Hemostasis ya: mucosal/submucosal.Kugonjetsedwa <3cm, zilonda zamagazi / mitsempha <2mm, malo opangira opaleshoni, kutsekedwa kwa GI luminal performance Amagwiritsidwa ntchito pomanga mitsempha yamagazi
Chitsanzo | Kukula Kotsegula Kwakadina (mm) | Utali Wogwira Ntchito (mm) | Endoscopic Channel (mm) | Makhalidwe | |
ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Osakutidwa |
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 | Mphuno | |
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 | Gastro | Zokutidwa |
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 | Mphuno | |
ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 |
Kugwiritsa Ntchito Zachipatala
The hemoclip imatha kuyikidwa mkati mwa thirakiti la Gastro-intestinal (GI) ndicholinga cha hemostasis chifukwa:
Kuwonongeka kwa mucosal / sub-mucosal <3 cm
Kutaya magazi zilonda, - Mitsempha <2 mm
Polyps <1.5 masentimita awiri
Diverticula mu #colon
Chojambulachi chitha kugwiritsidwa ntchito ngati njira yowonjezerapo yotseka ma GI tract luminal perforations <20 mm kapena #endoscopic marking.
EMR ndi ESD zimachokera ku chiyambi chomwecho ndipo zimakhala ndi luso lofanana.EMR ESD kusiyana motere:
Choyipa cha EMR ndikuti chimachepa ndi kukula kwa zotupa zosinthika pansi pa endoscopy (zosakwana 2cm).Ngati zotupazo ndi zazikulu kuposa 2cm, ziyenera kuyikidwanso m'mabwalo, chithandizo cham'mphepete mwa minyewa yomwe idachotsedwa sikwanira, ndipo matenda a postoperative ndi olakwika.
Komabe, zida za ESD zimakulitsa zisonyezo za endoscopic resection.Kwa zotupa zazikulu kuposa 2cm, zimathanso kuchotsedwa kwathunthu.Iwo wakhala njira zochizira oyambirira m`mimba khansa ndi zotupa precancerous.
Pakali pano, EMR ndi ESD amagwiritsidwa ntchito kwambiri pochotsa ndi kuchiza endoscopy ya m'mimba.
Tekinoloje ya EMR ndi ESD ndiyo yapha endoscopic resection, ndipo yakhala njira yofunika kwambiri yothandizira odwala khansa ya m'mimba yoyambirira komanso zotupa zam'mimba.Amakhulupirira kuti zida za EMR ndi ESD ndi EMR ndi ESD endoscopy zimatha kupanga phindu lalikulu lachipatala kwa thanzi la anthu m'tsogolomu.