Lub ntsws puncture koob, uas yog ib qho cuab yeej tseem ceeb hauv kev cuam tshuam ntawm kev ua pa thiab kev kuaj mob qog, tau pom nws txoj kev lag luam loj hlob ze ze rau qhov tshwm sim ntawm kev mob qog noj ntshav, qhov nrov ntawm lub tswv yim ntawm kev kuaj mob ntxov thiab kev kho mob, thiab kev txhim kho ntawm kev kho mob technologies. Cov kev lag luam tshwj xeeb no yog tus cwj pwm los ntawm kev tsav tsheb los ntawm kev tsim kho thev naus laus zis, ua kom nrawm hloov pauv hauv tsev, thiab kev sib koom ua ke nrog cov duab / navigation systems.

Nce toj

Kev tsim kho tshiab hauv cov ntaub ntawv thiab kev tsim qauv yog qhov tseem ceeb ntawm kev thaiv. Kev tsim cov koob txhaj tshuaj suav nrog kev ua tiav, cov ntaub ntawv tshwj xeeb kev tshawb fawb, thiab bio- txheej tshuab. Cov khoom siv ntawm rab koob (xws li superelastic npib tsib xee-titanium alloy, stainless hlau) txiav txim siab nws qhov yooj yim thiab lub zog; cov duab geometric ntawm lub taub hau (xws li daim duab peb sab, txoj kab nqes, los yog blunt) cuam tshuam rau kev sib tsoo thiab kev puas tsuaj ntawm cov ntaub so ntswg; qhov smoothness ntawm sab hauv phab ntsa ntawm rab koob kab noj hniav ncaj qha cuam tshuam rau cov qauv kev ua haujlwm. Tsis tas li ntawd, txheej txheej hydrophilic ntawm qhov chaw tuaj yeem txo qhov kev sib txhuam, thiab cov txheej txheem hemostatic tuaj yeem txo qhov kev pheej hmoo los ntshav. Cov no yog cov lus qhia muaj txiaj ntsig ntawm siab -kawg rab koob. Cov khoom siv science thiab precision ua muaj peev xwm nyob rau hauv lub upstream ua tus thawj technological moat ntawm kev lag luam.

Nruab nrab

Kev nthuav dav ntawm cov khoom lag luam los ntawm "cov cuab yeej siv dav dav" mus rau "kev sib koom ua ke." Kev ua lag luam tau dhau mus dhau qhov yooj yim biopsy koob thiab tau tsim cov khoom lag luam nplua nuj:

• Los ntawm kev ua haujlwm:Nws suav nrog cov koob txhaj tshuaj ntawm tes, cov koob txiav cov ntaub so ntswg, cov pob txha- tho rab koob (siv rau cov tawv nqaij tawv lossis calcified lesions), thiab cov koob tshuaj kho mob uas sib xyaw biopsy thiab ablation.
• Los ntawm txoj kev qhia:Muaj cov dav dav - lub hom phiaj puncture koob rau CT kev taw qhia, nrog rau ultra-thin navigation puncture koob tshwj xeeb tsim los rau electromagnetic navigation bronchoscopy (ENB) thiab muaj peev xwm ua haujlwm los ntawm bronchoscope txoj haujlwm ua haujlwm.
• Los ntawm technology:Lub coaxial cannula koob system tau dhau los ua qhov tseem ceeb. Nws "ib lub hnab nrog ntau rab koob" tsim lub tswv yim tau txhim kho kev phais kev ua haujlwm thiab cov qauv kev nyab xeeb.
• Kev sib tw ntawm cov tuam txhab nruab nrab tau hloov pauv los ntawm kev ua tau zoo ntawm cov khoom lag luam ib leeg mus rau kev muaj peev xwm los muab cov kev daws teeb meem rau kev siv tshuaj kho mob, suav nrog cov cim qhia chaw, cov ntaub so ntswg cov qauv kev daws teeb meem, thiab kev cob qhia ua haujlwm.

Hauv qab

Kev thov kho mob- tau tsav thiab hloov pauv tus qauv ua lag luam. Cov nram qab no suav nrog ntau lub tsev kho mob, tshwj xeeb tshaj yog cov tsev kho mob qib siab 'cov chaw ua haujlwm ntawm kev ua pa thiab kev kho mob tseem ceeb, phais thoracic, thiab kev cuam tshuam cov duab. Lawv cov kev xav tau ncaj qha los ntawm kev kho mob tiam sis:

• Popularization ntawm kev kuaj mob ntsws cancer thaum ntxov:Tus naj npawb ntawm lub ntsws nodules kuaj pom los ntawm qis - koob tshuaj kauv CT tau nce ntau, ua rau qhov kev thov rau kev kuaj mob tsawg kawg nkaus (kev kuaj ntshav).
• Kev xav tau ceev ceev rau precision tshuaj:Kev sim tshuaj molecular pathological yuav tsum muaj ntau dua - cov qauv ntaub so ntswg zoo, uas tau txhawb nqa kev muag khoom loj - qhov loj me, siab - ntes - tus nqi biopsy koob.
• Kev loj hlob ntawm kev phais hnub:Tus neeg mob sab nraud thiab cov txheej txheem biopsy ceev yuav tsum tau siv cov cuab yeej muaj kev nyab xeeb thiab kev ua haujlwm yooj yim dua, uas tau tsav kev lag luam rau cov khoom siv pov tseg, muaj kev ntseeg tau zoo heev.

Hauv kev lag luam toj roob hauv pes tam sim no, cov tuam txhab loj thoob ntiaj teb xws li Medtronic, Bard, thiab Boston Scientific tau tuav lub siab ntev -kev ua lag luam kawg vim lawv txoj hauj lwm ua lag luam thiab cov khoom siv thev naus laus zis. Txawm li cas los xij, nyob rau xyoo tas los no, cov lag luam hauv tsev xws li Minerva, Nanmei, thiab Xinguangwei, los ntawm kev tshawb fawb thiab kev tsim kho tas mus li, tau ntes tau sai ntawm cov khoom zoo, kev tsim kho tshiab (xws li cov koob siv hluav taws xob siv hluav taws xob pov tseg), thiab tus nqi -kev ua tau zoo. Cov txheej txheem ntawm kev hloov pauv hauv tsev tau nrawm nrawm heev. Nyob rau tib lub sijhawm, "khoom muag" lossis "kev sib koom tes tshawb fawb thiab kev txhim kho" ntawm cov koob txhaj tshuaj nrog cov khoom siv duab xws li CT, ultrasound, thiab electromagnetic navigation tau dhau los ua ze, tsim "cov khoom siv + khoom siv + kev pabcuam" kev sib tw ecological.

Nyob rau hauv lub neej yav tom ntej, nrog rau daim ntawv thov kev phais neeg hlau tshuab nyob rau hauv lub teb ntawm puncture, kev ua lag luam rau cov ntse puncture koob (muaj peev xwm ntawm sensing quab yuam thiab muab tswv yim rau kev tiv thaiv) yuav qhib ib tug tshiab txoj kev loj hlob nkhaus. Txoj haujlwm no yuav txuas ntxiv mus pom kev sib tsoo sib sib zog nqus thiab kev koom ua ke ntawm kev siv thev naus laus zis, kev siv tshuaj kho mob, thiab kev lag luam.