CN102389346A

CN102389346A - Bladder stoma without urine collecting bag

Info

Publication number: CN102389346A
Application number: CN2011102110322A
Authority: CN
Inventors: 侯春林; 黄春福; 林浩东
Original assignee: Second Military Medical University SMMU
Current assignee: Second Military Medical University SMMU
Priority date: 2011-07-26
Filing date: 2011-07-26
Publication date: 2012-03-28
Anticipated expiration: 2031-07-26
Also published as: CN102389346B

Abstract

The invention belongs to the field of medical equipment. Currently, a plurality of bladder stomas exist clinically, such as a mushroom-shaped bladder stoma, a Foley catheter and the like, and are connected with a urine collecting bag externally for a long time, so that the daily life of a patient is seriously influenced. The invention provides a novel bladder stoma which is provided with a piston valve, prevents urine from leaking, and does not require a urine collecting bag. The bladder stoma comprises a tube wall (2), a fixed plate (5), a water bag (4) on the periphery of the wall tube, a water injection valve (6) connected with the water bag, as well as a piston valve (1) in a tube cavity (3). The bladder stoma has the characteristics that: after normal saline is injected into the water bag, the bladder stoma can be fixed due to expansion of the water bag in the bladder, and expansion of the water bag in the bladder stoma can prevent urine in the bladder from leaking to fistula; the piston valve in the tube cavity can stop urine from flowing out, and when urination is required, a sterile catheter is inserted into the tube cavity to expand the piston valve for urinating. According to the bladder stoma, urination can be effectively controlled, and a cystostomy patient can relieve troubles of carrying the urine collecting bag along with the patient.

Description

A kind of bladder creating-fistula that need not urine drainage bag

Technical field

The invention belongs to medical instruments field, be specifically related to a kind of bladder creating-fistula that need not urine drainage bag.

Background technology

To long-term urine retention patient such as neurogenic bladder, urethral obstruction, bladder stoma is a Therapeutic Method commonly used clinically, and this type of patient need carry bladder creating-fistula for a long time, to reach the purpose of long-term drainage of urine, protection kidney.Though multiple bladder creating-fistula is arranged at present clinically, such as gill fungus shape bladder creating-fistula, Foley catheter etc., Chinese patent ZL96227439.9 and for example, denomination of invention is " controllability of a urinating bladder creating-fistula "; Chinese patent ZL200720017469.1, denomination of invention is exactly to want a long-term external urine drainage bag for the bladder creating-fistula that " bladder creating-fistula " relates to all has common feature, has had a strong impact on patient's daily life.

If the bladder stoma patient can use one not with the novel bladder fistulation pipe of urine drainage bag, will bring great convenience to patient's life.

Summary of the invention

The purpose of this invention is to provide a kind ofly need not external urine drainage bag, through patient in timing intubate a kind of novel bladder fistulation pipe of urinating voluntarily.

The present invention is through changing the traditional design of bladder creating-fistula CD urine, provide a kind of need not external urine drainage bag, through patient in timing voluntarily intubate urinate, prevent the bladder creating-fistula of urine extravasation.

The present invention provides a kind of bladder creating-fistula that need not urine drainage bag; Comprise the water pocket of tube wall, fixing head, tube wall periphery, the water injection valve and the intraluminal piston lobe of connection water pocket; Wherein tube wall is connected with fixing head, and water injection valve is positioned on the fixing head, and water pocket one end communicates with water injection valve with tube chamber in the tube wall through fixing head; Intraluminal piston lobe is connected in tube wall, and the piston lobe has 3-4 piston lobe leaf.

Above-mentioned fixing head and tube wall are connected as a single entity, and fixing head is wide to be 2cm, and thick 1cm is used for propping up stomach wall after bladder creating-fistula is inserted, and plays external fixation, prevents the inside landing of bladder creating-fistula.

Above-mentioned water pocket is round tube wall, and far-end is apart from tube wall internal orifice 1cm, and near-end communicates with water injection valve with pipeline in the tube wall through fixing head.Because the water pocket length of using is greater than the length of fistula, after injecting normal saline in the water pocket, water pocket expands, fits tightly with the fistula wall in the fistula, prevents urine extravasation; Intravesical water pocket then expands naturally, plays internal fixation, prevents that the fistulation pipe from outwards skidding off.

Above-mentioned water injection valve is positioned on the fixing head, can be connected as a single entity with fixing head, communicates with water pocket through the pipeline in fixing head and the tube wall; The inside water filling of syringe may; When injecting normal saline in water injection valve, saline promptly flows to water pocket, makes the full expansion of water pocket and is adjacent to the fistulation inside pipe wall; Can be and stretch into its degrees of expansion of intravesical part water pocket greater than water pocket in the fistulation pipe, thus the fixation of playing and prevent that the fistulation pipe from outwards coming off.

Above-mentioned intraluminal piston lobe is connected in tube wall, apart from tube wall internal orifice 1cm, is made up of 3-4 piston lobe leaf.Piston lobe leaf can inwardly open, and is beneficial to intubate and urinates; And when the intravesical urine acts on piston lobe leaf, be close to each other between piston lobe leaf, occludes lumen prevents the urine outflow.

(behind the cystostomy 1 month) used after the present invention offered bladder stoma patient fistulization.

The present invention can design the fistulation pipe of different length, diameter, is fit to different fistula sizes, different build patient use.

The patient that need put pipe for a long time behind the suitable bladder stoma of the present invention uses after its fistulization.Its advantage is: 1, outer catheter and the urine drainage bag of no stomach wall, be very easy to patient's daily life, and alleviate patient's inferiority complex, it can be socially reintegrated better; 2, fistulation pipe fixation can not moved, and urine is not exosmosed; 3, reduce urine extravasation, urinary catheter and exposed the retrograde infection risk of bringing, alleviated nursery work at ordinary times; 4, can make patient control the bladder timing urination voluntarily, be beneficial to the protection bladder function, complication such as prevention cystatrophia.

Description of drawings

Fig. 1 is the structural representation of bladder creating-fistula of the present invention

Fig. 2 is the structural representation of water pocket bladder creating-fistula when full

Fig. 3 is the structural representation around the water injection valve

Fig. 4 is the horizontal plane sketch map of fixing head

Fig. 5 is a piston lobe horizontal plane sketch map

Wherein, 1, piston lobe; 2, tube wall; 3, tube chamber; 4, water pocket; 5, fixing head; 6, water injection valve; 7, water pocket far-end; 8, water pocket near-end; 9, water filling spool; 10, pipeline; 11, piston lobe leaf; 12, bladder; 13, fistula surrounding tissue.

The specific embodiment

Below in conjunction with embodiments of the invention and accompanying drawing enforcement of the present invention is elaborated; Following examples are to be to implement under the prerequisite with technical scheme of the present invention; Provided detailed embodiment and concrete operating process, but protection scope of the present invention is not limited to following embodiment.

Embodiment 1: a kind of bladder creating-fistula that need not urine drainage bag

A kind of bladder creating-fistula that need not urine drainage bag; Like Fig. 1,3, shown in 4 and 5, comprise the piston lobe 1 in the water pocket 4 of tube wall 2, fixing head 5, tube wall periphery, the water injection valve 6 that connects water pocket and the tube chamber 3, wherein tube wall 2 is connected as a single entity with fixing head 5; Water injection valve 6 is positioned on the fixing head 5; Water pocket 4 one ends communicate with water injection valve 6 with pipeline 10 in the tube wall through fixing head, and the piston lobes 1 in the tube chamber 3 are connected in tube wall 2, and piston lobe 1 has 3 piston lobe leaves 11.

Embodiment 2: a kind of bladder creating-fistula that need not urine drainage bag

A kind of like embodiment 1 described a kind of bladder creating-fistula that need not urine drainage bag, piston lobe 1 wherein is made up of 4 piston lobe leaves 11; Piston lobe 1 in the water pocket 4 of tube wall 2 wherein, fixing head 5, tube wall periphery and the tube chamber 3 is all processed by medical silica-gel.

Fixing head 5 is connected as a single entity with tube wall 2, and fixing head 5 is wide to be 2cm, and thick 1cm is used for propping up stomach wall after the fistulation pipe is inserted, and plays external fixation, prevents the inside landing of fistulation pipe.

Water pocket 4 is around tube wall 2, and far-end 7 is apart from tube wall internal orifice 1cm, and near-end 8 communicates with water injection valve 6 with pipeline 10 in the tube wall through fixing head.Because the water pocket length of using is greater than the length of fistula, after injecting normal saline in the water pocket, water pocket expands, fits tightly with the fistula wall in the fistula, prevents urine extravasation; Water pocket in the bladder 12 then expands naturally, plays internal fixation, prevents that the fistulation pipe from outwards skidding off, and is as shown in Figure 2.

Water injection valve 6 is positioned on the fixing head 5, and the water injection valve outside is processed by rigid plastics, and inner water filling spool 9 is processed by rubber; Water injection valve and fixing head are connected as a single entity; Communicate with water pocket through the pipeline in fixing head and the tube wall 10, syringe may is through the 9 inside water fillings of water filling spool, when injecting normal saline in water injection valve; Saline promptly flows to water pocket; Make the full expansion of water pocket and be adjacent to the fistulation inside pipe wall, can be and stretch into its degrees of expansion of intravesical part water pocket greater than water pocket in the fistulation pipe, thus the fixation of playing and prevent that the fistulation pipe from outwards coming off.

Intraluminal piston lobe is connected in tube wall, and apart from tube wall internal orifice 1cm, the lobe leaf can inwardly open, and is beneficial to intubate and urinates; And when the intravesical urine acts on the lobe leaf, be close to each other between the lobe leaf, occludes lumen prevents the urine outflow.

Embodiment 3: the method for work of bladder creating-fistula of the present invention

1, change bladder creating-fistula first: pull out former bladder creating-fistula, on the fistulation pipe, measure fistula length and fistula diameter, select suitable bladder creating-fistula of the present invention, it is inserted along fistula, fistulation pipe far-end is inserted intravesical 3cm, and fixing head is affixed on the stomach wall.Inject normal saline with syringe through water injection valve then, water pocket is expanded.Pressure is that water pocket just is adjacent to the fistula wall, does not exosmose for good and there is urine.

2, urinate: when filling of bladder need be urinated, insert along the fistulation tube chamber with an aseptic catheter, strut the piston lobe inward gently and get into bladder, urine promptly flows out along aseptic catheter voluntarily, urinate finish after, extract catheter, the piston lobe is the self-blocking tube chamber.

3, nursing: the bladder creating-fistula collar extension is with sterile gauze or aseptic coverings of applying ointment or plaster at ordinary times, regularly sterilizes, change dressings more.The fistulation pipe was changed once in every month.

4, change bladder creating-fistula: extract the normal saline in the water pocket with syringe out through water injection valve, can pull out bladder creating-fistula, insert new bladder creating-fistula.

Claims

1. bladder creating-fistula that need not urine drainage bag; It is characterized in that it comprises the water pocket (4) of tube wall (2), fixing head (5), tube wall periphery, the water injection valve (6) that connects water pocket and the piston lobe (1) in the tube chamber (3), wherein tube wall is connected with fixing head; Water injection valve is positioned on the fixing head; Water pocket one end communicates with water injection valve with the interior pipeline (10) of tube wall through fixing head, and intraluminal piston lobe is connected in tube wall, and the piston lobe has 3-4 piston lobe leaf (11).

2. a kind of bladder creating-fistula that need not urine drainage bag according to claim 1 is characterized in that, fixing head wherein (5) is connected as a single entity with tube wall (2), and fixing head is wide to be 2cm, thick 1cm.

3. a kind of bladder creating-fistula that need not urine drainage bag according to claim 1 and 2; It is characterized in that; Water pocket (4) is around tube wall (2), and water pocket far-end (7) is apart from tube wall internal orifice 1cm, and water pocket near-end (8) communicates with water injection valve (6) with the interior pipeline (10) of tube wall through fixing head.

4. a kind of bladder creating-fistula that need not urine drainage bag according to claim 1 and 2 is characterized in that, water injection valve (6) and fixing head (5) are connected as a single entity, in water filling spool (9) is arranged.

5. a kind of bladder creating-fistula that need not urine drainage bag according to claim 3 is characterized in that, water injection valve (6) and fixing head (5) are connected as a single entity, in water filling spool (9) is arranged.

6. according to claim 1,2 or 5 described a kind of bladder creating-fistulas that need not urine drainage bag, it is characterized in that piston lobe (11) is apart from tube wall (2) internal orifice 1cm, piston lobe leaf can inwardly open.