Ibikoresho bya ErCp Inshuro eshatu Gukoresha Ingaragu Koresha Sphincterotome Kubikoresha Endoscopic

1. Diameter
Diameter ya sphincterotome ni 6fr, kandi igice cya Apex kiragenda gigabanuka buhoro buhoro kugeza 4-4.5fr. DiametercTototome ntikeneye kwitabwaho cyane, ariko birashobora kumvikana no guhuza diameter ya sphincterotome nimbaraga zakazi za endoscope. Ikindi kiyobora gishobora kurengana mugihe sphincterotome ishyizwe.
2. Uburebure bwicyuma
Uburebure bw'icyuma bugomba kwishyurwa, muri rusange 20-30 mm. Uburebure bw'icyire kiyobora bugena inguni ya ARC y'icyuma cya ARC n'uburebure bw'ingabo mu gihe cyateganijwe. Kubwibyo, insinga ndende, "inguni" ya arc ni icyerekezo cya anatoodical ya duct umuyoboro wa pancreagitiriobie, ishobora kuba byoroshye gutsindwa neza. Mugihe kimwe, inshinge ndende yicyuma irashobora gutera amakosa ya sphincter ninzego zikikije, bikaviramo ingorane zikomeye nko gutondamira, bityo hariho "icyuma" hariho "icyuma" cyumvikana "cyujuje ibikenewe mumutekano mugihe uhuye nuburebure.
3. Sphincterotome Kumenyekanisha
Kumenyekanisha sphincterotome nigice cyingenzi cyane, cyane cyane kugirango byorohereze umukoresha kugirango wumve byoroshye kandi umenye umwanya wa sphincterotome mugihe cyo gukora sphincterotome mugihe cyo gukora neza kandi cyingenzi, kandi kwerekana umwanya rusange hamwe numwanya mwiza. Muri rusange, imyanya myinshi nk '"itangira", "tangira", "hagati" na "1/4" ya sphincterotome iz'icyuma cy'umutekano ni imyanya y'umutekano yo gucamo, bikunze gukoreshwa. Byongeye kandi, ibimenyetso bidasanzwe bya Sphincterotome ni radiopaque. Munsi ya X-ray, umwanya ugereranije wa sphincterotome muri sphincter irashobora kumvikana neza. Muri ubu buryo, hamwe nuburebure bwicyuma cyagaragaye mubyerekanwa bitaziguye, birashoboka kumenya niba icyuma gishobora gukora neza sphincter. Ariko, buri sosiyete ifite ingeso zitandukanye zo mu ndanzure mu musaruro wa Logos, zigomba kumvikana.