肠道内镜中的电外科单位:实践的适当设置
Anuraag Jena1, Shubham Jain1, Sridhar Sundaram2
1Department of Gastroenterology, BYL Nair Hospital and Topiwala National Medical College, Mumbai, India.
Expert review of gastroenterology & hepatology
|July 27, 2023
概括
适当的电外科单位 (ESU) 设置对于安全有效的内镜手术至关重要. 本综述详细介绍了各种干预措施的最佳ESU模式和参数,以提高治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 电外科手术是用电器进行的.
背景情况:
- 电外科单位 (ESU) 是内镜中必不可少的工具.
- 了解ESU模式和设置对于患者安全和成功的治疗结果至关重要.
研究的目的:
- 对常见和高级内镜干预的最佳电外科单位 (ESU) 设置进行审查.
- 提供ESU波形特征,工作周期和峰值因子的指导,以有效切割和凝结组织.
- 为解决特殊考虑,例如在内镜手术期间使用心脏起器的患者的管理.
主要方法:
- 在内镜中对电外科单位 (ESU) 应用的文献综述.
- 分析ESU波形,工作周期,以及与内镜手术相关的峰值因素.
- 为特定干预措施 (如血液静止,多斑切除术和缩切除术) 编制推的设置.
主要成果:
- 具体的ESU模式,如Endocut I和Endocut Q,被推用于分别的膜切除和多角切除.
- 强制凝结模式 (效果2,60W) 是有效的控制膜切除术后的出血和对多茎的预凝结.
- 优化工作周期和峰值因子是实现所需的切割和凝结效果的关键.
结论:
- 适当的知识和电外科单位 (ESU) 设置的应用显著改善了内镜治疗结果.
- 遵守推的ESU参数可以提高程序安全性和患者的结果.
- 本综述为使用电外科手术的内镜医生提供了实际指导.
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