內(nèi)窺鏡是一個(gè)配備有燈光的管子，可以經(jīng)人體的天然孔道，或者是經(jīng)手術(shù)做的小切口進(jìn)入人體內(nèi)進(jìn)行診斷治療。? 近年來，隨著科技水平的提升以及人們健康意識(shí)的增強(qiáng)，內(nèi)窺鏡市場得到了迅速的發(fā)展?，F(xiàn)代內(nèi)窺鏡按照發(fā)展階段可分為硬管式內(nèi)窺鏡、半可屈式內(nèi)窺鏡、光纖內(nèi)窺鏡、電子內(nèi)窺鏡四個(gè)階段。

　　An endoscope is a tube equipped with light that can enter the human body through natural channels or small surgical incisions for diagnosis and treatment.? In recent years, with the improvement of technology and the enhancement of people's health awareness, the endoscope market has experienced rapid development. Modern endoscopes can be divided into four stages according to their development stages: rigid tube endoscopes, semi flexible endoscopes, fiber optic endoscopes, and electronic endoscopes.

　　1804年，Philip Bozzini首先大膽提出了內(nèi)鏡的思考和設(shè)想，并在1806年制造了一種以蠟燭為光源的器具，由一花瓶狀光源、蠟燭和一系列鏡片組成，用于觀察動(dòng)物的膀胱與直腸內(nèi)部結(jié)構(gòu)被稱為明光器（Lichtleiter） ，雖然未用于人體，Bozzini仍被譽(yù)為第一個(gè)內(nèi)窺鏡的發(fā)明人。?? 隨后，法國外科醫(yī)生Desormeaux，第一次將“Lichtleiter”運(yùn)用于人體，因此他被許多人譽(yù)為“內(nèi)窺鏡之父”，他的“明光器 ”是以燒煤油和松節(jié)油燈為光源，燈的上方帶有煙囪，并用透鏡將光線聚集以增加亮度，可想而知灼傷是進(jìn)行這種檢查時(shí)的主要并發(fā)癥。雖然這種內(nèi)窺鏡可以到達(dá)胃，但光線太暗，所以主要用于檢查泌尿系方面的疾病。

　　In 1804, Philip Bozzini boldly proposed the idea and conception of endoscopy, and in 1806, he created an instrument with a candle as the light source, consisting of a vase shaped light source, a candle, and a series of lenses. It was used to observe the internal structure of the bladder and rectum of animals, and was called the Lichtliter. Although it was not used in the human body, Bozzini is still known as the inventor of the first endoscope.?? Subsequently, French surgeon Desormeaux applied the "Lichtliter" to the human body for the first time, earning him the title of "father of endoscopes" by many. His "illuminating device" used kerosene and turpentine oil lamps as light sources, with a chimney above the lamp and a lens to concentrate the light to increase brightness. It can be imagined that burns are the main complication of this examination. Although this endoscope can reach the stomach, the light is too dim, so it is mainly used to examine urinary system diseases.

　　1879年，受演藝者吞劍的啟發(fā)，Kussmaul將一直的金屬管放入一名演藝者的胃內(nèi)來觀察胃腔，這樣第一臺(tái)食管胃鏡就問世了。? 同年，柏林泌尿外科醫(yī)生Nitze制成了第一個(gè)含光學(xué)系統(tǒng)的內(nèi)窺鏡(膀胱鏡)，其前端含一個(gè)棱鏡，用電流使鉑絲環(huán)過熱發(fā)光并以之作為光源，同Lichtleiter一樣，該內(nèi)窺鏡僅被用于泌尿系統(tǒng)。Nitze在膀胱內(nèi)循環(huán)冰水以避免熱灼傷，由于該內(nèi)窺鏡能獲得較清晰的圖像，Nitze還利用它拍攝照片，后來Nitze在他的膀胱鏡中引入了操作管道，通過該管道可以插入輸尿管探針進(jìn)行操作。

　　In 1879, inspired by the entertainer swallowing a sword, Kussmaul placed a metal tube into the stomach of an entertainer to observe the gastric cavity, thus creating the first esophageal gastroscopy.? In the same year, Berlin urologist Nitze created the first endoscope (cystoscope) with an optical system, which included a prism at the front end and used an electric current to overheat a platinum wire ring to emit light as a light source. Like Lichtliter, this endoscope was only used for the urinary system. Nitze circulated ice water inside the bladder to avoid thermal burns. Due to the clear images obtained by this endoscope, Nitze also used it to take photos. Later, Nitze introduced an operating tube into his cystoscope, through which a ureteral probe could be inserted for operation.

　　1881年?內(nèi)窺鏡在泌尿生殖系統(tǒng)的成功應(yīng)用，促使人們將其應(yīng)用于人體的其他部位。1881年Mikulicz和Leiter采用Nitze的硬管光學(xué)系統(tǒng)成功地制成了第一個(gè)適用于臨床的胃鏡。

　　In 1881? The successful application of endoscopy in the urinary and reproductive system has prompted people to apply it to other parts of the human body. In 1881, Mikulicz and Leiter successfully created the first gastroscope suitable for clinical use using Nitze's rigid tube optical system.

　　1898年 1898年Killian制成并成功使用了第一個(gè)支氣管鏡。

　　In 1898, Killian made and successfully used the first bronchoscope.

　　2、半可屈式內(nèi)窺鏡

　　2. Semi flexible endoscope

　　? 第一個(gè)半可屈式胃窺鏡是由Schindler從1928年起與器械制作師Wolf合作開始研制的，并最終在1932年獲得成功，定名為Wolf-Schindler式胃鏡。? 其特點(diǎn)是前端可屈性，即在胃內(nèi)有一定范圍的彎曲，使術(shù)者能清晰地觀察胃粘膜圖像。

　　What? The first semi flexible gastroscope was developed by Schindler in collaboration with instrument maker Wolf in 1928, and was ultimately successful in 1932, named the Wolf Schindler gastroscope.? Its characteristic is front-end flexibility, which means there is a certain range of curvature in the stomach, allowing the surgeon to clearly observe the image of the gastric mucosa.

　　3、纖維內(nèi)窺鏡

　　3. Fiber endoscope

　　1954年 英國Hopkings及Kapany研究了纖維的精密排列，有效地解決了纖維束的圖像傳遞，為纖維光學(xué)的實(shí)用奠定了基礎(chǔ)。

　　In 1954? Hopkins and Kapany from the UK studied the precise arrangement of fibers, effectively solving the image transmission of fiber bundles and laying the foundation for the practical application of fiber optics.

　　4、電子內(nèi)窺鏡

　　4. Electronic endoscope

　　1983年美國Welch Allyn公司研制并應(yīng)用微型圖像傳感器 (charge coupled device,CCD)代替了內(nèi)鏡的光導(dǎo)纖維導(dǎo)像術(shù)，宣告了電子內(nèi)鏡的誕生——內(nèi)鏡發(fā)展史上另一次歷史性的突破。

　　What? In 1983, Welch Allyn Company in the United States developed and applied a miniature image sensor (charge coupled device, CCD) to replace the optical fiber guidance of endoscopy, announcing the birth of electronic endoscopy - another historic breakthrough in the history of endoscopic development.

　　電子內(nèi)窺鏡具有分辨率高、圖像真實(shí)清晰、色彩鮮明、強(qiáng)度高、壽命長、更耐用的優(yōu)點(diǎn)，同時(shí)具備多人觀看，可存儲(chǔ)圖像數(shù)據(jù)的特點(diǎn)，正在逐步的替代以前使用的纖維內(nèi)窺鏡，給百余年來內(nèi)鏡的診斷和治療開創(chuàng)了歷史新篇章，在臨床、教學(xué)和科研中發(fā)揮出巨大的優(yōu)勢。

　　What? Electronic endoscopes have the advantages of high resolution, realistic and clear images, vivid colors, high intensity, long lifespan, and greater durability. They also have the ability to be viewed by multiple people and store image data. They are gradually replacing the previously used fiber endoscopes, opening a new chapter in the history of endoscopic diagnosis and treatment for more than a hundred years, and playing a huge role in clinical, teaching, and scientific research.

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