Ndi Msonkhano Wapachaka wa 32 wa Urology Association (CUA) womwe watsala pang'ono kuchitikira ku Dalian, ndikuyambanso, ndikuwunikanso chidziwitso changa cham'mbuyomu cha urological endoscopy. M’zaka zanga zonse za endoscope, sindinaonepo dipatimenti imodzi yomwe ikupereka ma endoscopes osiyanasiyana, kuphatikizapo optical, electronic, ndi zosiyanasiyana. Kuphatikiza apo, ma endoscope a urological akusintha mwachangu, ndipo kunyumba, amapatsidwa mayina olimba mtima ngati "cannonscope" ndi "zonyamulira ndege." Chokumana nacho changa choyamba ndi iwo chinali chodabwitsa. Ndinalembapo kale mndandanda wamawonekedwe ndi mtundu wa ma endoscope osinthika komanso olimba, omwe amandithandizira kuphunzira pa ntchito yanga.
Posachedwapa, ndakhala ndikuphunzira urological endoscopy ndi malingaliro opanda ziro. Ndizilemba molingana ndi malo a matendawa. Asanayambe kuphunzira, ine choyamba kumvetsa zina zofunika deta.
Deta ndi kuchuluka kwa maopaleshoni ofunikira pazovuta zina za urological
Urology tsopano yagawika m'mikodzo yam'mwamba (impso ndi ureters), njira yotsika ya mkodzo (chikhodzodzo ndi prostate), ndi andrology. Kuphatikiza apo, ndi kuchuluka kwa anthu okalamba, kuchuluka kwa matenda a urological akuyembekezeka kukwera. Gwero la deta: Kafukufuku wofalitsidwa mu Scientific Reports ndi Urology Team of the First Affiliated Hospital of Soochow University adafufuza mwatsatanetsatane za zovuta zapadziko lonse za BPH (benign prostatic hyperplasia) kuyambira 1990 mpaka 2021 kutengera nkhokwe ya GBD 2021. Kuwunika kwa kuwonongeka kwatsimikizira kuti 61% ya kuchuluka kwa milandu padziko lonse lapansi kudachitika chifukwa cha kukalamba kwa anthu, 29% kukwera kwa chiwerengero cha anthu, ndi 10% ku kusintha kwa miliri.
Pofika kumapeto kwa chaka cha 2024, chiwerengero cha anthu ku China azaka 60 ndi kupitilira apo chafika pa 310.31 miliyoni (pafupifupi 310 miliyoni), zomwe ndi 22.0% ya anthu onse; pakati pawo, anthu azaka za 65 ndi pamwamba ndi 220.23 miliyoni (pafupifupi 220 miliyoni), omwe amawerengera 15.6% ya anthu onse.
Khansara ya Prostate (CA): Imakhala yoyamba pakati pa khansa ya mkodzo, yomwe ili ndi chiwerengero cha 13.42 pa anthu 100,000. Kutengera mzinda wokhala ndi anthu 5 miliyoni, pali milandu 671 yatsopano pachaka. Malinga ndi kuwunika kwa 2025 "Prostate Cancer Epidemiological Trends, Genomic Characteristics, and future Directions for Optimized Management in China," pafupifupi 54% ya odwala mdziko langa amakhala ndi metastases patali atawazindikira. Choncho, chiwerengero cha odwala ndi zizindikiro opaleshoni ndi pafupifupi 671 * 0,46 = 308.
Khansara ya m'chikhodzodzo: Chiwopsezo ndi 9.29 pa anthu 100,000, ndi chaka chatsopano pafupifupi 465 mumzinda wokhala ndi anthu 5 miliyoni. Malingana ndi deta ya pa intaneti, poganiza kuti chiwerengero cha 75% NMIBC (Tis, Ta, T1), chiwerengero cha pachaka cha milandu yatsopano ndi zizindikiro za opaleshoni ndi 348. Khansara yamphongo ya Laparoscopic: Chiwopsezo ndi 7.37 pa anthu a 100,000, ndi chaka chatsopano chaka chilichonse pafupifupi 368 mumzinda wokhala ndi anthu 5 miliyoni. Malingana ndi zizindikiro za matenda a "Zaka Khumi Phunziro pa Kugwirizana Pakati pa Njira Zopangira Opaleshoni ndi Clinicopathological Characteristics of Renal Cell Carcinoma" lofalitsidwa ndi Peking University First Hospital, siteji ya pT1 imakhala ndi 79.6%, zomwe zimapangitsa kuti pakhale chisonyezero cha opaleshoni cha pafupifupi 293. Laparoscopic yochokera ku benign prostatic hyperplasia pamwamba pa BPH2, pa will be0 (2) Anthu 310.31 miliyoni m'dziko langa azaka 60 ndi kupitilira apo, akuwerengera 22.03% ya anthu, omwe pafupifupi 48.73% ndi amuna (koma amuna, simukukhala nthawi yayitali ngati akazi). Chiwopsezo cha BPH kwa azaka zapakati pa 60 ndi kupitilira apo ndi 50%, pomwe 10% mwa iwo amafunikira opaleshoni. Chiwerengero cha anthu omwe amafunikira chithandizo cha BPH mumzinda wokhala ndi anthu okwana 5 miliyoni ndi: 5 miliyoni * 22.03% * 48.73% * 50% * 10% ≈ anthu 26,838, omwe ndi ochuluka kwambiri.
Miyala yamkodzo: Palibe zovomerezeka zomwe zilipo. Malingana ndi chiwerengero cha 5%, 25% amafuna chithandizo cha opaleshoni. Mu mzinda wokhala ndi anthu 5 miliyoni, zochitika zapachaka ndi chithandizo ndi pafupifupi 62,500, zomwe ndizochuluka kwambiri. Inde, ichi ndi malire apamwamba. Extracorporeal lithotripsy, ureteroscopic laser lithotripsy, ndi percutaneous nephrolithotomy yokhala ndi pneumatic (laser) lithotripsy imagwiritsidwa ntchito.
Kuchokera pamwamba mpaka pansi ndi malo a anatomical
Percutaneous nephrolithotomy
Percutaneous nephrolithotomy (PCNL) ndi njira yocheperako yomwe imapanga njira kudzera pakhungu kuti athetse miyala ya impso kapena zotupa. Amagwiritsidwa ntchito pochiza zazikulu (> 2 cm) kapena miyala yovuta ya impso. Ubwino wake waukulu wagona pakuvulala kochepa, kuchira msanga, komanso kuchuluka kwa miyala yochotsa miyala. Nephroscopes akukhala ang'onoang'ono m'mimba mwake, okhala ndi njira zokhazikika (24-30 Fr), ma microchannel (16-22 Fr), ndi ma ultrafine channels (<16 Fr). Zida za lithotripsy zooneka ngati singano zokhala ndi mainchesi ozungulira 1.4 mm ziliponso. Percutaneous nephrolithotomy ndi zida zokhazikika m'malo opangira urological lithotripsy.
Percutaneous nephrroscope ili ndi gawo la 12 °, elliptical sheath, mainchesi akunja a 8.5 Fr / 12 Fr, kutalika kogwira ntchito pafupifupi 250 mm, ndi njira yogwirira ntchito pafupifupi 6 Fr.
Ife, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ndi opanga ku China okhazikika pazakudya zama endoscopic, akuphatikiza mzere wa GI monga biopsy forceps, hemoclip, polyp msampha, singano ya sclerotherapy, catheter yopopera, maburashi a cytology, waya wotsogola, zotengera zamwala zomwe zimagwiritsidwa ntchito mumtsuko waukulu. EMR, ESD, ERCP. Ndi Urology Line, mongaureral kulowa m'chimake ndi kuyamwandichotupa cha ureter,Dengu Lochotsa Mwala Wamkodzo,ndiurology guidewirendi zina.
Zogulitsa zathu ndi zovomerezeka za CE, ndipo mbewu zathu ndi zovomerezeka za ISO. Katundu wathu watumizidwa ku Europe, North America, Middle East ndi gawo la Asia, ndipo amapeza makasitomala ambiri kuzindikira ndi kutamandidwa!
Nthawi yotumiza: Sep-22-2025