I-Endoscopic Biopsy iyingxenye ebaluleke kakhulu yokuhlolwa kwe-endoscopic kwansuku zonke. Cishe zonke izivivinyo ze-endoscopic zidinga ukwesekwa kwe-pathological ngemuva kwe-biopsy. Isibonelo, uma i-Mucosa egaya ukudla kusolwa ukuthi inokuvuvukala, umdlavuza, i-atrophy, i-metaslasia yamathumbu, nokutheleleka nge-HP, i-pathology iyadingeka ukunikeza umphumela oqondile.
Njengamanje, izindlela eziyisithupha ze-biopsy zenziwa njalo eChina:
1. Ukuhlolwa kwe-cytobrush
2. Izicubu ze-biopsy
I-3. Umhubhe we-biopsy inqubo
I-4. EMR ngenqubo ye-bulk biopsy
I-5. Indlela ephelele ye-tum biopsy esd
6. I-FNA eqondiswa yi-Ultrasound
Namuhla sizogxila ekubukeni ukubuyekeza i-biopsy yezicubu, eyaziwa ngokuthi "ukubopha ucezu lwenyama".
I-biopsy ngaphansi kwe-endoscopy yokugaya ukudla ayikwazi ukwenziwa ngaphandle kwamandla we-biopsy, futhi okunye zezesekeli ezisetshenziswa kakhulu ngabafundisi base-endoscopic. Othisha ababandakanyeka ku-endoscopic inhlengikazi bangacabanga ukuthi amabutho e-biopsy alula kakhulu ukuyisebenzisa, elula nje njengokuvula nokuvala. Eqinisweni, ukusebenzisa ama-biopsy Forceps ngokucacile nasekupheleleni, umuntu udinga ukuba nokuqonda nokuzikhandla, futhi kube kuhle ekufingwini.
I.Okokuqala, ake sibukeze ukwakheka kweI-Biopsy Forceps:
(I) Ukwakheka kwe-biopsy Forceps (Umdwebo 1): Amandla we-biopsy ahlanganiswa ngethiphu, umzimba kanye nesibambo esisebenzayo. Izesekeli eziningi ezinjenge-ForkPS yomzimba wakwamanye amazwe, ama-forceps ashisayo we-biopsy, isikere, ama-curette, njll afana nesakhiwo se-biopsy forceps.
Ithiphu: Ithiphu yakhiwa ngemihlathi emibili ekhethwe inkomishi engavulwa futhi ivalwe. Ukwakheka kwemihlathi kuyisihluthulelo sokusebenza kwamandla ahlukahlukene we-biopsy. Zingahlukaniswa zihlukaniswe izinhlobo eziyisikhombisa: Uhlobo oluvulekile olulodwa, uhlobo oluvulwa kabili, uhlobo lwewindows, uhlobo lwenaliti, uhlobo lwengwenya lomlomo, nohlobo lwe-crocodile lomlomo, kanye nohlobo lwe-crocodile lomlomo, kanye nohlobo lwe-crocodile lomlomo, kanye nohlobo lwecholo olugobile Imihlathi yamandla we-biopsy enziwe ngensimbi engenacala futhi inama-blade abukhali. Yize ama-blades we-biopsy amabutho abukhali, anokuvimbela kabi. Ama-blades e-biopsy forceps esetshenziswayo aphathwa ngokukhethekile ukubenza basebenze isikhathi eside.
Izinhlobo ezijwayelekile zeI-Biopsy Forceps
1. Uhlobo lwe-Expantard ngewindi
Kunefasitela enkabeni ye-ForcePS Cup, ehlisa kakhulu ukulimala kwezicubu futhi kwandisa inani lezicubu ze-biopsy.
2. Uhlobo olujwayelekile ngewindi nenaliti
Inaliti itholakala enkabeni ye-ForcePS Cup ukuvikela i-biopsy ukuthi ishele i-mucosa nokusiza ukubamba isampula lesicubu.
3. Uhlobo lwe-alligator
Inkomishi ye-serrated clamp ivimbela ngempumelelo inkomishi yenkomishi ekusheleleni, futhi umphetho wokusika ubukhali ukuze uthole ukubamba okuphephe ngokwengeziwe.
4. Uhlobo lwe-alligator ngenaliti
Imihlathi ine-angle ebanzi yokuvula ukukhulisa ivolumu ye-biopsy; umphetho we-blade ubukhali ukuze uthole ukubamba okuphephe ngokwengeziwe.
Kukhona inaliti enkabeni yekhanda le-clamp, okungenza ukuthi kulungiswe kusebenze kakhulu futhi kunembe.
Ilungele i-biopsy ezicubu ezinzima ezinjengamathumbu.
Umzimba we-Forceps: Isidumbu se-biopsy Forceps senziwe ngeshubhu lensimbi engenasici, eliqukethe ucingo lwensimbi lokudonsa i-Forceps valve ukuze ivuleke futhi ivale. Ngenxa yokwakheka okukhethekile kwe-tube enomucu, ama-mucus wezicubu, igazi nezinye izinto kungayifaka kalula, kepha akulula ukuyihlanza kahle. Ukwehluleka ukuyihlanza ngokuphelele kuzodala ukuphazamiseka ekusebenzeni kwe-biopsy forceps, futhi ukuvulwa nokuvalwa ngeke kube bushelelezi noma kungenzeki. Isibambo esisebenzayo: Indandatho esibonelweni sokusebenza isetshenziselwa ukubamba isithupha, futhi i-winder Round Groove isetshenziselwa ukubeka umunwe we-Index nomunwe ophakathi. Ngaphansi kokusebenza kwale minwe emithathu, amandla adluliselwa ku-Forceps valve ngokusebenzisa ucingo lwe-traction ukuze avule futhi avale.
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1. Ukutholwa kwangaphambili:
Ngaphambi kokusebenzisa, qiniseka ukuthi amabutho e-biopsy afakwe inzalo futhi asetshenziswa ngesikhathi esifanele sokubulala inzalo. Ngaphambi kokufaka isiteshi se-Endoscope Forceps, ukuvulwa nokuvalwa kwamandla kufanele kuhlolwe (Umdwebo 2).
Umdwebo 2 Biopsy ForcePS ukutholwa
Indlela ethile ukuhlanganisa umzimba we-biopsy forceps ibe yi-Circle Circle (ububanzi bendilinga cishe nge-20cm), bese wenza izenzo eziningi zokuvula nokuvalwa ukuze ubheke ukuthi amaphakethe avumbulukile avuleke futhi asondele kahle. Uma kunezikhathi ezi-1-2 ze-Rejecy, kungcono ukungasebenzisi amandla we-biopsy. Okwesibili, kuyadingeka ukuvivinya ukuvalwa kwe-biopsy forceps. Thatha ucezu lwephepha elincanyana elifana nephepha lezincwadi bese ulifaka nge-biopsy forceps. Kuyafaneleka uma iphepha elincanyana lingaweli. Okwesithathu, kuyadingeka ukubona ukuthi ngabe izinkomishi ezimbili ze-Forceps Flaws ziqondaniswe ngokuphelele (Umdwebo 3). Uma kunokungasebenzi kahle, yeka ukuyisebenzisa ngokushesha, uma kungenjalo izokweqa ipayipi le-forceps.
Umdwebo 3 Biopsy Forceps Flap
Amanothi ngesikhathi sokusebenza:
Ngaphambi kokufaka i-Forceps Tube, imihlathi kufanele ivalwe, kepha khumbula ukuthi ungasebenzisi amandla amaningi ngokwesaba ukuvalwa okuxekethile, okuzokwenza ukuthi ucingo lwe-traction lube futhi luthinte ukuvulwa nokuvalwa kwemihlathi. 2. Lapho ufaka ishubhu, ngena eceleni kokuvulwa kwe-Forceps Tube futhi ungazikhiphi ukuvulwa kweshubhu. Uma uhlangabezana nokumelana lapho ungena, kufanele ukhulule inkinobho ye-angle bese uzama ukungena endaweni eqondile ngokwemvelo. Uma ungakakwazi ukudlula, khipha i-endoscope evela emzimbeni ukuze uhlolwe, noma ungene esikhundleni samanye amabutho e-biopsy afana namamodeli amancane. 3. Lapho ukhipha amabutho e-biopsy, gwema ukusebenzisa amandla ngokweqile. Umsizi kufanele azibambe ngokuhlukile ngezandla zombili abese egoba. Ungeluleki kakhulu izingalo zakho. 4. Lapho imihlathi ingenakuvalwa, ungayikhiphi ngenkani. Ngalesi sikhathi, kufanele kukhishwe ngaphandle komzimba kanye ne-endoscope yokuqhubekisela phambili ukucutshungulwa.
II. Isifinyezo samasu athile we-biopsy
1. Ukuvula nokuvala amabutho we-biopsy kuyimisebenzi yezobuchwepheshe. Ukuvulwa kudinga ukuqondiswa, ikakhulukazi i-angle yesisu, okufanele ibe nge-perpendicular kwisayithi le-biopsy. Ukuvala kudinga isikhathi. Ukusebenza kwesisu sesisu nokusebenza kukadokotela ohlinzayo kuzinzile futhi akunakulungiswa ngokuqhubekayo. Umsizi kufanele athathe ithuba lokuqinisa ngempumelelo nangokuphepha amabutho we-biopsy.
2. I-biopsy specimen kufanele ibe nkulu ngokwanele futhi ijule ngokwanele ukufinyelela i-muscularis mucosa.
3. Cabanga ngomthelela wokopha ngemuva kwe-biopsy kuma-biopsies alandelayo. Lapho i-englic angle kanye ne-antrum kudingeka ukuba ube ne-biopsied ngasikhathi sinye, i-angle esheshayo kufanele ibe yi-bioppied kuqala bese i-antrum; lapho indawo yesilonda inkulu futhi izingcezu eziningi zezicubu zidinga ukuboshwe, ucezu lokuqala kufanele lube nelukulu, futhi kuyadingeka ukubheka ukuthi ukopha ngemuva kokubopha izicubu ezizungezile futhi kuthinta inkambu yombono, ngaphandle kwalokho okulandelayo Ukuqubuka kwe-Climury kuzoba yimpumputhe futhi kuphakezele.
Ukulandelana okujwayelekile kwe-biopsy kwezilonda e-angle yesisu, kucatshangelwa umphumela wokugeleza kwegazi kuma-biopsies alandelayo
4. Zama ukwenza i-vertical Press Biopsy endaweni okuhlosiwe, bese usebenzisa ukumunca lapho kunesidingo. Ukumunca kunciphisa ukungezwani kwe-mucosa, okuvumela izicubu ukuba ziboshwe ngokujulile futhi zincane kakhulu ukuthi zishelele.
I-Biopsy kufanele yenziwe ngokuqondile ngangokunokwenzeka, futhi ubude besandiso se-biopsy Forceps akufanele ngeqe 2cm.
5. Naka ukubhekisisa ukukhethwa kwamaphoyinti wesampula ezinhlotsheni ezihlukile ze-lesion; Ukukhethwa kwamaphuzu wesampula kuhlobene nesilinganiso esihle. Udokotela ohlinzayo uneso elibukhali futhi kufanele anake amakhono okukhetha wezinto zokwakha.
Izindawo zokuba yizindawo ezingama-biopsied ukuze ungabi bikho
I-6. Izingxenye ezinzima ze-biopsy zifaka i-funds yesisu eduze kwe-cardia, i-curvature encane yenhlangano yesisu eduze nodonga lwangemuva, kanye nekhoneni elingaphezulu le-duodenum. Umsizi kufanele agxile ekubambisaneni. Uma efuna ukufeza umphumela ophelele, kufanele afunde ukuhlela kusengaphambili futhi alungise ukuqondiswa kwe-clamp flap nganoma yisiphi isikhathi. Ngasikhathi sinye, kufanele ahlulele ngokushesha isikhathi sokuhlangana ngokusebenzisa wonke amathuba. Kwesinye isikhathi lapho ulinde imiyalo evela kudokotela ohlinzayo, i-lag yomzuzwana owodwa ingaholela emathubeni alahlekile. Ngingalinda ngesineke ithuba elilandelayo.
Imicibisholo ikhombisa izindawo lapho kunzima ukuthola khona ukopha noma ukumisa ukopha.
7. Ukukhetha ama-biopsy Forceps: Amandla we-biopsy afaka nalabo abanokuvuka kwendebe enkulu kanye nokujulile, abanye abanezinaliti eziphakanyisiwe, kanti ezinye ziluma uhlangothi oluseceleni.
8. Ukukhulisa kuhlanganiswe nokubala ngogesi ukuqondisa i-biopsy kunembe kakhudlwana, ikakhulukazi ngesampula ye-esophageal mucosa.
We, Jiangxi Zhuoruihui Medical Incument Co, Ltd, umenzi waseChina ochwepheshe kokudla kwe-endoscopic, njengeI-Biopsy Forceps, hemoclip, I-PolyP Snare, inaliti ye-sclerotherapy, fafaza i-catheter, ama-cytolology amabhulashi, Umhlahlandlela, I-Stone Retrieval Basket, I-Catheter ye-NASAL BILY CHATHETER njll. asetshenziswa kabanzi kuEMR, Ivi, I-ERCPP. Imikhiqizo yethu iqinisekisiwe, futhi izitshalo zethu ziqinisekisiwe ze-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi nendawo nengxenye ye-Asia, futhi zithola amakhasimende wokuqashelwa nokudumisa!
Isikhathi Seposi: Jan-23-2025