I-sphincterotome elahlwayo | “Isixhobo” esiluncedo seengcali ze-endoscopists

Ukusetyenziswa kwei-sphincterotomein I-ERCP

Kukho iindlela ezimbini eziphambili zokusetyenziswa kwei-sphincterotomekwizonyangoI-ERCP:

1. Yandisa i-duodenal papilla sphincter ukunceda ugqirha ekufakeni i-catheter kwi-duodenal papilla phantsi kwesikhokelo sentambo yesikhokelo.

Ukufakwa kwe-incision-assisted intubation apha kubonakala kakhulu kwi-"bow" kunye "nokuqina" kwe-"i-sphincterotomeUkongeza, ukuba ixhotyiswe ngengono ejikelezayoi-sphincterotome, inolawulo oluya kwicala ngalinye olufana “phezulu, ezantsi, ekhohlo, nasekunene”. Ubuchule, bunokuzibonakalisa xa buncedaucingo lwesikhokeloukufakwa kombhobho.

2. Sika i-duodenal papilla sphincter ukuze yandise umngxuma wayo ukuze ihlangabezane neemfuno zonyango ezilandelayo ezifana nokususwa kwamatye e-common bile duct.

Ukusetyenziswa kwei-sphincterotomeApha ikakhulu kukusika i-bile duct sphincter, oko kukuthi, inxalenye engaphakathi yodonga lwe-duodenal ye-Oddi's sphincter, ngoko ke ubude kunye nobukhulu bokusika kufanelekile ukuthintela ukugqobhoka kunye nokuhlangabezana nonyango olulandelayo olufana nokususwa kwamatye.

Iindidi zemveliso

1. Imela emile okwegophe, eyaziwa ngokuba yi-"saw knife", ikwayeyona isetyenziswa kakhului-sphincterotomeUyilo lwe-arc olwenziwe ngokutsala ucingo lwenza i-engile kunye nebala lokujonga kwesibuko esisecaleni (i-duodenoscope) xa kufakwa i-bile kunye ne-pancreatic ducts. Kwangaxeshanye, i-engile yesaphetha ilungiswa ngokutsala ubungakanani besaphetha, ngaloo ndlela kutshintsha icala lokusikwa. Oku kwenza ugqirha osebenzayo akwazi ukulawula kakuhle icala le-arci-sphincterotomeukuya kuthi ga ngentsimbi ye-11 emiselweyo.

2. Imela emile okwenaliti, eyaziwa ngokuba “yimela yenaliti”. Sisongezelelo esibalulekileyo xa usebenzisa i-arcuatei-sphincterotomengokwezonyango. Incam yemela emile okwenaliti yintambo efana nenaliti, engenamsebenzi wokubhoboza nje kuphela, kodwa ikwanayo nokuqina okufunekayo ekucuthweni ngombane nasekusikweni. Okwangoku, imela yenaliti isetyenziswa kakhulu ngaphambi kokusikwa ukunceda kwinkqubo yokufaka ityhubhu yokuvalelwa kwamatye eengono kunye nokufaka ityhubhu enzima yeengono.

Thina, Jiangxi Zhuoruihua Medical Instrument Co.,Ltd., singumvelisi eTshayina ogxile kwizinto ezisetyenziswayo ze-endoscopic, ezifanai-biopsy forceps, i-hemoclip, umgibe we-polyp, inaliti ye-sclerotherapy,i-catheter yokutshiza, iibhrashi ze-cytology, ucingo lwesikhokelo, ibhaskithi yokuqokelela amatye,i-catheter yokukhupha amanzi empumlweninjl. ezisetyenziswa kakhulu kwiI-EMR,I-ESD, I-ERCPIimveliso zethu ziqinisekisiwe yi-CE, kwaye izityalo zethu ziqinisekisiwe yi-ISO. Iimpahla zethu zithunyelwe eYurophu, eMntla Melika, eMbindi Mpuma nakwinxalenye ye-Asia, kwaye zifumana umthengi udumo nodumo ngokubanzi!