Ukuguquka Kwe-Microscopic Ngaphansi Kokukhanya Okungenamthunzi: Izinhlobo Ezinhlanu Ze-Microscope Zokuhlinzwa Ezishintsha Ukuhlinzwa Kwesimanje

 

Kusukela ekulungiseni ama-aneurysms obuchopho ekuhlinzeni kwezinzwa kuya ekwelapheni imisele yezimpande e-pulp yamazinyo, kusukela ekuthungeni imithambo yegazi engu-0.2mm kuya ekuphatheni kahle ama-maze angaphakathi endlebeni,ama-microscope okuhlinzwasezibe "amehlo amabili" angenakushintshwa kwezokwelapha zanamuhla.

Egumbini lokuhlinza laseYantai Yeda Hospital, odokotela bamathambo benza ukuhlinzwa kokufakelwa iminwe. Bathathe umthambo wegazi onobubanzi obungamamilimitha angu-0.2 kuphela onezinti zokubopha izandla base befaka inaliti ngaphansi kwenaliti.imakroskopu esebenzayonjengokuhlobisa. Ngesikhathi esifanayo, egumbini lokuhlinza le-Federal University of São Paulo eBrazil, odokotela abahlinza izinzwa bangahlukanisa ngokucacile umngcele phakathi kwama-cyst e-arachnoid kanye nezicubu zobuchopho ezizungezile nge-eyepiece ye-aIsibonakhulu sokuhlinzwa kwezinzwa.

Ama-microscope okuhlinzaziye zashintsha kusukela kumathuluzi okukhulisa alula kuya ezinhlelweni zokunemba ezihlanganisa izithombe ze-optical, ukuzulazula kwe-fluorescence, i-augmented reality, kanye nobunye ubuchwepheshe, zaba "ipheya lesibili lamehlo" ezinqubweni zokuhlinzwa.

 

01 I-microscope yokuhlinzwa kwe-neurosurgical, ukuzulazula okunembile kwemigodi ejulile

Ama-microscope okuhlinzwa kwe-neurosurgerykungabhekwa njengegugu elibalulekile ekuhlinzeni okuncane, futhi ubunzima babo bobuchwepheshe bumelela izinga eliphezulu kakhulu embonini. Emkhakheni wokuhlinzwa kwezinzwa,ama-microscope okuhlinzwa kwemizwakudingeka kusetshenziswe ezimbotsheni ezijulile nezincane zekhanda ngenkathi kugwenywa izakhiwo ezibalulekile zomzimba ezisebenzayo.

Uchungechunge lwe-CORDER ASOM-630imakroskopu esebenzayoihlanganisa ubuchwepheshe obuthathu obuyinhloko: ubuchwepheshe be-augmented reality fluorescence bungabonisa ukugeleza kwegazi ngesikhathi sangempela ngesikhathi sokuhlinzwa kwe-cerebrovascular; Ubuchwepheshe be-Fusion Optics buhlinzeka ngokujula okukhulu kwensimu; Uhlelo lwe-optical olunencazelo ephezulu luveza izithombe ensimini yombono kadokotela ohlinzayo, lufeze izidingo ezinembile zokuhlinzwa okuncane. Ekuhlinzeni kwe-Galassi III arachnoid cyst,I-ASOM-630 neurosurgical microscopekubonise ngokucacile ubudlelwano obuyinkimbinkimbi phakathi kodonga lwe-cyst kanye nemithambo yegazi ezungezile kanye nemizwa, okuvumela odokotela ukuthi bahlukanise ngokunembile ngaphandle kokulimaza izakhiwo ezibalulekile.

Ekuhlinzeni kwemithambo yegazi, ubuchwepheshe be-fluorescence buhlanganisa i-indocyanine green fluorescence nezithombe zemvelo zezicubu ngesikhathi sangempela. Odokotela bangabuka ngasikhathi sinye isimo kanye ne-hemodynamics ye-aneurysms ngaphandle kokushintsha phakathi kwezindlela ze-fluorescence ezimnyama nezimhlophe, okuthuthukisa kakhulu ukuphepha kokuhlinzwa.

 

02 I-microscope yokuhlinzwa kwamazinyo, ukuguquka okuncane kakhulu ngaphakathi komsele wezimpande

Emkhakheni wezokwelapha amazinyo, ukusetshenziswa kweama-microscope okusebenza kwamazinyokuholele ekwenyukeni kwekhwalithi ekunembileni kokwelashwa. Lokhuama-microscope amazinyokhulisa ukukhulisa kube izikhathi ezingaphezu kuka-20, kuhlanganiswe nezinhlelo zokuthwebula izithombe ezinekhwalithi ephezulu, okuletha ukwelashwa kwe-pulp yamazinyo 'enkathini ye-microscopic'.

Inselele eyinhloko yeama-microscope amazinyokulele ekulinganiseni ukunemba kokukhanya nomklamo we-ergonomic. Onjiniyela bezobuchwepheshe beI-Chengdu CORDER Optics & Electronics Co., Ltd.baziwa "ngamehlo abo abukhali", futhi ukuphambuka kwendlela yabo yokukhanya ye-binocular elinganisiwe kulawulwa ngokuqinile ngaphakathi kwamamilimitha angu-0.2. Ngale kwalesi silinganiso, odokotela bazobhekana nokungqubuzana kokungafani phakathi kwamehlo abo, okuholela ekukhathaleni kokubona, "kuchaza umphathi wezobuchwepheshe uZhu.

Ekwelapheni imisele yezimpande, odokotela bangabona ngokucacile ukwakheka okuyinkimbinkimbi njengokwakheka kwemisele yezimpande kanye nemisele yezimpande zegatsha eliseceleni, okunciphisa kakhulu amathuba okuthi izilonda ezithelelekile zingabi khona. Ucwaningo lwakamuva lubonisa ukuthi ukusebenzisa i-imakroskopu yokusebenza kwamazinyoUkusebenza kuthuthukisa kakhulu ukunemba kokukhishwa kwe-fiber ngemuva kokukhipha. Nakuba isikhathi sokuhlinzwa sikhuphuke kancane, sibaluleke kakhulu ekugcineni izicubu zamazinyo ezinempilo.

 

03 I-Microscope ye-ENT, I-Cold Light Sharp Blade Yokuhlinzwa Kwegumbi Elijulile

Ii-otolaryngology yesibonakhulu sokuhlinzayakhelwe ukusingatha isakhiwo somsele esiyinkimbinkimbi kusukela emgodini we-tympanic kuya ku-glottis.ama-microscope e-otolaryngologyzinezinga eziyisithupha zenkululeko yokuhamba, Izibuko zokubuka eziyinhloko nezesibili zingafinyelela ukubuka okuhambisanayo ngesikhathi esifanayo sokukhulisa, ukubuka kwendawo, kanye nokuma. Ishubhu layo elinobuso obunama-hinge lingatsheka ngama-degree angu-0-90, okuvumela odokotela ukuthi balondoloze isikhundla esikhululekile.

Ukukhanya okuphezulu kwe-coaxial okuhlanganiswe nohlelo lwe-zoom oluqhubekayo lukagesi oluyi-1:5 kungabonisa ngokucacile isakhiwo esihle se-ossicular chain ngesikhathi se-tympanoplasty. Uhlelo lokukhanyisa oluvela kumthombo wokukhanya okubandayo lunikeza ukukhanya kwensimu okungaphezu kwe-100000LX ngaphandle kokulimaza izakhiwo zendlebe zangaphakathi ezizwelayo ngenxa yokushisa.

 

04 Isibonakhulu sokuhlinza samathambo, ubuciko bokuthunga imithambo yegazi obusezingeni le-millimeter

Ama-microscope asebenzayo ngamathambobadala isimangaliso sempilo emkhakheni wokufakelwa kwezitho nokwakhiwa kabusha. Ithimba lomnyango wamathambo leSibhedlela iYantai Yeda liqeda ukuhlinzwa kokufakelwa kwezitho eziningi njalo ngeviki, futhi "amakhono abo okuthunga" asekelwe emishinini enembile yama-microscope.

Ekutshalweni kabusha kweminwe okujwayelekile, odokotela babhekana nenselele ye-vascular anastomosis enobubanzi obungamamilimitha angu-0.2 kuphela, okulingana nesakhiwo esihle semicu yezinwele.I-microscope yamathambo, odokotela bangasihlukanisa ngokucacile isimo se-endothelium yemithambo yegazi futhi banqume ukuthi kufanele yini basuse ingxenye eyonakele ukuze bagweme i-thrombosis yangemva kokuhlinzwa. Uma kukhona ukuphambuka endleleni yokukhanya, kufana nokuthi iso lesobunxele livamile kanti iso lesokudla liphakanyisiwe. Ngokuhamba kwesikhathi, amehlo azokhathala kakhulu, "kusho uchwepheshe omkhulu we-microscopy echaza ukubaluleka kokunemba kokulinganisa.

Umnyango uphinde wenze ukuhlinzwa okunzima kakhulu njengokufakelwa kwe-perforator flap, futhi usebenzisa amasu okuhlinzwa amancane ukulungisa amaphutha ezicubu ezihlanganisiwe ezithweni. Basebenzisa inqubo ye-free skin flap ehlanganisa imithambo yegazi ukuze ixhumanise kahle i-skin flap nemithambo yegazi emincane endaweni yokwamukela ngaphansi kwe-aimakroskopu esebenzayo.

 

---

Ngokuhlanganiswa okujulile kobuchwepheshe be-augmented reality (AR) kanyeama-microscope asebenzayo, odokotela abahlinza izinzwa manje sebengakwazi "ukubona" ​​ngqo izimpawu zokuzulazula kanye nokugeleza kwegazi okukhanyayo ekujuleni kwemvelo kwensimu yezicubu zobuchopho. Emtholampilo wamazinyo, izithombe ze-4K ultra high definition ziboniswa esikrinini esikhulu ngokusebenzisa ubuchwepheshe bokudlulisa obuphansi, okuvumela lonke ithimba lezokwelapha ukuthi labelane ngombono omncane.

Egumbini lokuhlinza lesikhathi esizayo, udokotela ohlinzayo angasebenzisaimakroskopu yokuhlinzwa yamathamboukuqedela "ukuhlobisa okuphilayo" kwemithambo yegazi engu-0.2mm ekuseni, bese udlulisela egumbini lokuhlinza le-neurosurgery ntambama ukuze ubambe i-cerebral aneurysm ngaphansi kwesiqondiso se-augmented reality fluorescence.

Ama-Microscope Okuhlinzwaizoqhubeka nokudlula emikhawulweni yensimu yokubona yokuhlinzwa okujulile, ikhanyise amakhona ayimfihlo kakhulu omzimba womuntu ngamasu acacile okukhanya.