Endoscopic biopsy ndiyo yakakosha chikamu chezuva nezuva endoscopic bvunzo. Zvinenge zvese zvinobvunzwa bvunzo dzinoda kutsigirwa patsotsi rutsigiro mushure me biopsy. Semuenzaniso, kana iyo yekugaya turika mucosa inofungidzirwa kuve nekuzvimba, cancer, atrophy, mudumbu metanaplasia, uye hutachiona hweHP
Parizvino, zvitanhatu zveBiipnique ndege dzinozoitwa neChina:
1. Kuongororwa Cytobrush
2. Tishu biopsy
3. Tunnel biopsy maitiro
4. EMR ine bullk biopsy maitiro
5. Bundu rose biopsy maitiro eSD
6. Ultrasound-inotungamirirwa Fna
Nhasi tichaisa pfungwa pakuongorora tishu biopsy, rinowanzozivikanwa se "kurira chidimbu chenyama".
Iyo Biipsy pasi pekugezesa endoscopy haigone kuitwa pasina biopsy forceps, iyo zvakare imwe yezvinhu zvinowanzo shandiswa zvinoshandiswa nevadzidzisi veEndoscopic vanamukoti. Vadzidzisi vanoita neEndoscopic vakoti vangafunga kuti Biipsy Forceps vari nyore kushandisa, sezvakareruka sekuvhura nekuvhara. Muchokwadi, kushandisa biopsy forceps zvakanyatsojeka uye nekukwana, munhu anofanira kuve nenjere uye kushanda nesimba, pamwe nekuve akanaka pakupfupisa.
I.Kutanga, ngatimboongororai chimiro cheBiopsy Forceps:
. Zvizhinji zvezvinyorwa zvakaita seanenge mumuviri wemari, zvinopisa zveBiopsy, Scissors, Curettes, etc. Zvakaita zvakafanana nechimiro cheBiopsy Fortsy.
Zano: Iyo tip inoumbwa nemakapu maviri emakapu akaumbwa anogona kuvhurwa uye kuvharwa. Chimiro chemajaya ndiyo kiyi yebasa resimba rakasiyana-siyana dzeBiopsy. Ivo vanogona kuve vakakamurwa kuita marudzi manomwe: mhando-yakavhurika mhando, yerudzi rwevhudzi, hwindo remhando, sindiro yemhando, oval mhando yemhando yemhando, uye tip yakakombama mhando. Iyo shaya dzeBiopsy forceps dzakagadzirwa nesimbi isina tsvina uye ine maburi akapinza. Kunyangwe iyo maburi okurasa biopsy expsy akapinza, ivo vane murombo vanopfeka kurwisa. Iwo maburi ezvekugadziridzwa biopsy expression ane musoro wepamusoro akarapwa kuti vaite kuti vagare vakagwinya.
Zvakajairika marudzi eBiopsy Forceps
1.Standardy mhando newindo
Kune hwindo pakati pekapu yemuchadenga, iyo inoderedza zvakanyanya kukuvadza uye inowedzera huwandu hwe biopsy tishu.
2. Standard mhando newindo uye tsono
Tsono iri pakati peFordps Cup kudzivirira iyo Biipsy kubva mukutsvedza kuburikidza neiyo mucosa uye kubatsira kubata sampu.
3. Alligator mhando
Iyo Serrated Clamp Cup inobudirira inodzivirira clamp mukapu kubva kutsvedza, uye iyo yekucheka iri yakapinza kuti ibate zvakanyanya.
4. Alligator mhando ine tsono
Iyo shaya ine yakanyanya kuvhura kona yekuwedzera iyo Biopsy vhoriyamu; Iyo blade mupendero unopinza kune yakanyanya kuchengetedza grip.
Kune tsono pakati pemusoro wemusoro, iyo inogona kuita kuti gadziriswe zvakanyanya uye ive chaiyo.
Yakakodzera biopsy pane dzakaomesesa matikiti senge tumara.
Forceps Muviri: Muviri weBiopsy Worthps inogadzirwa nesimbi yesimbi isina tsvina, iyo ine waya yesimbi yekudhonza vheji kuvhura uye kuvhara. Nekuda kwechimiro chakakosha cheyakawakasvitswa tube, tishu musina, ropa uye zvimwe zvinhu zvinogona kupinda nyore nyore, asi hazvisi nyore kuzvichenesa zvakazara. Kukundikana kuchenesa zvakakwana kuchaita kusagadzikana mukuvhiya kweiyo biopsy forceps, uye kuvhura uye kuvhara hakuzoitike kana kutotadza kuvhura. Chishandiso Chekushandisa: Mhete pane yekushandisa inoshanda inoshandiswa kubata chigunwe, uye groove yakafara inoshandiswa kuisa iyo index yemunwe uye chigunwe chepakati. Pasi pekushanda kweminwe mitatu, iyo simba rinoendeswa kune iyo Forceps valve kuburikidza neyecha waya yekuvhura nekuvhara.
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1. Pre-Kuongororwa:
Usati washandiswa, ita shuwa kuti iyo biopsy forceps yakave yakasimba uye inoshandiswa mukati menguva inobudirira nguva. Usati waisa endoscope forceps forceps, iyo kuvhura uye kuvhara kweSooda kunofanirwa kuedzwa (Mufananidzo 2).
Mufananidzo 2 Biopsy Forceps Kuwanikwa
Iyo nzira chaiyo ndeyekuti coil yeiyo biopsy forpeps mudenderedzwa rakakura Kana paine nguva 1-2 dzisina kusununguka, zvakanakira kusashandisa iyo biopsy forceps. Kechipiri, zvakakodzera kuyedza kuvharwa kweiyo biopsy forceps. Tora chidimbu chepepa mutete senge bepa racho uye ripfenyoke pamwe ne biopsy forceps. Iyo inokodzera kana pepa rakatetepa risina kudonha. Yetatu, zvakafanira kutarisa kuti makapu maviri emauto ehofisi anokanganisa zvachose (Mufananidzo 3). Kana paine zvisizvo, regai kuishandisa nekukurumidza, zvimwe zvichawedzera masimba pombi.
Mufananidzo 3 Biopsy Forceps Flap
Zvinyorwa panguva yekushanda:
Usati waisa Forceps Tube, shaya dzinofanira kuvharwa, asi rangarira kusashandisa simba rakawandisa rekutya kuvharwa zvakasununguka, izvo zvichaita kuti waya waya ratambanudzirwa uye ichikanganisa kuvhura uye kuvhara kweshaya. 2. Paunenge uchiisa iyo tube, pinda munzira yekuvhurwa kwemauto eTube uye usaburitse pasi pekuvhura kwehubhu. Kana iwe ukasangana nekudzivisa kana uchipinda, iwe unofanirwa kusunungura bhatani rekona uye edza kupinda mune yakasarudzika mamiriro. Kana iwe usiri kugona kupfuudza, bvisa iyo endoscope kubva mumuviri kuti uedze, kana kutsiva nedzimwe biopsy fortsps dzakadai semhando diki. 3. Kana uchidhonza kunze kweiyo biopsy forceps, dzivisa kushandisa yakanyanyisa simba. Mubatsiri anofanira kungozvibata nemaoko maviri obva azviunganidzira. Usatambanudza maoko ako zvakawandisa. 4. Kana shaya hadzigone kuvharwa, usabudise nechisimba. Panguva ino, inofanira kusundidzirwa kubva mumuviri pamwe chete neEndoscope yekuwedzera kugadzirisa.
Ii. Pfupiso yeimwe nzira dze biopsy
1. Kuvhura uye kuvhara iyo Biopsy Forceps ndeye ese ehunyanzvi mabasa. Kuvhura kunoda kutungamira, kunyanya iyo gastric kona, iyo inofanirwa kunge iri perpendicular kune iyo biopsy saiti. Kuvhara kunoda nguva. Kufunga kwegastroint Mubatsiri anofanira kutora mukana wekunyatsobudirira uye zvakachengeteka clamp the biopsy forceps.
2. Iyo biopsy fungidziro inofanirwa kunge yakakura zvakakwana uye zvakadzama zvakakwana kuti usvike iyo musculis
3. Funga nezve kukanganiswa kwekubuda ropa mushure mekubuda kweiopsy pane inotevera biopsies. Kana iyo gastric angle uye antrum inofanirwa kunge iri biopsed panguva imwe chete, iyo gastric angle inofanira kunge iri biopised kutanga uye ipapo antrum; Kana iyo nzvimbo yeLesion yakakura uye yakawanda zvidimbu zvinoda kubatanidzwa, chidimbu chekutanga chinofanira kuve chaicho chinofanira kuve chaicho, uye zvinofanirwawo kufunga nezvekupaza kwemukati uye kukanganisa munda wechiono, kana zvikasadaro zvinotevera kurira kuchave mapofu uye kungoita.
Yakajairika biopsy kutevedzana kwesimbe kuGastric angle, kutora mabvumirano yekuyerera kweropa pane inotevera biopsies
4. Edza kuita vertical kudzvinyirira biopsy pane iyo nzvimbo yekutarisirwa, uye shandisa suction pazvinenge zvichidikanwa. Suction inoderedza nzvimbo yekunyepedzera yeiyo mucosa, uchibvumira iyo tishu kuti ishandiswe zvakadzika uye zvishoma kuti utye.
Biipsy inofanira kuitwa seyakagadziriswa sezvinobvira, uye kureba kwekuwedzera kweiyo biopsy forceps hakufanirwe kupfuura 2CM.
5. Teerera kune kusarudzwa kwemasampu emhando dzemhando dzakasiyana dzemhando dzakasiyana; Iko kusarudzwa kwemasampuji emasampuli kunorondedzera kune iyo yakanaka mwero. Chiremba anovhiya ane ziso rakapinza uye anofanirawo kutarisisa kune sarudzo yekusarudza yezvinhu.
Nzvimbo dzekuti dzizi dzepiopsed nzvimbo dzisiri biopsied
6. Zvikamu zvakanetsa biipsy zvinosanganisira iyo fund yedumbu iri padyo nekamuri, iyo madiki madiki emuchero wegastric pedyo neyekupedzisira madziro, uye pakona yepamusoro yeiyo duodenum. Mubatsiri anofanira kuisa pfungwa pane kushandira pamwe. Kana achida kuzadzisa mhedzisiro yakakwana, anofanira kudzidza kuronga kumberi uye kugadzirisa nzira yeiyo clamp flap chero nguva. Panguva imwecheteyo, anofanira kukurumidza kutonga nguva yekudyara nekushandisa mukana wese. Dzimwe nguva kana uchimirira mirairo kubva kune chiremba anovhiya, lag ye 1 yechipiri inogona kutungamira kumikana yakarasikirwa. Ini ndinogona kungomumirira nemoyo murefu mukana unotevera.
Miseve inoratidza nzvimbo dzazvinetsa kuwana zvinyorwa kana kurega kubuda ropa.
7. Kusarudzwa kweBiopsy Forceps: Biopsy Forceps inosanganisira avo vane makapu makuru akavhurika uye zvakadzama, vamwe vane masango, uye vamwe vakavhurika uye vakaruma vakaruma.
8. Magniyation yakasanganiswa neyemagetsi tsaona kutungamira biopsy yakanyanya kunaka, kunyanya kuitira sampling esofaal mucosa.
Isu, JiangXi Zhuiihua chiremba Medication yeCory CO., LTDBiopsy Forceps, hemoclip, polyp musungo, Sclerotherapy tsono, Spray Catheter, cytology brushes, Kutungamira, Dombo Rekutengesa Dombo, Nasal Biliary Drainage Catheter etc. izvo zvinoshandiswa zvakanyanya mukatiEMR, Esd, Ercp. Zvigadzirwa zvedu zvinonzi CE Certified, uye zvidyarwa zvedu hazvipe zvakasimbiswa. Zvinhu zvedu zvatumirwa kuEurope, North America, Middle East uye chikamu cheAsia, uye chinowana mutengi wokuzivikanwa uye kurumbidzwa!
Kutumira Nguva: Jan-23-2025