980nm 1470nm Diode Laser Percutaneous Laser Disc Decompression (PLDD)
Ma ke kaʻina hana o ka percutaneous laser disc decompression, hoʻoili ʻia ka ikehu laser ma o kahi fiber optical lahilahi i loko o ka disk.
ʻO ka pahuhopu o PLDD ka hoʻoheheʻe ʻana i kahi ʻāpana liʻiliʻi o ke kumu o loko. ʻO ka weheʻana i kahi leo liʻiliʻi o ka mea i loko e hopena i ka hoʻohaʻahaʻa nui o ke kaomi intra-discal, no laila e ho'ēmi ai i ka herniation disc.
ʻO PLDD ke kaʻina hana lapaʻau liʻiliʻi-invasive i hoʻomohala ʻia e Dr. Daniel SJ Choy ma 1986 e hoʻohana ana i kahi kukuna laser e mālama i ka ʻeha hope a me ka ʻāʻī i hana ʻia e kahi disc herniated.
ʻO ka percutaneous laser disc decompression (PLDD) ka ʻenehana laser percutaneous invasive loa i ka mālama ʻana i nā hernias disc, cervical hernias, dorsal hernias (koe wale no ka māhele T1-T5), a me lumbar hernias. Hoʻohana ke kaʻina hana i ka ikehu laser e hoʻomoʻa i ka wai i loko o ka pulpous nucleus herniated e hana ana i kahi decompression.
Hoʻokumu ʻia ke kahua TR-C® DUAL i nā hiʻohiʻona absorption o nā hawewe nalu 980 nm a me 1470 nm, ʻo ia hoʻi, e hoʻomaikaʻi i kāna kamaʻilio koʻikoʻi i ka wai a me ka hemoglobin a me ka hohonu o ke komo ʻana i loko o ka ʻiʻo disc, hiki i nā kaʻina hana ke hoʻokō me ka palekana a me ka pololei, ʻoi aku ma kahi kokoke i nā hale anatomical palupalu. Hoʻopaʻa ʻia ka pololei 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 e ka hoʻemi ʻana o 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 liʻiliʻi o ka nucleus i mahu ka hopena i ka hāʻule ʻana o ke kaomi intradiscal, me ka neʻe ʻana o ka herniation mai ke aʻa aʻalolo. Hoʻokumu mua ʻia e Dr. Daniel SJ Choy ma 1986. Ua hōʻoia ʻo PLDD i ka palekana a me ka maikaʻi. He mea hōʻemi liʻiliʻi ia, hana ʻia ma kahi hoʻonohonoho maʻi ma waho, ʻaʻohe koi ʻana i ka anesthesia maʻamau, ʻaʻohe hopena i ka ʻulaʻula a i ʻole ka spinal instability, e hōʻemi i ka manawa hoʻoponopono, hiki ke hana hou ʻia, ʻaʻole e kāpae i ke ʻoki ākea inā pono ia. He koho maikaʻi loa ia no nā poʻe maʻi me nā hopena maikaʻi ʻole i ka lāʻau lapaʻau ʻole. Hoʻokomo ʻia kahi nila i loko o ka wahi i hoʻopilikia ʻia o ka disc ntervertebral a hoʻokomo ʻia ka fiber laser ma ia mea e puhi ai i ka nucleus pulposus me kahi laser. ʻO ka launa pū me ka TR-C® DUAL laser fibers, e ʻae ai i ka pono o ke kaʻina hana, ka maʻalahi o ka lawelawe ʻana, a me ka palekana kiʻekiʻe. ʻO ka hoʻohana ʻana i nā fibers laser tactile maʻalahi me nā anawaena kumu o 360 micron i hui pū ʻia me ka microsurgical PLDD e hiki ai ke komo pololei a pololei a me ke komo ʻana i nā wahi koʻikoʻi e like me ka cervical a me lumbar disc zones ma ke kumu o nā pono therapeutic clinical. Hoʻohana nui ʻia nā lāʻau lapaʻau PLDD ma hope o nā koho lapaʻau kuʻuna maʻamau ʻaʻole i kūleʻa ma lalo o ka mana koʻikoʻi MRT/CT.
- No ka hoʻohana ʻana i loko o ka iwi kuamoʻo, spine thoracic, spine lumbar
- Neurotomy lālā waena no nā hui facet
- Neurotomy lala lala no na ami sacroiliac
- Loaʻa nā herniations disc me ka stenosis foraminal consecutive
- ʻO ka hoʻoheheʻe ʻana o ka spinal discogenic
- Nā maʻi ʻeha Discogenic
- ʻO ka maʻi maʻi maʻi maʻi a me ka sacroiliac joint syndrome
— Nā hana ʻokiʻoki ʻē aʻe, e laʻa me ka kuʻekuʻe tennis, calcaneal spur
- Hiki i ka anesthesia kūloko ke mālama i nā maʻi i pilikia.
— He pōkole loa ka manawa hana i hoʻohālikelike ʻia me nā kaʻina hana wehe
- Ka haʻahaʻa haʻahaʻa o nā hoʻopiʻi a me ka ʻeha postoperative (ʻAʻohe ʻeha kino palupalu, ʻAʻohe pilikia o
fibrosis epidural a i ʻole ka ʻūhā)
— Nīla maikaʻi me kahi wahi puncture liʻiliʻi loa a no laila ʻaʻohe pono o nā humuhumu
- Hoʻopau koke i ka ʻeha nui a me ka hoʻoneʻe ʻana
- Hoʻopōkole ʻia ka noho ma ka haukapila a me ka hoʻoponopono hou ʻana
— Na koina haahaa
Hana ʻia ke kaʻina hana PLDD me ka hoʻohana ʻana i ka anesthesia kūloko. Hoʻokomo ʻia ka fiber Optical i loko o ka cannula kūikawā ma lalo o ka fluoroscopicalakaʻi. Ma hope o ka hoʻohana ʻana i ka ʻokoʻa i ka facet hiki ke nānā i ke kūlana o ka cannula a me ke ʻano o ka discʻōpuʻu. Hoʻomaka ka laser hoʻomaka i ka decompression a hoʻohaʻahaʻa i ke kaomi intradiscal.
Hana ʻia ke kaʻina hana mai ke ala hope-lateral me ka ʻole o ka hoʻopili ʻana i ka canal vertebral, no laila, ma laila.ʻAʻole hiki ke hōʻino i kahi lāʻau reparative, akā ʻaʻohe mea hiki ke hoʻoikaika i ka annulus fibrosus.I ka wā PLDD e hoʻemi iki ʻia ka leo disc, akā naʻe, hiki ke hoʻohaʻahaʻa nui ʻia ke kaomi disc. I ka hihia ome ka hoʻohana ʻana i ka laser i ka disc decomperssion, evaporates ka nui o ka nucleus pulposus.
Aia i loko o ka pahu sterile he fifiber 400/600 micron me ka pale ʻaʻahu, nā nila 18G/20G (lōʻihi 15.2cm), a me kahi mea hoʻohui Y e hiki ai i ka fifiber ke komo a hoʻomoʻi. Hoʻopili ʻia ka mea hoʻohui a me nā nila i mea e hiki ai i ka flexibility kiʻekiʻe loa i ka mālama ʻana.
| ʻAno laser | Diode Laser Gallium-Aluminum-Arsenide GaAlAs |
| Loʻihi nalu | 980nm+1470nm |
| Ka mana | 30W+17W |
| Nā ʻano hana | CW, Pulse a me Single |
| ʻAiming Beam | Hiki ke hoʻololi ʻia ke kukui ʻulaʻula 650nm |
| ʻAno fiber | puluniu wale |
| Anawaena fiber | 300/400/600/800/1000um puluniu |
| Mea hoʻopili fiber | SMA905 kūlana honua |
| Pulse | 0.00s-1.00s |
| Hoʻopaneʻe | 0.00s-1.00s |
| Voltage | 100-240V, 50/60HZ |
| Nui | 41*33*49cm |
| Kaumaha | 18KG |
