Ka phekolo ea colonoscopic, mathata a moemeli ke ho phunyeha le ho tsoa mali.
Perforation e bua ka boemo boo ho bona sekoti se kopantsoeng ka bolokolohi le setopo sa 'mele ka lebaka la bokooa ba linama tse teteaneng,' me ho ba teng ha moea o sa lefelloeng tlhahlobong ea X-ray ha ho ame tlhaloso ea eona.
Ha periphery ea bokooa ba linama tse teteaneng bo koahetse 'me ho se na puisano e lokolohileng le karolo ea' mele, e bitsoa perforation. Tlhaloso ea ho tsoa mali ha ea hlalosoa hantle, 'me litlhahiso tsa morao-rao li kenyelletsa ho fokotseha ha hemoglobin e fetang 2 g/dL kapa tlhokahalo ea tšelo ea mali.
Ho tsoa mali ka mor'a ho buuoa hangata ho hlalosoa e le ketsahalo ea mali a bohlokoa setulong ka mor'a opereishene e hlokang phekolo ea hemostatic kapa tšelo ea mali.
Liketsahalo tsa liketsahalo tsena tse sa lebelloang li fapana ho ea ka phekolo:
Sekhahla sa ho phunya:
Polypectomy: 0.05%
Endoscopic mucosal resection (EMR): 0.58%~0.8%
Lintho tse amanang le Endoscopic Consumables:Leraba la Polypectomy
Lintho tse amanang le Endoscopic Consumables:Li-clips tsa Hemostastic
Lintho tse amanang le Endoscopic Consumables: Nale ea Sclerotherapy
Endoscopic submucosal dissection (ESD): 2% ~ 14%
Lintho tse amanang le Endoscopic Consumables:ESD Thipa
Lintho tse amanang le Endoscopic: Li ka lahloaESD Thipa
Sekhahla sa mali a tsoang ka mor'a ho buuoa:
Polypectomy: 1.6%
EMR: 1.1% ~ 1.7%
ESD: 0.7%~3.1%
1. Mokhoa oa ho sebetsana le ho phatloha
Kaha lerako la mala a maholo le tšesaane ho feta la mpa, kotsi ea ho phunyeha e phahame. Ho hlokahala litokisetso tse lekaneng pele ho buuoa ho sebetsana le monyetla oa ho phunyeha.
Litlhokomelo tsa Intraoperative:
Etsa bonnete ba hore endoscope e sebetsa hantle. Khetha li-endoscope tse nepahetseng, lisebelisoa tsa kalafo, maro a ente, le lisebelisoa tsa phano ea khase ea carbon dioxide ho latela sebaka, morphology le tekanyo ea fibrosis ea hlahala.
Tsamaiso ea perforation ea intraoperative:
Ho koaloa hang-hang: Ho sa tsotelehe hore na ke sebaka sefe, likotoana li khethoa bakeng sa ho koaloa (matla a khothaletso: boemo ba 1, boemo ba bopaki: C). Ho ESD, ka linako tse ling sebaka se potolohileng se lokela ho eboloa pele ho qoba ho kena-kenana le ts'ebetso ea ho ebola.
Li-tissue, netefatsa sebaka se lekaneng sa ts'ebetso pele u koala.
Tlhahlobo ea Postoperative: Haeba ho phatloha ho ka koaloa ka ho feletseng, ho buuoa ho ka qojoa ka phekolo ea lithibela-mafu le ho itima lijo feela.
Qeto ea ho buuoa: Tlhokahalo ea ho buuoa e khethoa ho itšetlehile ka motsoako oa matšoao a mpeng, liphello tsa tlhahlobo ea mali, le litšoantšo ho e-na le khase ea mahala e bontšitsoeng ho CT feela.
Kalafo ea likarolo tse khethehileng:
Rectum e ka tlase e ke ke ea baka ho phatloha ka mpeng ka lebaka la litšobotsi tsa eona tsa tlhaho, empa e ka baka.
Pelvic perforation, e bonahalang e le retroperitoneal, mediastinal, kapa subcutaneous emphysema.
Mehato ya tlhokomelo:
Ho koala leqeba ka mor'a ho buuoa ho ka thibela mathata ho isa bohōleng bo itseng, empa ha ho joalo
Ho na le bopaki bo lekaneng ba ho bontša hore e sebetsa ho thibela ho lieha ho phatloha.
2. Karabo ho Ho Tsoa Mali
Taolo ea mali a tsoang ka har'a opereishene:
Sebelisa mocheso coagulation kapalikarolo tsa hemostaticho emisa ho dutla madi.
Ho tsoa mali a likepe tse nyane:
In EMR, ntlha ea leraba e ka sebelisoa bakeng sa ho kopanya mocheso.
Ho ESD, ntlha ea thipa ea motlakase e ka sebelisoa ho ikopanya le thermal coagulation kapa hemostatic forceps ho emisa ho tsoa mali.
Ho tsoa mali ha sekepe se seholo: Sebelisa li-hemostatic forceps, empa laola mefuta e mengata ea coagulation ho qoba ho lieha ho phatloha.
Thibelo ea ho tsoa mali ka mor'a ts'ebetso:
Ho ntša maqeba ka mor'a EMR:
Liphuputso li bontšitse hore tšebeliso ea li-clamps tsa hemostatic bakeng sa ho thibela ho thibela mali ha e na phello e kholo ho sekhahla sa ho tsoa mali ka mor'a ho buuoa, empa ho na le mokhoa o lebisang phokotsong. Thibelo clamping e na le phello e fokolang ho liso tse nyane, empa e sebetsa hantle bakeng sa liso tse kholo kapa bakuli ba kotsing e kholo ea ho tsoa mali kamora ho buuoa (joalo ka ba fumanang kalafo ea antithrombotic).
Ho phunya maqeba ka mor'a ESD:
Methapo ea mali e pepeneneng ea hoama, 'me likotoana tsa hemostatic li ka sebelisoa ho thibela ho thibana ha methapo e meholo ea mali.
Hlokomela:
Bakeng sa EMR ea likokoana-hloko tse nyenyane, phekolo e tloaelehileng ea thibelo ha e khothalletsoe, empa bakeng sa lisosa tse kholo kapa bakuli ba kotsing e kholo, ho khaola ka morao ho thibela ho thibela ho na le phello e itseng (matla a khothaletso: Level 2, boemo ba bopaki: C).
Ho phatloha le ho tsoa mali ke mathata a tloaelehileng a endoscopy ea colorectal.
Ho nka mehato e nepahetseng ea thibelo le kalafo bakeng sa maemo a fapaneng ho ka fokotsa ka katleho ho ata ha mafu a sa khaotseng le ho ntlafatsa polokeho ea mokuli.
We, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., ke moetsi oa China ea sebetsanang le lisebelisoa tsa endoscopic, joalo kabiopsy forceps, hemoclips, polyp leraba,sclerotherapy nale, fafatsa catheter, borashe ba cytology, guidewire, seroto sa ho khutlisa lejoe, nasal biliary drainage catheter, sheath ea phihlello ea ureter le sheath ea ho fihlella ureral ka ho monya joalo-joalo. tse sebelisoang haholo ho EMR,ESD, ERCP. Lihlahisoa tsa rona li netefalitsoe ke CE, 'me limela tsa rona li netefalitsoe ke ISO. Thepa ea rona e rometsoe Europe, Amerika Leboea, Bochabela bo Hare le karolo ea Asia, 'me e fumana ho pharaletseng moreki oa kananelo le thoriso!
Nako ea poso: Apr-18-2025