Ukuvela Kokuhlinzwa Kwe-Microscopic Neurosurgery eShayina
Ngo-1972, uDu Ziwei, isazi sempilo saseShayina saphesheya kwezilwandle saseJapan, wanikela ngenye yama-microscope okuqala okuhlinzwa kwemizwa kanye nezinsimbi zokuhlinza ezihlobene nawo, okuhlanganisa i-bipolar coagulation kanye ne-aneurysm clips, eMnyangweni We-Neurosurgery we-Suzhou Medical College Affiliated Hospital (manje eyi-Suzhou University Affiliated Early Hospital Neurosurgery). Lapho ebuya eShayina, uDu Ziwei waqala ukuhlinzwa kwemizwa kwe-microscopic ezweni, okwavusa intshisekelo enkulu ekwethulweni, ekufundeni, nasekusetshenzisweni kwama-microscope okuhlinzwa ezikhungweni ezinkulu zokuhlinzwa kwemizwa. Lokhu kwaphawula ukuqala kokuhlinzwa kwe-neuroscopic kwe-microscopic eShayina. Ngemva kwalokho, i-Chinese Academy of Sciences Institute of Optoelectronics Technology yathatha ibhanela lokukhiqiza ama-microscope okuhlinzwa kwe-Neurosurgery akhiqizwe ngaphakathi ezweni, kwathi iChengdu CORDER yavela, yahlinzeka ngezinkulungwane zama-microscope okuhlinzwa kulo lonke izwe.
Ukusetshenziswa kwama-microscope okuhlinzwa kwe-neuro kuthuthukise kakhulu ukusebenza kahle kokuhlinzwa kwe-neurosmac. Ngokukhuliswa okusukela ezikhathini ezi-6 kuya kweziyi-10, izinqubo ezazingenakwenzeka ukwenziwa ngeso lenyama manje zingenziwa ngokuphephile. Isibonelo, ukuhlinzwa kwe-transsphenoidal kwama-tumor e-pituitary kungenziwa ngenkathi kuqinisekiswa ukugcinwa kwe-pituitary gland evamile. Ngaphezu kwalokho, izinqubo ezazinzima ngaphambili manje sezingenziwa ngokunemba okukhulu, njengokuhlinzwa kwe-intramedullary spinal cord kanye nokuhlinzwa kwe-brainstem nerve. Ngaphambi kokwethulwa kwama-microscope okuhlinzwa kwe-neurosmac, izinga lokufa kokuhlinzwa kwe-brain aneurysm lalingu-10.7%. Kodwa-ke, ngokwamukelwa kokuhlinzwa okusiza nge-microscope ngo-1978, izinga lokufa lehla laya ku-3.2%. Ngokufanayo, izinga lokufa ngenxa yokuhlinzwa kwe-arteriovenous malformation lehle kusuka ku-6.2% laya ku-1.6% ngemuva kokusetshenziswa kwama-microscope okuhlinzwa kwe-neurosurgery ngo-1984. Ukuhlinzwa kwe-neuroskopu kwe-Microscopic nakho kwavumela izindlela ezingangenisi kakhulu, okuvumela ukususwa kwesimila se-pituitary ngezinqubo ze-transnasal endoscopic, kunciphisa izinga lokufa kusuka ku-4.7% elihlobene ne-craniotomy yendabuko kuya ku-0.9%.
Impumelelo eyenziwe yaba nokwenzeka ngokwethulwa kwama-microscope okuhlinzwa kwemizwa ayinakufinyelelwa ngezinqubo zendabuko zama-microscope kuphela. La ma-microscope abe yithuluzi lokuhlinza elibalulekile nelingathathelwa indawo lokuhlinzwa kwemizwa kwesimanje. Amandla okufeza ukubona okucacile nokusebenza ngokunemba okukhulu aguqule lo mkhakha, okwenza odokotela abahlinzayo bakwazi ukwenza izinqubo eziyinkimbinkimbi ezazibhekwa njengezingenakwenzeka. Umsebenzi wokuqala kaDu Ziwei kanye nokuthuthukiswa okulandelayo kwama-microscope akhiqizwe ekhaya kuye kwavula indlela yokuthuthuka kokuhlinzwa kwemizwa kwama-microscope eShayina.
Ukunikezwa kwama-microscope okuhlinzwa kwemizwa ngo-1972 nguDu Ziwei kanye nemizamo eyalandela yokwenza ama-microscope akhiqizwe ekhaya kuye kwakhuthaza ukukhula kokuhlinzwa kwemizwa kwe-microscope eShayina. Ukusetshenziswa kwama-microscope okuhlinzwa kuye kwabonakala kuwusizo ekufezeni imiphumela engcono yokuhlinzwa kanye namazinga okufa ancishisiwe. Ngokuthuthukisa ukubona kanye nokwenza kube lula ukwenziwa ngendlela efanele, la ma-microscope abe yingxenye ebalulekile yokuhlinzwa kwemizwa kwesimanje. Ngokuthuthuka okuqhubekayo kwezobuchwepheshe be-microscope, ikusasa linamathuba athembisayo nakakhulu okwenza ngcono ukungenelela kokuhlinzwa emkhakheni wokuhlinzwa kwemizwa.
Isikhathi sokuthunyelwe: Julayi-19-2023
