Tau 50 xyoo dhau los no,ERCPthev naus laus zis tau hloov zuj zus los ntawm cov cuab yeej kuaj mob yooj yim mus rau hauv lub platform minimally invasive 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,ERCPmaj mam hloov cov qauv kuaj mob thiab 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 cov kev qhia, thiab txo qhov kev pheej hmoo ntawm cov teeb meem, uas qhia txog kev loj hlob ntawm "kev phais mob ua rau phais ntau dua thiab kev phais ua rau muaj kev cuam tshuam tsawg dua," muab ntau tus neeg mob nrog cov kev xaiv kho mob kom raug thiab ua tau zoo. Txawm li cas los xij, nws kuj ntsib cov kev txwv hauv kev siv kho mob, xws li cov kev txwv kev siv tshuab siab thiab kev vam khom cov khoom siv muaj zog.
TshiabERCPCov thev naus laus zis feem ntau muaj peb pawg: cov tshuab endoscopic rau cov kua tsib thiab cov pancreatic ducts, ultra-thin endoscopes, 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 qhov tshiabERCPthev naus laus zis 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.
Txhawm rau txhim kho qhov tseeb ntawm kev kuaj mob, cholangiopancreatography (ERCP) tso cai rau cov kws kho mob pom tau ncaj qha rau cov kua tsib thiab cov hlab ntsha pancreatic, txhim kho qhov muaj peev xwm los sib txawv ntawm cov hlab ntsha benign thiab malignant. Ib txwm muajERCPsiv cov tshuaj sib piv kom pom tau qhov luminal qauv, thiab kev ntsuam xyuas cov qhov txhab ntawm cov mucosal nyob ntawm cov cim tsis ncaj. Qhov rhiab heev ntawm kev txhuam cov hlwb ntawm cov kua tsib tsuas yog 45% -63%, thiab qhov rhiab heev ntawm kev kuaj cov ntaub so ntswg tsuas yog 48.1%.
Qhov sib txawv, cholangiopancreatography (CP) tso cai rau kev pom ncaj qha ntawm cov mucosa, txhim kho qhov kev nkag siab ntawm kev kuaj mob. Thaum ua ke nrog MRCP, qhov tseeb ntawm kev kuaj mob tuaj yeem ncav cuag 97.4%, thiab qhov tseeb ntawm kev kuaj mob rau cov pob zeb hauv cov kav dej bile> 9 hli hauv txoj kab uas hla yog ze li ntawm 100%. Hais txog cov txiaj ntsig kev kho mob, cov tshuaj ib txwm muajERCPmuaj feem pua ua tiav siab rau kev tshem tawm cov pob zeb hauv cov hlab ntsha pancreatic uas muaj txoj kab uas hla tsawg dua 5 hli, tab sis feem pua ua tsis tiav siab dua rau cov pob zeb nyuaj (xws li cov >2cm lossis tom qab kho dua tshiab ntawm txoj hnyuv). CP ua ke nrog laser lithotripsy tuaj yeem txhim kho qhov feem pua ua tiav kom ze rau qib phais qhib.
Hais txog kev nthuav dav ntawm cov cim qhia, cov thev naus laus zis tshiab ua rau muaj kev vam meej ntau duaERCPrau 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.
Kev kho mob ntawm pancreatitis tom qab kev phais mobERCPyog kwv yees li 3% -10%. Cov txheej txheem tshiab, los ntawm kev pom ncaj qha, txo qhov tsis raug ntawm cov hlab ntsha pancreatic, ua kom zoo dua cov txheej txheem, thiab ua kom lub sijhawm ua haujlwm luv dua, txo qhov tshwm sim ntawm kev mob pancreatitis tom qab phais thiab lwm yam teeb meem. Hauv kev tshuaj xyuas ntawm 50 tus neeg mob uas muaj mob cholangiocarcinoma siab, lub sijhawm stent patency thiab cov txiaj ntsig kev kho mob hauv pawg transoral cholangiopancreatography (TCP) zoo ib yam li cov neeg hauv cov tshuaj ib txwm muaj.ERCPpawg, tab sis pawg TCP tau qhia txog qhov zoo dua hauv cov teeb meem.
Tus tshiabERCPthev naus laus zis tseem ntsib qee qhov kev txwv hauv kev siv 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 kev phais tseem yuav tsim nyog.
Cov qauv kev loj hlob yav tom ntej ntawm cov tshiabERCPcov thev naus laus zis feem ntau tsom mus rau peb yam: kev txhawb nqa ntawm theem hauv paus, kev koom ua ke ntawm AI, thiab kev ua kom nrov ntawm kev phais mob thaum nruab hnub. Hais txog kev txhawb nqa ntawm theem hauv paus, cov kev pab cuam kev cob qhia thiab cov txiaj ntsig ntawm cov khoom siv tsim hauv tsev yuav maj mam txhim kho qhovERCPCov peev xwm ntawm cov tsev kho mob thawj zaug. Hais txog kev koom ua ke ntawm AI, kev siv tshuab paub txog duab tiag tiag muaj kev cia siab rau kev txhim kho kev kuaj mob kom zoo, tab sis nws ntsib cov teeb meem xws li kev teeb tsa cov ntaub ntawv thiab kev pom tseeb ntawm cov qauv, uas xav tau kev txhim kho ntxiv.
Hais txog kev ua kom nrov npe ntawm kev phais mob thaum nruab hnub, qhov kev pom zoo xyoo 2025 txhawb kom muaj kev koom ua ke ntawmERCPhauv kev tswj 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, kev soj ntsuam tom qab phais, thiab tawm hauv tsev kho mob hauv 24 teev. Qhov no tsis yog tsuas yog ua rau lub sijhawm nyob hauv tsev kho mob luv dua xwb tab sis kuj txo cov nqi kho mob thiab txhim kho kev siv cov peev txheej kho mob kom zoo dua. Nrog rau kev loj hlob ntxiv thiab kev nrov ntawm cov thev naus laus zis,ERCPyuav tsum tau 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 kom raug, 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 tau ntau tus neeg mob los ntawm kev nthuav dav ntawm cov cim 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 nqaERCPkev cob qhia thiab kev nqis peev rau cov khoom siv los txhim kho cov txuj ci ntawm kws kho mob thiab kev muaj cov khoom siv. Kuj tseem pom zoo kom xaiv cov kev kho mob tsim nyog raws li tus neeg mob tus mob; rau cov kab mob biliary thiab pancreatic nyuaj,ERCPkev kho mob uas siv cov thev naus laus zis tshiab pab tau yuav xav txog. Tsis tas li ntawd xwb, nws raug pom zoo kom ua kom zoo dua qhov kev ua tau zoo thiab tus nqi ntawmERCP, daws cov teeb meem ntawm kev dav dav thiab kev pom tseeb ntawm cov kab ke AI-assisted, thiab txhawb kev siv dav dav ntawmERCPhauv cov tsev kho mob thawj zaug.
ERCPCov 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 lub chaw tsim khoom hauv Suav teb tshwj xeeb hauv cov khoom siv endoscopic, suav nrog GI kab xws li biopsy forceps, hemoclip, polyp snare, sclerotherapy koob, tshuaj tsuag catheter, cytology txhuam,txoj hlua qhia, pob zeb rov qab tau pob zeb, lub qhov ntswg biliary drainage cathete thiab lwm yam uas siv dav hauv EMR, ESD,ERCPPeb cov khoom yog CE daim ntawv pov thawj thiab nrog FDA 510K kev pom zoo, thiab peb cov nroj tsuag yog ISO daim 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 tshaj tawm: Lub Kaum Ob Hlis-20-2025