Me ka 32nd Annual Meeting of the Urology Association (CUA) e kokoke ana e mālama ʻia ma Dalian, ke hoʻomaka hou nei au, e nānā hou i koʻu ʻike mua o ka endoscopy urological. I kaʻu mau makahiki o ka endoscopy, ʻaʻole au i ʻike i kahi keʻena hoʻokahi e hāʻawi ana i nā ʻano endoscopes 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 "scope carrier aircraft." He mea kupanaha kaʻu ʻike mua me lākou. Ua hōʻuluʻulu mua au i ka papa inoa o nā hiʻohiʻona a me nā hōʻailona o nā endoscopes maʻalahi a paʻa, e lilo ana i ʻike aʻo waiwai no kaʻu hana.
I kēia mau lā, ua aʻo au i ka endoscopy urological me ka noʻonoʻo ʻole. E hoʻopaʻa wau e like me ka wahi 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 ʻokiʻoki e pono ai no kekahi mau kūlana urological
Ua hoʻokaʻawale ʻia ka Urology i nā ʻāpana mimi kiʻekiʻe (nā ʻāʻī a me nā ureters), ka ʻāpana mimi haʻahaʻa (ka ʻōpū a me ka prostate), a me ka andrology. Eia kekahi, me ka heluna kanaka ʻelemakule, ke manaʻo nei e piʻi ka nui o nā maʻi urological. Kumu ʻikepili: He noiʻi i paʻi ʻia ma ka Scientific Reports e ka Urology Team of the First Affiliated Hospital of Soochow University i alakaʻi i ka loiloi piha mua o ka ukana honua o BPH (benign prostatic hyperplasia) mai 1990 a 2021 e pili ana i ka waihona GBD 2021. Ua hōʻoia ka loiloi decomposition he 61% o ka piʻi ʻana o ka honua i nā hihia 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.
Ma ka hopena o ka makahiki 2024, ua hiki aku ka heluna kanaka o Kina i ka 60 a ma luna o 310.31 miliona (ma kahi o 310 miliona), ʻo ia ka 22.0% o ka heluna kanaka; i waena o lākou, ʻo ka heluna kanaka he 65 a ma luna o 220.23 miliona (ma kahi o 220 miliona), helu no 15.6% o ka heluna kanaka.
ʻO ka maʻi maʻi prostate (CA): Hoʻonohonoho mua ʻia ma waena o nā maʻi maʻi maʻi urinary tract, me ka nui o ka helu ʻana o 13.42 no 100,000 poʻe. Ma muli o ke kūlanakauhale me ka heluna kanaka he 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 mea maʻi ma koʻu ʻāina he metastases mamao i ka maʻi mua. No laila, ʻo ka nui o nā maʻi me nā hōʻailona hōʻailona ma kahi o 671 * 0.46 = 308.
ʻO ka maʻi maʻi ʻaʻai: He 9.29 ka nui o ka maʻi ma ka 100,000 poʻe, me ka nui o ka hihia hou makahiki ma kahi o 465 i loko o ke kūlanakauhale me ka heluna o 5 miliona. Ma muli o ka ʻikepili pūnaewele, me ka manaʻo he 75% NMIBC (Tis, Ta, T1), ʻo ka helu makahiki o nā hihia hou me nā hōʻailona hōʻailona ʻo 348. Laparoscopic renal cancer: ʻO ka nui o ka hopena he 7.37 no 100,000 poʻe, me ka helu makahiki hou o ka hihia ma kahi o 368 i loko o ke kūlanakauhale me ka heluna o 5 miliona. Ma muli o nā hiʻohiʻona pathological o ka "Ten-Year Study on Correlation between Surgical Trends and Clinicopathological Characteristics of Renal Cell Carcinoma" i paʻi ʻia e Peking University First Hospital, ʻo ka pT1 stage accounts no 79.6%, e hopena ana i kahi hōʻailona hōʻoki i manaʻo ʻia ma kahi o 293. Laparoscopic benign prostatic data e 20 ma luna aʻe o ka prostatic hyperplasia (B ma luna o 20) ʻO 310.31 miliona mau kānaka ma koʻu ʻāina he 60 makahiki a ʻoi aku, ʻo ia ka 22.03% o ka heluna kanaka, a ma kahi o 48.73% he kāne (e hele mai, e nā kāne, ʻaʻole ʻoe e noho lōʻihi e like me nā wahine). ʻO ka loaʻa ʻana o ka BPH i ka poʻe makahiki 60 a ʻoi aʻe he 50%, a he 10% ka mea e pono ai ke ʻoki. ʻO ka nui o ka poʻe e pono ai ka mālama ʻana i ka BPH ma ke kūlanakauhale me ka heluna kanaka he 5 miliona: 5 miliona * 22.03% * 48.73% * 50% * 10% ≈ 26,838 poʻe, he nui loa.
Nā pōhaku mimi: ʻAʻohe ʻikepili kūhelu i loaʻa. Ma muli o ka 5% ka nui o ka maʻi, 25% e koi i ka lāʻau lapaʻau. Ma ke kūlanakauhale me ka heluna kanaka he 5 miliona, ʻo ka maʻi a me ka mālama ʻana i ka makahiki ma kahi o 62,500, ʻoi aku ka nui. ʻOiaʻiʻo, ʻo kēia ka palena kiʻekiʻe. Hoʻohana ʻia ka lithotripsy extracorporeal, ureteroscopic laser lithotripsy, a me ka nephrolithotomy percutaneous me ka pneumatic (laser) lithotripsy.
Mai luna a lalo ma kahi anatomical
ʻO ka nephrolithotomy percutaneous
ʻO ka nephrolithotomy percutaneous (PCNL) kahi kaʻina hana hōʻemi liʻiliʻi e hana ai i kahi ala ma o ka ʻili e mālama i nā pōhaku kīkī a i ʻole nā ʻeha. Hoʻohana mua ʻia ia e mālama i nā pōhaku nui (> 2 knm) a i ʻole nā pōhaku kīkī paʻakikī. ʻO kāna mau pōmaikaʻi koʻikoʻi aia i ka trauma liʻiliʻi, ka hoʻihoʻi wikiwiki ʻana, a me nā uku hoʻomaʻemaʻe pōhaku kiʻekiʻe. ʻOi aku ka liʻiliʻi o nā nephroscopes i ke anawaena, me nā ala maʻamau (24-30 Fr), nā microchannels (16-22 Fr), a me nā kaha ultrafine (<16 Fr). Loaʻa ʻia nā mea kani lithotripsy me nā anawaena ma kahi o 1.4 mm. ʻO ka nephrolithotomy percutaneous ka mea maʻamau i nā kikowaena lithotripsy urological.
ʻO ka nephroscope percutaneous he 12° ka nānā ʻana, he elliptical sheath, he anawaena o waho o 8.5 Fr/12 Fr, he lōʻihi hana maikaʻi ma kahi o 250 mm, a he ala hana ma kahi o 6 Fr.
ʻO mākou, ʻo Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he mea hana ma Kina i mea kūikawā i ka endoscopic consumables, e komo pū me GI line e like me biopsy forceps, hemoclip, polyp snare, sclerotherapy needle, spray catheter, cytology brushes, guidewire, stone retrieval basket, nasal biliary EMR. A me Urology Line, e like meureteral komo puʻu me ka omoaureteral access sheath,Hīnaʻi Kiʻi Pōhaku Urinary Disposable, aurology guidewireetc.
ʻO kā mākou huahana i hōʻoia ʻia ʻo CE, a ua hōʻoia ʻia kā mākou mea kanu. Ua lawe ʻia kā mākou waiwai i ʻEulopa, ʻAmelika ʻAmelika, Middle East a me kahi hapa o Asia, a loaʻa nui i ka mea kūʻai aku o ka ʻike a me ka hoʻomaikaʻi!
Ka manawa hoʻouna: Sep-22-2025