Kaw-kev kho ntau yam tsis yog "universal" thev naus laus zis. Nws txoj kev vam meej feem ntau nyob ntawmxaiv cov kab mob uas tsim nyog, nyob rau hauv qhov chaw tsim nyog, thiab siv cov cuab yeej tsim nyog. Yog li ntawd, txoj kev loj hlob ntawm ze - ntau yam koob tshuaj kho mob tau qhia ib tug heev tshwj xeeb thiab scenario -oriented yam ntxwv. Nyob ntawm ntau hom qog nqaij hlav, qhov chaw anatomical, thiab cov hom phiaj kho mob, ntau hom khoom tau muab los, tsim cov khoom lag luam meej.

Cov koob tshuaj particle implantation rau mob qog noj ntshav prostate yog ib qho piv txwv ntawm cov khoom siv tshwj xeeb. Cov koob no feem ntau yog tuab heev (14G-16G) thiab muaj kev nruj nruj heev kom ua tau raws li qhov yuav tsum tau ua ntawm kev nkag mus rau hauv cov tshuaj prostate capsule thiab qog qog. Lub taub hau yog qhov ntse heev thiab feem ntau muaj ncha- txhim kho lub cim rau kev pom meej meej nyob rau hauv kev ua ultrasound. Lub koob kov muaj cov cim meej (feem ntau ntawm 0.5 cm lossis 1 cm) thiab cov cim taw qhia (xws li lub cim xiav sib haum rau cov kev taw qhia inclined), pab tus kws kho mob kom tswj tau qhov tob tob thiab lub kaum sab xis raws li cov qauv qhia. Txhawm rau txhim kho kev ua haujlwm tau zoo, ua ntej- cov koob tau teeb tsa tau tsim, nrog absorbable gelatin lossis collagen plugs ua ntej- nyob rau hauv qhov kawg ntawm rab koob kab noj hniav kom tiv thaiv cov khoom tsis txhob ntog tawm thaum lub sij hawm puncture, simplifying lub intraoperative loading txheej txheem. Cov khoom sib txuas nrog cov saw hlau thauj khoom (xws li IsoLoader) tuaj yeem npaj tau sai thiab nyab xeeb los npaj cov kab txuas ntev ntev hauv ib puag ncig tsis muaj menyuam, ua tiav cov txheej txheem siab.

Nyob rau hauv lub teb ntawm gynecological oncology, tus tsim ntawm koob tsom mus rau lub ntuj orifices thiab complex pelvic anatomy. Rau cov txheej txheem intracavitary kev kho mob qog noj ntshav ntawm ncauj tsev menyuam, cov khoom siv tseem ceeb xws li uterine kab noj hniav thiab qhov chaw mos oval lub cev yog siv. Txawm li cas los xij, thaum cov qog nkag mus rau qhov chaw nruab nrab ntawm lub tsev menyuam lossis qhov qis ntawm qhov chaw mos, yuav tsum muaj kev cog qoob loo interstitial. Cov koob txhaj tshuaj tsim tau muaj qhov sib dua (xws li 17G-19G) thiab muaj qhov hloov tau zoo dua, ua rau kev sib tsoo los ntawm qhov chaw mos mus txog qhov tob ntawm cov qog. Nyob rau hauv xyoo tas los no, txhawm rau hais txog cov qog nqaij hlav hauv qhov chaw tshwj xeeb anatomical (xws li rov tshwm sim ntawm lub tsev menyuam), tus kheej 3D luam ntawv nkhaus koob qhia thiab txawm tias ncaj qha luam ntawv nkhaus koob tau tshwm sim, ua tiav cov kev kho mob hauv thaj chaw uas cov koob ncaj ncaj tsis tuaj yeem ncav cuag.

Rau kev ceev ib feem ntawm lub mis irradiation rau mob qog noj ntshav mis, ntxiv rau cov koob zoo siv hauv ntau -catheter implantation technology, ib qho -channel balloon catheter kuj yog ib daim ntawv tseem ceeb. Txawm hais tias nws tsis yog "kab koob", nws cov ntsiab lus zoo ib yam li - tus neeg thov kev pabcuam tau muab tso rau hauv cov kab noj hniav los ntawm kev sib tsoo, thiab tom qab ntawd brachytherapy tau ua. Qhov kev tsim no yooj yim heev rau kev ua haujlwm thiab tsim nyog rau cov neeg mob uas muaj kab noj hniav tsis tu ncua.

Hauv kev kho mob cancer ntawm daim tawv nqaij los yog cov qog nqaij hlav sab nrauv, siv cov tshuaj pleev plhu los yog cov koob txhaj tshuaj. Cov koob luv luv thiab kev ua haujlwm ze dua rau qhov kev phais, txhawm rau muab siab - koob tshuaj irradiation rau qhov txhab tawv nqaij.

Los ntawm qhov kev xav ntawm daim ntawv thov scenarios, cov khoom kuj txawv nyob ntawm ib puag ncig. Hauv chav xov tooj cua ntawm lub tsev kho mob loj, cov cuab yeej ua tiav thiab tuaj yeem ua txhua yam kev kho mob hauv zos. Yog li ntawd, yuav tsum muaj ntau yam thiab ntau yam tshwj xeeb ntawm cov koob, thiab cov cuab yeej siv siab heev xws li neeg hlau -cov cuab yeej pabcuam kuj tseem yuav nruab. Txawm li cas los xij, nyob rau hauv cov chaw kho mob sab nraud lossis cov chaw kho mob ib hnub, cov kev kho mob zoo li yuav ua tau zoo dua hauv cov txheej txheem thiab lub sijhawm luv dua (xws li kev cog cov noob prostate, ib feem ntawm lub mis irradiation). Yog li, muaj kev thov ntau dua rau kev ua haujlwm yooj yim thiab cov khoom siv sib xyaw ua ke. Qhov kev xav tau qhov xwm txheej no tau tsav txoj kev loj hlob ntawm cov khoom mus rau qhovkev koom ua ke, npaj tau-rau- sivkev taw qhia.

Tsis tas li ntawd, cov tsev qhia ntawv thiab kev tshawb fawb yog qhov chaw sim rau kev txiav - thev naus laus zis thiab cov kev daws teeb meem ntawm tus kheej. Lawv feem ntau yog thawj tus tuaj rau hauv kev sib cuag nrog thiab siv cov khoom tshiab xws li 3D- luam tawm cov neeg thov kev cai thiab cov khoom siv tshiab- cov koob, yog li khaws cov ntaub ntawv pov thawj kho mob rau lawv txoj kev siv dav dav rau yav tom ntej.

Qhov no high℃ntawm tshwj xeeb qhov chaw tsis tshua muaj neeg xav tau ntawm manufacturers. Cov tuam txhab xws li Manners Technology yuav tsum muaj peev xwm ua tau raws li cov kev xav tau ntawm ntau tus neeg siv khoom (los ntawm Arthrex, BD mus rau cov tsev kho mob thoob plaws cheeb tsam sib txawv). Txawm hais tias nws yog txoj kab uas hla, qhov ntev, lub kaum ntse ntse, ntsuas qhov ntsuas ntawm rab koob, lossis tus qauv tsim ergonomic ntawm tus kov, tag nrho cov no yuav tsum tau hloov kho raws li kev kho mob tshwj xeeb lossis kev ua haujlwm ntawm cov kws kho mob. Qhov no xav kom cov tuam txhab tsim khoom tsis yog tsuas yog muaj peev xwm ua tiav tab sis kuj tseem muaj qhov sib sib zog nqus ntawm kev paub txog kev kho mob, muaj peev xwm nkag siab txog cov hauv paus ntsiab lus thiab cov kev xav tau tom qab sib txawv tshwj xeeb, thiab yog li hloov kho cov teeb meem paub daws teeb meem rau hauv kev tsim engineering daws teeb meem. Thaum kawg, txhua qhov tshwj xeeb ze- rab koob kho mob yog ib qho cuab yeej tshwj xeeb tsim los rau ib qho kev sib ntaus sib tua. Nws lub hom phiaj yog los pab cov kws kho mob yeej txhua qhov kev sib ntaus sib tua hauv kev sib ntaus sib tua hauv microscopic tawm tsam mob qog noj ntshav.