Ukuhlolwa okuphelele kokusetshenziswa okusebenzayo kwesibonakhulu sokuhlinzwa sasekhaya
Amayunithi okuhlola afanele: 1. ISibhedlela Sabantu Sesifundazwe saseSichuan, iSichuan Academy of Medical Sciences; 2. ISikhungo Sokuhlola Nokuhlola Ukudla Nezidakamizwa saseSichuan; 3. UMnyango Wezifo Zomchamo WeSibhedlela Sesibili Esixhumene Naso saseChengdu University of Traditional Chinese Medicine; 4. ISibhedlela saseCixi Sezokwelapha Zendabuko ZaseShayina, UMnyango Wokuhlinzwa Kwezandla Nezinyawo
inhloso
I-microscope yokuhlinzwa yohlobo lwe-CORDER yasekhaya i-ASOM-4 ihlolwe kabusha ngemuva kwemakethe. Izindlela: Ngokwezidingo ze-GB 9706.1-2007 kanye ne-GB 11239.1-2005, i-microscope yokuhlinzwa ye-CORDER iqhathaniswa nemikhiqizo efanayo yakwamanye amazwe. Ngaphezu kokuhlolwa kokufinyelela komkhiqizo, ukuhlolwa kugxile ekuthembekeni, ukusebenza kahle, umnotho kanye nensizakalo yangemva kokuthengisa. Imiphumela: I-microscope esebenzayo ye-CORDER ingahlangabezana nezidingo zezindinganiso ezifanele zemboni, futhi ukuthembeka kwayo, ukusebenza kahle kanye nensizakalo yangemva kokuthengisa kungahlangabezana nezidingo zezokwelapha, kuyilapho umnotho wayo umuhle. Isiphetho: I-microscope yokusebenza ye-CORDER iyasebenza futhi iyatholakala ezindaweni ezahlukene zokuhlinzwa ezincane, futhi iyonga kakhulu kunemikhiqizo engenisiwe. Kufanelekile ukunconywa njengedivayisi yezokwelapha ethuthukisiwe yasekhaya.
isingeniso
I-microscope yokusebenza isetshenziswa kakhulu ekuhlinzeni okuncane njenge-ophthalmology, i-orthopedics, ukuhlinzwa kobuchopho, i-neurology kanye ne-otolaryngology, futhi iyimishini yezokwelapha edingekayo ekuhlinzeni okuncane [1-6]. Njengamanje, intengo yale mishini engeniswa kwamanye amazwe ingaphezu kwama-yuan angu-500000, futhi kunezindleko zokusebenza eziphakeme kanye nezindleko zokulungisa. Zimbalwa izibhedlela ezinkulu eShayina ezikwazi ukuthenga imishini enjalo, okuthinta ukuthuthukiswa kokuhlinzwa okuncane eShayina. Ngakho-ke, kwavela ama-microscope okuhlinzwa asekhaya anokusebenza okufanayo nokusebenza okuphezulu. Njengeqoqo lokuqala lemikhiqizo yokubonisa imishini yezokwelapha emisha eSifundazweni saseSichuan, i-ASOM-4 microscope yokusebenza yomkhiqizo we-CORDER iyi-microscope yokusebenza ethuthukiswe ngokuzimela ye-orthopedics, ukuhlinzwa kwesifuba, ukuhlinzwa kwesandla, ukuhlinzwa kwepulasitiki kanye neminye imisebenzi yokuhlinzwa okuncane [7]. Kodwa-ke, abanye abasebenzisi basekhaya bahlala bengabaza imikhiqizo yasekhaya, okunciphisa ukuthandwa kokuhlinzwa okuncane. Lolu cwaningo luhlose ukwenza ukuhlolwa kabusha kwe-ASOM-4 microscope yokuhlinzwa yomkhiqizo we-CORDER okwenziwa ezindaweni eziningi. Ngaphezu kokuhlolwa kokufinyelela komkhiqizo kwemingcele yobuchwepheshe, ukusebenza kokukhanya, ukuphepha neminye imikhiqizo, izogxila nasekuthembekeni kwayo, ukusebenza kahle, ukonga kanye nensizakalo yangemva kokuthengisa.
1 Into nendlela
1.1 Into yocwaningo
Iqembu lokuhlola lisebenzise i-ASOM-4 surgical microscope yohlobo lwe-CORDER, eyanikezwa yiChengdu CORDER Optics&Electronics Co. yasekhaya; Iqembu lokulawula likhethe i-microscope yokuhlinzwa yangaphandle ethengiwe (OPMI VAR10700, Carl Zeiss). Yonke imishini yalethwa futhi yasetshenziswa ngaphambi kukaJanuwari 2015. Phakathi nesikhathi sokuhlola, imishini eqenjini lokuhlola kanye neqembu lokulawula yasetshenziswa ngokushintshana, njengoba kuboniswe kuMfanekiso 1.
1.2 isikhungo socwaningo
Khetha isibhedlela esisodwa seKlasi III seKlasi A (iSichuan Provincial People's Hospital, iSichuan Academy of Medical Sciences, ≥ ukuhlinzwa okuncane okungu-10 ngesonto) eSifundazweni saseSichuan esesisebenze ukuhlinzwa okuncane iminyaka eminingi kanye nezibhedlela ezimbili zeKlasi II seKlasi A eShayina esesisebenze ukuhlinzwa okuncane iminyaka eminingi (iSibhedlela Sesibili Esihlangene saseChengdu University of Traditional Chinese Medicine kanye neCixi Hospital of Traditional Chinese Medicine, ≥ ukuhlinzwa okuncane okungu-5 ngesonto). Izinkomba zobuchwepheshe zinqunywa yiSikhungo Sokuhlola Amadivayisi Ezokwelapha saseSichuan.
1.3 Indlela yocwaningo
1.3.1 Ukuhlolwa kokufinyelela
Ukuphepha kuhlolwa ngokuya nge-GB 9706.1-2007 Imishini Kagesi Yezokwelapha Ingxenye 1: Izidingo Ezijwayelekile Zokuphepha [8], kanti izinkomba zokusebenza ezibonakalayo eziyinhloko ze-microscope esebenzayo ziyaqhathaniswa futhi zihlolwe ngokuya ngezidingo ze-GB 11239.1-2005 [9].
1.3.2 Ukuhlolwa kokwethembeka
Bhala phansi inani lamathebula okusebenza kanye nenani lokwehluleka kwemishini kusukela ngesikhathi sokulethwa kwemishini kuya kuJulayi 2017, bese uqhathanisa futhi uhlole izinga lokwehluleka. Ngaphezu kwalokho, idatha ye-National Center for Clinical Adverse Reaction Detection eminyakeni emithathu edlule yacelwa ukuthi iqophe izehlakalo zezehlakalo ezimbi zemishini eqenjini lokuhlola kanye neqembu lokulawula.
1.3.3 Ukuhlolwa kokusebenza
Umqhubi wemishini, okungukuthi, udokotela, unikeza amaphuzu azimele mayelana nokusebenza kalula komkhiqizo, induduzo yomqhubi kanye nesiqondiso semiyalelo, futhi unikeza amaphuzu ngokwaneliseka okuphelele. Ngaphezu kwalokho, inani lemisebenzi ehlulekile ngenxa yezizathu zemishini kufanele lirekhodwe ngokwehlukana.
1.3.4 Ukuhlolwa kwezomnotho
Qhathanisa izindleko zokuthenga imishini (izindleko zomshini wokusingatha) kanye nezindleko zezinto ezisetshenziswayo, bhala phansi futhi uqhathanise izindleko zokulungisa imishini eziphelele phakathi kweqembu lokuhlola kanye neqembu lokulawula ngesikhathi sokuhlola.
1.3.5 Ukuhlolwa kwesevisi yangemva kokuthengisa
Izimiso zokuphathwa kwemishini zezikhungo ezintathu zezokwelapha zizonikeza amaphuzu azimele ngokufakwa, ukuqeqeshwa kwabasebenzi kanye nokugcinwa.
1.4 Indlela yokuthola amaphuzu ngobuningi
Into ngayinye yokuqukethwe kokuhlolwa okungenhla kufanele inikezwe amaphuzu ngokwenani ngamaphuzu aphelele angu-100. Imininingwane iboniswe kuThebula 1. Ngokusho kwamaphuzu ajwayelekile ezikhungo ezintathu zezokwelapha, uma umehluko phakathi kwamaphuzu emikhiqizo eqenjini lokuhlola kanye nemikhiqizo eqenjini lokulawula ungamaphuzu angu-≤ angu-5, imikhiqizo yokuhlola ibhekwa njengelingana nemikhiqizo yokulawula, futhi imikhiqizo eqenjini lokuhlola (i-CORDER surgical microscope) ingathatha indawo yemikhiqizo eqenjini lokulawula (i-microscope yokuhlinzwa engenisiwe).
Umphumela we-2
Kufakwe imisebenzi engu-2613 kulolu cwaningo, okuhlanganisa imishini yasekhaya engu-1302 kanye nemishini engenisiwe engu-1311. Odokotela abayishumi abaphezulu kwabesilisa nabesifazane abangochwepheshe be-orthopedic, odokotela abayi-13 abaphezulu kwabesilisa abangochwepheshe be-urological, odokotela abaphezulu kwabesilisa abangochwepheshe be-neurosurgical abayi-7, kanye nodokotela abaphezulu kwabesilisa nabesifazane abangochwepheshe abangama-30 abahlanganyele ekuhlolweni. Amaphuzu ezibhedlela ezintathu abaliwe, futhi amaphuzu athile aboniswe kuThebula 2. Amaphuzu aphelele enkomba ye-ASOM-4 microscope yokusebenza yomkhiqizo we-CORDER angamaphoyinti angu-1.8 angaphansi kwalawo e-microscope yokusebenza engenisiwe. Bheka uMfanekiso 2 ukuze uthole ukuqhathanisa okuphelele kwamaphuzu phakathi kwemishini eqenjini lokuhlola kanye nemishini eqenjini lokulawula.
3 xoxa
Isilinganiso senkomba iyonke se-ASOM-4 surgical microscope yomkhiqizo we-CORDER singamaphuzu angu-1.8 ngaphansi kunese-microscope yokuhlinzwa engenisiwe yomshini wokulawula, futhi umehluko phakathi kwesilinganiso somkhiqizo wokulawula kanye ne-ASOM-4 ungamaphuzu angu-≤ angu-5. Ngakho-ke, imiphumela yalolu cwaningo isikisela ukuthi i-ASOM-4 surgical microscope yomkhiqizo we-CORDER ingathatha indawo yemikhiqizo engenisiwe yamazwe angaphandle futhi kufanelekile ukuyikhangisa njengemishini yasekhaya ethuthukisiwe.
Ishadi le-radar libonisa ngokucacile umehluko phakathi kwemishini yasekhaya nemishini engenisiwe (Isithombe 2). Ngokuphathelene nezinkomba zobuchwepheshe, ukuzinza kanye nokusekelwa kwangemva kokuthengisa, lokhu kokubili kuyalingana; Ngokuphathelene nokusetshenziswa okuphelele, imishini engenisiwe ingcono kancane, okubonisa ukuthi imishini yasekhaya isenendawo yokuthuthuka okuqhubekayo; Ngokuphathelene nezinkomba zomnotho, imishini yasekhaya yohlobo lwe-CORDER i-ASOM-4 inezinzuzo ezisobala.
Ekuhlolweni kokungeniswa, izinkomba zokusebenza ezibalulekile zama-microscope okuhlinza asekhaya nawangenisiwe ahlangabezana nezidingo ze-GB11239.1-2005 standard. Izinkomba zokuphepha ezibalulekile zazo zombili imishini zihlangabezana nezidingo ze-GB 9706.1-2007. Ngakho-ke, zombili zihlangabezana nezidingo zezindinganiso zikazwelonke, futhi akukho mehluko osobala ekuphepheni; Ngokuphathelene nokusebenza, imikhiqizo engenisiwe inezinzuzo ezithile ngaphezu kwamadivayisi ezokwelapha asekhaya ngokwezimpawu zokukhanya, kuyilapho okunye ukusebenza kwe-optical imaging kungenawo umehluko ocacile; Ngokuphathelene nokuthembeka, ngesikhathi sokuhlola, izinga lokwehluleka kwalolu hlobo lwemishini lalingaphansi kuka-20%, futhi iningi lokwehluleka kwabangelwa yi-bulb edinga ukushintshwa, kanti okumbalwa kwabangelwa ukulungiswa okungafanele kwe-counterweight. Kwakungekho ukwehluleka okukhulu noma ukuvalwa kwemishini.
Intengo yomnikazi we-CORDER brand ASOM-4 microscope yokuhlinzwa icishe ibe yi-1/10 kuphela yemishini yeqembu lokulawula (engenisiwe). Ngesikhathi esifanayo, ngoba ayidingi ukuvikela isibambo, idinga izinto ezisetshenziswayo ezincane futhi ivumelana kakhulu nesimiso sokuhlinzwa esingenamagciwane. Ngaphezu kwalokho, lolu hlobo lwe-microscope yokusebenza lusebenzisa isibani se-LED sasekhaya, esishibhile futhi kuneqembu lokulawula, futhi izindleko zokulungisa ziphansi. Ngakho-ke, i-CORDER brand ASOM-4 microscope yokuhlinzwa inomnotho osobala. Ngokuphathelene nokusekelwa ngemuva kokuthengisa, imishini eqenjini lokuhlola kanye neqembu lokulawula iyanelisa kakhulu. Vele, njengoba isabelo semakethe semishini engenisiwe siphezulu, isivinini sokuphendula kokulungisa siyashesha. Ngikholwa ukuthi ngokuthandwa kancane kancane kwemishini yasekhaya, igebe phakathi kwalezi ezimbili lizoncipha kancane kancane.
Njengeqoqo lokuqala lemikhiqizo yokubonisa amadivayisi ezokwelapha amasha eSifundazweni saseSichuan, i-CORDER brand ASOM-4 surgical microscope ekhiqizwe yiChengdu CORDER Optics&Electronics Co. isezingeni eliphambili emhlabeni jikelele neliphambili. Ifakiwe futhi yasetshenziswa ezibhedlela eziningi eShayina, futhi yathunyelwa eNingizimu-mpumalanga ye-Asia, eMpumalanga Ephakathi, e-Afrika nakwezinye izifunda, okuyinto ethandwa abasebenzisi. I-CORDER brand ASOM-4 surgical microscope inesistimu yokukhanya enesinqumo esiphezulu, enencazelo ephezulu, umuzwa oqinile we-stereoscopic, ukujula okukhulu kwensimu, umthombo wokukhanya okubandayo wokukhanya okumbaxambili kwe-fiber optical coaxial, ukukhanya okuhle kwensimu, ukugxila okuzenzakalelayo kwe-micro-focus yokulawula izinyawo, ukusondeza okuqhubekayo kukagesi, futhi inemisebenzi yokubuka, ithelevishini nezithombe zevidiyo, i-rack yemisebenzi eminingi, imisebenzi ephelele, efanelekile ikakhulukazi ekubonisweni kwe-microsurgery kanye nokufundisa.
Ekuphetheni, i-microscope yokuhlinzwa yohlobo lwe-CORDER i-ASOM-4 esetshenziswe kulolu cwaningo ingahlangabezana nezindinganiso ezifanele zomkhakha, ihlangabezane nezidingo zomtholampilo, isebenze kahle futhi itholakale, futhi iyonga kakhulu kunemishini yokulawula. Iyidivayisi yezokwelapha ethuthukisiwe yasekhaya efanelwe ukunconywa.
[inkomba]
[1] UGu Liqiang, uZhu Qingtang, uWang Huaqiao. Imibono yochwepheshe yomhlangano mayelana namasu amasha okuthola i-vascular anastomosis ekuhlinzeni okuncane [J]. I-Chinese Journal of Microsurgery, 2014,37 (2): 105.
[2] Zhang Changqing. Umlando kanye nethemba lokuthuthukiswa kwezokwelapha ngamathambo eShanghai [J]. I-Shanghai Medical Journal, 2017, (6): 333-336.
[3] Zhu Jun, Wang Zhong, Jin Yufei, et al. Ukufakwa ngemuva okusizwa yi-microscope kanye nokuhlanganiswa kwe-atlantoaxial joint ngezikulufo nezinduku - ukusetshenziswa kwezokwelapha kokusebenza kwe-Goel okuguquliwe [J]. I-Chinese Journal of Anatomy and Clinical Sciences, 2018,23 (3): 184-189.
[4] Li Fubao. Izinzuzo zobuchwepheshe obungena emzimbeni omncane ekuhlinzeni okuhlobene nomgogodla [J]. I-Chinese Journal of Microsurgery, 2007,30 (6): 401.
[5] Tian Wei, Han Xiao, He Da, et al. Ukuqhathaniswa kwemiphumela yezokwelapha ye-microscope yokuhlinzwa kanye ne-magnifying glass assisted lumbar discectomy [J]. I-Chinese Journal of Orthopedics, 2011,31 (10): 1132-1137.
[6] Zheng Zheng. Umphumela wokusetshenziswa kwemitholampilo we-microscope yokuhlinzwa kwamazinyo ekwelashweni komsele wezimpande ongaphikisi [J]. Umhlahlandlela Wezokwelapha waseShayina, 2018 (3): 101-102.
Isikhathi sokuthunyelwe: Jan-30-2023
