(1). Cov txheej txheem yooj yim Cov txheej txheem yooj yim ntawm EMR yog raws li nram no:
Cov txheej txheem ua ntu zus
①Txhaj cov tshuaj txhaj tshuaj hauv zos hauv qab qhov mob.
②Muab lub qhov ntxiab tso rau ib ncig ntawm qhov mob.
③Lub qhov ntxiab raug nruj kom tuav thiab zawm qhov mob.
④Txuas ntxiv kom nruj lub qhov ntxiab thaum siv hluav taws xob los txiav qhov mob.
⑤Tau cov qauv uas raug txiav tawm.
(2). Cov Lus Qhia
1. Cov lus qhia rau kev xaiv qhov chaw ntawm lub cev thiab kev tso qhov endoscope
Vim tias qhov mob yuav tsum tau kho thaum lub sijhawm pom tag nrho cov duab, tus neeg mob qhov chaw nyob yog qhov tseem ceeb heev. Sim tig lub tsom iav kom qhov mob nyob ze ntawm qhov qhib ntawm lub biopsy forceps, uas yog, txij li 5 txog 7 teev ntawm lub vijtsam.
Ua ntej kev kho mob, cov seem thiab cov xim ntau dhau yuav tsum tau ntxuav thiab tom qab ntawd tshem tawm los ntawm kev nqus.
Piv txwv li, yog tias muaj qhov txhab nyob rau hauv txoj hnyuv loj sigmoid proximal raug tshem tawm hauv qhov chaw pw lossis sab laug lateral decubitus, cov qauv feem ntau yuav txav mus rau txoj hnyuv loj nqis, ua rau nws nyuaj rau nrhiav, yog li qhov chaw right lateral decubitus zoo dua rau kev phais.
Ib yam li ntawd, los ntawm qhov kev xav ntawm kev rov qab tau cov qauv, qhov chaw decubitus sab laug yog qhov zoo dua rau kev txiav cov qhov txhab ntawm txoj hnyuv loj.
2. Cov lus qhia rau kev txhaj tshuaj hauv zos
Ib rab koob txhaj tshuaj tuab hauv zos tuaj yeem txhaj rau ntawm qhov siab qis dua, tab sis nws tsis ntse txaus thiab qhov koob loj dhau, yog li tus sau siv rab koob txhaj tshuaj 25G hauv zos.
Nws tsis yog ib qho kev hais ua kom dhau los hais tias qhov kev vam meej lossis kev ua tsis tiav ntawm EMR feem ntau nyob ntawm kev txhaj tshuaj hauv zos.
Rau cov qhov txhab me me, kev tho qhov raug ua los ntawm sab qhov quav ntawm qhov mob mus rau hauv qab qhov mob.
Rau cov qhov txhab nyob rau hauv qhov nkhaus lossis hla cov qhov quav, yog tias txhaj tshuaj hauv zos los ntawm sab qhov quav, feem ntau cov qhov txhab yuav tsis meej vim tias lawv tig mus rau sab qhov ncauj, yog li kev txhaj tshuaj hauv zos yuav tsum pib los ntawm sab qhov ncauj.
Cov Yam Tseem Ceeb rau Cov Kws Kho Mob Endoscopy
Yog tias cov kua dej xau tawm, lossis muaj kev tiv thaiv zoo thaum lub sijhawm txhaj tshuaj, lossis tsis muaj kev tiv thaiv thaum cov kua nkag mus tab sis tsis muaj qhov o, yuav tsum nres kev txhaj tshuaj thiab tus neeg teb xov tooj yuav tsum tau qhia txog qhov xwm txheej raws sijhawm kom sib tham txog kev tiv thaiv.
Qhov ntau npaum li cas txhaj tshuaj, qhov zoo dua.
Qhov ua kom yuam kev yog txuas ntxiv txhaj tshuaj ntau li ntau tau los ntawm ib qho kev tho kom txog thaum tag nrho cov qhov txhab raug tshem tawm.
3. Cov lus qhia rau kev xaiv ib lub ntxiab
Yog tias lub qhov ntxiab zoo li lub oval ntev, cov mucosa ib txwm muaj ntawm qhov ncauj thiab sab ntawm qhov txhab yuav yooj yim suav nrog thiab tsis tsim nyog.
Lub ntxiab zoo li yuav luag puag ncig, yooj yim qhib rau sab, tsis yooj yim swb, thiab muaj qee qhov nyuaj rau nias rau ntawm qhov txhab kom tuav qhov txhab.
Qhov loj ntawm lub qhov ntxiab yuav tsum tau hloov kho rau qhov loj ntawm qhov mob.
Kev Siv Polypectomy Snare Uas Siv Ib Zaug Xwb
Piv txwv ntawm EMR
a. Duab teeb dawb
Ib qho mob hom IIa 25 hli nrog rau qhov nruab nrab me ntsis qis.
b. Cov duab thaij duab nqaim (NBI)
c. Txau cov xim indigo carmine kom daim duab loj dua
Tau pom tias qhov kev poob qis uas pom los ntawm kev soj ntsuam ib txwm muaj yog cov kab ntawm cov nplooj.
d. Duab loj dua ntawm cov xim siv lead ua xim violet
Tus qauv qhov ntawm qhov qhib ntawm cov hlab ntsha ntawm ntug ntawm qhov mob yog hom IV.
e. Duab loj dua ntawm cov xim siv lead ua xim violet
nyob rau hauv nruab nrab ntawm qhov mob yog VI, me ntsis tsis sib xws, thiab tsis pom muaj qhov nkag mus rau hauv submucosal pom tseeb.
f. Kev txhaj tshuaj hauv zos
Tau muab qhov tho thiab txhaj tshuaj rau hauv qhov chaw nruab nrab ntawm qhov mob, ua rau muaj qhov o zoo.
g. Qhib lub qhov ntxiab
Nias lub hau ntxiab rau ntawm phab ntsa plab hnyuv kom qhib lub ntxiab.
h. Kaw lub qhov ntxiab
Kaw lub qhov ntxiab thiab tuav qhov mob.
i. Fais fab rau kev tshem tawm
Tsis pom muaj qhov tho, los ntshav, lossis cov qog nqaij hlav seem.
j. Kev kho cov qauv
Cov qauv uas raug txiav tawm tau txuas rau ntawm daim ntawv roj hmab.
Kev kuaj mob zaum kawg:mob qog nqaij hlav hauv lub qhov ntswg (Tis)
4. Cov lus qhia rau kev ua haujlwm snare
Muab lub taub hau snare tso rau ntawm qhov mucosa ntawm qhov mob, tom qab ntawd maj mam qhib thiab nias lub hauv paus snare rau sab qhov quav ntawm qhov mob. Yuav kom tiv thaiv qhov phais sab nraud kom tsis txhob muaj qhov mob, yuav tsum muab me ntsis ntawm cov mucosa ib txwm tso rau hauv.
Yuav tsum nco ntsoov tias thaum tsis pom lub qhov ntswg, tej zaum yuav muaj ib tug mucosa zoo li qub lawm. Tom qab lub qhov ntswg nruj tag, ces thawb thiab rub lub tes tsho sab nraud ntawm lub qhov ntswg kom pom qhov mob txav mus los. Yog tias muab nws ntxig rau hauv cov leeg nqaij, qhov mob txav mus los yuav txo qis.
Cov lus qhia rau kev siv hluav taws xob
Tsis txhob nias lub qhov txhab rau ntawm phab ntsa plab, tab sis tsa qhov mob me ntsis kom siab rau kev phais. Kev pheej hmoo ntawm kev raug mob qeeb yog tsawg thaum siv kev phais hluav taws xob, tab sis nws yooj yim los ntshav thaum phais (thaum ntxov tom qab phais).
Yog tias txiav sai dhau ces yuav ua rau los ntshav, thiab yog tias txiav qeeb dhau ces yuav ua rau lub qhov txiav qeeb. Yog tias tus neeg mob hnov mob, lossis tus pab cuam xav tias cov nqaij mos mos zoo li roj hmab thiab nyuaj txiav, tej zaum cov nqaij mos ntawd yuav koom nrog cov leeg nqaij, thiab yuav tsum tsis txhob txiav tam sim ntawd.
Cov Yam Tseem Ceeb rau Cov Kws Kho Mob Endoscopy
Yog tias tus kws kho mob xav tias cov ntaub so ntswg no ywj zoo li roj hmab thiab nyuaj rau txiav, nws yuav tsum qhia rau tus neeg teb xov tooj tam sim ntawd kom tham txog kev tiv thaiv.
Cov Lus Qhia rau Kev Sib Cais EMR
Rau cov qhov txhab loj dua, qee zaum nws muaj kev nyab xeeb dua los ua qhov kev txiav tawm ib daim me me dua li kev yuam kom txiav tawm tag nrho ib zaug. Txawm li cas los xij, qhov muaj ntau daim, qhov muaj feem ntau dua ntawm kev rov tshwm sim hauv zos. Txawm tias nrog piecemeal EMR, kev txiav thawj zaug yuav tsum tau ua kom loj li loj tau nrog lub snare loj kom txo qis tus naj npawb ntawm cov daim.
Peb, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., yog ib lub chaw tsim khoom hauv Suav teb tshwj xeeb hauv cov khoom siv endoscopic, xws li biopsy forceps, hemoclip, polyp snare, sclerotherapy koob, tshuaj tsuag catheter, cytology txhuam, guidewire, pob zeb rov qab pob zeb, nasal biliary drainage catheter thiab lwm yam uas siv dav hauv EMR, ESD, ERCP. Peb cov khoom yog CE daim ntawv pov thawj, thiab peb cov nroj tsuag yog ISO daim ntawv pov thawj. 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!
Cov forceps biopsy:
https://www.zrhendoscopy.com/single-use-endoscopic-tissue-biopsy-forceps-with-graduation-product/
Hemoclip
https://www.zrhendoscopy.com/disposable-rotatable-endoscopic-hemoclip-for-gastroscopy-use-product/
polyp snare
https://www.zrhendoscopy.com/disposable-endoscopic-resection-polypectomy-snare-for-gastroenterology-product/
koob txhaj tshuaj sclerotherapy
https://www.zrhendoscopy.com/gastroenterology-accessories-endoscopic-sclerotherapy-injection-needle-product/
Tshuaj tsuag catheter
https://www.zrhendoscopy.com/ce-certified-disposable-endoscopic-spray-catheter-for-digestive-chromoendoscopy-product/
cov txhuam cytology
https://www.zrhendoscopy.com/endoscopy-accessories-disposable-endoscopic-cytology-brush-for-gastrointestinal-tract-product/
pob zeb rov qab tau pob zeb
https://www.zrhendoscopy.com/ercp-instrument-gallstone-stone-retrieval-basket-for-endoscopy-product/
lub raj xa dej ntawm lub qhov ntswg
https://www.zrhendoscopy.com/medical-instrument-disposable-nasal-biliary-drainage-catheter-for-ercp-operation-product/
EMR
https://www.zrhendoscopy.com/emresd/
ESD
https://www.zrhendoscopy.com/emresd/
ERCP
https://www.zrhendoscopy.com/ercp/
Lub sijhawm tshaj tawm: Lub Ob Hlis-13-2025