Heastasis ye: mucosal / submucosal. Kukundwa <3cm, kubuda ropa ulcers / arteries <2mm, Surgery Sites, kuvharwa kweGi Luminal Performance inoshandiswa pakubata mimhanzi yeropa
Modhi | Clip kuvhura saizi (mm) | Kushanda kureba (mm) | Endoscopic chiteshi (mm) | Hunhu | |
Zh-hca-165-9-l | 9 | 1650 | ≥2.8 | Gastro | Haina |
Zrh-hca-165-12-l | 12 | 1650 | ≥2.8 | ||
Zrh-hca-165-15-l | 15 | 1650 | ≥2.8 | ||
Zh-hca-235-9-l | 9 | 2350 | ≥2.8 | Colon | |
Zh-hca-235-12-l | 12 | 2350 | ≥2.8 | ||
Zrh-hca-235-15-l | 15 | 2350 | ≥2.8 | ||
Zh-hca-165-9-s | 9 | 1650 | ≥2.8 | Gastro | Coated |
Zh-hca-165-12-s | 12 | 1650 | ≥2.8 | ||
Zh-hca-165-15-s | 15 | 1650 | ≥2.8 | ||
Zh-hca-235-9-s | 9 | 2350 | ≥2.8 | Colon | |
Zh-hca-235-12-s | 12 | 2350 | ≥2.8 | ||
Zh-hca-235-15-s | 15 | 2350 | ≥2.8 |
Clinical Shandisa
Iyo hemoclip inogona kuiswa mukati megastro-mudumbu (gi) turakiti rechinangwa cheiyo himastasis ye:
Mucosal / Sub-Mucosal urema <3 cm
Kubuda ropa ulcers, -arters <2 mm
Polyps <1.5 cm mune diameter
Diverticula mu #colon
Iyi clip inogona kushandiswa seyakawedzera nzira yekuvhara yeGi turakiti luminal perferations <20 mm kana ye #endoscopic yekumaka.
EMR uye esd inotorwa kubva pane imwechetewo mavambo uye ine akafanana technical maitiro. EMR ESD Musiyano seinotevera:
Iko kukanganisa kweEMR ndeyekuti iyo ishoma nehukuru hwesangano renzandiyo pasi peEndoscopy (isingasviki 2cm). Kana maronda akakura kupfuura 2CM, inoda kufananidzwa mumabhuruku, kurapwa kwemucheto kweiyo tishu haina kukwana, uye iyo posthopperative pathology haina kunaka.
Nekudaro, iyo ESD zvishandiso zvinowedzera zviratidzo zveEndoscopic rection. Nekuti maronda akakura kupfuura 2cm, inogona zvakare kubviswa zvachose. Iyo yave nzira inoshanda yekurapa kwekutanga kwegakava regakava uye hutsinye hwepanyama.
Parizvino, EMR uye ESD inoshandiswa zvakanyanya mukumikidzwa uye kurapwa kwekugaya kweDera.
EMR uye ESD tekinoroji ndeye mhombwe yeEndoscopic Darection, uye yave nzira yakakosha yekubatwa zvakanyanya kurapwa kwekutanga kwegonza gakava uye hutsinye hwepamba. Zvinotendwa kuti EMR uye ESD zvigadzirwa uye EMR uye ESD Endoscopy inogona kuumba kukosha kukuru kwekurapa kwehutano hwevanhu mune ramangwana.