I-ERCP Izingcingo Triple Lumen Lumen I-SPHIncterotome yokusetshenziswa kwe-endoscopic

1. Ububanzi
Ububanzi be-sphiinterotome ngokuvamile i-6FR, kanti ingxenye ye-apex yancishiswa kancane kancane ibe ngu-4-4.5fr. Ububanzi be-sphiinterotome abadingi ukunakwa okuningi, kepha kungaqondakala ngokuhlanganisa ububanzi be-sphiinterotome kanye ne-empleps ye-endoscope. Ngabe enye i-wire yokuqondisa ingadluliswa ngenkathi kufakwa i-sphiintetertotome.
2. Ubude be-blade
Ubude be-blade budinga ukunakwa, ngokuvamile 20-30 mm. Ubude bocingo lomhlahlandlela lunquma i-arc angle ye-arc ngommese we-arc kanye nobude bebutho ngesikhathi se-incision. Ngakho-ke, i-wire ende kakhulu yommese, okusondela "kwe-angle" ye-arc kuya ekuqondisweni kwe-anatomical kwe-pancreaticobilicking curt burtubation, okungenzeka kube lula ukuvelela ngempumelelo. Ngasikhathi sinye, izintambo ezinde kakhulu zommese zingadala ukungabuki kwezakhiwo ze-sphincter nezakhiwo ezizungezile, okuholela ekutheni kube nezinkinga ezinkulu njengokufanelana, ngakho-ke kukhona "ummese ohlakaniphile" ohlangabezana nalezi zidingo.
3. Shhincetetome ukuhlonza
Ukukhonjwa kwe-sphiinterotome kuyingcezu ebaluleke kakhulu, ikakhulukazi ukwenza lula opharetha ukuze aqonde kalula futhi akhombe isikhundla se-sphiinterotome ngesikhathi sokusebenza okucashile nokubalulekile, futhi akhombisa isikhundla esivamile nesikhundla esivamile. Ngokuvamile, izikhundla eziningana ezinjengokuthi "Qala", "Qala", "Qala", "Midpoint" futhi "1/4" Okokuqala ngommese ohleliwe yizikhundla eziphephile zokusika, okuvame ukusetshenziswa. Ngaphezu kwalokho, umaki we-midpoint of the sphiinterotome yi-radiopaque. Ngaphansi kokuqapha i-X-ray, isikhundla esihlobene ne-sphiinterotome ku-sphinctor ingaqondwa kahle. Ngale ndlela, kuhlanganiswe nobude be-wavessed knase ngaphansi kombono oqondile, kungenzeka ukwazi ukuthi ngabe ummese ungakwazi yini ukwenza i-sphincter incision ephephile. Kodwa-ke, inkampani ngayinye inemikhuba ehlukile ye-logo ekhiqizweni kwama-logo, okudinga ukuqondwa.