He Mea Kaua Hou no ke ʻoki kino Minimally Invasive! Nā Pahele Hoʻolei no ka Lapaʻau Endoscopic Palekana a ʻOi Aku ka Pono

I ka holomua wikiwiki ʻana o nā ʻenehana ʻike endoscopic a me nā ʻenehana lapaʻau, pehea lā e hiki ai ke ʻoki ʻia nā ʻeha gastrointestinal me ka liʻiliʻi o ka trauma a me ka pono kiʻekiʻe? ʻO ka puka ʻana mai o Disposable Polypectomy Hot Snare e hāʻawi i kahi hopena hou no nā kauka a me nā maʻi. ʻAʻole wale kēia mau mea hana he mau mea hana pololei no ke ʻoki kino minimally invasive, hōʻike lākou i kahi mea hana hou e hōʻemi ana i nā pilikia maʻi a hoʻonui i ka palekana o ke ʻoki kino.

ʻO nā Disposable Hot Polypectomy Snares he mau mea hoʻopau endoscopic maʻamau i hoʻohana ʻia i ka endoscopic therapy. ʻO ka huahana nui he lima, nā loop manamana lima, nā electrodes, nā caps hopena, nā wēlau palupalu, nā ʻūpā waho, a me nā uea ʻoki. Ma o ka hopena synergistic o ke au alapine kiʻekiʻe a me ka ʻoki mechanical, hiki iā ia ke ʻoki pololei i nā ʻiʻo lesion.

Ua hōʻike ʻia no ka wehe ʻana i nā polyps gastrointestinal, a me nā ʻeha kiʻekiʻe a pālahalaha, a me nā maʻi ʻaʻai gastrointestinal mua (e laʻa, MBM). Hana ia ma ke ʻano he mea hana koʻikoʻi no nā kaʻina hana endoscopic e like me ka Endoscopic Mucosal Resection (EMR) a me ka polypectomy.

Nā Pōmaikaʻi o kaWelaPolypectomy Nā pahele 

Ua hoʻokaʻawale ʻia nā pahele i loko o nā Hot Polypectomy Snares a meAnuʻO ka pahele Polypectomysma muli o ke alakaʻi ʻana o lākou i ka uila.

I nā noi lapaʻau, hōʻike nā Hot Polypectomy Snares (ʻo ia hoʻi, nā pahele i hui pū ʻia me ke au alapine kiʻekiʻe) i nā pono koʻikoʻi ma mua o nā Cold Polypectomy Snares kuʻuna. ʻOi aku lākou ma ke ʻano o ka hopena hemostatic, ka pono o ke ʻoki ʻana, ka laulā o nā hōʻailona, ​​​​a me ka kaohi ʻana i ka pilikia. Aia ma lalo kahi loiloi kikoʻī o kēia mau pono lapaʻau kikoʻī:

Kākoʻo ʻikepili: Hōʻike nā helu helu lapaʻau ʻo ka nui o ke kahe koko postoperative me ka Hot Polypectomy Snare he 50%-70% haʻahaʻa ma mua o ka Polypectomy Cold Snare.

Nā Hoʻohana o nā ʻAno Loop like ʻole 

Ua hoʻokaʻawale ʻia nā apo snare e ke ʻano i loko o: Oval, Crescent a me hexagonal. ʻAe kēia mau ʻokoʻa no ka ligation pololei o nā lesions mai nā polyps liʻiliʻi a i nā lesions pālahalaha nui aʻe, e hōʻemi ana i ka pono no ka resection piecemeal a pēlā e hoʻonui ai i ka pono o ke kaʻina hana.

1. Oval: ʻO ke ʻano maʻamau, kūpono no ka hopu ʻana i nā polyps maʻamau.
2. Crescent: Hoʻolālā ʻia no ka hopu ʻana i nā polyp ma nā wahi paʻakikī a paʻakikī paha e hiki aku.
3. Kūpono no ka hopu ʻana i nā polyp pālahalaha.

Nā Noi Lapaʻau: Mai ka Polypectomy a hiki i ke komo ʻana o ke kanesa mua 

● Colorectal Polypectomy: Hoʻopau wikiwiki, Hoʻemi i ka hana hou ʻana

Wahi ʻeha:Loaʻa i nā polyps sessile ka lako koko nui ma ke kumu. ʻO ka ligation kuʻuna pinepine ka hopena i ke koena o nā ʻiʻo a i ʻole ke kahe koko lohi.

Hoʻonā:

1．Nā Ana Hoʻohālikelike: ʻO ka laulā o nā anawaena loop (10–30mm) e hōʻoiaʻiʻo ana i ka hoʻohālikelike pololei ʻana i ka nui o ka polyp, e hiki ai ke hopu koke i ke kumu a me ka ʻoki piha ʻana i ka lesion, no laila e hoʻemi ana i ka pilikia o ke koena.

2．Hemostasis Pūkahi: Hāʻawi ke ʻano electrosurgical alapine kiʻekiʻe i ka hemostasis pū kekahi, e hōʻemi nui ana i ka pilikia o ke kahe koko ma hope o ka hana ʻana.

3. Nā Hōʻike Lapaʻau: Ua hōʻike ʻia nā haʻawina hoʻohālikelike ma kahi haukapila kikoʻī ua hōʻemi ka hoʻohana ʻana i nā pahele hoʻolei i nā helu koena polyp mai 8% a i 2%, me ka emi ʻana o 40% i nā helu kahe koko postoperative.

●EMR no ka Neoplasia GI Mua: Hoʻopau piha ʻana, ʻike hilinaʻi

Ka Moʻolelo Kiʻi: Nā Kaʻina Hana EMR Panel A: Ua ʻike ʻia kahi polyp semi-pedunculated 0.8 × 0.8 cm i loko o ka colon. Panel B: Hōʻike ka lesion i kahi hāpai ʻokoʻa (hōʻailona hāpai maikaʻi) ma hope o ka hoʻokomo ʻana o kahi hopena submucosal i loaʻa ka indigo carmine, epinephrine, a me ka saline maʻamau. Panel C–D: Hoʻopuni mālie ʻia ka lesion ma kona kumu me ka hoʻohana ʻana i kahi pahele. Hoʻopaʻa ʻia ke kaula, a ua ʻoki ʻia ka lesion ma o ke au electrosurgical. Panel F: Ua pani ʻia ka hemahema o ka ʻeha me nā endoclips e pale ai i ke kahe koko.

●Hemostasis Pōpilikia: Pane wikiwiki, Hoʻopakele i nā ola i nā kūlana koʻikoʻi

Wahi ʻeha:Hoʻohū pinepine ʻia nā wahi kahe koko o ka hemorrhage ulcerative a i ʻole nā ​​​​​​ʻeha Dieulafoy, e paʻakikī ai ka wahi kikoʻī no nā forceps electrosurgical maʻamau.

Hoʻonā:Me kahi lima e wili ana 360° a me kahi hoʻolālā catheter lahilahi, hiki i ka hāmeʻa ke komo maʻalahi i nā ʻāpana anatomical paʻakikī e like me ka duodenum e iho ana. Hoʻopaʻa koke ke ʻano coagulation akamai i ke kiko kahe koko, e hoʻopōkole nui ana i ka manawa hoʻopakele.

Manaʻo ʻia no ʻoe Nā Pahele Polypectomy

ZRHmedUa hoʻolālā ʻia ka Disposable Hot Polypectomy Snare e hana pū me nā endoscopes maʻalahi a me nā mea hana ʻokiʻoki kiʻekiʻe no ka resection o nā polyps gastrointestinal.

Hoʻohana ia i ka ikehu wela i hana ʻia e ke au alapine kiʻekiʻe e hoʻomehana koke i ka ʻiʻo i kuhikuhi ʻia, e hana ana i ka denaturation protein, coagulation, a me ka vaporization, a laila e hoʻokō ai i kahi hopena ʻoki pololei. Hāʻawi kēia ʻenehana i nā pono o ka invasiveness liʻiliʻi, ka hoʻōla wikiwiki, a me ka hoʻemi ʻana i ke kahe koko, e hoʻohana nui ʻia i ka hana lapaʻau.

Nā Hiʻohiʻona Huahana

◆ Uea kila i lawe ʻia mai, ʻaʻole maʻalahi ke hoʻololi, ʻoki wikiwiki, electrocoagulation kūpono

◆ ʻIli pili nui ma waena o ka uea a me ka ʻiʻo no ka ʻoki maʻalahi

◆ Maopopo ka unahi, e hoʻokō ana i ka hoʻonohonoho pololei ma waena o ka paheʻe ʻana o ka lima a me nā loli amplitude coil

◆ Kūlike me nā mea hana ʻokiʻoki alapine kiʻekiʻe nui a pau ma ka mākeke

◆ Loaʻa nā ʻano like ʻole e hoʻokō i nā pono lapaʻau like ʻole o nā kauka

ʻO mākou, ʻo Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he mea hana ma Kina e loea ana i nā mea hoʻopau endoscopic, me ka laina GI e like menā forceps biopsy, hemoclip, Nā Pahele Polypectomy, nila sclerotherapy, ʻaukā pīpī,nā palaki cytology, uea alakaʻi, hīnaʻi kiʻi pōhaku, cathete hoʻokahe wai nasal biliary etc. i hoʻohana nui ʻia maEMR, ESD, ERCP.

Ua hōʻoia ʻia kā mākou huahana e CE, a ua hōʻoia ʻia kā mākou mau mea kanu e ISO. Ua hoʻokuʻu ʻia aku kā mākou waiwai i ʻEulopa, ʻAmelika ʻĀkau, Hikina Waena a me kekahi ʻāpana o ʻAsia, a ua loaʻa nui ka ʻike a me ka hoʻomaikaʻi ʻia e ka mea kūʻai aku!