Izixhobo ze-ERCP ezisebenzisa i-Triple Lumen Single Use Sphincterotome yokusetyenziswa kwe-Endoscopic
Izixhobo ze-ERCP ezisebenzisa i-Triple Lumen Single Use Sphincterotome yokusetyenziswa kwe-Endoscopic
Isicelo
I-sphincterotome elahlwayo isetyenziselwa ukucoca i-endoscopic yenkqubo ye-ductal kunye ne-sphincterotomy.
Imodeli: I-Triple lumen Ububanzi bangaphandle: 2.4mm Ubude bencam: 3mm/ 5mm/ 15mm Ubude bokusika: 20mm/ 25mm/ 30mm Ubude bokusebenza: 2000mm
Iiparameters eziphambili zeSphincterotome eLahlwayo
1. Ububanzi
Ububanzi be-sphincterotome buqhele ukuba yi-6Fr, kwaye inxalenye ye-apex incitshiswa kancinci ukuya kwi-4-4.5Fr. Ububanzi be-sphincterotome abufuni ngqalelo ingako, kodwa bunokuqondwa ngokudibanisa ububanzi be-sphincterotome kunye ne-forceps esebenzayo ye-endoscope. Ngaba olunye ucingo lwesikhokelo lungadluliselwa ngelixa i-sphincterotome ibekwa?
2. Ubude bencakuba
Ubude beblade kufuneka buqwalaselwe, ngokubanzi yi-20-30 mm. Ubude bentambo yesikhokelo bumisela i-engile ye-arc yemela ye-arc kunye nobude bamandla ngexesha lokusikwa. Ke ngoko, okukhona intambo yemela inde, kokukhona "i-engile" ye-arc isondela kwicala le-anatomical le-pancreaticobiliary duct intubation, enokuba lula ukuyifunxa ngempumelelo. Kwangaxeshanye, iingcingo zemela ezinde kakhulu zinokubangela ukusika kakubi kwe-sphincter kunye nezakhiwo ezingqongileyo, okubangela iingxaki ezinkulu ezifana nokugqobhoka, ngoko ke kukho "imela ekrelekrele" ehlangabezana neemfuno zokhuseleko ngelixa ihlangabezana nobude.
3. Ukuchongwa kwe-sphincterotome
Ukuchongwa kwe-sphincterotome yinto ebaluleke kakhulu, ikakhulu ukuze kube lula ukuba umqhubi aqonde ngokulula aze achonge indawo ye-sphincterotome ngexesha lokusebenza okuncinci nokubalulekileyo, kunye nokubonisa indawo eqhelekileyo kunye nendawo yokusika ekhuselekileyo. Ngokubanzi, iindawo ezininzi ezifana "nokuqala", "ukuqala", "i-midpoint" kunye ne-"1/4" ye-sphincterotome ziya kuphawulwa, apho i-1/4 yokuqala kunye ne-midpoint yemela ekrelekrele ziindawo ezikhuselekileyo zokusika, ezisetyenziswa kakhulu. Ukongeza, uphawu lwe-midpoint ye-sphincterotome luyi-radiopaque. Phantsi kokujonga i-X-ray, indawo ehambelanayo ye-sphincterotome kwi-sphincter inokuqondwa kakuhle. Ngale ndlela, xa idibene nobude bemela evezwe phantsi kombono othe ngqo, kunokwenzeka ukwazi ukuba imela inokwenza na ngokukhuselekileyo i-sphincter incision. Nangona kunjalo, inkampani nganye inemikhwa eyahlukeneyo yelogo ekuveliseni iilogo, ekufuneka iqondwe.
