Hamwe ninama ngarukamwaka ya 32 yumuryango wa Urology (CUA) igiye kubera muri Dalian, ndatangira nongeye, nsubiramo ubumenyi bwanjye bwambere kuri uros endoskopi. Mumyaka yanjye yose ya endoskopi, ntabwo nigeze mbona ishami rimwe ritanga ubwoko butandukanye bwa endoskopi, harimo optique, electronique, nibisobanuro bitandukanye. Byongeye kandi, endoskopi ya urologiya iratera imbere byihuse, kandi imbere mu gihugu, bahabwa amazina ashize amanga nka "cannonscope" na "urugero rw'abatwara indege." Ibyambayeho bwa mbere nabo byari bitangaje. Nabanje gukora urutonde rwibigaragara n'ibirango bya endoskopi yoroheje kandi ikomeye, ikora nk'uburambe bwo kwiga kumurimo wanjye.
Vuba aha, nize endoskopi ya urologiya hamwe na mitekerereze ishingiye kuri zeru. Nzabyandika nkurikije aho indwara igeze. Mbere yo kwiga, nzabanza gusobanukirwa amakuru yibanze.
Amakuru n'umubare wo kubagwa bisabwa mubihe bimwe na bimwe bya urologiya
Urologiya ubu igabanijwemo inzira yo hejuru yinkari (impyiko na ureteri), inzira yinkari zo hepfo (uruhago na prostate), na andrologiya. Byongeye kandi, hamwe n’abaturage bageze mu za bukuru, biteganijwe ko umubare w’indwara zifata urologiya uziyongera. Inkomoko yamakuru: Ubushakashatsi bwasohotse muri Raporo yubumenyi bwakozwe nitsinda rya Urology ryibitaro byambere bishamikiye kuri kaminuza ya Soochow ryakoze isesengura ryambere ryuzuye ryumutwaro wisi yose wa BPH (benign prostatic hyperplasia) kuva 1990 kugeza 2021 hashingiwe kububiko bwa GBD 2021. Isesengura ryangirika ryemeje ko 61% by’ubwiyongere bw’isi ku isi byatewe no gusaza kwabaturage, 29% kwiyongera kwabaturage, 10% n’impinduka z’ibyorezo.
Kugeza mu mpera za 2024, abatuye Ubushinwa bafite imyaka 60 no hejuru yayo bageze kuri miliyoni 310.31 (hafi miliyoni 310), bangana na 22.0% by'abaturage bose; muri bo, abaturage bafite imyaka 65 no hejuru yayo ni miliyoni 220.23 (hafi miliyoni 220), bangana na 15,6% by'abaturage bose.
Kanseri ya prostate (CA): Yashyizwe ku mwanya wa mbere muri kanseri y’inkari, aho abantu bangana na 13.42 ku bantu 100.000. Ukurikije umujyi utuwe na miliyoni 5, buri mwaka habarurwa abantu 671. Dukurikije isuzuma ryo mu 2025 “Inzira ya Epidemiologiya ya Kanseri ya Prostate, Ibiranga Genomic, hamwe n’icyerekezo kizaza cyo gucunga neza imiyoborere mu Bushinwa,” abagera kuri 54% b’abarwayi bo mu gihugu cyanjye bafite metastase ya kure igihe basuzumaga bwa mbere. Kubwibyo, umubare wabarwayi bafite ibimenyetso byo kubaga ni 671 * 0.46 = 308.
Kanseri y'uruhago: Umubare w'abanduye ni 9.29 ku bantu 100.000, aho buri mwaka umubare w'abantu bandura bagera kuri 465 mu mujyi utuwe na miliyoni 5. Dushingiye ku makuru yo kuri interineti, ukurikije 75% NMIBC (Tis, Ta, T1), umubare w’abantu banduye buri mwaka bafite ibimenyetso byo kubaga ni 348. Kanseri y’impyiko ya Laparoscopique: Indwara yanduye ni 7.37 ku bantu 100.000, aho buri mwaka umubare w’abarwayi bagera kuri 368 mu mujyi utuwe na miliyoni 5. Hashingiwe ku miterere y’indwara ya “Inyigo y’imyaka icumi yerekeye isano iri hagati y’imiterere ya Surgical Trends na Clinicopathologique iranga kanseri y’impyiko ya Carcinoma” yasohowe n’ibitaro bya mbere bya kaminuza ya Peking, icyiciro cya pT1 kigera kuri 79.6%, bigatuma hamenyekana ko abaganga bagera kuri 293. Laparoscopic benign prostatike hyperplasia (BPH): Nkurikije abantu 200.000, hejuru ya miliyoni 310. bingana na 22.03% by'abaturage, muri bo abagera kuri 48,73% ni abagabo (ngwino, bagabo, ntubaho igihe kirekire nk'abagore). Indwara ya BPH ku bafite imyaka 60 no hejuru yayo ni 50%, muri bo 10% bakeneye kubagwa. Umubare w'abantu bakeneye ubuvuzi bwa BPH mu mujyi utuwe na miliyoni 5 ni: miliyoni 5 * 22.03% * 48,73% * 50% * 10% ≈ 26.838, ni byinshi cyane.
Amabuye yinkari: Nta makuru yemewe aboneka. Ukurikije igipimo cya 5%, 25% bisaba kuvurwa. Mu mujyi utuwe na miliyoni 5, buri mwaka indwara no kuvurwa ni 62.500, ni byinshi cyane. Birumvikana ko iyi ari imipaka yo hejuru. Lithotripsy ya Extracorporeal, ureteroscopic laser lithotripsy, na nephrolithotomy ya percutaneous nephrolithotomy hamwe na lithotripsy ya pneumatike (laser).
Kuva hejuru kugeza hasi ahantu hatandukanye
Nephrolithotomy
Perphaneous nephrolithotomy (PCNL) nuburyo bworoshye butera gukora umuyoboro unyuze muruhu kugirango uvure amabuye yimpyiko cyangwa ibikomere. Ikoreshwa cyane cyane kuvura binini (> cm 2) cyangwa amabuye y'impyiko. Ibyiza byibanze biri mubihahamuka bike, gukira byihuse, hamwe nigipimo kinini cyo gukuraho amabuye. Nephroscopes iragenda iba ntoya muri diameter, hamwe numuyoboro usanzwe (24-30 Fr), imiyoboro mito (16-22 Fr), hamwe numuyoboro wa ultrafine (<16 Fr). Ibikoresho bya lithotripsy ifite inshinge zingana na mm 1,4 mm nabyo birahari. Perphaneous nephrolithotomy nibikoresho bisanzwe mubigo bya lithotripsy ya urologiya.
Nephroscope ya percutaneous ifite umurima wo kureba 12 °, icyatsi cya elliptique, diameter yo hanze ya 8.5 Fr / 12 Fr, uburebure bukora bwa mm 250, hamwe numuyoboro ukora wa 6 Fr.
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd. Na Urology Line, nkaurureral yinjira sheath hamwe no gusweranauriteral access sheath,ikoreshwa rya Urina Kibuye, naurology guidewiren'ibindi
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Igihe cyo kohereza: Nzeri-22-2025