Kev kuaj mob endoscopic biopsy yog qhov tseem ceeb tshaj plaws ntawm kev kuaj mob endoscopic txhua hnub. Yuav luag txhua qhov kev kuaj mob endoscopic xav tau kev txhawb nqa pathological tom qab biopsy. Piv txwv li, yog tias cov hnyuv ntawm txoj hnyuv zom zaub mov raug xav tias muaj kev o, mob qog noj ntshav, atrophy, plab hnyuv metaplasia, thiab HP kab mob, pathology yuav tsum muab qhov tshwm sim tseeb.
Tam sim no, muaj rau txoj kev kuaj mob biopsy uas tau ua tas li hauv Suav teb:
1. Kev kuaj mob Cytobrush
2. Kev Kuaj Nqaij
3. Kev siv txoj kev kuaj mob qhov av
4. EMR nrog cov txheej txheem biopsy ntau
5. Kev siv tshuaj biopsy tag nrho cov qog nqaij hlav ESD
6. FNA uas siv Ultrasound los qhia
Niaj hnub no peb yuav tsom mus rau kev tshuaj xyuas qhov kev kuaj nqaij ntawm lub cev, uas feem ntau hu ua "clamping a piece of meat".
Kev kuaj mob hauv qab kev kuaj mob plab tsis tuaj yeem ua tiav yam tsis muaj cov forceps kuaj mob, uas kuj yog ib qho ntawm cov khoom siv feem ntau siv los ntawm cov kws qhia endoscopic. Cov xib fwb koom nrog kev saib xyuas endoscopic yuav xav tias cov forceps kuaj mob yooj yim heev rau siv, tsuas yog yooj yim qhib thiab kaw. Qhov tseeb, kom siv cov forceps kuaj mob kom meej thiab zoo meej, ib tus neeg yuav tsum muaj kev nkag siab thiab kev ua haujlwm hnyav, nrog rau kev sau luv luv.
I.Ua ntej, cia peb rov xyuas dua qhov qauv ntawmcov forceps biopsy:
(I) Cov qauv ntawm biopsy forceps (Daim Duab 1): Biopsy forceps yog tsim los ntawm lub taub hau, lub cev thiab lub tes tuav ua haujlwm. Ntau yam khoom siv xws li txawv teb chaws lub cev forceps, kub biopsy forceps, txiab, curettes, thiab lwm yam zoo ib yam li cov qauv ntawm biopsy forceps.
Lub Tswv Yim: Lub hau muaj ob lub puab tsaig zoo li khob uas tuaj yeem qhib thiab kaw. Cov duab ntawm lub puab tsaig yog qhov tseem ceeb rau kev ua haujlwm ntawm ntau yam biopsy forceps. Lawv tuaj yeem muab faib ua xya hom: hom qhib ib zaug, hom qhib ob zaug, hom qhov rai, hom koob, hom oval, hom qhov ncauj khej, thiab hom nkhaus ntawm lub hau. Lub puab tsaig ntawm biopsy forceps yog ua los ntawm cov hlau tsis xeb thiab muaj cov hniav ntse. Txawm hais tias cov hniav ntawm biopsy forceps pov tseg kuj ntse, lawv tsis muaj kev tiv thaiv kev hnav. Cov hniav ntawm biopsy forceps rov siv tau yog kho tshwj xeeb rau saum npoo kom ua rau lawv ruaj khov dua.
Cov hom kev siv ntaucov forceps biopsy
1. Hom txheem nrog qhov rais
Muaj ib lub qhov rais nyob hauv nruab nrab ntawm lub khob forceps, uas txo cov ntaub so ntswg puas tsuaj thiab ua rau cov ntaub so ntswg biopsy ntau ntxiv.
2. Hom txheem nrog qhov rais thiab koob
Muaj ib rab koob nyob hauv nruab nrab ntawm lub khob forceps kom tiv thaiv cov biopsy kom tsis txhob plam hla lub mucosa thiab pab tuav cov qauv ntaub so ntswg.
3. Hom Alligator
Lub khob clamp uas muaj serrated zoo tiv thaiv lub khob clamp kom tsis txhob plam, thiab cov ntug txiav yog ntse rau kev tuav ruaj ntseg dua.
4. Hom Alligator nrog koob
Cov puab tsaig muaj lub kaum qhib dav kom ua rau qhov biopsy ntim ntau ntxiv; cov hniav hniav ntse rau kev tuav ruaj ntseg dua.
Muaj ib rab koob nyob hauv nruab nrab ntawm lub taub hau clamp, uas tuaj yeem ua rau qhov kev kho kom zoo dua thiab raug.
Haum rau kev kuaj nqaij ntawm cov nqaij tawv xws li qog nqaij hlav.
Lub Cev Forceps: Lub cev ntawm biopsy forceps yog ua los ntawm cov hlau tsis xeb, uas muaj cov hlau hlau rau rub lub forceps valve kom qhib thiab kaw. Vim yog cov qauv tshwj xeeb ntawm lub raj threaded, cov ntaub so ntswg mucus, ntshav thiab lwm yam khoom tuaj yeem nkag mus rau hauv nws yooj yim, tab sis nws tsis yooj yim los ntxuav nws kom huv si. Yog tsis ntxuav nws kom huv si yuav ua rau muaj kev tsis yooj yim hauv kev ua haujlwm ntawm biopsy forceps, thiab qhov qhib thiab kaw yuav tsis du lossis tsis yooj yim qhib. Kev ua haujlwm kov: Lub nplhaib ntawm kev ua haujlwm kov yog siv los tuav tus ntiv tes xoo, thiab lub voj voog dav dav yog siv los tso tus ntiv tes xoo thiab tus ntiv tes nruab nrab. Nyob rau hauv kev ua haujlwm ntawm peb tus ntiv tes no, lub zog raug xa mus rau lub forceps valve los ntawm cov hlau traction rau kev qhib thiab kaw.
(II) Cov ntsiab lus tseem ceeb rau kev siv biopsy forceps: Yuav tsum tau ceev faj heev hauv kev ua haujlwm, kev siv thiab kev saib xyuas biopsy forceps, txwv tsis pub nws yuav cuam tshuam rau kev siv endoscope.
1. Kev kuaj pom ua ntej:
Ua ntej siv, xyuas kom tseeb tias cov biopsy forceps tau raug sterilized thiab siv nyob rau hauv lub sijhawm sterilization zoo. Ua ntej ntxig lub endoscope forceps channel, qhov qhib thiab kaw ntawm cov forceps yuav tsum tau sim (Daim Duab 2).
Daim Duab 2 Kev kuaj pom ntawm cov forceps biopsy
Txoj kev tshwj xeeb yog kom dov lub cev ntawm cov biopsy forceps rau hauv ib lub voj voog loj (lub cheeb ntawm lub voj voog yog li 20cm), thiab tom qab ntawd ua ntau qhov qhib thiab kaw kom pom seb cov forceps flaps qhib thiab kaw du. Yog tias muaj 1-2 zaug ntawm qhov tsis du, nws yog qhov zoo tshaj plaws kom tsis txhob siv cov biopsy forceps. Qhov thib ob, nws yog qhov tsim nyog los sim qhov kaw ntawm cov biopsy forceps. Siv ib daim ntawv nyias nyias xws li ntawv thiab clamp nws nrog cov biopsy forceps. Nws yog qhov tsim nyog yog tias daim ntawv nyias nyias tsis poob tawm. Qhov thib peb, nws yog qhov tsim nyog los saib seb ob lub khob ntawm cov forceps flaps puas sib phim tag nrho (Daim Duab 3). Yog tias muaj kev tsis sib haum xeeb, tsum tsis txhob siv nws tam sim ntawd, txwv tsis pub nws yuav khawb cov yeeb nkab forceps.
Daim Duab 3 Lub hau ntawm lub tshuab rho tawm ntawm lub cev
Cov lus qhia thaum lub sijhawm ua haujlwm:
Ua ntej ntxig lub raj forceps, lub puab tsaig yuav tsum kaw, tab sis nco ntsoov tsis txhob siv zog ntau dhau vim ntshai tsam kaw xoob, uas yuav ua rau cov hlau rub tawm thiab cuam tshuam rau qhov qhib thiab kaw ntawm lub puab tsaig. 2. Thaum ntxig lub raj, nkag mus raws qhov kev taw qhia ntawm qhov qhib ntawm lub raj forceps thiab tsis txhob txhuam rau qhov qhib ntawm lub raj. Yog tias koj ntsib kev tiv thaiv thaum nkag mus, koj yuav tsum xoob lub pob lub kaum sab xis thiab sim nkag mus rau hauv lub xeev ncaj nraim. Yog tias koj tseem tsis tuaj yeem hla dhau, rub lub endoscope tawm ntawm lub cev rau kev kuaj, lossis hloov nws nrog lwm cov biopsy forceps xws li cov qauv me dua. 3. Thaum rub tawm biopsy forceps, tsis txhob siv zog ntau dhau. Tus pabcuam yuav tsum tuav nws nrog ob txhais tes thiab tom qab ntawd khoov nws. Tsis txhob ncab koj txhais tes ntau dhau. 4. Thaum lub puab tsaig tsis tuaj yeem kaw, tsis txhob rub nws tawm nrog zog. Lub sijhawm no, nws yuav tsum raug thawb tawm ntawm lub cev ua ke nrog endoscope rau kev ua tiav ntxiv.
II. Kev piav qhia txog qee cov txheej txheem ntawm kev kuaj mob
1. Kev qhib thiab kaw cov forceps biopsy yog ob txoj haujlwm txuj ci. Kev qhib yuav tsum tau kev taw qhia, tshwj xeeb tshaj yog lub kaum sab xis ntawm lub plab, uas yuav tsum tau ntsug rau qhov chaw biopsy. Kev kaw yuav tsum tau lub sijhawm. Kev txav mus los ntawm txoj hnyuv thiab kev phais mob ntawm tus kws phais mob yog qhov ruaj khov thiab tsis tuaj yeem kho tau tas li. Tus pabcuam yuav tsum siv lub sijhawm los clamp cov forceps biopsy kom zoo thiab muaj kev nyab xeeb.
2. Cov qauv biopsy yuav tsum loj txaus thiab tob txaus kom ncav cuag cov leeg nqaij mucosa.
3. Xav txog qhov cuam tshuam ntawm kev los ntshav tom qab kuaj nqaij rau cov kev kuaj nqaij tom qab. Thaum lub kaum sab xis ntawm lub plab thiab lub plab antrum yuav tsum tau kuaj nqaij tib lub sijhawm, lub kaum sab xis ntawm lub plab yuav tsum tau kuaj nqaij ua ntej thiab tom qab ntawd lub antrum; thaum thaj chaw raug mob loj thiab ntau daim nqaij yuav tsum tau clamped, thawj daim yuav tsum raug, thiab nws tseem tsim nyog los xav txog seb qhov kev los ntshav tom qab clamping puas yuav npog cov nqaij ib puag ncig thiab cuam tshuam rau thaj chaw pom kev, txwv tsis pub qhov clamping tom qab ntawd yuav dig muag thiab tsis ua haujlwm.
Cov txheej txheem biopsy rau cov qhov txhab ntawm lub plab, suav nrog qhov cuam tshuam ntawm cov ntshav ntws rau cov biopsies tom qab
4. Sim ua qhov kev kuaj mob ntsug ntawm thaj chaw uas koj xav kuaj, thiab siv lub tshuab nqus thaum tsim nyog. Lub tshuab nqus yuav txo qhov kev nruj ntawm qhov mucosa, ua rau cov ntaub so ntswg raug clamped tob dua thiab yuav tsis plam.
Yuav tsum tau ua qhov biopsy kom ntsug li sai tau, thiab qhov ntev ntawm cov biopsy forceps yuav tsum tsis pub tshaj 2CM.
5. Ua tib zoo saib xyuas qhov kev xaiv cov chaw kuaj rau ntau hom qhov txhab sib txawv; kev xaiv cov chaw kuaj muaj feem cuam tshuam nrog tus nqi zoo. Tus kws phais muaj lub qhov muag ntse thiab yuav tsum tau ua tib zoo saib xyuas cov txuj ci xaiv cov khoom siv.
Cov chaw uas yuav tsum tau kuaj mob Cov chaw uas tsis tas yuav kuaj mob
6. Cov qhov uas nyuaj rau kev kuaj mob suav nrog lub plab fundus ze ntawm lub cardia, qhov nkhaus me dua ntawm lub cev plab ze ntawm phab ntsa tom qab, thiab lub ces kaum sab saud ntawm duodenum. Tus pab cuam yuav tsum tsom mus rau kev koom tes. Yog tias nws xav ua tiav qhov tshwm sim zoo meej, nws yuav tsum kawm npaj ua ntej thiab kho qhov kev taw qhia ntawm lub clamp flap txhua lub sijhawm. Tib lub sijhawm, nws yuav tsum txiav txim siab sai sai lub sijhawm ntawm kev clamping los ntawm kev siv txhua lub sijhawm. Qee zaum thaum tos cov lus qhia los ntawm tus kws phais, kev ncua sijhawm ntawm 1 vib nas this yuav ua rau plam lub sijhawm. Kuv tsuas tuaj yeem tos ua siab ntev rau lub sijhawm tom ntej.
Cov xub qhia txog qhov chaw uas nyuaj rau tau txais cov khoom siv lossis tsum tsis txhob los ntshav.
7. Kev xaiv cov forceps biopsy: Cov forceps biopsy suav nrog cov uas muaj qhov qhib khob loj thiab qhov tob, qee qhov muaj cov koob tso rau, thiab qee qhov nrog qhov qhib sab thiab tom serrated.
8. Kev ua kom loj dua ua ke nrog kev siv hluav taws xob los qhia kev kuaj nqaij yog qhov tseeb dua, tshwj xeeb tshaj yog rau kev kuaj cov hnyuv ntawm txoj hlab pas.
Peb, Jiangxi ZhuoRuiHua Medical Instrument Co., Ltd., yog lub chaw tsim khoom hauv Suav teb tshwj xeeb hauv cov khoom siv endoscopic, xws licov forceps biopsy, hemoclip, polyp snare, koob txhaj tshuaj sclerotherapy, tshuaj tsuag catheter, cov txhuam cytology, txoj hlua qhia, pob zeb rov qab tau pob zeb, lub qhov ntswg biliary kua catheter thiab lwm yam. uas siv dav hauvEMR, ESD, ERCPPeb cov khoom muaj daim ntawv pov thawj CE, thiab peb cov nroj tsuag muaj daim 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 kev lees paub thiab qhuas los ntawm cov neeg siv khoom!
Lub sijhawm tshaj tawm: Lub Ib Hlis-23-2025