(1). Cov txheej txheem yooj yim Cov txheej txheem yooj yim ntawm EMR yog raws li hauv qab no:
Txheej txheem txheej txheem
① Txhaj tshuaj txhaj tshuaj hauv zos hauv qab ntawm qhov txhab.
② Muab cov hlua khi ib ncig ntawm qhov txhab.
③ Lub snare yog nruj kom tuav thiab strangulate qhov txhab.
④ Txuas ntxiv txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm.
⑤Rau cov qauv rov qab.
(2). Tswv yim
1. Cov lus qhia rau lub cev txoj hauj lwm xaiv thiab endoscope positioning
Vim tias qhov mob yuav tsum tau kho thaum pom tag nrho cov duab, tus neeg mob txoj hauj lwm tseem ceeb heev. Sim ntswj lub peev xwm kom qhov txhab nyob ze ntawm qhov chaw biopsy forceps qhib, uas yog, los ntawm 5 mus rau 7 teev ntawm qhov screen.
Ua ntej kev kho mob, cov residue thiab ntau pigment yuav tsum tau ntxuav thiab ces tshem tawm los ntawm suction.
Piv txwv li, yog hais tias ib tug mob nyob rau hauv lub proximal sigmoid nyuv raug tshem tawm nyob rau hauv lub supine los yog sab laug lateral decubitus txoj hauj lwm, tus qauv yuav feem ntau txav mus rau hauv cov hnyuv, ua rau nws nyuaj rau retrieve, yog li txoj cai lateral decubitus txoj hauj lwm zoo dua rau resection.
Ib yam li ntawd, los ntawm qhov kev xav ntawm cov qauv rov qab, sab laug lateral decubitus txoj hauj lwm yog qhov zoo dua rau kev tshem tawm 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 qis qis, tab sis nws tsis ntse txaus thiab rab koob lub qhov loj dhau, yog li tus kws sau ntawv siv 25G koob txhaj tshuaj hauv zos.
Nws tsis yog qhov exaggeration hais tias qhov kev vam meej lossis tsis ua tiav ntawm EMR nyob ntawm kev txhaj tshuaj hauv zos.
Rau cov kab mob me me, puncture yog ua los ntawm qhov quav ntawm qhov txhab mus rau hauv qab qhov txhab.
Rau cov kab mob hauv qhov nkhaus lossis hla cov quav, yog tias kev txhaj tshuaj hauv zos tau ua los ntawm lub qhov quav, feem ntau cov kab mob tsis meej vim tias lawv tab tom ntsib lub qhov ncauj, yog li kev txhaj tshuaj hauv zos yuav tsum tau pib los ntawm qhov ncauj.
Qhov tseem ceeb rau Endoscopy Technicians
Yog tias cov kua ntws tawm, los yog muaj kev tiv thaiv zoo thaum txhaj tshuaj, lossis tsis muaj kev tiv thaiv thaum cov kua nkag mus, tab sis tsis muaj qhov tshwm sim, kev txhaj tshuaj yuav tsum raug tso tseg thiab tus neeg teb xov tooj yuav tsum tau ceeb toom txog qhov xwm txheej ntawm lub sijhawm los tham txog kev tiv thaiv.
Qhov ntau txhaj tshuaj ntim, qhov zoo dua.
Qhov ua kom yuam kev yog mus txuas ntxiv txhaj tshuaj kom ntau li ntau tau los ntawm ib qho puncture kom txog thaum tag nrho qhov txhab raug tshem tawm.
3. Cov lus qhia rau kev xaiv tus ntxiab
Yog hais tias lub snare nyob rau hauv cov duab ntawm ib tug elongated oval, ib txwm mucosa ntawm qhov ncauj qhov ntswg thiab lub qhov quav sab yuav yooj yim thiab tsis tsim nyog.
Lub snare yog qhov zoo dua yuav luag ncig, yooj yim qhib rau tom qab, tsis yooj yim rau swb, thiab muaj qee yam nyuaj rau nias rau ntawm qhov txhab txhawm rau txhawm rau txhawm rau qhov mob.
Qhov luaj li cas ntawm lub snare yuav tsum tau yoog raws qhov loj ntawm qhov txhab.
Disposable Polypectomy Snare
Piv txwv ntawm EMR
ib. Dawb lub teeb duab
Ib tug 25 hli hom IIa lesion nrog ib tug me ntsis kev nyuaj siab central feem.
b. Narrow band imaging (NBI) cov duab
c. Txau indigo carmine kom loj cov duab
Nws tau pom tias qhov kev nyuaj siab uas tau pom los ntawm kev soj ntsuam ib txwm yog qhov tseeb ntawm cov nplooj.
d. Loj duab ntawm crystal violet staining
Qhov qauv ntawm lub caj pas glandular qhib ntawm ntug ntawm qhov txhab yog hom IV.
e. Loj duab ntawm crystal violet staining
Nyob rau hauv qhov chaw ntawm qhov txhab yog VI, me ntsis tsis xwm yeem, thiab tsis pom pom tseeb submucosal infiltration.
f. Kev txhaj tshuaj hauv zos
Puncture thiab hauv zos txhaj tshuaj tau ua nyob rau hauv qhov chaw ntawm qhov txhab, uas ua rau lub pob txha zoo.
g. Qhib lub snare
Nias lub snare tip tiv thaiv phab ntsa nyuv kom qhib lub snare.
h. Kaw lub snare
Kaw lub snare thiab tuav qhov mob.
i. Fais fab ntawm kev tshem tawm
Tsis pom muaj perforation, los ntshav lossis cov qog seem.
j. Qauv fixation
Cov qauv excised tau txuas mus rau ib daim ntawv roj hmab.
Qhov kawg pathological kev kuaj mob:intramucosal carcinoma (Tis)
4. Cov lus qhia rau kev ua haujlwm snare
Lub snare taub yog maj mam muab tso rau ntawm qhov ncauj mucosa ntawm qhov txhab, ces maj mam qhib thiab lub hauv paus snare yog nias tawm tsam lub qhov quav ntawm qhov txhab. Txhawm rau tiv thaiv qhov kev phais sab nraud los ntawm qhov ua tau zoo, ib qho me me ntawm cov mucosa ib txwm yuav tsum tau muab tso rau.
Nws yuav tsum tau muab sau tseg tias thaum lub snare ntsis tsis pom, nws muaj peev xwm hais tias ib txwm mucosa tau muab tso rau ntau tshaj qhov xav tau. Tom qab lub snare yog nruj nreem, thawb thiab rub lub tes tsho sab nraud ntawm lub snare kom saib xyuas qhov mob ntawm qhov txhab. Yog hais tias nws tau muab tso rau hauv cov leeg nqaij, qhov mob ntawm qhov txhab yuav raug txo.
Cov lus qhia rau electroresection
Tsis txhob nias lub snare tiv thaiv phab ntsa ntawm lub plab, tab sis me ntsis elevate lub lesion rau resection. Qhov kev pheej hmoo ntawm ncua perforation yog tsawg thaum siv electrosurgical resection, tab sis nws yog nquag mus intraoperative (thaum ntxov tom qab resection) los ntshav.
Excision uas ceev heev yuav ua rau los ntshav, thaum excision uas qeeb dhau yuav ua rau ncua perforation. Yog tias tus neeg mob hnov mob, lossis tus neeg pab xav tias cov ntaub so ntswg elastic zoo li roj hmab thiab nyuaj rau kev txiav, nws zoo li cov ntaub so ntswg cuam tshuam rau hauv cov leeg nqaij, thiab kev txiav tawm yuav tsum tau nres tam sim ntawd.
Qhov tseem ceeb rau Endoscopy Technicians
Yog tias tus kws kho mob endoscopist xav tias cov ntaub so ntswg elastic zoo li roj hmab thiab nyuaj rau txiav, nws yuav tsum tau qhia rau tus neeg teb xov tooj tam sim ntawd los tham txog kev tiv thaiv.
Lub tswv yim rau Sharding EMR
Rau qhov mob loj dua, qee zaum nws muaj kev nyab xeeb dua los ua ib qho kev txiav txim siab dua li qhov raug yuam kom tag nrho ib zaug. Txawm li cas los xij, ntau daim muaj, qhov ntau dua qhov yuav tshwm sim hauv zos residual recurrence. Txawm hais tias nrog EMR piecemeal, thawj qhov kev txiav txim yuav tsum tau ua kom loj npaum li qhov ua tau nrog lub snare loj kom txo cov naj npawb ntawm cov khoom.
Peb, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., yog cov chaw tsim khoom nyob rau 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 retrieval pob tawb, MR ca plab hnyuv, thiab lwm yam. ERCP. Peb cov khoom muaj ntawv pov thawj CE, thiab peb cov nroj tsuag tau 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 cov neeg siv khoom ntawm kev lees paub thiab qhuas!
Biopsy forceps:
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/
koob sclerotherapy
https://www.zrhendoscopy.com/gastroenterology-accessories-endoscopic-sclerotherapy-injection-needle-product/
Txau catheter
https://www.zrhendoscopy.com/ce-certified-disposable-endoscopic-spray-catheter-for-digestive-chromoendoscopy-product/
cytology txhuam
https://www.zrhendoscopy.com/endoscopy-accessories-disposable-endoscopic-cytology-brush-for-gastrointestinal-tract-product/
pob zeb retrieval pob tawb
https://www.zrhendoscopy.com/ercp-instrument-gallstone-stone-retrieval-basket-for-endoscopy-product/
qhov ntswg biliary kua catheter
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/
Post lub sij hawm: Feb-13-2025