A le lo pemoclip wa lati da ẹjẹ si awọn arriries laarin abala ti ounjẹ.
Awọn itọkasi fun itọju tun pẹlu: Awọn ọgbẹ ẹjẹ, oniruru ninu awọn oluṣafihan, awọn imunibini luminal kere ju 20 mm.
Awoṣe | A agekuru ṣiṣi (mm) | Gigun gigun (mm) | Ikanni endoscopic (mm) | Abuda | |
Zrh-hca-165-9-l | 9 | 1650 | ≥2.8 | Ikun | Ṣii |
Zrh-hca-165-12-l | 12 | 1650 | ≥2.8 | ||
Zrh-hca-165-15-l | 15 | 1650 | ≥2.8 | ||
Zrh-hca-235-9-l | 9 | 2350 | ≥2.8 | Oluṣafihan ọkunrin | |
Zrh-hca-235-12-l | 12 | 2350 | ≥2.8 | ||
Zrh-hca-235-15-l | 15 | 2350 | ≥2.8 | ||
Zrh-hca-165-9-s | 9 | 1650 | ≥2.8 | Ikun | Ti a bo |
Zrh-hca-165-12-s | 12 | 1650 | ≥2.8 | ||
Zrh-hca-165-15-s | 15 | 1650 | ≥2.8 | ||
Zrh-hca-235-9-s | 9 | 2350 | ≥2.8 | Oluṣafihan ọkunrin | |
Zrh-hca-235-12-s | 12 | 2350 | ≥2.8 | ||
Zrh-hca-235-15-s | 15 | 2350 | ≥2.8 |
360 ° iyipo Agekuru
Funni ni ipo pipe.
Atamiomatiki ti a sam
ṣe idiwọ endoscopy lati bibajẹ.
Eto itusilẹ ifura
Rọrun lati tusilẹ ipese agekuru.
Ṣiṣii ati agekuru pipade
fun aye deede.
Mu
Onirọrun aṣamulo
Lilo isẹgun
Todoclip le wa ni a gbe laarin iṣọn-ara (gi) fun idi hemostasis fun:
Awọn abawọn mucosal / sursosal <3 cm
Awọn ọgbẹ ẹjẹ,-ẹgbẹ kan <2 mm
Polyps <1,5 cm ni iwọn ila opin
Oniyipada ninu #colon
A le ṣee lo agekuru yii bi ọna afikun fun pipade ti awọn imunibini lu Tract to dara julọ lati fi aami si isamisi.
Awọn ẹya ẹrọ nilo fun isẹ inu EMR pẹlu abẹrẹ abẹrẹ, decoclip ati awọn iṣẹ Irọ-ọrọ ati awọn iṣẹ ṣiṣe gbogbo, o tun n ṣe gbogbo awọn iṣẹ hu-lile. Ẹrọ orin ti ẹnu le ṣe iranlọwọ fun jiini oti, tun ti lo fun apamọwọ-okun labẹ stepcop, hemoclip ti lo fun Stepcop, hemoclip ti lo fun Stepcopic Hemostasis ati mu ọgbẹ ni GI Tract.
Q; Kini EMR ati ESD?
A; EMR duro fun ipinnu ikogun mucosal, jẹ ilana ti o ni ifosiwewe ti o kere ju fun yiyọ kuro ti awọn eegun tabi awọn ọgbẹ ajeji miiran ti a rii ninu trace ti wastove.
ESD duro fun itumo eegun ti o kere ju Sentoscopic, jẹ ilana giga ti o kere ju ti o kere ju nipa lilo endoscopy lati yọ awọn èèmọ jinlẹ lati inu iṣan-ori.
Q; EMR tabi ESD, Bawo ni lati pinnu?
A; EMR yẹ ki o jẹ yiyan akọkọ fun ipo ti o wa ni isalẹ:
● Irọsisiwu eegun ni eso-nla ti Bartt;
● Itara-inu iṣan kekere <10mm, ia, ipo ti o nira fun ESD;
● Duodenal Tesion;
● Aṣọ apẹrẹ ti kii ṣe granular / ti ko ni ibanujẹ <20mm tabi linuorier granular.
A; ESD yẹ ki o jẹ ayanfẹ oke fun:
● Squrotoma alagbeka Squromous (kutukutu) ti Espahagus;
● Carcinoma ni ibẹrẹ;
Aṣọ awọ (ti kii ṣe granular / ibanujẹ>
● 20mm) Lesion.