Hemostasis ya: mucosal / subucosal.Gutsindwa <3cm, kuva ibisebe biva mu maraso / arteri <2mm, aho babaga, gufunga imikorere ya GI luminal Yifashishijwe mu guhuza imiyoboro y'amaraso.
Icyitegererezo | Ingano yo gufungura Clip (mm) | Uburebure bw'akazi (mm) | Umuyoboro wa Endoskopi (mm) | Ibiranga | |
ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Bidapfunditswe |
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 | Yashizweho |
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 Ivuriro
Hemoclip irashobora gushyirwa mubice bya Gastro-intestinal (GI) hagamijwe kuvura indwara ya:
Mucosal / sub-mucosal inenge <3 cm
Amaraso ava amaraso, -Ateri <2 mm
Polyps <cm 1.5 z'umurambararo
Diverticula muri #colon
Iyi clip irashobora gukoreshwa nkuburyo bwinyongera bwo gufunga inzira ya GI tract luminal perforations <20 mm cyangwa kuri #endoskopi.
EMR na ESD bikomoka ku nkomoko imwe kandi bifite ubuhanga busa.EMR ESD itandukaniro nkibi bikurikira :
Ikibi cya EMR nuko igarukira ku bunini bwibisebe bidasubirwaho munsi ya endoskopi (munsi ya 2cm).Niba ibisebe birenze 2cm, bigomba gukemurwa mubice, kuvura imitsi yimitsi ituzuye ntabwo byuzuye, kandi indwara ya nyuma yubuvuzi ntabwo ari yo.
Ariko, ibikoresho bya ESD byagura ibimenyetso byerekana endoskopi.Ku bisebe binini birenze 2cm, birashobora kandi kuvaho burundu.Yabaye uburyo bwiza bwo kuvura kanseri yo mu gifu hakiri kare ndetse no gukomeretsa mbere.
Kugeza ubu, EMR na ESD bikoreshwa cyane mu kwanga no kuvura endoskopi.
Ikoranabuhanga rya EMR na ESD niryo ryica endoskopique, kandi ryabaye uburyo bwingenzi bwo kuvura indwara ya kanseri yo mu gifu hakiri kare ndetse no gukomeretsa mbere.Byizerwa ko ibikoresho bya EMR na ESD hamwe na EMR na ESD endoskopi bishobora guha agaciro gakomeye ubuvuzi kubuzima bwabantu mubihe biri imbere.