Cov pob zeb me me tuaj yeem kho tau los ntawm kev saib xyuas lossis extracorporeal shock yoj lithotripsy, tab sis cov pob zeb loj, tshwj xeeb tshaj yog pob zeb, yuav tsum tau muaj kev phais thaum ntxov.
Vim yog qhov chaw tshwj xeeb ntawm cov pob zeb ureteral sab saud, lawv yuav tsis tuaj yeem siv tau nrog lub ureteroscope nruj, thiab cov pob zeb tuaj yeem yooj yim txav mus rau hauv lub raum pelvis thaum lub sij hawm lithotripsy. Percutaneous nephrolithotomy ua rau muaj kev pheej hmoo ntawm lub raum los ntshav thaum tsim cov channel.
Qhov nce ntawm qhov hloov pauv ureteroscopy tau zoo daws cov teeb meem saum toj no. Nws nkag mus rau hauv lub ureter thiab lub raum pelvis los ntawm lub cev ntawm tib neeg lub cev. Nws muaj kev nyab xeeb, ua haujlwm zoo, cuam tshuam me me, muaj ntshav tsawg, mob tsawg rau tus neeg mob, thiab tus nqi siab tsis muaj pob zeb. Tam sim no nws tau dhau los ua ib txoj kev phais feem ntau siv los kho cov pob zeb ureteral.
Qhov tshwm sim ntawmureteral access sheathtau txo qhov nyuaj ntawm kev hloov pauv ureteroscopic lithotripsy. Txawm li cas los xij, nrog kev nce hauv cov neeg mob kho mob, nws cov teeb meem tau maj mam nyiam mloog. Cov teeb meem xws li ureteral perforation thiab ureteral stricture yog tshwm sim. Cov hauv qab no yog peb yam tseem ceeb ua rau ureteral nruj thiab perforation.
1. Cov kab mob, pob zeb txoj kab uas hla, pob zeb cuam tshuam
Cov neeg mob uas muaj kab mob ntev ntev yuav muaj pob zeb loj dua, thiab cov pob zeb loj nyob hauv lub ureter ntev ntev los tsim kev raug kaw. Cov pob zeb ntawm qhov chaw cuam tshuam compresses ureteral mucosa, ua rau cov ntshav tsis txaus hauv zos, mucosal ischemia, o thiab caws pliav, uas cuam tshuam nrog kev tsim cov ureteral nruj.
2. Kev raug mob uteral
Lub ureteroscope hloov tau yooj yim khoov, thiab lub ureteral access sheath yuav tsum tau muab tso ua ntej lithotripsy. Kev nkag ntawm cov channel sheath tsis ua raws li kev pom ncaj qha, yog li nws yog qhov yuav tsum tau ua kom lub ureteral mucosa puas los yog perforated vim qhov khoov ntawm lub ureter los yog nqaim lumen thaum lub sij hawm ntxig ntawm lub hnab.
Tsis tas li ntawd, txhawm rau txhawb nqa cov zis thiab ntws cov kua dej zoo tshaj plaws rau F12 / 14 feem ntau yuav ua rau cov channel sheats kom ncaj qha compressic phab ntsa. Yog tias tus kws kho mob cov txheej txheem tsis paub tab thiab lub sijhawm ua haujlwm ntev, lub sijhawm compression ntawm cov channel sheath ntawm phab ntsa ureteral yuav nce mus rau qee qhov, thiab qhov kev pheej hmoo ntawm ischemic puas rau phab ntsa ureteral yuav ntau dua.
3. Holmium laser puas
Lub pob zeb fragmentation ntawm holmium laser feem ntau tso siab rau nws cov nyhuv photothermal, uas ua rau lub pob zeb ncaj qha nqus lub zog laser thiab ua kom lub zog hauv zos kom ua tiav lub hom phiaj ntawm pob zeb tawg. Txawm hais tias lub thermal tawg qhov tob thaum lub sij hawm gravel crushing txheej txheem tsuas yog 0.5-1.0 hli, lub overlapping nyhuv tshwm sim los ntawm nruam gravel crushing yog inestimable.
Cov ntsiab lus tseem ceeb rau kev ntxig lub ureteral access sheath yog raws li nram no:
1. Muaj qhov pom tseeb ntawm kev tawg thaum tso rau hauv lub ureter, thiab nws zoo nkaus li du thaum nws nce mus rau hauv lub ureter. Yog tias qhov ntxig ntxig yog qhov nyuaj, koj tuaj yeem ua viav vias cov lus qhia xaim rov qab los saib seb cov ntawv qhia cov hlau nkag mus rau hauv thiab tawm zoo li cas, txhawm rau txiav txim siab seb cov channel sheath puas nce mus rau cov kev taw qhia ntawm cov xaim, xws li Yog tias muaj. pom tseeb tsis kam, cov kev taw qhia ntawm sheathing yuav tsum tau kho;
Qhov chaw ua tiav channel sheath yog qhov ruaj khov thiab yuav tsis tuaj thiab tawm ntawm qhov xav tau. Yog hais tias lub channel sheath pops tawm pom tseeb, nws txhais tau hais tias nws yog coiled nyob rau hauv lub zais zis thiab cov kev taw qhia hlau tau prolapsed los ntawm lub ureter thiab yuav tsum tau muab rov qab tso;
3. ureteral channel sheaths muaj txawv specifications. Cov txiv neej cov neeg mob feem ntau siv cov qauv ntev 45 cm, thiab cov poj niam lossis cov txiv neej luv luv siv cov qauv ntev 35 cm. Yog hais tias lub channel sheath raug tso, nws tsuas tuaj yeem dhau los ntawm qhov qhib ureteral lossis tsis tuaj yeem mus rau qib siab dua. Txoj hauj lwm, cov txiv neej cov neeg mob kuj tuaj yeem siv 35 cm qhia sheath, los yog hloov mus rau 14F lossis txawm tias thinner fascial expansion sheath los tiv thaiv lub ureteroscope hloov pauv tsis tuaj yeem nce mus rau lub raum pelvis;
Tsis txhob tso cov channel sheath rau hauv ib kauj ruam. Tawm 10 cm sab nraum lub urethral orifice los tiv thaiv kev puas tsuaj rau lub ureteral mucosa los yog raum parenchyma ntawm UPJ. Tom qab tso qhov hloov pauv tau yooj yim, txoj haujlwm sheath tuaj yeem hloov kho dua nyob rau hauv qhov pom ncaj qha.
Peb, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., yog cov chaw tsim khoom hauv Suav teb tshwj xeeb hauv cov khoom siv endoscopic, xws libiopsy forceps, hemoclip, polyp nuv, koob sclerotherapy, tshuaj tsuag catheter, cytology txhuam, phau ntawv qhia, pob zeb retrieval pob tawb, qhov ntswg biliary kua catheteretc. uas yog dav siv nyob rau hauvEMR, ESD, 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!
Post lub sij hawm: Sep-11-2024