NgeNtlanganiso yoNyaka yama-32 ye-Urology Association (CUA) malunga nokubanjelwa eDalian, ndiqala kwakhona, ndiphinde ndijonge ulwazi lwam lwangaphambili lwe-endoscopy ye-urological. Kuyo yonke iminyaka yam ye-endoscopy, andizange ndibone isebe elinye libonelela ngeendlela ezahlukeneyo ze-endoscopes, kubandakanya i-optical, i-elektroniki, kunye neenkcukacha ezahlukeneyo. Ngaphaya koko, ii-endoscopes ze-urological zivela ngokukhawuleza, kwaye ekhaya, zinikwa amagama anesibindi njenge "cannonscope" kunye "nobungakanani bokuthwala inqwelomoya." Amava am okuqala kunye nabo ayemangalisa. Ngaphambili ndiqulunqe uluhlu lwembonakalo kunye neempawu zee-endoscopes eziguquguqukayo neziqinileyo, ezisebenza njengamava okufunda axabisekileyo kumsebenzi wam.
Kutshanje, bendifunda i-endoscopy ye-urological ngengqondo esekwe kwi-zero. ndiya kuyibhala ngokwendawo yesi sifo. Ngaphambi kokuba ndifunde, ndiya kuqala ukuqonda ezinye iinkcukacha ezisisiseko.
Idatha kunye nenani lotyando olufunekayo kwiimeko ezithile ze-urological
I-Urology ngoku yahlulwe kwi-urinary tract ephezulu (izintso kunye ne-ureters), i-urinary tract ephantsi (isinyi kunye ne-prostate), kunye ne-andrology. Ngapha koko, ngabantu abalupheleyo, iziganeko zezifo ze-urological kulindeleke ukuba zenyuke. Umthombo wedatha: Uphononongo olupapashwe kwiiNgxelo zeNzululwazi yiQela le-Urology yeSibhedlele esiBambiseneyo sokuQala seYunivesithi yaseSoochow lenze uhlalutyo lokuqala olubanzi lomthwalo wehlabathi jikelele we-BPH (benign prostatic hyperplasia) ukusuka kwi-1990 ukuya kwi-2021 ngokusekelwe kwi-database ye-GBD ye-2021. Uhlalutyo lokubola luqinisekise ukuba i-61% yokwanda kwemeko yehlabathi kungenxa yokuguga kwabantu, i-29% kukukhula kwabemi, kunye ne-10% kwiinguqu ze-epidemiological.
Ukuza kuthi ga ekupheleni kuka-2024, abemi baseTshayina abaneminyaka engama-60 nangaphezulu bafikelele kwi-310.31 yezigidi (malunga ne-310 yezigidi), i-22.0% yabemi bebonke; phakathi kwabo, abantu abaneminyaka eyi-65 nangaphezulu yi-220.23 yezigidi (malunga ne-220 yezigidi), i-akhawunti ye-15,6% yabantu bebonke.
Umhlaza weProstate (CA): Ubekwe kwindawo yokuqala phakathi komhlaza we-urinary tract, kunye nesantya sesiganeko se-13.42 kubantu abayi-100,000. Ngokusekwe kwisixeko esinabemi abazizigidi ezi-5, kukho amatyala amatsha angama-671 ngonyaka. Ngokophononongo lwango-2025 "IiNdlela ze-Prostate Cancer Epidemiological, iimpawu zeGenomic, kunye neMikhombandlela yekamva loLawulo oluLungileyo e-China," malunga ne-54% yezigulana kwilizwe lam zineemetastases ezikude ekuxilongeni kokuqala. Ngoko ke, inani lezigulane ezinezibonakaliso zotyando zimalunga ne-671 * 0.46 = 308.
Umhlaza wesinyi: Izinga lezehlo yi-9.29 kubantu abayi-100,000, kunye nenqanaba letyala elitsha lonyaka malunga ne-465 kwisixeko esinabemi abazizigidi ezi-5. Ngokusekelwe kwidatha ye-intanethi, ngokuthatha i-75% ye-NMIBC (Tis, Ta, T1) inani, inani lonyaka lamatyala amatsha anezibonakaliso zokuhlinzwa ngu-348. Umhlaza we-Laparoscopic we-renal: Umlinganiselo wesiganeko ngu-7.37 kubantu be-100,000, kunye nenqanaba letyala elitsha lonyaka malunga ne-368 kwisixeko esinabemi be-5 yezigidi. Ngokusekelwe kwiimpawu ze-pathological ze "Ufundo Lweminyaka Elishumi malunga nokuNxibelelaniswa phakathi kweTrendi zoTyando kunye neClinicopathological Characteristics of Renal Cell Carcinoma" epapashwe yiPeking University First Hospital, i-pT1 isigaba se-akhawunti ye-79.6%, okubangelwa kuqikelelo lokubonisa utyando malunga ne-293. I-Laparoscopic ye-benign data ye-prostatic hyperplasia ngasentla, nge-2B2, i-0 (i-0) I-310.31 yezigidi zabantu kwilizwe lam abaneminyaka engama-60 nangaphezulu, ababalelwa kwi-22.03% yabemi, apho malunga ne-48.73% ingamadoda (yiza, madoda, anihlali ixesha elide njengabasetyhini). Iziganeko ze-BPH kulabo abaneminyaka eyi-60 nangaphezulu yi-50%, apho i-10% idinga ukuhlinzwa. Inani labantu abafuna unyango lwe-BPH kwisixeko esinabemi abazizigidi ezi-5: 5 yezigidi * 22.03% * 48.73% * 50% * 10% ≈ 26,838 abantu, nto leyo kakhulu kakhulu.
Amatye e-Urinary: Akukho datha esemthethweni ekhoyo. Ngokusekelwe kwi-5% yezehlo zezinga, i-25% ifuna unyango lotyando. Kwisixeko esinabemi abazizigidi ezi-5, iziganeko zonyaka kunye nonyango zimalunga ne-62,500, ininzi kakhulu. Ngokuqinisekileyo, lo ngumda ophezulu. I-extracorporeal lithotripsy, ureteroscopic laser lithotripsy, kunye ne-percutaneous nephrolithotomy ene-pneumatic (laser) lithotripsy isetyenziswa.
Ukusuka phezulu ukuya ezantsi ngendawo ye-anatomical
I-Percutaneous nephrolithotomy
I-Percutaneous nephrolithotomy (PCNL) yinkqubo encinci ephazamisayo eyenza umjelo ngesikhumba ukunyanga amatye ezintso okanye izilonda. Ngokuyintloko isetyenziselwa ukuphatha amatye amakhulu (>2 cm) okanye anzima kwizintso. Iinzuzo zayo eziphambili zilele kumonzakalo omncinci, ukuchacha ngokukhawuleza, kunye namazinga aphezulu okususwa kwamatye. I-Nephroscopes iya isiba yincinci ngobukhulu, kunye neendlela eziqhelekileyo (24-30 Fr), i-microchannels (16-22 Fr), kunye ne-ultrafine channels (<16 Fr). Izixhobo ze-lithotripsy ezimile njengenaliti ezinobubanzi obujikeleze i-1.4 mm ziyafumaneka ngoku. I-Percutaneous nephrolithotomy sisixhobo esisemgangathweni kumaziko e-urological lithotripsy.
I-percutaneous nephrroscope inombono we-12 °, i-sheath elliptical, i-diameter yangaphandle ye-8.5 Fr / 12 Fr, ubude bokusebenza obusebenzayo malunga ne-250 mm, kunye nomjelo osebenzayo malunga ne-6 Fr.
Thina, i-Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ngumenzi e-China okhethekileyo kwizinto ezityiwayo ze-endoscopic, zibandakanya umgca we-GI onje nge-biopsy forceps, i-hemoclip, i-polyp snare, inaliti ye-sclerotherapy, i-catheter yokutshiza, iibhrashi ze-cytology, i-guire, i-drainsalter yamatye esetyenzisiweyo kwibhaskithi ebanzi esetyenziselwa i-drainsal. EMR, ESD, ERCP. Kwaye Urology Line, ezifanaUkungena kwi-ureral sheath ngokufunxakwayeUkungena kwi-ureral sheath,elahlwayo Urinary Stone Retrieval Basket, kwayeI-urology guidewirenjl.
Iimveliso zethu ziqinisekisiwe nge-CE, kwaye izityalo zethu ziqinisekisiwe nge-ISO. Impahla yethu ithunyelwe eYurophu, kuMntla Melika, kuMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana ngokubanzi umthengi wokuqatshelwa kunye nendumiso!
Ixesha lokuposa: Sep-22-2025