Pov Tseg Sphincterotome | Cov ntaub ntawv "riam phom" rau Endoscopists

Kev sivtus noj mov sphincterotomein Ercp

Muaj ob daim ntawv thov tseem ceeb ntawm covtus noj mov sphincterotomeHauv kev khoErcp:

1. Nthuav cov duodenal papilla sphincter kom pab tus kws kho mob hauv cov catheter rau hauv duodenal papilla nyob rau hauv cov lus qhia ntawm phau ntawv taw qhia.

Kev phais cov kev pab cuam ntawm no yog qhov tseem ceeb tshaj plaws hauv "hneev" thiab "tawv" ntawm lubtus noj mov sphincterotomeCov. Ib qho ntxiv, yog tias nruab nrog lub txiv mis rotatabletus noj mov sphincterotome, Nws muaj ntau yam kev tswj hwm xws li "nce, nqis, sab laug, thiab txoj cai". Muaj peev xwm, tuaj yeem "qhia tawm" thaum pabtus tawInstubation.

2. Hlav lub dodenal papilla sphincter rau nws qhib kom tau raws li qhov kev kho mob tom ntej uas yuav tsum tau xws li tshem tawm ntawm cov pob zeb ciav xyoob.

Kev siv ntawm lubtus noj mov sphincterotomeNtawm no yog feem ntau los txhawm rau cov bile duct sphincter, uas yog, lub sab hauv ntawm lub phab ntsa dodenal ntawm lub demisin, yog li qhov ntev ntawm kev kho mob tom qab xws li kev tshem tawm pob zeb xws li pob zeb tshem tawm.

Khoom Pawg

1. Arche-puab riam, tseem hu ua "rab riam hneev", kuj yog qhov feem ntau sivtus noj mov sphincterotomeCov. ARC tsim qauv los ntawm rub lub xaim ua rau lub kaum sab xis thiab teb ntawm saib ntawm sab iav (duodenoscope) thaum pancreatic ducts. Nyob rau tib lub sijhawm, lub kaum sab xis ntawm hneev yog hloov kho los ntawm rub qhov loj ntawm hneev, yog li hloov cov kev ntsuas phais. Qhov no ua rau tus kws kho mob ua haujlwm kom tswj tau txoj kev coj ntawmtus noj mov sphincterotomerau lub sijhawm ua ntej 11 teev.

2. Koob Riam Riam Riam, tseem hu ua "rab koob riam". Nws yog ib qho tseem ceeb ntxiv thaum siv arcuatetus noj mov sphincterotomeClinically. Qhov ntxeev ntawm rab riam rab riam yog rab koob-zoo li xaim, uas tsis tsuas yog muaj kev ua haujlwm uas xav tau rau hluav taws xob thiab txiav ". Tam sim no, koob Riam Riam yog tsuas yog siv nyob rau hauv pre-antigeration thiab nyuaj rau kev siv lub txiv mis.

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