ERCP Accessories- Pob zeb Extraction Basket
Pob zeb retrieval pob zeb yog ib qho kev siv pob zeb retrieval pab hauv ERCP accessories.Rau feem ntau cov kws kho mob uas tshiab rau ERCP, pob zeb pob zeb tseem yuav raug txwv rau lub tswv yim ntawm "cov cuab yeej rau khaws cov pob zeb", thiab nws tsis txaus los daws qhov teeb meem ERCP nyuaj.Hnub no, kuv yuav xaus lus thiab kawm txog kev paub txog ERCP pob zeb pob zeb raws li cov ntaub ntawv cuam tshuam uas kuv tau sab laj.
Kev faib tawm dav dav
Lub pob zeb retrieval pob zeb yog muab faib ua ib lub pob tawb qhia xaim-guided pob tawb, ib lub pob tawb uas tsis yog-coj xaim-guided pob tawb, thiab cov pob zeb sib xyaw ua ke.Ntawm lawv, kev sib koom ua ke retrieval-crush baskets yog cov pob tawb retrieval-crush uas sawv cev los ntawm Micro-Tech thiab Rapid Exchange (RX) retrieval-crush baskets sawv cev los ntawm Boston Scientifi.Vim tias qhov sib xyaw ua ke retrieval-crush pob tawb thiab ceev-hloov pob tawb yog kim dua li cov pob tawb zoo tib yam, qee qhov chaw thiab cov kws kho mob ua haujlwm yuav txo tau lawv cov kev siv vim yog teeb meem nqi.Txawm li cas los xij, tsis hais tus nqi tsuas yog tso tseg, cov kws kho mob feem ntau txaus siab siv pob tawb (nrog rau cov ntawv qhia xov hlau) rau kev tawg, tshwj xeeb tshaj yog rau cov pob zeb loj me me.
Raws li cov duab ntawm lub pob tawb, nws tuaj yeem muab faib ua "hexagonal", "pob zeb diamond" thiab "kauv", uas yog pob zeb diamond, Dormia thiab kauv, ntawm cov pob tawb Dormia feem ntau siv.Cov pob tawb saum toj no muaj lawv tus kheej qhov zoo thiab qhov tsis zoo, thiab yuav tsum tau hloov pauv raws li qhov xwm txheej tiag tiag thiab kev siv tus kheej.
Vim tias pob zeb diamond-zoo li pob tawb thiab Dormia pob tawb yog lub pob tawb hloov tau yooj yim nrog "nthuav dav pem hauv ntej kawg thiab txo qhov kawg", nws tuaj yeem ua rau nws yooj yim dua rau lub pob zeb kom khaws cov pob zeb.Yog tias lub pob zeb tsis tuaj yeem raug tshem tawm tom qab raug daig vim lub pob zeb loj dhau lawm, lub pob tawb tuaj yeem tso tawm tau yooj yim, kom tsis txhob muaj kev txaj muag.
Ordinary "pob zeb diamond" pob tawb
Cov pob tawb "hexagon-rhombus" tsis tshua muaj siv, lossis tsuas yog hauv pob zeb crusher pob tawb.Vim qhov chaw loj ntawm "pob zeb diamond" pob tawb, nws yooj yim rau cov pob zeb me kom khiav tawm ntawm lub pob tawb.Lub pob tawb zoo li tus kauv muaj cov yam ntxwv ntawm "yooj yim tso rau hauv tab sis tsis yooj yim rau untie".Kev siv lub pob tawb zoo li lub voj voog yuav tsum muaj kev nkag siab tag nrho ntawm lub pob zeb thiab kev kwv yees ua haujlwm kom tsis txhob pob zeb tau daig ntau li ntau tau.
Kauv pob tawb
Lub pob tawb nrawm nrawm sib xyaw nrog crushing thiab crushing yog siv thaum lub sij hawm rho tawm ntawm cov pob zeb loj, uas tuaj yeem ua rau lub sijhawm ua haujlwm luv thiab txhim kho qhov kev ua tiav ntawm crushing.Tsis tas li ntawd, yog tias lub pob tawb yuav tsum tau siv rau kev tshuaj xyuas, tus neeg sawv cev sib txawv tuaj yeem ua ntej yaug thiab sab laug ua ntej lub pob tawb nkag mus rau hauv cov kua tsib.
Thib ob, cov txheej txheem ntau lawm
Cov qauv tseem ceeb ntawm lub pob zeb pob zeb yog tsim los ntawm lub pob tawb tub ntxhais, ib lub tsho sab nrauv thiab tus kov.Lub pob tawb tseem ceeb yog tsim los ntawm pob tawb hlau (titanium-nickel alloy) thiab rub hlau (304 kho mob stainless hlau).Lub pob tawb xaim yog cov qauv alloy braided, zoo ib yam li cov qauv braided ntawm ib lub snare, uas yuav pab kom ntes tau lub hom phiaj, tiv thaiv slippage, thiab tuav lub siab nruj thiab tsis yooj yim rau tawg.Cov xaim rub tawm yog cov xov hlau kho mob tshwj xeeb nrog lub zog tensile thiab toughness, yog li kuv yuav tsis mus rau cov ntsiab lus ntawm no.
Lub ntsiab lus tseem ceeb uas yuav tsum tau tham txog yog cov qauv vuam ntawm cov hlau rub thiab lub pob tawb hlau, pob tawb hlau thiab lub taub hau hlau ntawm lub pob tawb.Tshwj xeeb tshaj yog, qhov vuam taw tes ntawm rub hlau thiab pob tawb hlau yog qhov tseem ceeb dua.Raws li tus qauv tsim, cov kev xav tau ntawm cov txheej txheem vuam yog siab heev.Lub pob tawb uas muaj qhov tsis zoo me ntsis tuaj yeem tsis tsuas yog ua tsis tau rau lub pob zeb xwb tab sis kuj ua rau lub vuam taw tes ntawm rub cov hlau thiab cov pob tawb mesh xaim tawg thaum lub sij hawm txheej txheem ntawm pob zeb crushing tom qab lub pob zeb raug tshem tawm, ua rau lub pob zeb thiab cov pob zeb tawg. pob zeb nyob rau hauv cov kua tsib, thiab tom qab tshem tawm.Kev nyuaj (feem ntau tuaj yeem rov qab tau nrog lub pob tawb thib ob) thiab tej zaum yuav xav tau kev phais.
Cov txheej txheem vuam tsis zoo ntawm cov hlau thiab lub taub hau hlau ntawm ntau lub pob tawb zoo tib yam tuaj yeem ua rau lub pob tawb tawg yooj yim.Txawm li cas los xij, Boston Scientific cov pob tawb tau siv zog ntau dua hauv qhov no thiab tsim kom muaj kev tiv thaiv kev nyab xeeb.Qhov ntawd yog hais tias, yog tias cov pob zeb tseem tsis tuaj yeem tawg nrog lub siab siab crushing pob zeb, lub pob zeb uas nruj cov pob zeb tuaj yeem tiv thaiv lub taub hau hlau ntawm lub hauv ntej kawg ntawm lub pob tawb kom ntseeg tau tias kev sib koom ua ke ntawm lub pob tawb xaim thiab rub cov hlau.Kev ncaj ncees, yog li zam cov pob tawb thiab pob zeb nyob hauv cov kua tsib.
Kuv yuav tsis mus rau hauv cov ntsiab lus hais txog lub sab nrauv sheath raj thiab kov.Tsis tas li ntawd, ntau lub pob zeb crusher manufacturers yuav muaj cov pob zeb sib txawv, thiab kuv yuav muaj sijhawm los kawm ntxiv tom qab.
Yuav siv li cas
Kev tshem tawm pob zeb raug kaw yog qhov teeb meem ntau dua.Qhov no tej zaum yuav yog tus neeg teb xov tooj qhov tsis txaus ntseeg ntawm tus neeg mob tus mob thiab cov khoom siv, los yog nws yuav yog ib qho ntawm cov kab mob ntawm cov kua tsib lub pob zeb lawv tus kheej.Txawm li cas los xij, peb yuav tsum xub paub yuav ua li cas kom tsis txhob raug kaw, thiab tom qab ntawd peb yuav tsum paub yuav ua li cas yog tias raug kaw.
Txhawm rau kom tsis txhob raug kaw hauv pob tawb, ib lub balloon columnar yuav tsum tau siv los nthuav lub txiv mis qhib ua ntej pob zeb rho tawm.Lwm txoj hauv kev uas tuaj yeem siv los tshem tawm cov pob tawb uas raug kaw muaj xws li: siv lub pob tawb thib ob (lub pob tawb-rau-lub tawb) thiab kev tshem tawm phais, thiab ib tsab xov xwm tsis ntev los no kuj tau tshaj tawm tias ib nrab (2 lossis 3) ntawm cov xov hlau tuaj yeem hlawv siv. APC.tawg, thiab tso lub pob tawb kaw.
Plaub, kev kho ntawm pob zeb pob zeb incarceration
Kev siv lub pob tawb feem ntau suav nrog: kev xaiv ntawm lub pob tawb thiab ob lub ntsiab lus ntawm lub pob tawb nqa lub pob zeb.Nyob rau hauv cov nqe lus ntawm kev xaiv pob tawb, nws tsuas yog nyob ntawm cov duab ntawm lub pob tawb, txoj kab uas hla ntawm lub pob tawb, thiab seb puas yuav siv los yog spare lithotripsy thaum muaj xwm ceev (feem ntau, qhov chaw endoscopy yog ib txwm npaj).
Tam sim no, "pob zeb diamond" pob tawb yog niaj hnub siv, uas yog, Dormia pob tawb.Nyob rau hauv ERCP cov lus qhia, hom pob tawb no tau hais meej meej nyob rau hauv ntu ntawm pob zeb rho tawm rau cov pob zeb uas muaj cov kua tsib.Nws muaj qhov ua tau zoo ntawm pob zeb rho tawm thiab yooj yim tshem tawm.Nws yog thawj kab kev xaiv rau feem ntau pob zeb extraction.Rau txoj kab uas hla ntawm lub pob tawb, cov pob tawb sib thooj yuav tsum tau xaiv raws li qhov loj ntawm pob zeb.Nws tsis yooj yim hais ntxiv txog kev xaiv cov pob tawb hom, thov xaiv raws li koj tus kheej tus cwj pwm.
Pob zeb kev txawj tshem tawm: Lub pob zeb tau muab tso rau saum lub pob zeb, thiab lub pob zeb raug kuaj raws li kev soj ntsuam angiographic.Tau kawg, EST lossis EPBD yuav tsum tau ua raws li qhov loj ntawm pob zeb ua ntej noj pob zeb.Thaum cov kua tsib raug mob lossis nqaim, yuav tsis muaj chaw txaus los qhib lub pob tawb.Nws yuav tsum tau muab rov qab raws li qhov xwm txheej tshwj xeeb.Nws tseem yog ib qho kev xaiv kom nrhiav tau ib txoj hauv kev xa cov pob zeb mus rau ib qho chaw dav dav rau txoj kev rov qab los.Rau cov pob zeb hilar bile duct, nws yuav tsum tau muab sau tseg tias cov pob zeb yuav raug thawb mus rau hauv daim siab thiab tsis tuaj yeem rov qab tau thaum lub pob zeb raug tshem tawm ntawm lub pob tawb los yog kev sim ua tiav.
Muaj ob txoj hauv kev rau kev nqa pob zeb tawm ntawm pob zeb pob zeb: ib qho yog tias muaj qhov chaw txaus saum pob zeb lossis ib sab ntawm lub pob zeb kom cia lub pob zeb qhib;lwm qhov yog kom tsis txhob noj cov pob zeb loj heev, txawm tias lub pob tawb qhib tag, nws tsis tuaj yeem nqa tawm.Peb kuj tau ntsib 3 cm pob zeb uas tau muab tshem tawm tom qab endoscopic lithotripsy, tag nrho cov yuav tsum yog lithotripsy.Txawm li cas los xij, qhov xwm txheej no tseem pheej hmoo thiab xav tau tus kws kho mob paub txog kev ua haujlwm.
Post lub sij hawm: May-13-2022