CN110353745B - Auxiliary traction and pushing assembly for thyroid surgery - Google Patents

Abstract

The invention discloses an auxiliary traction and push assembly for thyroid surgery, which comprises a main body seat, a retracting device and a pushing device, wherein the pushing device consists of a sliding block and a pushing mechanism; the sliding block is provided with a fixing mechanism; the pushing mechanism comprises a peripheral rotating seat, a turnover rod, a telescopic rod, a pushing piece and a screwing button; the retracting mechanism comprises a connecting belt, a hook piece and a winding structure; two ends of the connecting band are connected with the winding mechanism and the hook piece. By additionally arranging the slide rail, the plurality of retracting devices and the pushing device, the muscle and the skin at the wound of a patient in the thyroid surgery can be automatically pulled through the retracting devices, so that the tissue at the surgical site can be fully exposed; and the trachea is pushed for a short distance by the pushing device, so that the laryngeal nerve can be fully exposed in the operation visual field, and the follow-up operation of a doctor is facilitated.

Description

Auxiliary traction and pushing assembly for thyroid surgery

Technical Field

The invention relates to medical equipment, in particular to an auxiliary traction and push component for thyroid surgery.

Background

The retractor is an auxiliary tool which can fully expose the operative field in the surgical operation, clearly display the range of pathological changes, make the level of the local anatomy clear and the operation convenient, prevent the operation from damaging, and ensure the smooth operation.

The current clinical operation aiming at the larynx and the neck (such as thyroid operation) generally adopts a manual handheld retractor to perform traction; there are several disadvantages in surgery:

1. the fixed position is single and is not well adjusted.

2. Most of the retracting positions are concentrated on the throat, the retracting device is far away from the retracting wound part, and the pulling force is difficult to control.

3. Requiring manpower to draw is time consuming and laborious.

4. The operation space of the neck surgery is relatively small, the tissue structure is fine, the stretching exposure in multiple directions can exist for the exposure of the surgical field, and the hidden trouble that the personnel shortage and the operation of an operator are blocked are easily caused.

5. The recurrent laryngeal nerve is located behind the lateral side of the trachea, and the recurrent laryngeal nerve cannot be completely exposed by pure traction, so that an external instrument is required to actively push the trachea for a short distance to the opposite side of the operation. At present, a manual pushing/pulling mode is adopted, so that the continuity and stability of operation of an operator are difficult to ensure, and accidental nerve injury caused by pulling tissue slippage due to uneven exertion can be inevitable.

6. The limbs of the operator may press the head and face of the patient to form pressure sores due to fatigue and other reasons of manual operation, and the medical burden is increased for the patient.

Aiming at the defects, a retracting device with the brand name of 'Wei Labao' appears on the market, and the problems that the retracting device needs manpower to retract in the operation process, and is time-consuming and labor-consuming are mainly solved. It comprises a fixed supporting rod, a height adjuster, a tightening belt device, a hook plate and a connecting tension button. This equipment of retracting can fix the side reason at the operating table, and fixed position is comparatively single (only can be along the adjustment of operating table edge), and the tractive direction is single, adjusts machinery, and the equipment of retracting is far away and near different from retracting the wound, and the tractive dynamics is difficult to effective control.

Therefore, how to shorten the distance from the retracting device to the retracting wound so as to facilitate the adjustment of the later retracting, and simultaneously satisfy the multi-directional surgical field exposure and avoid pressure sores is a technical problem to be solved urgently at present.

Disclosure of Invention

The invention aims to provide an auxiliary traction and pushing assembly for thyroid surgery, which can automatically pull tissues such as skin, muscle, blood vessels and the like at a wound of a patient in the thyroid surgery through a traction device by additionally arranging a slide rail, a plurality of traction devices and a pushing device, so that a surgical field can be fully exposed; and pass the trachea through adding pusher and carry the bit distance to make return larynx nerve, lymphoid tissue etc. can fully expose in the operation field of vision, reduce the influence of assistant to the main sword, more be favorable to the continuity and the security of main sword doctor's operation, the slide rail is fixed reliable simultaneously, can prevent that the assistant from oppressing patient's head and face because of excessive fatigue in the operation, thereby avoids pressing the emergence of sore.

In order to realize the purpose of the invention, the invention adopts the following technical scheme: an auxiliary traction and push assembly for thyroid operations comprises a main body seat, a traction device and a push device, wherein the push device consists of a sliding block and a push mechanism, the traction device consists of a sliding block and a traction mechanism, the main body seat comprises a base, a support and a sliding rail for moving the sliding block, the upper part and the lower part of the support are respectively connected to the sliding rail and the base, and the sliding rail is annular; the sliding block slides along the sliding rail, and is provided with a fixing mechanism which is used for fixing the sliding block on the sliding rail; the pushing mechanism comprises a peripheral rotating seat, an overturning rod, a telescopic rod, a push piece and a screwing button, the peripheral rotating seat is arranged on the surface of the sliding block, the peripheral rotating seat can horizontally and circumferentially rotate on the surface of the sliding block, the tail end of the overturning rod is connected to the peripheral rotating seat in an overturning manner, the telescopic rod is in telescopic connection with the overturning rod, the push piece is arranged at the outer end part of the telescopic rod in an overturning manner, the screwing button is arranged at the connection part between the peripheral rotating seat, the overturning rod, the telescopic rod and the push piece, and the screwing button is used for; the retracting mechanism comprises a connecting belt, a hook piece and a winding structure; the winding structure is used for backward tightening of the connecting belt, the two ends of the connecting belt are connected with the winding mechanism and the drag hook sheet, and the fixing mechanism is used for fixing the sliding block on the sliding rail.

Preferably, the slide rail includes the inner rail, and the upper surface of inner rail is equipped with annular spacing groove, and the spacing groove is the "crack" type, and the slider bottom is equipped with spacing gyro wheel, and spacing gyro wheel shape is corresponding with the spacing groove and imbeds to the spacing inslot.

Preferably, the slide rail includes the outer rail, and on the outer rail was fixed in the inner rail, the outer rail was the annular, and the slider was equipped with outer spout, outer spout cover is established on the outer rail.

Preferably, the fixing mechanism is a limit knob, the limit knob is located on the sliding block, the bottom of the limit knob faces the outer sliding groove, and when the limit knob is screwed tightly, the bottom of the limit knob is pressed on the surface of the outer rail.

Preferably, the push sheet is in an ") shape, and the opening of the push sheet faces outwards.

Preferably, the winding structure comprises a winding drum, the shaft center of the winding drum is vertically arranged, and the side wall of the winding drum is connected with the connecting belt.

Preferably, the peripheral seat is in interference connection with the sliding block.

Preferably, the base is provided with a side seat, and the side seat comprises a side groove for buckling on an operating table side frame and a side knob for screwing and abutting on the side frame.

Preferably, be equipped with detachable interfacing apparatus between connecting band and the drag hook piece, interfacing apparatus reports including butt joint board, butt joint seat, butt joint round pin axle and activity plectrum, the butt joint board is fixed with butt joint seat and connecting band, and the setting of connecting bolt telescopic is at the both ends of butt joint seat, and activity plectrum is fixed mutually with butt joint round pin axle and synchronous activity, and drag hook piece one end is equipped with and is used for dismantling the butt joint slot of being connected with connecting bolt.

Compared with the prior art, the auxiliary traction and push component for thyroid surgery adopting the technical scheme has the following beneficial effects:

firstly, the auxiliary traction and pushing assembly for thyroid operations has the functions of traction and trachea side pushing. The auxiliary traction and pushing assembly comprises a track, a traction and pushing device and a traction device, the traction and pushing device and the traction device can be adjusted at multiple positions along the track, and a doctor can move the traction and pushing device and the traction device according to specific use conditions, so that the traction and side-pushing positions can be adjusted at will.

And secondly, the quantity of the retracting devices on the track can be increased or decreased randomly according to the size of the wound so as to meet the requirement of the field of view of the clinical operation. The pushing device is mostly one, and if the length of the side pushing is needed to be longer, the number of the pushing devices can be slightly increased.

The slide rail is annular, so that the retracting device can circumferentially move along the slide rail, the center of a circle of the slide rail on the retracting device is aligned to the wound to be retracted during operation, each retracting device can be identical to the retracting wound, the length and the force are close when the retracting device is ensured, and the control is convenient.

Drawings

FIG. 1 is a schematic view of an embodiment of an auxiliary pulling and pushing assembly for thyroid surgery according to the present invention.

Fig. 2 is a schematic view of the connection of the side stand to the operating table in the embodiment.

Fig. 3 is a schematic structural diagram of an auxiliary pulling and pushing assembly for thyroid surgery in an embodiment.

Fig. 4 is a schematic structural view of the retractor device of the embodiment.

Fig. 5 is a schematic structural diagram of the docking device in the embodiment.

Fig. 6 is a schematic structural view of the retractor blade of the embodiment.

Fig. 7 is a schematic structural diagram of the pushing device in the embodiment.

Fig. 8 is a schematic exploded view of the pushing device in the embodiment.

FIG. 9 is a schematic view of the connection between the slider and the slide rail in the embodiment.

FIG. 10 is a schematic structural diagram of a slider in the example.

FIG. 11 is a sectional view of the slider and the slide rail in the embodiment.

FIG. 12 is a schematic structural view of a ratchet device between the slider and the winding drum in the embodiment.

FIG. 13 is a combination diagram of an intermediate ratchet device according to an embodiment.

Fig. 14 is a partial enlarged view of a portion a in fig. 13.

FIG. 15 is a schematic view of the intermediate ratchet mechanism of the embodiment shown in isolation.

Fig. 16 is a partial enlarged view of a portion a in fig. 15.

Reference numerals: 1. an operating table; 10. a side frame; 2. a side seat; 20. a side knob; 21. a side groove; 3. a base; 4. a support; 5. a slide rail; 50. a support portion; 51. an inner rail; 510. a limiting groove; 52. an outer rail; 6. a slider; 61. limiting the idler wheel; 62. an outer chute; 620. a notch; 63. a limit knob; 7. a retracting device; 70. winding the roll; 71. a connecting belt; 72. a docking device; 720. a butt plate; 721. a docking station; 722. butting a pin shaft; 723. a movable poking sheet; 73. a hook sheet; 730. butting slots; 8. a pushing device; 80. a peripheral seat; 81. a turning rod; 82. a telescopic rod; 83. pushing the sheet; 84. the knob is screwed.

Detailed Description

The invention is further described below with reference to the accompanying drawings.

The auxiliary pulling and pushing assembly for thyroid surgery shown in fig. 1 to 3 comprises a main body seat, a plurality of pulling devices 7 and a pushing device 8, wherein the pushing device 8 comprises a sliding block 6 and a pushing mechanism, and the pulling device 7 comprises a sliding block 6 and a pulling mechanism.

As shown in fig. 3, the main body seat comprises a base 3, a support 4 and a pushing device 8, the movable sliding rail 5 is connected to the sliding rail 5 and the base 3 respectively from top to bottom, the sliding rail 5 is annular, the support 4 is composed of four telescopic cylindrical rods with length, the height of the sliding rail 5 can be adjusted by the support 4 through adjusting the length, and therefore the height of the retracting device 7 and the height of the pushing device 8 are adjusted. The telescopic structure of cylinder pole is similar to the pole clamp of sitting of present sharing bicycle (publication number CN 208931497U), restricts the activity of two root canals through the splint activity to adjustment cylinder pole length realizes this device and is applicable to different size patients' mesh with this.

As shown in fig. 9 to 11, the slider 6 slides along the slide rail 5, and the slider 6 is provided with a fixing mechanism for fixing the slider 6 on the slide rail 5. The slide rail 5 comprises an inner rail 51, an annular limiting groove 510 is arranged on the upper surface of the inner rail 51, and is mainly used for embedding a limiting roller 61 at the bottom of the slide block 6, so that the position of the slide block can be freely adjusted on the inner rail 51 in a sliding manner, and the limiting groove 510 is in an 'overlapping' shape and is used for limiting the front of the slide block 6, so that the slide block 6 is prevented from being separated from the track when freely sliding.

As shown in fig. 9 and 11, the slide rail 5 further includes an outer rail 52, the outer rail 52 is fixed on the inner rail 51, the outer rail 52 is annular according to the shape of the main body seat, and mainly in order to make the outer sliding groove 62 on the slide block 6 firmly fit on the outer rail 52 and freely slide and adjust the orientation, the slide block 6 is provided with a fixing mechanism, the fixing mechanism is a limit knob 63, the bottom of the limit knob 63 faces the outer sliding groove 62, when the limit knob 63 is screwed, the bottom of the limit knob 63 is pressed on the surface of the outer rail 52 to fix the orientation, so that the operation is convenient.

As shown in fig. 4, the retracting mechanism includes a connecting band 71, a pulling hook piece 73, a docking device 72 and a winding structure for winding up the connecting band 71, the two ends of the connecting band 71 are connected to the winding mechanism and the pulling hook piece 73, and the fixing mechanism is used for fixing the sliding block 6 on the sliding rail 5.

The retracting device 7 can be adjusted at a plurality of positions along the track 5 through the sliding block 6, and a doctor can move the retracting device 7 according to specific use conditions, so that the retracting position can be adjusted at will. The quantity of the retracting devices 7 on the track 5 can be increased or decreased randomly according to the size of the wound so as to meet the requirement of the field of view of the clinical operation. The slide rail 5 is annular, so that the retracting device 7 can circumferentially move along the slide rail, the center of a circle of the slide rail on the retracting device 7 is only needed to be aligned to the wound to be retracted during the operation, each retracting device 7 can be identical to the retracting wound, the length and the force are close to each other during the retracting process, and the control is convenient.

As shown in fig. 4 and 5, the docking device 72 includes a docking plate 720, a docking seat 721, a docking pin 722, and a movable pulling piece 723, the docking plate 720 is fixed to the docking seat 721 and the connecting band 71, the docking pin 722 is telescopically disposed at two ends of the docking seat 721, the movable pulling piece 723 is fixed to the docking pin 722 and synchronously moves, and one end of the pulling hook 73 is provided with a docking slot 730 for detachably connecting to the docking pin 722. In practice, the pull tab 73 often has to be of different widths to achieve different retraction areas and forces. After the docking device 72 is added, each retractor device 7 can be docked with a different size of hook tab 73. When the device is used, the two movable poking pieces 723 are pushed inwards by the forefinger and the thumb, so that the butt joint pin shaft 722 is retracted inwards into the butt joint seat 721, the butt joint seat 721 is placed between the two butt joint slots 730 of the drag hook sheet 73, the movable poking pieces 723 are loosened to enable the butt joint pin shaft 722 to be popped out and inserted into the butt joint slots 730, and the detachable connection between the butt joint device 72 and the drag hook sheet 73 is completed.

As shown in fig. 12 to 16, the winding mechanism includes a winding drum 70, the top of the winding drum 70 is designed as a rotary twist switch structure, the middle of the winding drum 70 is provided with a connecting wall for being pinched by a thumb and a forefinger, the axial center of the winding drum 70 is vertically arranged on the sliding block 6, and the side wall of the winding drum 70 is connected with a connecting belt 72, so as to facilitate the adjustment of the fixing position and the fixing of the hook piece 73 before the operation.

A ratchet device is arranged below the winding drum 70 and is used for unidirectional rotation of the winding drum 70; the ratchet mechanism includes a spring, ratchet teeth 701, and pawl teeth 702. The ratchet teeth 701 are arranged on the side surface of the winding drum 70, the ratchet teeth 701 rotate synchronously with the winding drum 70, and the ratchet teeth 701 are rigid structures, so that when the ratchet teeth 701 contact with the pawl teeth 702, the ratchet teeth 701 cannot move under pressure. The ratchet teeth 702 are arranged on the inner wall of the rotating groove of the sliding block, when the inclined surface of the ratchet teeth 701 contacts the inclined surface of the ratchet teeth 702, the ratchet teeth 702 are compressed into the inner wall of the rotating groove, so that the ratchet teeth 701 can pass through, therefore, when the hook piece 72 needs to be pulled tightly, the connecting belt 71 can be wound to the side wall of the winding drum 70 only by the aid of the one-way rotation winding drum 70, the vertical surface of the ratchet teeth 701 is clamped on the vertical surface of the ratchet teeth 702 after hands are loosened, and the winding drum 70 cannot rotate automatically.

When it is desired to adjust the pulling tension of the take-up spool 70, the take-up spool 70 can be freely rotated by simply depressing the take-up spool 70 until the ratchet teeth 701 and the pawl teeth 702 are misaligned (see FIGS. 15 and 16). After the hand is released, the winding drum 70 automatically springs upwards under the action of the spring until the ratchet teeth 701 and the pawl teeth 702 are combined, and the winding drum 70 automatically changes into a one-way rotating state (as shown in fig. 13 and 14).

As shown in fig. 7 and 8, the pushing mechanism comprises a revolving base 80, a turning rod 81, an expansion link 82, a pushing piece 83 and a screwing button 84, the revolving base 80 is arranged on the surface of the sliding block 6, the revolving base 80 can horizontally and circumferentially rotate on the surface of the sliding block 6, the tail end of the turning rod 81 is connected to the revolving base 80 in a turning way, the expansion link 82 is telescopically connected with the turning rod 81, the pushing piece 83 is arranged at the outer end part of the expansion link 82 in a turning way,

the peripheral rotary seat 80 is used for adjusting the angle of the push piece 83, so that the push piece 83 can be accurately aligned with the trachea.

The turning rod 81 can be turned relative to the peripheral turning seat 80 to adjust the inclination angle of the push piece 83,

the telescopic rod 82 can be extended and retracted relative to the turning rod 81, so as to adjust the extending length of the pushing piece 83 and the distance for pushing the air pipe away, which are also adjusted by the telescopic rod 82.

The push piece 83 is arranged at the outer end of the telescopic rod 82, and the push piece 83 can be turned over to adjust the angle, so that the push piece 83 can be aligned to the side wall of the air pipe in a horizontal state, the contact area between the push piece 83 and the air pipe is ensured to be the largest, and the pressure applied to the surface of the air pipe by the push piece 83 is reduced.

The screwing button 84 is arranged at the joint between the peripheral rotating seat 80, the turning rod 81, the telescopic rod 82 and the pushing sheet 83, and the screwing button 84 is used for limiting the telescopic lengths of the turning rod 81 and the telescopic rod 82 and the rotating angle of the pushing sheet 83.

The pushing piece 83 is in an ") shape, the opening of the pushing piece 83 faces outwards, the arc diameter of the pushing piece 83 is about 35mm (the diameter of an adult trachea), and after the pushing piece 83 is in an arc shape, the area of the pushing piece in contact with the trachea is the largest, the pushing piece can be accurately attached to the wall of the trachea, the pressure of the pushing piece 83 on the trachea is reduced to the maximum extent, and pain is reduced.

In this embodiment, the interference is connected between turnover seat 80 and the slider 6, through the mode of increase frictional force, improves the rotatory resistance of week swivel mount 80, and at the in-process again, because its resilience force is less after the trachea side pushes away, consequently can realize the restriction of week swivel mount 80 angle through interference fit, and accommodation process convenient and fast.

As shown in fig. 2, the base 3 is equipped with the side seat 2, the side seat 2 includes side groove 21 and side knob 20, when the user places the adjustment seat on the operating table 1, can aim at the side frame 10 of operating table 1 side with the side groove 21 of side seat 2, make the side frame 10 detain in the side groove 21, through screwing the side knob 20, let the side knob 20 compress tightly on the side frame 10, can accomplish the fixed at side seat 2 with operating table 1 edge, with fixed and the stability of improving whole adjustment seat bottom, avoid the adjustment seat to accidentally bump in the operation process. The side seats 2 are positioned in front of and at the left and right sides of the base 3, and can firmly fix the front and both sides of the base 3 on the side frame 10 of the operating table 1.

In practical use, the auxiliary pulling and pushing assembly for thyroid surgery in this embodiment specifically includes the following steps:

1. mounting the main body frame on the operating table 1, fastening the side groove 21 on the side seat 2 on the side frame 10, and fixing on the side frame 10 on the operating table 1 by using the side knob 20

2. The height of the support 4 is adjusted so that the slide rail 5 is positioned above the neck of the patient, and then the splint is pressed down to fix the length of the cylindrical rod.

3. The retracting device 7 and the pushing device 8 are taken out, the sliding block 6 is inserted into the inner rail 51 of the sliding rail 5, the limiting roller 61 is embedded into the limiting groove 510 in the inner rail 51, the outer sliding groove 62 is fastened to the outer rail 62, the whole sliding block 6 is combined with the sliding rail 5 and can freely slide on the sliding rail 5, finally, after the position required by the operation is reached, the limiting knob 63 is screwed, the limiting knob 63 is tightly pressed on the surface of the outer rail 52, the positioning of the sliding block 6 is completed, and the retracting device 7 and the pushing device 8 are relatively fixed on the sliding rail 5.

4. The retracting device 7 is operated, the long connecting belt 72 is taken out of the winding drum 70, the winding drum 70 is rotated on one side by rotating the twist switch, the length of the connecting belt 72 is continuously shortened, the hook piece 73 is buckled into the position to be retracted of the wound and fixed, the twist switch on the winding drum 70 is twisted, and the connecting belt 72 pulls the hook piece 73 to achieve the purpose of retraction.

5. After the superficial skin and muscle are retracted, the pushing device 8 is operated, the peripheral rotating seat 80 is rotated to enable the pushing piece 83 to be aligned with the side wall of the trachea, then the inclined angle is adjusted to screw the screwing button 84 at the tail end of the turnover rod 81, the length of the telescopic rod 82 is adjusted until the pushing piece 83 pushes the trachea away and the laryngeal nerve is completely exposed, then the screwing button 84 on the telescopic rod 82 and the pushing piece 83 is locked, and the overall fixation of the pushing device 8 is completed.

The foregoing is a preferred embodiment of the present invention, and it will be apparent to those skilled in the art that various changes and modifications may be made without departing from the spirit of the invention, and these should be considered to be within the scope of the invention.

Claims (8)

1. An auxiliary traction and push assembly for thyroid surgery is characterized in that: comprises a main body seat, a retracting device (7) and a pushing device (8), wherein the pushing device (8) consists of a sliding block (6) and a pushing mechanism, the retracting device (7) consists of a sliding block (6) and a retracting mechanism,

the main body seat comprises a base (3), a support (4) and a sliding rail (5) for moving the sliding block (6), the upper part and the lower part of the support (4) are respectively connected to the sliding rail (5) and the base (3), and the sliding rail (5) is annular;

-the slide (6) slides along the slide (5), the slide (6) being provided with fixing means for fixing the slide (6) on the slide (5);

the retracting mechanism comprises a connecting belt (71), a pulling hook sheet (73) and a rolling structure; the winding structure is used for tightening the connecting belt (71) backwards, two ends of the connecting belt (71) are connected with the winding structure and the pull hook piece (73), and the fixing mechanism is used for fixing the sliding block (6) on the sliding rail (5);

the pushing mechanism comprises a peripheral rotating seat (80), a turnover rod (81), a telescopic rod (82), a pushing piece (83) and a screwing button (84), the peripheral rotating seat (80) is arranged on the surface of the sliding block (6), the peripheral rotating seat (80) can horizontally and circumferentially rotate on the surface of the sliding block (6), the tail end of the turnover rod (81) is connected to the peripheral rotating seat (80) in a turnover mode, the telescopic rod (82) is in telescopic connection with the turnover rod (81), the pushing piece (83) is arranged at the outer end of the telescopic rod (82) in a turnover mode, the screwing button (84) is arranged at the connection position between the peripheral rotating seat (80), the turnover rod (81), the telescopic rod (82) and the pushing piece (83), and the screwing button (84) is used for limiting relative movement of the;

the base (3) is provided with a side base (2), and the side base (2) comprises a side groove (21) used for being buckled on a side frame (10) of the operating table (1) and a side knob (20) used for being screwed and abutting against the side frame (10).

2. The auxiliary pulling and pushing assembly for thyroid surgery according to claim 1, wherein: slide rail (5) are equipped with annular spacing groove (510) including inner rail (51), inner rail (51)'s upper surface, and spacing groove (510) are the "crack" type, and slider (6) bottom is equipped with spacing gyro wheel (61), and spacing gyro wheel (61) shape is corresponding and imbeds to spacing groove (510) in with spacing groove (510).

3. The auxiliary pulling and pushing assembly for thyroid surgery according to claim 2, wherein: slide rail (5) are including outer rail (52), and outer rail (52) are fixed in on interior rail (51), and outer rail (52) are the annular, and slider (6) are equipped with outer spout (62), outer spout (62) cover is established on outer rail (52).

4. The auxiliary pulling and pushing assembly for thyroid surgery according to claim 3, wherein: the fixing mechanism is a limiting knob (63), the limiting knob (63) is located on the sliding block (6), the bottom of the limiting knob (63) faces the outer sliding groove (62), and when the limiting knob (63) is screwed tightly, the bottom of the limiting knob (63) is pressed on the surface of the outer rail (52).

5. The auxiliary pulling and pushing assembly for thyroid surgery according to claim 3, wherein: the push sheet (83) is in an', and the opening of the push sheet (83) faces outwards.

6. The auxiliary pulling and pushing assembly for thyroid surgery according to claim 1, wherein: the winding structure comprises a winding drum (70), the axis of the winding drum (70) is vertically arranged, and the side wall of the winding drum (70) is connected with a connecting belt (71).

7. The auxiliary pulling and pushing assembly for thyroid surgery according to claim 1, wherein: the peripheral rotary seat (80) is in interference connection with the sliding block (6).

8. The auxiliary pulling and pushing assembly for thyroid surgery according to claim 1, wherein: be equipped with detachable interfacing apparatus (72) between connecting band (71) and drag hook piece (73), interfacing apparatus (72) report including butt joint board (720), butt joint seat (721), butt joint round pin axle (722) and activity plectrum (723), butt joint board (720) are fixed with butt joint seat (721) and connecting band (71), and butt joint round pin axle (722) telescopic setting is at the both ends of butt joint seat (721), and activity plectrum (723) is fixed mutually and synchronous activity with butt joint round pin axle (722), and drag hook piece (73) one end is equipped with butt joint slot (730) that is used for can dismantle the connection with butt joint round pin axle (722).

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