Hemostasis no: mucosal/submucosal.Nā lanakila <3cm, nā ʻeha koko / nā aʻa <2mm, nā kahua ʻoki, pani ʻia o ka hana luminal GI Hoʻohana ʻia no ka hoʻopaʻa ʻana i nā kīʻaha koko.
Hoʻohālike | Nui wehe ʻia (mm) | Ka lōʻihi hana (mm) | Kaila Endoscopic (mm) | Nā hiʻohiʻona | |
ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | ʻAʻole i uhi ʻia |
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 | Kolona | |
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 | i uhi ʻia |
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 | Kolona | |
ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 |
Hoʻohana lāʻau lapaʻau
Hiki ke waiho ʻia ka hemoclip i loko o ka ʻāpana Gastro-intestinal (GI) no ke kumu o ka hemostasis no:
ʻO nā hemahema mucosal/sub-mucosal < 3 knm
ʻO nā maʻi maʻi kahe koko, - nā ʻaʻa < 2 mm
Polyps <1.5 knm ke anawaena
ʻO Diverticula i ka #colon
Hiki ke hoʻohana ʻia kēia clip ma ke ʻano he ala hoʻohui no ka pani ʻana i nā puka luminal GI tract <20 mm a i ʻole no ka hōʻailona #endoscopic.
Loaʻa ka EMR a me ESD mai kahi kumu like a loaʻa nā ʻano ʻenehana like.EMR ESD ʻokoʻa penei:
ʻO ka hemahema o ka EMR, ʻo ia ka palena ʻia e ka nui o nā ʻeha hiki ke hoʻihoʻi ʻia ma lalo o ka endoscopy (ma lalo o 2cm).Inā ʻoi aku ka nui o nā maʻi ma mua o 2cm, pono e ʻoki ʻia i loko o nā poloka, ʻaʻole i hoʻopau ʻia ka mālama ʻana o nā ʻili i hoʻopau ʻia, a ʻaʻole pololei ka pathology postoperative.
Eia naʻe, hoʻonui ka mea hana ESD i nā hōʻailona o ka hoʻopau ʻana i ka endoscopic.No nā ʻeha ʻoi aku ka nui ma mua o 2cm, hiki ke wehe loa ʻia.Ua lilo ia i mea maikaʻi no ka mālama ʻana i ka maʻi maʻi ʻaʻai mua a me nā ʻeha precancerous.
I kēia manawa, hoʻohana nui ʻia ʻo EMR a me ESD i ka wehe ʻana a me ka mālama ʻana i ka endoscopy digestive.
ʻO ka ʻenehana EMR a me ESD ka mea pepehi i ka endoscopic resection, a ua lilo ia i mea koʻikoʻi no ka mālama liʻiliʻi ʻana i ka maʻi maʻi ʻaʻai mua a me nā ʻeha precancerous.Manaʻo ʻia ʻo nā lako EMR a me ESD a me EMR a me ESD endoscopy hiki ke hana i ka waiwai olakino nui aʻe no ke olakino o ka poʻe i ka wā e hiki mai ana.