Hemostasis ga: mucosal / submucosal. Cin nasara <3cm, ƙwanƙwasa jini / arteries <2mm, wuraren tiyata, rufe aikin GI luminal da ake amfani da shi don ɗaure tasoshin jini.
Samfura | Girman Buɗe shirin (mm) | Tsawon Aiki (mm) | Tashar Endoscopic (mm) | Halaye | |
ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Mara rufi |
ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Colon | |
ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | Gastro | Mai rufi |
ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Colon | |
ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 |
Amfanin asibiti
Ana iya sanya hemoclip a cikin sashin Gastro-intestinal (GI) don manufar hemostasis don:
Lalacewar mucosal / sub-mucosal <3 cm
Ciwon jini, -Arteries <2 mm
Polyps <1.5 cm a diamita
Diverticula a cikin #colon
Ana iya amfani da wannan shirin azaman ƙarin hanyar don rufe faɗuwar GI mai haske <20 mm ko don alamar #endoscopic.
EMR da ESD sun samo asali ne daga asali iri ɗaya kuma suna da halayen fasaha iri ɗaya. Bambancin EMR ESD kamar haka:
Rashin lahani na EMR shi ne cewa an iyakance shi da girman raunukan da za a iya sake su a karkashin endoscopy (kasa da 2cm). Idan raunuka sun fi 2cm girma, yana buƙatar a sake gyara shi a cikin tubalan, maganin gefuna na kyallen takarda bai cika ba, kuma ilimin cututtuka na baya ba daidai ba ne.
Duk da haka, kayan aikin ESD yana faɗaɗa alamun alamun endoscopic resection. Ga raunin da ya fi girma fiye da 2cm, ana iya cire shi gaba daya. Ya zama hanya mai tasiri don maganin ciwon daji na gastrointestinal na farko da kuma ciwon daji.
A halin yanzu, EMR da ESD ana amfani dasu sosai a cikin resection da kuma kula da endoscopy na narkewa.
Fasahar EMR da ESD ita ce mai kisan gilla ta endoscopic resection, kuma ta zama muhimmiyar hanya ta maganin cutar sankarau na farkon ciwon ciki da kuma raunin da ya faru. An yi imanin cewa kayan aikin EMR da ESD da EMR da ESD endoscopy na iya haifar da ƙimar kiwon lafiya mafi girma ga lafiyar mutane a nan gaba.