Hemostasis ya: mucosal / subucosal.Gutsindwa <3cm, kuva amaraso ibisebe / arteri <2mm, ahantu ho kubaga, gufunga imikorere ya GI luminal Byakoreshejwe muguhuza 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 | Bidatwikiriwe |
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 | Inkingi | |
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 | Inkingi | |
ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 |
Gukoresha Ivuriro
Hemoclip irashobora gushirwa 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.Itandukaniro rya EMR ESD nkuko bikurikira :
Ikibi cya EMR nuko igarukira kubunini bwibisebe bidasubirwaho munsi ya endoskopi (munsi ya 2cm).Niba ibisebe birenze 2cm, bigomba gukemurwa mubice, kuvura imitsi yimitsi ntabwo byuzuye, kandi indwara ya nyuma yibikorwa ntabwo aribyo.
Ariko, ibikoresho bya ESD byagura ibimenyetso byerekana endoskopi.Kubikomere binini kurenza 2cm, birashobora kandi kuvaho burundu.Byahindutse uburyo bwiza bwo kuvura kanseri yo munda hakiri kare ndetse no gukomeretsa mbere.
Kugeza ubu, EMR na ESD bikoreshwa cyane mu kwanga no kuvura endoskopi.
Ikoranabuhanga rya EMR na ESD ryica endoskopique, kandi ryabaye uburyo bwingenzi bwo kuvura kanseri yo munda 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.