Lub sphincterotome uas siv ib zaug xwb | Lub "riam phom" uas siv tau yooj yim rau cov kws kho mob endoscopist

Kev siv ntawmlub sphincterotomein ERCP

Muaj ob daim ntawv thov tseem ceeb ntawmlub sphincterotomehauv kev kho mobERCP:

1. Nthuav lub plab hnyuv ntawm lub plab hnyuv me me kom pab tus kws kho mob ntxig lub catheter rau hauv lub plab hnyuv me me raws li txoj hlua hlau qhia.

Qhov kev phais pab intubation ntawm no feem ntau yog pom tseeb hauv "hneev" thiab "toughness" ntawmlub sphincterotome. Tsis tas li ntawd xwb, yog tias muaj lub txiv mis uas tig taulub sphincterotome, nws muaj kev tswj ntau yam xws li "saum toj, hauv qab, sab laug, thiab sab xis". Muaj peev xwm, tuaj yeem "qhia tawm" thaum pabtxoj hlua qhiakev ntxig raj.

2. Txiav lub plab hnyuv ntawm lub plab hnyuv (duodenal papilla sphincter) kom nws qhov qhib loj dua kom tau raws li qhov xav tau kev kho mob tom ntej xws li tshem tawm cov pob zeb hauv cov kua tsib.

Kev siv ntawmlub sphincterotomentawm no yog feem ntau yog txiav lub sphincter ntawm cov kua tsib, uas yog, sab hauv ntawm phab ntsa duodenal ntawm Oddi's sphincter, yog li qhov ntev thiab qhov loj ntawm qhov txiav yog qhov tsim nyog kom tsis txhob muaj qhov tho thiab ua kom tau raws li kev kho mob tom qab xws li tshem tawm pob zeb.

Pawg khoom

1. Riam zoo li lub pob caus, tseem hu ua "riam hneev", kuj yog qhov siv ntau tshaj plawslub sphincterotome. Tus qauv arc tsim los ntawm kev rub cov hlau ua rau lub kaum sab xis thiab thaj chaw pom ntawm daim iav sab (duodenoscope) thaum ntxig cov kua tsib thiab cov pancreatic ducts. Tib lub sijhawm, lub kaum sab xis ntawm lub hneev raug kho los ntawm kev rub qhov loj ntawm lub hneev, yog li hloov qhov kev taw qhia ntawm qhov phais. Qhov no ua rau tus kws kho mob ua haujlwm tswj tau qhov kev taw qhia ntawmlub sphincterotomemus rau 11 teev uas tau teem tseg.

2. Riam zoo li rab koob, tseem hu ua "riam koob". Nws yog ib qho tseem ceeb ntxiv thaum siv rab koob arcuatelub sphincterotomehauv kev kho mob. Lub hau ntawm rab riam zoo li rab koob yog ib txoj hlau zoo li rab koob, uas tsis yog tsuas yog muaj lub luag haujlwm ntawm kev tho qhov, tab sis kuj muaj lub zog uas xav tau rau kev siv hluav taws xob thiab "txiav". Tam sim no, rab riam koob feem ntau yog siv rau hauv kev phais ua ntej los pab txhawb rau hauv cov txheej txheem intubation ntawm lub txiv mis pob zeb incarceration thiab lub txiv mis intubation nyuaj.

Peb, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., yog lub chaw tsim khoom hauv Suav teb tshwj xeeb hauv cov khoom siv endoscopic, xws licov forceps biopsy, hemoclip, polyp snare, koob txhaj tshuaj sclerotherapy,tshuaj tsuag catheter, cov txhuam cytology, txoj hlua qhia, pob zeb rov qab tau pob zeb,lub raj xa dej ntawm lub qhov ntswgthiab lwm yam uas siv dav hauvEMR,ESD, ERCPPeb cov khoom muaj daim ntawv pov thawj CE, thiab peb cov nroj tsuag muaj daim ntawv pov thawj ISO. Peb cov khoom tau raug xa tawm mus rau Tebchaws Europe, North America, Middle East thiab ib feem ntawm Asia, thiab tau txais kev lees paub thiab qhuas los ntawm cov neeg siv khoom!