I-Endoscopic yonyango lwe-esophageal / i-gustric velo

I-Esophagege / Ii-Gastric Varices ziziphumo zefuthe eliqinisekisiweyo le-Portal Hypertension kwaye malunga ne-95% ebangelwa yi-cirrhois yoonobangela obahlukeneyo. I-Varikicoose Tein Ukopha idla ngokubandakanya inani elikhulu lokutshutshiswa kunye nokufa okuphezulu, kwaye abaguli abanesono banonyamezelo oluncinci.

Ngokuphuculwa kunye nokusetyenziswa kwetekhnoloji yonyango lwe-gooscopic, unyango lwe-endoscopic luye lwaya kweyona ndlela iphambili yokunyanga ukopha kwe-esophageal / gestric dialiality. Ibaluleke kakhulu i-Endoscopic Sclerotherapy (i-EVs), i-Endoscopic Visious (i-evl) kunye ne-endoscopic Tiisce's Glue inaliti (EDHT).

I-Endoscopic Sclerotherapy (iv)

Icandelo 1

1) Umgaqo-siseko we-Endoscopic Sclerotherapy (i-EVs):
Inaliti ye-intravascular: I-Arhente ye-Sclerong ibangela ukuvuvukala okujikeleze imithambo, ibeka nzima imithambo yegazi kwaye ibhlokile ukuhamba kwegazi;
Inaliti ye-paravascular: ebangela ukupheliswa kwe-Felesmagesing kwi-veins ukubangela i-thrombosis.
2) Iimpawu ze-EV:
(1) Ukuqhekeka oku-ev kunye nokopha;
(2) Imbali yangaphambili ye-EV kunye nokopha;
(3) Izigulana ezinokuphindaphinda kwakhona i-EC emva kotyando;
(4) Abo bangalungelanga unyango.
I-3) Ukuphazamiseka kwe-EVs:
.
(2) I-hepatic Encephalopathy Inqanaba 2 okanye ngaphezulu;
.
4) Amanyathelo okhuseleko emsebenzini
E China, unokukhetha i-lauromactrol (sebenzisaInaliti ye-sclerotherapy). Kwimithambo yegazi emikhulu, khetha inaliti ye-intravascular. Ivolumu yenaliti yi-10 ukuya kwi-15 ml. Kwimithambo yegazi elincinci, unokukhetha inaliti ye-paravascular. Zama ukukuphepha ukuthoba amanqaku ahlukileyo kwindiza enye (i-ilcers inokuvela kukhokelela kwi-esophagegeal). Ukuba ukuphefumla kuyachaphazeleka ngexesha lokusebenza, i-cap ebonakalayo inokongezwa kwi-gastroscope. Kumazwe aphesheya, iBalloon ihlala yongezwa kwi-gastroscope. Kufanelekile ukufunda ukusuka.
I-5) Unyango lwe-POSTOPOOTION
(1) ungadli okanye usele iiyure eziyi-8 emva kotyando, kwaye ngokuthe ngcembe uphinda utye ukutya okungamanzi;
(2) Sebenzisa izixa ezifanelekileyo zamayeza okubulala iintsholongwane ukunqanda usulelo;
.
I-6) I-EVS yonyango
I-sclerotherapy ye-sclerotherapy iyafuneka de i-vains inyamalala okanye inyamalala ngokusisiseko, ithutyana malunga neveki enye phakathi konyango ngalunye; I-Gastroscopy iya kuphononongwa ngenyanga enye, iinyanga ezi-3, iinyanga ezi-6, kunye no-1 emva kokuphela kwekhosi yonyango.
7) Iingxaki ze-Evs
.
. Iingxaki zommandla zibandakanya i-mediatinitis, ukulunga, ukuthambeka kwendalo, kunye ne-ratperter ye-gesttropathy ngomngcipheko omkhulu wokwanda.
.

I-Endoscopic Variki I-Viin I-LIT (EVL)

Icandelo 2

I-1) Izalathiso ze-EVL: ifana ne-EV.
2) Ukuphazamiseka kwe-EVL:
.
(2) IV ihamba ne-GV ebonakalayo;
.
3) indlela yokusebenza
Ukubandakanya i-idation enye yeenwele, i-itrong yeenwele ezininzi, kunye ne-nylon yerope.
(1) UMGAQO-NKQUBO
(2) amanyathelo okhuseleko
I-Moredracred kwi-esophagegeal thephaices ze-esophagege, i-vain nganye ye-vain ifakwe kwindawo ephezulu kakhulu ukusuka ezantsi ukuya phezulu. I-ligator kufuneka isondele kangangoko kunokwenzeka kwindawo ekujoliswe kuyo ye-vain ye-vain, ukuze inqaku ngalinye livele ngokupheleleyo kwaye ligculelwe ngokupheleleyo. Zama ukugubungela i-vain ye-vain ye-vain engaphezu kwamanqaku ama-3.
Kuthatha malunga neeveki ezi-2 ukuya kwezi-2 kwi-necrosis ukuze iwele emva kwebhasisisi. Kwiveki enye emva kotyando, izilonda zendawo zinokubangela ukopha okukhulu, ibhendi yesikhumba iwile, kunye noomatshini bokusikeka kwe-varicase veins. I-EVL inokuphelisa i-varicase veins ngokukhawuleza kwaye ineengxaki ezimbalwa, kodwa i-varicuose iphinda ibuye. Inxalenye ikwicala eliphezulu;
I-EVL ingayithintela ukopha ukopha kwe-guric ye-guric, i-esophageal vein, kunye neVena Cava. Nangona kunjalo, emva kokuhamba kwegazi kwegazi kwegazi kuvaliwe, i-vein ye-vein ye-guin kunye ne-perxiric venugus iya kwandisa, ukuhamba kwegazi kuya kunyuka, kwaye iqondo lokuphinda liphunyele liya kunyuka ngokuhamba kwexesha. Ke ngoko, idla ngokuphindwayo ukuba i-band i-band iyafuneka ukuba idibanise unyango. Ububanzi be-varicse dein kufuneka bube ngaphantsi kwe-1.5 cm.
4) Iingxaki ze-EVL
(1) ukopha okukhulu ngenxa yezilonda zendawo malunga neveki enye emva kotyando;
.
(3) Usulelo.
5) Uvandlakanyo lwendawo ye-EVL
Kunyaka wokuqala emva kotyando e-EVL, umsebenzi we-LILR kunye neZintso, i-B-I-Ultrasound, umsebenzi wegazi, kufuneka uphononongwe rhoqo kwiinyanga ezi-3 ukuya kwezi-6. I-Endoscopy kufuneka iphononongwe rhoqo kwiinyanga ezi-3, kwaye qho emva kweenyanga ezili-0 ukuya kwi-12.
I-6) evs vs evl
Xa kuthelekiswa ne-sclerotherapy kunye ne-inition, akukho mahluko ubalulekileyo ekufeni nasekuhlawuleni iireyithithi phakathi kwezi zimbini. Kwizigulana ezifuna unyango oluphindaphindiweyo, imvume iyacetyiswa ngakumbi. Ngamanye amaxesha i-itroroparapy kunye ne-sclerotherapy idityanisiwe, enokuphucula unyango. Isiphumo. Kumazwe asemzini, iziqwenga zensimbi ngokupheleleyo zisetyenziselwa ukuyeka ukopha.

I-Endoscopic Tiiscue Glue Inahy yonyango (i-evht)

Icandelo 3

Le ndlela ifanelekile kwii-vartices ze-gestric kunye ne-esophagege paraiceal ukopha kwiimeko zongxamiseko.
1) Iingxaki ze-EDHT: ikakhulu ubugcisa bokuprinta kunye ne-portal embolism, kodwa imeko iphantsi kakhulu.
2) Izibonelelo ze-EDHT: I-Vicesi inyamalala ngokukhawuleza, izinga lolwaphulo-mthetho liphantsi, iingxaki zimbalwa, ezibonisa ukuba zibanzi kwaye itekhnoloji kulula ukuyifumana.
3) Izinto zokuqaphela:
Kwi-thoscopic tiscopic tissue giessetion parutionseres, isixa senaliti kufuneka sanele. I-Endoscopic Ultrasound udlala indima entle kakhulu kunyango lwe-vainces kwaye inokunciphisa umngcipheko wokupheliswa kwakhona.
Kukho iingxelo kuncwadi lwamanye amazwe onyango lwe-varices ye-gestric ene-coils okanye i-cyanocrylate phantsi kwesikhokelo se-endoscopic ultrasound isebenza nge-viestrices yendawo yaseburhulumenteni. Xa kuthelekiswa nenaliti ye-cyanocrylate, eOssoscopic ultrasound-othutho ekhokelayo kufuna inaliti ezimbalwa kwaye inxulunyaniswa neziganeko ezimbalwa ezimbi.

Thina, iJiangxi Zhuoruhiuuuuuuuhui-biopsy godps, i-hemoclip, I-Polyp gorare, Inaliti ye-sclerotherapy, ukutshiza i-catheter, Ibrashi ye-cytology, isikhokelo, Ibhasikithi yokubuyisa ilitye, I-Nasal Biling Drasheter Casheter catheternjl.Ems, Esd, I-ERCP. Iimveliso zethu kufuneka ziqinisekiswe, kwaye izityalo zethu ziqinisekisiwe. Impahla yethu ithunyelwe eYurophu, iMntla Melika, eMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana umthengi wokuqonda kunye nokudumisa!