Pehea e wehe ai i nā pōhaku bile duct maʻamau me ERCP
ʻO ka ERCP e wehe i nā pōhaku ʻauwai bile he ʻano hana koʻikoʻi no ka mālama ʻana i nā pōhaku ʻauwai bile maʻamau, me nā pono o ka minimally invasive a me ka hoʻōla wikiwiki. ʻO ka ERCP e wehe i nā pōhaku ʻauwai bile, ʻo ia ka hoʻohana ʻana i ka endoscopy e hōʻoia i ka wahi, ka nui a me ka helu o nā pōhaku ʻauwai bile ma o ka intracholangiography, a laila e wehe i nā pōhaku ʻauwai bile mai ka ʻaoʻao haʻahaʻa o ka ʻauwai bile maʻamau ma o kahi hīnaʻi unuhi pōhaku kūikawā. Eia nā ʻano hana kikoʻī:
1. Ka wehe ʻana ma o ka lithotripsy: wehe ʻia ke ala bile maʻamau i loko o ka duodenum, a aia ka sphincter o Oddi ma ka ʻāpana haʻahaʻa o ke ala bile maʻamau ma ka wehe ʻana o ke ala bile maʻamau. Inā ʻoi aku ka nui o ka pōhaku, pono e ʻoki hapa ʻia ka sphincter o Oddi e hoʻonui i ka wehe ʻana o ke ala bile maʻamau, kahi mea e kōkua ai i ka wehe ʻana i ka pōhaku. Ke nui loa nā pōhaku e wehe ʻia, hiki ke wāwahi ʻia nā pōhaku nui i nā pōhaku liʻiliʻi ma ka wāwahi ʻana i nā pōhaku, kahi mea kūpono no ka wehe ʻana;
2. Ka wehe ʻana i nā pōhaku ma o ke ʻoki ʻana: Ma waho aʻe o ka mālama endoscopic o ka choledocholithiasis, hiki ke hana ʻia ka choledocholithotomy minimally invasive e wehe i nā pōhaku ma o ke ʻoki ʻana.
Hiki ke hoʻohana ʻia nā mea ʻelua no ka mālama ʻana i nā pōhaku ʻauwai bile maʻamau, a pono e koho ʻia nā ʻano hana like ʻole e like me ka makahiki o ka mea maʻi, ke kiʻekiʻe o ka hoʻonui ʻana o ke ʻauwai bile, ka nui a me ka helu o nā pōhaku, a inā paha e ālai ʻole ʻia ka wehe ʻana o ka ʻāpana haʻahaʻa o ke ʻauwai bile maʻamau.
Hoʻohana ʻia kā mākou huahana no ka wehe ʻana i nā pōhaku bile maʻamau me ERCP.
ʻO nā uwea alakaʻi hoʻokahi hoʻohana lapaʻau ʻo ZhuoRuiHua, i hoʻolālā ʻia e hoʻohana ʻia i ka wā o nā kaʻina hana endoscopic biliary a me ka pancreatic duct no ka hoʻokomo ʻana i ka catheter a me nā hoʻololi, a e hoʻonui i ka holomua o ka ERCP. Aia nā uwea alakaʻi i kahi ʻiʻo Nitinol, kahi piko radiopaque maʻalahi loa (pololei a kihi paha) a me kahi uhi melemele / ʻeleʻele me nā waiwai paheʻe kiʻekiʻe loa. Ma kahi mamao, ua lako kēia mau mea me kahi uhi hydrophilic. No ka pale a me ka lawelawe maikaʻi ʻana, waiho nā uwea i loko o kahi dispenser plastik ʻano apo. Loaʻa kēia mau uwea alakaʻi i nā diameters 0.025" a me 0.035" me ka lōʻihi hana i loaʻa i 260 cm a me 450 cm. Loaʻa i ka piko o ke uwea alakaʻi ka elasticity maikaʻi e kōkua me ke ana ʻana o ka stricture a hoʻomaikaʻi ka piko hydrophilic o ke uwea alakaʻi i ka hoʻokele ductal.
ʻO nā hīnaʻi hoʻihoʻi hoʻolei mai ZhuoRuiHua Medical he ʻano kiʻekiʻe a me ka hoʻolālā ergonomic, no ka wehe maʻalahi a palekana o nā pōhaku biliary a me nā kino ʻē. Hoʻomaʻamaʻa ka hoʻolālā lima mea hana ergonomic i ka hoʻolaha lima hoʻokahi a me ka huki ʻana ma ke ʻano palekana a maʻalahi. Hana ʻia nā mea me ke kila kila a i ʻole Nitinol, kēlā me kēia me kahi wēlau atraumatic. Hōʻoia ka puka Injection kūpono i ka hoʻokomo maʻalahi a maʻalahi hoʻi o ka medium contrast. ʻO ka hoʻolālā ʻehā-uea maʻamau me ke ʻano daimana, oval, spiral e kiʻi i nā ʻano pōhaku like ʻole. Me ka ZhuoRuiHua Stone Retrieval Basket, hiki iā ʻoe ke lawelawe i kekahi kūlana i ka wā e kiʻi ai i ka pōhaku.
Hoʻohana ʻia nā ZhuoRuiHua Medical Nasal Biliary Drainage Catheters no ka hoʻohuli ʻana i waho o ka corporeal o nā ducts biliary a me pancreatic no kekahi manawa. Hāʻawi lākou i kahi hoʻokahe wai kūpono a no laila e hōʻemi i ka pilikia o ka cholangitis. Loaʻa nā Catheters hoʻokahe wai nasal biliary i 2 mau ʻano maʻamau i nā nui 5 Fr, 6 Fr, 7 Fr a me 8 Fr pākahi: pigtail a me pigtail me ke ʻano alpha curve. Aia ka set i: kahi probe, kahi paipu nasal, kahi paipu hoʻohui hoʻokahe wai a me kahi mea hoʻohui Luer Lock. Hana ʻia ka catheter Drainage me nā mea radiopaque a me ka wai maikaʻi, ʻike maʻalahi ʻia a kau ʻia.
Ka manawa hoʻouna: Mei-13-2022