I-Hemostasis ye:mucosal/submucosal.Ukoyiswa <3cm, izilonda zokopha / imithambo <2mm, iisayithi zotyando, ukuvalwa kokusebenza kwe-GI luminal Isetyenziselwa ukubopha ngomatshini imithambo yegazi
Umzekelo | Ubungakanani bokuvula iClip (mm) | Ubude bokusebenza (mm) | Umjelo weEndoscopic (mm) | Iimpawu | |
ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Ingagqunywanga |
ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Ikholoni | |
ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | Gastro | Coated |
ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Ikholoni | |
ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 |
Ukusetyenziswa kweKlinikhi
I-hemoclip inokubekwa ngaphakathi kwiphecana le-Gastro-intestinal (GI) ngenjongo ye-hemostasis:
Iziphene ze-Mucosal / sub-mucosal <3 cm
Izilonda zokopha, -Imithambo <2 mm
Iipolyps <1.5 cm ububanzi
Diverticula kwi #colon
Le kliphu ingasetyenziswa njengendlela eyongezelelweyo yokuvalwa kwe-GI tract luminal perforations <20 mm okanye #endoscopic marking.
I-EMR kunye ne-ESD ephuma kwimvelaphi efanayo kwaye ineempawu ezifanayo zobugcisa.Umahluko we-EMR ESD ngolu hlobo lulandelayo:
Ukungalungi kwe-EMR kukuba kunqunyelwe ngobukhulu bezilonda ezihlanjululwayo phantsi kwe-endoscopy (ngaphantsi kwe-2cm).Ukuba izilonda zinkulu kune-2cm, kufuneka zihlanjululwe kwiibhloko, unyango olunqamlekileyo lwezicubu ezihlaziyiweyo aluphelelanga, kwaye i-postoperative pathology ayichanekanga.
Nangona kunjalo, izixhobo ze-ESD zandisa izalathiso ze-endoscopic resection.Kwizilonda ezinkulu kune-2cm, inokususwa ngokupheleleyo.Kuye kwaba yindlela esebenzayo yonyango lomhlaza wesisu sokuqala kunye nezilonda ezinobungozi.
Okwangoku, i-EMR kunye ne-ESD zisetyenziswa ngokubanzi kwi-rection kunye nonyango lwe-endoscopy yokugaya.
Itekhnoloji ye-EMR kunye ne-ESD ngumbulali we-endoscopic resection, kwaye ibe yindlela ebalulekileyo yonyango oluncinci lomhlaza wesisu kunye nezilonda ezingaphambi komhlaza.Kukholelwa ukuba izixhobo ze-EMR kunye ne-ESD kunye ne-EMR kunye ne-ESD endoscopy inokudala ixabiso elikhulu lonyango kwimpilo yabantu kwixesha elizayo.