Ibikoresho bya Endoscope Sisitemu yo Kuzunguruka Hemostasis Clips Endoclip
Ibikoresho bya Endoscope Sisitemu yo Kuzunguruka Hemostasis Clips Endoclip
Gusaba
Endoclip yacu ikoreshwa muguhagarika kuva amaraso mumitsi mito mububiko bwibigosha.
Ibimenyetso byo kuvura kandi birimo: Kumva ibisebe byo kuva amaraso, Diverticula muri COLON, FIMINOYARI ntoya zitari mm 20.
Ibisobanuro
| Icyitegererezo | Ingano yo gufungura clip (mm) | Uburebure bwakazi (MM) | Umuyoboro wa Endoscopic (MM) | Ibiranga | |
| Zrh-hca-165-9-l | 9 | 1650 | ≥2.8 | Gastro | Byamenyekanye |
| 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 | Colon | |
| 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 | Yatinye |
| 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 | Colon | |
| Zrh-hca-235-12-s | 12 | 2350 | ≥2.8 | ||
| Zrh-hca-235-15-s | 15 | 2350 | ≥2.8 | ||
Ibicuruzwa Ibisobanuro
360 ° Clip Clip dedegn
Tanga ahantu nyaburanga.
INGINGO
irinda sotoscopy mubyangiritse.
Sisitemu yo kurekura
byoroshye kurekura clip.
Gufungura no gufunga clip
kumwanya mwiza.
Igikoresho cya Ergonomique
Umukoresha
Gukoresha amavuriro
Endoclip irashobora gushyirwa munzira yinyamanswa (GI) hagamijwe intego ya hestasis kuri:
Mucosal / sub-mucosal iner <cm 3
Kuva amaraso ibisebe, -arteries <2 mm
Polyps <1.5 cm diameter
Diverticula muri #Colon
Iyi clip irashobora gukoreshwa nkuburyo bwinyongera bwo gufunga agace k'amatako ya gi traklinal <20 mm cyangwa kuri #endoscopique.
Gusaba Emr / Esd Ibikoresho
Ibikoresho bikenewe kubikorwa bya EMR birimo inshinge ziteye inshinge, polpactomy, ibikoresho byo kunyereza no kumeneka (niba bikenewe) ibikorwa byumutego umwe bishobora gukoreshwa kubikorwa byombi bya EMR na ESD, kimwe-muburyo bwimikorere yayo. Igikoresho cyo kumeneka gishobora gufasha polyp ligamende, nanone ikoreshwa mu isakoshi-umugozi-suture munsi ya Endoscop, himoclip ikoreshwa kuri endoscopic hesmoscopic hestasis hamwe no guhindagura igikomere muri Girac.
Ibibazo by'ibikoresho bya EMR / ESD
Ikibazo; ESD na ESD ni iki?
A; EMR ihagaze kuri Endoscopic discoscopic, ni uburyo bwimbitse bwo gukuraho imirongo ya kanseri cyangwa ibindi bigo bidasanzwe biboneka mubutumwa bwifu.
Esd ihagaze kuri endoscopic dismucosal dismucosal, ni uburyo bwimbitse bwo gutera ukoresheje endoscopy kugirango ikuremo ibibyimba byimbitse kuva munzira ya gastrointestinal.
Ikibazo; EMR cyangwa ESD, Nigute ushobora kumenya?
A; EMR igomba kuba ihitamo ryambere mubihe bikurikira:
Gutongana kw'ibisimba bitagaragara muri Esofagus ya Barrett;
Lesion ntoya ya gastric <10mm, IIA, umwanya utoroshye kuri ESD;
Igikomere cya duodenal;
● Amabara adafite granile / adahebye <20mm cyangwa umubyimba.
A; Esd igomba kuba amahitamo yo hejuru kuri:
CARCOOOL CARCINOMA (kare) ya Esofagus;
● Carcinoma ya mbere;
● Amabara (adatsindire / yihebye>
● 20mm).
