Popeza Msonkhano Wapachaka wa 32 wa Urology Association (CUA) watsala pang'ono kuchitika ku Dalian, ndikuyambiranso, ndikubwerezanso chidziwitso changa chakale cha urological endoscopy. M'zaka zanga zonse za endoscopy, sindinawonepo dipatimenti imodzi yomwe imapereka mitundu yosiyanasiyana ya ma endoscopy, kuphatikizapo kuwala, zamagetsi, ndi zina zosiyanasiyana. Kuphatikiza apo, ma endoscopy a urological akusintha mwachangu, ndipo mdziko muno, amapatsidwa mayina olimba mtima monga "cannonscope" ndi "aircraft carrier scope." Zomwe ndinakumana nazo koyamba zinali zodabwitsa. Ndalemba kale mndandanda wa mawonekedwe ndi mitundu ya ma endoscopy osinthasintha komanso olimba, omwe ndi chidziwitso chofunikira pantchito yanga.
Posachedwapa, ndakhala ndikuphunzira urological endoscopy popanda maganizo okhazikika. Ndidzalemba malinga ndi komwe matendawa ali. Ndisanayambe kuphunzira, choyamba ndimvetsetsa zina mwazofunikira.
Deta ndi kuchuluka kwa maopaleshoni ofunikira pa matenda ena a mkodzo
Urology tsopano yagawidwa m'magulu a mkodzo wapamwamba (impso ndi ureters), mkodzo wotsika (chikhodzodzo ndi prostate), ndi andrology. Kuphatikiza apo, ndi kukalamba kwa anthu, kuchuluka kwa matenda a mkodzo kukuyembekezeka kukwera. Deta yochokera: Kafukufuku wofalitsidwa mu Scientific Reports ndi Urology Team ya First Affiliated Hospital of Soochow University adachita kusanthula koyamba kwathunthu kwa vuto la BPH padziko lonse lapansi (benign prostatic hyperplasia) kuyambira 1990 mpaka 2021 kutengera database ya GBD 2021. Kusanthula kwa kuwonongeka kwa minyewa kunatsimikizira kuti 61% ya kuchuluka kwa milandu padziko lonse lapansi kudachitika chifukwa cha ukalamba wa anthu, 29% chifukwa cha kukula kwa anthu, ndi 10% chifukwa cha kusintha kwa matenda.
Pofika kumapeto kwa chaka cha 2024, chiwerengero cha anthu ku China omwe ali ndi zaka 60 kapena kuposerapo chafika pa 310.31 miliyoni (pafupifupi 310 miliyoni), zomwe zikuyimira 22.0% ya chiwerengero chonse cha anthu; mwa iwo, chiwerengero cha anthu omwe ali ndi zaka 65 kapena kuposerapo ndi 220.23 miliyoni (pafupifupi 220 miliyoni), zomwe zikuyimira 15.6% ya chiwerengero chonse cha anthu.
Khansa ya prostate (CA): Ili pamalo oyamba pakati pa khansa ya mkodzo, ndi chiŵerengero cha anthu 13.42 pa anthu 100,000 aliwonse. Kutengera mzinda wokhala ndi anthu 5 miliyoni, pali milandu yatsopano 671 pachaka. Malinga ndi ndemanga ya 2025 ya “Prostate Cancer Epidemiological Trends, Genomic Characteristics, and Future Directions for Optimized Management in China,” pafupifupi 54% ya odwala m'dziko langa ali ndi metastases yakutali akayamba kudwala. Chifukwa chake, chiwerengero cha odwala omwe ali ndi zizindikiro za opaleshoni ndi pafupifupi 671 * 0.46 = 308.
Khansa ya chikhodzodzo: Chiwerengero cha anthu omwe apezeka ndi khansa ndi 9.29 pa anthu 100,000, ndipo chiwerengero cha anthu atsopano pachaka ndi pafupifupi 465 mumzinda wokhala ndi anthu 5 miliyoni. Kutengera ndi deta ya pa intaneti, poganizira kuti 75% ya NMIBC (Tis, Ta, T1) ndi chiŵerengero cha anthu atsopano pachaka chokhala ndi zizindikiro za opaleshoni ndi 348. Khansa ya impso ya Laparoscopic: Chiwerengero cha anthu omwe apezeka ndi khansa ndi 7.37 pa anthu 100,000, ndipo chiwerengero cha anthu atsopano pachaka ndi pafupifupi 368 mumzinda wokhala ndi anthu 5 miliyoni. Kutengera ndi zizindikiro za matenda a "Ten-Year Study on Correlation between Surgical Trends and Clinicopathological Characteristics of Renal Cell Carcinoma" yofalitsidwa ndi Peking University First Hospital, gawo la pT1 limafikira 79.6%, zomwe zimapangitsa kuti pakhale chizindikiro cha opaleshoni cha pafupifupi 293. Laparoscopic benign prostatic hyperplasia (BPH): Kutengera ndi zomwe zili pamwambapa, pofika chaka cha 2024, padzakhala anthu 310.31 miliyoni m'dziko langa azaka 60 kapena kupitirira apo, zomwe zikuyimira 22.03% ya anthu, omwe pafupifupi 48.73% ndi amuna (inu amuna, simukukhala moyo wautali ngati akazi). Chiwerengero cha anthu omwe ali ndi BPH mwa azaka 60 kapena kupitirira apo ndi 50%, omwe 10% amafunikira opaleshoni. Chiwerengero cha anthu omwe akufunika chithandizo cha BPH mumzinda wokhala ndi anthu 5 miliyoni ndi: 5 miliyoni * 22.03% * 48.73% * 50% * 10% ≈ anthu 26,838, zomwe ndi zambiri.
Miyala ya mkodzo: Palibe deta yovomerezeka yomwe ilipo. Kutengera kuchuluka kwa matenda omwe amapezeka ndi 5%, 25% amafunika chithandizo cha opaleshoni. Mu mzinda wokhala ndi anthu 5 miliyoni, kuchuluka kwa matendawa ndi chithandizo pachaka ndi pafupifupi 62,500, zomwe ndi zochuluka kwambiri. Zachidziwikire, izi ndiye malire apamwamba. Extracorporeal lithotripsy, ureteroscopic laser lithotripsy, ndi percutaneous nephrolithotomy yokhala ndi pneumatic (laser) lithotripsy zimagwiritsidwa ntchito.
Kuchokera pamwamba mpaka pansi potengera malo a thupi
Percutaneous nephrolithotomy
Percutaneous nephrolithotomy (PCNL) ndi njira yochepetsera kufalikira kwa matenda yomwe imapanga njira yodutsa pakhungu pochiza miyala ya impso kapena zilonda. Imagwiritsidwa ntchito makamaka pochiza miyala ikuluikulu (>2 cm) kapena yovuta ya impso. Ubwino wake waukulu uli mu kuvulala kochepa, kuchira mwachangu, komanso kuchuluka kwa miyala yochotsedwa. Ma Nephroscope akuchepa kwambiri m'mimba mwake, ndi njira zodziwika bwino (24-30 Fr), njira zazing'ono (16-22 Fr), ndi njira zazifupi kwambiri (<16 Fr). Zipangizo zojambulira za singano zokhala ndi mainchesi ozungulira 1.4 mm tsopano zikupezekanso. Percutaneous nephrolithotomy ndi zida zodziwika bwino m'malo ochitira opaleshoni ya mkodzo.
Nephroscope ya percutaneous ili ndi malo owonera 12°, chigoba cha elliptical, mainchesi akunja a 8.5 Fr/12 Fr, kutalika kogwira ntchito kogwira ntchito kokwana pafupifupi 250 mm, ndi njira yogwirira ntchito yokwana pafupifupi 6 Fr.
Ife, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ndi opanga ku China omwe amagwira ntchito kwambiri pazinthu zogwiritsidwa ntchito m'thupi, kuphatikizapo mzere wa GI monga biopsy forceps, hemoclip, polyp snare, sclerotherapy needle, spray catheter, cytology brushes, guidewire wire, stone retrieval basket, nasal biliary drainage catheter ndi zina zotero zomwe zimagwiritsidwa ntchito kwambiri mu EMR, ESD, ERCP. Ndi Urology Line, mongachotchingira ureteral chokhala ndi chokokandichidebe cholowera mu urethra,Dengu Lotengera Miyala Yotayidwa Yogwiritsidwa Ntchito M'mkodzondichingwe chotsogolera urologyndi zina zotero.
Zogulitsa zathu zili ndi satifiketi ya CE, ndipo mafakitale athu ali ndi satifiketi ya ISO. Katundu wathu watumizidwa ku Europe, North America, Middle East ndi mbali ina ya Asia, ndipo makasitomala ambiri amalandira ulemu ndi kutamandidwa!
Nthawi yotumizira: Sep-22-2025