Tsim Kom Muaj Kev Ruaj Ntseg Ciam Teb: Cov Txheej Txheem Ua Haujlwm Zoo Ntawm Kev Tswj Xyuas Kev Nyab Xeeb hauv PTC Cov Txheej Txheem Ua Haujlwm

Tsim kom muaj kev ruaj ntseg ciam teb: Ib qho kev qhia dav dav ntawm kev tswj hwm kev pheej hmoo hauv PTC cov txheej txheem kev ua haujlwm koob
Cov ntaub ntawv qhia txog kev nyab xeeb zoo heev nrog "tsis muaj kev cuam tshuam" thiab "tsis muaj teeb meem". Lub hauv paus ntawm qhov kev ua tiav no yog nyob rau hauv ntau- theem kev tswj hwm kev pheej hmoo siab nyob rau hauv kev siv tus qauv PTC koob.
Thawj theem: Kev tshuaj xyuas tus neeg mob thiab qhov taw qhia - Kev teeb tsa "qhov pib nkag" rau PTC koob
Ua ntej siv rab koob PTC, kev tshuaj xyuas nruj tau txwv tsis pub cov neeg mob txaus ntshai -. Cov txheej txheem cais tawm hauv cov ntaub ntawv, xws li coagulation disorders, kev sib txuas lus ntawm cov hlwv thiab lub raum pelvis, mob plawv thiab ntsws mob, thiab lwm yam, yog qhov tseem ceeb ntsuas los tiv thaiv cov kev pheej hmoo tshwj xeeb uas yuav raug ntxias los ntawm PTC koob txhaj tshuaj: los ntshav, ureteral raug mob los ntawm sclerosing tus neeg saib xyuas, intraoperative xwm txheej, thiab lwm yam.
Qib thib ob: "Safe Corridor" npaj los ntawm cov duab - tsim daim ntawv qhia kev taw qhia rau PTC koob
"Xaiv txoj kev pom kev nyab xeeb zoo, zam lub cev thiab cov hlab ntsha tseem ceeb." Cov kauj ruam no suav nrog kev npaj "txoj kev tsis muaj menyuam" lossis "txoj kev nyab xeeb" ntawm daim tawv nqaij mus rau qhov chaw ntawm lub cyst rau PTC koob ntawm daim duab ultrasound. Txoj kev virtual no yuav tsum ua kom tau raws li qhov yuav tsum tau ua hauv qab no: qhov luv tshaj plaws thiab zam txhua yam tseem ceeb (lub siab, tus po, cov hlab ntsha loj, cov hnyuv). Qhov no yog thawj thiab tseem ceeb tshaj plaws kev tiv thaiv kab mob los tiv thaiv PTC koob los ntawm kev puas tsuaj rau theem nrab.
Qhov thib peb theem: Dynamic puncture thiab saib xyuas nyob rau hauv tiag tiag - lub sij hawm visualization - "GPS navigation" ntawm PTC koob
Qhov kev xuas nrig ntaus tsis yog qhov muag tsis pom "ib- lub sijhawm nkag" tab sis cov txheej txheem kho kom zoo raws li - lub sij hawm ultrasound qhia. "Nco ntsoov saib txoj haujlwm ntawm rab koob thiab khaws nws ib txwm nyob hauv nruab nrab ntawm lub cyst." Qhov no xav kom tus neeg teb xov tooj ua haujlwm zoo li kev ua haujlwm ntawm lub joystick, kho lub kaum sab xis thiab qhov tob ntawm PTC koob raws li cov lus tawm tswv yim. Thaum lub cyst tawg thaum lub sij hawm aspiration, txoj hauj lwm ntawm PTC koob tseem yuav tsum tau kho nyob rau txhua lub sij hawm kom tsis txhob lub koob tipiercing lub opposite cyst phab ntsa thiab ua rau lub raum parenchyma. Lub koob PTC ntawm no zoo li qhov kev sojntsuam meej nrog - lub sijhawm qhia lub sijhawm.
Qib plaub: Kev tswj xyuas meej ntawm kev kho tsis tau - "cov tshuaj ntau" ua tiav los ntawm PTC koob
1. Kev tswj ntawm qhov ntau npaum li cas ntawm cov hardener: Cov koob tshuaj ntawm glyoxal txhaj los ntawm PTC koob (1/10 - 1/5 ntawm cov kua ntim, thiab tsawg dua los yog sib npaug li 30 mL) yog nyob rau hauv ib qho kev nyab xeeb raws li kev soj ntsuam kev paub, aiming kom sib npaug cov kev kho mob thiab muaj peev xwm nqus tau cov kab mob.
2. Kev tswj xyuas cov ntsiab lus ntawm kev ua haujlwm: Cov lus ceeb toom "Ceev faj tsis txhob cia huab cua nkag mus rau hauv lub sac kab noj hniav" tsis tsuas yog lub hom phiaj kom tsis txhob muaj kev cuam tshuam rau ultrasound teb thiab kho cov nyhuv, tab sis kuj tiv thaiv qhov tsis tshua muaj tab sis loj heev ntawm huab cua embolism. Qhov no yuav tsum tau tswj xyuas qhov system airtightness thaum ua haujlwm los ntawm PTC koob.
Qib 5: Kev tshem tawm rab koob thiab kev soj ntsuam tom qab ua haujlwm - Kaw cov channel tsim los ntawm PTC koob
Tom qab ua haujlwm, "ntxig lub koob tseem ceeb thiab tom qab ntawd tshem lub koob" yog qhov tseem ceeb ntawm kev nyab xeeb. Ntxig lub koob tseem ceeb tuaj yeem kaw lub koob lub taub, tiv thaiv cov ntaub so ntswg los yog kev sib kis ntawm tes ntawm rab koob channel thaum tshem lub koob. Tom qab ntawd, lub siab bandaging yog siv los txhawb kev kaw ntawm rab koob channel. Tom qab- kev ua haujlwm saib xyuas cov cim tseem ceeb thiab cov xwm txheej hauv cheeb tsam yog qhov kawg kev saib xyuas kev nyab xeeb network.
Cov ntsiab lus: Kev nyab xeeb siab ntawm lub raum cyst sclerotherapy tsis yog los ntawm "kev nyab xeeb tiag tiag" ntawm PTC koob nws tus kheej, tab sis los ntawm cov txheej txheem tswj hwm kev pheej hmoo uas suav nrog kev tshuaj xyuas nruj, kev npaj meej, tiag tiag - sijhawm saib xyuas, kev tswj kom muaj nuj nqis, thiab kev kaw tus qauv, thiab siv PTC platform koob raws li kev ua haujlwm. Raws li kev txwv ntawm qhov "txheej txheem ntawm txoj cai", PTC koob mus txog qhov chaw zoo.