nemazvo

Inoitwa pasi penzvimbo, kwete general anesthesia

Yakachengeteka uye inokurumidza nzira yekuvhiya, Hapana kucheka, Hapana mavanga, Sezvo chete diki diki redhisiki rinoputika, hapana kunotevera kusagadzikana kwemusana. Yakasiyana nekuvhurika lumbar disc kuvhiyiwa, hapana kukuvadzwa kumusuru wekumashure, hapana kubviswa kwepfupa kana ganda rakakura.

Inoshanda kune varwere vari panjodzi huru yekuvhura discectomy sevaya vane chirwere cheshuga, chirwere chemoyo, kuderera kwechiropa uye itsvo mabasa nezvimwe.