A°scopie coude - indications - résultats

8/9/2019 A°scopie coude - indications - résultats

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Ertarksfkph` gu fkug`Highfethkis taèrep`uthqu`s

`t rèsubtets

Farhsthei Gumkith`rF`itr` g` be Mehi, Oueg`bkup`


2/47

• Fkrps ètreio`rs, pbhfe• Kst`kfakigrhths

ghss`feis

• Vyikvht`• Gènrhg`mìt g`s

kstèkpayt`s

• B‘ertarks` gu fkug`• B`s rehgùrs gu fkug`

• B`s lreftur`s g` be têt`regheb`, g` be fkrkikëg`,gu fepht`bum

•B`s histenhbhtès gu fkug`

• Ayorkme• Nhf`ps• Wìihs `bnkw• I`rl ubiehr`

• Ertarht` s`pthqu`

Tksshnhbhtès t`faihqu`s


3/47

• Fkrps ètreio`rs, pbhfe• Kst`kfakigrhths

ghss`feis

• Vyikvht`• Gènrhg`mìt g`s

kstèkpayt`s

• B‘ertarks` gu fkug`• B`s rehgùrs gu fkug`

Tksshnhbhtès t`faihqu`s

= Gènrhg`mìt


4/47

Gènrhg`m`it ertaksfkphqu` gu fkug`


5/47

• M`hbb`ur` highfethki eu gènut

•Hitèrêt gheoiksthf `t taèrep`uthqu` (5


6/47

84% g` nkis rèsubtets queig be bèshki `st hskbè`

! B`s rèsubtets gèpìgìt gu gòrèg‘ertarks` esskfhè`

! Higkbìf` 10%3! Ghsperhthki gu nbkfeo` 8>%,! Ghsperhthki g` b‘èpeifa`mìt ?0%! Mehs 64% s` pbehoiehìt tkujkurs g‘ui`

frèphtethki,


7/47

• 5> punbhfethkis g‘enbethki hskbè` g` fkrpsètreio`rs skht 548 pethìts `t 81 (84%) g` nkis `t`xf`bbìts rèsubtets

• 8 punbhfethkis g‘enbethki g` F@ + gènrhg`mìt skht504 pethìts `t 554 (?6.6%) nkis ku `xf`bbìtrèsubtets

X`ka CM `t eb. @vhgìf`-Nes`g Highfethkis lkr @bnkw Ertarksfkpy. Ertarksfkpy, \kb >1, Ik >, >45>: pp >?>->1>


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10/47

B`s pbhfe` @itr` têt` regheb` `t fepht`bum

• ^`sseut bkrs g` be prkiethki `itr` 84 `t554´ g` `xhki• Eo` 6< eis, s`x-rethk = 5• > vkh`s pkstèrk-betèreb`s• 5>/57 kit ètè skubeoès

8 punbhfethkis, ev`f 68 (11.


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12/47

«B‘ertarks`³

• O`st`s syikvheux = syikv`ftkmh`

• O`st`s kssùx = enbethki g`s kstèkpayt`s,g` be têt` regheb`, frùs`mìt g`s lkss`tt`s

• O`st`s fepsubehr`s = fepsubktkmh`/fepsub`ftkmh`


13/47

Vyikv`ftkmh`

• Eu Vaev`r, seis esphrethki

• 5`r t`mps, pkur vkhr• Ett`ithki prás g` be fepsub` +++


14/47

Gènrhg`m`it ferthbeohi`ux

• Gèfkuv`rt` g` bèshkis fakigreb`strehtè`s per mhfrk-p`rlkrethkis

Wêt` regheb`Wrkfabè`


15/47

Enbethki g`s kstèkpayt`s

• Vevkhr kø hbs skit +++(Vfeii`r 6G)

• Enreshki ä be lrehs` /saev`r


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Vfkp` geis be vkh` prkxhmk-mègheb`

^ès`fthki eitèrhùr` pervkh` prkxhmk-betèreb`

^ès`fthki pkstèrhùr` per vkh`pkst`rk-betèreb` (èfertùr vkh`prkxhmk-betèreb`)

Vevkh` LA `t eb. Ertarksfkpy lkr ertarhths kl ta` `bnkw. Aeig Fbhihfs >4553 >?: 5?5-5?1


18/47

Kut`rnrhgo`-Cesahweoh

• Lì`strethki per vkh` pkstèrhùr`g`s lkss`tt`s ev`f fkitr÷b`

eitèrhùr


19/47

O`st`s fepsubehr`s

• E lehr` `i g`rih`r ä feus` gurhsqu` i`rv`ux (vesfubehr`)

• @t g` be luht` gu bhquhg` geis b`sperth`s mkbb`s• Ebb`r jusqu‘eux stnr`s gu nrefahebhs

ä be phif` Nesc`t


20/47

I`rl regheb


21/47

^èsubtets•

êhgùr Tkst-treumethqu`

• Oehi mkyì: 6?´ (kpì) vs 60´ (ertarksfkphf)• êhgùrs mhxt`s (ertarks` `t pkst-treume)

• Oehi mkyì: >0´ (kpì) vs 61´ (ertarksfkphf)• Fkug` ertarkshqu`

•Oehi mkyì: >1´ (kpì) vs 64´ (ertarksfkphf)


22/47

• 561 ertarkbys`s (14 kuv`rt vs 01 ertark)• > orkup`s prethqu`m`it fkmperenb`s• pr`-kp 4-7>-555´ (54? kuv`rt-555

>6

>0

>?

>8

65

66

60

6?

68

75

76

70

Trèkp JK Lhieb

Ertark

Lky`r Kuv`rt

544

54>

547

54<

541

554

55>

557

55<

551

5>4

5>>

5>7

5><

5>1564

56>

567

56<

561

574

Trèkp JK Lhieb


23/47

Fkm bhfethkis : 56 %


24/47

! Ertarksfkphqu`s : 57%

> perèsh`s regheb`srèor`sshv`s

5 bèshki i`rl hit`rkssùxpkstèrhùr

> lhstub`s syikvheb`s

6 ebok-iùrk-gystrkpah`s

! Fh`b kuv`rt : 5>%

7 perèsh`s ubiehr`s

5 perebysh` regheb`

6 s`pshs gkit 5 prklkig

5 kstèkm`

5 syigrkm` g‘@ss`x-Bkpr`sth


25/47

^èsumè êhgùrs `t Ertarks`

! Tbus b`s bèshkis ferthbeohiùs`s skit sèvár`s,mkhis nkis skit b`s rèsubtets

! B‘higkbìf` `st b` pbus skuvìt kntìu`,

iktemmìt geis b‘ertarks`! B` oehi sur be mknhbhtè `st pbus bhmhtè geis

b‘ertarks`, m`hbbùr geis b`s rehgùrs pkst-

treumethqu`s55 punbhfethkis ì >45> reppkrteit 51> pethìts ev`f 74(?


26/47

Lreftur`s `t ertarksfkph`

• ^ès`fthki g`s lreftur`sperf`bbehr`s g` be têt`regheb`, gu fephtubum,...

• Vyitaás` skus fkitr÷b`ertarksfkphqu`


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Lhxethki ertarksfkphqu` g`s lreftur`s g` typ` ^`oei H`t HH, K‘Grhsfkbb H `t HH

Aeusmei M^. Ertarksfkphfebby esshst`g fkrkikhg lreftur` stxethki. FK^^ >4413 7


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• Uu`bqu`s fes reppkrtès(gheoiksthqu`s kutaèrep`uthqu`s)

E´ `t histenhbhtès gu fkug` ;


33/47

E´ `t t`igkis eutkur gu fkug`

• Ẁ igki nhfhphteb (syikvht` `trèhis`rthki g`s ruptur`s)

• @phfkigybh`is


34/47

@phfkigybht`: > epprkfa`sìgksfkphqu`s

@igksfkphqu` (Crçm`r, 5886 - Orhlce, 5880 - ûnìtaeb`r,>440 - Nrkkcs-Ahbb, >441)

Ertarksfkphqu` (Nec`r, >444, >441 - Kwìs, >445, Fkaì,>445 - Tèrt, >447 - Vìikui`, >440 - Mubb`t, >440 - Gumkith`r,>441)

Be sùb` qu` j` prethqu` eprás ui` hmeo`rh`(èfak/H^M) mkitreit b`s bèshkis tìghiùs`s


35/47

B`s nes`s taèkrhqu`s

Wkut`s b`s t`faihqu`s (9 54 verheit`s) kit ì fkmmuibe gèshis`rthki g` b‘@F^N +/- @GF: F`tt` gèshis`rthki`st pksshnb` ì ertarksfkph`

B` tìgki g` b‘@F^N `st vhshnb` ä trev`rs be fepsub`


36/47

Nes`s eietkmhqu`s

" B‘@F^N pùt êtr` s`fthkiiè (`t ui gènrhg`mìt kssùxrèebhsè) seis m`ttr` ì geio`r b` bhoemìt fkbbetèrebregheb


37/47

Eveiteo`s

T`rm`t g` r`fa`rfa`r `t g` treht`r ui` petakbkoh``igk-erthfubehr` esskfhè`

55% geis sèrh` kuv`rt` g` Ihrsfab


38/47

W`faihqu`

E´sfkph` gu fkug`

Vfkp` per vkh` mègheb`,histrum`its per vkh` betèreb`

Hisp`fthki g` be fepsub`

V`fthki (sh hiteft`) pkur vkhrb‘his`rthki gu t`igki fkijkhit


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40/47

W`faihqu` (6)

V`fthki gu t`igki (g` be perth` aeut` gu fephtubum sur55 mm jusqu‘ä be têt` regheb`/bot eiiubehr` ) `i

r`sp`fteit b` BB@


41/47

i LP ^èsubtets

Nec`r, >444 7>/56 >80% emèbhkrès, Gkubùr 5,8

(spkrt),^W_ >,> V

Kwìs, >445 5 5 Gkubùr (spkrt) 6,>0 -^W_ < J

Tèrt, >447 66 ; ?>% g` nkis/`xf`bbìts

Vìikui`,Gumkith`r, >440

57 5 8 nkis/`xf`bbìts, 5 mkyì, 7 èfa`fs

Mubb`t, >440 64 > >1/64 ouèrhs ̀ i > s`mehi`s, ̂ W_ ? J

Gumkith`r, >441 >0/>0 7 >5 nkis/`xf`bbìts, 5 mkyì, 7 èfa`fs


42/47

Mhùx qu` be fahruroh` ä fh`b kuv`rt ;

Fkaì `t ^km`k: 57 pts geis faequ` orkup`, pes g`ghllèrìf`s, 5/6 g` meuvehs rèsubtets

Tèrt `t eb.: 66 ertark vs 7> kpì. rèsubtets hgìthqu`smehs r`tkur eu trevehb pbus prèfkf` `t mkhigr` mkrnhghtè

VLE >440: 7< ertark vs 518 kpì - ètug` rètrksp`fthv`.

Tes g` ghllèrìf` geis be r`prhs` gu trevehb gu spkrt, begkubùr pkst-kp,...


43/47

Ayorkme! Vurtkut b`s ayorkmes

bhquhghìs pkst-treumethqu`s! ^ès`fthki eu saev`r, nhì

enres`r b‘kbèfrei`! Qybkfeëi` egrèiebhiè` +

pkhits g` fephtki +

Fkaènei® pkstkp! 1< % g`s 65 pethìts skithigkbkr`s

! ^`prhs` trevehb (54 jkurs)


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• Faemp Nec`r: r`vu` g` 644 ertarksfkph`sgu fkug`

Okkg eig @xf`bb`it ^`subts‖ \@K 544% ()‖ Ertarklhnrkshs 70% (0/55)


46/47

• ^`ggy: 5?> pethìts, 7> mkhs g` r`fub

• 10% skit emèbhkrès• 5, pethìts whta e mèi lkbbkw-up kl 7> mkitas. >< Wa`yaeg 10% okkg tk ̀ xf`bbìt r`subts eig e 5. pethìts whta e mèi lkbbkw-up kl 7> mkitas. >< Wa`yaeg 10% okkg tk ̀ xf`bbìt r`subts eig e 5.44435


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• @xpèrhìf` bhmhtè`

• Highfethkis (`t fkmpb`xhtè)euomìtìt• ^èsubtets ìfkureoèits

• Nèièstf` pktìth`b hmpkrteit• ^hsqu`s iki iubs

• T^@\@IWHKI +++

• ^`pèreo` g`s r`bh`ls kssùx - merqueo`g`s vkh`s g‘enkrgs eveit ghstìshkifepsubehr` - Lb`xhki gu fkug` ä 84´

• Hifhshki g` be pèu uihqu`mìt

• Tes g‘ayp`rpr`sshki erthfubehr`, saev`rseis esphrethki

Fkifbushki

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