Sezvo tekinoroji yekuongorora nekurapa endoscopic ichifambira mberi nekukurumidza, maronda emudumbu anogona sei kubviswa pasina kukuvara kwakanyanya uye kushanda zvakanaka? Kubuda kweDisposable Polypectomy Hot Snare kunopa mhinduro itsva kune vanachiremba nevarwere. Midziyo iyi haisi chete zvishandiso chaizvo zvekuvhiya kusingapindi zvakanyanya, inomiririra chishandiso chitsva chinoderedza njodzi dzehutachiona uye chinowedzera kuchengetedzeka kwekuvhiyiwa.
Kuvhiyiwa kwePolypectomy Inopisa Zvinoshandiswa mukurapa ne endoscopic. Chigadzirwa ichi chinosanganisira mubato, zvishwe zveminwe, maelectrode, zvivharo zvekupedzisira, matipi akapfava, sheaths dzekunze, uye waya dzekucheka. Kuburikidza nekushanda pamwe chete kwe high-frequency current uye mechanical cutting, zvinoita kuti zvibviswe matishu ekukuvara nemazvo.
Inoshandiswa kubvisa ma polyps emudumbu, pamwe nemaronda akakwira uye akati sandara, uye kunyange kenza yemudumbu yekutanga (semuenzaniso, MBM). Inoshanda senzira huru yekurapa endoscopic senge Endoscopic Mucosal Resection (EMR) uye polypectomy.
Mabhenefiti eZvinopisaKuvhiyiwa kwePolypectomy Misungo
Misungo yakakamurwa kuita Hot Polypectomy Snares uyeKutonhoraKuvhiyiwa kwePolypectomy Musungoszvichibva pakuti vanofambisa magetsi here.
Mukushandiswa kwekiriniki, Hot Polypectomy Snares (kunyanya, snares pamwe chete ne high-frequency current) inoratidza mabhenefiti makuru pane Cold Polypectomy Snares yechinyakare. Inonyanya kushanda zvakanaka pakubvisa ropa, kushanda zvakanaka pakuvhiya, zviratidzo zvakasiyana-siyana, uye kudzora matambudziko. Pazasi pane ongororo yakadzama yezvakanakira izvi zvekiriniki:
| Chinhu | Kuvhiyiwa kwePolypectomy Misungo Inopisa | Kubviswa kwePolypectomy Misungo Inotonhora |
| Kugona Kubvisa Hemostatic | Kubuda ropa mumuviri kuburikidza ne high-frequency current: Kunoderedza kubuda ropa panguva yekuvhiyiwa uye mushure mekuvhiyiwa. | Inongovimba chete nekumanikidzwa kwemuchina, zvichiita kuti ropa rishande zvakanaka uye inokonzera njodzi huru yekunonoka kubuda ropa. |
| Kucheka Kushanda Zvakanaka | Inobatanidza electro-cutting uye mechanical action kuti icheke tishu nekukurumidza. | Kucheka nemechanical chete; zvinotora nguva. |
| Mhando dzezviratidzo | Yakakodzera kubviswa kwe flat-based polyps, maronda makuru, uye tsinga dzine ropa rakakora. | Zvishoma kune ma polyps madiki kana ane mapeduncle matete, marefu. |
| Njodzi Yekukuvara Kwenyama | Kuvharika kwakanangana kunodzivirira kukuvara kwetishu dzemuviri. | Simba rekubata remuchina rinogona kukonzera kubvaruka kana kubooka kwemudumbu. |
| Matambudziko Mushure mekuvhiyiwa | Zvinoderedza zvakanyanya njodzi yekubuda ropa uye kubooka. | Pangozi huru yekubuda ropa uye kutapukirwa. |
Rutsigiro rwedata: Nhamba dzekiriniki dzinoratidza kuti mwero wekubuda ropa mushure mekuvhiyiwa neHot Polypectomy Snare wakaderera ne50%-70% pane wePolypectomy Cold Snare.
Mashandisirwo eMaumbirwo Akasiyana eLoop
Zvisungo zvemusungo zvinopatsanurwa zvichienderana nechimiro muzvikamu zvinotevera: Oval, Crescent uye hexagonal. Kusiyana uku kunobvumira kusungirirwa kwakanyatsojeka kwezvironda kubva kuma polyps madiki kusvika kumaronda akakura akatsetseka, zvichideredza kudiwa kwekubviswa kwezvidimbu uye nokudaro zvichiwedzera kushanda zvakanaka kwemaitiro acho.
1. Oval: Chimiro chakajairika, chakakodzera kubata mapolyps akajairika.
2. Crescent: Yakagadzirirwa kubata mapolyps munzvimbo dzakaoma kana dzakaoma kusvika.
3. Yakakodzera kubata mapuruguru akatsetseka.
Maitiro Ekurapa: Kubva kuPolypectomy kusvika kuKupindira Kwekenza Yekutanga
● Kuvhiyiwa kweColorectal Polypectomy: Kubviswa nekukurumidza, Kudzokororwa kushoma
Nhanho yekurwadziwa:Mapolyps echirume ane ropa rakawanda pasi. Kusunga chikadzi kunowanzoita kuti nyama isarambe yasara kana kuti kubuda ropa kunonoke.
Mhinduro:
1. Saizi Inoshandiswa Pakuchinja-chinja: Mhando dzakasiyana dzemadhayamita echiuno (10–30mm) dzinoita kuti pave nekubatana kwakanyatsonaka nehukuru hwemapolyp, zvichiita kuti pave nekukasira kubata pasi uye kubviswa kwegomarara rese, nokudaro zvichideredza njodzi yekusara kwegomarara.
2. Kubviswa kweropa panguva imwe chete: Nzira yekuvhiyiwa kwemagetsi ine frequency yakakwira inopa kubviswa kweropa panguva imwe chete, zvichideredza zvakanyanya njodzi yekubuda ropa mushure mekuvhiyiwa.
3. Humbowo hwekiriniki: Ongororo dzekuenzanisa dzakaitwa pachipatara chakaratidza kuti kushandiswa kwemisungo inoraswa kwakaderedza huwandu hwema polyp akasara kubva pa8% kusvika pa2%, nekudzikira kwe40% kwehuwandu hwekubuda ropa mushure mekuvhiyiwa.
●EMR yeEarly GI Neoplasia: Kubviswa Kwakakwana, Kuongorora Kwakavimbika
Mufananidzo Ngano: Maitiro eEMR Matanho Panel A: A semi-pedunculated polyp 0.8 × 0.8 cm inoonekwa muura. Panel B: Chironda chinoratidza kusimuka kwakasiyana (chiratidzo chekusimuka chakanaka) mushure mekubayiwa kwemvura ine indigo carmine, epinephrine, uye saline yakajairika pasi pemucosal. Panel C–D: Chironda chinotenderedzwa zvishoma nezvishoma pasi pacho uchishandisa snare. Waya inosimbiswa, uye chironda chinobviswa kuburikidza ne electrosurgical current. Panel F: Kukanganisika kweronda kunovharwa ne endoclips kudzivirira kubuda ropa.
●Kukurumidza Kupera Kweropa: Kukurumidza Kupindura, Kuponesa Hupenyu Mumamiriro Ezvinhu Akaoma
Nhanho yekurwadziwa:Nzvimbo dzinobuda ropa dzine maronda kana maronda eDieulafoy dzinowanzovanzwa, zvichiita kuti zviomere kuona nzvimbo chaiyo ye electrosurgical forceps.
Mhinduro:Chishandiso ichi chine mubato unotenderera we360° uye dhizaini yekatheta diki, chinokwanisa kusvika nyore nyore munzvimbo dzakaoma dzemuviri dzakadai seduodenum inodonha. Nzira iyi yekuchenjera yekuvhara ropa inovhara nekukurumidza pokubuda ropa, zvichiita kuti nguva yekununura ipfupike zvakanyanya.
Zvinokurudzirwa Iwe Kubviswa kwePolypectomy Misungo
ZRHmedDisposable Hot Polypectomy Snare yakagadzirirwa kushanda pamwe chete nema endoscopes anochinjika uye majenareta ekuvhiya anowanzoitwa kuti abvise ma polyps emudumbu.
Inoshandisa simba rekupisa rinogadzirwa nemagetsi epamusoro-soro kupisa nyama nekukurumidza, zvichikonzera kushanduka kwemapuroteni, kuonda, uye kupfuta, nokudaro zvichiita kuti icheke zvakanaka. Iyi tekinoroji inopa mabhenefiti ekusapinda zvakanyanya, kupora nekukurumidza, uye kuderera kwekubuda ropa, zvichiita kuti ishandiswe zvakanyanya mukurapa.
Zvimiro zveChigadzirwa
◆ Waya yesimbi inopinzwa munyika, haisi nyore kuichinja, inocheka nekukurumidza, inoshanda zvakanaka pakuomesesa kwemagetsi
◆ Nzvimbo yakakura yekubata waya netishu kuti zvive nyore kucheka
◆ Chikero chakajeka, zvichiita kuti pave nekuwirirana kwakanyatsojeka pakati pekuchinja kwehuro nehukuru hwemakoira
◆ Inoenderana nemidziyo yese mikuru yekuvhiya inowanikwa pamusika
◆ Kune maumbirwo akasiyana-siyana anowanikwa kuti agutse zvinodiwa nevanachiremba zvakasiyana-siyana.
Isu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., tinogadzira zvinhu muChina zvine chekuita ne endoscopic consumables, zvinosanganisira GI line dzakadai sesimba re biopsy, hemoclip, Kubviswa kwePolypectomy Misungo, tsono yekurapa sclerotherapy, katheta yekupfapfaidza,mabhurashi e cytology, waya yekufambisa, tswanda yekutorwa kwematombo, cathete yekubuditsa mvura yemhino nezvimwewo. anoshandiswa zvakanyanya muEMR, ESD, ERCP.
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Nguva yekutumira: Ndira-30-2026