Kuongororwa kwe endoscopic biopsy ndicho chinhu chakakosha pakuongororwa kwezuva nezuva kwe endoscopic. Zvinenge zvese zvinoongororwa zve endoscopic zvinoda rutsigiro rwechirwere mushure me biopsy. Semuenzaniso, kana mucosa yekugaya inofungidzirwa kuti ine kuzvimba, kenza, kupera simba, metaplasia yemudumbu, uye hutachiona hweHP, chirwere chinodiwa kuti chipe mhedzisiro chaiyo.
Parizvino, nzira nhanhatu dze biopsy dzinoitwa nguva dzose muChina:
1. Kuongororwa kweCytobrush
2. Kuongororwa kweTishu
3. Maitiro ekuongorora hutachiona hwemugero
4. EMR ine nzira yekuongorora masero eropa (bulk biopsy)
5. Nzira yekuongorora bundu rese ESD
6. FNA inotungamirirwa neUltrasound
Nhasi tichatarisa pakuongorora biopsy yenyama, inozivikanwa se "kusunga chidimbu chenyama".
Kuongororwa kwe biopsy pasi pe endoscopy yekugaya hakugone kuitwa pasina biopsy forceps, inova imwe yemidziyo inonyanya kushandiswa nevadzidzisi ve endoscopic nursing. Vadzidzisi vanoita endoscopic nursing vanogona kufunga kuti biopsy forceps iri nyore kushandisa, iri nyore sekuvhura nekuvhara. Kutaura zvazviri, kuti munhu ashandise biopsy forceps zvakajeka uye zvakakwana, anofanira kuva neruzivo uye kushanda nesimba, pamwe nekugona kupfupisa.
I.Kutanga, ngationgororei chimiro chesimba re biopsy:
(I) Maumbirwo e biopsy forceps (Mufananidzo 1): Biopsy forceps inoumbwa nemuromo, muviri uye mubato wekushanda. Zvishongedzo zvakawanda zvakaita se foreign body forceps, hot biopsy forceps, chigero, curettes, nezvimwewo zvakafanana nemaumbirwo e biopsy forceps.
Zano: Musoro wacho une shaya mbiri dzakaita sekapu dzinogona kuvhurwa nekuvharwa. Chimiro cheshaya ndicho chinhu chikuru chinoita kuti pave nemaitiro akasiyana-siyana ekushandisa biopsy forceps. Dzinogona kukamurwa kuita mhando nomwe: imwe chete yakavhurika, mbiri yakavhurika, hwindo, tsono, oval, crocodile mouth, uye tip curved type. Shaya dze biopsy forceps dzakagadzirwa nesimbi isina tsvina uye dzine mapanga akapinza. Kunyangwe mapanga e biopsy forceps anoraswa akapinzawo, haana simba rekupfeka. Mapanga e biopsy forceps anogona kushandiswazve anogadzirwa pamusoro kuti agare kwenguva refu.
Mhando dzakajairika dzesimba re biopsy
1. Mhando yakajairika ine hwindo
Pakati pekapu yeforceps pane hwindo, iro rinoderedza zvikuru kukuvara kwenyama uye rinowedzera huwandu hwenyama yebiopsy.
2. Mhando yakajairika ine hwindo netsono
Tsono iri pakati pekapu ye forceps kudzivirira kuti biopsy isatsvedzerere nepamucosa uye kubatsira kubata tissue.
3. Rudzi rwegarwe
Kapu yeclamp yakachekwa inodzivirira kapu yeclamp kuti isatsvedze, uye mupendero wayo wakapinza kuti ibate zvakasimba.
4. Rudzi rwegarwe rine tsono
Shaya dzine kona yakafara yekuvhura kuti vhoriyamu ye biopsy iwedzere; mupendero webanga wakapinza kuti ubate zvakachengeteka.
Pane tsono pakati pemusoro we clamp, iyo inogona kuita kuti kugadzirisa kuve kwakanyatsoshanda uye kwakarurama.
Zvakakodzera kutorwa kwe biopsy pamatishu akaomarara akadai sebundu.
Muviri weForceps: Muviri webiopsy forceps wakagadzirwa nechubhu yesimbi isina ngura, ine waya yesimbi yekudhonza vharuvhu yeforceps kuti ivhurike uye ivhare. Nekuda kwechimiro chakakosha chechubhu yakarukwa, muto wetishu, ropa nezvimwe zvinhu zvinogona kupinda mairi zviri nyore, asi hazvisi nyore kuichenesa zvakakwana. Kutadza kuichenesa zvakakwana kunokonzera kusagadzikana mukushanda kwebiopsy forceps, uye kuvhura nekuvhara hakuzove kwakapfava kana kutotadza kuvhura. Mubato wekushanda: Ring iri pamubato wekushanda inoshandiswa kubata chigunwe, uye gomba rakatenderera rakafara rinoshandiswa kuisa chigunwe chekunongedza nechigunwe chepakati. Pasi pekushanda kweminwe iyi mitatu, simba rinoendeswa kuvharuvhu yeforceps kuburikidza newaya yekudhonza kuti ivhurike nekuvhara.
(II) Pfungwa huru dzekushandisa biopsy forceps: Kungwarira kukuru kunofanira kutorwa pakushanda, kushandiswa uye kugadziriswa kwe biopsy forceps, zvikasadaro zvinokanganisa kushandiswa kwe endoscope.
1. Kuonekwa kwechirwere:
Usati washandisa, iva nechokwadi chekuti forceps dze biopsy dzakacheneswa uye dzakashandiswa mukati menguva inoshanda yekudzivirira sterilization. Usati waisa endoscope forceps channel, kuvhurwa nekuvharwa kweforceps kunofanirwa kuyedzwa (Mufananidzo 2).
Mufananidzo 2 Kuonekwa kwesimba reBiopsy
Nzira chaiyo ndeyekuputira muviri we biopsy forceps kuita denderedzwa hombe (dhayamita yedenderedzwa inenge 20cm), wobva waita zviito zvakawanda zvekuvhura nekuvhara kuti uone kana forceps flaps dzichivhurika uye dzichivhara zvakanaka. Kana paine kusanyatsotsvedzerera ka1-2, zvakanaka kusashandisa biopsy forceps. Chechipiri, zvakakosha kuyedza kuvharwa kwe biopsy forceps. Tora bepa rakatetepa senge bepa retsamba worisunga ne biopsy forceps. Rinoonekwa kana bepa rakatetepa rikasadonha. Chechitatu, zvakakosha kuona kana makapu maviri e forceps flaps akanyatsorongeka (Mufananidzo 3). Kana paine kusarongeka, rega kuishandisa nekukasika, zvikasadaro ichakwenya pombi ye forceps.
Mufananidzo 3: Chifukidziro cheBiopsy forceps
Zvinyorwa panguva yekushanda:
Usati waisa chubhu yeforceps, shaya dzinofanira kuvharwa, asi yeuka kuti usashandise simba rakawandisa uchitya kuvharwa kwakasununguka, izvo zvichaita kuti waya yekukweva itambanudzwe uye zvikanganise kuvhurwa nekuvharwa kweshaya. 2. Paunenge uchiisa chubhu, pinda uchitevedza divi rekuvhurwa kwechubhu yeforceps uye usakwize paburi rechubhu. Kana ukasangana nekusagadzikana paunopinda, unofanira kusunungura bhatani rekona uye edza kupinda wakatwasuka. Kana uchiri kutadza kupfuura, bvisa endoscope mumuviri kuti uiongorore, kana kuitsiva nemamwe ma forceps ebiopsy akadai semamodheru madiki. 3. Paunenge uchibvisa biopsy forceps, dzivisa kushandisa simba rakawandisa. Mubatsiri anofanira kuibata nemaoko ese wobva waikotamisa. Usatambanudze maoko ako zvakanyanya. 4. Kana shaya dzisingakwanise kuvharwa, usadzibudise nechisimba. Panguva ino, dzinofanira kusundirwa kunze kwemuviri pamwe chete ne endoscope kuti dzigadziriswe zvakanyanya.
II. Pfupiso yemamwe matekiniki e biopsy
1. Kuvhura nekuvhara mafosi ebiopsy mabasa ese ari maviri ehunyanzvi. Kuvhura kunoda gwara, kunyanya kona yemudumbu, iyo inofanira kunge yakatarisana nenzvimbo yebiopsy. Kuvhara kunoda nguva. Kufamba kwemudumbu uye kuvhiyiwa kwachiremba wezvekuvhiya zvakagadzikana uye hazvigone kugadziriswa nguva dzose. Mubatsiri anofanira kushandisa mukana uyu kuti abate mafosi ebiopsy zvinobudirira uye zvakachengeteka.
2. Chiyero chebiopsy chinofanira kunge chakakura zvakakwana uye chakadzika zvakakwana kusvika mu mucosa ye muscularis.
3. Funga nezvemhedzisiro yekubuda ropa mushure me biopsy pa biopsy inotevera. Kana kona yemudumbu ne antrum zvichida kutorwa panguva imwe chete, kona yemudumbu inofanira kutanga kutorwa biopsy uye wozotevera antrum; kana nzvimbo yekukuvara yakakura uye zvidimbu zvakawanda zvenyama zvichida kubatwa, chidimbu chekutanga chinofanira kunge chakanyatsojeka, uye zvakakoshawo kufunga kana kubuda ropa mushure me clamping kuchafukidza nyama dzakapoteredza uye kukanganisa nzvimbo yekuona, zvikasadaro clamping inotevera ichave isina kujeka uye isingashande.
Kuongororwa kwakajairika kwezvironda pakona yedumbu, tichifunga nezvemhedzisiro yekuyerera kweropa pakuongorora kunotevera
4. Edza kuita biopsy yekumanikidza yakamira panzvimbo yauri kuda, uye shandisa kusveta kana zvichidikanwa. Kusveta kunoderedza kushushikana kwemucosa, zvichiita kuti tishu dzibatanidzwe zvakadzika uye dzisatsvedze.
Biopsy inofanira kuitwa yakatwasuka sezvinobvira, uye kureba kwekuwedzera kwe forceps ye biopsy hakufanirwe kudarika 2CM.
5. Nyatsoteerera kusarudzwa kwenzvimbo dzekutora sampuli dzemhando dzakasiyana dzemaronda; kusarudzwa kwenzvimbo dzekutora sampuli kunoenderana nehuwandu hwakanaka hwechirwere. Chiremba ane ziso rakapinza uye anofanirawo kutarisisa hunyanzvi hwekusarudza zvinhu.
Nzvimbo dzekuongororwa kwemuviri Nzvimbo dzisingafanirwe kuongororwa
6. Zvikamu zvakaoma kuongorora zvinosanganisira fundus yedumbu pedyo necardia, kukombama kudiki kwedumbu pedyo nemadziro ekumashure, uye kona yepamusoro ye duodenum. Mubatsiri anofanira kutarisa pakubatsirana. Kana achida kuwana mhedzisiro yakakwana, anofanira kudzidza kuronga pachine nguva uye kugadzirisa divi re clamp flap chero nguva. Panguva imwe chete, anofanira kukurumidza kutonga nguva ye clamp nekushandisa mukana wese. Dzimwe nguva paanenge achimirira mirairo kubva kuna chiremba, kunonoka kwesekondi imwe chete kunogona kutungamira kumatambudziko asina kupihwa. Ndinogona kungomirira mukana unotevera nemoyo murefu.
Miseve inoratidza nzvimbo dzakaoma kuwana zvinhu kana kumisa kubuda ropa.
7. Kusarudzwa kwemaitiro ekushandisa biopsy forceps: Maitiro ekushandisa biopsy forceps anosanganisira ane maburi makuru ekapu uye akadzika, mamwe ane tsono dzekuisa, uye mamwe ane maburi eparutivi uye akaruma nemeno.
8. Kukwidziridza pamwe chete nekupenda kwemagetsi kutungamira biopsy kwakanyatsojeka, kunyanya pakutora sampuli yemucosa yegurokuro.
Isu, Jiangxi ZhuoRuiHua Medical Instrument Co., Ltd., tinogadzira zvinhu muChina zvine chekuita ne endoscopic consumables, zvakaita sesimba re biopsy, hemoclip, musungo wepolyp, tsono yekurapa sclerotherapy, katheta yekupfapfaidza, mabhurashi e cytology, waya yekufambisa, tswanda yekutorwa kwematombo, katheta yekubuditsa mvura yemhino nezvimwewo. anoshandiswa zvakanyanya muEMR, ESD, ERCPZvigadzirwa zvedu zvakanyoreswa neCE, uye mafekitori edu akanyoreswa neISO. Zvinhu zvedu zvakatumirwa kuEurope, North America, Middle East nedzimwe nzvimbo dzeAsia, uye zviri kuita kuti mutengi azivikanwe uye arumbidzwe zvikuru!
Nguva yekutumira: Ndira-23-2025