XBX Ibikoresho bya Gastrointestinal Endoscopy Ibikoresho

Ibikoresho byubuvuzi bwa gastrointestinal endoscopy nigikoresho cyibanze cyo gusuzuma no kuvura gastroenterology hamwe na centre ya endoscopi. Ikoreshwa cyane cyane mugupima no kuvura indwara zo munda nka gastroscopi, colonoscopi, ERCP, nibindi. Ibyingenzi byingenzi ni amashusho yerekana ibisobanuro bihanitse, gukora neza, umutekano no kwizerwa, hamwe no guhuza ikoranabuhanga ryubwenge kugirango tunoze imikorere yo gusuzuma no kuvura. Ibikurikira nibyo byingenzi byingenzi:

1. Sisitemu yo kwerekana amashusho menshi

(1) Kwerekana amashusho menshi

4K / 8K ibisobanuro birenze urugero: Itanga 3840 × 2160 cyangwa irenga kugirango igaragaze neza microstructure ya mucosa (nka capillaries no gufungura imiyoboro ya glandular).

Tekinoroji ya elegitoronike (nka NBI / FICE / BLI): Yongera itandukaniro ryindwara ikoresheje imirongo migari kandi igahindura igipimo cyo kumenya kanseri yo munda hakiri kare na kanseri yo munda.

(2) Kunoza amashusho yubwenge

HDR (intera nini cyane): Iringaniza urumuri numwijima kugirango wirinde gutekereza cyangwa gutakaza amakuru arambuye ahantu hijimye.

AI ubufasha bwigihe-nyacyo: Bikora mu buryo bwikora ibimenyetso bikomeretsa (nka polyps nibibyimba), kandi sisitemu zimwe zishobora guhanura ibipimo byindwara.

2. Sisitemu ikora neza

(1) Igishushanyo mbonera

Endoskopi yoroshye ya elegitoronike: igipimo cyunamye (8-12mm z'umurambararo) kugirango byoroshye kunyura mubice bigoramye byigifu.

Imiyoboro ibiri yo kuvura endoskopi: ishyigikira icyarimwe icyarimwe ibikoresho (nka biopsy forceps, electrosurgical unit) kugirango tunoze imikorere yo kubaga.

(2) Kugenzura neza

Igenzura ryunamye ryamashanyarazi: Endoskopi zimwe-zohejuru zishyigikira guhinduranya amashanyarazi kumurongo wa lens (≥180 ° hejuru, hepfo, ibumoso, niburyo).

Ikwirakwizwa ryinshi rya torque: rigabanya ibyago byurwego "ipfundo" mumyanya yo mara kandi bizamura igipimo cyo gutsinda.

3. Ubushobozi bwo kuvura butandukanye

(1) Inkunga yo kubaga byibuze

Umuyoboro mwinshi wa electrosurgical resection / electrocoagulation: guhuza ibikoresho bya elegitoroniki (nka ERBE) kugirango ukore polypectomie (EMR) no gutandukanya mucosal (ESD).

Imikorere ya Hemostasis: ishyigikira icyuma cya gaz ya argon (APC), clips ya hemostatike, inshinge hemostasis, nibindi.

(2) Kwagura uburyo bwo gusuzuma no kuvura

Endoscopic ultrasound (EUS): ifatanije na ultrasound probe, isuzuma urukuta rw'igifu rw'urukuta hamwe n'ingingo ziyikikije (nka pancreas na duct umuyoboro).

Confocal laser endoscope (pCLE): igera ku mashusho nyayo ku rwego rwa selile kugirango isuzume hakiri kare kanseri.

4. Igishushanyo mbonera cyumutekano no guhumuriza

(1) Kurwanya indwara

Igishushanyo kidashobora gukurwaho amazi: umubiri windorerwamo ushyigikira kwibiza cyangwa kwibiza mu buryo bwikora (nka Olympus OER-A).

Ibikoresho bikoreshwa: nka biopsy valves hamwe nigituba cyokunywa kugirango wirinde kwandura.

(2) Guhumuriza abarwayi

Ultos-nziza endoscope: diameter <6mm (nka gastroscope ya transnasal), kugabanya kuruka.

Sisitemu ya CO₂: gusimbuza umwuka kugirango ugabanye inda nyuma yo kubagwa.

5. Ubwenge no gucunga amakuru

Isuzumabumenyi ifashwa na AI: ihita isesengura ibiranga ibikomere (nk'ibyiciro bya Paris na Sano).

Kubika ibicu no kugisha inama kure: ishyigikira DICOM isanzwe kandi ihuza sisitemu y'ibitaro PACS.

Video yo kubaga no kwigisha: 4K gufata amashusho yo gusuzuma cyangwa guhugura.

Incamake

Ibyingenzi byingenzi byubuvuzi bwa gastrointestinal endoscopi nibisobanuro bihanitse, byuzuye, umutekano, nubwenge, ibyo ntibishobora gusa gukenera kwisuzumisha (gusuzuma kanseri hakiri kare) ahubwo binashyigikira imiti igoye (nka ESD na ERCP). Mu bihe biri imbere, bizarushaho gutera imbere bigana kuri AI, byibasiwe cyane, kandi byoroshye, bizamura isuzumabushobozi hamwe nubuvuzi hamwe nuburambe bw’abarwayi.