A na-eji igwe eji ejikọta arịa ọbara.Ihe endoclip bụ ngwaọrụ ọla ọla eji eme endoscopy iji mechie elu mucosal abụọ na-enweghị mkpa ịwa ahụ na suturing.Ọrụ ya dị ka suture na ngwa ịwa ahụ siri ike, ebe a na-eji ya jikọọ ọnụ abụọ dị n'elu elu, mana enwere ike itinye ya n'ọrụ site na ọwa nke endoscope n'okpuru anya ozugbo.Endoclips achọpụtala ojiji n'ịgwọ ọbara ọgbụgba nke eriri afọ (ma na traktị GI nke elu na nke ala), n'igbochi ọbara ọgbụgba mgbe usoro ọgwụgwọ dị ka polypectomy, na imechi perforations eriri afọ.
Nlereanya | Ogo mmeghe clip (mm) | Ogologo ọrụ (mm) | Ọwa Endoscopic (mm) | Njirimara | |
ZRH-HCA-165-9-L | 9 | 1650 | ≥2.8 | Gastro | Ekpuchibeghị |
ZRH-HCA-165-12-L | 12 | 1650 | ≥2.8 | ||
ZRH-HCA-165-15-L | 15 | 1650 | ≥2.8 | ||
ZRH-HCA-235-9-L | 9 | 2350 | ≥2.8 | Colon | |
ZRH-HCA-235-12-L | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-L | 15 | 2350 | ≥2.8 | ||
ZRH-HCA-165-9-S | 9 | 1650 | ≥2.8 | Gastro | Ekpuchiri |
ZRH-HCA-165-12-S | 12 | 1650 | ≥2.8 | ||
ZRH-HCA-165-15-S | 15 | 1650 | ≥2.8 | ||
ZRH-HCA-235-9-S | 9 | 2350 | ≥2.8 | Colon | |
ZRH-HCA-235-12-S | 12 | 2350 | ≥2.8 | ||
ZRH-HCA-235-15-S | 15 | 2350 | ≥2.8 |
Aka nwere ergonomically
Dị mfe ojiji
Iji ụlọ ọgwụ
Enwere ike itinye hemoclip n'ime traktị Gastro-intestinal (GI) maka ebumnuche hemostasis maka:
Mmejọ nke mucosal / sub-mucosal<3 cm
Ọnya ọbara, -Arteries<2 mm
Polyps<1.5 cm n'obosara
Diverticula na #colon
Enwere ike iji obere vidiyo a dị ka usoro mgbakwunye maka mmechi GI traktị luminal perforations<20 mm ma ọ bụ maka akara #endoscopic.
(1) Mark, jiri agịga agịga ma ọ bụ coagulation argon ion akara mpaghara resection na 0.5cm electrocoagulation na nsọtụ nke ọnya;
(2) Tupu ịgbanye mmiri mmiri submucosal, mmiri ọgwụ dị na ụlọ ọgwụ maka injection submucosal gụnyere saline physiological, glycerol fructose, sodium hyaluronate na ndị ọzọ.
(3) Tupu-egbutu mucosa gbara ya gburugburu: jiri ngwa ESD bechapụ akụkụ nke mucosa gburugburu ọnya ahụ n'akụkụ ebe akara ma ọ bụ n'akụkụ elu nke ebe akara, wee jiri mma IT bechapụ mucosa niile gbara ya gburugburu;
(4) Dị ka akụkụ dị iche iche nke ọnya ahụ na àgwà ndị na-arụ ọrụ nke ndị na-arụ ọrụ si dị, a na-ahọrọ ngwá ọrụ ESD IT, Flex ma ọ bụ HOOK na ihe ndị ọzọ na-ewepụ ihe iji kpochapụ ọnyá ahụ n'akụkụ submucosa;
(5) Maka ọgwụgwọ ọnya, a na-eji argon ion coagulation eme ihe na electrocoagulate niile obere arịa ọbara a na-ahụ anya na ọnya iji gbochie ọbara ọgbụgba na-esote.Ọ bụrụ na ọ dị mkpa, a na-eji ihe mgbochi hemostatic na-amachi arịa ọbara.