Zeziphi iintlobo zotyando lokufakelwa kommizo we-stent

Ufakelo lwe-stent emsophageal lunokwahlulwa lube ziindidi ezimbini ngokusekelwe kwindlela yokubeka i-stent: i-endoscopic esophageal stent implantation kunye ne-radiation intervention ye-esophageal stent implantation. Okwangoku, indibaniselwano ye-endoscopic kunye ne-radiation intervention isetyenziswa ngokuqhelekileyo.

1. I-Esophageal stent implantation phantsi kwe-endoscopy yokugaya: Ininzi i-invasive encinci yotyando apho i-endoscope yokugaya ifakwe emlonyeni okanye impumlo, kwaye i-stent esophageal ibonwa kwaye iqhutywe phantsi kwe-endoscope. Ineenzuzo zentlungu encinci, ukuchacha ngokukhawuleza, ukuhlala esibhedlele okufutshane, kunye neengxaki ezimbalwa. Iyakwazi nokulungelelanisa isikhundla se-stent phantsi kwe-endoscope ngexesha elifanelekileyo kwaye ijongane nokuphuma kwegazi kwi-intraoperative kunye nezinye iingxaki. Akukho monakalo wemitha yeX-reyi, eqondakala ngakumbi. Nangona kunjalo, ukuchaneka kwendawo ye-gastroscopy kuncinci. Kwizigulane ezine-stenosis enzima kunye nokungakwazi ukudlula kwi-gastroscopy, ayikwazi ukugqiba ukuba ngaba ucingo lwesikhokelo lungena esiswini. Ingcaciso eyongezelelweyo iyafuneka nge-X-reyi fluoroscopy. Ukuba iimeko zivuma, ukubekwa kwe-stent kunokudibaniswa ngokuthe ngqo kunye ne-endoscopy kunye ne-X-ray fluoroscopy guided.

2. Ukufakelwa kwe-stent ye-Esophageal phantsi kokungenelela kwi-radiation: Kulutyando oluncinci olufumana indawo ye-stent efakwe kwi-esophagus phantsi kwesikhokelo se-X-ray. I-stent ibekwe phezu kwecandelo elimxinwa le-esophagus ngocingo lwesikhokelo ukukhulula umqobo. Inobuhlungu obuncinci kunye nokubuyisela ngokukhawuleza, kwaye ingabonisa indawo yocingo lwesikhokelo ngexesha langempela. Icacisa ngokuchanekileyo ukuba intambo yesikhokelo ingena esiswini ngokusebenzisa icandelo le-lesion, ibeka iliso ngokukhawuleza inkqubo yokukhululwa kwe-stent kunye nokwandiswa ukulungisa indawo ye-stent ngexesha elifanelekileyo. Ukubekwa kuchanekile ngakumbi kwaye ukusebenza kulula kwaye kulula. Nangona kunjalo, isikhokelo se-X-ray asikwazi ukubonisa ngokuthe ngqo izilonda ze-esophageal tumors kunye ne-fistula, kwaye iingxaki ezinjengokopha kunye nokubhoboza azikwazi ukufunyanwa kwaye ziphathwe ngexesha elifanelekileyo ngexesha lokubekwa kwe-stent. Kwizigulane ezine-stenosis ecacileyo kunye nokukhula kwe-eccentric tumor, i-tumor localization inzima, kwaye iimfuno zobuchwepheshe zocingo lwesikhokelo ukuba ludlule kwicandelo elimxinwa liphezulu. Oogqirha kunye nezigulane banomlinganiselo othile wemitha.