Njengoko iNtlanganiso yoNyaka yama-32 ye-Urology Association (CUA) iza kubanjelwa eDalian, ndiza kuqala kwakhona, ndiphinda ndijonge ulwazi lwam lwangaphambili lwe-urological endoscopy. Kuyo yonke iminyaka yam ye-endoscopy, andikaze ndibone nalinye isebe elinikezela ngeentlobo ngeentlobo zee-endoscope, kubandakanya i-optical, i-elektroniki, kunye neenkcukacha ezahlukeneyo. Ngaphezu koko, ii-endoscope ze-urological zitshintsha ngokukhawuleza, kwaye kwilizwe, zinikwa amagama aqinileyo anjenge-"cannonscope" kunye ne-"aircraft carrier scope." Amava am okuqala ngazo ayemangalisa. Ngaphambili ndiqokelele uluhlu lweembonakalo kunye neempawu zee-endoscopes eziguquguqukayo neziqinileyo, ezisebenza njengamava okufunda axabisekileyo kumsebenzi wam.
Kutshanje, bendifunda i-urological endoscopy ngengqondo engenanto. Ndiza kuyirekhoda ngokwendawo esikuyo isifo. Ngaphambi kokuba ndifunde, ndiza kuqala ndiqonde idatha esisiseko.
Idatha kunye nenani lotyando olufunekayo kwiimeko ezithile zomchamo
I-Urology ngoku yahlulwe yaba yimiqolo ephezulu yomchamo (izintso kunye nee-ureters), imiqolo esezantsi yomchamo (isinyi kunye ne-prostate), kunye ne-andrology. Ngaphezu koko, ngokwanda kwabantu, kulindeleke ukuba ukwanda kwezifo ze-urological kunyuke. Umthombo wedatha: Uphononongo olupapashwe kwiScientific Reports yi-Urology Team ye-First Affiliated Hospital yaseSoochow University lwenze uhlalutyo lokuqala olupheleleyo lomthwalo wehlabathi we-BPH (benign prostatic hyperplasia) ukususela ngo-1990 ukuya ku-2021 ngokusekelwe kwisiseko sedatha se-GBD 2021. Uhlalutyo lokubola luqinisekisile ukuba i-61% yokwanda kweemeko kwihlabathi liphela kwakubangelwa kukwaluphala kwabantu, i-29% kukukhula kwabantu, kunye ne-10% kutshintsho lwe-epidemiological.
Ukusukela ekupheleni kuka-2024, inani labantu baseTshayina abaneminyaka engama-60 nangaphezulu lifikelele kwizigidi ezingama-310.31 (malunga nezigidi ezingama-310), nto leyo ethetha ukuba yi-22.0% yenani labantu lilonke; phakathi kwabo, inani labantu abaneminyaka engama-65 nangaphezulu liyi-220.23 yezigidi (malunga nezigidi ezingama-220), nto leyo ethetha ukuba yi-15.6% yenani labantu lilonke.
Umhlaza weprostate (CA): Ubekwe kwindawo yokuqala phakathi komhlaza womchamo, ngesantya sokuxhaphaka kwe-13.42 kubantu abayi-100,000. Ngokusekelwe kwisixeko esinabemi abazizigidi ezi-5, kukho amatyala amatsha angama-671 ngonyaka. Ngokophononongo luka-2025 "Iindlela ze-Prostate Cancer Epidemiological Trends, Genomic Characteristics, and Future Directions for Optimized Management in China," malunga nama-54% ezigulana kwilizwe lam zine-metastases ezikude ekuxilongweni kokuqala. Ke ngoko, inani lezigulana ezineempawu zotyando limalunga nama-671 * 0.46 = 308.
Umhlaza wesinyi: Izinga lokwanda kwesi sifo yi-9.29 kubantu abayi-100,000, kunye nezinga lonyaka lamatyala amatsha amalunga nama-465 kwisixeko esinabantu abazizigidi ezi-5. Ngokusekelwe kwidatha ekwi-intanethi, xa kuthathwa izinga le-75% le-NMIBC (Tis, Ta, T1), inani lonyaka lamatyala amatsha aneempawu zotyando yi-348. Umhlaza wezintso we-Laparoscopic: Izinga lokwanda kwesi sifo yi-7.37 kubantu abayi-100,000, kunye nezinga lonyaka lamatyala amatsha amalunga nama-368 kwisixeko esinabantu abazizigidi ezi-5. Ngokusekelwe kwiimpawu zesifo ze-"Ten-Year Study on Correlation between Surgical Trends and Clinicopathological Characteristics of Renal Cell Carcinoma" epapashwe yiPeking University First Hospital, inqanaba le-pT1 libalelwa kwi-79.6%, nto leyo ekhokelela kwisibonakaliso sotyando esiqikelelweyo malunga ne-293. I-Laparoscopic benign prostatic hyperplasia (BPH): Ngokusekelwe kwidatha engentla, ngo-2024, kuya kubakho abantu abazizigidi ezingama-310.31 kwilizwe lam abaneminyaka engama-60 nangaphezulu, abamalunga ne-22.03% yabemi, apho malunga ne-48.73% ngamadoda (yizani madoda, aniphili ixesha elide njengabafazi). Ukuxhaphaka kwe-BPH kwabo baneminyaka engama-60 nangaphezulu yi-50%, apho i-10% yabo ifuna utyando. Inani labantu abafuna unyango lwe-BPH kwisixeko esinabantu abazizigidi ezi-5 yi: izigidi ezi-5 * 22.03% * 48.73% * 50% * 10% ≈ abantu abangama-26,838, nto leyo ethetha ukuba baninzi kakhulu.
Amatye omchamo: Akukho datha isemthethweni ekhoyo. Ngokusekelwe kwizinga lokwenzeka kwesifo se-5%, ama-25% afuna unyango lotyando. Kwisixeko esinabemi abazizigidi ezi-5, ukwenzeka kwesifo kunye nonyango ngonyaka kumalunga nama-62,500, nto leyo egqithisileyo. Ewe, lo ngumda ophezulu. I-extracorporeal lithotripsy, i-ureteroscopic laser lithotripsy, kunye ne-percutaneous nephrolithotomy ene-pneumatic (laser) lithotripsy ziyasetyenziswa.
Ukusuka phezulu ukuya ezantsi ngendawo ye-anatomical
I-Percutaneous nephrolithotomy
I-Percutaneous nephrolithotomy (PCNL) yinkqubo engangenisi kakhulu edala umjelo odlula eluswini ukunyanga amatye ezintso okanye izilonda. Isetyenziswa kakhulu ukunyanga amatye ezintso amakhulu (>2 cm) okanye antsonkothileyo. Iingenelo zayo eziphambili zikwimeko encinci yokwenzakala, ukuchacha ngokukhawuleza, kunye namazinga aphezulu okususa amatye. IiNephroscopes ziya zisiba ncinci ngobubanzi, kunye nemijelo eqhelekileyo (24-30 Fr), imijelo emincinci (16-22 Fr), kunye nemijelo emincinci kakhulu (<16 Fr). Izixhobo ze-lithotripsy ezimile okwenaliti ezinobubanzi obumalunga ne-1.4 mm ngoku nazo ziyafumaneka. I-Percutaneous nephrolithotomy sisixhobo esiqhelekileyo kumaziko e-urological lithotripsy.
I-percutaneous nephroscope inombono we-12°, i-elliptical sheath, ububanzi bangaphandle be-8.5 Fr/12 Fr, ubude bokusebenza obusebenzayo obumalunga ne-250 mm, kunye nomjelo wokusebenza omalunga ne-6 Fr.
Thina, Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., singumvelisi eTshayina ogxile kwizinto ezisetyenziswayo ze-endoscopic, kuquka umgca we-GI ofana ne-biopsy forceps, i-hemoclip, i-polyp snare, inaliti ye-sclerotherapy, i-spray catheter, iibhrashi ze-cytology, i-guidewire, i-stone retrieval basket, i-nasal biliary drainage catheter njl. ezisetyenziswa kakhulu kwi-EMR, ESD, ERCP. Kunye ne-Urology Line, ezifanaisingxobo sokufikelela kwi-ureteral esinokufunxakwayeisingxobo sokufikelela kwi-ureteral,Ingobozi yokuBuyisa amatye omchamo elahlwayokunyeisikhokelo se-urologynjl. njl.
Iimveliso zethu ziqinisekisiwe yi-CE, kwaye izityalo zethu ziqinisekisiwe yi-ISO. Iimpahla zethu zithunyelwe eYurophu, eMntla Melika, eMbindi Mpuma nakwinxalenye yeAsia, kwaye zifumana umthengi udumo nodumo!
Ixesha leposi: Sep-22-2025