Indlela yokusebenza ye-stapler
I-Stapler iyi-stapler yokuqala emhlabeni.Sekuyiminyaka ecishe ibe yikhulu isetshenziselwa i-anastomosis yamathumbu.Kwaze kwafika ngo-1978 lapho i-stapler ye-tubular yayisetshenziswa kabanzi ekuhlinzweni kwamathumbu.Ivamise ukuhlukaniswa ngama-staplers asetshenziswa ngesikhathi esisodwa noma amaningi, ama-staplers angenisiwe noma asekhaya.Kuwuhlobo lwemishini esetshenziswa kwezokwelapha esikhundleni se-suture yendabuko yezandla.Ngenxa yokuthuthukiswa kwesayensi nobuchwepheshe besimanje kanye nokuthuthukiswa kobuchwepheshe bokukhiqiza, i-stapler esetshenziswa emisebenzini yomtholampilo inezinzuzo zekhwalithi enokwethenjelwa, ukusetshenziswa okulula, ukucinana kanye nokuqina okufanele.Ikakhulukazi, inezinzuzo ze-suture esheshayo, ukusebenza okulula kanye nemiphumela emibi embalwa kanye nezinkinga zokuhlinzwa.Iphinde ivumele ukususwa okugxilwe kukho kokuhlinzwa kwesimila esingahlehlisiwe esikhathini esidlule.
I-Stapler iyithuluzi lezokwelapha elithatha indawo ye-suture manual.Umgomo wayo oyinhloko wokusebenza ukusebenzisa izipikili ze-titanium ukuphula noma izicubu ze-anastomose, ezifana ne-stapler.Ngokusho kobubanzi obuhlukene bokufaka isicelo, ingahlukaniswa nge-stapler yesikhumba, i-digestive tract (umphimbo, i-gastrointestinal, njll.) i-stapler eyindilinga, i-rectal stapler, i-circular hemorrhoid stapler, i-circumcision stapler, i-vascular stapler, i-hernia stapler, i-stapler yokusika amaphaphu, njll. .
Uma kuqhathaniswa ne-suture yezandla yendabuko, i-instrument suture inezinzuzo ezilandelayo:
1. operation elula futhi elula, ukonga isikhathi sokusebenza.
Ukusetshenziswa okukodwa ukuze ugweme ukutheleleka ngegciwane.
Sebenzisa isipikili se-titanium noma isikhonkwane sensimbi engagqwali (i-skin stapler) ukuze uthunge uqine ngokuqina okumaphakathi.
Inemiphumela emibi embalwa futhi inganciphisa ngempumelelo izinkinga zokuhlinzwa.
Indlela yokusebenzisa i-stapler ichazwa yi-anastomosis yamathumbu.Amathumbu aseduze e-anastomosis afakwa esikhwameni, abekwe esihlalweni sezipikili futhi aqiniswe.I-stapler ifakwe isuka ekugcineni ekude, ibhoboze ngaphandle kwesikhungo se-stapler, ixhunywe nenduku ephakathi ye-stapler eseduze ngokumelene nesihlalo sezipikili, ijikeleziswa eduze nodonga lwamathumbu olude noluseduze, kanye nebanga phakathi kwe-stapler ngokumelene nesihlalo sezipikili. futhi isisekelo silungiswa ngokuvumelana nobukhulu bodonga lwamathumbu, Ngokuvamile kuba ngu-1.5 ~ 2.5cm noma ukuzungezisa isandla kuqinile (kunenkomba yokuqina esibanjeni) ukuvula i-fuse;
Cindezela ukuvala i-anastomosis wrench ngokuqinile, futhi umsindo othi "chofoza" usho ukuthi ukusika kanye ne-anastomosis kuqediwe.Ungaphumi ku-stapler okwesikhashana.Hlola ukuthi i-anastomosis iyagculisa yini nokuthi ezinye izicubu ezifana ne-mesentery zishunyekiwe yini kuyo.Ngemva kokwelashwa okuhambisanayo, khulula i-stapler futhi uyikhiphe ngobumnene ekugcineni ukuze uhlole ukuthi izindandatho zokukhipha amathumbu akude kanye naseduze aphelele yini.
Izinyathelo zokuphepha ze-Stapler
(1) Ngaphambi kokusebenza, hlola ukuthi isikali sihambisana yini nesikali esingu-0, ukuthi umhlangano ulungile yini, nokuthi ucezu oluphushayo nesipikili se-tantalum azikho yini.Iwasha yepulasitiki izofakwa esibambi senaliti.
(2) Ukuphela kwethumbu eliphukile elizokwenziwa i-anastomosed kufanele likhululeke ngokuphelele futhi likhishwe okungenani ama-2 cm.
(3) Isikhala senaliti se-purse string suture akufanele sidlule u-0.5cm, kanti umkhawulo uzoba ngu-2 ~ 3mm.Izicubu eziningi kakhulu kulula ukuzifaka ku-stoma, okuvimbela i-anastomosis.Qaphela ukuthi ungashiyi i-mucosa.
(4) Ngokuhambisana nobukhulu bodonga lwamathumbu, isikhawu kufanele sibe ngu-1 ~ 2 cm.
(5) Hlola isisu, umminzo nezinye izicubu eziseduze ngaphambi kokudubula ukuze uzivikele zingangeni ku-anastomosis.
(6) Ukusika kuzoshesha, futhi ukucindezela kokugcina kuzosetshenziswa ukwenza isipikili se-seam sibe isimo "B", ukuze silwele impumelelo yesikhathi esisodwa.Uma kubhekwa njengokungalungile, kungaphinde kusikwe futhi.
(7) Phuma ku-stapler ngobumnene, futhi uhlole ukuthi izicubu ezisikiwe ziyiringi yini ephelele.
Isikhathi sokuthumela: Jun-24-2022