CN104800965B - Spinal cord empty cavum subarachnoidale microinvasion part flow arrangement - Google Patents
Spinal cord empty cavum subarachnoidale microinvasion part flow arrangement Download PDFInfo
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- CN104800965B CN104800965B CN201510264473.7A CN201510264473A CN104800965B CN 104800965 B CN104800965 B CN 104800965B CN 201510264473 A CN201510264473 A CN 201510264473A CN 104800965 B CN104800965 B CN 104800965B
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- spinal cord
- empty
- microinvasion
- cord empty
- flow arrangement
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Abstract
The present invention relates to a kind of spinal cord empty cavum subarachnoidale microinvasion part flow arrangement, it is made up of spinal cord empty end and cavitas subarachnoidealis spinalis end, whole device is in " fore-telling " font, and described spinal cord empty end on the tube wall at cavitas subarachnoidealis spinalis end with being equipped with side opening.The invention has the advantages that：Minimally invasive microinvasion, simple to operate easily to promote, operating time is short, complication is low, and because the section of exposing spinal cord is reduced, the complication rate such as operation time, infection simple to operate that reduces declines, and while reaching therapeutic effect, improves security；Cut compared to more traditional spinal cord dorsal part posterior median sulcus, improve the stability of backbone, the recurrence rate for reducing influence to normal spinal function, reducing spinal cord empty；Economy type medicine cost, mitigate patient medical burden, reduce waste, there is huge Social benefit and economic benefit.
Description
Technical field
The present invention relates to medical instruments field, is that one kind is used for spinal cord empty-cavum subarachnoidale shunt operation specifically
Microinvasion part flow arrangement.
Background technology
Due to being influenceed by many reasons in spinal cord, formation tubular cavity, referred to as syringomyelia (syringomyelia,
SM).Syringomyelia is a kind of chronic, progressive spinal cord retrogression pathological changes, is mainly shown as that dissociated sensory disturbance, muscle are withered
Contracting, muscular strength reduction etc., its pathogenesis is not still fully aware of, and unified understanding is there is no so far about its cause of disease problem.It occurs
Reason may with some congenital developmental deformity factors (extensive region pillow deformity, spina bifida, araphia) and the day after tomorrow it is secondary because
Plain (wound, tumor of spinal cord etc.) is relevant.Treatment for Primary cavity disease, not yet builds consensus completely at present.It is existing
It is main by the way of the incision of spinal cord dorsal part posterior median sulcus or Lumbar catheter-peritoneal shunt in technology.
1st, spinal cord dorsal part posterior median sulcus is cut：By cutting spinal cord dorsal part posterior median sulcus, make myelocoele and spinal cord spider
Nethike embrane cavity of resorption communicates, and reaches the purpose for mitigating symptom improvement patients ' life quality.But its drawback has the following aspects：First, deposit
Influenceing the risk of spinal stability.Because midsection at least needs to cut off the spinous process and vertebral plate of two sections, art after spinal cord
The stability of backbone may be influenceed afterwards, and in some sections, (such as chest 12- waists 1 are horizontal) is especially prominent.2nd, normal spinal cord work(is influenceed
Energy.Because myeloid tissue is very limited to the compensatory capacity of acute injury, what and normal spinal cord serious for spinal cord empty was pressurized
Patient, being cut along posterior median sulcus of spinal cord may cause patient dyskinesia, sensory disturbance occur, even occur in neck section tumor of spinal cord and exhale
Inhale dysfunction.3rd, spinal cord empty easily recurs.After along spinal cord after midsection, the both sides myeloid tissue of incision can adhesion again,
Cause occur cavity again, this point is relatively conventional in clinical practice.
2nd, Lumbar catheter-peritoneal shunt：By puncturing the cavum subarachnoidale at Lumbar catheter position by drainage of cerebrospinal fluid to abdominal cavity, its
Maximum drawback is can not to release spinal cord empty.And it is larger surgical injury to be also present, isocon spinal cord end is difficult to fixed, infection risk
High unfavorable factor.And the excessive drainage at Lumbar catheter position may further result in the entirety of brain tissue and move down and then foramen magnum occur
Hernia, can be with threat to life.
Current more tendentious opinion is spinal cord empty-cavum subarachnoidale shunting or spinal cord empty-thoracic cavity (abdominal cavity) point
Stream.But when implementing spinal cord empty-cavum subarachnoidale shunt operation, it is very crucial the problem of be a lack of specific microinvasion
Part flow arrangement.
The content of the invention
The purpose of the present invention is to be directed to deficiency of the prior art, there is provided a kind of spinal cord empty-cavum subarachnoidale microinvasion
Part flow arrangement.
To achieve the above object, the present invention adopts the technical scheme that：A kind of spinal cord empty-cavum subarachnoidale microinvasion point
Device is flowed, described spinal cord empty-cavum subarachnoidale microinvasion part flow arrangement is by spinal cord empty end and cavitas subarachnoidealis spinalis end
Composition, whole device be in " fore-telling " font, and described spinal cord empty end is linear pattern isocon, cavitas subarachnoidealis spinalis end one end and
Spinal cord empty end middle part connects, and is the side branches at spinal cord empty end, two parts are hollow isocon and inside is mutual
Connection, the angle at described cavitas subarachnoidealis spinalis end and spinal cord empty end is 30 °, described spinal cord empty end and spinal cord spider web
Side opening is equipped with the tube wall at hypostegal cavity end, described side opening is the through hole of insertion part flow arrangement tube wall, is uniformly divided on tube wall
Cloth.
Described spinal cord empty end overall length 8cm, the long 3cm in cavitas subarachnoidealis spinalis end.
The internal diameter of the pipeline ID0.7mm, external diameter OD1.5mm at described spinal cord empty end and cavitas subarachnoidealis spinalis end.
Described spinal cord empty-cavum subarachnoidale microinvasion part flow arrangement is silica gel material.
The aperture of described side opening is 0.2-0.4mm.
The invention has the advantages that：
1st, minimally invasive microinvasion, it is mainly reflected in the minimally invasive of the backbone rear pillar tissue such as spinous process, vertebral plate and to spinal cord dorsal part
Normal spinal cord it is minimally invasive, meet the main trend of modern neuro surgery；
2nd, simple to operate easily to promote, operating time is short, complication is low, simple to operate because the section of exposing spinal cord is reduced
Reduce the complication rate such as operation time, infection to decline, while reaching therapeutic effect, improve security；
3rd, cut compared to more traditional spinal cord dorsal part posterior median sulcus, improve the stability of backbone, reduce to normal ridge
The influence of marrow function, the recurrence rate for reducing spinal cord empty；
4th, Economy type medicine cost, mitigation patient medical burden, reduction waste, and have huge social benefit and economy effect
Benefit.
Brief description of the drawings
Accompanying drawing 1 is the structural representation of spinal cord empty-cavum subarachnoidale microinvasion part flow arrangement of the present invention.
Embodiment
Embodiment provided by the invention is elaborated below in conjunction with the accompanying drawings.
The reference and part being related in accompanying drawing are as follows：
1. the cavitas subarachnoidealis spinalis end of spinal cord empty end 2.
3. side opening
Accompanying drawing 1 is refer to, accompanying drawing 1 is that the structure of spinal cord empty-cavum subarachnoidale microinvasion part flow arrangement of the present invention is shown
It is intended to.As illustrated, described spinal cord empty-cavum subarachnoidale microinvasion part flow arrangement is used under spinal cord empty-arachnoid
The microinvasion isocon of chamber shunt operation, is made up of spinal cord empty end 1 and cavitas subarachnoidealis spinalis end 2, and whole device is in " fore-telling " word
Type, described spinal cord empty end 1 are the hollow isocon of linear pattern, overall length 8cm, described one end of cavitas subarachnoidealis spinalis end 2 with
The middle part of spinal cord empty end 1 connects, and is the side branches at spinal cord empty end 1, described cavitas subarachnoidealis spinalis end 2 and spinal cord
The angle α at empty end 1 is 30 °, the described overall length 3cm of cavitas subarachnoidealis spinalis end 2.Compared to more existing T-shaped Lumbar catheter-abdominal cavity
Isocon (Medtronic Inc.), it is mainly reflected in the advantages of the design of this " fore-telling " type：1st, the silicone tube at spinal cord empty end 1 is easily put
Enter；2nd, the right angle compared to 90 °, 30 ° of angle design not easily lead to isocon bending, are led after avoiding plugging and pipe bending
Cause the compression of Normal spinal cord；3rd, " fore-telling " type design is easy to fix isocon, makes it be not easy to shift.
Described spinal cord empty end 1 and cavitas subarachnoidealis spinalis end 2 is all silica gel material, inner hollow and is interconnected.
The internal diameter of the pipeline ID0.7mm, external diameter OD1.5mm at described spinal cord empty end 1 and cavitas subarachnoidealis spinalis end 2.
It should be noted that side opening 3 is equipped with the tube wall at described spinal cord empty end 1 and cavitas subarachnoidealis spinalis end 2,
Described side opening 3 is the through hole of insertion part flow arrangement tube wall, is uniformly distributed on tube wall, and the quantity and spacing of side opening 3 are unlimited, with
The bulk strength for not influenceing isocon is standard.The aperture of described side opening 3 is 0.2-0.4mm.If without side opening 3, " fore-telling " type
The cavitas subarachnoidealis spinalis end 2 of design is once adherent or adhesion, then can cause inadequate drainage or even can not drain.This " fore-telling " type
The purpose for designing side opening 3 is to more fully drain liquid in spinal cord empty, avoids the generation of postoperative plugging.
In the use of the present invention, by the small otch of spinal cord dorsal part, spinal cord empty end 1 is implanted into spinal cord empty successively,
Cavitas subarachnoidealis spinalis end 2 is fixed on the arachnoid of spinal cord, you can and realization communicates spinal cord empty with cavitas subarachnoidealis spinalis,
The circulation of cerebrospinal fluid is got through, reduces the purpose in even occlusion cavity, so as to mitigate or improve patient clinical symptom, improves patient
Quality of life.
The advantage of the invention is that：1st, minimally invasive microinvasion.It is mainly reflected in the micro- of the backbone rear pillar tissue such as spinous process, vertebral plate
Create and to the minimally invasive of spinal cord dorsal part Normal spinal cord, meet the main trend of modern neuro surgery；2nd, it is simple to operate easily to push away
Extensively.By the small otch of spinal cord dorsal part, spinal cord end is implanted into spinal cord empty successively, cavum subarachnoidale end is fixed on the spider of spinal cord
On nethike embrane, you can realization communicates spinal cord empty with cavitas subarachnoidealis spinalis, gets through the circulation of cerebrospinal fluid.Aforesaid operations are simply easy
Promote；3rd, operating time is short, complication is low.It is simple to operate to reduce operation time because the section of exposing spinal cord is reduced,
The complication rates such as infection decline.While reaching therapeutic effect, security is improved.
Cut compared to more traditional spinal cord dorsal part posterior median sulcus, the present invention improves the stability of backbone, reduces and aligns
The influence of normal spinal function, the recurrence rate for reducing spinal cord empty.
Caused society and economic effect：By inquiry, spinal cord empty-spider web is being implemented at domestic most neurosurgery centers
Hypostegal cavity shunts or during spinal cord empty-abdominal cavity (thoracic cavity) shunt operation, the T-shaped pipe produced using Medtronic Inc., so
And in operative process, a certain degree of trimming or processing are often carried out to the isocon.The present invention is if realization amount
Produce and in clinical application, national health medical treatment cost can be saved, mitigate patient medical burden, reduce and waste, set simultaneously
National independent intellectual property right is found, Social benefit and economic benefit is huge., can large-scale promotion and operation is simple due to it
To vast basic hospital, more basic unit patients are allowed to benefit.
Described above is only the preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art
Member, on the premise of the inventive method is not departed from, can also make some improvement and supplement, and these are improved and supplement also should be regarded as
Protection scope of the present invention.
Claims (4)
- A kind of 1. spinal cord empty-cavum subarachnoidale microinvasion part flow arrangement, it is characterised in that described spinal cord empty-arachnoid Cavity of resorption microinvasion part flow arrangement is made up of spinal cord empty end and cavitas subarachnoidealis spinalis end, and whole device is in " fore-telling " font, described Spinal cord empty end is linear pattern isocon, and cavitas subarachnoidealis spinalis end one end is connected with spinal cord empty end middle part, is spinal cord The side branches at empty end, two parts are hollow isocon and inside interconnects, described cavitas subarachnoidealis spinalis end with The angle at spinal cord empty end is 30 °, and described spinal cord empty end on the tube wall at cavitas subarachnoidealis spinalis end with being equipped with side opening, institute The side opening stated is the through hole of insertion part flow arrangement tube wall, is uniformly distributed on tube wall, described spinal cord empty-cavum subarachnoidale is micro- Invasion and attack part flow arrangement is silica gel material.
- 2. spinal cord empty according to claim 1-cavum subarachnoidale microinvasion part flow arrangement, it is characterised in that described Spinal cord empty end overall length 8cm, the long 3cm in cavitas subarachnoidealis spinalis end.
- 3. spinal cord empty according to claim 1-cavum subarachnoidale microinvasion part flow arrangement, it is characterised in that described The internal diameter of the pipeline ID0.7mm, external diameter OD1.5mm at spinal cord empty end and cavitas subarachnoidealis spinalis end.
- 4. spinal cord empty according to claim 1-cavum subarachnoidale microinvasion part flow arrangement, it is characterised in that described The aperture of side opening is 0.2-0.4mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510264473.7A CN104800965B (en) | 2015-05-21 | 2015-05-21 | Spinal cord empty cavum subarachnoidale microinvasion part flow arrangement |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510264473.7A CN104800965B (en) | 2015-05-21 | 2015-05-21 | Spinal cord empty cavum subarachnoidale microinvasion part flow arrangement |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104800965A CN104800965A (en) | 2015-07-29 |
| CN104800965B true CN104800965B (en) | 2018-02-13 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201510264473.7A Expired - Fee Related CN104800965B (en) | 2015-05-21 | 2015-05-21 | Spinal cord empty cavum subarachnoidale microinvasion part flow arrangement |
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Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1872004A (en) * | 2005-12-28 | 2006-12-06 | 张扬 | Implantable divider, and matched posting set in use for implanting the divider |
| CN201807064U (en) * | 2010-08-23 | 2011-04-27 | 赵东升 | Blockage-preventing ventricle shunt adapter |
| CN202569012U (en) * | 2012-05-24 | 2012-12-05 | 陈有元 | Ventricular shunt tube |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6217552B1 (en) * | 1999-03-01 | 2001-04-17 | Coaxia, Inc. | Medical device for selective intrathecal spinal cooling in aortic surgery and spinal trauma |
| US20050256510A1 (en) * | 2004-04-28 | 2005-11-17 | Medtronic, Inc. | Ventriculo-sinus shunting for disease treatment |
| CN102029009B (en) * | 2010-12-31 | 2012-07-04 | 中国人民解放军第四军医大学唐都医院 | Propeller of T-shaped tube for myelocele hydrops lumbar cisterna shunt |
| CN202982923U (en) * | 2011-12-29 | 2013-06-12 | 山东百多安医疗器械有限公司 | Multi-directional valve hydrocephalus shunting tube |
-
2015
- 2015-05-21 CN CN201510264473.7A patent/CN104800965B/en not_active Expired - Fee Related
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1872004A (en) * | 2005-12-28 | 2006-12-06 | 张扬 | Implantable divider, and matched posting set in use for implanting the divider |
| CN201807064U (en) * | 2010-08-23 | 2011-04-27 | 赵东升 | Blockage-preventing ventricle shunt adapter |
| CN202569012U (en) * | 2012-05-24 | 2012-12-05 | 陈有元 | Ventricular shunt tube |
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| Publication number | Publication date |
|---|---|
| CN104800965A (en) | 2015-07-29 |
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Granted publication date: 20180213 Termination date: 20180521 |