CN104208801A - An anatomical anal device - Google Patents

An anatomical anal device Download PDF

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CN104208801A
CN104208801A CN201410524545.2A CN201410524545A CN104208801A CN 104208801 A CN104208801 A CN 104208801A CN 201410524545 A CN201410524545 A CN 201410524545A CN 104208801 A CN104208801 A CN 104208801A
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flushing
tube
channel
anatomical
drainage
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CN104208801B (en
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杨韵
舒晔
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Abstract

一种解剖型肛管装置,包括引流管、冲洗管,引流管内有引流道,冲洗管内有冲洗道,冲洗管位于引流管的引流道中,冲洗管的外壁与引流管的内壁连接成一体,冲洗管管壁沿轴向分布有出水孔,出水孔连接冲洗道和引流道。冲洗管的内置结构提高了整体强度,且结构紧凑,外壁平滑,故最大程度的减少了对病人肠道的异物刺激,同时由于冲洗管在引流管内的支撑作用,保证了引流道持续的开放状态,可靠性大大提高。安置简便,且易于护理。

An anatomical anal canal device, comprising a drainage tube and a flushing tube. There is a drainage channel in the drainage tube, and a flushing channel in the flushing tube. The flushing tube is located in the drainage channel of the drainage tube. Water outlet holes are distributed along the pipe wall in the axial direction, and the water outlet holes are connected to the flushing channel and the drainage channel. The built-in structure of the irrigation tube improves the overall strength, and the structure is compact and the outer wall is smooth, so the foreign body stimulation to the patient's intestinal tract is minimized. At the same time, due to the support function of the irrigation tube in the drainage tube, the continuous opening of the drainage channel is ensured. , the reliability is greatly improved. Easy to set up and easy to care for.

Description

一种解剖型肛管装置An anatomical anal device

技术领域technical field

本发明涉及外科手术医疗器械技术领域,特别是直肠癌术后吻合口并发症的预防。The invention relates to the technical field of surgical medical instruments, in particular to the prevention of anastomotic complications after rectal cancer surgery.

背景技术Background technique

直肠癌是齿状线至直肠乙状结肠交界处之间的癌,是消化道最常见的恶性肿瘤之一。在我国,直肠癌为第三位高发病率的恶性肿瘤,年新增病例约30—40万例,发病率且有继续增加的趋势。吻合口并发症是直肠癌手术后严重的并发症之一。随着肿瘤患者对生存质量的要求越来越高,低位直肠癌患者对保肛手术的需求也越来越强烈。而对于外科医生而言,低位直肠癌保肛手术是一大挑战,因为低位直肠癌保肛手术既要求外科医生将肿瘤完全切除,还要求保留肛门功能,故手术难度大。加之肠管的高张力以及缺血等不利因素,故术后发生吻合口漏和吻合口出血的风险较高位直肠癌及结肠癌手术更高。近年来,国内外的一些医疗机构通过安置肛管来预防直肠癌手术后吻合口并发症,取得了一定的效果,但存在着肛管结构不符合人体生理学结构,结构不紧凑,使用舒适性差,临床操作不便等问题。Rectal cancer is cancer between the dentate line and the rectosigmoid junction, and is one of the most common malignant tumors of the digestive tract. In my country, rectal cancer is the third malignant tumor with the highest incidence rate, with about 300,000 to 400,000 new cases every year, and the incidence rate continues to increase. Anastomotic complications are one of the serious complications after rectal cancer surgery. As tumor patients have higher and higher requirements for quality of life, patients with low rectal cancer have an increasingly strong demand for anus-preserving surgery. For surgeons, anus-sparing surgery for low rectal cancer is a big challenge, because it requires the surgeon to completely remove the tumor and preserve the anus function, so the operation is very difficult. Coupled with unfavorable factors such as high intestinal tension and ischemia, the risk of anastomotic leakage and anastomotic bleeding after surgery is higher than that of rectal cancer and colon cancer surgery. In recent years, some medical institutions at home and abroad have achieved certain results by placing the anal canal to prevent anastomotic complications after rectal cancer surgery. Inconvenient clinical operation and other issues.

发明内容Contents of the invention

本发明旨在提供一种用于预防直肠癌手术后吻合口并发症的解剖型肛管装置,结构紧凑,能较好地符合人体工程学要求,使用舒适性好,操作方便。The present invention aims to provide an anatomical anal canal device for preventing anastomotic complications after rectal cancer surgery, which has a compact structure, can better meet ergonomic requirements, has good use comfort and is easy to operate.

一种解剖型肛管装置,包括引流管、冲洗管,引流管内有引流道,冲洗管内有冲洗道,冲洗管位于引流管的引流道中,冲洗管的外壁与引流管的内壁连接成一体,冲洗管管壁沿轴向分布有出水孔,出水孔连接冲洗道和引流道。An anatomical anal canal device, comprising a drainage tube and a flushing tube. There is a drainage channel in the drainage tube, and a flushing channel in the flushing tube. The flushing tube is located in the drainage channel of the drainage tube. Water outlet holes are distributed along the pipe wall in the axial direction, and the water outlet holes are connected to the flushing channel and the drainage channel.

进一步的,所述冲洗管包括前段、中段、后段,前段和中段冲洗管上部有横截面为圆形的冲洗道,中段和后段冲洗管下部有横截面呈弧形的弧形冲洗道,圆形冲洗道和弧形冲洗道之间有通道连接,所述出水孔位于弧形冲洗道侧壁上。Further, the flushing pipe includes a front section, a middle section, and a rear section. The upper part of the front section and the middle section of the flushing pipe has a flushing channel with a circular cross section, and the lower part of the middle section and the rear section of the flushing pipe has an arc-shaped flushing channel with an arc-shaped cross section. There is a channel connection between the circular flushing path and the arc flushing path, and the water outlet hole is located on the side wall of the arc flushing path.

进一步的,所述圆形冲洗道和弧形冲洗道之间的通道上有自控阀,自控阀结构为:所述圆形冲洗道下端开有与弧形冲洗道连通的轴向槽,弧形冲洗道底面上与轴向槽对应处有横截面呈三角形的凸条。Further, there is a self-control valve on the passage between the circular flushing channel and the arc-shaped flushing channel. On the bottom surface of the flushing channel, there is a convex strip with a triangular cross section corresponding to the axial groove.

进一步的,所述弧形冲洗道底面上的三角形凸条,顶部夹角为55—85°。Further, the angle between the top of the triangular ridge on the bottom surface of the arc-shaped flushing channel is 55-85°.

进一步的,所述冲洗管横截面呈腰形,两侧边为圆形截边,出水孔在截边上。Further, the cross-section of the flushing pipe is waist-shaped, the two sides are circular truncated edges, and the water outlet holes are on the truncated edges.

进一步的,所述引流管外径为10—15mm;冲洗管外径为5—9mm,截边方向的宽度为4—7mm。Further, the outer diameter of the drainage tube is 10-15mm; the outer diameter of the flushing tube is 5-9mm, and the width in the trimming direction is 4-7mm.

优选的,所述冲洗管中段的长度为30—50mm,引流管的长度为130—170mm。Preferably, the length of the middle section of the flushing tube is 30-50 mm, and the length of the drainage tube is 130-170 mm.

进一步的,所述冲洗管的前段延伸在引流管外,延伸在外的前段长为20—40mm。Further, the front section of the flushing tube extends outside the drainage tube, and the length of the front section extending outside is 20-40mm.

进一步的,所述冲洗道进口端有橡胶塞。Further, there is a rubber stopper at the inlet end of the flushing channel.

进一步的,所述解剖型肛管装置为医用聚氯乙烯。Further, the anatomical anal canal device is medical polyvinyl chloride.

本发明的具有如下有益效果:The present invention has the following beneficial effects:

1.冲洗管和引流管为一体化结构,其内置结构提高了整体强度,且结构紧凑,外壁平滑,故最大程度的减少了对病人肠道的异物刺激,同时便于生产和大规模推广应用。1. The flushing tube and the drainage tube are an integrated structure. The built-in structure improves the overall strength, and the structure is compact and the outer wall is smooth, so the foreign body stimulation to the patient's intestinal tract is minimized, and at the same time, it is convenient for production and large-scale application.

2.使用时,可方便地对直肠内容物进行冲洗及引流,有利于保持肠内清洁及相对低压力,同时,由于冲洗管在引流管内的支撑作用,保证了引流道持续的开放状态,大大降低了由于肛门括约肌收缩压闭肛管外口造成的肠管内压力急剧增高,致吻合漏发生的风险,加快肠道功能恢复,缩短患者住院时间,降低患者的治疗费用。2. When in use, it is convenient to flush and drain the contents of the rectum, which is beneficial to keep the intestines clean and relatively low pressure. At the same time, due to the support function of the irrigation tube in the drainage tube, it ensures the continuous opening of the drainage channel, which greatly improves the It reduces the risk of anastomotic leakage due to the sharp increase in the intestinal pressure caused by the contraction of the anal sphincter to close the external opening of the anal canal, accelerates the recovery of intestinal function, shortens the hospitalization time of patients, and reduces the treatment costs of patients.

3.易于操作,使用方便,降低医生的手术操作难度,还可大幅降低护理工作量。3. It is easy to operate and use, which reduces the difficulty of the doctor's operation and greatly reduces the workload of nursing.

附图说明Description of drawings

图1是解剖型肛管装置的结构示意图Figure 1 is a schematic diagram of the structure of the anatomical anal canal device

图2是图1的A-A剖视图Fig. 2 is a sectional view of A-A of Fig. 1

图3是图1的B-B剖视图Fig. 3 is a B-B sectional view of Fig. 1

图4是图1的C-C剖视图Fig. 4 is a C-C sectional view of Fig. 1

图5是图1的D-D剖视图Fig. 5 is a D-D sectional view of Fig. 1

图6是图2所示结构在肛门括约肌收缩时的状态示意图Figure 6 is a schematic diagram of the state of the structure shown in Figure 2 when the anal sphincter contracts

图7是图3所示结构在肛门括约肌收缩时的状态示意图Figure 7 is a schematic diagram of the state of the structure shown in Figure 3 when the anal sphincter contracts

图中:1-冲洗管,11-前段,12-中段,13后段,2-冲洗道,21-圆形冲洗道,22-弧形冲洗道,3-引流管,4-引流道,5-出水孔,6-橡胶塞,7-凸条。In the figure: 1- flushing tube, 11- front section, 12- middle section, 13 rear section, 2- flushing channel, 21- circular flushing channel, 22- arc flushing channel, 3- drainage tube, 4- drainage channel, 5 -Water outlet, 6-rubber plug, 7-raised bar.

具体实施方式Detailed ways

为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图,对本发明进行进一步详细说明。In order to make the object, technical solution and advantages of the present invention clearer, the present invention will be further described in detail below in conjunction with the accompanying drawings.

如图1至图5所示,一种解剖型肛管装置,包括引流管3、冲洗管1,引流管3内有引流道4,冲洗管1内有冲洗道2,冲洗管1位于引流管3的引流道4中,冲洗管1的外壁与引流管3的内壁连接成一体,冲洗管1管壁沿轴向分布有出水孔5,出水孔5连接冲洗道2和引流道4。As shown in Figures 1 to 5, an anatomical anal canal device includes a drainage tube 3 and a flushing tube 1. There is a drainage channel 4 in the drainage tube 3, and a flushing channel 2 is located in the flushing tube 1. The flushing tube 1 is located in the drainage tube. In the drainage channel 4 of 3, the outer wall of the flushing tube 1 is connected with the inner wall of the drainage tube 3, and the wall of the flushing tube 1 is distributed with outlet holes 5 along the axial direction, and the outlet holes 5 are connected to the flushing channel 2 and the drainage channel 4.

进一步的,所述冲洗管1包括前段11、中段12、后段13,前段11和中段12冲洗管1上部有横截面为圆形的冲洗道21,中段12和后段12冲洗管1下部有横截面呈弧形的弧形冲洗道22,圆形冲洗道21和弧形冲洗道22之间有通道连接,所述出水孔5位于弧形冲洗道22侧壁上。Further, the flushing pipe 1 includes a front section 11, a middle section 12, and a rear section 13. The upper part of the front section 11 and the middle section 12 of the flushing pipe 1 has a flushing channel 21 with a circular cross section, and the lower part of the middle section 12 and the rear section 12 of the flushing pipe 1 has The cross-section is arc-shaped flushing channel 22 , there is a channel connection between the circular flushing channel 21 and the arc-shaped flushing channel 22 , and the water outlet 5 is located on the side wall of the arc-shaped flushing channel 22 .

进一步的,所述圆形冲洗道21和弧形冲洗道22之间的通道上有自控阀,自控阀结构为:所述圆形冲洗道21下端开有与弧形冲洗道22连通的轴向槽,弧形冲洗道22底面上与轴向槽对应处有横截面呈三角形的凸条7。Further, there is a self-control valve on the channel between the circular flushing channel 21 and the arc-shaped flushing channel 22, and the structure of the self-control valve is: the lower end of the circular flushing channel 21 is provided with an axial valve communicating with the arc-shaped flushing channel 22. Groove, the bottom surface of the arc-shaped flushing channel 22 has a convex strip 7 with a triangular cross section corresponding to the axial groove.

进一步的,所述弧形冲洗道22底面上的三角形凸条7,顶部夹角为55—85°,优先为80°。Further, the angle of the top of the triangular ridge 7 on the bottom surface of the arc flushing channel 22 is 55-85°, preferably 80°.

进一步的,所述冲洗管1横截面呈腰形,两侧边为圆形截边,出水孔5在截边上。Further, the cross section of the flushing pipe 1 is waist-shaped, the two sides are circular truncated edges, and the outlet holes 5 are on the truncated edges.

进一步的,所述引流管3外径为10—15mm;冲洗管1外径为5—9mm,截边方向的宽度为4—7mm。Further, the outer diameter of the drainage tube 3 is 10-15 mm; the outer diameter of the flushing tube 1 is 5-9 mm, and the width in the trimming direction is 4-7 mm.

优选的,所述冲洗管1中段的长度为30—50mm,引流管3的长度为130—170mm。引流管的长度与成人直肠长度相近,冲洗管中段即自控式阀门的长度与人体肛管的长度相近,符合人体解剖学结构。Preferably, the length of the middle section of the flushing tube 1 is 30-50 mm, and the length of the drainage tube 3 is 130-170 mm. The length of the drainage tube is similar to the length of the adult rectum, and the length of the middle section of the irrigation tube, that is, the self-control valve, is similar to the length of the anal canal of the human body, which conforms to the anatomical structure of the human body.

进一步的,所述冲洗管1的前段11延伸在引流管外,延伸在外的前段11长为20—40mm。方便将输液器等进液管路连接在冲洗道上,更便于操作。Further, the front section 11 of the flushing tube 1 extends outside the drainage tube, and the length of the front section 11 extending outside is 20-40 mm. It is convenient to connect the liquid inlet pipeline such as the infusion set to the flushing channel, which is more convenient for operation.

进一步的,所述冲洗道2进口端有橡胶塞6。不用时进行封堵,使用时便于冲洗液进液管路连接,比如普通输液器,进行灌洗。Further, there is a rubber plug 6 at the inlet end of the flushing channel 2 . It is blocked when not in use, and it is convenient to connect the flushing liquid inlet pipeline when in use, such as an ordinary infusion set, for lavage.

进一步的,所述解剖型肛管装置为医用聚氯乙烯制备。还可以用其它医用弹性材料制备。Further, the anatomical anal canal device is made of medical polyvinyl chloride. It can also be prepared with other medical elastic materials.

本发明在使用时,可方便地将输液器等冲洗液进液管路连接在冲洗道上,对肠内容存物进行冲洗及引流。当肛门括约肌收缩时,由于冲洗管1在引流管3内的支撑作用,保证了引流道的持续开放状态,同时,由于肛门括约肌的收缩,压迫自控式阀门结构,使弧形冲洗道22底面上的三角形凸条向上封闭圆形冲洗道21下端的轴向槽,自控式阀门关闭,如图6、7所示,冲洗液不再进肠管内,大大降低了由于肛门括约肌收缩压闭肛管造成肠管内压力急剧增高,致吻合漏发生的风险。When the present invention is in use, it is convenient to connect flushing liquid inlet pipelines such as infusion sets to the flushing channel, so as to flush and drain intestinal contents. When the anal sphincter contracts, due to the support function of the irrigation tube 1 in the drainage tube 3, the continuous open state of the drainage channel is ensured. The triangular ridges of the circular flushing channel 21 are closed upwards to the axial groove at the lower end of the circular flushing channel 21, and the self-control valve is closed. As shown in Figures 6 and 7, the flushing liquid no longer enters the intestinal tube, which greatly reduces the anal canal caused by contraction of the anal sphincter. The pressure in the intestine increases sharply, leading to the risk of anastomotic leakage.

此外,本发明还可用于重症病人、顽固腹泻等大便自控能力丧失病人的肛周护理,大大降低护理工作量。In addition, the present invention can also be used for perianal nursing of critically ill patients, patients with intractable diarrhea and other patients who lose their stool self-control ability, greatly reducing the nursing workload.

当然,本发明还可有其它多种实施例,在不背离本发明精神及其实质的情况下,熟悉本领域的技术人员可根据本发明作出各种相应的改变和变形,但这些相应的改变和变形都应属于本发明所附的权利要求的保护范围。Certainly, the present invention also can have other various embodiments, without departing from the spirit and essence of the present invention, those skilled in the art can make various corresponding changes and deformations according to the present invention, but these corresponding changes All changes and modifications should belong to the scope of protection of the appended claims of the present invention.

Claims (10)

1.一种解剖型肛管装置,其特征在于:包括引流管(3)、冲洗管(1),引流管(3)内有引流道(4),冲洗管(1)内有冲洗道(2),冲洗管(1)位于引流管(3)的引流道(4)中,冲洗管(1)的外壁与引流管(3)的内壁连接成一体,冲洗管(1)管壁沿轴向分布有出水孔(5),出水孔(5)连接冲洗道(2)和引流道(4)。1. An anatomical anal canal device, characterized in that: comprise drainage tube (3), flushing tube (1), drainage channel (4) is arranged in the drainage tube (3), flushing road (1) is arranged in the flushing tube (1) 2), the flushing tube (1) is located in the drainage channel (4) of the drainage tube (3), the outer wall of the flushing tube (1) is connected with the inner wall of the drainage tube (3), and the wall of the flushing tube (1) is along the axis Water outlet holes (5) are distributed in the direction, and the water outlet holes (5) are connected to the flushing channel (2) and the drainage channel (4). 2.根据权利要求1所述的解剖型肛管装置,其特征在于:所述冲洗管(1)包括前段(11)、中段(12)、后段(13),前段(11)和中段(12)冲洗管(1)上部有横截面为圆形的冲洗道(21),中段(12)和后段(12)冲洗管(1)下部有横截面呈弧形的弧形冲洗道(22),圆形冲洗道(21)和弧形冲洗道(22)之间有通道连接,所述出水孔(5)位于弧形冲洗道(22)侧壁上。2. The anatomical anal canal device according to claim 1, characterized in that: the flushing tube (1) comprises a front section (11), a middle section (12), a back section (13), a front section (11) and a middle section ( 12) The upper part of the flushing pipe (1) has a flushing passage (21) with a circular cross section, and the lower part of the flushing pipe (1) in the middle section (12) and the back section (12) has an arc flushing passage (22) with an arc-shaped cross section. ), there is a channel connection between the circular flushing path (21) and the arc flushing path (22), and the water outlet hole (5) is located on the side wall of the arc flushing path (22). 3.根据权利要求2所述的解剖型肛管装置,其特征在于:所述圆形冲洗道(21)和弧形冲洗道(22)之间的通道上有自控阀,自控阀结构为:所述圆形冲洗道(21)下端开有与弧形冲洗道(22)连通的轴向槽,弧形冲洗道(22)底面上与轴向槽对应处有横截面呈三角形的凸条(7)。3. The anatomical anal canal device according to claim 2, characterized in that: there is a self-control valve on the passage between the circular flushing channel (21) and the arc-shaped flushing channel (22), and the structure of the self-control valve is: The lower end of the circular flushing channel (21) is provided with an axial groove communicating with the arc-shaped flushing channel (22), and the bottom surface of the arc-shaped flushing channel (22) corresponds to the axial groove. 7). 4.根据权利要求3所述的解剖型肛管装置,其特征在于:所述弧形冲洗道(22)底面上的三角形凸条(7),顶部夹角为55—85°。4. The anatomical anal canal device according to claim 3, characterized in that: the angle between the top of the triangular convex strip (7) on the bottom surface of the arc-shaped flushing channel (22) is 55-85°. 5.根据权利要求3所述的解剖型肛管装置,其特征在于:所述冲洗管(1)横截面呈腰形,两侧边为圆形截边,出水孔(5)在截边上。5. The anatomical anal canal device according to claim 3, characterized in that: the cross-section of the flushing tube (1) is waist-shaped, the two sides are circular truncated edges, and the outlet holes (5) are on the truncated edges . 6.根据权利要求5所述的解剖型肛管装置,其特征在于:所述引流管(3)外径为10—15mm;冲洗管1外径为5—9mm,截边方向的宽度为4—7mm。6. The anatomical anal canal device according to claim 5, characterized in that: the outer diameter of the drainage tube (3) is 10-15 mm; the outer diameter of the flushing tube 1 is 5-9 mm, and the width in the trimming direction is 4 mm. —7mm. 7.根据权利要求3所述的解剖型肛管装置,其特征在于:所述冲洗管(1)中段的长度为30—50mm,引流管3的长度为130—170mm。7. The anatomical anal canal device according to claim 3, characterized in that: the length of the middle section of the irrigation tube (1) is 30-50 mm, and the length of the drainage tube 3 is 130-170 mm. 8.根据权利要求7所述的解剖型肛管装置,其特征在于:所述冲洗管(1)的前段(11)延伸在引流管外,延伸在外的前段(11)长为20—40mm。8. The anatomical anal canal device according to claim 7, characterized in that: the front section (11) of the irrigation tube (1) extends outside the drainage tube, and the length of the front section (11) extending outside is 20-40mm. 9.根据权利要求1或3所述的解剖型肛管装置,其特征在于:所述冲洗道(2)进口端有橡胶塞(6)。9. The anatomical anal canal device according to claim 1 or 3, characterized in that there is a rubber plug (6) at the inlet end of the flushing channel (2). 10.根据权利要求1所述的解剖型肛管装置,其特征在于:所述解剖型肛管装置为(带抗菌性能的)医用聚氯乙烯制备。10. The anatomical anal canal device according to claim 1, characterized in that: the anatomical anal canal device is made of medical polyvinyl chloride (with antibacterial properties).
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CN202236820U (en) * 2010-06-10 2012-05-30 李虎 Medical dual-cavity flushing drainage tube
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