
I-sphincterotome elahlwayo isetshenziselwa ukususwa kwe-endoscopic kwesistimu ye-ductal kanye ne-sphincterotomy.
Imodeli: I-lumen ephindwe kathathu Ububanzi bangaphandle: 2.4mm Ubude be-tip: 3mm/ 5mm/ 15mm Ubude bokusika:20mm/ 25mm/ 30mm Ubude bokusebenza: 2000mm
1. Ububanzi
Ububanzi be-sphincterotome ngokuvamile buyi-6Fr, kanti ingxenye engenhla yehliswa kancane kancane ibe yi-4-4.5Fr. Ububanzi be-sphincterotome abudingi ukunakwa okuningi, kodwa bungaqondwa ngokuhlanganisa ububanzi be-sphincterotome kanye ne-forceps esebenzayo ye-endoscope. Ingabe enye intambo yokuqondisa ingadluliswa ngenkathi i-sphincterotome ibekwa?
2. Ubude be-blade
Ubude bensingo budinga ukunakwa, ngokuvamile buyi-20-30 mm. Ubude bensingo yokuqondisa bunquma i-engeli ye-arc yommese we-arc kanye nobude bamandla ngesikhathi sokusika. Ngakho-ke, uma insinga yommese inde, kulapho "i-engeli" yensingo isondela khona esiqondisweni se-anatomical se-pancreaticobiliary duct intubation, okungaba lula ukuyishuba ngempumelelo. Ngesikhathi esifanayo, insingo zommese ezinde kakhulu zingabangela ukuqhekeka kabi kwe-sphincter nezakhiwo ezizungezile, okuholela ezinkingeni ezinkulu njengokubhoboza, ngakho-ke kukhona "ummese ohlakaniphile" ohlangabezana nezidingo zokuphepha ngenkathi uhlangabezana nobude.
3. Ukuhlonza i-sphincterotome
Ukuhlonza i-sphincterotome kuyinto ebaluleke kakhulu, ikakhulukazi ukuze kube lula kumqhubi ukuqonda kalula nokukhomba indawo ye-sphincterotome ngesikhathi sokusika okucashile nokubalulekile, nokukhombisa indawo evamile kanye nendawo yokusika ephephile. Ngokuvamile, kuzobekwa izikhundla eziningana ezifana nokuthi "qala", "qala", "phakathi" kanye "ne-1/4" ye-sphincterotome, lapho i-1/4 yokuqala kanye ne-midpoint yommese ohlakaniphile kuyizindawo eziphephile zokusika, ezisetshenziswa kakhulu. Ngaphezu kwalokho, uphawu lwe-midpoint lwe-sphincterotome luyi-radiopaque. Ngaphansi kokuqapha kwe-X-ray, indawo ehlobene ye-sphincterotome ku-sphincter ingaqondwa kahle. Ngale ndlela, kuhlanganiswe nobude bommese oveziwe ngaphansi kombono oqondile, kungenzeka ukwazi ukuthi ummese ungenza yini ngokuphephile ukusika kwe-sphincter. Kodwa-ke, inkampani ngayinye inemikhuba ehlukene yelogo ekukhiqizeni ama-logo, okudingeka iqondwe.