Ukusetyenziswa kwei-sphincterotomein I-ERCP
Zimbini izicelo eziphambili zei-sphincterotomekunyangoI-ERCP:
1. Yandisa i-duodenal papilla sphincter ukuncedisa ugqirha ekufakeni i-catheter kwi-duodenal papilla phantsi kwesikhokelo socingo lwesikhokelo.
I-intubation encediswa kukusika apha ibonakala ikakhulu "kwisaphetha" kunye "nokuqina" kwei-sphincterotome. Ukongeza, ukuba ixhotyiswe ngengono ejikelezayoi-sphincterotome, inolawulo lweendlela ezininzi ezinje “phezulu, ezantsi, ekhohlo, nasekunene”. Ukukwazi, "kunokuqhayisa" xa uncedisaguidewireIntubation.
2. Sika i-duodenal papilla sphincter ukwandisa ukuvuleka kwayo ukuhlangabezana neemfuno zonyango ezilandelayo ezifana nokususwa kwamatye aqhelekileyo e-bile duct.
Ukusetyenziswa kwei-sphincterotomeapha ubukhulu becala ukuhlaba i-bile duct sphincter, oko kukuthi, icandelo langaphakathi lodonga lwe-duodenal ye-sphincter ye-Oddi, ngoko ubude kunye nobukhulu be-sphincter ye-Oddi bufanelekile ukuphepha ukugqobhoza kunye nokuhlangabezana nonyango olulandelayo njengokususwa kwamatye.
Iindidi zemveliso
1. Imela emile okweArch, ekwabizwa ngokuba yi “bow knife”, ikwayeyona isetyenziswa kakhulu.i-sphincterotome. Uyilo lwe-arc olwenziwe ngokutsala ucingo lwenza i-angle kunye nentsimi yokujonga isibuko esisecaleni (i-duodenoscope) xa i-intubating i-bile kunye ne-pancreatic ducts. Kwangaxeshanye, i-angle yesaphetha ihlengahlengiswa ngokutsala ubungakanani besaphetha, ngaloo ndlela itshintsha isalathiso sokusikeka. Oku kwenza ukuba ugqirha osebenzayo akwazi ukulawula kakuhle ulwalathiso lwei-sphincterotomeukuya kwintsimbi ye-11 echazwe kwangaphambili.
2. Imela emile njengenaliti, ekwabizwa ngokuba “yimela yenaliti”. Luncedo olubalulekileyo xa usebenzisa i-arcuatei-sphincterotomengokwezonyango. Ingqungquthela yomese owenziwe ngenaliti yintambo efana nenaliti, engenawo nje umsebenzi wokubhoboza, kodwa inobunzima obufunekayo kwi-electrocution kunye "nokusika". Okwangoku, imela yenaliti isetyenziswa ikakhulu kwi-pre-incision ukuncedisa kwinkqubo yokufakwa kwe-intubation yokuvalelwa kwamatye engono kunye ne-intubation enzima yengono.
Thina, i-Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ngumvelisi e-China ogxile kwizinto ezityiwayo ze-endoscopic, ezifanai-biopsy forceps, i-hemoclip, polyp umgibe, inaliti ye-sclerotherapy,fafaza i-catheter, iibrashi zecytology, guidewire, ibhasikithi yokubuyiswa kwamatye,i-catheter ye-biliary drainage yeempumlonjl ezisetyenziswa ngokubanzi kwiI-EMR,ESD, I-ERCP. Iimveliso zethu ziqinisekisiwe nge-CE, kwaye izityalo zethu ziqinisekisiwe nge-ISO. Impahla yethu ithunyelwe eYurophu, kuMntla Melika, kuMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana ngokubanzi umthengi wokuqatshelwa kunye nendumiso!
Ixesha lokuposa: Aug-28-2024