Ercp nchụnye Tycon Lumen Syn Sonnen na-eji SPHinctereotome maka endoscopic

1. Dayameta
Dayameta nke sphynter bụ n'ozuzu ha n'ozuzu 6fr, akụkụ apke na-eji nwayọọ nwayọọ belata ruo 4-4.5fr. Dayameta nke sphinteotome chọrọ nlebara anya dị oke mma, mana enwere ike ịghọta ya site na ijikọta dayameta nke sphhinterotome na ike ọrụ nke nsọkocope. Nwere ike itinye akwụkwọ ntuziaka ọzọ mgbe a na-etinye sphinctumeme.
2. Ogologo nke agụba
Ogologo agụgụ ahụ kwesịrị ị toa ntị na ya, n'ozuzu ya, 20-30 mm. Ogologo ndu ntuziaka na-ekpebi akụkụ arc nke arc mma na ogologo nke ike n'oge mbepụ. Ya mere, eriri dị nso, nke "akụkụ" nke arc bụ ka ọ bụrụ na usoro nke pancreaticary dutraary ike, nke nwere ike ịdị mfe ịme nke ọma. N'otu oge ahụ, wires dị ogologo nke nwere ike ibute nke splincter na gburugburu ihe owuwu, nke na-ebute nsogbu dị ka perforation, yabụ enwere "mma mma" nke na-ezute ogologo nke nchekwa mgbe ọ na-ezute ogologo oge.
3. Nchọpụta SPHintertome
Nkọwa nke SPHIncruotome bụ mpempe dị oke mkpa, ọkachasị iji mee ka onye ọrụ na-aghota ngwa ngwa ma kọwaa ọnọdụ nke Sphinteome n'oge aghụghọ, na iji gosipụta ọnọdụ na ọnọdụ mbelata. N'ikwu ya n'ozuzu, ọtụtụ ọnọdụ dị ka "mmalite", "etiti 1/4 na etiti Sphinter dị mma maka ịkpụ, nke a na-ejikarị. Na mgbakwunye, etiti akara nke Sphinter bụ radiopaque. N'okpuru nlekota nke X-ray, ọnọdụ onye nwe ụlọ nke sphhinteotome na sphincter nwere ike ịghọta nke ọma. N'ụzọ dị otu a, ya na ogologo nke mma ahụ ekpughere ọhụụ, ọ ga-ekwe omume ịmara ma mma ahụ nwere ike ịrụ ntọpụ sphynter. Agbanyeghị, ụlọ ọrụ ọ bụla nwere akara ngosi dị iche iche na mmepụta nke Logos, nke kwesịrị ịghọta.