Izixhobo ze-endoscopy zesisu sesisu sisisiseko sokuxilonga kunye nesixhobo sonyango kwi-gastroenterology kunye namaziko e-endoscopy. Isetyenziselwa ikakhulu uviwo kunye nokunyangwa kwezifo zesisu ezifana ne-gastroscopy, colonoscopy, ERCP, njl. Ezi zilandelayo zizinto zayo eziphambili:
1. Inkqubo yomfanekiso wenkcazo ephezulu
(1) Imifanekiso enesigqibo esiphezulu
I-4K / 8K inkcazo ye-ultra-high: Ibonelela nge-3840 × 2160 okanye isisombululo esiphezulu sokubonisa ngokucacileyo i-microstructure ye-mucosa (njengama-capillaries kunye nokuvuleka kwe-gland duct).
Itekhnoloji yokungcolisa i-elektroniki (efana ne-NBI/FICE/BLI): Yandisa umahluko wesilonda ngobubanzi obumxinwa kwaye iphucula izinga lokubhaqwa komhlaza wesisu sakwangoko kunye nomhlaza wamathumbu.
(2) Ukulungiswa komfanekiso okrelekrele
I-HDR (uluhlu oluphezulu oluguquguqukayo): Ilinganisa ukukhanya kunye neendawo ezimnyama ukuze ugweme ukubonakalisa okanye ukulahleka kweenkcukacha kwiindawo ezimnyama.
Uncedo lwexesha lokwenyani lwe-AI: Iphawula ngokuzenzekelayo izilonda ezikrokrisayo (ezinje ngepolyps kunye namathumba), kwaye ezinye iinkqubo zinokuqikelela ukuhlelwa kwe-pathological.
2. Inkqubo yokusebenza eguquguqukayo
(1) Uyilo lomda
I-endoskophu ye-elektroniki ethambileyo: umda ogobekayo (i-8-12mm ububanzi) ukuze ihambe ngokulula kwiindawo ezigobileyo zomjelo wokwetyisa.
I-endoscope yonyango ye-Dual-channel: ixhasa ukufakwa kwezixhobo ngaxeshanye (ezifana ne-biopsy forceps, i-electrosurgical unit) ukuphucula ukusebenza kakuhle kotyando.
(2) Ulawulo oluchanekileyo
Ukulawula ukugoba kombane: Ezinye ii-endoscopes eziphezulu zixhasa ukulungiswa kombane kwi-angle ye-lens (≥180 ° phezulu, ezantsi, ekhohlo, nasekunene).
Ukuhanjiswa kwe-torque ephezulu: kunciphisa umngcipheko we-scope "knotting" kwi-intestinal cavity kunye nokuphucula izinga lokuphumelela lokufakwa.
3. Izakhono zonyango ezisebenzayo
(1) Inkxaso yotyando olungephi
I-high-frequency electrosurgical resection / electrocoagulation: qhagamshela izixhobo ze-electrosurgical (ezifana ne-ERBE) ukwenza i-polypectomy (EMR) kunye ne-mucosal dissection (ESD).
Umsebenzi we-Hemostasis: ixhasa i-argon gas knife (APC), iziqeshana ze-hemostatic, i-injection hemostasis, njl.
(2) Ukuxilongwa okwandisiweyo kunye nemodi yonyango
I-Endoscopic ultrasound (EUS): idibene ne-ultrasound probe, ivavanya i-digestive tract layer kunye nezitho ezizungezile (ezifana ne-pancreas kunye ne-bile duct).
I-Confocal laser endoscope (pCLE): ifezekisa umfanekiso wexesha lokwenyani kwinqanaba leselula lokuxilongwa kwangoko komhlaza.
4. Ukhuseleko kunye noyilo lokuthuthuzela
(1) Ulawulo losulelo
Uyilo olususwayo olungenamanzi: umzimba wesibuko uxhasa ukucwiliswa kwe-disinfection okanye ukucoca ngokuzenzekelayo kunye nomatshini wokubulala iintsholongwane (njenge-Olympus OER-A).
Izixhobo ezilahlwayo: ezifana neevalvu ze-biopsy kunye neetyhubhu zokufunxa ukunqanda usulelo olunqamlezayo.
(2) Ukulungiswa kwentuthuzelo yesigulana
I-endoscope ye-Ultra-fine: ububanzi <6mm (njenge-gastroscope ye-transnasal), ukunciphisa i-reflex yokuhlanza.
I-CO₂ inkqubo ye-insufflation: ithatha indawo yokunyuka komoya ukunciphisa ukukhutshwa kwesisu emva kokusebenza.
5. Ubukrelekrele kunye nolawulo lwedatha
Ukuxilongwa kwe-AI: kuhlalutya ngokuzenzekelayo iimpawu ze-lesion (ezifana nokuhlelwa kweParis kunye nokuhlelwa kwe-Sano).
Ukugcinwa kwamafu kunye nokubonisana okude: ixhasa umgangatho we-DICOM kwaye idibanisa nenkqubo ye-PACS yesibhedlele.
Ividiyo yotyando kunye nokufundisa: Ukurekhodwa kwevidiyo ye-4K yokuphononongwa kwimeko okanye uqeqesho.
Isishwankathelo
Iimpawu eziphambili zezixhobo zonyango ze-endoscopy zesisu ziyinkcazo ephezulu, ukuchaneka, ukhuseleko, kunye nobukrelekrele, obunganelisi kuphela iimfuno zokuxilonga (ukuhlolwa komhlaza kwangethuba) kodwa zixhasa unyango olunzima (njenge-ESD kunye ne-ERCP). Kwixesha elizayo, iya kuphuhlisa ngakumbi i-AI, ingena kancinane, kwaye ifanelekile, iphucula ukuxilongwa kunye nokusebenza kakuhle konyango kunye namava esigulana.