CN104323829B - Uterine neck pore prevents adhesion device and its application - Google Patents
Uterine neck pore prevents adhesion device and its application Download PDFInfo
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- CN104323829B CN104323829B CN201410621094.4A CN201410621094A CN104323829B CN 104323829 B CN104323829 B CN 104323829B CN 201410621094 A CN201410621094 A CN 201410621094A CN 104323829 B CN104323829 B CN 104323829B
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- uterine neck
- transverse arm
- tailfiber
- frame member
- shaped frame
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B2017/4216—Operations on uterus, e.g. endometrium
- A61B2017/4225—Cervix uteri
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- Reproductive Health (AREA)
- Pregnancy & Childbirth (AREA)
- Engineering & Computer Science (AREA)
- Gynecology & Obstetrics (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
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Abstract
The invention belongs to medical instruments field, disclose a kind of uterine neck pore and prevent adhesion device and its application.The uterine neck pore prevents adhesion device comprising T-shaped frame member and tailfiber：T-shaped frame member includes transverse arm and trailing arm, and the transverse arm is made up of the material that can be resiliently deflected deformation, and trailing arm is vertically connected at the middle part of transverse arm, in the one end of trailing arm away from transverse arm provided with perforation, and tailfiber, which is passed through, perforates and fixed.Uterine neck pore provided by the present invention prevents adhesion device, in cervicectomy, remain before palace body and vagina suture, insert in patient uterine, tailfiber and T-shaped support can prevent postoperative endometrium and uterine neck pore from sticking together, and it is postoperative can by pulling tailfiber, without anesthesia in the case of easily anti-sticking connected device taken out out of patient body.The uterine neck pore device that prevents adhesion of the present invention can prevent the generation of the narrow adhesion in cervical canal hole after cervicectomy, can effectively reduce postoperative complications, improve patient's postoperative life quality.
Description
Technical field
The invention belongs to technical field of medical instruments, more particularly to a kind of implantable for being used in cervicectomy
Equipment.
Background technology
At present, cervical carcinoma is still the underlying cause of death of global patients with gynecologic malignancies, on the one hand, cervical carcinoma screening causes morning
The ratio of making a definite diagnosis of phase cervical carcinoma rises；On the other hand, as rejuvenation trend and modern society is presented in the cervical cancer pathogenesis age
Childbearing age postpones, and in human invasive cervix neoplasms patient, the Proportion of patients do not given birth to rises year by year.The tradition of human invasive cervix neoplasms
Therapeutic modality is surgery excision uterus and regional lymph nodes, or by radiotherapy killing primary tumor and lymphatic drainage area tumour, but
Operation or radiotherapy will all cause patient to lose reproductive function while tumour is treated.Factors above causes the fertility for retaining patient
Function is more and more important in the treatment of cervical carcinoma.Charles Robert Richet Daniel Dargent carried out radical-ability first in 1987
Cervicectomy (radical trachelectomy, RT).The excision extension for changing art formula is similar to the female radical cure temper of classics
Palace resection, only cuts off the uterine neck of lesion, isthmus uteri is coincide with vagina upper end so that patient protects while tumour is cured
Reproductive function is stayed.Current RT operations mainly have female Radical trachelectomy (vaginal radical
Trachelectomy, VRT) and abdomen formula Radical trachelectomy (abdominal radical trachelectomy, ART)
Two kinds.
The narrow adhesion of uterine neck pore is the most typical and common postoperative complications after abdomen formula Radical trachelectomy, no
But the normal form in uterus and function can be influenceed and then human endocrine is influenceed, and can cause infertile, this is clearly and ART
What the original intention that operation retains patient's reproductive function was disagreed.Receive the postoperative patients for occurring the narrow adhesion of uterine neck pore of ART often
Have to receive again cervical canal bore expansion operation more than once, this body undoubtedly to sufferer, at heart and economy is born
On all generate new pressure.Therefore, we are attempting to look for prevent that postoperative uterine neck pore is narrow in ART operations always
The method of adhesion.
The content of the invention
Prevented adhesion device it is an object of the present invention to provide a kind of uterine neck pore, it is adaptable to during cervicectomy
Implantation within a patient.
Uterine neck is prevented after cervicectomy it is another object of the present invention to provide this kind of uterine neck pore device that prevents adhesion
The application of the narrow adhesion of pore.
In order to solve the above technical problems, embodiments of the present invention prevent adhesion device there is provided a kind of uterine neck pore, T-shaped is included
Frame member and tailfiber, T-shaped frame member include transverse arm and trailing arm, and transverse arm is made up of the material that can be resiliently deflected deformation, trailing arm
It is vertically connected at the middle part of transverse arm, provided with perforation on the one end of trailing arm away from transverse arm, tailfiber is through perforation and fixes.
The uterine neck pore that embodiments of the present invention are provided prevents adhesion device, for during cervicectomy, suture
Before stump palace body and vagina, implementer is entered using operating theater instruments to the trailing arm and transverse arm of T-shaped frame member using operating theater instruments
After the firm clamping of row, in the state of transverse arm is in elastic bending deformation, it is deeply placed into patient uterine；Then hand
Art apparatus releases clamping, and the transverse arm of T-shaped frame member recovers the original state before elastic deformation, that is, trails and support and be fixed on corpus uteri
Bottom.Provided with perforation on the one end of trailing arm away from transverse arm of T-shaped frame member, tailfiber and fixation are installed with perforation, the cervical canal
In the anti-sticking connected device implantation patient uterine in hole, after patient's suture stump palace body and vagina, a part for tailfiber will be left in vitro：One side
Face, tailfiber is together with the trailing arm of T-shaped support, and the uterine neck pore that is caused to postoperative neck tube mucous membrane adhesion is narrow prevention effect；
On the other hand, the patient of cervicectomy was received after past adhesion acute stage, can be by pulling the tailfiber, without anesthesia
In the case of anti-sticking connected device taken out out of patient body, it is to avoid the generation of second operation.
Relative to prior art, the uterine neck pore of the invention device that prevents adhesion effectively prevent patient cervical canal occur after surgery
The complication of the narrow adhesion in hole, remains the reproductive function of patient, for improve the postoperative quality of life of cervical cancer patient and
Mental emotion state all has very great help.
Further, the uterine neck pore that embodiments of the present invention are provided prevents adhesion in device, and the trailing arm of T-shaped frame member is remote
From transverse arm one end overstriking and form chondritic, perforation be disposed through in the chondritic.This kind of overstriking simultaneously forms spherical
The trailing arm end of structure, can increase the firm power of trailing arm end, thus reduce the mistake that the Anti-adhering device is taken out in drawing tailfiber
Cheng Zhong, the perforation located at the trailing arm end of T-shaped frame member occurs rupture because of insufficient strength, in turn results in tailfiber comes off and prevent adhesion
Device, which is still detained internal situation, to be occurred.
Further, the uterine neck pore that embodiments of the present invention are provided prevents adhesion in device, tailfiber winding N in perforation
Circle, by increasing the lifting surface area between tailfiber and perforation, reaches reduction during drawing tailfiber, tailfiber is broken in perforation
And occur that tailfiber comes off and Anti-adhering device is still detained internal situation and occurred.
Preferably, the uterine neck pore that embodiments of the present invention are provided prevents adhesion in device, and the material of T-shaped frame member is modeling
Material, silica gel or rubber.These materials can be resiliently deflected deformation under external force, and all have safely, securely, can
The characteristics of plasticity is good, wherein plastics especially possess the advantage that good economy performance, plasticity are strong and quality is light.
Preferably, the uterine neck pore that embodiments of the present invention are provided prevents adhesion in device, and the material of tailfiber is nylon yarn
Or plastic wire.The characteristics of these materials are respectively provided with safely, securely, and wherein nylon yarn especially has economy, thickness selection wide
The characteristics of.
Preferably, the uterine neck pore that embodiments of the present invention are provided prevents adhesion in device, the length of the transverse arm of T-shaped frame member
Spend for 1.5~4.5cm, to adapt to the uterine neck pore internal diameter of Most patients, the expansion to uterine neck pore can be reached, prevented adhesion
Effect, larger physical stimulation will not be produced to uterine neck pore, causes patient uncomfortable again.
Preferably, the uterine neck pore that embodiments of the present invention are provided prevents adhesion in device, the length of the trailing arm of T-shaped frame member
Spend for 1.5~5cm, so that the overall length of tailfiber and trailing arm covers the length of cervical canal enough, effectively post-operation adhesion is prevented to reach
Effect.
Further, the uterine neck pore that embodiments of the present invention are provided prevents adhesion in device, the transverse arm of T-shaped frame member
Two ends form round and smooth sphere.Form round and smooth sphere at the transverse arm two ends of T-shaped frame member, can make transverse arm two ends with uterine neck inside pipe wall
During contact, the physical stimulation to uterine neck inside pipe wall and damage are reduced, the sense of discomfort of patient and the generation of m is reduced.
Finally, embodiments of the present invention also provide above-mentioned uterine neck pore and prevent adhesion device in cervical carcinoma reservation reproductive function
Abdomen formula Radical trachelectomy after prevent the application of the narrow adhesion in cervical canal hole.
Brief description of the drawings
Fig. 1 is that the uterine neck pore that first embodiment of the invention is provided prevents adhesion the structural representation of device；
Fig. 2 is that uterine neck pore in first embodiment of the invention prevents adhesion during device is placed into patient uterine,
The schematic diagram of deformation is resiliently deflected under operating theater instruments clamping；
Fig. 3 is that the uterine neck pore that second embodiment of the invention is provided prevents adhesion the structural representation of device；
Fig. 4 is that the uterine neck pore that four embodiment of the invention is provided prevents adhesion the structural representation of device.
Embodiment
To make the object, technical solutions and advantages of the present invention clearer, below in conjunction with each reality of the accompanying drawing to the present invention
The mode of applying is explained in detail.However, it will be understood by those skilled in the art that in each embodiment of the invention,
In order that reader more fully understands the application and proposes many ins and outs.But, even if without these ins and outs and base
Many variations and modification in following embodiment, can also realize each claim of the application technical side claimed
Case.
Embodiment 1
The first embodiment of the present invention is related to a kind of uterine neck pore and prevented adhesion device, and its structure is as shown in Figure 1.It is specific next
Say, the uterine neck pore Anti-adhering device includes a T-shaped frame member and tailfiber 4, the T-shaped frame member includes transverse arm 1 and trailing arm 2, T
Shape frame member is made up of plastic material, and the length of transverse arm 1 is 2.5cm, and the length of trailing arm is 3cm；Trailing arm 2 is vertically connected at transverse arm
1 middle part, provided with perforation 3 on the one end of trailing arm 2 away from transverse arm 1, is installed with tailfiber 4, the material of tailfiber is nylon in the perforation 3
Silk, and tailfiber 4 through perforation 3 after perforation 3 fixation.
In clinical abdomen formula radical-ability uterine neck inadvertent closure, then the uterine neck of surgery excision lesion will remain palace body
With vagina suture.And anti-sticking connected device is inserted in art and is just occurred before vagina and residual palace body suture the step：Implementer's profit
The trailing arm and transverse arm of T-shaped frame member are carried out after firm clamping using operating theater instruments with operating theater instruments, make the horizontal stroke of plastic material
Arm is in the state (schematic diagram is as shown in Figure 2) of elastic bending deformation under chucking power effect, and it is deeply placed into trouble
Person's intrauterine；Then operating theater instruments releases clamping, and the transverse arm of T-shaped frame member recovers the original state before elastic deformation, that is, trailed simultaneously
Corpus uteri bottom is fixed in support.Provided with perforation on the one end of trailing arm away from transverse arm of T-shaped frame member, tailfiber is installed with perforation
And it is fixed, the uterine neck pore prevents adhesion in device implantation patient uterine, after patient's suture stump palace body and vagina, a part for tailfiber
It will be left in external：On the one hand, tailfiber is together with the trailing arm of T-shaped support, the uterine neck pore caused to postoperative neck tube mucous membrane adhesion
It is narrow to have prevention effect；On the other hand, received the patient of cervicectomy after past adhesion acute stage, can be somebody's turn to do by drawing
Tailfiber, take out out of patient body anti-sticking connected device in the case of without anesthesia, it is to avoid the generation of second operation.The cervical canal
The anti-sticking connected device in hole can effectively prevent patient from the complication of the narrow adhesion of uterine neck pore occurring after surgery, retain the fertility work(of patient
Can, all have very great help for improving the postoperative quality of life of cervical cancer patient and mental emotion state.Clinically advise anxious
Property the adhesion phase after, according to patient's concrete condition, device that the uterine neck pore can prevent adhesion is from internal taking-up, and the method for taking-up is：
Patient's lithotomy position lies low in gynecological examining table, and doctor uses vaginal dilator vaginal dilation, fully exposes uterine neck pore and emerges in the moon
The anti-sticking connected device tailfiber in road, using slowly firmly taking out the anti-sticking chain of rings after vessel forceps clamp tailfiber.Said process need not be anaesthetized,
Simplest gynecological examination facility is only needed, can be implemented in outpatient service.
Through being counted to subject, the ART postoperative patients for the device that prevented adhesion using the uterine neck pore, in Anti-adhering device resting period
Between occur the narrow adhesion of uterine neck pore probability be less than 3%.
Embodiment 2
Uterine neck pore involved by second embodiment of the present invention prevents adhesion device, and its structure is as shown in Figure 3.This implementation
The uterine neck pore of mode prevent adhesion device basic structure it is identical with first embodiment, it is T-shaped on the basis of first embodiment
The material of support uses silica gel, and the material of tailfiber uses plastic wire, equally can guarantee that the safely, securely property of T-shaped support and tailfiber；
And by one end overstriking of the trailing arm 2 of T-shaped frame member away from transverse arm 1 and chondritic 5 is formed, perforation 3 is disposed through the ball
In shape structure 5.
In present embodiment, this kind of overstriking and the trailing arm end for forming chondritic can increase the firm power of trailing arm end,
Thus reduce during drawing tailfiber takes out the Anti-adhering device, the perforation located at the trailing arm end of T-shaped frame member is because strong
Rupture not enough occurs for degree, in turn result in that tailfiber comes off and Anti-adhering device is still detained internal situation and occurred.
Embodiment 3
Uterine neck pore involved by third embodiment of the present invention prevents adhesion device, and its structure and second embodiment are basic
Identical, on the basis of second embodiment, the material of T-shaped support uses rubber, and makes the winding N in perforation 3 of tailfiber 4
Circle.
Present embodiment is reached by making tailfiber winding N circles, lifting surface area between increase tailfiber and perforation in perforation
Reduce during drawing tailfiber, tailfiber in perforation fracture and occur that tailfiber comes off and Anti-adhering device is still detained internal shape
Condition occurs.
Embodiment 4
Uterine neck pore involved by the 4th embodiment of the present invention prevents adhesion device, and its structure is as shown in Figure 4.This implementation
The uterine neck pore of mode prevents adhesion device on the basis of the 3rd embodiment, and the two ends of the transverse arm 1 of T-shaped frame member are formed into round and smooth
Sphere 6.
In present embodiment, round and smooth sphere is formed at the transverse arm two ends of T-shaped frame member, can make transverse arm two ends with cervical canal
When inwall is contacted, physical stimulation to uterine neck inside pipe wall and damage are reduced, reduce the sense of discomfort and m of patient
Occur.
It will be understood by those skilled in the art that the respective embodiments described above are to realize the specific embodiment of the present invention,
And in actual applications, can to it, various changes can be made in the form and details, without departing from the spirit and scope of the present invention.
Claims (6)
- The device 1. a kind of uterine neck pore prevents adhesion, it is characterised in that include T-shaped frame member and tailfiber (4), the T-shaped frame member bag Containing transverse arm (1) and trailing arm (2), the transverse arm (1) is made up of the material that can be resiliently deflected deformation, and the trailing arm (2) is vertical The middle part of transverse arm (1) is connected to, in the one end of the trailing arm (2) away from transverse arm (1) provided with perforation (3), the tailfiber (4) passes through Perforate (3) and fixed；One end overstriking of the trailing arm (2) of the T-shaped frame member away from transverse arm (1) simultaneously forms chondritic (5), institute Perforation (3) is stated to be disposed through in the chondritic (5)；Wherein, it is deeply positioned over patient uterine by transverse arm state in elastic bending deformation under chucking power effect It is interior；Then the chucking power of the transverse arm is released, the transverse arm recovers the original state before elastic deformation, trails and support and be fixed on son Palace body bottom；The tailfiber (4) winding N circles in the perforation (3).
- The device 2. uterine neck pore according to claim 1 prevents adhesion, it is characterised in that the material of the T-shaped frame member is modeling Material, silica gel or rubber.
- The device 3. uterine neck pore according to claim 1 prevents adhesion, it is characterised in that the material of the tailfiber (4) is nylon Silk or plastic wire.
- The device 4. uterine neck pore according to claim 1 prevents adhesion, it is characterised in that the transverse arm (1) of the T-shaped frame member Length is 1.5~4.5cm.
- The device 5. uterine neck pore according to claim 1 prevents adhesion, it is characterised in that the trailing arm (2) of the T-shaped frame member Length is 1.5~5cm.
- The device 6. uterine neck pore according to claim 1 prevents adhesion, it is characterised in that the transverse arm (1) of the T-shaped frame member Two ends form round and smooth sphere (6).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410621094.4A CN104323829B (en) | 2014-11-06 | 2014-11-06 | Uterine neck pore prevents adhesion device and its application |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410621094.4A CN104323829B (en) | 2014-11-06 | 2014-11-06 | Uterine neck pore prevents adhesion device and its application |
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| CN104323829A CN104323829A (en) | 2015-02-04 |
| CN104323829B true CN104323829B (en) | 2017-09-22 |
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Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105726103B (en) * | 2016-02-05 | 2018-08-10 | 复旦大学附属肿瘤医院 | A kind of uterine neck pore prevents adhesion device |
| WO2017184669A1 (en) * | 2016-04-20 | 2017-10-26 | Duke University | Intrauterine adhesion barrier device and method of use |
| CN109157274B (en) * | 2018-10-24 | 2023-10-20 | 蔡华蕾 | Anti-adhesion uterine cavity bracket and application method thereof |
| CN110604627B (en) * | 2019-10-17 | 2022-08-12 | 储萍 | Cervical canal hole anti-adhesion device |
Family Cites Families (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2166781Y (en) * | 1993-05-30 | 1994-06-01 | 李明州 | Uterus air pocket |
| FI97946C (en) * | 1994-12-15 | 1997-03-25 | Leiras Oy | An applicator for inserting an intrauterine device |
| WO2014121332A1 (en) * | 2013-02-06 | 2014-08-14 | Sillender Mark | Therapeutic substance transfer catheter and method |
| CN203354626U (en) * | 2013-07-18 | 2013-12-25 | 东南大学 | Novel minimally invasive treatment device for preventing intrauterine adhesion |
| CN204218998U (en) * | 2014-11-06 | 2015-03-25 | 复旦大学附属肿瘤医院 | A kind of cervix uteri pore anti device |
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