Hoʻopau sphincterotome | ʻO ka "mea kaua" lima no nā endoskopist

Ka hoohana ana osphincterotomein ERCP

ʻElua mau noi nui o kasphincterotomema ka lapaauERCP:

1. E hoʻonui i ka duodenal papilla sphincter e kōkua i ke kauka i ka hoʻokomo ʻana i ka catheter i loko o ka duodenal papilla ma lalo o ke alakaʻi ʻana o ke kaula alakaʻi.

Hōʻike nui ʻia ka incision-assisted intubation ma ka "bow" a me ka "toughness" o kasphincterotome. Eia kekahi, inā hoʻolako ʻia me kahi nipple rotatablesphincterotome, loaʻa iā ia ka mana multi-directional e like me "luna, lalo, hema, a ʻākau". Hiki, hiki ke "hōʻike" ke kōkuauea alakaʻiintubation.

2. ʻOki i ka duodenal papilla sphincter e hoʻonui i kona wehe ʻana no ka hoʻokō ʻana i nā pono lapaʻau ma hope e like me ka wehe ʻana i nā pōhaku maʻamau bile duct.

ʻO ka hoʻohana ʻana i kasphincterotomeʻO kēia ka mea nui e hoʻokuʻu i ka sphincter bile duct, ʻo ia hoʻi, ka ʻāpana i loko o ka paia duodenal o ka sphincter o Oddi, no laila ua kūpono ka lōʻihi a me ka nui o ka ʻoki ʻana e pale aku i ka perforation a me ka hoʻokō ʻana i nā lāʻau ma hope e like me ka wehe ʻana i ka pōhaku.

Māhele huahana

1. ʻO ka pahi arch-shaped, ʻike ʻia ʻo "bow knife", ʻo ia ka mea maʻamau i hoʻohana ʻiasphincterotome. ʻO ka hoʻolālā arc i hoʻokumu ʻia ma ka huki ʻana i ka uea e hoʻopili ai i ke kihi a me ke kahua o ka nānā ʻana o ke aniani ʻaoʻao (duodenoscope) i ka wā e hoʻokomo ai i ka bile a me ka pancreatic ducts. I ka manawa like, hoʻoponopono ʻia ke kihi o ke kakaka ma ka huki ʻana i ka nui o ke kakaka, a laila hoʻololi i ke kuhikuhi incision. Hiki i ke kauka hana ke hoʻomalu maikaʻi i ke kuhikuhi o kasphincterotomei ka hora 11 i koho mua ia.

2. ʻO ka pahi koʻikoʻi koʻikoʻi, ʻike ʻia ʻo "needle knife". He mea koʻikoʻi ia i ka wā e hoʻohana ai i ka arcuatesphincterotomema ke kino. ʻO ka piko o ka pahi e like me ka nila, ʻaʻole wale ka hana o ke kuʻi ʻana, akā loaʻa nō hoʻi ka paʻakikī i koi ʻia no ka electrocution a me ka "ʻoki". I kēia manawa, hoʻohana nui ʻia ka pahi nila i ka pre-incision e kōkua i ke kaʻina hana intubation o ka hoʻopaʻa ʻana i nā pōhaku nipple a me ka intubation nipple paʻakikī.

ʻO mākou, ʻo Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he mea hana ma Kina i mea kūikawā i nā mea hoʻohana endoscopic, e like mebiopsy forceps, hemoclip, pahele polyp, nila sclerotherapy,pulupulu pulupulu, cytology brushes, uea alakaʻi, hīnaʻi kiʻi pōhaku,ihu biliary drain catheteretc. i hoohana nui ia maEMR,ESD, ERCP. ʻO kā mākou huahana i hōʻoia ʻia ʻo CE, a ua hōʻoia ʻia kā mākou mea kanu. Ua lawe ʻia kā mākou waiwai i ʻEulopa, ʻAmelika ʻAmelika, Middle East a me kahi hapa o Asia, a loaʻa nui i ka mea kūʻai aku o ka ʻike a me ka hoʻomaikaʻi!