CN101391119B - Peritoneal dialysis tube fixation device - Google Patents
Peritoneal dialysis tube fixation device Download PDFInfo
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- CN101391119B CN101391119B CN2008102329075A CN200810232907A CN101391119B CN 101391119 B CN101391119 B CN 101391119B CN 2008102329075 A CN2008102329075 A CN 2008102329075A CN 200810232907 A CN200810232907 A CN 200810232907A CN 101391119 B CN101391119 B CN 101391119B
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- tube core
- peritoneal dialysis
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Abstract
The invention relates to a peritoneal dialysis placing pipe fixer and a fixing method of a peritoneal dialysis placing pipe. The peritoneal dialysis placing pipe fixer in the abdominal wall is composed of a hollow sleeve, a hollow tube core and a suture leading needle, wherein the hollow sleeve has the outside diameter of 7-5 mm and the inside diameter of 6-4 mm, the front end of the sleeve bends to form an including angle of 120-150 degrees with a trunk, and the rear end of the sleeve is provided with a handle; the hollow tube core has flexility, and the head of the hollow tube core assists the suture leading needle to puncture rectus abdominis, the tail part of the tube core is provided with a connector, and the outside diameter of the trunk of the tube core is less than the outside diameter of the trunk of the sleeve; and the suture leading needle penetrates a suture outside the abdominal wall from a abdominal cavity. Through the adoption of the fixer of the invention for fixing the peritoneal dialysis placing pipe, floating replacement and complicating disease of the peritoneal dialysis placing pipe after an operation can be effectively reduced; and the invention has the advantages of simple operation, small operation incision, little tissue damnification for a patient and high success ratio of operations.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, the fixing means that pipe is put in tube fixer and peritoneal dialysis is put in particularly a kind of peritoneal dialysis.
Background technology
Peritoneal dialysis is renal failure (uremia) patient or the clinical commonly used and effective kidney replacement therapy mode of acute renal failure in whole latter stage.Peritoneal dialysis is to utilize peritoneum as semipermeable membrane, utilizes action of gravity that the dialysis solution for preparing is poured into patient's peritoneal cavity through conduit, exists the Concentraton gradient of solute poor in the peritoneum both sides, and the solute of high concentration one side is to low concentration one side shifting (dispersion); Moisture then oozes a side shifting (osmosis) from a hypotonic side direction height.Constantly change by abdominal dialysis liquid, to reach the purpose of removing interior metabolism product, toxicant and correcting water, electrolyte balance disorder.Usually, need to carry out peritoneal dialysis and put pipe before peritoneal dialysis, the method for employing has: 1. the saturating tube placing operation method of free-standing abdomen, this method are pipe to be put in the peritoneal dialysis of a special use implant patient's bladder rectum crypts (man) or uterus rectum crypts (woman).Because peritoneal dialysis is put pipe and is not fixed on the abdominal cavity, implant the interior peritoneal dialysis of patient's body and put the easy floating displacement of pipe, therefore behind the saturating tube placing operation of conventional free-standing abdomen, the saturating canal float displacement of abdomen takes place in nearly 15% patient, cause peritoneal dialysis to be difficult to carry out, need operation once more to put pipe, increased patient's misery and economic pressures.2. abdomen is managed the stomach wall internal fixation thoroughly and is put pipe, though this method can effectively avoid the postoperative peritoneal dialysis to put the pipe drift, but compare with the saturating tube placing operation of free-standing abdomen of routine, as not by the capable stomach wall internal fixation of special equipment, then need put inserting below the otch of pipe and cut and sew up protheca once more about 3cm in peritoneal dialysis, rectus abdominis m., back sheath and peritoneum, operation process obviously prolongs, therefore, abdomen is managed the stomach wall internal fixation thoroughly and is put the method for pipe and have operating difficulty big, during Operation Fee, patient's otch is big, shortcomings such as tissue injury is many, as patient's obesity or abdominal pressure height, operating difficulty is bigger, even fixedly pipe is put in peritoneal dialysis.
Summary of the invention
The purpose of this invention is to provide a kind of peritoneal dialysis and put the fixing means that pipe is put in tube fixer and peritoneal dialysis.Adopt holder of the present invention, it is fixing that pipe is put in peritoneal dialysis, can reduce the postoperative peritoneal dialysis effectively and put canal float displacement and complication, has operation technique simple, and operative incision is little, and the patient tissue damage is few, the advantage that success rate of operation is high.
Technical scheme of the present invention is: pipe stomach wall inner fixer is put in peritoneal dialysis, by forming with lower member:
An external diameter is 7～5mm, and internal diameter is the hollow sleeve of 6～4mm, the crooked angle that becomes 120～150 ° with trunk of telescopic front end, and telescopic rear end is provided with the hands handle;
One has pliability, head to assist suture introducing needle to puncture the hollow tube core of rectus abdominis m., and the afterbody of tube core is provided with union joint, and the external diameter of tube core trunk is less than the external diameter of sleeve trunk;
A suture introducing needle that suture is passed stomach wall from intraperitoneal.
Adopt the fixedly peritoneal dialysis method of putting pipe of said fixing device, may further comprise the steps:
1) sheath and peritoneum behind the incision rectus abdominis m. are made 2 layers of pocket, do not tighten up suture;
2) make a call to a movable ringlet with a suture in addition, the suture two ends penetrate two suture introducing needle uropores respectively;
3) tube core is put into sleeve, sleeve is put into the abdominal cavity, with telescopic bending section stomach wall is omited jack-up;
4) suture introducing needle is put into tube core, and suture introducing needle punctures each layer tissue of abdominal part and passes until protheca, passes with the end of suture introducing needle with suture; Get another suture introducing needle of threading, same method passes the suture other end another point from protheca, vises the suture two ends, withdraws from abutment sleeve, nook closing member;
5) peritoneal dialysis is put in the movable ringlet of managing in the insertion suture, send into the abdominal cavity to rectal sinuses along stomach wall;
6) tighten up the suture two ends, make suture middle part ringlet put pipe along peritoneal dialysis and move into the position that the intraperitoneal suture introducing needle passes stomach wall, the knotting of suture two ends is fixing;
7) tighten up 2 layers of pocket;
8) layer-by-layer suture protheca, subcutaneous and skin, it is fixing that pipe is put in peritoneal dialysis soon.
The sleeve pipe front portion of holder of the present invention is a bending, is used for peritoneum from the intraperitoneal jack-up that makes progress, and convenient thread-guiding needle passes each layer tissue of abdominal part, and it is fixing to put pipe by the inventive method.Tube core and suture introducing needle all adopt can pliable and tough morphotropism material preparation, when tube core and suture introducing needle are placed in the sleeve, can occur bending and deformation with telescopic shape.During operation, only need use this holder in conventional otch scope, fixedly pipe is put in peritoneal dialysis, so operative incision is little.In addition, owing to adopt holder the inventive method of the present invention, the saturating pipe of abdomen is fixed on intraperitoneal, the floating displacement of the saturating Guan Buhui of abdomen is normally carried out peritoneal dialysis, so normally carrying out of can guaranteeing to treat.Adopt holder of the present invention and method, can also stop to open abdomen twice, alleviated patient's misery and economic pressures greatly.Adopt the inventive method, only need in conventional otch scope, disposablely open and sew up protheca, rectus abdominis m., back sheath and peritoneum, select the fixed position of the saturating pipe of abdomen easily, have operating time short, otch is little, and tissue injury is few, advantage convenient and simple for operation.
Holder of the present invention is put the pipe operation applicable to all peritoneal dialysis.
Description of drawings
Fig. 1 is the structural representation of suture introducing needle;
Fig. 2 is the structural representation of tube core;
Fig. 3 is the structural representation of pipe box;
Fig. 4 is a kind of embodiment of the present invention.
Among the figure, 1 is suture introducing needle; 2 is uropore; 3 is tube core; 4 is union joint; 5 is sleeve; 6 is handle.
The specific embodiment
Referring to Fig. 1 to Fig. 4, pipe stomach wall inner fixer is put in peritoneal dialysis, and by forming with lower member: sleeve 5, tube core 3, suture introducing needle 1 are formed.Its middle sleeve is hollow, and telescopic external diameter is 7～5mm, and internal diameter is 6～4mm, and telescopic length is 9-12cm, and the telescopic length of present embodiment is 12cm, and external diameter is 5mm, and internal diameter is 4mm.The crooked angle that becomes 120～150 ° with trunk of telescopic front end, the angle of present embodiment is 150 °, is used for peritoneum from the intraperitoneal jack-up that makes progress.Telescopic rear end is provided with handle 6, is convenient to grip in the art.The trunk external diameter of hollow tube core 3 is 3mm, and internal diameter is 2mm, the length 12～15cm of tube core, and present embodiment tube core length is 15cm, tube core requires that certain pliable and tough morphotropism is arranged, frangibility not, the length of tube core is longer than telescopic length.The tube core head is taper, and the afterbody of tube core is provided with union joint 4, is used for the rear portion of tube core is against the pipe box afterbody, does not pass pipe box with the rear portion that guarantees tube core.The external diameter of tube core trunk makes things convenient for tube core to put in the pipe box less than the external diameter of sleeve trunk.The trunk external diameter of present embodiment tube core is 3mm, and internal diameter is 2mm.Suture introducing needle is used for suture is passed stomach wall from intraperitoneal, and suture introducing needle adopts solid alloy structure, and certain pliable and tough morphotropism is arranged, frangibility not, the length of suture introducing needle is 17～20cm, the length of present embodiment suture introducing needle is 20cm, diameter is 1mm, and uropore 2 can be worn suture No. 4, and is most advanced and sophisticated sharp keen.
During operation, 1～2cm median abdominal incision under umbilicus, the purse string suture position is in 12～13cm on the pubis (about 8 horizontal fingers).Successively cut skin, subcutaneous, theca of rectus abdominis muscle, passivity is separated rectus abdominis m., exposes and cuts sheath and peritoneum behind the rectus abdominis m., does not tighten up silk thread after making 2 layers of pocket.Get one in No. 4 sutures, online center is around a ringlet and make a call to a slip-knot and form movable ringlet, and the line two ends penetrate the uropore of two suture introducing needles respectively.Tube core is put into sleeve, and sleeve is carefully put into the abdominal cavity by the pocket mouth to lower edge stomach wall median line, at sleeve elbow front end during apart from the pocket 3cm left and right sides, with the barrel forward end bending section with stomach wall jack-up slightly; Get wherein one the suture introducing needle of threading put into sleeve, suture introducing needle punctures above-mentioned each layer tissue in barrel forward end and passes until protheca, passes with the end of suture introducing needle with suture; Get another root suture introducing needle of threading, same method passes the suture other end another point from protheca, and temporary transient clamp is lived the suture two ends, withdraws from abutment sleeve, nook closing member; With copper seal wire pipe is put in peritoneal dialysis and inserted in the suture intermediate active ringlet, send into the abdominal cavity forward downwards backward to vesicorectal pouch (man) or uterus rectal sinuses (woman) along stomach wall; Tighten up the suture two ends gently, suture middle part ringlet is managed thoroughly along abdomen move into the position point that the intraperitoneal suture introducing needle passes stomach wall, the knotting of suture two ends is fixing; Tighten up 2 layers of pocket, layer-by-layer suture protheca, subcutaneous and skin, peritoneal dialysis is soon put pipe and is fixed on intraperitoneal.
During operation, if sturdy as rectus abdominis m., and front and back sheath hardness is when big, and the conical nose of tube core can assist suture introducing needle to puncture above-mentioned tissue.Other step is same as described above.
Claims (3)
1. pipe stomach wall inner fixer is put in a peritoneal dialysis, it is characterized in that by forming with lower member:
An external diameter is 7～5mm, and internal diameter is the hollow sleeve of 6～4mm, the crooked angle that becomes 120～150 ° with trunk of telescopic front end, and telescopic rear end is provided with the hands handle;
One has pliability, head to assist suture introducing needle to puncture the hollow tube core of rectus abdominis m., and the afterbody of tube core is provided with union joint, and the external diameter of tube core trunk is less than the external diameter of sleeve trunk;
A suture introducing needle that suture is passed stomach wall from intraperitoneal;
The aforementioned tube core retainer plate is in sleeve, and suture introducing needle is enclosed within the tube core, and the length of tube core is greater than sleeve, and the length of suture introducing needle is greater than tube core.
2. pipe stomach wall inner fixer is put in peritoneal dialysis according to claim 1, and it is characterized in that: the trunk external diameter of tube core is 3mm, and internal diameter is 2mm.
3. pipe stomach wall inner fixer is put in peritoneal dialysis according to claim 1, and it is characterized in that: telescopic length is 9～12cm, and the length of tube core is 12～15cm, and the length of suture introducing needle is 17-20cm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2008102329075A CN101391119B (en) | 2008-10-22 | 2008-10-22 | Peritoneal dialysis tube fixation device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2008102329075A CN101391119B (en) | 2008-10-22 | 2008-10-22 | Peritoneal dialysis tube fixation device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101391119A CN101391119A (en) | 2009-03-25 |
| CN101391119B true CN101391119B (en) | 2011-01-26 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2008102329075A Active CN101391119B (en) | 2008-10-22 | 2008-10-22 | Peritoneal dialysis tube fixation device |
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| Country | Link |
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| CN (1) | CN101391119B (en) |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102836470B (en) * | 2012-09-26 | 2015-01-07 | 王惠明 | Connecting and leading device for fixing peritoneal dialysis catheter in abdominal walls |
| CN110025470A (en) * | 2019-05-16 | 2019-07-19 | 中国医学科学院阜外医院 | Heart pressing device in a kind of thorax |
| CN113877017B (en) * | 2021-11-05 | 2023-10-20 | 胡梦思 | Peritoneal dialysis puts tub fixing device |
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- 2008-10-22 CN CN2008102329075A patent/CN101391119B/en active Active
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| Publication number | Publication date |
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| CN101391119A (en) | 2009-03-25 |
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