I-Stapler iyi-stapler yokuqala emhlabeni, esetshenziselwe i-anastomosis yamathumbu cishe iminyaka eyikhulu.Kuze kube ngu-1978, i-stapler ye-tubular yayisetshenziswa kabanzi ekuhlinzweni kwamathumbu.Ngokuvamile ihlukaniswa ngama-staplers alahlwayo noma asetshenziswa kaningi, ama-staplers angenisiwe noma asekhaya.Kuyidivayisi esetshenziswa kwezokwelapha esikhundleni se-suture yendabuko yezandla.Ngenxa yokuthuthukiswa kwesayensi nobuchwepheshe besimanje kanye nokuthuthukiswa kobuchwepheshe bokukhiqiza, i-stapler esetshenziswa emisebenzini yomtholampilo inezinzuzo zekhwalithi enokwethenjelwa, ukusetshenziswa okulula, ukucinana kanye nokuqina okufanele.Ikakhulukazi, inezinzuzo ze-suture esheshayo, ukusebenza okulula kanye nemiphumela emibi embalwa kanye nezinkinga zokuhlinzwa.Iphinde inikeze amandla ukucutshungulwa kabusha okugxilwe kukho kokuhlinzwa kwesimila esingahlehlisiwe esikhathini esidlule.
Isingeniso ku-stapler
I-Stapler iyithuluzi elisetshenziswa kwezokwelapha ukuze lithathele indawo ye-suture manual.Umgomo wayo oyinhloko wokusebenza ukusebenzisa izinzipho ze-titanium ukuze unqamule noma izicubu ze-anastomose, ezifana ne-stapler.Ngokusho kobubanzi obuhlukene bokufaka isicelo, ingahlukaniswa nge-stapler yesikhumba, i-digestive tract (umphimbo, i-gastrointestinal, njll.) i-stapler eyindilinga, i-rectal stapler, i-circular hemorrhoid stapler, i-circumcision stapler, i-vascular stapler, i-hernia stapler, i-stapler yokusika amaphaphu, njll. .
Uma kuqhathaniswa ne-suture yezandla yendabuko, i-instrument suture inezinzuzo ezilandelayo:
Ukusebenza kulula futhi kulula, ukonga isikhathi sokusebenza.
Ukusebenzisa kanye, gwema ukutheleleka ngegciwane.
Sebenzisa izinzipho ze-titanium noma izinzipho zensimbi engagqwali (i-stapler yesikhumba) ukuze uthunge uqine futhi uqine ngokumaphakathi.
Inemiphumela emibi embalwa futhi inciphisa ngempumelelo izinkinga zokuhlinzwa.
I-stapler yesikhumba inezici ezilandelayo eziphawulekayo: ukusebenza okulula kanye ne-suture esheshayo;Nciphisa isikhathi sokusebenza futhi uthuthukise izinga lokushintshwa kwegumbi lokusebenza;Isibazi sincane futhi isilonda sihle;Isipikili sokuthunga esikhethekile, esilungele inxeba lokungezwani, i-histocompatibility enhle, ukusabela kwekhanda elingenantambo;Akukho ukunamathela nge-scab yegazi, futhi ubuhlungu bokushintsha ukugqoka nokususwa kwezipikili kuncane;Akukho ukunamathela nokugxuma kwezinzipho, ukusebenza okuzinzile.
Izici ze-prepuce cutting stapler: ukusebenza okulula kanye nesikhathi esifushane sokusebenza;Ukopha okuncane nobuhlungu obuncane;I-edema ye-postoperative yayincane;Izisekelo zawa ngokuzenzakalelayo ngemva kokuhlinzwa, futhi sasingekho isidingo sokubuyela esibhedlela ukuze kukhishwe imithungo namaringi;Ukusikwa kokuhlinzwa kujwayelekile futhi kuhle ngemva kokuphulukiswa.
Izici ze-purse string stapler: ezilahlwayo ukugwema ukutheleleka okuphambene;Ngocingo lwesikhwama olwakhelwe ngaphakathi kanye ne-titanium nail, isikhwama semali sibunjwa ngokuzenzakalelayo ngaphandle kokulutha, okushesha futhi okulula kakhulu Ukusebenza kulula futhi isikhathi sokusebenza sifinyezwa.
Izici ze-stapler yomugqa olahlwayo: indlela yokunamathisela ilula futhi ilula, futhi isikhathi sokusebenza sifinyezwa;Imigqa emithathu yezipikili ze-suture ihlelwe ngokuhlangene ukuvimbela ukopha;Intambo ye-titanium engenisiwe isetshenziselwa ukunikeza amandla angcono namandla aqinile;Inaliti yokumisa ehlanganisiwe ingasebenza ngesandla noma ngokuzenzakalelayo, okulula ukulungisa izicubu ze-anastomotic.
Izici zesakhiwo se-stapler
I-stapler ihlanganisa igobolondo, induku ephakathi kanye ne-push tube.Induku emaphakathi isethwe ku-push tube.Ingxenye engaphambili yenduku emaphakathi ifakwe isembozo sezipikili, futhi isiphetho esingemuva sixhunywe ne-knob yokulungisa ekugcineni kwegobolondo ngokusebenzisa isikulufu.Ingxenye yangaphandle yegobolondo ifakwe isibambo sokuvusa, esixhunywe ngokunyakazayo negobolondo ngehinge.Isici saso ukuthi: i-stapler ifakwe umshini wokuxhuma, futhi izinduku ezintathu zokuxhuma zixhunywe ngokulandelana kwesibambo se-excitation, udonga lwangaphakathi lwegobolondo kanye ne-push tube, Futhi ingxenye eyodwa yezinduku ezintathu zokuxhuma ixhunywe ihinge elifanayo elinyakazayo;Izintambo ezintathu zokuxhuma zendlela yokuxhuma zihlanganisa induku yamandla, induku yokusekela kanye nenduku enyakazayo;Induku yamandla incike ngesibambo sokuvusa;Induku yokusekela kanye negobolondo kuxhunywe ngehinji ehambayo;Induku ehambayo ixhunywe ne-push tube ngehinge enyakazayo.I-stapler yemodeli yokusetshenziswa inezinzuzo zesakhiwo esilula, ukusebenza okulula nokuzinza okuqinile.
Isakhiwo sokuxhuma phakathi kwe-push rod kanye nommese we-annular we-stapler ye-digestive tract sihlanganisa induku yokusunduza kanye nommese we-annular oxhunywe ngokuqinile ne-push rod.Ubuningi bezingcezu eziphusha izinzipho ezihlelwe eduze komjikelezo zihlelwe ngaphandle kombese we-annular.Ingxenye eyodwa yommese we-annular ishumekwe ku-push rod.Ngenxa yokuthi umkhawulo owodwa wombese we-annular ushumekwe ku-push rod, ukugxila kommese we-annular kanye nenduku yokusunduza kuphezulu.Enqubweni yokusika izicubu, ummese we-annular ungahlala phakathi ngokushelelayo, Izinga lokuphumelela lokusebenza liphezulu.
Ithuluzi lokusunduza izinzipho le-stapler lokugaya ukudla lihlanganisa umzimba womgqomo wezinzipho wesi-6 kanye nomzimba weshidi lokusunduza izinzipho 1. Iziphetho ezimbili zodonga olusohlangothini lokuqala 7 lwembobo yomgqomo wezinzipho 5 ngokulandelana zinikezwe udonga lokuqala lomhlahlandlela 9, futhi iziphetho ezimbili zodonga oluseceleni lwesibili lwe-8 ngokulandelana zihlinzekwa ngodonga lwesibili lwesiqondiso 10. Udonga lokuqala lwesiqondiso 9 kanye nodonga lwesibili oluqondisayo 10 ekugcineni okufanayo kanye noguquko lwe-arc ezimpambanweni zomgwaqo.Udonga lokuqala oluqondisayo lwe-9 kanye nodonga lwesibili lwesiqondiso 10 ekugcineni okufanayo luhlelwe ngokulinganayo;Uma kunoshintsho oluncane kusayizi wejiyomethri wesisekelo, singase futhi sibekwe ngokuzinza emgodini womgqomo oyisisekelo ngomsebenzi wodonga oluqondisayo, ukuze kuqinisekiswe ukuthi ububanzi bephinikhodi bukhulu kunobubanzi umqhele wesisekelo, ukuze isisekelo sakhiwe kahle.
Isakhiwo sokuxhuma phakathi kwekhoni yokubhoboza kanye nesisekelo sezinzipho se-stapler ye-digestive tract sihlanganisa isisekelo sezinzipho kanye nekhoni yokubhoboza.Isisekelo sezinzipho sihlanganiswe ne-snap spring, i-puncture cone ifakwa phakathi kwe-snap spring, futhi i-snap spring ibopha ikhoni yokubhoboza.Ngokuthembela kumandla okugoqa entwasahlobo we-snap spring, isihlalo sezipikili singaxhunywa ngokuthembekile noma sihlukaniswe nekhoni yokubhoboza, ephephile ukuyisebenzisa futhi elula ukuyifaka.
Isikhathi sokuthumela: Jul-04-2022
