ERCP Zviridzwa Triple Luemen Imwe Shandisa Sphincterome yeEndoscopic Shandisa

1. DIAMETER
Iyo dhayamita ye sphinctetetome inowanzoitika 6Fr, uye chikamu che APEX chinoderedzwa zvishoma nezvishoma kusvika 4-5Fr. Iyo dhayamita yeiyo sphinctetetome haidi kutarisisa, asi inogona kunzwisiswa nekubatanidza diameter ye sphinctetetome uye iyo inoshanda yeEndoscope. Ko imwezve gwara raigona kuendeswa apo sphincetototo yakaiswa.
2. Kureba kwebanga
Kureba kwebanga kunoda kutarisirwa, kazhinji 20-30 mm. Kureba kweiyo gwara waya kunotema iyo arc angle ye arc banga uye kureba kwesimba panguva yekubuda. Naizvozvo, iyo refu iyo iyo banga rairo, iyo iyo "angle" yeiyo arc kutungamira kweiyo pancredeobileary duct intubation, iyo inogona kuve nyore kupinza zvinobudirira. Panguva imwecheteyo, marefu emapanga ayakagona kukonzeresa zvisizvo zve sphincter uye zvakakonzerwa nematambudziko akakura sekutsanangurwa, saka pane "banga rakangwara" rinosangana nezvinodiwa pakusangana nehurefu.
3. Sphinctetome kuzivikanwa
Iko kuzivikanwa kweSphinctetotome chikamu chakakosha kwazvo, kunyanya kufambisa iyo inoshanda kuti inzwisise uye kuratidza chinzvimbo cheSphinctetototo panguva yekuzvinyudza uye nekukosha nzvimbo uye nzvimbo yakachengeteka uye yakachengeteka incision chinzvimbo. Kazhinji, zvinoverengeka zvinangwa zvakadai se "Kutanga", "Midyo" yeiyo yekutanga "uye iyo yekutanga yebanga rakachengetedzeka rekucheka, rinowanzoshandiswa. Uye zvakare, iyo midpoint mucherechedzo weSphincteteme ndeye radiopaque. Pasi peX-ray yekutarisa, chinzvimbo cheSphinctetotome muSphincter inogona kunzwisiswa zvakanaka. Nenzira iyi, zvakasanganiswa nehurefu hwemapundu akafumurwa pasi pewiratidzo zvakananga, zvinokwanisika kuziva kana banga rinogona kuita zvakanaka sphincter incision incision. Nekudaro, kambani imwe neimwe ine maitiro akasiyana eLogo mukugadzirwa kweLogos, iyo inoda kunzwisiswa.