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 botenya bo felletseng ba sekoli bo koahetse 'me bo se na puisano e lokolohileng le karolo ea' mele, e bitsoa "perforation".
Tlhaloso ea ho tsoa mali ha e hlalosoe hantle; litlhahiso tsa hona joale li akarelletsa 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%
Endoscopic submucosal dissection (ESD): 2% ~ 14%
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 loketseng, 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 hanghang: Ho sa tsotelehe sebaka, ho koaloa ha clip ke mokhoa o ratoang (matla a khothaletso: Kereiti ea 1, boemo ba bopaki: C).
In ESD, e le ho qoba ho kena-kenana le ts'ebetso ea ho senya, lisele tse potolohileng li lokela ho qhaqhoa pele ho netefatsa sebaka se lekaneng sa ho sebetsa pele se koaloa.
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 feela ka khase e sa lefelloeng e bontšitsoeng ho CT.
Kalafo ea likarolo tse khethehileng:
Karolo e ka tlaase ea rectum e ke ke ea baka ho phunyeha ha mpa ka lebaka la litšobotsi tsa eona tsa sebōpeho, empa e ka 'na ea baka ho phunyeha ha pelvic, ho bonahala e le retroperitoneal, mediastinal, kapa subcutaneous emphysema.
Mehato ya tlhokomelo:
Ho koaloa ha leqeba ka mor'a ho buuoa ho ka 'na ha thibela mathata ho isa bohōleng bo itseng, empa ho na le bopaki bo sa lekaneng ba ho bontša hore ho ka thibela ka katleho ho senya nako.
2. Karabo ho Ho Tsoa Mali
Taolo ea mali a tsoang ka har'a opereishene:
Sebelisa mocheso coagulation kapa hemostatic clips ho emisa ho tsoa mali.
Ho tsoa mali a likepe tse nyane:
EMR, ntlha ea leraba e ka sebelisoa bakeng sa ho kopanya mocheso.
ESD, ntlha ea thipa ea motlakase e ka sebelisoa ho kopana le thermal coagulation kapa forceps ea hemostatic 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'aEMR :
Liphuputso li bontšitse hore tšebeliso ea li-forceps tsa hemostatic bakeng sa thibelo ea thibelo ha e na phello e kholo ho litekanyetso tsa ho tsoa mali ka mor'a ho buuoa, empa ho na le mokhoa o lebisang ho fokotseha.
Prophylactic clipping e na le phello e fokolang lisong 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).
ESD, leqeba lea ntšoa ’me methapo ea mali e pepeneneng ea hoama. Li-clip tsa hemostatic li ka boela tsa sebelisoa ho thibela ho koala 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 likokoana-hloko 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,sekheo sa ho fihlella ureralh lesheath ea ho kena ureral ka ho monyajoalo-joalo tse sebelisoang haholo hoEMR, 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: May-23-2025