ErCP yog qhov kev siv thev naus laus zis rau kev kuaj mob thiab kho cov kab mob batryry thiab pancreatic kab mob. Thaum nws tawm los, nws tau muab ntau lub tswv yim tshiab rau kev kho cov kab mob thiab cov kab mob pancantic. Nws tsis yog txwv rau "radioography". Nws tau hloov los ntawm thawj qhov kev kuaj mob thawj zaug rau hom tshiab. Kev kho mob kho xws li Sphincterotomy, Bile Ciav pob zeb tshem tawm, cov kab mob hauv cov kab mob los kho cov kab mob bile thiab pancreatic system.
Tus nqi kev vam meej ntawm kev xaiv bile interlayation rau ERCP tuaj yeem ncav cuag ntau dua 90%, tab sis tseem tshuav qee qhov kev nyuaj bile ductive intubation tsis ua hauj lwm. Raws li kev pom zoo tshaj plaws ntawm kev kuaj mob thiab kho cov bile ntau li: lub sijhawm rau kev xaiv cov pa ERCP yog ntau dua 10 feeb lossis cov lej ntawm kev sim siab tshaj 5 zaug. Thaum ua tau Ercp, yog tias bile duct interubation yog tsis yooj yim nyob rau qee kis, cov tswv yim siv tau zoo nyob rau hauv lub sij hawm los txhim kho tus nqi ua tiav ntawm bile ductions. Kab lus no coj los saib txoj kev ntsuam xyuas ntau txheej txheem ntau siv los daws cov phiaj xwm nyuaj rau kev ua kom lub ntsej muag zoo nkauj thaum muaj kev tiv thaiv kev sib tw rau ERCP.
I.singleGuiders Technique, Sgt
Cov txheej txheem SGT yog siv kev sib luag los txuas ntxiv rau intubate cov nplais tom qab cov lus qhia hlau nkag mus rau hauv lub pancreatic duct. Nyob rau hauv thaum ntxov hnub ntawm kev txhim kho ntawm Ercp Technology, SGT yog ib txoj kev ua rau biliation nyuaj nyuaj. Nws qhov zoo dua yog tias nws yog qhov yooj yim rau kev khiav lag luam, kho lub txiv mis, ua rau nws nrhiav tau yooj yim dua los nrhiav qhov qhib ntawm Cais Cais.
Muaj cov ntawv qhia hauv tus neeg tsis muaj peev xwm ua tiav cov ntsiab lus tsis ua tiav, xaiv SGT-pab txhawb kev ua tiav hauv kwv yees li 70% -80% ntawm cov neeg mob. Daim ntawv tshaj tawm tseem taw qhia tias nyob rau hauv cov neeg muaj mob ntawm SGT tsis ua haujlwm, txawm tias kev hloov kho thiab daim ntawv thov ntawm ob npaugtus tawKev thev naus laus zis tsis txhim kho kev ua tiav ntawm bile ductions thiab tsis tau txo qhov tshwm sim ntawm post-ercp pancreatitis (pep).
Qee qhov kev tshawb fawb tseem muaj qhia tias kev vam meej ntawm SGT kev tshaj tawm yog qis dua li ntawm ob npaugtus tawTshuab thiab kho Paperary Papillary Tehinctery Technology. Piv nrog kev sim ua dua ntawm SGT, kev siv thaum ntxov ntawm ob npaugtus tawthev naus laus zis lossis kev phais ua ntej-thev naus laus zis tuaj yeem ua tiav cov txiaj ntsig zoo dua.
Txij li thaum tsim kho cov ercp, ntau yam ntawm cov thev naus laus zis tshiab tau tsim rau kev nyuaj. Piv nrog ib leegtus tawTshuab, qhov zoo yog pom tseeb thiab ua tiav tau zoo dua. Yog li ntawd, ib leegtus tawThev yog tam sim no tsis tshua muaj kev kho mob.
Ii.Double-coj cov tswv yim xov hlau, DGT
DGT tuaj yeem hu ua tus qauv pancreatic pancreatic hlau txoj haujlwm nkag mus rau cov kab hlau nkag mus rau cov kab hlau txuas ntxiv rau cov hlau pancreatic hlau. Xaiv cov ntaub qhwv hluav taws xob.
Qhov zoo ntawm txoj kev no yog:
(1) nrog kev pab ntawm atus taw, Bile Ciav qhib tau yooj yim dua los nrhiav, ua rau bile duct intuberation smoother;
(2) Cov hlau hlau kuj tuaj yeem txuag lub txiv mis;
(3) Raws li kev taw qhia ntawm lub gancreatic ducttus taw, rov ua kom pom dua ntawm cov porcreatic duct thiaj zam, yog li txo qhov kev tsim txiaj ntawm cov pancreatic uas tau los ntawm kev ua kom dhau los.
Dumonceau li al. pom tias ib tug fermewire thiab qhov sib piv sib xyaw tuaj yeem tso rau hauv lub me me ntawm lub caij pancreatic ntawm cov golcreatic duct guidewire nyob qauv, thiab xaus lus tias tustus tawNyob hauv Pancreatic Clect txoj kev ua tiav rau bile duct instubation. tus nqi muaj qhov muaj txiaj ntsig zoo.
Kev kawm ntawm DGT by Liu Deren li al. Pom tias tom qab DGT tau ua rau cov neeg mob nyuaj rau 95.65%, uas tau nce qib siab dua 59.09% kev ua tiav ntawm cov pa sib dhos.
Kev kawm yav tom ntej los ntawm Wang Fuquan li al. Taw tes tawm tias thaum DGT tau thov rau cov neeg mob nyuaj ua rau pawg sim, cov nyiaj tau ua tiav tau zoo li 96.0%.
Cov kev tshawb fawb saum toj no qhia tau tias daim ntawv thov ntawm cov neeg mob uas tsis txaus siab rau Ercp tuaj yeem txhim kho qhov kev vam meej ntawm bile duct instubation.
Tus shortcomings ntawm DGT tsuas yog suav nrog ob lub ntsiab lus hauv qab no:
(1) Cov pancreatictus tawTej zaum ploj thaum bile ductionsation, lossis obtus tawYuav nkag mus rau cov pancreatic duct ntxiv;
(2) Txoj kev no tsis haum rau cov rooj plaub xws li mob qog nqaij hlav cancer, Pancreatic Cailreat, thiab Porcreatic Fission.
Los ntawm cov kev pom ntawm pep teeb meem, lub pep tshwm sim ntawm dgt yog qis dua li ntawm cov pa bile duct intubation. Txoj kev kawm yav tom ntej taw qhia tias qhov tshwm sim ntawm Pep Tom qab DGT tsuas yog 2.38% hauv ERCP cov neeg mob nyuaj rau bile intubation. Qee cov ntaub ntawv cov ntsiab lus tawm tias txawm hais tias DGT muaj kev ua tiav zoo dua rau lwm cov kev ua haujlwm rov qab los yog qhov kev ua kom puas tsuaj rau cov pancreatic duct thiab nws qhib. Dua li ntawm qhov kev pom zoo hauv tsev thiab txawv teb chaws tseem yog qhov nyuaj, yog qhov kev xaiv nyuaj, yog qhov kev xaiv nyuaj rau kev ua haujlwm, thiab yooj yim Txhawm rau tswj.Nws tau siv dav hauv kev xaiv kom nyuaj tshaj intubation.
III.Wire Qhia CloFulation-Pan-Tsim Stent, WGC-P5
WGC-ps tseem tuaj yeem raug hu ua ThePreator Duction cov txheej txheem kev ua haujlwm. Txoj kev no yog tso cov pancreatic duct stent nrog lubtus tawuas yuam kev nkag mus rau hauv lub pancreatic duct, ces rub tawm lubtus tawThiab ua cov bile sucpulation saum lub stent.
Kev kawm los ntawm Hakuta li al. pom tias ntxiv rau kev txhim kho cov kev vam meej tag nrho los ntawm kev coj ua ntawm cov porcreatic duct thiab cuam tshuam ntau qhov tshwm sim ntawm pep.
Kev kawm ntawm WGC-PS los ntawm Zou Chuanxin li al. taw qhia tias txoj kev ua tiav ntawm kev ua tiav nyuaj siv cov txheej txheem pancreatic ib ntus kev ua haujlwm nyob rau 97.67%, thiab qhov tshwm sim ntawm Pep tau txo qis.
Ib txoj kev tshawb pom pom tias thaum lub pob zeb pancreatic stent yog muab tso rau qhov tseeb, muaj feem ntau ntawm cov kis mob loj tshaj plaws hauv cov teeb meem nyuaj yog txo qis.
Hom no tseem muaj qee qhov tsis txaus ntseeg. Piv txwv li, tus pancreatic duct tau tso rau thaum lub sijhawm ERCP yuav raug hloov; Yog tias cov qib qis yuav tsum tau muab tso rau lub sijhawm ntev tom qab ERCP, yuav muaj lub caij nyoog ntawm kev thaiv stent thiab duct thaiv. Raug mob thiab lwm yam teeb meem tso rau kev nce hauv qhov xwm txheej ntawm Pep. Twb tau, cov chaw haujlwm tau pib kawm cov hlua ntawm cov pob zeb ib ntus uas tuaj yeem txav tawm ntawm cov pancreatic duct. Lub hom phiaj yog siv pancreatic duct stents los tiv thaiv pep. Ntxiv rau kev txo qhov tshwm sim ntawm cov xwm txheej bep, cov stents no tuaj yeem zam lwm cov haujlwm kom tshem tawm cov stent thiab txo lub nra rau ntawm cov neeg mob. Txawm hais tias cov kev tshawb nrhiav pom tias cov stents ib ntus ib ntus muaj cov txiaj ntsig zoo hauv kev txo qis pep, lawv cov ntawv thov kho mob tseem muaj kev txwv loj. Piv txwv li, hauv cov neeg mob nrog nyias cov ceg ntoo pancreatic thiab ntau ceg, nws yog qhov nyuaj rau kev ntxig pancreatic txhaws. Qhov nyuaj yuav nce siab heev, thiab txoj haujlwm no xav tau qib kev tshaj lij ntawm endoscopists. Nws tseem tsim nyog sau tseg tias cov pancreatic ducts tso yuav tsum tsis txhob ntev ntev hauv tus duodenal lumen. Ib qho kev sib tw ntev dhau yuav ua rau tus txiv neej zoo nkauj kawg. Yog li ntawd, kev xaiv ntawm pancreatic duct stent txoj haujlwm tseem ceeb tseem yuav tau txais kev saib xyuas nrog kev ceev faj nrog.
IV.Trans-Pancreceatocsphincycterotomy, TPS
TPS thev naus laus zis feem ntau yog siv tom qab cov lus qhia hlau nkag mus rau hauv lub pancreatic duct los ntawm yuam kev. Lub septum nyob hauv nruab nrab ntawm pancreatic duct raws cov lus qhia ntawm bile ntawm bile suc kom txog thaum cov ntawv qhia hlau nkag mus rau hauv bile duct.
Kev kawm los ntawm Dai Xin li al. Muab piv TPS thiab ob lwm qhov kev ntsuas cov thev naus laus zis. Nws tuaj yeem pom tau tias kev ua tiav ntawm TPS thev naus laus zis yog qhov siab heev, mus txog 96.74%, tab sis nws tsis qhia tau cov txiaj ntsig zoo nrog lwm tus pab pawg sib xyaw. Qhov zoo.
Nws tau tshaj tawm tias cov yam ntxwv ntawm TPS Tshuab Tshuab suav nrog cov ntsiab lus hauv qab no:
(1) Kev phais menyuam yog me me rau lub pancreicicibiliary septum;
(2) Qhov tshwm sim ntawm cov teeb meem postperative yog tsawg;
(3) Kev xaiv ntawm kev txiav kev txiav yog yooj yim los tswj;
(4) Txoj kev no tuaj yeem siv rau cov neeg mob uas tau ua dua pancreatic duct intubation lossis txiv mis nyob rau hauv lub divericulum.
Ntau cov kev tshawb fawb tau taw qhia tias TPS tsis tuaj yeem ua tiav kev ua tiav ntawm bile tus nqi nyuaj, tab sis kuj tsis nce qhov tshwm sim ntawm kev teeb meem tom qab ERCP. Qee cov kws tshawb fawb hais tias yog pancreatic duct interberation lossis me duodenal papilla tshwm sim ntau dua, TPS yuav tsum tau txiav txim siab ua ntej. Txawm li cas los xij, thaum ua ntawv thov TPS, saib yuav tsum tau them rau qhov ua tau ntawm pancreatic ducreat me ntsis thiab rov muaj dua ntawm pancreatitis, uas muaj peev xwm ua tau ntev ntawm TPS.
V.precut sphincterotomy, pst
PST cov txheej txheem siv PAPINTY arcuate arcuate arcuate arcuate arcuat ntawm cov kab ke Ntawm no pst tshwj xeeb yog hais txog tus txiv caj ces Sphincter PREHINCTER PRECHISHIQUE siv riam ua pa. Raws li lub tswv yim los cuam tshuam nrog bile nyuaj intertation rau ERCP, thev naus laus zis tau dav yog ua thawj qhov kev xaiv rau kev xaiv nyuaj. Endoscopic nipple sphincter Pre-ends-ends ntawm lub endoscter cov leeg los ntawm kev kho mob riam los ntawm kev qhib ntawm cov txiv ntseej, thiab tom qab ntawd siv atus tawlos yog catheter rau ordate cov nplais cais.
Ib txoj kev kawm hauv tsev hauv tsev tau qhia tias kev ua tiav ntawm pst yog siab li 89.66%, uas tsis txawv ntawm DGT thiab TPS. Txawm li cas los xij, qhov xwm txheej ntawm Pep hauv PST yog qhov siab dua li ntawm DGT thiab TPS.
Tam sim no, kev txiav txim siab siv cov cuab yeej no yog nyob ntawm ntau yam. Piv txwv li, ib daim ntawv tshaj tawm tias PST yog qhov zoo tshaj plaws nyob rau hauv cov ntaub ntawv uas tus duodenal papilla yog qhov txawv txav lossis distorted, xws li duodenal stenosis lossis malignancy.
Ib qho ntxiv, piv nrog lwm cov tswv yim daws teeb meem, PST muaj qhov ua haujlwm siab dua xws li kev ua haujlwm loj, yog li kev ua haujlwm zoo tshaj plaws los ntawm kev paub txog endoscopists zoo tshaj plaws.
Vi.Needle-riam Papillotomy, NKP
NKP yog rab phom-rab riam-pab riam-pab txhawb cov txheej txheem. Thaum Intubation yog qhov nyuaj, rab rab rab rab koob tuaj yeem siv los tsim lub ntsej muag ntawm tus duodenal papilla nyob rau hauv kev taw qhia ntawm 11-12 teev, thiab tom qab ntawd siv atus tawlos yog catheter rau kev xaiv cov ntxig rau hauv cov bile duct. Raws li kev daws teeb meem rau cov bile nyuaj rau nkaws, nkp tuaj yeem txhim kho txoj kev vam meej ntawm kev nyuaj bile duct intubation. Yav dhau los, feem ntau nws ntseeg tias NKP yuav nce qhov tshwm sim ntawm pep nyob rau xyoo tsis ntev los no. Nyob rau hauv xyoo tsis ntev los no, ntau lub retrospective ntsuam xyuas kev txheeb xyuas tau taw qhia tias NKP tsis nce kev pheej hmoo ntawm kev pheej hmoo ntawm kev sib txawv. Nws yog tsim nyog sau cia tias yog NKP yog ua nyob rau hauv thaum ntxov ntawm nyuaj instubation, nws yuav yog kev pab zoo los txhim kho tus nqi ua tiav ntawm kev ua tiav ntawm kev ua tiav ntawm kev ua tiav ntawm kev ua tiav ntawm kev ua tiav ntawm kev ua tiav ntawm kev ua tiav ntawm kev ua tiav ntawm kev ua tiav ntawm kev ua tiav ntawm kev ua tiav ntawm kev ua tiav ntawm kev ua tiav. Txawm li cas los xij, tam sim no tseem tsis muaj kev pom zoo rau thaum twg mam ua no rau NKP kom ua tiav cov txiaj ntsig zoo tshaj plaws. Ib txoj kev tshawb fawb tau tshaj tawm tias qhov ntsuas ntawm NKP thov thaumErcpTsawg dua 20 feeb tau nce siab dua li ntawm NKP thov tom qab tshaj 20 feeb tom qab.
Cov neeg mob uas muaj cov pa roj hmab uas tsis yooj yim ntawm cov kaus poom yuav tau txais txiaj ntsig ntau los ntawm cov txheej txheem no yog tias lawv muaj lub txiv mis mis los yog cov kua txiv tsis txaus. Ib qho ntxiv, muaj cov ntawv qhia uas thaum ntsib kev sib koom tes nyuaj heev, kev siv TPS thiab NKP muaj kev ua tiav siab dua li kev thov ib leeg. Qhov tsis zoo yog qhov kev txiav txim siab tau ntau cov ntsiab lus siv rau lub txiv mis yuav nce qhov tshwm sim ntawm cov teeb meem. Yog li ntawd, xav tau kev tshawb fawb ntxiv los txhawm rau xaiv cov kev tshwm sim thaum ntxov los txo cov kev mob ntau los txhim kho kev ua tiav ntawm kev ua tiav ntawm kev ua tiav ntawm kev ua tiav.
Vii.needle-riam fistulotomy, NKE
Lub NKF Technique yog hais txog kev siv rab phom rab riam mus rau hauv lub txiv qaub los ntawm txheej txheej thaum 5 hli zoo nkauj kom txog thaum lub orgle alived yog pom, thiab tom qab ntawd siv Cov Lus Qhia Hlau los xyuas cov outflow ntawm bile thiab incisionof daim ntaub so ntswg. Xaiv cov kua tsib duct interubation tau ua rau ntawm lub qhov chaw jaundice. Nkf kev phais txiav tawm saum lub napt qhib. Vim tias muaj cov bile duct Sinus, nws tau txo cov cua sov thiab tshuab puas tsuaj rau kev qhib ntawm cov pancreatic, uas tuaj yeem txo qhov mob pep.
Kev tshawb fawb los ntawm Jin li al. taw qhia tawm cov kev ua tiav ntawm cov neeg ua tiav ntawm nk raj interubation tuaj yeem ncav cuag 96.3%, thiab tsis muaj pospOperative Pep. Ib qho ntxiv, kev ua tiav ntawm NKF hauv pob zeb tshem tawm yog siab npaum li 92.7%. Yog li no, txoj kev tshawb no pom zoo rau NKF yog thawj qhov kev xaiv rau cov bile duct pob zeb tshem tawm. Cov. Piv nrog cov pa papillomyotomy, NKF cov kev pheej hmoo siab tseem siab dua, thiab nws yog ntshav, thiab nws yuav tsum tau los ntshav ntawm endoscopists. Qhov tseeb qhib lub qhov rais qhib taw tes, qhov tob kom tsim nyog, thiab txheej txheem ua haujlwm txhua yam yuav tsum tau kawm. Master.
Piv nrog rau lwm txoj kev txiav txim siab ua ntej, xkf yog qhov yooj yim dua nrog kev ua tiav zoo dua. Txawm li cas los xij, txoj kev no yuav tsum muaj kev xyaum ntev thiab txuas ntxiv ua tiav los ntawm tus neeg teb xov xwm kom muaj peev xwm, yog li cov qauv no tsis haum rau cov neeg pib.
Viii.repate-ercp
Raws li tau hais los saum no, muaj cov hau kev Aremany los daws cov nyom nyuaj. Txawm li cas los xij, tsis muaj kev lees paub ntawm 100% txoj kev vam meej. Cov ntaub ntawv tseem ceeb tau taw qhia tias thaum bile duct intersation yog qhov nyuaj hauv qee kis, lub thermal nkag los ntawm kev txiav tawm ua ntej tuaj yeem ua rau duodenal papilla edema. Yog tias txoj haujlwm txuas ntxiv, tsis yog yuav bile ductas ua tsis tiav, tab sis kev teeb meem ntawm kev teeb meem tseem yuav nce ntxiv. Yog tias qhov xwm txheej saum toj no tshwm sim, koj tuaj yeem xav txog kev txiav tawm ntawm qhov tam sim noErcpKev ua haujlwm ua ntej thiab ua tus thib ob ERCP ntawm lub sijhawm xaiv. Tom qab papilloedema ploj, txoj haujlwm ERCP yuav yooj yim dua kom ua tiav cov kev vam meej.
Donnellan li al. ua ib pliagErcpKev ua haujlwm ntawm 51 tus neeg mob uas ECP ua tsis tiav tom qab rab koob aws alinthision, thiab 35 tus neeg kis tau muaj kev vam meej, thiab qhov tshwm sim tsis tau nce ntxiv.
Kim li al. Ua haujlwm thib ob ERCP ntawm 69 tus neeg mob tsis tauErcpTom qab rab koob riam uantej phais, thiab 53 tau ua tiav, nrog kev ua tiav ntawm 76.8%. Qhov seem tsis ua tiav cov rooj plaub tsis ua tiav kuj tau txais kev lag luam ERCP thib peb, nrog kev ua tiav ntawm 79.7%. , thiab ntau cov haujlwm tsis tau nce qhov tshwm sim ntawm cov teeb meem.
Yu Li li al. ua cov kev xaiv kawm theem nrabErcpNtawm 70 tus neeg mob uas ua tsis tiav Ercp tom qab rab phom-riam kev phais, thiab 50 tus neeg muaj kev vam meej. Tus lej ua tiav tag nrho (Thawj ERCP + ERCP theem ob) nce rau 90.6%, thiab qhov tshwm sim tsis tau nce ntxiv. Cov. Txawm hais tias cov ntawv tshaj tawm tau ua pov thawj qhov ua tau zoo ntawm Ercp, lub sijhawm luv ntawm ob lub Ercp yuav tsum tsis ntev, thiab qee kis tshwj xeeb, qeeb bilialy kua yuav ua rau muaj kev ntxhov siab.
Ix.endoscopicftrasound-coj biliary tso kua dej, eus-BD
Eus-BD yog ib tus txheej txheem tsis muaj kev siv tau siv rab koob rau lub plab lossis duodenum los ntawm tus duodenal papilla, thiab tom qab ntawd ua biliary intubation. Cov txheej txheem no suav nrog ob qho tib si intraepatic thiab extraepatic.
Ib txoj kev kawm tseem ceeb tshaj plaws hais tias kev ua tiav ntawm Eus-BD tau mus txog 82%, thiab qhov tshwm sim ntawm kev teeb meem txuas ntxiv tsuas yog 13%. Hauv kev sib piv, Eus-BD piv nrog kev ua ntej thev naus laus zis, nws txoj kev vam meej tob tob tau siab dua li 90.3% ntawm kev phais ua ntej. Txawm li cas los xij, kom deb li deb, piv nrog lwm cov thev naus laus zis, tseem muaj qhov tsis muaj kev tshawb fawb ntawm kev thov ntawm Eus rau qhov nyuajErcpInstubation. Muaj cov ntaub ntawv tsis txaus los ua pov thawj qhov ua tau zoo ntawm eus-coj bile duct puncture thev naus laus zis rau kev nyuajErcpInstubation. Qee qhov kev tshawb fawb tau pom tias nws tau txo lub luag haujlwm ntawm cov postoperative pep yog tsis txaus ntseeg.
X.Pertycutaneous transhepatic choligial cholangial dej, PTCD
PTCD yog lwm cov txheej txheem tshuaj ntsuam cov txheej txheem uas tuaj yeem siv ua ke nrogErcpRau kev nyuaj bile duct interidation, tshwj xeeb tshaj yog nyob rau hauv cov neeg siab phem bilry thaiv. Cov txheej txheem no siv cov koob hno rau percutaneously nkag mus hauv cov bile du los ntawm papilla, thiab tom qab ntawd intubate cov kua tsib leeg ua haujlwm los ntawm kev tshwj tsegtus tawCov. Ib qho kev tshawb fawb tshuaj xyuas 47 tus neeg mob uas muaj cov bile nyuaj rau kev sib xyaw ua ke uas cov txheej txheem hauv PTCD, thiab tus nqi ua tiav tau mus txog 94%.
Kev tshawb fawb los ntawm Yang li al. Taw qhia tias daim ntawv thov ntawm Eus-BD yog qhov tseeb txwv thaum nws los sis cov bile axis thiab ua ntau dua ntawm cov khoom siv. Bile duct intubation yuav tsum tau siv nyob rau hauv cov neeg mob.
PTCD yog kev ua haujlwm nyuaj uas yuav tsum muaj kev cob qhia ua haujlwm ntev thiab ua tiav ntawm cov neeg mob txaus. Nws yog qhov nyuaj rau cov nov ua kom tiav txoj haujlwm no. PTCD tsis yog tsuas yog ua haujlwm nyuaj, tab sis tustus tawtej zaum kuj tseem yuav puas tsuaj rau hauv qab pob txha thaum nce qib.
Txawm hais tias cov txheej txheem saum toj no tuaj yeem txhim kho kev ua tiav ntawm bile nyuaj bile duct interubation, qhov kev xaiv yuav tsum tau nkag siab txog kev nkag siab. Thaum uaErcp, Sgt, dgt, wgc-ps thiab lwm yam tswv yim tuaj yeem txiav txim siab; Yog tias cov txheej txheem saum toj no tsis tau, cov laus thiab cov endoscopists tuaj yeem ua cov txuj ci ua ntej, xws li TPS, NKP, thiab lwm yam .; Yog tias tseem yog yog tias xaiv cov kua hauv qab hniav tsis tuaj yeem ua tiav, xaiv tsa theem obErcptuaj yeem xaiv; Yog tias tsis muaj ntawm cov txheej txheem saum toj no tuaj yeem daws tau qhov teeb meem ntawm kev ua haujlwm nyuaj, thiab PTCD tuaj yeem raug xaiv tau raug xaiv yog tias tsim nyog.
Peb, Jiangxi Zhuoruihua Kev Kho Mob Co., LTD.tus taw, Pob zeb rov qab pob tawb, nasal biliary catheterlwm yam uas tau siv dav hauv EMR, 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-31-2024