(1). Cov txuj ci yooj yim cov tswv yim ntawm EMR muaj raws li hauv qab no:
Muaj QIB Daws Ua Ntej Ntawm Cov Qauv
①inject txoj kev txhaj tshuaj hauv zos tsuas yog hauv qab no.
Muab cov ntxais ntxeem tau.
③THTHE XAUS NYOG YUAV TSUM TAU RAU CAMPRATE THIAB DUA LUB DESION.
④Continue ua rau pom cov ntxiab thaum thov hluav taws xob kom txiav tawm ntawm qhov txhab.
Restretieve cov ntawv sau dua.
(2). Cov Lus Qhia
1.Txhua rau kev xaiv lub cev thiab endoscope muab txoj hauj lwm
Vim tias qhov txhab yuav tsum tau kho thaum lub ntsej muag tag nrho pom, tus neeg mob txoj haujlwm tseem ceeb heev. Sim sib ntswg cov kev txwv kom lub qhov txhab nyob ze ntawm biopsy forceps qhib, uas yog, txij li 5 txog 7 teev rau ntawm lub vijtsam.
Ua ntej kev kho mob, cov seem thiab ntau dhau xim yuav tsum tau ntxuav thiab tom qab ntawd tshem tawm los ntawm nqus.
Piv txwv li, yog hais tias ib qho kev mob siab nyob rau hauv lub proximal sigmoid txoj hnyuv, ua rau nws nyuaj rau txoj hauj lwm desuction desquus zoo dua rau kev rov kho dua.
Ib yam li ntawd, los ntawm qhov kev pom zoo ntawm cov hnoos qeev rov qab, txoj cai sab laug rau txoj haujlwm tom qab
2.Txawm rau kev txhaj tshuaj hauv zos
Ib qho tuab hauv zos txhaj koob tshuaj tiv thaiv tuaj yeem txhaj rau ntawm qhov qis dua, tab sis nws tsis yog qhov tseeb txaus thiab lub qhov kev sau siv 25g kev txhaj tshuaj.
Nws yog tsis muaj exaggeration los hais tias kev ua tiav lossis tsis ua tiav ntawm EMR nyob ntawm kev tiv thaiv kev tiv thaiv hauv ib cheeb tsam.
Rau qhov txhab me me, puncture tau ua los ntawm qhov chaw ntawm qhov txhab qis rau hauv qab qhov txhab.
Rau qhov txhab hauv qhov nkhaus hauv qhov nkhaus lossis cov quav, yog tias qhov chaw hauv zos tsis meej vim tias lawv tau ntsib qhov ncauj, yog li kev txhaj tshuaj hauv zos yuav tsum tau pib los ntawm qhov ncauj.
Qhov tseem ceeb rau cov kws tshaj lij endoscopy
Yog tias cov kua dej xau tawm, lossis muaj kev tiv thaiv zoo thaum lub sij hawm txhaj tshuaj, lossis tsis muaj cov neeg nkag siab, yuav tsum tau raug tso tseg thiab tus neeg teb xov tooj yuav tsum tau raug tso tseg thiab tus neeg teb xov tooj rau kev sib tham raws sijhawm.
Qhov ntau txhaj tshuaj, zoo dua.
Qhov ua kom yuam kev yog txuas ntxiv txhaj tshuaj ntau li ntau tau dhau los ntawm ib qho kev sib tw kom txog thaum tag nrho qhov chaw nkaum tau nqa.
3.Tips rau xaiv ib qho ntxig
Yog hais tias tus snare yog nyob rau hauv cov duab ntawm elongated oval, qhov qub mucosa ntawm lub qhov ncauj qhov ncauj thiab qhov quav yuav yooj yim thiab tsis tsim nyog suav.
Qhov kev kuaj hniav yog dua li ncig ncig, yooj yim rau yooj yim rau swb, thiab muaj qee yam nyuaj rau nias ntawm qhov txhab kom nkag mus rau qhov txhab.
Qhov loj me ntawm cov ntxiab yuav tsum tau yoog raws qhov loj ntawm qhov chaw ntsuas.
Cov Kab Uas Muaj Txiaj Ntsig
Piv txwv ntawm EMR
a. Cov duab lub teeb dawb
Ib 25 mm hom Iia qhov txhab nrog kev nyuaj siab me ntsis ntawm nruab nrab.
b. Nqaim band imaging (NBI) cov duab
c. Txau indigo carmine rau ntug cov duab
Nws tau pom tias cov kev txom nyem uas tau pom los ntawm kev soj ntsuam kev tso pa tawm tau qhov tiag tiag uas tau muaj qhov tiag tiag ntawm nplooj.
d. Cov duab qhia meej ntawm cov siv lead ua violet staining
Lub qhov qauv qauv ntawm cov glandular du qhib ntawm ntug ntawm qhov txhab yog hom IV.
e. Cov duab qhia meej ntawm cov siv lead ua violet staining
Nyob rau hauv nruab nrab ntawm lub qhov txhab yog VI, me ntsis tsis xwm yeem, thiab tsis muaj cuab pom tseeb commucosal infiltration tau pom.
f. Kev txhaj tshuaj hauv zos
Pauv thiab kev txhaj tshuaj hauv zos tau ua hauv qhov chaw ntawm qhov chaw nyob, ua rau muaj kev lom zem.
g. Qhib qhov ntxais
Nias lub ntsej muag ntxaij ntxaij ntxig tiv thaiv txoj hnyuv phab ntsa kom qhib qhov ntxeem.
h. Kaw Qhov Ntxoo
Kaw qhov snare thiab nkag mus rau hauv qhov chaw ntsuas.
I.Power ntawm kev tshem tawm
Tsis muaj perforation, los ntshav lossis tseem nyob rau cov qog.
j. Saib me me
Cov quav dev tau txuas nrog daim ntawv yas roj hmab.
Kev kuaj mob kawg li kev kuaj mob:Intramucosal Carcinoma (TIS)
4.Qhov kev ua haujlwm snare
Tus snare tswv yim tau muab tso rau ntawm qhov ncauj mucosa ntawm qhov chaw nyob, tom qab ntawd maj mam qhib thiab lub hauv paus snare yog nias tawm tsam qhov chaw nyob. Txhawm rau tiv thaiv qhov kev phais yav tom ntej los ntawm kev ua zoo, ib qho me me ntawm cov mucosa ib txwm yuav tsum tau ntxig.
Nws yuav tsum raug sau tseg tias thaum lub taub hau snare tsis tuaj yeem pom, nws yog qhov ua tau tias ntau dua mucosa tau ntxig dua li yuav tau. Tom qab tus neeg snare tau nruj, thawb thiab rub lub tes tsho sab nraud ntawm tus neeg snare los soj ntsuam qhov kev mus ncig ntawm qhov chaw nyob. Yog tias nws tau tso rau hauv cov txheej txheem leeg, qhov kev mus ncig ntawm lub qhov txhab yuav raug txo kom tsawg.
Cov lus qhia rau Kev Siv Hluav Taws Xob
Tsis txhob nias qhov quav ntxiag tawm tsam cov quav dej plab, tab sis me ntsis txhawb qhov txhab rau kev rov kho dua. Txoj kev pheej hmoo ntawm kev ncua kev ncua qeeb yog tsawg thaum siv hluav taws xob kev rov pib, tab sis nws yog ib qho mus rau intraoperative (thaum ntxov tom qab resection) los ntshav.
Kev zam txim uas nrawm heev yuav ua rau los ntshav, thaum lub sijhawm zoo siab dhau yuav ua rau qeeb heev. Yog tias tus neeg mob hnov mob, lossis tus pab cuam pom zoo li roj hmab thiab nyuaj rau cov leeg nqaij, thiab cov tshuaj yuav tsum nres tam sim ntawd.
Qhov tseem ceeb rau cov kws tshaj lij endoscopy
Yog hais tias tus endoscopist pom tias cov ntaub so ntswg yog elastic zoo li roj hmab thiab nyuaj rau nws txiav, nws yuav tsum qhia rau tus neeg teb xov tooj kom sib tham txog countermeasures.
Cov lus qhia rau Sharding EMR
Rau qhov txhab loj dua, nws yog qee zaum muaj kev nyab xeeb kom ua tau cov kev rov pib dua tshiab es tsis yog qhov yuam txhua yam-thaum rov pib dua. Txawm li cas los xij, cov ntau daim muaj ntau, qhov ntau dua qhov ntxim nyiam ntawm cov chaw seem hauv zos. Txawm hais tias nrog piecemeal EMR, kev tawm tswv yim thawj zaug yuav tsum tau ua kom loj li sai tau nrog tus nab loj los txo tus naj npawb ntawm daim.
Peb, Jiangxi Zhuoruihua Xov Xwm Kev Kho Mob Co., LTDCLIP, POLYAL BILIANCHER, POLARSICE SIV HAUV EMR, ESD, Ercp. Peb cov khoom muaj cov ntawv pov thawj CE, thiab peb cov nroj tsuag yog hoo muaj ntawv pov thawj. Peb cov khoom tau raug xa tawm mus rau Tebchaws Europe, North America, Middle East thiab ib feem ntawm Asia, thiab dav tau txais cov neeg siv khoom ntawm kev lees paub thiab qhuas!
Biopsy Forceps:
https://www.zrhendoscopy.com/single-use-Tissue-tissue-Qhov-MOns-With-Txoj Lus-Proundation-Product/
Poly Snare
https://www.zrhendoscopy.com/disposable-nendoscopic-resection-polypectomony-Snare-for-gasenterology/
sclerotherapy koob
https://www.zrhendoscopy.com/gastroCopories-endoscopic-sclerePherapic-Qhov kev-Needle-Prode -Prode-prode -prode-prode -prode-prodeaspres/
Txau catheter
https://www.zrhendoscopy.com/ce-certified-disposable-Sendoscopic-spray-Catheter-digestive-Chromoendoscopy-Product/
Cytology txhuam
https://www.zrhendoscopy.com/endoscopy-disposable-Cyendoscopic-thorology-thorcusestestionestex_frame-Grown/
Tus taw
https://www.zrhendoscopy.com/gastroscopic-ptfe-cop-cppppppppp-hydroughenire-Product/
Pob zeb rov qab pob tawb
https://www.zrhendoscopy.com/ercp-strentone-stone-retret-basket-Txawm-Procopy-Product/
nasal biliary catheter
https://www.zrhendoscopy.com/edical-dispose-thasal- baratheforage-catas-
Emr
https://www.zrhendoscopy.com/emresd/
Tus esd
https://www.zrhendoscopy.com/emresd/
Ercp
https://www.zrhendoscopy.com/ercp/
Lub sijhawm Post: Feb-13-2025