Kayan Aikin ERCP Sau Uku Lumen Amfani Guda Ɗaya Sphincterotome don Amfani da Endoscopic

1. Diamita
Girman sphincterotome gabaɗaya shine 6Fr, kuma ɓangaren saman yana raguwa a hankali zuwa 4-4.5Fr. Diamita na sphincterotome ba ya buƙatar kulawa sosai, amma ana iya fahimtarsa ​​ta hanyar haɗa diamita na sphincterotome da ƙarfin aiki na endoscope. Shin za a iya wuce wata wayar jagora yayin da ake sanya sphincterotome?
2. Tsawon ruwan wukake
Ya kamata a kula da tsawon ruwan wukake, galibi 20-30 mm. Tsawon wayar jagora yana ƙayyade kusurwar baka ta wukake da tsawon ƙarfin yayin yankewa. Saboda haka, tsawon wayar wuka, kusa da "kusurwar" baka yana zuwa ga alkiblar tsarin halittar bututun pancreasobiliary, wanda zai iya zama da sauƙin shigar da shi cikin nasara. A lokaci guda, wayoyi masu tsayi da yawa na iya haifar da kuskuren yanke sphincter da tsarin da ke kewaye, wanda ke haifar da manyan matsaloli kamar hudawa, don haka akwai "wuka mai wayo" wanda ke biyan buƙatun aminci yayin da yake cika tsawon.
3. Gano Sphincterotome
Gano sphincterotome muhimmin abu ne, musamman don sauƙaƙa wa mai aiki ya fahimci da kuma gano matsayin sphincterotome cikin sauƙi yayin aikin yankewa mai sauƙi da mahimmanci, da kuma nuna matsayin gama gari da matsayin yankewa mai aminci. Gabaɗaya, za a yi wa wurare da yawa alama kamar "farawa", "farawa", "tsakiya" da "1/4" na sphincterotome, wanda 1/4 na farko da tsakiyar wuka mai wayo wurare ne masu aminci don yankewa, waɗanda aka fi amfani da su. Bugu da ƙari, alamar tsakiyar sphincterotome tana da radiopaque. A ƙarƙashin sa ido na X-ray, ana iya fahimtar matsayin sphincterotome a cikin sphincter sosai. Ta wannan hanyar, tare da tsawon wukar da aka fallasa a ƙarƙashin gani kai tsaye, yana yiwuwa a san ko wukar za ta iya yin yankewar sphincter lafiya. Duk da haka, kowane kamfani yana da halaye daban-daban na tambari wajen samar da tambari, wanda ya kamata a fahimta.