Hemoclip inoraswa inodzokororwa yekuvhura nekuvhara mudumbu
Hemoclip inoraswa inodzokororwa yekuvhura nekuvhara mudumbu
Kushandiswa
Inoshandiswa kusunga mitsipa yeropa nemakanika. Endoclip chishandiso chesimbi chinoshandiswa mu endoscopy kuvhara nzvimbo mbiri dzemucous pasina chikonzero chekuvhiyiwa uye kusukwa. Basa rayo rakafanana ne suture mukuvhiyiwa kukuru, sezvo ichishandiswa kubatanidza nzvimbo mbiri dzisina kubatana, asi, inogona kushandiswa kuburikidza ne endoscope kuburikidza nekuona zvakananga. Endoclip dzakawana kushandiswa mukurapa kubuda ropa mudumbu (mudumbu repamusoro nerezasi), mukudzivirira kubuda ropa mushure mekurapa kwakadai se polypectomy, uye mukuvhara maburi emudumbu.
Tsanangudzo
| Muenzaniso | Saizi Yekuvhura Clip (mm) | Kureba kwekushanda (mm) | Nzira yeEndoscopic (mm) | Hunhu | |
| ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Isina kuputirwa |
| 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 | Colon | |
| 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 | Yakafukidzwa |
| 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 | Colon | |
| ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
| ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 | ||
Tsananguro yeZvigadzirwa
Kubvisa Clip Inotenderedzwa ne360°
Ipa nzvimbo chaiyo.
Zano reAtraumatic
inodzivirira endoscopy kuti isakuvara.
Sisitimu Yekusunungura Inonzwa
zviri nyore kuburitsa clip.
Chidimbu Chekuvhura Nekupedzisa Chinodzokororwa
kuti pave nenzvimbo chaiyo.
Mubato Wakaumbwa Nesimba
Zviri nyore kushandisa
Kushandiswa Kwekiriniki
Hemoclip inogona kuiswa mukati medumbu (GI tract) nechinangwa che hemostasis ye:
Zvikanganiso zvemudumbu/mudumbu< 3 cm
Maronda anobuda ropa, -Tsitsi dzeropa< 2 mm
Mapolyps< 1.5 cm mudhayamita
Diverticula mu #colon
Iyi clip inogona kushandiswa senzira yekuwedzera yekuvhara maburi eGI tract luminal.< 20 mm kana kuti #endoscopic marking.
Hemoclip Inoshandiswa muESD
(1) Maka, shandisa tsono yakachekwa kana argon ion coagulation kuratidza nzvimbo yakachekwa ne 0.5cm electrocoagulation pamucheto wechironda;
(2) Musati maisa mvura mu submucosal, mvura inowanikwa mukiriniki yekuisira mu submucosal inosanganisira physiological saline, glycerol fructose, sodium hyaluronate nezvimwewo.
(3) Cheka mucosa yakakomberedza: shandisa michina yeESD kucheka chikamu chemucosa yakatenderedza chironda pamwe chete nenzvimbo yekucherechedza kana kumucheto kwekunze kwenzvimbo yekucherechedza, wobva washandisa banga reIT kucheka mucosa yese yakatenderedza;
(4) Zvichienderana nezvikamu zvakasiyana zvegomarara uye maitiro ekushanda kwevashandisi, michina yeESD IT, banga reFlex kana reHOOK nezvimwe zvinoshandiswa kubvisa gomarara zvakasarudzwa kuti zvibvise gomarara iri pamwe chete nesubmucosa;
(5) Pakurapa ronda, argon ion coagulation yakashandiswa kuomesa tsinga dzese diki dzeropa dziri muronda nemagetsi kudzivirira kubuda ropa mushure mekuvhiyiwa. Kana zvichidikanwa, hemostatic clamps dzakashandiswa kuomesa tsinga dzeropa.
