CN102008337A - Magnetic device used for cardia-esophagogastric varices sugiura - Google Patents

Magnetic device used for cardia-esophagogastric varices sugiura Download PDF

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Publication number
CN102008337A
CN102008337A CN 201010244564 CN201010244564A CN102008337A CN 102008337 A CN102008337 A CN 102008337A CN 201010244564 CN201010244564 CN 201010244564 CN 201010244564 A CN201010244564 A CN 201010244564A CN 102008337 A CN102008337 A CN 102008337A
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China
Prior art keywords
permanent magnet
conduit
cardia
cirso
stomach
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Granted
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CN 201010244564
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Chinese (zh)
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CN102008337B (en
Inventor
吕毅
刘仕琪
樊超
严小鹏
王善佩
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Xian Jiaotong University
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Xian Jiaotong University
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Priority to CN2010102445641A priority Critical patent/CN102008337B/en
Publication of CN102008337A publication Critical patent/CN102008337A/en
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Publication of CN102008337B publication Critical patent/CN102008337B/en
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Abstract

The invention relates to a magnetic device used for cardia-esophagogastric varices sugiura. The device comprises two permanent magnet conduit groups of the same structure and with inverse magnetic poles, wherein permanent magnets are positioned in the pipe cavities of the conduits; a non magnetic plastic sheet is arranged between every two magnets; two permanent magnet conduit groups with the corresponding size and shape are adopted to block the cardia-esophagogastric varices in a squeezing mode, so as to avoid the defects of large trauma and multiple complications of laparotomy; side holes on conduit walls can drain enterocoelia exudate, reduce the abdominal pressure and prompt the function recovering of an enterocoelia visceral organ; and in addition, the vein blocking-up can be carried out repeatedly by stages, thus portal hypertension stomach illness caused by excessive sugiura can be avoided, and the part of the conduit remained in vitro can be directly pulled out, thus the foreign matter can not be reminded in vivo.

Description

A kind of magnetic devices that is used for cirso-cutout at the bottom of cardia-stomach
Technical field
The present invention relates to a kind of medical apparatus and instruments, be specifically related to a kind of magnetic devices that is used for cirso-cutout at the bottom of cardia-stomach.
Background technology
At present, the cirso-cutout mainly is to cause hemorrhage side Zhi Xunhuan between operation cut-out back is with silk thread ligation portal vein and vena systemica at the bottom of cardia-stomach, to reach the hemorrhage purpose of control, but operation wound is bigger, because of the wild congestion edema of art causes in the art extensively oozing of blood or postoperative is prone to the Secondary cases massive hemorrhage because of the ligature slippage, add silk ligature to retain in vivo and cause foreign body reaction, increased the weight of patient's body injury; Even more serious is, also must carry out abdominal once more thus, and once more behind the abdominal easily because the stomach ischemia, gastric mucosal lesions and make again hemorrhage incidence rate height, hemorrhagely once more cause death cases to surpass 70%, simultaneously since for the first time the abdominal pneumoretroperitoneum form serious adhesion, add the approach of no drain and the caused local granulation tissue reaction of ligature and hypertrophy and increased the difficulty of operation once more, and cause that relevant a large amount of ascites form, increase thereby cause intra-abdominal pressure, thereby the compressing abdominal viscera causes internal organs blood to supply and the generation of the complication that venous return all reduces.This silk thread as cardia-stomach at the bottom of the shortcoming of cirso-cut-off device had a strong impact on long-term efficacy, be not specifically designed to the device that cirso-stops at the bottom of cardia-stomach but now except silk thread, still have.
Summary of the invention
In order to overcome the deficiency that above-mentioned prior art exists, the object of the present invention is to provide a kind of magnetic devices that is used for cirso-cutout at the bottom of cardia-stomach, utilize the permanent magnet conduit that includes permanent magnet of two correspondences to finish the cutout of cirso-at the bottom of cardia-stomach, the abdominal adhesions that abdominal brought, wound, oozing of blood and hemorrhage shortcoming have been avoided like this, can directly pull out the permanent magnet conduit after the postoperative blood vessel blocking is finished, can not be detained foreign body in vivo through body surface; Add that incidental aperture also can drain the abdominal cavity sepage external on this conduit, play the effect that reduces peritoneal cavity internal pressure and drain, having avoided a large amount of ascites to form the initiation intra-abdominal pressure increases, thereby the compressing abdominal viscera causes internal organs blood to supply and the generation of the complication that venous return all reduces, even if form side Zhi Xunhuan once more behind the press type blood vessel disconnection of its foundation in addition, also underwent operative utilizes the permanent magnet conduit to block the vein of varicose once more, because last time postoperative did not cause or only caused extremely slight adhesion, so do not influence operation once more, and only block the side Zhi Xunhuan of new formation during owing to stop once more, the art open country dwindles, and operation is more simple once more.
In order to achieve the above object, the technical solution adopted in the present invention is:
A kind of magnetic devices that is used for cirso-cutout at the bottom of cardia-stomach, comprise the permanent magnet conduit set, described permanent magnet conduit set is made up of two permanent magnet conduits 4, it is respectively the first permanent magnet conduit 12 and the second permanent magnet conduit 13, be filled with more than one permanent magnet 1 in the pipe of each permanent magnet conduit 4 separately, and the magnetic of the permanent magnet 1 in permanent magnet 1 in the first permanent magnet conduit, 12 pipes and the second permanent magnet conduit, 13 pipes is opposite, separate by plastic spacer 2 between the adjacent permanent magnet 1, in the first permanent magnet conduit 12 and the second permanent magnet conduit, 13 pipes separately all permanent magnets 1 and the length that constitutes of plastic spacer 2 greater than the needs squeezing cardia-stomach of correspondence at the bottom of the length of part of cirso-.
The material of the described first permanent magnet conduit 12 and the second permanent magnet conduit 13 is a silica gel.
The shape of the described first permanent magnet conduit 12 and the second permanent magnet conduit 13 is all consistent with size, and permanent magnet 1 and plastic spacer 2 in the first permanent magnet conduit 12 and the second permanent magnet conduit 13 pipe are corresponding one by one, and its shape of permanent magnet 1 and plastic spacer 2 and big or small consistent one to one.
Described permanent magnet 1 is the cylinder of hollow, and described plastic spacer 2 also is a hollow, and adjacent permanent magnet 1 is contiguous and relative with the hollow space end of plastic spacer 2.
Described plastic spacer has side opening 3 on 2 surfaces, on described two permanent magnet conduits 4 aperture 5 is arranged, and side opening 3 and aperture 5 are corresponding one by one, and its side opening 3 and aperture 5 are contiguous and relative one to one.
Utilize the permanent magnet conduit 4 that includes permanent magnet 1 of two correspondences to finish the cutout of cirso-at the bottom of cardia-stomach, the abdominal adhesions that abdominal brought, wound, oozing of blood and hemorrhage shortcoming have been avoided, can directly pull out permanent magnet conduit 4 after the postoperative blood vessel blocking is finished, can not be detained foreign body in vivo through body surface.Add that incidental aperture 5 also can drain the abdominal cavity sepage external on this conduit, played the effect that reduces peritoneal cavity internal pressure and drain, having avoided a large amount of ascites to form the initiation intra-abdominal pressure increases, thereby the compressing abdominal viscera causes internal organs blood to supply and the generation of the complication that venous return all reduces, even if form side Zhi Xunhuan once more behind the press type blood vessel disconnection of its foundation in addition, also underwent operative utilizes the permanent magnet conduit to block the vein of varicose once more, because last time postoperative did not cause or only caused extremely slight adhesion, so do not influence operation once more, and only block the side Zhi Xunhuan of new formation during owing to stop once more, the art open country dwindles, and operation is more simple once more.
Description of drawings
Fig. 1 is the structural representation of permanent magnet 1 of the present invention.
Fig. 2 is the structural representation of plastic spacer 2 of the present invention.
Fig. 3 is the partial structurtes sketch map of permanent magnet conduit 4 of the present invention.
Fig. 4 is a transparent partial structurtes sketch map of the present invention.
Fig. 5 is the view that the first permanent magnet conduit 12 of the present invention is presented to the rear portion of cirso-at the bottom of cardia-stomach.
Fig. 6 is the forward view that the second permanent magnet conduit 13 of the present invention is presented to cirso-at the bottom of cardia-stomach, and this view has been removed the first permanent magnet conduit.
Fig. 7 is first permanent magnet conduit 12 of the present invention and the ongoing view of the second permanent magnet conduit, 13 adhesives.
The view of Fig. 8 when to be the present invention with the first permanent magnet conduit 12 and the second permanent magnet conduit 13 extract.
The view of Fig. 9 after to be the present invention with the first permanent magnet conduit 12 and the second permanent magnet conduit 13 extract.
The specific embodiment
The present invention will be described in more detail below in conjunction with accompanying drawing.
The magnetic devices that is used for cirso-cutout at the bottom of cardia-stomach, comprise the permanent magnet conduit set, described permanent magnet conduit set is made up of two permanent magnet conduits 4, it is respectively the first permanent magnet conduit 12 and the second permanent magnet conduit 13, as shown in Figure 4, be filled with more than one permanent magnet 1 in the pipe of each permanent magnet conduit 4 separately, and the magnetic of the permanent magnet 1 in permanent magnet 1 in the first permanent magnet conduit, 12 pipes and the second permanent magnet conduit, 13 pipes is opposite, separate by plastic spacer 2 between the adjacent permanent magnet 1, in the first permanent magnet conduit 12 and the second permanent magnet conduit, 13 pipes separately all permanent magnets 1 and the length that constitutes of plastic spacer 2 greater than the needs squeezing cardia-stomach of correspondence at the bottom of the length of part of cirso-.The material of the described first permanent magnet conduit 12 and the second permanent magnet conduit 13 is a silica gel.The shape of the described first permanent magnet conduit 12 and the second permanent magnet conduit 13 is all consistent with size, and permanent magnet 1 and plastic spacer 2 in the first permanent magnet conduit 12 and the second permanent magnet conduit 13 pipe are corresponding one by one, and its shape of permanent magnet 1 and plastic spacer 2 and big or small consistent one to one.
As shown in Figure 1 and Figure 4, described permanent magnet 1 is the horizontal circle cylinder of hollow, and described plastic spacer 2 also is a hollow, and adjacent permanent magnet 1 is contiguous and relative with the hollow space end of plastic spacer 2.
As Fig. 2, Fig. 3 and shown in Figure 4, described plastic spacer has side opening 3 on 2 surfaces, on described two permanent magnet conduits 4 aperture 5 is arranged, and side opening 3 and aperture 5 are corresponding one by one, and its side opening 3 and aperture 5 are contiguous and relative one to one.
Operation principle of the present invention is: under laparoscopic procedure, the first permanent magnet conduit 12 is passed the top of the hepatic vein 11 of from spleen 8, deriving, reach the top of cirso-10 at the bottom of the cardia-stomach of 7 outer walls at the bottom of cardia 6 stomach function regulating until its end, and permanent magnet 1 in its pipe and plastic spacer 2 parts place need the part of cirso-10 at the bottom of cardia-stomach that squeezing and portal vein 9 be connected the rear portion as shown in Figure 5, the second permanent magnet conduit 13 passes the top of the hepatic vein 11 of deriving from spleen 8, reach the top of cirso-10 at the bottom of the cardia-stomach of 7 outer walls at the bottom of cardia 6 stomach function regulating until its end, and permanent magnet 1 in its pipe and plastic spacer 2 parts place need the part of cirso-at the bottom of cardia-stomach that squeezing and portal vein 9 be connected the front portion as shown in Figure 6, the first permanent magnet conduit 12 is inhaled as shown in Figure 7 automatically mutually with the second permanent magnet conduit 13 then, and cirso-10 at the bottom of being sandwiched in the cardia-stomach between the two is squeezed cutout.The other first permanent magnet conduit 12 and the second permanent magnet conduit 13 are jointly outside the little otch lead body of stomach wall, at the bottom of cardia-stomach of waiting to be squeezed behind the cirso-ischemic necrosis, can it be extracted by the part that is retained in the external first permanent magnet conduit 12 and the second permanent magnet conduit 13, as Fig. 8 and shown in Figure 9.
Utilize the permanent magnet conduit 4 that includes permanent magnet 1 of two correspondences to finish the cutout of cirso-at the bottom of cardia-stomach, the abdominal adhesions that abdominal brought, wound, oozing of blood and hemorrhage shortcoming have been avoided like this, can directly pull out permanent magnet conduit 4 after the postoperative blood vessel blocking is finished, can not be detained foreign body in vivo through body surface.Add that incidental aperture 5 also can drain the abdominal cavity sepage external on this conduit, play the effect that reduces peritoneal cavity internal pressure and drain, having avoided a large amount of ascites to form the initiation intra-abdominal pressure increases, thereby the compressing abdominal viscera causes internal organs blood to supply and the generation of the complication that venous return all reduces, even if form side Zhi Xunhuan once more behind the press type blood vessel disconnection of its foundation in addition, also underwent operative utilizes the permanent magnet conduit to block the vein of varicose once more, because last time postoperative did not cause or only caused extremely slight adhesion, so do not influence operation once more, and only block the side Zhi Xunhuan of new formation during owing to stop once more, the art open country dwindles, and operation is more simple once more.The material of the described first permanent magnet conduit 12 and the second permanent magnet conduit 13 is that silica gel can reduce the delay untoward reaction that foreign body brought in the body.The shape of the described first permanent magnet conduit 12 and the second permanent magnet conduit 13 is all consistent with size, and permanent magnet 1 and plastic spacer 2 in the first permanent magnet conduit 12 and the second permanent magnet conduit, 13 pipes are corresponding one by one, and shape of permanent magnet 1 and plastic spacer 2 is consistent with size one to one for it, and the goodness of fit that such structure can make squeezing stop is higher.Described permanent magnet 1 is the horizontal circle cylinder of hollow, described plastic spacer 2 also is a hollow, adjacent permanent magnet 1 has side opening 3 on and relative and described plastic spacer 2 surfaces contiguous with the hollow space end of plastic spacer 2, on described two permanent magnet conduits 4 aperture 5 is arranged, side opening 3 and aperture 5 are corresponding one by one, and side opening 3 is contiguous and relative with aperture 5 one to one for it, and such structure more can drain the abdominal cavity sepage external effectively.

Claims (6)

1. magnetic devices that is used for cirso-cutout at the bottom of cardia-stomach, it is characterized in that: comprise the permanent magnet conduit set, described permanent magnet conduit set is made up of two permanent magnet conduits (4), it is respectively the first permanent magnet conduit (12) and the second permanent magnet conduit (13), be filled with more than one permanent magnet (1) in the pipe of each permanent magnet conduit (4) separately, and the magnetic of the permanent magnet (1) in permanent magnet (1) in the first permanent magnet conduit (12) pipe and the second permanent magnet conduit (13) pipe is opposite, is separated by plastic spacer (2) between the adjacent permanent magnet (1).
2. a kind of magnetic devices that is used for cirso-cutout at the bottom of cardia-stomach according to claim 1 is characterized in that: separately all permanent magnets (1) and the length of plastic spacer (2) the formation length of squeezing the part of cirso-at the bottom of cardia-stomach greater than the needs of correspondence in the described first permanent magnet conduit (12) and second permanent magnet conduit (13) pipe.
3. a kind of magnetic devices that is used for cirso-cutout at the bottom of cardia-stomach according to claim 1 and 2, it is characterized in that: the material of the described first permanent magnet conduit (12) and the second permanent magnet conduit (13) is a silica gel.
4. a kind of magnetic devices that is used for cirso-cutout at the bottom of cardia-stomach according to claim 1 and 2, it is characterized in that: the shape of the described first permanent magnet conduit (12) and the second permanent magnet conduit (13) is all consistent with size, and permanent magnet (1) in the first permanent magnet conduit (12) and the second permanent magnet conduit (13) pipe and plastic spacer (2) are corresponding one by one, and its one to one the shape of permanent magnet (1) and plastic spacer (2) with big or small consistent.
5. a kind of magnetic devices that is used for cirso-cutout at the bottom of cardia-stomach according to claim 1 and 2, it is characterized in that: described permanent magnet (1) is the horizontal circle cylinder of hollow, described plastic spacer (2) also is a hollow, and the hollow space end of adjacent permanent magnet (1) and plastic spacer (2) is contiguous and relative.
6. a kind of magnetic devices that is used for cirso-cutout at the bottom of cardia-stomach according to claim 1 and 2, it is characterized in that: described plastic spacer (2) has side opening (3) on the surface, aperture (5) is arranged on described two permanent magnet conduits (4), side opening (3) and aperture (5) are corresponding one by one, and its side opening (3) and aperture (5) are close to and are relative one to one.
CN2010102445641A 2010-08-02 2010-08-02 Magnetic device used for cardia-esophagogastric varices sugiura Active CN102008337B (en)

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CN102008337B CN102008337B (en) 2012-07-04

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103142283A (en) * 2013-02-18 2013-06-12 西安交通大学 Electromagnetic controllable occlusion system for celiac great vessels
CN109171863A (en) * 2018-09-12 2019-01-11 李坚 A kind of blood vessel blocking instrument and working method based on electromagnetic force

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1582857A (en) * 2004-06-03 2005-02-23 西安交通大学 Auxiliary ring for surgical anastomosis
CN1704025A (en) * 2004-05-27 2005-12-07 令狐恩强 Multi-ring looping and binding device for treating human esophagus and stomach fundus varicosity
CN201200438Y (en) * 2008-05-09 2009-03-04 杨锦林 Hemostat

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1704025A (en) * 2004-05-27 2005-12-07 令狐恩强 Multi-ring looping and binding device for treating human esophagus and stomach fundus varicosity
CN1582857A (en) * 2004-06-03 2005-02-23 西安交通大学 Auxiliary ring for surgical anastomosis
CN201200438Y (en) * 2008-05-09 2009-03-04 杨锦林 Hemostat

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103142283A (en) * 2013-02-18 2013-06-12 西安交通大学 Electromagnetic controllable occlusion system for celiac great vessels
CN103142283B (en) * 2013-02-18 2015-04-15 西安交通大学 Electromagnetic controllable occlusion system for celiac great vessels
CN109171863A (en) * 2018-09-12 2019-01-11 李坚 A kind of blood vessel blocking instrument and working method based on electromagnetic force

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