Tau 50 xyoo dhau los no, thev naus laus zis ERCP tau hloov zuj zus los ntawm cov cuab yeej kuaj mob yooj yim mus rau hauv lub platform tsawg kawg nkaus uas koom ua ke kev kuaj mob thiab kev kho mob. Nrog rau kev qhia txog cov thev naus laus zis tshiab xws li biliary thiab pancreatic duct endoscopy thiab ultra-thin endoscopy, ERCP maj mam hloov pauv cov qauv kuaj mob thiab kev kho mob ib txwm muaj rau cov kab mob biliary thiab pancreatic. Nws tau ua tiav zoo hauv kev txhim kho qhov tseeb ntawm kev kuaj mob, nthuav dav qhov ntau thiab tsawg ntawm cov cim qhia, thiab txo qhov kev pheej hmoo ntawm cov teeb meem, uas qhia txog qhov sib txawv ntawm "kev phais mob ua rau phais ntau dua thiab kev phais ua rau minimally invasive dua," muab ntau tus neeg mob nrog cov kev xaiv kho mob meej thiab zoo. Txawm li cas los xij, nws kuj ntsib cov kev txwv hauv kev siv kho mob, xws li cov kev txwv siab thiab kev vam khom cov khoom siv muaj zog.
Cov thev naus laus zis ERCP tshiab feem ntau muaj peb pawg: cov tshuab endoscopic rau cov kav dej bile thiab pancreatic, cov tshuab endoscopes nyias heev, thiab cov tshuab tsim tshiab hauv tebchaws. Cov tshuab Endoscopic xws li SpyGlass thiab Insight-eyeMax muab kev pom tseeb thiab pab kho mob kom raug.
Ntawm lawv, lub kaw lus SpyGlass muaj lub catheter sab nraud ntawm 9F-11F thiab lub channel ua haujlwm ntawm 1.2mm lossis 2.0mm, ua rau ib tus neeg ntxig lub biliary thiab pancreatic duct subscope rau kev pom ncaj qha ntawm mucosa. Lub kaw lus Insight-eyeMax muaj 160,000-pixel high-definition image quality, lub 120 ° field of view, thiab lub ultra-slippery coating, muab lub clearer thiab dav dua ntawm kev pom. Ultra-thin endoscopes siv lub raj me me (feem ntau tsawg dua 5mm) los nkag mus rau hauv lub bile duct ncaj qha, tab sis vim yog qhov nyuaj ntawm lub plab hnyuv sab saud, cov cuab yeej pabcuam xws li anchoring balloons, sab nraud cannulas, thiab snares feem ntau xav tau. Cov kab ke no muaj qhov zoo hauv kev soj ntsuam lub bile duct mucosa thiab ua biopsies, tab sis lawv nyuaj dua rau kev ua haujlwm.
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| SpyGlass | Insight-eyeMax |
Qhov zoo tshaj plaws ntawm cov thev naus laus zis ERCP tshiab yog tias nws tau ua tiav qhov kev dhia los ntawm kev soj ntsuam tsis ncaj qha mus rau kev kuaj mob ncaj qha, ua rau cov kws kho mob pom cov qhov txhab ntawm cov kua tsib thiab cov hlab ntsha pancreatic mucosa yooj yim dua thiab ua cov biopsies thiab kev kho mob tib lub sijhawm thaum lub sijhawm kuaj mob. Nws cov txiaj ntsig kho mob feem ntau pom tseeb hauv peb yam: txhim kho qhov tseeb ntawm kev kuaj mob, nthuav dav ntawm cov cim qhia, thiab txo qhov kev pheej hmoo ntawm cov teeb meem.
Hais txog kev txhim kho qhov tseeb ntawm kev kuaj mob, cholangiopancreatography (ERCP) tso cai rau cov kws kho mob pom tau ncaj qha rau ntawm cov kua tsib thiab cov hlab ntsha pancreatic, ua rau muaj peev xwm sib txawv ntawm cov hlab ntsha benign thiab malignant. ERCP ib txwm siv cov tshuaj contrast los pom cov qauv luminal, thiab kev ntsuam xyuas cov qhov txhab ntawm cov hlab ntsha nyob ntawm cov cim tsis ncaj qha. Qhov rhiab heev ntawm kev txhuam cov hlwb ntawm cov hlab ntsha bile tsuas yog 45% -63%, thiab qhov rhiab heev ntawm kev kuaj cov nqaij tsuas yog 48.1%.
Nyob rau hauv kev sib piv, cholangiopancreatography (CP) tso cai rau kev pom ncaj qha ntawm cov mucosa, txhim kho qhov rhiab heev ntawm kev kuaj mob. Thaum ua ke nrog MRCP, qhov tseeb ntawm qhov tseeb tuaj yeem ncav cuag 97.4%, thiab qhov tseeb ntawm kev kuaj mob rau cov pob zeb hauv cov kav dej kua tsib >9 hli hauv txoj kab uas hla yog ze li ntawm 100%. Hais txog cov txiaj ntsig kev kho mob, ERCP ib txwm muaj qhov ua tiav siab rau kev tshem tawm cov pob zeb hauv cov kav dej pancreatic <5 hli hauv txoj kab uas hla, tab sis qhov ua tsis tiav siab dua rau cov pob zeb nyuaj (xws li cov >2cm lossis tom qab kev kho dua tshiab ntawm lub plab zom mov). CP ua ke nrog laser lithotripsy tuaj yeem txhim kho qhov ua tiav kom ze rau qib phais qhib.
Hais txog kev nthuav dav ntawm cov cim qhia, cov thev naus laus zis tshiab no ua rau qhov kev vam meej ntawm ERCP hauv cov neeg mob tom qab phais mob plab hnyuv, ua rau lawv tswj tau cov kab mob biliary thiab pancreatic uas nyuaj dua. Piv txwv li, hauv cov xwm txheej nyuaj xws li cholangitis tom qab hloov siab thiab pancreatic duct IPMN, biliary thiab pancreatic duct endoscopy tuaj yeem muab kev pom tseeb dua, ua rau muaj kev kuaj mob thiab kev kho mob meej.
Qhov tshwm sim ntawm tus kab mob pancreatitis tom qab ERCP ib txwm muaj yog kwv yees li 3% -10%. Cov txheej txheem tshiab, los ntawm kev pom ncaj qha, txo qhov tsis ncaj ncees ntawm cov pancreatic duct, ua kom zoo dua cov txheej txheem, thiab luv lub sijhawm ua haujlwm, txo qhov tshwm sim ntawm tus kab mob pancreatitis tom qab phais thiab lwm yam teeb meem. Hauv kev tshuaj xyuas ntawm 50 tus neeg mob uas muaj cholangiocarcinoma siab, lub sijhawm stent patency thiab cov txiaj ntsig kev kho mob hauv pawg transoral cholangiopancreatography (TCP) zoo ib yam li cov hauv pawg ERCP ib txwm muaj, tab sis pawg TCP tau qhia txog qhov zoo dua ntawm cov teeb meem.
Cov thev naus laus zis ERCP tshiab tseem ntsib qee qhov kev txwv hauv kev siv hauv kev kho mob. Ua ntej, nws muaj qhov kev txwv siab thiab nyuaj, xav tau cov kws kho mob endoscopist uas muaj kev paub dhau los. Qhov thib ob, nws nyob ntawm cov khoom siv, nrog rau kev saib xyuas thiab kev ua haujlwm siab, txwv tsis pub nws siv dav hauv cov tsev kho mob thawj zaug. Qhov thib peb, cov cim qhia tseem tsawg, thiab tseem muaj kev pheej hmoo ntawm kev ua tsis tiav ntawm cov txheej txheem hauv qee qhov xwm txheej. Piv txwv li, thaum muaj kev nruj ntawm txoj hnyuv loj (xws li esophageal scarring) lossis kev thaiv tag nrho ntawm qog, kev hloov mus rau PTCD lossis phais tseem yuav tsum tau ua.
Cov qauv kev txhim kho yav tom ntej ntawm cov thev naus laus zis ERCP tshiab feem ntau tsom mus rau peb yam: kev txhawb nqa ntawm theem hauv paus, kev koom ua ke ntawm AI, thiab kev nrov npe ntawm kev phais mob thaum nruab hnub. Hais txog kev txhawb nqa ntawm theem hauv paus, cov kev kawm thiab cov txiaj ntsig ntawm cov khoom siv tsim hauv tsev yuav maj mam txhim kho cov peev xwm ERCP ntawm cov tsev kho mob thawj zaug. Hais txog kev koom ua ke ntawm AI, cov thev naus laus zis lees paub duab tiag tiag muaj kev cog lus rau kev txhim kho kev kuaj mob zoo, tab sis nws ntsib cov teeb meem xws li kev teeb tsa cov ntaub ntawv thiab kev pom tseeb ntawm tus qauv, xav tau kev txhim kho ntxiv.
Hais txog kev ua kom nrov ntawm kev phais mob thaum nruab hnub, qhov kev pom zoo xyoo 2025 txhawb kom suav nrog ERCP hauv kev tswj hwm kev phais mob thaum nruab hnub, ua rau feem ntau cov neeg mob ua tiav cov txheej txheem ntawm kev pw hauv tsev kho mob, phais mob, kev soj ntsuam tom qab phais mob, thiab tawm hauv tsev kho mob hauv 24 teev. Qhov no tsis yog tsuas yog ua kom luv luv nyob hauv tsev kho mob xwb tab sis kuj txo cov nqi kho mob thiab txhim kho kev siv cov peev txheej kho mob zoo dua. Nrog rau kev loj hlob ntxiv thiab kev nrov ntawm cov thev naus laus zis, ERCP xav tias yuav raug siv rau hauv ntau lub tsev kho mob, muab kev kuaj mob thiab kev kho mob kom raug thiab zoo dua rau ntau tus neeg mob uas muaj kab mob biliary thiab pancreatic.
Cov Lus Qhia Luv Luv thiab Cov Lus Qhia
ERCP, ib lub thev naus laus zis tshiab, sawv cev rau qhov kev tshawb pom tseem ceeb hauv kev kuaj mob thiab kev kho mob ntawm cov kab mob biliary thiab pancreatic. Nws txhim kho qhov tseeb ntawm kev kuaj mob los ntawm kev pom ncaj qha thiab kev kuaj mob biopsy, txo qhov kev pheej hmoo ntawm cov teeb meem los ntawm kev ua kom zoo dua cov txheej txheem thiab luv lub sijhawm kho mob, thiab pab ntau tus neeg mob los ntawm kev nthuav dav ntawm ntau yam kev qhia. Txawm li cas los xij, cov thev naus laus zis tshiab no kuj ntsib cov kev txwv hauv kev siv kho mob, xws li cov teeb meem kev siv tshuab siab thiab kev vam khom cov khoom siv muaj zog, xav tau kev txhawb nqa ntawm cov pab pawg kho mob tshwj xeeb thiab cov khoom siv siab heev. Nws raug pom zoo kom cov tsev kho mob txhawb nqa kev cob qhia ERCP thiab kev nqis peev khoom siv los txhim kho cov txuj ci ntawm kws kho mob thiab kev muaj khoom siv. Nws kuj raug pom zoo kom xaiv cov txheej txheem kho mob tsim nyog raws li tus neeg mob tus mob; rau cov kab mob biliary thiab pancreatic nyuaj, kev kho mob ERCP pab los ntawm cov thev naus laus zis tshiab tuaj yeem xav txog. Ntxiv mus, nws raug pom zoo kom ua kom zoo dua qhov kev ua tau zoo thiab tus nqi ntawm ERCP, daws cov teeb meem ntawm kev dav dav thiab kev pom tseeb ntawm AI-pab pawg, thiab txhawb kev siv dav dav ntawm ERCP hauv cov tsev kho mob thawj zaug.
ERCP Series cov khoom muag kub los ntawm ZRHmed.
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| Sphincterotome | Cov xov hlau tsis yog hlab ntsha | Cov Pob Zeb Rov Qab Tau Siv Ib Zaug Xwb | Cov Catheter Nasobiliary uas siv pov tseg |
Peb, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., yog ib lub chaw tsim khoom hauv Suav teb tshwj xeeb hauv kev siv khoom siv endoscopic, suav nrog GI kab xws li biopsy forceps, hemoclip, polyp snare, sclerotherapy koob, tshuaj tsuag catheter, cytology txhuam, guidewire, pob zeb rov qab pob zeb, nasal biliary drainage cathete thiab lwm yam uas siv dav hauv EMR, ESD, ERCP. Peb cov khoom tau txais daim ntawv pov thawj CE thiab nrog FDA 510K kev pom zoo, thiab peb cov nroj tsuag tau txais 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!
Sphincterotome,Guidewire,Pob Zeb Rho Tawm Pob Zeb,Kev ntws dej ntawm lub qhov ntswgCatheter,ERCP
Lub sijhawm tshaj tawm: Lub Kaum Ob Hlis-20-2025