Kev tshuaj xyuas Endoscopic yog qhov tseem ceeb tshaj plaws ntawm kev kuaj hnub endoscopic txhua hnub. Yuav luag txhua qhov kev kuaj xyuas endoscopic yuav tsum muaj kev txhawb nqa pancalian tom qab biopsy. Piv txwv li, yog tias lub plab zom zaub ntsuab yog tias xav tias muaj mob qog, mob hlwb, kev mob plab hnyuv, mob ntsws, cov kab mob pathology tau muab cov txiaj ntsig tseeb.
Nyob rau tam sim no, rau cov tswv yim rau kev siv rau kev siv rau kev ua haujlwm yog ib txwm nqa tawm hauv Suav teb:
1. Cytobrush Kev Ntsuas
2. Daim nqaij biopsy
3. Qhov txheej txheem biopsy
4. EMR nrog tej txheej txheem biopsy
5. Txhua lub qhov quav tuaj ntawm cov txheej txheem siv ESD
6. Ultrasound-coj fna
Niaj hnub no peb yuav tsom rau kev tshuaj xyuas cov ntaub so ntswg, feem ntau yog hu ua "clamping ib daig ntawm nqaij".
Lub xyoob xyoob mis nyob rau hauv cov endoscopy tsis tuaj yeem ua tsis tau yam tsis muaj peev xwm siv tau ntawm cov kws saib xyuas kev saib xyuas mob endoscopic. Cov xib fwb koom nrog kev noj haus endoscopic yuav xav tias biopsy fortps yog yooj yim heev los siv, tsuas yog yooj yim raws li qhib thiab kaw. Qhov tseeb, siv biopsy forceps tidfently thiab kom zoo tag nrho, ib qho yuav tsum muaj kev pom thiab kev ua haujlwm nyuaj, nrog rau qhov zoo ntawm cov ntsiab lus.
I.Ua ntej, cia saib xyuas cov qauv ntawm covBiopsy Forceps:
(I) Tus qauv ntawm Biopsy Forceps (Daim duab 1): Biopsy Forceps yog tsim ntawm lub taub, lub cev thiab cov khiav haujlwm. Ntau cov khoom ntxiv xws li txawv teb chaws lub cev, kub biopsy forceps, txiab, curettes, thiab lwm yam.
TSWV YIM: Cov lus qhia yog tsim ntawm ob lub khob-puab puab tsaig uas tuaj yeem qhib thiab kaw. Cov duab ntawm lub puab tsaig yog tus yuam sij rau kev ua haujlwm ntawm ntau lub laj kab. Lawv tuaj yeem raug faib ua xya hom: Qhib hom, lub qhov rai hom, oval hom, hom nqaij nyuj, thiab cov lus qhia nkhaus. Lub puab tsaig ntawm biopsy forceps yog ua los ntawm cov hlau stainless thiab muaj cov hniav ntse. Txawm hais tias cov hniav ntawm cov khoom siv pov tseg ntawm cov khoom siv biopsinable kuj tseem ntse, lawv muaj kev coj tsis zoo. Qhov tuaj ntawm reusable biopsy cortps yog tshwj xeeb cov npoo kho kom lawv ruaj khov.
Hom ntawmBiopsy Forceps
1. Tshab hom nrog lub qhov rais
Muaj lub qhov rai nyob rau hauv nruab nrab ntawm lub taub hau khob, uas tau txo cov ntaub so ntswg thiab nce tus nqi ntawm biopsy cov ntaub so ntswg.
2. Txheem hom nrog qhov rai thiab koob
Ib rab koob nyob hauv nruab nrab ntawm lub cortps khob kom tiv thaiv kev faib tawm ntawm mucosa thiab kom pab tuav cov ntaub so ntswg.
3. Alligator hom
Lub khob clamp clamp zoo txwv tiv thaiv clamp khob los ntawm slipping, thiab txiav ntug yog ntse rau kev nyab xeeb dua.
4. Cov hom phiaj nrog rab koob
Lub puab tsaig muaj qhov qhib lub kaum sab xis qhib kom nce cov khoom siv roj ntsha; Cov hniav ntug yog ntse rau kev tuav kom muaj kev nyab xeeb ntxiv.
Muaj rab koob nyob rau hauv nruab nrab ntawm lub taub hau clamp, uas tuaj yeem ua rau kev txhim kho tau zoo dua thiab muaj tseeb.
Haum rau biopsy ntawm cov ntaub so ntswg harder xws li hlav hlav.
Lub Cev Muaj Zog: Lub cev ntawm lub cev ntaj biopsy yog ua los ntawm cov kav hlau stainless xov, uas muaj cov hlau xaim rau rub lub zog loj kom qhib thiab kaw. Vim tias cov qauv tshwj xeeb ntawm cov cuab yeej tshwj xeeb ntawm cov xov kab ntawv, nqaij hnoos, cov tshuaj ntxiv tau nkag mus rau nws, tab sis nws tsis yooj yim los ntxuav nws kom huv. Ua tsis tiav nws kom huv si yuav ua rau tsis yooj yim rau hauv kev ua haujlwm ntawm biopsy force, thiab qhib thiab kaw yuav tsis yooj yim. Kev khiav hauj lwm kov: Lub nplhaib ntawm kev ua haujlwm tau siv los tuav tus ntiv tes xoo, thiab qhov sib zog puag ncig yog siv los tso ntiv tes ntiv tes thiab ntiv tes nruab nrab. Raws li kev ua haujlwm ntawm peb tus ntiv tes, lub zog yog kis mus rau lub zog loj los ntawm traction hlau rau kev qhib thiab kaw.
(II) Cov ntsiab lus tseem ceeb rau kev siv Biopsy Forcps: Kev saib xyuas zoo yuav tsum tau ua hauv kev ua haujlwm, txwv tsis pub nws yuav cuam tshuam rau kev siv ntawm endoscope.
1. Kev tshawb nrhiav ua ntej:
Ua ntej siv, Nco ntsoov tias Biopsy forceps tau sterilized thiab siv tsis pub dhau lub sijhawm tsis muaj menyuam kom tsis muaj menyuam. Ua ntej tso cov endoscope cortps, qhib thiab kaw ntawm lub pob zeb yuav tsum raug kuaj (Daim Duab 2).
Daim Duab 2 Biopsy forcts nrhiav kom tau
Cov qauv tshwj xeeb yog txhawm rau coil lub cev ntawm biopsy forceps mus rau hauv lub voj voog loj thiab kaw ntau yam qhib kom pom tias tus quab yuam uas qhib thiab kaw qhov dav dav. Yog tias muaj 1-2 lub sij hawm ntawm kev ua tsis tiav, nws yog qhov zoo tshaj tsis siv biopsy forceps. Thib ob, nws yog qhov tsim nyog los sim qhov kaw ntawm biopsy forceps. Nqa ib daim ntawv nyias nyias xws li ntawv rau cov tsiaj ntawv thiab clamp nws nrog rau biopsy forceps. Nws tsim nyog yog tias daim nyias nyias tsis poob. Thib peb, nws yog ib qho tsim nyog yuav tsum tau saib seb puas muaj ob lub khob ntawm lub pob zeb flaps yog ua kom tiav (daim duab 3). Yog tias muaj misalignment, tsis siv nws tam sim ntawd, txwv tsis pub nws yuav kos lub pob zeb xerps.
Daim duab 3 biopsy fortps nrov plig plawg
Sau ntawv thaum ua haujlwm:
Ua ntej tso cov tub rog, lub puab tsaig yuav tsum raug kaw, tab sis nco ntsoov kom tsis txhob siv cov hlua khi ntau dhau, uas yuav ua rau lub tshuab raj loj dhau los thiab cuam tshuam rau kev qhib thiab kaw ntawm lub puab tsaig. 2. Thaum ntxig lub raj, nkag mus raws cov kev taw qhia ntawm kev qhib ntawm lub raj ntawm lub raj thiab tsis txhob txhuam tawm tsam lub raj qhib raj. Yog tias koj ntsib kev tawm tsam thaum nkag mus, koj yuav tsum xoob lub kaum sab xis thiab sim nkag rau hauv lub xeev ib txwm muaj. Yog tias koj tseem tsis tuaj yeem dhau mus, thim cov endoscope ntawm lub cev rau kev sim, lossis hloov nws nrog lwm tus tsiaj txhu me me. 3. Thaum rub tawm ntawm biopsy forceps, zam kev siv lub zog ntau dhau. Tus pab yuav tsum hloov nws nrog ob txhais tes thiab ces khoov nws. Tsis txhob ncab koj sab caj npab ntau dhau. 4. Thaum lub puab tsaig tsis tuaj yeem kaw, tsis txhob rub nws tawm forcibly. Lub sijhawm no, nws yuav tsum tau thawb tawm ntawm lub cev ua ke nrog endoscope rau kev ua ntxiv.
Ii. Ntsiab lus ntawm qee cov txuj ci ntawm biopsy
1. Qhib thiab kaw biopsy forceps yog ob qho txheej txheem kev ua haujlwm. Kev qhib yuav tsum muaj kev taw qhia, tshwj xeeb tshaj yog lub nqus lub plab zom mov, uas yuav tsum tau txiav tawm mus rau lub vev xaib biopsy. Kaw yuav tsum muaj sijhawm. Kev ua kom lub plab zom mov thiab cov kws phais mob ua haujlwm tau ruaj khov thiab tsis tuaj yeem kho tsis tu ncua. Tus pab cuam yuav tsum txeeb tau cov sijhawm ua kom zoo thiab muaj kev nyab xeeb clamp tog hluav taws xob.
2. Kev hnoos qeev no yuav tsum loj txaus thiab sib sib zog nqus kom ncav cuag cov leeg nqaij mucosa.
3. Xav txog qhov cuam tshuam ntawm kev los ntshav tom qab biopsy rau tom qab biopsies. Thaum lub plab zom mov thiab kev ntsuas lub zog yuav tsum tau biopied tib lub sijhawm, lub pathtric lub yuav tsum yog biopied ua ntej thiab tom qab ntawd lub antrum; Thaum thaj chaw nyob loj thiab ntau daim ntaub yuav tsum tau clamped, thawj daim clamping yuav dig muag thiab passive.
Kev muaj xyoob ntoo bietsy rau qhov txhab ntawm lub plab zom mov, noj rau hauv cov txiaj ntsig ntawm cov ntshav ntxiv ntawm cov bioposes
4. Sim ua kom ua cov tshuaj ntsug ntsug ntawm lub hom phiaj, thiab siv lub pob thaum tsim nyog. Ruting txo cov npoo ntawm cov mucosa, cia cov ntaub so ntswg kom ua clamped ntxaum thiab tsis tshua yuav plam.
Phajsy yuav tsum tau ua raws li kab ntsug li sai tau, thiab kev ncua ntev ntev ntawm biopsy forceps yuav tsum tsis pub tshaj 2cm.
5. Ua tib zoo saib rau kev xaiv ntawm cov ntsiab lus piv txwv rau hom kev sib txawv; Cov kev xaiv ntawm cov ntsiab lus piv txwv cuam tshuam nrog tus nqi zoo. Tus kws phais neeg muaj qhov muag ntse thiab yuav tsum kuj them rau kev xaiv cov khoom.
Cov chaw yuav biopied chaw tsis yuav biopied
6. Qhov chaw uas nyuaj rau kev siv hluav taws xob nrog rau lub plab, thiab phab ntsa qis dua ntawm cov dudenum. Tus pab cuam yuav tsum muaj kev sib koom ua ke. Yog tias nws xav ua tiav qhov txiaj ntsig zoo meej, nws yuav tsum kawm npaj ua ntej thiab kho cov kev taw qhia ntawm flat clamp nrov plig txhua lub sijhawm. Nyob rau tib lub sijhawm, nws yuav tsum txiav txim sai sai rau lub sijhawm ntawm clamping los ntawm kev coj kom zoo dua txhua lub sijhawm. Qee zaum thaum tos cov lus qhia los ntawm tus kws phais neeg, txoj kev lag ua ntawm 1 thib ob yuav ua rau tsis nco qab cov sijhawm. Kuv tsuas tuaj yeem tos ntev rau lwm lub sijhawm.
Cov xib xub taw qhia cov chaw uas nws nyuaj kom tau txais cov khoom lossis nres los ntshav.
7. Xaiv Biopsy Forceps: Biopsy Forceps suav nrog cov uas muaj lub khob qhib loj thiab sib sib zog nqus, thiab ib co nrog sab qhib thiab z drated tom.
8. Tso tawm ua ke nrog cov khoom siv hluav taws xob los qhia rau kev siv hluav taws xob yog qhov tseeb dua, tshwj xeeb tshaj yog rau cov qauv ntsuas esophageal.
Peb, jiangxi zhuoruihua ntsuas ntsuas Co., Ltd.Biopsy Forceps, hemoclip, Poly Snare, sclerotherapy koob, Txau catheter, Cytology txhuam, tus taw, Pob zeb rov qab pob tawb, NASAL Biliary Catheter thiab lwm yamCov. uas tau siv dav hauvEmr, Tus esd, ErcpCov. 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!
Lub Sijhawm Post: Jan-23-2025