CN115177846B - Tension-free feeling balloon and device using same - Google Patents
Tension-free feeling balloon and device using same Download PDFInfo
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- CN115177846B CN115177846B CN202210863855.1A CN202210863855A CN115177846B CN 115177846 B CN115177846 B CN 115177846B CN 202210863855 A CN202210863855 A CN 202210863855A CN 115177846 B CN115177846 B CN 115177846B
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- 235000004611 garlic Nutrition 0.000 claims description 3
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1002—Balloon catheters characterised by balloon shape
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1011—Multiple balloon catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
- A61M25/1018—Balloon inflating or inflation-control devices
- A61M25/10181—Means for forcing inflation fluid into the balloon
- A61M25/10182—Injector syringes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
- A61M29/02—Dilators made of swellable material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1067—Anus
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Child & Adolescent Psychology (AREA)
- Vascular Medicine (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
The application relates to a non-tension feeling balloon and a device using the balloon, comprising: the hollow tube is provided with holes the same as the small bags in number, and the inside of each small bag is communicated with the inside of the hollow tube through the holes respectively; one end of the hollow tube is closed, the other end is open, and the open end is connected with the catheter; the pouch is made of a tensionless material. The application can simulate the excrement storage process more truly, stimulate the anorectal proprioception, and provide more scientific, objective and effective detection data for clinical diagnosis and treatment; the function of simulating physiological excrement storage is used for clinical treatment, the anorectal proprioceptive function is aroused, the nerve access of anorectal sense is restored, the sense pain caused by the discomfort of the anus due to nerve factors is relieved, and the excrement function is promoted to be recovered.
Description
Technical Field
The application relates to the technical field of anorectal, pelvic floor and constipation disease medical rehabilitation, in particular to a tension-free feeling balloon and a device using the balloon, which can be used for tension-free anorectal proprioceptive testing and training and are mainly applicable to patients with anorectal dysesthesia, constipation, anal pain, pelvic floor and anus operation, pelvic floor and anus trauma and post-trauma operation.
Background
It is a proprioception and visceral sensation produced by the nervous system at the cerebral cortex upon rectal inflation. Patients with anorectal proprioception have reduced stool meaning, no stool meaning or stool meaning sensitivity, clinical manifestations of difficult defecation, constipation, stool meaning sensitivity, incontinence, anal pain, unsmooth defecation, less frequent and uncomfortable defecation, and the like. Patients often suffer from long-term trouble, can not cure for a long time, can not say, even affect normal life, work and study, and serious patients can have symptoms such as anxiety, depression and the like. Complicated disease causes and high treatment difficulty. The anorectal feeling examination means in clinic mostly adopts anorectal pressure measurement, and the corresponding patient anorectal feeling is obtained through the value of the air injection of the pressure balloon, and the result is acquired; the numerical value of the rectal compliance is obtained through the ratio of the intestinal cavity pressure change to the volume change in the air injection process of the pressure balloon, and is an important functional index for evaluating the sensory function of the anus and rectum and the rectal compliance. Because the pressure balloons used in clinic at present are tension balloon devices, after the balloon is inflated, the tension balloon is not expanded in tension or pressed on the local rectum wall at an uncertain position, namely, the testing method of the tension balloon has deviation from the real physiological excrement storage process of a human body, so that the tested anorectal proprioception or rectal compliance has a certain false value, and the uncertain influence is brought to diagnosis and treatment, so that the treatment effect is not ideal and the illness state is delayed.
Disclosure of Invention
The application aims to provide a non-tension feeling balloon and a device using the balloon, which can simulate the excrement storage process more truly, stimulate the anorectal proprioception and provide more scientific, objective and effective detection data for clinical diagnosis and treatment; the function of simulating physiological excrement storage is used for clinical treatment, the anorectal proprioceptive function is aroused, the nerve access of anorectal sense is restored, the sense pain caused by the discomfort of the anus due to nerve factors is relieved, and the excrement function is promoted to be recovered.
In order to achieve the above purpose, the present application provides the following technical solutions:
in a first aspect, the present application provides a non-stretch sensory balloon comprising: the hollow tube is provided with holes the same as the small bags in number, and the inside of each small bag is communicated with the inside of the hollow tube through the holes respectively; one end of the hollow tube 12 is closed, the other end is open, and the open end is connected with a catheter; the pouch is made of a tensionless material.
The sum of the volumes of all the sachets is 800-1100mL, and the length of the sachets is 70-90mm.
The small bags are adjacent to each other but are provided with gaps, and connecting pipes are arranged at positions, corresponding to the holes, on the small bags and the hollow pipes, so that the small bags can be communicated with the inside of the hollow pipes and can be fixed on the hollow pipes, all the small bags are uniformly distributed along the circumferential direction and are not overlapped with each other, a sphere cone structure is integrally formed, and air injection or water injection is carried out on the small bags through the hollow pipes.
All the sachets are in the shape of garlic bulbs as a whole.
The large diameter ends of all the small bags are fixed on a fixed sheet, and the fixed sheet is fixed with the hollow tube; the small diameter end of the small bag is tightly attached to the hollow tube.
The number of the small bags is 3-5.
The tensionless feeling balloon further comprises a C-shaped guide rod, one end of the C-shaped guide rod is provided with a C-shaped frame, the C-shaped frame is provided with a C-shaped opening, the C-shaped opening is clamped on a guide pipe at the connecting position of the hollow pipe and the guide pipe, the other end of the C-shaped guide rod is a hard rod, the length of the hard rod is 150-180mm, the diameter of the hard rod is smaller than the outer diameter of the C-shaped frame, and the hard rod is fixedly connected with the end face of the C-shaped frame into a whole.
The tensionless feeling balloon further comprises a sleeve, the sleeve is sleeved on the outer surfaces of the plurality of small balloons, the tail end of the sleeve is stopped near the C-shaped frame of the C-shaped guide rod, and the sleeve is clung to or fixed on the C-shaped frame; all the sachets are in a storage state when no air injection or water injection is carried out, when the novel catheter is used, the open end of the hollow tube is connected with the flexible catheter 3, the C-shaped frame part wraps the catheter 3 and is in butt joint with the tail end of the hollow tube, and the hard rod of the C-shaped guide rod is arranged in parallel with the length direction of the catheter.
In a second aspect, the present application provides a device using the tensionless sensory balloon described above.
In a third aspect, the present application provides a non-tensile anorectal proprioception testing and training device comprising:
a tensionless sensory balloon, the balloon body part of the tensionless sensory balloon is made of tensionless polypropylene material,
the neck part, the proximal end and the tension-free feeling balloon are connected, the distal end is connected with the catheter, the caliber of the neck part is gradually narrowed from the joint of the tension-free feeling balloon, the diameter of the neck part is equivalent to that of the catheter, and after the middle part of the neck part of the balloon is bound by the medical thin wire, the far end part is turned over to cover and bind the thin wire;
the catheter is made of medical rubber materials;
the three-way pipe is made of medical polyethylene material, is connected with the catheter and the gas injection pipe orifice,
the three-way switch is made of medical polyethylene materials;
the gas injection pipe orifice is made of medical polyethylene materials;
the gas injection device is a medical disposable sterile screw-port injector;
the gas injection pipe orifice is connected with a gas injection device.
Compared with the prior art, the application has the beneficial effects that:
the application discloses a tension-free feeling saccule which is made of polypropylene plastics, has certain flexibility, is in a ball cone shape with a set volume during manufacturing, and can slowly support the saccule after gas or liquid is injected into the saccule, the shape can follow the inner wall of a rectum, the accumulation process of excrement can be simulated due to the follow-up effect, the pressure is dispersed, each saccule is communicated by a hollow pipe, the saccule can be simultaneously expanded to reach the set volume, gaps are reserved among the saccules, and intestinal fluid and gas in a body can be discharged through the gaps. If one of the small bags is broken, substances in the small bag can be slowly discharged due to small explosion shock waves, and after one small bag is broken, the other three small bags are slowly released from the break, so that intestinal damage is avoided, and the phenomenon that the intestinal tract is damaged due to large shock waves generated when a single bag body is used for explosion is avoided.
The non-tension feeling saccule of the application has the advantages that water is added into the saccule to simulate faeces in the recovery period after the rectal operation, which plays a role in expanding intestinal anastomosis and prevents the contracture process (scar of the anastomosis).
The design of the tension-free saccule has simple structure and convenient operation, and enables the testing process to be closer to the human body excrement storage functional state, so the testing data is more accurate and effective, and the method has more significance for clinical diagnosis and treatment; the operation method is simple and easy to learn, and is also suitable for long-term family rehabilitation training treatment of patients. By using the device for planned rehabilitation and training, the initial feeling of the anorectum can be gradually awakened, the defecation feeling of the anorectum can be regulated, the nerve access of the anorectum can be restored, and the rehabilitation of abnormal anorectum feeling can be promoted. For patients with anus or rectum stenosis or anastomotic stoma stenosis caused by few clinical operations and trauma, the tension-free expansion effect of the device can effectively expand and treat the patients, reduce pain and distention discomfort of the patients, and also lead the patients who have failed to expand by other instruments to be treated well. In addition, the non-tension balloon component of the device can be used for connecting an anorectal pressure measuring instrument, so that the rectal compliance test result in the anorectal pressure measuring content is more accurate.
This patent simple structure, convenient operation, the tension-free design makes anorectal pressure test more be close to human physiology stores up just state, and the tension-free pressure stimulus is more true to restore anorectal proprioceptive reflex process, provides more objective real effective data for the clinic, guides the formulation of clinical diagnosis and treatment scheme better, in further clinical treatment and the family rehabilitation training, uses this patent tension-free pressure stimulus reflection, under planned treatment planning, the effect is obvious.
The tensionless anorectum proprioception testing device has the advantages that the tensionless saccule length and volume meet the requirement that the saccule is tensionless filled and expanded in the anorectum intestinal cavity after water injection, the excrement storage process of a normal physiological state of a person is reflected more truly, and the neuroproprioception response of the anorectum under certain pressure stimulation is presented truly. The device is convenient to operate independently; is suitable for family training and rehabilitation therapy. In addition, the application of the patent not only mainly tests the proprioception, trains the anorectal sensory function and carries out rehabilitation treatment, but also can connect with an anorectal pressure measuring instrument at the non-tension sensory saccule part of the device, thereby leading the compliance detection to more accurately reflect the functional state. The existing clinical practice is that the tension balloon is used for anorectal pressure measurement, and the pressure generated by the contact part of the spherical crown filled by the tension balloon and the intestinal cavity after air injection activates nerve reflection under certain pressure stimulation, so that the ratio of the generated anorectal volume to pressure change is called anorectal compliance and reflects the functional state of the anorectal; however, due to the limitation of the tension property of the tension balloon, the deviation between the numerical value of the pressure and the volume and the actual physiological process is too large, so that the tension-free balloon of the pressure measuring device is connected with an anorectal pressure measuring instrument, and the measured anorectal compliance reflects the actual functional state more objectively, and the measured numerical value is more accurate. The device is also used for patients with anal stenosis or anastomotic stoma stenosis after colorectal surgery; the expansion property of the tensionless saccule skillfully avoids the wound or the anastomotic site, and the tensionless saccule fills in the low-pressure space of the intestinal cavity under inflation or water injection, so that the patient is prevented from suffering, and the aim of effective expansion is achieved clinically.
Drawings
Fig. 1 is a schematic perspective view of one embodiment of a tensionless sensory balloon of the present application.
Fig. 2 is a schematic view showing a partial perspective structure of a C-shaped guide roll according to an embodiment of the non-tension sensory balloon of the present application.
FIG. 3 is a schematic view of the connection structure of the non-tension sensory balloon and the catheter according to the present application.
Fig. 4 is an exploded view showing the connection structure of the non-tension sensory balloon and the catheter according to the present application.
FIG. 5 is a schematic view showing a state in which one embodiment of the non-stretch sensory balloon of the present application is connected to an air injection device.
FIG. 6 is a relative dimensional view of the portions of one embodiment of a non-stretch sensory balloon of the present application coupled to an inflatable device.
In the figure: 1 non-tension feeling saccule, 2 neck, 3 conduit, 4 three-way pipe, 5 three-way switch, 6 gas injection pipe orifice, 7 gas injection device, 11 small bag, 12 hollow pipe and 13C type guide rod.
Detailed Description
The present application is further explained below with reference to examples and drawings, but is not limited thereto.
The application provides a non-tension sensory balloon (see fig. 1) comprising: the hollow tube is provided with holes the same as the small bags in number, and the inside of each small bag is communicated with the inside of the hollow tube through the holes respectively; the hollow tube 12 is closed at one end and open at the other end, with the open end being connected to a conduit through which the pouch is filled with air or water.
The small bags are adjacent to each other but are provided with gaps, each small bag is fixed on the hollow pipe, and connecting pipes are arranged at positions, corresponding to the holes on the hollow pipe, of the small bags, so that the small bags can be communicated with the inside of the hollow pipe and can be fixed on the hollow pipe, all the small bags are uniformly distributed along the circumferential direction and are not overlapped with each other, and a sphere cone structure, such as the shape of a garlic, is integrally formed.
Preferably, the large diameter ends of all the sachets are fixed on a fixed sheet which is then fixed with the hollow tube; the small diameter end of the small bag is tightly attached to the hollow tube.
Further, the number of the small bags is 3-5, and the small bags can be arranged in multiple directions to act with a human body respectively when in use, so that the acting force is more uniform.
Further, the small bags are filled with air, the small bags are provided with arc-shaped angles, the volume of each small bag is fixed, the wall surface of each small bag is tension-free and has certain flexibility, the small bags can undulate along with the intestinal wall, the small bags have shape following effects, and when the air injection or water injection reaches the set volume of the small bag, the volume of the small bag which is continuously injected with air or water is not changed any more, namely, the small bag is not changed like a balloon made of rubber, and the volume is not changed all the time.
The tensionless feeling balloon further comprises a C-shaped guide rod 13, one end of the C-shaped guide rod 13 is provided with a C-shaped frame, the C-shaped frame is provided with a C-shaped opening, the C-shaped opening is clamped on a guide pipe at the connecting position of the hollow pipe and the guide pipe, the other end of the C-shaped guide rod 13 is a hard rod, the length of the hard rod is about 150-180mm, the diameter of the hard rod is smaller than the outer diameter of the C-shaped frame, and the hard rod is fixedly connected with the end face of the C-shaped frame into a whole.
The tensionless feeling saccule also comprises a sleeve (not drawn in the figure), the sleeve is sleeved on the outer surfaces of the small sacks, all small sacks are integrally contained, the sleeve gradually sleeves the small sacks from the front end (namely, one end entering a human body) to the side where the C-shaped guide rod 13 is positioned, the small sacks are in a compressed state, the tail end of the sleeve is stopped near the C-shaped frame of the C-shaped guide rod 13, the sleeve is tightly attached to the C-shaped frame, after the sleeve stretches into place, the C-shaped guide rod 13 is pulled backwards to be pulled out together with the sleeve, the C-shaped frame is opened, the C-shaped guide rod 13 is dismounted, and all small sacks are injected with air or water through the hollow tube for relevant test or training.
Preferably, all the sachets are in a storage state when no air injection or water injection is carried out, when the hollow tube is used, the open end of the hollow tube is connected with the flexible catheter 3, the C-shaped frame part wraps the catheter 3 and is in butt joint with the tail end of the hollow tube, and the hard rod of the C-shaped guide rod 13 is arranged in parallel with the length direction of the catheter 3, so that the tension-free feeling saccule 1 is assisted to extend into an expansion part and can effectively exit after extending into place.
The device using the tension-free feeling balloon is a tension-free anorectal proprioception testing and training device, comprising:
the tensionless sensory balloon 1 is characterized in that the balloon body part is made of tensionless polypropylene, the length of the balloon body part is 80mm, the hard rod of the C-shaped guide rod is long enough and about 15-18cm, so that the balloon is completely placed in an anorectal part, the balloon expansion space is large, and after the tensionless sensory balloon 1 is inflated or watered, the balloon is inflated uniformly, and the set volume is 800-1100ml;
the neck 2, the proximal end is connected with the tension-free feeling balloon 1, the distal end is connected with the catheter 3, the caliber of the neck is gradually narrowed from the joint of the tension-free feeling balloon 1, the diameter of the distal end is 0.6-0.8cm, the diameter of the distal end is the same as or slightly larger than that of the catheter, and after the middle part of the neck of the balloon is bound by the medical fine wire, the binding fine wire is covered by the distal end in a turnover manner, so that the binding effect is strengthened, and the friction of the binding wire on the intestinal wall is reduced;
the catheter 3 is made of medical rubber materials, has the diameter of 0.2cm and the length of 30-50cm, and is suitable for independent operation of patients;
the three-way pipe 4 is made of medical polyethylene material, is connected with the guide pipe 3 and the gas injection pipe orifice 6,
the three-way switch 5 is made of medical polyethylene materials;
the gas injection pipe orifice 6 is made of medical polyethylene materials;
the gas injection device 7 is a medical disposable sterile screw-mouth injector, and has the specification of 20-100 ml.
The proximal end of the catheter 3 is connected with a tensionless feeling balloon, and after the catheter is firmly sleeved and connected with the neck 2, the catheter is tied and reinforced by a medical surgical No. 2 suture line, the distal end of the catheter 3 is connected with a three-way pipe 4, one end of the other two ends of the three-way pipe 4 is communicated with a rotary switch 5, the other end of the three-way pipe is communicated with an air injection pipe orifice 6, and when the operation is performed, the air injection pipe orifice 6 is connected with an air injection device 7, and a 50 ml-specification medical disposable injector is generally used. The patient needs to expose buttocks, properly lubricate the tension-free feeling saccule, bring the tension-free feeling saccule into anus to rectum ampulla, connect the air injection pipe mouth 6 after the air injection device 7 evacuates 50ml, open the three-way switch 5 to make the near-far end connecting component of the three-way pipe 4 be in a communicating state (that is, the conduit 3 is communicated with the air injection device 7), slowly push the syringe needle handle of the air injection device 7 to inject air, if a large amount of air injection is needed, firstly close the three-way switch 5, remove the syringe of the air injection device 7, again extract air in the same way, connect the air injection pipe mouth 6 again, then open the three-way switch 5, slowly inject air, the switch operation is simple and flexible, and the air injection amount is accurate. The non-tension feeling saccule which is taken into the anus is inflated slowly and in a non-tension way in the anorectum and intestinal cavity, after a certain volume is reached, the patient can feel initially, the gas injection quantity value at the moment is scientific and objective data which are closer to the physiological state of the patient, the saccule is inflated in the non-tension way in the intestinal cavity, the physiological process of human body excrement storage is reduced more truly, and when initial feeling is generated, the inflation quantity is an objective value with clinical significance at the moment. If the treatment training is continued, after the initial feeling appears, the patient stays for 5-10 seconds, after the patient fully experiences the initial feeling under inflation, the patient continues to slowly inflate, the patient stops inflating when the patient gradually appears the defecation feeling, and after the patient fully experiences the defecation feeling under inflation for 5-10 seconds, the switch is turned on to deflate. After deflation, rest for 1 minute, complete 1 cycle of inflation sensation training. Sensory training is performed 1-2 times per day, about 10 cycles each time, the gas injection amount is gradually increased and decreased according to the effect in a circulating way, about 10-20 minutes each time, and 1 treatment course is 2 weeks. The diagnosis of patients is clear, the treatment is symptomatic, the training method is correct, and the effects are generally achieved in 1-2 courses of treatment.
The tensionless sensory balloon is long enough and the volume capacity after opening is large enough to ensure that the balloon body has no tensional expansion in the intestinal lumen after inflation.
The gas injection pipe orifice 6 is made of a hard polyethylene material, the pipe orifice is in spiral connection with a gas injection device (7), namely, the medical disposable sterile spiral-orifice syringe is screwed up at the spiral positions at two ends, the polyethylene material is used for guaranteeing that the pressure of repeated use is born, the spiral connection position is tight, loose and air leakage is not easy, the operation is simple and sensitive, and the device is economical and practical.
The patient is tested and emptied and urinated before training, whether the devices such as the tension-free sensing saccule, the catheter, the three-way pipe and the like are good or not is checked, the tension-free sensing saccule is free from damage, the catheter is free from twisting and bending, all parts are connected and free from loosening, the inflation is normal, and whether air leakage exists or not is checked. The training can be performed in sitting position, lying position and standing position. The patient takes off trousers to expose buttocks, takes a semi-squatting position or a lateral lying position, takes a disposable latex glove by an operator, lubricates the balloon end of the catheter by a proper amount of lubricating oil, and brings the anus into the ampulla of the rectum, and the depth is about 7-10 cm. The tension-free feeling balloon is taken in along the straight intestine direction, and is assisted by the C-shaped guide rod and the sleeve to be sent in, so that the balloon body can be prevented from being clustered or turned, folded and twisted, and the like. The three-way switch 5 (i.e. the ventilation switch knob) is closed, after the injector pumps 50ml of gas, the gas injection pipe orifice is connected, and the three-way switch 5 is opened to slowly inject gas. When the patient has initial feeling, the gas injection quantity value is scientific and objective data which is closer to the physiological state of the patient, the three-way switch 5 is closed to stop gas filling, after the feeling experience is enhanced for 5-10 seconds, the slow gas filling is continued, when the patient has defecation feeling, the three-way switch 5 is closed to stop gas filling, the gas filling is again maintained for 5-10 seconds, the gas is discharged after the feeling experience is enhanced, and the rest is finished for 1 minute. The training was repeated 10 times. For patients with weaker feeling or no sense of incongruity, the inflation quantity is gradually decreased from the maximum perceived quantity for training; the patient with sensitive feeling is trained by gradually increasing the inflation quantity from the minimum perception quantity. Training is carried out 1-2 times per day for 10-20 minutes each time, 1 treatment course for 2 weeks, under the guidance of doctor or following doctor's advice. The training is followed gradually, so that the body feeling of the patient is gradually awakened and the function is gradually restored.
For the dilating treatment of anal stenosis and anastomotic stoma stenosis after anorectal operation or trauma operation, the balloon overflows along with natural space in the intestinal cavity due to the nature of no tension dilation, does not cause strong dilation on wounds, anastomotic stoma and stenosis, reduces pain of patients, and has obvious clinical effect after repeated addition dilation. The balloon can be used for the expansion treatment after the tensionless feeling balloon is incorporated, and the slow gas injection is adopted, after the initial feeling is stimulated, the gas injection is stopped, the expansion is carried out for 15-20 minutes, and the expansion is carried out twice a day for 1 treatment course for 2 weeks. The gas filling rate gradually increases with symptom relief until the symptom of stenosis is relieved.
For the compliance test of anorectal pressure measurement using the tensionless sensory balloon member, only the tensionless sensory balloon is connected with the anorectal pressure meter, and compliance is collected by the anorectal pressure meter by means of the characteristics of the tensionless sensory balloon, and the collecting method and the operating system thereof are not related to the content of the anorectal pressure measurement, so that the content of the patent is not described herein. Compared with the traditional balloon, the rectal compliance measured by the tensionless balloon is more accurate and reliable.
The patent breaks through the limitation of the traditional tension balloon, and the design of the tension-free balloon enables the test to simulate the human physiological excrement storage process; and the operation is simple, and the daily rehabilitation training of patients is easy. The anorectal initial feeling is awakened through planned training, the anorectal defecation feeling is regulated, the nerve paths of the anorectal feeling are restored, and the recovery of anorectal paresthesia is promoted. Is suitable for anorectal and pelvic floor diseases, especially for anorectal paresthesia patients with outlet obstruction constipation, and is also suitable for the dilatation treatment of anal stenosis and anastomotic stoma stenosis.
The application is applicable to the prior art where it is not described.
Claims (6)
1. A tension-free sensory balloon for use in tension-free anorectal proprioception testing and training, anorectal compliance testing, or for use in post-colorectal surgery anal stenosis or anastomotic stoma stenosis, comprising: the hollow tube is provided with holes the same as the small bags in number, and the inside of each small bag is communicated with the inside of the hollow tube through the holes respectively; one end of the hollow tube is closed, the other end is open, and the open end is connected with the catheter; the small bag is made of a tension-free material;
the small bags are adjacent to each other but are provided with gaps, connecting pipes are arranged at positions corresponding to holes on the small bags and the hollow pipes, so that the small bags can be communicated with the inside of the hollow pipes and can be fixed on the hollow pipes, all the small bags are uniformly distributed along the circumferential direction and are not overlapped with each other, a sphere cone structure is integrally formed, and air injection or water injection is carried out on the small bags through the hollow pipes;
all the small bags are in the shape of garlic bulbs;
the excrement storage process can be simulated more truly, the anorectal proprioception is stimulated and aroused, and the defecation function recovery is promoted;
the tensionless feeling balloon also comprises a C-shaped guide rod, one end of the C-shaped guide rod is provided with a C-shaped frame, the C-shaped frame is provided with a C-shaped opening, the C-shaped opening is clamped on a guide pipe at the connecting position of the hollow pipe and the guide pipe, the other end of the C-shaped guide rod is a hard rod, the length of the hard rod is 150-180mm, the diameter of the hard rod is smaller than the outer diameter of the C-shaped frame, and the hard rod is fixedly connected with the end face of the C-shaped frame into a whole;
the tensionless feeling balloon further comprises a sleeve, the sleeve is sleeved on the outer surfaces of the plurality of small balloons, the tail end of the sleeve is stopped near the C-shaped frame of the C-shaped guide rod, and the sleeve is clung to or fixed on the C-shaped frame; all the sachets are in a storage state when no air injection or water injection is carried out, when the novel catheter is used, the open end of the hollow tube is connected with the flexible catheter, the C-shaped frame part wraps the catheter and is in butt joint with the tail end of the hollow tube, and the hard rod of the C-shaped guide rod is arranged in parallel with the length direction of the catheter.
2. The non-stretch sensory balloon according to claim 1, wherein the sum of the volumes of all the sachets is 800-1100mL and the length of the sachet is 70-90mm.
3. The non-stretch sensory balloon according to claim 1, wherein the large diameter ends of all the small balloons are fixed to a stator which is in turn fixed to the hollow tube; the small diameter end of the small bag is tightly attached to the hollow tube.
4. The non-stretch sensory balloon according to claim 1, wherein the number of the small balloons is 3-5.
5. A tensionless sensory balloon device, characterized in that it uses the tensionless sensory balloon of any one of claims 1-4.
6. A tensionless anorectal proprioception testing and training device, comprising:
the tension-free sensory balloon of claim 1, wherein the balloon body part of the tension-free sensory balloon is made of tension-free polypropylene,
the neck part, the proximal end and the tension-free feeling balloon are connected, the distal end is connected with the catheter, the caliber of the neck part is gradually narrowed from the joint of the tension-free feeling balloon, the diameter of the neck part is equivalent to that of the catheter, and after the middle part of the neck part of the balloon is bound by the medical thin wire, the far end part is turned over to cover and bind the thin wire;
the catheter is made of medical rubber materials;
the three-way pipe is made of medical polyethylene material, is connected with the catheter and the gas injection pipe orifice,
the three-way switch is made of medical polyethylene materials;
the gas injection pipe orifice is made of medical polyethylene materials;
the gas injection device is a medical disposable sterile screw-port injector;
the gas injection pipe orifice is connected with a gas injection device.
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| CN202210863855.1A CN115177846B (en) | 2022-07-21 | 2022-07-21 | Tension-free feeling balloon and device using same |
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| CN115177846A (en) | 2022-10-14 |
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