Sphincterotome e lahliloeng e sebelisoa bakeng sa cannulation ea endoscopic ea ductal system le sphincterotomy.
Mohlala: Triple lumen Bophara ba ka ntle: 2.4mm Bolelele ba malebela: 3mm/ 5mm/ 15mm Ho itšeha bolelele: 20mm/ 25mm/ 30mm Bolelele ba ho sebetsa: 2000mm
1. Diameter
Bophara ba sphincterotome ka kakaretso ke 6Fr, 'me karolo e holimo e fokotseha butle-butle ho 4-4.5Fr. Bophara ba sphincterotome ha bo hloke tlhokomelo e ngata, empa bo ka utloisisoa ka ho kopanya bophara ba sphincterotome le matla a sebetsang a endoscope. Na terata e 'ngoe ea tataiso e ka fetisoa ha sphincterotome e behiloe.
2. Bolelele ba lehare
Bolelele ba lehare bo hloka ho lebisoa tlhokomelo ho, ka kakaretso 20-30 mm. Bolelele ba terata ea tataiso bo etsa qeto ea hore na arc angle ea thipa ea arc le bolelele ba matla nakong ea ho phunya. Ka hona, ha terata ea thipa e le telele, "angle" ea arc e haufi le tataiso ea anatomical ea pancreaticobiliary duct intubation, e ka bang bonolo ho e kenya ka katleho. Ka nako e ts'oanang, lithapo tse telele haholo tsa thipa li ka 'na tsa baka ho senyeha ha sphincter le mehaho e potolohileng, ho baka mathata a tebileng a kang ho phunyeha, kahoo ho na le "thipa e bohlale" e finyellang litlhoko tsa tšireletso ha e ntse e kopana le bolelele.
3. Boitsebiso ba sphincterotome
Ho khetholla ha sphincterotome ke sengoathoana sa bohlokoa haholo, haholo-holo ho thusa mosebeletsi hore a utloisise habonolo le ho khetholla boemo ba sphincterotome nakong ea ts'ebetso e poteletseng le ea bohlokoa ea ho senya, le ho bontša boemo bo tloaelehileng le boemo bo sireletsehileng ba ho pata. Ka kakaretso, maemo a 'maloa a kang "qala", "qala", "midpoint" le "1/4" ea sphincterotome e tla tšoauoa, eo karolo ea pele ea 1/4 le bohareng ba thipa e bohlale e leng maemo a batlang a bolokehile bakeng sa. seha , se sebedisoang haholo. Ho phaella moo, letšoao la bohareng la sphincterotome ke radiopaque. Tlas'a tlhahlobo ea X-ray, boemo bo lekanyelitsoeng ba sphincterotome ho sphincter bo ka utloisisoa hantle. Ka tsela ena, ho kopantsoe le bolelele ba thipa e pepesitsoeng tlas'a pono e tobileng, hoa khoneha ho tseba hore na thipa e ka etsa sphincter ka mokhoa o sireletsehileng. Leha ho le joalo, k'hamphani e 'ngoe le e' ngoe e na le mekhoa e fapaneng ea li-logo ho hlahisa li-logos, tse hlokang ho utloisisoa.