I-endoscopic biopsy iyingxenye ebaluleke kakhulu yokuhlolwa kwe-endoscopic kwansuku zonke. Cishe zonke izivivinyo ze-endoscopic zidinga ukwesekwa kwe-pathological ngemva kwe-biopsy. Isibonelo, uma i-mucosa yomgudu wokugaya ukudla kusolwa ukuthi inokuvuvukala, umdlavuza, ukuwohloka, ukuguguleka kwamathumbu, kanye nokutheleleka kwe-HP, i-pathology iyadingeka ukuze kunikezwe umphumela oqondile.
Njengamanje, amasu ayisithupha e-biopsy aqhutshwa njalo eShayina:
1. Ukuhlolwa kwe-Cytobrush
2. Ukuhlolwa Kwezicubu
3. Indlela yokuhlolwa komhubhe
4. I-EMR enendlela yokuhlolwa kwegazi ngobuningi
5. Indlela yokuhlolwa kwe-tumor ephelele i-ESD
6. I-FNA eqondiswa yi-ultrasound
Namuhla sizogxila ekubukezeni i-tissue biopsy, eyaziwa ngokuthi "ukubopha ucezu lwenyama".
I-biopsy ngaphansi kwe-endoscopy yokugaya ukudla ayinakwenziwa ngaphandle kwe-biopsy forceps, okungenye yezesekeli ezisetshenziswa kakhulu othisha abahlengikazi be-endoscopic. Othisha ababandakanyeka ekuhlengeni nge-endoscopic bangase bacabange ukuthi i-biopsy forceps ilula kakhulu ukuyisebenzisa, ilula njengokuvula nokuvala. Eqinisweni, ukuze usebenzise i-biopsy forceps ngokucacile nangokuphelele, umuntu udinga ukuqonda nokusebenza kanzima, kanye nokuba nekhono ekufingqeni.
I.Okokuqala, ake sibukeze isakhiwo se-i-biopsy forceps:
(I) Isakhiwo se-biopsy forceps (Isithombe 1): I-Biopsy forceps yakhiwe yi-tip, umzimba kanye ne-operating handle. Izesekeli eziningi ezifana ne-external body forceps, i-hot biopsy forceps, izikele, ama-curette, njll. zifana nesakhiwo se-biopsy forceps.
Icebiso: Isihloko sakhiwe yimihlathi emibili efana nendebe engavulwa futhi ivalwe. Ukuma kwemihlathi kuyisihluthulelo somsebenzi we-biopsy forceps ehlukahlukene. Ingahlukaniswa cishe ngezinhlobo eziyisikhombisa: uhlobo oluvulekile olulodwa, uhlobo oluvulekile kabili, uhlobo lwefasitela, uhlobo lwenaliti, uhlobo oluyindilinga, uhlobo lomlomo wengwenya, kanye nohlobo olugobile lwesihloko. Imihlathi ye-biopsy forceps yenziwe ngensimbi engagqwali futhi inezinsika ezibukhali. Nakuba izinsika ze-biopsy forceps ezilahlwayo nazo zibukhali, azikwazi ukumelana nokuguguleka kahle. Izinsika ze-biopsy forceps eziphinde zisetshenziswe ziphathwa ngokukhethekile ukuze ziqine kakhudlwana.
Izinhlobo ezivamile zei-biopsy forceps
1. Uhlobo olujwayelekile olunefasitela
Kukhona ifasitela phakathi kwendebe ye-forceps, enciphisa kakhulu ukulimala kwezicubu futhi yandise inani lezicubu ze-biopsy.
2. Uhlobo olujwayelekile olunefasitela nenaliti
Inaliti itholakala phakathi nendebe ye-forceps ukuvimbela i-biopsy ukuthi ingasheleli emucosa futhi isize ekubambeni isampula yezicubu.
3. Uhlobo lwengwenya
Inkomishi ye-clamp egoqwe nge-serrated ivimbela ngempumelelo inkomishi ye-clamp ukuthi ingasheleli, futhi unqenqema oluphambili lubukhali ukuze lubambeke kahle.
4. Uhlobo lwengwenya olunenaliti
Imihlathi ine-engeli ebanzi yokuvula ukuze kwandiswe ivolumu ye-biopsy; unqenqema lwe-blade lubukhali ukuze kubambeke kahle.
Kukhona inaliti phakathi kwekhanda le-clamp, engenza ukuqina kube ngcono futhi kube nembambo.
Kufanelekile ukwenziwa i-biopsy ezicutshini eziqinile njengezimila.
Umzimba We-Forceps: Umzimba we-biopsy forceps wenziwe ngepayipi lensimbi engagqwali elinentambo, eliqukethe ucingo lwensimbi lokudonsa i-forceps valve ukuze livuleke futhi livalwe. Ngenxa yesakhiwo esikhethekile sepayipi elinentambo, i-tissue mucus, igazi nezinye izinto zingangena kalula kulo, kodwa akulula ukulihlanza kahle. Ukwehluleka ukulihlanza kahle kuzobangela ukuphazamiseka ekusebenzeni kwe-biopsy forceps, futhi ukuvulwa nokuvalwa ngeke kube bushelelezi noma kungenzeki ngisho nokuvula. Isibambo sokusebenza: Indandatho esibambweni sokusebenza isetshenziselwa ukubamba isithupha, kanti umsele obanzi oyindilinga usetshenziselwa ukubeka umunwe wokukhomba nomunwe ophakathi. Ngaphansi kokusebenza kwale minwe emithathu, amandla adluliselwa ku-forceps valve ngentambo yokudonsa ukuze kuvulwe futhi kuvalwe.
(II) Amaphuzu abalulekile okusetshenziswa kwe-biopsy forceps: Kumelwe kuqashelwe kakhulu ekusebenzeni, ekusetshenzisweni nasekugcinweni kwe-biopsy forceps, kungenjalo kuzothinta ukusetshenziswa kwe-endoscope.
1. Ukutholwa kwangaphambilini:
Ngaphambi kokusebenzisa, qiniseka ukuthi ama-forceps e-biopsy ahlanziwe futhi asetshenziswa phakathi nesikhathi sokuhlanza esisebenzayo. Ngaphambi kokufaka isiteshi se-endoscope forceps, ukuvulwa nokuvalwa kwama-forceps kumele kuhlolwe (Isithombe 2).
Umfanekiso 2 Ukutholwa kwe-Biopsy forceps
Indlela ethile iwukusonga umzimba we-biopsy forceps ube yindilinga enkulu (ububanzi bendilinga bungaba ngu-20cm), bese wenza izenzo eziningi zokuvula nokuvala ukuze ubone ukuthi ama-forceps flaps ayavuleka futhi avaleke kahle yini. Uma kukhona ukungasheleli izikhathi ezingu-1-2, kungcono ukungasebenzisi i-biopsy forceps. Okwesibili, kuyadingeka ukuhlola ukuvalwa kwe-biopsy forceps. Thatha iphepha elincane njengephepha lencwadi bese ulibopha nge-biopsy forceps. Liyafaneleka uma iphepha elincane lingawi. Okwesithathu, kubalulekile ukubona ukuthi izinkomishi ezimbili zama-forceps flaps ziqondene ngokuphelele yini (Isithombe 3). Uma kukhona ukungalungi kahle, yeka ukuyisebenzisa ngokushesha, kungenjalo izoklwebha ipayipi le-forceps.
Umfanekiso 3 I-Biopsy forceps flap
Amanothi ngesikhathi sokusebenza:
Ngaphambi kokufaka ithubhu le-forceps, imihlathi kufanele ivalwe, kodwa khumbula ukuthi ungasebenzisi amandla amaningi kakhulu ngenxa yokwesaba ukuvalwa okuxekethile, okuzokwenza ucingo lokudonsa lunwetshwe futhi kuthinte ukuvulwa nokuvalwa kwemihlathi. 2. Uma ufaka ithubhu, ngena ngendlela yokuvulwa kwethubhu le-forceps futhi ungahlikihli ukuvulwa kwethubhu. Uma uhlangabezana nokumelana lapho ungena, kufanele ukhulule inkinobho ye-angle bese uzama ukungena esimweni esiqondile ngokwemvelo. Uma ungasakwazi ukudlula, khipha i-endoscope emzimbeni ukuze uyihlole, noma uyishintshe ngeminye i-biopsy forceps efana namamodeli amancane. 3. Uma ukhipha i-biopsy forceps, gwema ukusebenzisa amandla amaningi. Umsizi kufanele ayibambe ngezandla zombili ngokushintshana bese eyigoba. Ungaweluli izingalo zakho kakhulu. 4. Uma imihlathi ingakwazi ukuvalwa, ungayikhiphi ngenkani. Ngalesi sikhathi, kufanele iphushwe emzimbeni kanye ne-endoscope ukuze kuqhutshekwe nokucutshungulwa.
II. Isifinyezo sezindlela ezithile zokusebenzisa i-biopsy
1. Ukuvula nokuvala ama-forceps e-biopsy kuyimisebenzi yobuchwepheshe. Ukuvula kudinga isiqondiso, ikakhulukazi i-engeli yesisu, okufanele iqonde ngqo endaweni ye-biopsy. Ukuvala kudinga isikhathi. Ukunyakaza kwesisu kanye nokuhlinzwa kukadokotela ohlinzayo kuzinzile futhi akunakulungiswa njalo. Umsizi kumele asebenzise leli thuba ukuze abambe ama-forceps e-biopsy ngempumelelo nangokuphephile.
2. Isampula ye-biopsy kufanele ibe nkulu ngokwanele futhi ijule ngokwanele ukufinyelela i-mucosa yemisipha.
3. Cabanga ngomthelela wokopha ngemva kokuhlolwa kwe-biopsy kuma-biopsy alandelayo. Lapho i-engeli yesisu kanye ne-antrum kudingeka kuhlolwe ngesikhathi esifanayo, i-engeli yesisu kufanele kuhlolwe kuqala bese kuba yi-antrum; lapho indawo yesilonda inkulu futhi izingcezu eziningi zezicubu zidinga ukuboshwa, ingxenye yokuqala kufanele ibe nembambo, futhi kuyadingeka futhi ukucabangela ukuthi ukopha ngemva kokubopha kuzomboza izicubu ezizungezile futhi kuthinte insimu yokubona, ngaphandle kwalokho ukubopha okulandelayo kuzoba okungaboni futhi okungenamsebenzi.
Uchungechunge olujwayelekile lwe-biopsy lwezilonda ekhoneni lesisu, kucatshangelwa umphumela wokugeleza kwegazi ekuhlolweni okulandelayo kwe-biopsy
4. Zama ukwenza i-biopsy yokucindezela eqonde phezulu endaweni okuqondiwe kuyo, bese usebenzisa ukumunca uma kudingeka. Ukumunca kunciphisa ukucindezeleka kobuso be-mucosa, okuvumela izicubu ukuba ziboshwe ngokujulile futhi zingasheleli kakhulu.
I-biopsy kufanele yenziwe ngokuma phezulu ngangokunokwenzeka, futhi ubude bokunwetshwa kwe-forceps ye-biopsy akufanele budlule u-2CM.
5. Naka ukukhethwa kwamaphuzu okuthatha isampula ezinhlobo ezahlukene zezilonda; ukukhethwa kwamaphuzu okuthatha isampula kuhlobene nesilinganiso esihle. Udokotela ohlinzayo uneso elibukhali futhi kumele futhi anake amakhono okukhetha izinto zokwakha.
Izindawo okufanele zihlolwe nge-biopsy Izindawo okungafanele zihlolwe nge-biopsy
6. Izingxenye okunzima ukuzisebenzisa nge-biopsy zifaka phakathi i-fundus yesisu eduze kwe-cardia, ukugoba okuncane komzimba wesisu eduze kodonga olungemuva, kanye nekhoneni eliphezulu le-duodenum. Umsizi kumele agxile ekubambisaneni. Uma efuna ukufeza umphumela ophelele, kumele afunde ukuhlela kusengaphambili futhi alungise indlela i-clamp flap eqondiswa ngayo nganoma yisiphi isikhathi. Ngesikhathi esifanayo, kumele ahlulele ngokushesha isikhathi sokubambelela ngokusebenzisa wonke amathuba. Ngezinye izikhathi lapho elinde imiyalelo evela kudokotela ohlinzayo, ukubambezeleka komzuzwana owodwa kungaholela emathubeni aphuthelwe. Ngingalinda kuphela ngokubekezela ithuba elilandelayo.
Imicibisholo ikhombisa izindawo lapho kunzima khona ukuthola izinto noma ukuyeka ukopha.
7. Ukukhethwa kwama-forceps e-biopsy: Ama-forceps e-biopsy afaka lawo anezimbobo ezinkulu zendebe kanye nezijulile, amanye anezinaliti zokubeka, kanti amanye anembobo eseceleni kanye nokuluma okunezimbobo.
8. Ukukhulisa kuhlanganiswe nokufaka imibala kagesi ukuze kuqondiswe i-biopsy kunembe kakhulu, ikakhulukazi ekuthatheni isampula ye-mucosa yomphimbo.
Thina, iJiangxi ZhuoRuiHua Medical Instrument Co.,Ltd., singumkhiqizi eShayina ogxile ezintweni ezisetshenziswayo ze-endoscopic, njengei-biopsy forceps, i-hemoclip, ugibe lwe-polyp, inaliti ye-sclerotherapy, i-catheter yokufafaza, amabhulashi e-cytology, ucingo lokuqondisa, ubhasikidi wokuthola amatshe, i-catheter yokukhipha amanzi ekhaleni njll.ezisetshenziswa kabanzi ku-I-EMR, I-ESD, I-ERCPImikhiqizo yethu inesitifiketi se-CE, kanti izitshalo zethu zinesitifiketi se-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi kanye nengxenye ye-Asia, futhi zithola ukuqashelwa nokunconywa kakhulu ngamakhasimende!
Isikhathi sokuthunyelwe: Jan-23-2025