Kuongororwa kwakadzama kwekushandisa kunoshanda kwemba yekuvhiya maikorosikopu
Zvikamu zvekuongorora zvakakodzera: 1. Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sciences; 2. Sichuan Food and Drug Inspection and Testing Institute; 3. Dhipatimendi reUrology yeChipiri Affiliated Hospital yeChengdu University of Traditional Chinese Medicine; 4. Cixi Hospital yeTraditional Chinese Medicine, Dhipatimendi reKuvhiya Maoko netsoka
chinangwa
Iyo yemumba CORDER brand ASOM-4 yekuvhiya maikorosikopu yakaongororwazve mushure memusika.Nzira: Zvinoenderana nezvinodiwa zveGB 9706.1-2007 uye GB 11239.1-2005, CORDER yekuvhiya maikorosikopu yakaenzaniswa neyakafanana zvigadzirwa zvekunze. Pamusoro pekuongororwa kwekuwanikwa kwechigadzirwa, kuongororwa kwakanangana nekuvimbika, kushanda, hupfumi uye mushure mekutengesa sevhisi.Results: Iyo CORDER inoshanda maikorosikopu inogona kusangana nezvinodiwa zveakakodzera indasitiri zviyero, uye kuvimbika kwayo, kushanda uye mushure mekutengesa sevhisi inogona kusangana. zvinodikanwa zvekiriniki, nepo hupfumi hwayo hwakanaka.Mhedziso: CORDER inoshandisa maikorosikopu inoshanda uye inowanikwa mune dzakasiyana siyana microsurgeries, uye ine mari yakawanda kupfuura zvigadzirwa zvinobva kunze kwenyika. Zvakakodzera kurumbidza semudziyo wepamusoro wekurapa mudziyo.
sumo
Iyo microscope inoshanda inonyanya kushandiswa kuita microsurgery yakadai seophthalmology, orthopedics, kuvhiyiwa kwehuropi, neurology uye otolaryngology, uye ndiyo midziyo yekurapa inodiwa ye microsurgery [1-6]. Parizvino, mutengo wemidziyo yakadaro inounzwa kubva kunze kwenyika inodarika 500000 yuan, uye kune mari yakawanda yekushandisa uye mari yekugadzirisa. Zvipatara zvakakura zvishoma chete muChina zvinokwanisa kutenga michina yakadaro, iyo inokanganisa kuvandudzwa kwe microsurgery muChina. Naizvozvo, mamicroscopes ekuvhiya epamba ane mashandiro akafanana uye mutengo wepamusoro wakavapo. Sechikamu chekutanga chezvigadzirwa zvekuratidzira zvekurapa muSichuan Province, iyo ASOM-4 inoshanda maikorosikopu yeCORDER brand ndeye yakazvimiririra yakagadziridzwa maikorosikopu yekushandisa yemapfupa, kuvhiyiwa kwe thoracic, kuvhiyiwa kwemaoko, kuvhiyiwa kwepurasitiki uye kumwe kuvhiyiwa kwechidiki [7]. Nekudaro, vamwe vashandisi vemumba vanogara vasina chokwadi nezvezvigadzirwa zvemumba, izvo zvinomisa mukurumbira we microsurgery. Chidzidzo ichi chine chinangwa chekuita ongororo yeakawanda-yepakati post-yekushambadzira yeASOM-4 yekuvhiya maikorosikopu yeCORDER brand. Pamusoro pekuongororwa kwekuwana kwechigadzirwa kwematekinoroji ma paramita, kuita kwemaziso, kuchengetedzwa uye zvimwe zvigadzirwa, inozotarisa pakuvimbika kwayo, kushanda, hupfumi uye mushure mekutengesa sevhisi.
1 Chinhu uye nzira
1.1 Chinhu chekutsvagisa
Boka rekuyedza rakashandisa ASOM-4 yekuvhiya maikorosikopu yeCORDER brand, iyo yakapihwa nevedzimba Chengdu CORDER Optics&Electronics Co.; Boka rekutonga rakasarudza yakatengwa yekune dzimwe nyika yekuvhiya maikorosikopu (OPMI VAR10700, Carl Zeiss). Midziyo yose yakaendeswa uye yakashandiswa pamberi paJanuary 2015. Munguva yekuongorora, zvigadzirwa muboka rekuedza uye boka rekutonga zvakashandiswa zvakasiyana, sezvinoratidzwa mumufananidzo 1.
1.2 nzvimbo yekutsvagisa
Sarudza chimwe cheKirasi III Kirasi A chipatara (Sichuan Provincial People's Hospital, Sichuan Academy of Medical Sayenzi, ≥ 10 microsurgeries pasvondo) muSichuan Province iyo yakaita microsurgery kwemakore akawanda uye zvipatara zveClass II Kirasi A muChina izvo zvakaita microsurgery. kwemakore akawanda (Chechipiri Affiliated Hospital yeChengdu University of Traditional Chinese Medicine uye Cixi Hospital yeTraditional Chinese Medicine, ≥ 5 microsurgeries pavhiki). Iwo tekinoroji zviratidzo zvinotemerwa neSichuan Medical Device Testing Center.
1.3 nzira yekutsvaga
1.3.1 Ongororo yekuwana
Kuchengetedzwa kunoongororwa maererano neGB 9706.1-2007 Medical Electrical Equipment Chikamu 1: General Zvinodiwa Zvekuchengetedza [8], uye main optical performance zviratidzo zveiyo microscope inoshanda inofananidzwa uye inoongororwa maererano nezvinodiwa zveGB 11239.1-2005 [9] .
1.3.2 Kuvimbika kuongorora
Nyora nhamba yematafura ekushanda uye nhamba yekukundikana kwemidziyo kubva panguva yekuendesa michina kusvika munaJuly 2017, uye enzanisa uye ongorora kukundikana kwehuwandu. Mukuwedzera, iyo data yeNational Center yeClinical Adverse Reaction Detection mumakore matatu achangopfuura yakabvunzwa kuti inyore chiitiko chezviitiko zvakashata zvemidziyo muboka rekuedza uye boka rekutonga.
1.3.3 Ongororo yekushanda
Mushandi wemidziyo, kureva kuti, chiremba, anopa zvibodzwa zvemukati pane kureruka kwekushanda kwechigadzirwa, kunyaradzwa kweanoshanda uye kutungamira kwemirairo, uye inopa chibodzwa pakugutsikana kwese. Pamusoro pezvo, huwandu hwekutadza kushanda nekuda kwezvikonzero zvemidziyo hucharekodhwa zvakasiyana.
1.3.4 Ongororo yehupfumi
Enzanisa mutengo wekutenga michina (mutengo wemuchina wekutambira) uye mutengo wekushandisa, rekodha uye enzanisa mutengo wakakwana wekugadzirisa zvigadzirwa pakati peboka rekuyedza neboka rekutonga panguva yekuongorora.
1.3.5 Mushure mekutengesa sevhisi kuongororwa
Ivo vakuru vemidziyo manejimendi emasangano matatu ekurapa vanozopa zvibodzwa zvekuisa, kudzidziswa kwevashandi uye kugadzirisa.
1.4 Quantitative scoring method
Chinhu chega chega chezviri pamusoro peongororo yemukati chichapihwa zvibodzwa zvine huwandu hwe100 mapoinzi. Tsanangudzo inoratidzwa muTable 1. Zvinoenderana neavhareji mamaki emasangano matatu ekurapa, kana musiyano uripo pakati pehuwandu hwezvigadzirwa muboka rekuyedza uye zvigadzirwa muboka rekutonga uri ≤ 5 mapoinzi, zvigadzirwa zvekuongorora zvinoonekwa se ive yakaenzana nezvigadzirwa zvekudzora, uye zvigadzirwa zviri muboka rekuyedza (CORDER surgical microscope) inogona kutsiva zvigadzirwa muboka rekutonga (inotengeswa kunze maikorosikopu yekuvhiya).
2 mhedzisiro
Huwandu hwe2613 mashandiro akaverengerwa muchidzidzo ichi, kusanganisira zana nemakumi matatu nemaviri emidziyo yemumba uye 1311 michina yakatengwa kunze kwenyika. Vanachiremba gumi vakuru vemapfupa uye pamusoro, 13 weurological murume associate mukuru uye pamusoro pavanachiremba, 7 neurosurgical associate vakuru uye pamusoro pavanachiremba, uye vanokwana makumi matatu vanobatana navo vakuru nepamusoro vanachiremba vakapinda muongororo iyi. Nhamba dzezvipatara zvitatu zvinoverengwa, uye zvibodzwa zvakananga zvinoratidzwa muTable 2. Nhamba yehuwandu yehuwandu hweiyo ASOM-4 inoshandisa maikorosikopu yeCORDER brand ndeye 1.8 points pasi peiyo inotengeswa microscope inoshanda. Ona Mufananidzo 2 wekuenzanisa kwakazara kwezvibodzwa pakati pemidziyo iri muboka rekuyedza nemidziyo iri muboka rekutonga.
3 kurukura
Iyo yakazara index mamakisikopu eiyo ASOM-4 yekuvhiya maikorosikopu yeCORDER brand ndeye 1.8 mapoinzi yakaderera pane iyo yakatengwa kunze kwenyika maikorosikopu yekuvhiya yekutonga, uye mutsauko pakati pezvibodzwa zvechigadzirwa chekutonga neASOM-4 ≤ 5 mapoinzi. Naizvozvo, mhedzisiro yeongororo iyi inoratidza kuti ASOM-4 yekuvhiya maikorosikopu yeCORDER brand inogona kutsiva zvigadzirwa zvinotengeswa kunze kwenyika uye inofanirwa kusimudzirwa semidziyo yemumba.
Radhi chati inoratidza zvakajeka musiyano pakati pemidziyo yemumba nemidziyo inotengeswa kunze kwenyika (Mufananidzo 2). Mukutaura kwezviratidzo zvehunyanzvi, kugadzikana uye mushure mekutengesa-kutsigirwa, izvo zviviri zvakaenzana; Panyaya yekushandiswa kwakazara, michina inotengeswa kunze kwenyika yakati pfuurei zvishoma, zvichiratidza kuti midziyo yemumba ichine nzvimbo yekuenderera mberi kuvandudzwa; Panyaya yezviratidziro zvehupfumi, CORDER brand ASOM-4 yemidziyo yemumba ine mabhenefiti ari pachena.
Mukuongorora kwekubvumirwa, zviratidzo zvakakosha zvemakorosikopu ekuvhiya epamba uye kunze kwenyika zvinosangana nezvinodiwa zveGB11239.1-2005 standard. Iwo akakosha ekuchengetedza maratidziro emakina ese ari maviri anosangana nezvinodiwa zveGB 9706.1-2007. Nokudaro, zvose zvinosangana nezvinodiwa zvemitemo yenyika, uye hapana musiyano uri pachena mukuchengeteka; Panyaya yekushanda, zvigadzirwa zvinotengeswa kunze kwenyika zvine zvimwe zvakanakira pamusoro pemidziyo yekurapa yemumba maererano nekuvhenekesa mwenje maitiro, nepo mamwe optical imaging performance haina mutsauko uri pachena; Panyaya yekuvimbika, panguva yekuongorora, kutadza kwemhando yemidziyo yaive isingasviki 20%, uye kukundikana kwakawanda kwakakonzerwa negirobhu inoda kutsiviwa, uye zvishoma zvakakonzerwa nekusagadziriswa kweiyo counterweight. Pakanga pasina kutadza kwakanyanya kana kudzima kwemidziyo.
CORDER brand ASOM-4 yekuvhiya microscope host mutengo ingori inenge 1/10 yeboka rekutonga (inotengeswa kunze kwenyika). Panguva imwecheteyo, nokuti haifaniri kuchengetedza chibatiso, inoda zvishoma zvinoshandiswa uye inonyanya kuenderana nemutemo usina kuberekwa wekuvhiya. Mukuwedzera, rudzi urwu rwekushanda microscope rinoshandisa mwenje we LED wepamba, iyo yakachipawo kupfuura boka rekutonga, uye mari yose yekuchengetedza yakaderera. Naizvozvo, CORDER brand ASOM-4 yekuvhiya maikorosikopu ine hupfumi huri pachena. Mukutaura kwekutsigirwa kwekutengesa, zvigadzirwa muboka rekuedza uye boka rekutonga zvinogutsa zvikuru. Ehe, sezvo chikamu chemusika chemidziyo inotengeswa kunze chiri pamusoro, kukurumidza kwekupindura kwekugadzirisa kunokurumidza. Ndinotenda kuti nekuzivikanwa zvishoma nezvishoma kwemidziyo yemumba, mukaha uri pakati pezviviri uchadzikira zvishoma nezvishoma.
Sechikamu chekutanga chezvigadzirwa zvekuratidzira zvekurapa muSichuan Province, iyo CORDER brand ASOM-4 yekuvhiya maikorosikopu inogadzirwa neChengdu CORDER Optics & Electronics Co. Yakaiswa uye inoshandiswa muzvipatara zvakawanda muChina, uye yakatumirwa kuSoutheast Asia, Middle East, Africa nedzimwe nzvimbo, iyo inofarirwa nevashandisi. CORDER brand ASOM-4 yekuvhiya maikorosikopu ine yakakwirira-resolution, yakakwirira-tsanangudzo optical system, yakasimba stereoscopic pfungwa, yakakura kudzika kwemunda, inotonhora mwenje sosi dual optical fiber coaxial lighting, yakanaka munda kupenya, tsoka control automatic micro-focus, magetsi anoenderera mberi. zoom, uye ine zvinoonekwa, terevhizheni uye vhidhiyo mafoto mabasa, akawanda-function rack, akazara mabasa, anonyanya kukodzera microsurgery nekudzidzisa. kuratidzira.
Mukupedzisa, iyo CORDER brand ASOM-4 yekuvhiya maikorosikopu inoshandiswa muchidzidzo ichi inogona kusangana neakakodzera indasitiri zviyero, kusangana nezvinodiwa zvekiriniki, kushanda uye kuwanikwa, uye ine mari yakawanda kupfuura yekudzora michina. Icho chishandiso chemumba chepamusoro chekurapa chakakodzera kurumbidzwa.
[reference]
[1] Gu Liqiang, Zhu Qingtang, Wang Huaqiao. Maonero ehunyanzvi eiyo symposium pamaitiro matsva evascular anastomosis mu microsurgery [J]. Chinese Journal of Microsurgery, 2014,37 (2): 105.
[2] Zhang Changqing. Nhoroondo uye tarisiro yekuvandudzwa kweShanghai orthopedics [J]. Shanghai Medical Journal, 2017, (6): 333-336.
[3] Zhu Jun, Wang Zhong, Jin Yufei, nevamwe. Maikorosikopu-inobatsirwa posterior kugadzirisa uye kusanganiswa kweatlantiaxial joint ine screws netsvimbo - kukiriniki kushandiswa kweakagadziridzwa Goel operation [J]. Chinese Journal yeAnatomy uye Clinical Sayenzi, 2018,23 (3): 184-189.
[4] Li Fubao. Zvakanakira zve micro-invasive tekinoroji mukuvhiya kwakabatana nemuzongoza [J]. Chinese Journal of Microsurgery, 2007,30 (6): 401.
[5] Tian Wei, Han Xiao, He Da, et al. Kuenzaniswa kwekliniki mhedzisiro yekuvhiya maikorosikopu uye girazi rinokudza rakabatsira lumbar discectomy [J]. Chinese Journal of Orthopedics, 2011,31 (10): 1132-1137.
[6] Zheng Zheng. Clinical application effect yemazino ekuvhiya maikorosikopu pane refractory mudzi canal kurapwa [J]. Chinese Medical Guide, 2018 (3): 101-102.
Nguva yekutumira: Jan-30-2023
