Me ka Hālāwai Makahiki 32 o ka Urology Association (CUA) e kokoke ana e mālama ʻia ma Dalian, ke hoʻomaka hou nei au, e nānā hou ana i koʻu ʻike mua o ka urological endoscopy. I loko o koʻu mau makahiki a pau o ka endoscopy, ʻaʻole au i ʻike i hoʻokahi keʻena e hāʻawi ana i nā ʻano endoscope like ʻole, me ka optical, electronic, a me nā kikoʻī like ʻole. Eia kekahi, ke ulu wikiwiki nei nā endoscopes urological, a ma ka home, ua hāʻawi ʻia lākou i nā inoa wiwo ʻole e like me "cannonscope" a me "aircraft carrier scope." He mea kupaianaha koʻu ʻike mua me lākou. Ua hōʻuluʻulu mua au i kahi papa inoa o nā hiʻohiʻona a me nā lama o nā endoscopes flexible a paʻa, kahi e lawelawe ai ma ke ʻano he ʻike aʻo waiwai nui no kaʻu hana.
I kēia mau lā iho nei, ua aʻo au i ka urological endoscopy me ka noʻonoʻo zero-based. E hoʻopaʻa wau iā ia e like me kahi o ka maʻi. Ma mua o ke aʻo ʻana, e hoʻomaopopo mua wau i kekahi mau ʻikepili kumu.
ʻIkepili a me ka helu o nā ʻoki kino e pono ai no kekahi mau kūlana urological
Ua māhele ʻia ʻo Urology i kēia manawa i ke ala mimi o luna (nā puʻupaʻa a me nā ureters), ke ala mimi o lalo (ʻōpū a me ka prostate), a me ka andrology. Eia kekahi, me ka heluna kanaka e ʻelemakule ana, manaʻo ʻia e piʻi aʻe ka nui o nā maʻi urological. Punaewele ʻikepili: Ua hana ʻia kahi noiʻi i paʻi ʻia ma Scientific Reports e ka Urology Team o ka First Affiliated Hospital o ke Kulanui ʻo Soochow i ka loiloi piha mua o ke kaumaha honua o BPH (benign prostatic hyperplasia) mai 1990 a 2021 e pili ana i ka waihona ʻikepili GBD 2021. Ua hōʻoia kahi loiloi decomposition he 61% o ka piʻi ʻana o nā hihia honua ma muli o ka ʻelemakule o ka heluna kanaka, 29% i ka ulu ʻana o ka heluna kanaka, a me 10% i nā loli epidemiological.
I ka hopena o 2024, ua hōʻea ka heluna kanaka o Kina i piha i nā makahiki 60 a ʻoi aku i 310.31 miliona (ma kahi o 310 miliona), e helu ana i 22.0% o ka heluna kanaka holoʻokoʻa; ma waena o lākou, ʻo ka heluna kanaka i piha i nā makahiki 65 a ʻoi aku he 220.23 miliona (ma kahi o 220 miliona), e helu ana i 15.6% o ka heluna kanaka holoʻokoʻa.
ʻO ke kanesa prostate (CA): Ua helu mua ʻia ma waena o nā maʻi kanesa o ke ala mimi, me ka nui o ka hanana o 13.42 no 100,000 poʻe. Ma muli o ke kūlanakauhale me ka heluna kanaka o 5 miliona, aia he 671 mau hihia hou i kēlā me kēia makahiki. Wahi a ka loiloi 2025 "Prostate Cancer Epidemiological Trends, Genomic Characteristics, and Future Directions for Optimized Management in China," ma kahi o 54% o nā maʻi ma koʻu ʻāina he mau metastases mamao i ka wā mua i ʻike ʻia ai. No laila, ʻo ka nui o nā maʻi me nā hōʻailona ʻoki kino ma kahi o 671 * 0.46 = 308.
ʻAʻai ʻōpū mimi: ʻO ka helu hanana he 9.29 no 100,000 kānaka, me ka helu hihia hou makahiki ma kahi o 465 ma ke kūlanakauhale me ka heluna kanaka o 5 miliona. Ma muli o ka ʻikepili pūnaewele, me ka manaʻo he 75% NMIBC (Tis, Ta, T1) ka helu makahiki o nā hihia hou me nā hōʻailona ʻoki kino he 348. ʻAʻai ʻōpū puʻupaʻa Laparoscopic: ʻO ka helu hanana he 7.37 no 100,000 kānaka, me ka helu hihia hou makahiki ma kahi o 368 ma ke kūlanakauhale me ka heluna kanaka o 5 miliona. Ma muli o nā ʻano pathological o ka "Ten-Year Study on Correlation between Surgical Trends and Clinicopathological Characteristics of Renal Cell Carcinoma" i paʻi ʻia e ka Peking University First Hospital, ʻo ke kahua pT1 he 79.6%, e hopena ana i kahi hōʻailona ʻoki kino i manaʻo ʻia ma kahi o 293. Laparoscopic benign prostatic hyperplasia (BPH): Ma muli o ka ʻikepili ma luna, ma ka makahiki 2024, e loaʻa ana he 310.31 miliona mau kānaka ma koʻu ʻāina he 60 makahiki a ʻoi aku, e helu ana he 22.03% o ka heluna kanaka, kahi o 48.73% he kāne (e hele mai, e nā kāne, ʻaʻole ʻoe e ola lōʻihi e like me nā wahine). ʻO ka nui o ka BPH i ka poʻe he 60 makahiki a ʻoi aku he 50%, kahi o 10% e pono ai ke ʻoki kino. ʻO ka nui o ka poʻe e pono ai ka mālama ʻana no ka BPH ma ke kūlanakauhale me ka heluna kanaka he 5 miliona: 5 miliona * 22.03% * 48.73% * 50% * 10% ≈ 26,838 kānaka, he nui loa ia.
Nā pōhaku mimi: ʻAʻohe ʻikepili kūhelu i loaʻa. Ma muli o ka helu hanana 5%, 25% e pono ai ke ʻoki kino. Ma ke kūlanakauhale me ka heluna kanaka o 5 miliona, ʻo ka helu hanana a me ka mālama ʻana i kēlā me kēia makahiki ma kahi o 62,500, he nui loa ia. ʻOiaʻiʻo, ʻo kēia ka palena kiʻekiʻe. Hoʻohana ʻia ka extracorporeal lithotripsy, ureteroscopic laser lithotripsy, a me ka percutaneous nephrolithotomy me ka pneumatic (laser) lithotripsy.
Mai luna a lalo ma kahi anatomical
ʻO ka nephrolithotomy percutaneous
ʻO ka Percutaneous nephrolithotomy (PCNL) kahi hana minimally invasive e hana ana i kahi kahawai ma o ka ʻili e mālama ai i nā pōhaku puʻupaʻa a i ʻole nā ʻeha. Hoʻohana nui ʻia ia e mālama i nā pōhaku puʻupaʻa nui (>2 cm) a paʻakikī paha. Aia kona mau pono nui i ka trauma liʻiliʻi, ka hoʻōla wikiwiki ʻana, a me nā helu kiʻekiʻe o ka hoʻomaʻemaʻe ʻana i nā pōhaku. Ke emi nei ke anawaena o nā Nephroscopes, me nā kahawai maʻamau (24-30 Fr), nā microchannels (16-22 Fr), a me nā kahawai ultrafine (<16 Fr). Loaʻa pū kekahi i kēia manawa nā mea hana lithotripsy ʻano nila me nā diameters a puni 1.4 mm. ʻO ka Percutaneous nephrolithotomy nā lako maʻamau i nā kikowaena urological lithotripsy.
He 12° ke kahua ʻike o ka nephroscope percutaneous, he ʻupena elliptical, he anawaena waho o 8.5 Fr/12 Fr, he lōʻihi hana pono ma kahi o 250 mm, a he kahawai hana ma kahi o 6 Fr.
ʻO mākou, ʻo Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he mea hana ma Kina e loea ana i nā mea hoʻopau endoscopic, me ka laina GI e like me ka biopsy forceps, hemoclip, polyp snare, sclerotherapy needle, spray catheter, cytology brushes, guidewire, stone retrieval basket, nasal biliary drainage catheter etc. i hoʻohana nui ʻia ma EMR, ESD, ERCP. A me ka Urology Line, e like meʻūpā komo ureteral me ka omoa meʻūpā komo ureter,Hīnaʻi Hoʻihoʻi Pōhaku Mimi hoʻolei ʻia, a meuea alakaʻi urologya pēlā aku.
Ua hōʻoia ʻia kā mākou huahana e CE, a ua hōʻoia ʻia kā mākou mau mea kanu e ISO. Ua hoʻokuʻu ʻia aku kā mākou waiwai i ʻEulopa, ʻAmelika ʻĀkau, Hikina Waena a me kekahi ʻāpana o ʻAsia, a ua loaʻa nui ka ʻike a me ka hoʻomaikaʻi ʻia e ka mea kūʻai aku!
Ka manawa hoʻouna: Sep-22-2025