980nm 1470nm Diode Laser Percutaneous Laser Disc Decompression (PLDD)
I ke kaʻina hana o ka percutaneous laser disc decompression, hoʻoili ʻia ka ikehu laser ma o kahi fiber optical lahilahi i loko o ka disc.
ʻO ka pahuhopu o PLDD ka hoʻomake ʻana i kahi ʻāpana liʻiliʻi o ke kikowaena o loko. ʻO ka wehe ʻana i kahi liʻiliʻi o ka nui o loko e hopena i ka emi nui ʻana o ke kaomi intra-discal, a pēlā e hōʻemi ai i ka herniation disc.
ʻO PLDD ke kaʻina hana lapaʻau minimally invasive i hoʻomohala ʻia e Kauka Daniel SJ Choy i ka makahiki 1986 e hoʻohana ana i kahi kukuna laser e mālama i ka ʻeha o ke kua a me ka ʻāʻī i hoʻokumu ʻia e kahi disc herniated.
ʻO ka Percutaneous laser disc decompression (PLDD) ka ʻenehana laser percutaneous minimally invasive loa i ka mālama ʻana i nā hernias disc, nā hernias cervical, nā hernias dorsal (koe wale nō ka ʻāpana T1-T5), a me nā hernias lumbar. Hoʻohana ke kaʻina hana i ka ikehu laser e omo i ka wai i loko o ka herniated nucleus pulpous e hana ana i kahi decompression.
Hoʻokumu ʻia ke kahua TR-C® DUAL ma nā ʻano omo o nā nalu 980 nm a me 1470 nm, ʻo ia hoʻi, mahalo i kona pilina koʻikoʻi i ka wai a me ka hemoglobin a me ka hohonu o ke komo ʻana i loko o nā ʻiʻo disc, e hiki ai ke hoʻokō palekana a pololei i nā kaʻina hana, ʻoiai ma kahi kokoke i nā ʻano anatomical palupalu. Ua hōʻoia ʻia ka pololei o ka microsurgical e nā ʻano loea o ka PLDD kūikawā.
He aha ka PLDD?
ʻO ka Percutaneous laser disc decompression (PLDD) kahi hana e mālama ʻia ai nā disc intervertebral herniated ma o ka hoʻemi ʻana i ke kaomi intradiscal ma o ka ikehu laser. Hoʻokomo ʻia kēia e kahi nila i hoʻokomo ʻia i loko o ka nucleus pulposus ma lalo o ka anesthesia kūloko a me ka nānā ʻana i ka fluoroscopic. ʻO ka liʻiliʻi o ka nucleus vaporized e hopena i ka hāʻule nui o ke kaomi intradiscal, me ka neʻe ʻana o ka herniation mai ke aʻa nerve. Ua hoʻomohala mua ʻia e Kauka Daniel SJ Choy i ka makahiki 1986. Ua hōʻoia ʻia ʻo PLDD he palekana a maikaʻi. He minimally invasive, hana ʻia ma kahi hoʻonohonoho outpatient, ʻaʻole pono ka anesthesia laulā, ʻaʻohe hopena i ka scarring a i ʻole ka spinal instability, hoʻemi i ka manawa hoʻōla, hiki ke hana hou ʻia, a ʻaʻole ia e pale i ke ʻoki hāmama inā pono. He koho kūpono ia no nā maʻi me nā hopena maikaʻi ʻole i ka mālama ʻole ʻoki. Hoʻokomo ʻia kahi nila i loko o ka wahi i hoʻopilikia ʻia o ka disc ntervertebral a hoʻokomo ʻia ka fiber laser ma o ia mea e puhi i ka nucleus pulposus me ka laser. ʻO ka launa pū ʻana me nā fiber laser TR-C® DUAL, e ʻae ana i ka pono o ke ʻoki ʻana, ka maʻalahi o ka lawelawe ʻana, a me ka palekana loa. ʻO ka hoʻohana ʻana i nā olonā laser tactile palupalu me nā anawaena kumu o 360 micron i hui pū ʻia me ka microsurgical PLDD e hiki ai ke komo pololei a pololei hoʻi i nā wahi koʻikoʻi e like me nā ʻāpana disc cervical a me lumbar ma ke kumu o nā pono therapeutic lapaʻau. Hoʻohana nui ʻia nā lāʻau lapaʻau laser PLDD ma hope o nā koho therapeutic maʻamau i kūleʻa ʻole ma lalo o ka mana MRT/CT koʻikoʻi.
— Hoʻopili ʻia ma loko o ka ʻiwi cervical, thoracic, lumbar
— ʻO ka neurotomy lālā medial no nā hono facet
— ʻO ka neurotomy lālā ʻaoʻao no nā hono sacroiliac
— Nā herniations disc i loko me ka stenosis foraminal i hoʻomau ʻia
— ʻO ka stenosis spinal discogenic
— Nā maʻi ʻeha Discogenic
— ʻO ka maʻi mau o ka hui facet a me ka sacroiliac
— Nā noi ʻoki kino hou aʻe, e like me ke kuʻekuʻe tennis, calcaneal spur
— ʻO ka anesthesia kūloko e ʻae ai i ka mālama ʻana i nā maʻi i ka pilikia.
— He manawa hana pōkole loa i hoʻohālikelike ʻia me nā kaʻina hana hāmama
— Haʻahaʻa ka nui o nā pilikia a me ka mumū postoperative (ʻAʻohe ʻeha palupalu, ʻAʻohe pilikia o
fibrosis epidural a i ʻole ka ʻeha)
— Kuila maikaʻi me kahi puka liʻiliʻi loa a no laila ʻaʻohe pono no nā humuhumu
— Hoʻomaha koke i ka ʻeha nui a me ka hoʻoneʻe ʻana
— Hoʻopōkole ʻia ka noho haukapila a me ka hoʻōla hou ʻana
— Nā kumukūʻai haʻahaʻa
Hana ʻia ke kaʻina hana PLDD me ka hoʻohana ʻana i ka anesthesia kūloko. Hoʻokomo ʻia ke kaula optical i loko o ka cannula kūikawā ma lalo o ka fluoroscopicalakaʻi. Ma hope o ka hoʻopili ʻana i ka ʻokoʻa i ka ʻaoʻao hiki ke nānā i ke kūlana o ka cannula a me ke kūlana o ka discʻōhū. Hoʻomaka ka laser hoʻomaka i ka decompression a hoʻohaʻahaʻa i ke kaomi intradiscal.
Hana ʻia ke kaʻina hana mai ke ala posterior-lateral me ka ʻole o ke keakea ʻana i ke kahawai vertebral, no laila, aiaʻaʻohe hiki ke hōʻino i kahi lāʻau lapaʻau, akā ʻaʻohe hiki ke hoʻoikaika i ka annulus fibrosus.I ka wā e emi iki ai ka nui o ka pā PLDD, akā naʻe, hiki ke hoʻemi nui ʻia ke kaomi o ka pā. I ke ʻano oMe ka hoʻohana ʻana i ka laser i ka disc decompersion, ua pau kahi liʻiliʻi o ka nucleus pulposus.
ʻO ka pahu sterile e komo pū ana me kahi fiber ʻōlohelohe 400/600 micron me ka pale ʻaʻahu, nā nila 18G/20G (lōʻihi 15.2cm), a me kahi Y Connector e ʻae ana i ke komo ʻana o ka fiber a me ka omo ʻana. Hoʻopaʻa pākahi ʻia ka mea hoʻohui a me nā nila e hiki ai ke hoʻololi nui i ka mālama ʻana.
| ʻAno laser | Diode Laser Gallium-Alumini-Arsenide GaAlAs |
| Ka lōʻihi o ka nalu | 980nm+1470nm |
| Mana | 30W+17W |
| Nā ʻAno Hana | CW, Pulse a me Single |
| Kukui Kuhikuhi | Kukui hōʻailona ʻulaʻula hiki ke hoʻololi ʻia 650nm |
| ʻAno olonā | ʻO ka olonā ʻōlohelohe |
| Anawaena o ka fiber | 300/400/600/800/1000um fiber |
| Hoʻohui fiber | Kūlana honua SMA905 |
| Pulse | 0.00s-1.00s |
| Hoʻopaneʻe | 0.00s-1.00s |
| Uila uila | 100-240V, 50/60HZ |
| Ka nui | 41*33*49 kenimika |
| Kaumaha | 18KG |
