Chirwere cheColon chiitiko chakajairika uye chinowanzoitika mune gastroenterology. Ivo vanoreva kurudziro yemukati yakakwirira kupfuura mudumbu mucosa. Kazhinji, Koloroscopy ine huwandu hwekuona kanokwana gumi muzana kusvika ku15%. Chiyero chechisimba chinowanzowedzera nezera. Simuka. Kubva zvinopfuura 90% yevakajeka cancers vanokonzerwa nekushandurwa kwePolyps, kurapwa kwakawanda kuri kuita basa rekupedzisira nekukurumidza kana polyps dzinoonekwa.
Muzuva nezuva Colonoscopy, 80% kusvika 90% yePolyps iri pasi pe1 cm. Kune adenomatous polyps kana polyps nehurefu Mukana weColon Micropolyps (urefu DIAMETER ≤5mm) zvine tumor zvikamu zvakanyanyisa kuderera (0 ~ 0.6%). Kune micropopolyps mune rectum neCogmoid Colon, kana iyo Endoscopist inokwanisa kunyatsoziva kuti havana polyps, hapana chikonzero chekutengeserana, asi nzvimbo iri pamusoro pekutarisa hazviwanzo kuitwa muClinical tsika muChina.
Mukuwedzera, 5% yePolyps iri furati kana kukura padivi, ine dhayiti yeinopfuura 2 cm, ine kana isina zvigadzirwa zvisina kunaka. Mune ino kesi, mamwe epamberi endoscopic polyp anobvisa maitiro anodikanwa, sengeEMRuyeEsd. Ngatitarisei tarisiro yezvirevo zvakatsanangurwa kwePolyp kubviswa.
Kuvhiya maitiro
Murwere akapedza chirevo cheAnesthesia, akaiswa mumhepo yekuruboshwe decubitus, uye yakapihwa intravenous anesthesia ne propofol. Kumanikidzwa kweropa, chiyero chemoyo, electrocardiogram, uye yeropa eropa eropa rakatariswa panguva yekushanda.
1 kutonhora / kupisaBiopsy ForcepsKupatsanura
Izvo zvakakodzera kubviswa kwe polyps diki Pahwaro hwekutonhora biopsy, thermal biopsy inogona kushandisa yakakwira-frequency zvazvino kuti itaudzere zvakasara maronda uye kuita maronda emakungwa pane ronda. Nekudaro, hanya kunofanirwa kutorwa kuti udzivise kukuvadzwa kune serosa layer yemadziro nekuda kwekunyanyisa magetsi.
Munguva yekuvhiya, iyo Musoro wekupedzisira wePolyp unofanirwa kuve wakabatanidzwa, kusiiwa nenzira kwayo (kuti urege kukuvadza muswe muswe), uye unochengetwa kure kure kubva kumadziro emukati. Kana iyo polyp polyp inoshanduka chena, imbomira electrocoaglation uye clamp iyo lesion. Izvo zvinofanirwa kucherechedzwa kuti hazvisi nyore kubvisa hombe kwazvo polyp, zvimwe zvichawedzera nguva yemagetsi uye kuwedzera njodzi yekukuvara kuzere (Mufananidzo 1).
2 kutonhora / kupisaPolypectomy musungoKubvisa nzira
Inokodzera maronda akasimudzwa ehukuru hwakawanda Kwemhando diki yerudzi IP Lessions, dongo rezita rakareruka. Misungo inotonhora kana inopisa inogona kushandiswa pakutongwa. Munguva yekutonga, imwe kureba kwayo yePedicle inofanira kuchengetwa kana imwe chinhambwe kubva kumadziro emukati iwe uchizadza kubviswa kwakazara kweiyo lesion. Mushure mekusimbisa musungo, inofanirwa kunge ichicheka musungo, tarisa kana paine kutenderera kwakapoterera mucosa
Mufananidzo 1 Schematic Diagram ye Thermal Biopsy Forceps Kubvisa, a Asati Wanenge Kubvisa Kubvisa, B Ronda Mushure mekurwarira mushure mekunetsana kubviswa. CD: Kuchenjera kune inopisaBiopsy Forcepskubviswa. Kana iyo polyp yakakura kwazvo, inowedzera iyo yemagetsi nguva uye kukonzera kushamwaridzana.
Mufananidzo 2 Schematic Digram yeTermal Spart Disction yechidiki i SP Type Lesions
3 EMR
■ Ini P Lesions
Kune hombe i p lessions, kuwedzera kune nzira dziri pamusoro, misungo yekuruya inofanira kushandiswa pakutongwa. Pamberi peKutongwa, Kukwirisa kwakakwana kwejekiti kunofanirwa kuitwa pachigadziko (2 kusvika kuCheka yebhuruu kwakazara + methylene kugadzira chiuno chakavharwa uye kupisa rusvingo rwemukati.
Mufananidzo 3 Schematic Dhizaini yeEMRKurapa kweLP-Type Lesions
Izvo zvinofanirwa kucherechedzwa kuti kana mhando hombe i p polyp ine gobvu ine berecle, inogona kunge iine hombe vasa vasorum, uye ichazarura nyore nyore mushure mekubviswa. Munguva yekuzvara, iyo yekubatira-yakajaira nzira inogona kushandiswa kuderedza njodzi yekubuda ropa. Dzimwe polyps dzakakura dzinogona kugoverwa muzvimedu kuti uderedze kuoma kwekuvhiya, asi nzira iyi haisi kubereka kuThe Pathologicment Ongororo.
■ Lla-C Type Lesions
Kune Ila-c Type Lesions uye mamwe maronda ane marara akakura, kutungamira musungo basa rinogona kukonzera kukuvara kwakazara-kwakazara. Submucosal jekiseni remvura rinogona kuwedzera kureba kweiyo lesion uye kuderedza kuoma kwemusungo nekutongwa. Kunyangwe paine proturus Iyi nzira inogona kuwedzera iyo yakazara yakazara rate of adenomas<2cm mune diameter.
Mufananidzo 4EMRkurapwa kuyerera chati yeType il polyps
4 Esd
YeAdenomas ine diamita yakakura kupfuura 2cm inoda denderedzwa imwe-nguva yekutonga uye isina kusimudza chiratidzo, pamwe nezvimwe zvekutanga zvekutanga,EMRvakasara kana kudzokorora kwakaoma kurapa,Esdkurapwa kunogona kuitwa. Matanho Akawanda:
1. Mushure mekunge endoscopic tsaona, muganho werima unotsanangurwa zvakajeka uye kutenderera kwakaiswa chiratidzo (iyo lesion inogona kunge isingaonekwe kana muganho weiyo lesion yakajeka).
2. Injecise submucoslly kuti iite kuti marita pachena asimudzwa.
3. Chikamu chimwe chete kana chidimbu chichiita kuti mucoota kufumura submucosa.
4
5. Tarisa ronda nokungwarira uye ubate mitsipa yeropa kudzivirira matambudziko.
6
Mufananidzo 5Esdkurapwa kwehombe hombe
Intranaoperative Patch
Endoscopic Colon Polyp Dection inoda nzira yakakodzera kuti isarudzwe zvichibva pane polyp maitiro, nzvimbo, hunyanzvi hwehunyanzvi hwemhando, uye michina iripo. Panguva imwecheteyo, kubviswa kwe polyp kunoteverawo nheyo dzakajairika, dzatinofanira kutevedzera zvakawandisa kuti uve nechokwadi chekuti kurapwa kwakachengeteka uye kunobudirira uye varwere vanobatsirwa nazvo.
1. Iyo yekutanga kuiswa kwehurongwa hwekurapa ndiyo kiyi yeiyo yakabudirira kupedzwa kwePolyp kurapwa (kunyanya hombe polyps). Zvemapuranga akaomarara, zvinodikanwa kusarudza nzira inoenderana. Kana mamiriro ezvinhu achibvumidza, inogona kupedzwa pasi pekutungamirirwa kweiyo Senior yekuvhiya yekuvhiya kuti vadzivise tsaona dzakasiyana siyana dzekuvhiya.
2. Kuchengeta "degree rerusununguko" pane iyo girazi muviri panguva yekurapa ndiyo yekutanga kuve nechokwadi chekuti chinangwa chekuvhiya chinoonekwa. Paunotevera girazi, tevera iyo "axis yekuchengetedza nzira uye kupfupisa nzira" kuchengetedza nzvimbo yekurapa mune loop-isina mamiriro, iyo inokodzera kurapwa.
3. Chiono chakanaka chekushandisa chinoita kuti kurapa kurapa kwakareruka uye kwakachengeteka. Matumbu emurwere anofanirwa kugadzirira kunyatsogadzirirwa kusanyatsogadzirirwa kusati kwanyatsorerwa, chinzvimbo chemurwere chinofanira kutsanangurwa chisati kuvhiyiwa, uye polyps inofanira kufumurwa zvakakwana nehuremu. Izvo zvinowanzo kuve nani kana lesion iri kune rimwe divi rakatarisana nerutivi rwakasara ruvara mumatumbu emukati.
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 Catheteretc. iyo inoshandiswa 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: Aug-02-2024