Ka Seboka sa Selemo sa Bo-32 sa Urology Association (CUA) se haufi le ho tšoareloa Dalian, ke qala hape, ke hlahloba tsebo ea ka ea pele ea endoscopy ea urological. Lilemong tsohle tsa ka tsa endoscopy, ha ke e-s'o bone lefapha le le leng le fana ka mefuta e mengata e fapaneng ea li-endoscope, ho akarelletsa le optical, electronics, le litlhaloso tse sa tšoaneng. Ho feta moo, li-endoscope tsa urological li ntse li fetoha ka potlako, 'me ka hare ho naha, li fuoa mabitso a sebete joaloka "cannonscope" le "sepakapaka sa sefofane sa sefofane." Phihlelo ea ka ea pele le bona e ne e hlolla. Ke kile ka hlophisa lethathamo la ponahalo le mefuta ea li-endoscope tse tenyetsehang le tse thata, e leng thuto ea bohlokoa bakeng sa mosebetsi oa ka.
Haufinyane tjena, ke ntse ke ithuta endoscopy ea urological ka kelello e thehiloeng ho zero. Ke tla e ngola ho ea ka sebaka sa lefu lena. Pele ke ithuta, ke tla qala ho utloisisa lintlha tse ling tsa motheo.
Lintlha le palo ea liopereishene tse hlokahalang bakeng sa maemo a itseng a urological
Hona joale urology e arotsoe ka karolo e ka holimo ea moroto (liphio le ureters), karolo e ka tlaase ea moroto (senya le tšoelesa ea senya), le andrology. Ho feta moo, ka palo ea batho ba ntseng ba tsofala, ho lebeletsoe hore liketsahalo tsa mafu a urological li eketsehe. Mohloli oa lintlha: Phuputso e phatlalalitsoeng ho Scientific Reports ke Sehlopha sa Urology of the First Affiliated Hospital of Soochow University e entse tlhahlobo ea pele e felletseng ea moroalo oa lefats'e oa BPH (benign prostatic hyperplasia) ho tloha 1990 ho isa 2021 ho ipapisitsoe le database ea GBD 2021. Tlhahlobo ea ho bola e netefalitse hore 61% ea keketseho ea lefats'e ea linyeoe e bakiloe ke botsofali ba baahi, 29% ho kholo ea baahi, le 10% ho liphetoho tsa mafu a seoa.
Ho ea bofelong ba 2024, palo ea baahi ba Chaena ba lilemo tse 60 ho ea holimo e fihlile ho limilione tse 310.31 (e ka bang limilione tse 310), e leng karolo ea 22.0% ea kakaretso ea baahi; har'a bona, palo ea batho ba lilemo li 65 le ho feta ke limilione tse 220.23 (hoo e ka bang limilione tse 220), e leng karolo ea 15,6 lekholong ea baahi bohle.
Kankere ea tšoelesa ea senya (CA): E behiloe maemong a pele har'a mofets'e oa moroto, ka sekhahla sa ts'oaetso ea 13.42 ho batho ba 100,000. Ho ipapisitsoe le toropo e nang le baahi ba limilione tse 5, ho na le linyeoe tse 671 selemo le selemo. Ho latela tlhahlobo ea 2025 ea "Prostate Cancer Epidemiological Trends, Genomic Characteristics, and future Directions for Optimized Management in China," hoo e ka bang 54% ea bakuli naheng ea heso ba na le metastases e hole qalong ea tlhahlobo. Ka hona, palo ea bakuli ba nang le matšoao a ho buuoa ke hoo e ka bang 671 * 0.46 = 308.
Kankere ea senya: Sekhahla sa ts'oaetso ke 9.29 ho batho ba 100,000, ka sekhahla sa selemo le selemo sa linyeoe tse ka bang 465 toropong e nang le baahi ba limilione tse 5. Ho itšetlehile ka lintlha tsa marang-rang, ho nka tekanyo ea 75% ea NMIBC (Tis, Ta, T1), palo ea selemo le selemo ea linyeoe tse ncha tse nang le matšoao a ho buuoa ke 348. Kankere ea renal ea Laparoscopic: Lebelo la ts'oaetso ke 7.37 ho batho ba 100,000, ka tekanyo ea selemo le selemo ea linyeoe tse ka bang 368 motseng o nang le baahi ba limilione tse 5. Ho itšetlehile ka litšoaneleho tsa pathological tsa "Thuto ea Lilemo Tse Leshome ka Kamano pakeng tsa Mekhoa ea ho Buoa le Litšobotsi tsa Clinicopathological Characteristics of Renal Cell Carcinoma" e hatisitsoeng ke Peking University First Hospital, sethala sa pT1 se etsa 79.6%, se fellang ka pontšo e hakantsoeng ea ho buuoa ea hoo e ka bang 293. Laparoscopic benign prostatic hyperplasia ka holimo, ka 2B ho tla ba teng (2) Batho ba limilione tse 310.31 naheng ea heso ba lilemo li 60 le ho feta, ba etsang 22.03% ea baahi, bao hoo e ka bang 48.73% e leng banna (tloho, banna, ha le phele nako e telele joaloka basali). Ketsahalo ea BPH ho ba lilemo li 60 ho ea holimo ke 50%, eo karolo ea 10 lekholong e hlokang ho buuoa. Palo ea batho ba hlokang phekolo ea BPH motseng o nang le baahi ba limilione tse 5 ke: limilione tse 5 * 22.03% * 48.73% * 50% * 10% ≈ batho ba 26,838, e leng ntho e ngata haholo.
Majoe a ho ntša metsi: Ha ho na data ea molao e fumanehang. Ho ipapisitsoe le sekhahla sa 5% sa liketsahalo, 25% e hloka kalafo ea opereishene. Toropong e nang le baahi ba limilione tse 5, liketsahalo le kalafo ea selemo le selemo li batla li le 62,500, tse ngata haholo. Ehlile, ona ke moeli o ka holimo. Extracorporeal lithotripsy, ureteroscopic laser lithotripsy, le percutaneous nephrolithotomy ka pneumatic (laser) lithotripsy li sebelisoa.
Ho tloha holimo ho ea tlase ka sebaka sa anatomical
Percutaneous nephrolithotomy
Percutaneous nephrolithotomy (PCNL) ke mokhoa o fokolang haholo o hlahisang mocha ka letlalo ho phekola majoe a liphio kapa liso. E sebelisoa haholo ho phekola majoe a maholo (> 2 cm) kapa a rarahaneng a liphio. Melemo ea eona ea mantlha ke ho sithabela ho fokolang, ho hlaphoheloa ka potlako, le litekanyetso tse phahameng tsa ho hloekisa majoe. Li-nephroscopes li ntse li eketseha ka bophara ka bophara, ka mechine e tloaelehileng (24-30 Fr), microchannels (16-22 Fr), le mechine ea ultrafine (<16 Fr). Lisebelisoa tsa lithotripsy tse bōpehileng joaloka nale tse bophara ba 1.4 mm li se li fumaneha. Percutaneous nephrolithotomy ke lisebelisoa tse tloaelehileng litsing tsa urological lithotripsy.
Percutaneous nephrroscope e na le sebaka sa pono ea 12 °, sheath ea elliptical, bophara bo ka ntle ba 8.5 Fr / 12 Fr, bolelele bo sebetsang bo ka bang 250 mm, le mocha o sebetsang oa hoo e ka bang 6 Fr.
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Nako ea poso: Sep-22-2025