Hesasis kuri: Mucosal / Submucosal. Gutsindwa <3CM, Ugumano uva amaraso / arteries <2mm, kubaga, gufunga imikorere ya gi lumbonal ikoreshwa muguhuza imiyoboro y'amaraso
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 |
Gukoresha amavuriro
Hemoclip irashobora gushyirwa mu gice cy'inyamanswa (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.
EMR na ESD bakomoka mu nkomoko imwe kandi bafite ibintu bisa na tekiniki. EMR ESD itandukaniro kuburyo bukurikira:
Ibibi bya Emr nuko bigarukira ku bunini bw'ibisingizo bisa nkaho bya Endoscopy (munsi ya 2cm). Niba ibirungo biruta 2cm, bigomba gutabwa muri bice, uburyo bwo kuvura ibice byasabwe butuzuye, kandi patologiya yatangizwa ni ugushaka.
Ariko, ibikoresho bya ESD byaguka ibimenyetso byerekana ko ubushakashatsi bwa Endoscopic. Kubisingi binini kuruta 2cm, birashobora no gukurwaho burundu. Byabaye uburyo bwiza bwo kuvura kanseri ya gastrointestinal na kanseri yintera.
Kugeza ubu, EMR na Esd bikoreshwa cyane mubutabafashishijwe kandi kuvura endoscopy.
Ikoranabuhanga rya EMR na Esd ni umwicanyi wa Endoscopic, kandi ryabaye uburyo bwingenzi bwo kuvura ganini gakabije kanseri ya gastrointestinal na precanceros. Bikekwa ko EMR n'ibikoresho bya ESD na EMR na Esd Endoscopi birashobora guteza agaciro gakomeye ubuvuzi kubuvuzi bwabantu mugihe kizaza.