Te pokanga tuunga stent endoscopic

Ko te whakaurunga stent endoscopic he tikanga e whakamahi ana i te endoscopy ki te tuu i te stent ki roto i te ara keri kua arai, whaiti ranei hei hanga ano i tana mahi kore e arai. He pai mo te aukati i te mate pukupuku esophageal, te mate pukupuku esophageal stenosis, te aukati kino o te pylorus me te duodenum, te aukati i te mate pukupuku colorectal, te mate pukupuku o te mate pukupuku biliary biliary, te wai pancreatic biliary, te fistula anastomotic, me etahi atu. pokanga Tikanga pokanga 1. Nga tikanga rewharewha me nga whakatupato Ka wehea nga tikanga rewharewha ki te rehu o te rohe me te rewharewha whanui Te rewharewha o te rohe: 2%~4% ka whakamahia te lidocaine mo te rehu pharyngeal, te rehu, te whakahaere waha ranei. ② Anestheia whanui: Mo nga tangata e raru ana i te hinengaro, i nga tamariki ranei kaore e taea te mahi tahi, me nui ake te whakamahi i te rewharewha. He rerekee te inenga o nga raau taero i ia tangata ki ia tangata. 2. Nga tikanga mahi pokanga (1) Me whakanoho te manawanui ki te tuunga whakaahuru, ki te taha maui ranei, ki te taha maui, ki nga waahi motuhake, ka taea te whakanoho ki te taha maui, ki runga ranei. (2) Ko te whakamatautau endoscopic o ia ra ka tohu i te waahi o te whiu. I raro i te fluoroscopy X-ray, ka kuhuhia he waea kaiarahi ma roto i nga mahanga endoscopic ka whakauruhia he ngongo rereke. Ka werohia te kaihoko rereke wairewa wai penei i te meglumine diatrizoate hei tirotiro i te ahua o te whiu. (3) Whiriwhiria he stent tika ka pana ki te waahi e pa ana (penei i te waahi whaiti, arai ranei) na roto i te waea arataki i raro i te fluoroscopy X-ray. Hei tauira, whakauruhia te stent ki roto i te endoscope i te taha o te punaha pana stent ki te tuku i te stent i raro i te tirohanga endoscopic tika. (4) I raro i te fluoroscopy X-ray me te tirohanga tika endoscopic, whakatikahia te waahi o te tuku stent me te tuku i te stent, me te tango i te implant. (5) Mo nga turoro e mahi ana i te ngongo ngongo, i te pokanga pancreatic duct ranei, i muri i te tukunga o te stent, me ngana ratou ki te kukume i te pare, te wai pancreatic ranei me te kaihoko rereke i nga mea e taea ana, me te whakapumau kaore i te aukatihia te wai i mua i te tango i te endoscope. (6) X-ray kiriata ki te whakaū i te tūnga o te brack