Koob txhaj tshuaj pov tseg rau ERCP
Koob txhaj tshuaj pov tseg rau ERCP
Cov Khoom Qhia Txog Khoom
1. Kev tsim kho hlau tsis xeb nrog Teflon txheej thiab lub caij nplooj ntoos hlav / flexible sheath kom txo qhov kev pheej hmoo ntawm kinking.
2. 23G txog 25G.
3. Muaj ib lub catheter sab hauv kom txo tau kev sib txhuam sab hauv.
4. Qhov ntev tshaj plaws ntawm koob txuas ntxiv yog 4 hli txog 5 hli.
5. Lub catheter sab nraud ntev li 230 cm.
6. Catheter txoj kab uas hla ntawm 1.8 hli mus rau 2.5 hli.
7. Nta ib qho kov Luer uas swb nrog lub qhov chaw txhaj tshuaj.
8. Lub xauv kev nyab xeeb ntawm koob.
9. Tsis muaj kab mob.
10. Siv ib zaug xwb.
Daim Ntawv Thov:
✅ Cov Khoom Siv Tseem Ceeb:
Tsis muaj kev kis kab mob, tsis muaj kev ua kom tsis muaj zog, tsis muaj kev rov ua dua - tsuas yog ua tau zoo thiab muaj kev nyab xeeb txhua lub sijhawm.
● Kev phais mob qog nqaij hlav (EMR) los ntawm kev siv lub koob yees duab los txiav cov qog nqaij hlav- Kev nqa cov polyps thiab cov neoplasms GI thaum ntxov hauv qab mucosal.
● Kev Phais Mob Submucosal Endoscopic (ESD)- Hydrodissection rau kev phais en bloc kom muaj kev nyab xeeb.
● Kev kho mob sclerotherapy- Kev txhaj tshuaj sclerosant rau hauv cov hlab ntsha esophageal thiab gastric.
● Kev kho mob hemorrhoid sclerotherapy- Txhaj tshuaj sclerosant rau hauv cov hemorrhoids sab hauv.
● Kev kos duab rau ntawm qhov chaw mob- Ua ntej kev phais mob, cim qhia txog cov kab mob GI rau kev tshawb nrhiav qhov chaw phais.
●Kev txhaj tshuaj ERCP sib piv- Kev puas tsuaj ntawm cov biliary thiab pancreatic ducts.
●Kev xa tshuaj hauv zos- Kev txhaj tshuaj chemotherapy lossis lwm yam tshuaj kho mob rau lub hom phiaj.
Cov Lus Qhia Tshwj Xeeb
| Qauv | Txoj kab uas hla D ± 0.1 (hli) | Ua Haujlwm Ntev L±50 (hli) | Qhov Loj ntawm Koob (inch/ntev) | Txoj Haujlwm Ua Haujlwm |
| ZRH-PN-1812-254 | Φ1.8 | 1200 | 25 G, 4 hli | ≥2.0 |
| ZRH-PN-2418-214 | Φ2.4 | 1800 xyoo | 21 G, 4 hli | ≥2.8 |
| ★ZRH-PN-2418-234 | Φ2.4 | 1800 xyoo | 23 G, 4 hli | ≥2.8 |
| ZRH-PN-2418-254 | Φ2.4 | 1800 xyoo | 25 G, 4 hli | ≥2.8 |
| ZRH-PN-2418-216 | Φ2.4 | 1800 xyoo | 21 G, 6 hli | ≥2.8 |
| ZRH-PN-2418-236 | Φ2.4 | 1800 xyoo | 23 G, 6 hli | ≥2.8 |
| ZRH-PN-2418-256 | Φ2.4 | 1800 xyoo | 25 G, 6 hli | ≥2.8 |
| ZRH-PN-2423-214 | Φ2.4 | 2300 | 21 G, 4 hli | ≥2.8 |
| ZRH-PN-2423-234 | Φ2.4 | 2300 | 23 G, 4 hli | ≥2.8 |
| ZRH-PN-2423-254 | Φ2.4 | 2300 | 25 G, 4 hli | ≥2.8 |
| ZRH-PN-2423-216 | Φ2.4 | 2300 | 21 G, 6 hli | ≥2.8 |
| ★ZRH-PN-2423-236 | Φ2.4 | 2300 | 23 G, 6 hli | ≥2.8 |
| ZRH-PN-2423-256 | Φ2.4 | 2300 | 25 G, 6 hli | ≥2.8 |
| ★ Cov qauv xaiv feem ntau | ||||
Cov Lus Nug Feem Ntau
Los ntawm ZRH med.
Lub Sijhawm Ua Khoom: 2-3 lub lis piam tom qab tau txais nyiaj, nyob ntawm koj qhov kev txiav txim kom muaj nuj nqis
Txoj Kev Xa Khoom:
1. Los ntawm Express: Fedex, UPS, TNT, DHL, SF qhia 3-5 hnub, 5-7 hnub.
2. Los ntawm Kev: Hauv tebchaws thiab lub tebchaws zej zog: 3-10 hnub
3. Los ntawm Hiav Txwv: 5-45 hnub thoob plaws ntiaj teb.
4. Los ntawm Huab Cua: 5-10 hnub thoob plaws ntiaj teb.
Chaw Nres Tsheb Thauj Khoom:
Shenzhen, Yantian, Shekou, Hong Kong, Xiamen, Ningbo, Shanghai, Nanjing, Qingdao
Raws li koj qhov yuav tsum tau ua.
Cov Lus Cog Tseg:
EXW, FOB, CIF, CFR, C&F, DDU, DDP, FCA, CPT
Cov Ntaub Ntawv Xa Khoom:
B/L, Daim Ntawv Them Nqi Lag Luam, Daim Ntawv Teev Khoom
● Ib txwm ntse - Koob hlau tsis xeb tshiab txhua zaus siv
● Tsis muaj kev pheej hmoo ntawm kev kis kab mob - Huv, siv ib zaug xwb, tsis tas yuav rov ua dua tshiab
● Muaj kev nyab xeeb rau lub koob txhaj tshuaj - Koob uas rub tau rov qab tiv thaiv txoj kev ua haujlwm
● Qhov tob ntawm qhov hu - Qhov ntev ntawm 4mm mus rau 10mm tuaj yeem hloov kho tau
● Tsis muaj qhov xau - Kev sib txuas ruaj ntseg Luer xauv
● Pom tseeb - Lub taub hau pom tseeb heev thaum siv lub tshuab endoscopy
● Yooj yim swb - PTFE sheath uas tsis muaj kev sib txhuam tsawg
Kev tsa cov hlab ntsha hauv qab mucosal kom raug rau EMR, ESD, thiab sclerotherapy - ib koob, ib txoj kev kho mob, ib tus neeg mob.
Kev Siv Hauv Tsev Kho Mob
● Kev tsa EMR/ESD- Txhaj tshuaj kom cov qhov mob loj tuaj ua ntej phais.
●Kev kho mob sclerotherapy- Muab cov tshuaj sclerosant rau hauv cov hlab ntsha varices lossis hemorrhoids.
●Kev txhaj tshuaj sib piv- Txhaj tshuaj zas xim rau kev taw qhia fluoroscopic.
●Kev xa tshuaj– Muab cov tshuaj kho mob hauv zos.
●Kev kos duab- Cim cov qhov txhab rau qhov chaw phais yav tom ntej.
