Yas Biliary Stents (PS)tau ua lub pob zeb hauv lub endoscopic kev tswj ntawm cov kab mob siab rau hauv lub sijhawm ntev {} tam sim no tam sim no thaum muaj kev hloov tshiab, yogIb Leeg Siv Cov Quav YasNyob twj ywm hauv ob qho tib si benign thiab malignant biliary obstrumase, ntxiv rau cov tswv yim nkauj thiab cov ntawv thov hais lus ntawm cov ntsiab lus?
Vim li cas ib leeg siv cov stents yas tseem muaj teeb meem
Ib leeg siv cov roj yas siv tau zoo, muaj ntau yam kev txhawj xeeb txog kev rov ua tau zoo, thiab muaj kev tsis sib haum xeeb, thiab cov khaub ncaws hla,Ib Leeg Siv Cov Qauvmuab kev nyab xeeb kom nyab xeeb thiab ua haujlwm tau zoo - tshwj xeeb tshaj yog nyob rau hauv cov chaw uas muaj siab-ntim {2 2}}
Lawv nyiam nyob rau hauv cov xwm txheej hauv qab no:
Bilialy biliary tsis ntev
Benis biliae nruj me ntsis
Prophylactic pancreatic duct stenting tom qab Ercp
Tom qab phais cov hmoov av
Bridging ua ntej kev phais lossis kev tso kawm ntev ntev
Kev tsim kho thiab customization
Cov PS muaj nyob hauvdiameters los ntawm 5 fr rau 12 frthiabntev los ntawm 1 cm mus rau 18 cm, nrog qee cov tuam ntxhab muab cov kev cai kev cai . qhov ntev zoo tshaj plaws:
Qhov sib thooj deb 1-2 cm dhau qhov nruj
Distal Extension 1 cm rau hauv lub lumen duodenal
Stent tsim txawv txawv:
Ncaj lossis nkhaus lub cev
Ib lossis ob leeg npua(Kev muab cov khoom ua haujlwm loj dua hauv cov nplais hauv qab lossis lub plab hlaub)
Tannenbaum-Homstents tsis muaj sab qhov tab sis ntau lub ntsej muag kom tiv thaiv kev tsiv teb tsaws
Qee cov qauv tsim muaj xws liRadiopaque cim, yooj yim fluoroscopic tso, thiabHydrophilic Txheejkom yooj yim xa cov kev xa los ntawm kev nruj nruj me ntsis .
Sab qhov tsis muaj ib sab?
Sab qhov, feem ntau nyob ze curled xaus, muab ib qho kev hloov tshuaj kua qaub yog tias qhov taub ua . Txawm li cas los xij,lawv lub luag haujlwm tseem muaj teeb meem, nrog kev txhawj xeeb txog sludge tsim thiab thaum ntxov allclusion {{}}} lwm hom stentative, xws li covTannenbaum, omit sab qhov kom txo qhov kev pheej hmoo no thaum txhim kho cov plab nyob ruaj khov {}}
Cov tshuaj kho Izovations thiab kev siv ua haujlwm
Kev tsim qauv tshiab xws liTapered Digtail Stentspab hauv navigating zoo nkauj lom zem lossis cystic ductures nruj me nyuam tau txhim kho cov xov tooj tau zoo dua qub tau ua tiav rau kev ua tiav kev vam meej cov nqi ... Txuas ntxiv,preloaded stent cov khoom sivtxo cov txheej txheem txheej txheem thiab paug kev pheej hmoo .
HauvLub teeb tsa lub plab tso dej ntws tawm (ntawm cystic duct lossis eus-qhia txoj kev), ob-npua-npua-poojptail ps tseem yog tus mus-rau ntau endoscopists vim lawv lub peev xwm anchoring thiab yooj yim ntawm tshem tawm.
Thaum cov yas tseem ntaus hlau?
Txawm tias muaj kev nce qib hauv cov ntsiab lus, yas stents khaws cov kws kho mob zoo tshaj hauv ntau qhov chaw:
Yooj yim tshem tawm lossis pauv tau
Qis dua upfront tus nqi
Txo cov kev pheej hmoo ntawm post-ercp pancpeatitis hauv me-uas cov taub ps
Qhov zoo tagnrho rau cov kev cuam tshuam luv luv lossis cov txheej txheem staged
Raws li peb txuas ntxiv thev naus laus zis hauv kev kho kom zoo endoscopy, ib leeg siv cov yas cog qoob loo sivLub luag haujlwm tseem ceeb hauv kev saib xyuas tus neeg mob. Lawv cov qauv tsim, cov qauv kev nyab xeeb, thiab pheej yig ua rau lawv lub ntsiab lus hla ercp thiab eus-guitdation cuam tshuam {}}
Nrog rau kev ua haujlwm tsis tu ncua nyob rau hauv cov ntaub ntawv, cov khoom xa tawm, thiab kev tawm tsam kev tiv thaiv cov yas tsis yog lub fallback-lawvIb txoj kev xaiv xaiv yaamhauv kev tswj hwm niaj hnub nov .
