CN104815383B - Y type bile pancreatic juice drainage pipes - Google Patents
Y type bile pancreatic juice drainage pipes Download PDFInfo
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- CN104815383B CN104815383B CN201510236036.4A CN201510236036A CN104815383B CN 104815383 B CN104815383 B CN 104815383B CN 201510236036 A CN201510236036 A CN 201510236036A CN 104815383 B CN104815383 B CN 104815383B
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- button loop
- drainage tube
- pipe
- pancreatic juice
- bile
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Abstract
The invention discloses a kind of Y types bile pancreatic juice drainage pipe, including button loop formula bile drainage tube and pancreatic juice inner drainage tube, the button loop formula bile drainage tube includes the straight tube being sequentially connected, elasticity button loop pipe I and elasticity button loop pipe II, the elasticity button loop pipe I and the entirety of elasticity button loop pipe II are in archimedes curve shape, the pancreatic juice inner drainage tube includes drainage tube body and the pipe cap positioned at the upper end of the drainage tube body, and the side wall of the drainage tube body is connected with the side wall of the straight tube by connecting portion.Present invention reduces the probability that button loop formula bile drainage tube slips, it is non-stimulated to bile duct mucous membrane, duodenofiberscope, gastrointestinal tract mucous and bottleneck throat mucous membrane, have the function that to prevent pancreatic juice inner drainage tube internal shift or abjection, pancreatic juice inner drainage tube is directly connected with button loop formula bile drainage tube, while button loop formula formula bile drainage tube is taken out, pancreatic juice inner drainage tube can be taken out simultaneously, avoid secondary ERCP from performing the operation, reduce medical expense and operation risk.
Description
Technical field
The present invention relates to a kind of drainage tube, specifically a kind of Y types bile pancreatic juice drainage pipe.
Background technology
At present, with the continuous development of endoscopic technic and its constantly improve of annex, ERCP technology (ERCP) is
So turn into the important measures for the treatment of hepatobiliary and pancreatic diseases, including choledocholithiasis, bile duct injury, stenosis of bile duct, after liver transplantation courage
Road complication etc..The technology has the advantages that wound is small, safety coefficient is high, recovery is fast compared with Tradtional laparotomy.It is looked at straight
Lower observation, it can realize that conventional liver and gall spleen pancreas CT, ultrasound and magnetic resonance etc. check the not detectable hepatobiliary and pancreatic diseases of institute, enter simultaneously
Row treatment, such as duodenal papillitis, nipple are narrow, diverticulum, duodenofiberscope be long by nipple, courage pancreas interflow is abnormal.
Although ERCP treatment hepatobiliary and pancreatic diseases have above-mentioned advantage, there is also certain complication, wherein pancreatitis,
Cholangitis and bleeding are postoperative three big complication of ERCP.The complication usually dramatically increases medical expense, extends the hospital stays, gives
Patient brings great pain, and certain death rate be present.Clinically, in order to reduce the generation of ERCP postoperative complications
Rate, it is postoperative to be usually built into pancreatic juice inner drainage tube or nose pancreas drainage tube in ductus pancreaticus, it is built into bile duct inner drainage tube or nose in bile duct
Courage drainage tube, wherein most commonly seen with the use of pancreatic juice inner drainage tube and nose bile drainage tube.
The pancreatic juice inner drainage tube of clinical practice at present is mostly straight tube or single pig drainage tube, and two kinds of drainage tubes in generation by moving
Position, the possibility voluntarily deviate from, and need to go the drainage tube that secondary ERCP operations are put into and take out.
The head end of the nose bile drainage tube of Clinical practice can be illegally occupied voluntarily in bile duct at present, but the head end of drainage tube is to courage
The stimulation of pipe mucous membrane can cause local mucous membrane reactive hyperplasia;During tube drawing, drainage tube head end can cause bile duct and enteron aisle to glue
The damage of film, or even the complication such as acute cholangitis, acute pancreatitis, UGB can be induced;Drainage tube is to bottleneck throat
Stimulation, often lead to the serious nausea of patient, or even symptoms of emesis.Because nose bile duct relies on own tension, illegally occupy in drainage
In pipe, due to lacking support force, flow tube can voluntarily deviate from.
The content of the invention
According to technical problem set forth above, and provide a kind of Y types bile pancreatic juice drainage pipe.
The technological means that the present invention uses is as follows:
A kind of Y types bile pancreatic juice drainage pipe, including button loop formula bile drainage tube and pancreatic juice inner drainage tube, the button loop formula bile
Drainage tube includes the straight tube being sequentially connected, elasticity button loop pipe I and elasticity button loop pipe II, the elasticity button loop pipe I and the elasticity button loop pipe
II entirety is in archimedes curve shape, and the side wall of the elasticity button loop pipe I is provided with the logical of the head of the receiving elastic button loop pipe II
Hole I, the through hole I are located at archimedes curve institute planar, and the elasticity button loop pipe II is provided with line tie point, described
The side wall of elasticity button loop pipe I is provided with string holes, and the line tie point and the string holes are respectively positioned in the plane, the line tie point
Line is provided with, the other end of the line is entered in the elasticity button loop pipe I through the string holes,
The pancreatic juice inner drainage tube includes drainage tube body and the pipe cap positioned at the upper end of the drainage tube body, described to draw
The side wall of flow tube body is connected with the side wall of the straight tube by connecting portion,
Side opening is equipped with the straight tube, the elasticity button loop pipe I, the elasticity button loop pipe II and the drainage tube body.
The string holes is located at the side of the close straight tube of the through hole I, and the line tie point is fastened with a rope, string, etc. positioned at the elasticity
The outer of pipe II.
The outer and interior edge are named according to the warp architecture of the elasticity button loop pipe II, i.e., positioned at the elasticity button loop pipe
In II axis enclosed space for the interior edge, outside the axis enclosed space of the elasticity button loop pipe II to be described outer
Edge.
The head of the elasticity button loop pipe II has arc surface I, and the arc surface I is provided with through hole III.
The pipe cap is round table-like pipe cap, and the upper end of the round table-like pipe cap has an arc surface II, on the arc surface II
Provided with through hole II.
The connecting portion is connecting plate.
The present invention has advantages below:
Tension force of the elasticity button loop pipe I to bile duct wall is added when the 1st, tightening up line, reduces the general of button loop formula bile drainage tube slippage
Rate;
2nd, after tightening up line, the head of elasticity button loop pipe II enters in through hole I, to bile duct wall not damaged, is extracting button loop formula bile
It is non-stimulated to bile duct mucous membrane, duodenofiberscope, gastrointestinal tract mucous and bottleneck throat mucous membrane during drainage tube, will not
Cause the complication such as acute cholangitis, acute pancreas, UGB, during tube drawing, patient's is not that reflect also will be big
It is big to reduce;
3rd, pancreatic juice inner drainage tube directly with button loop formula bile drainage tube be connected, have prevent pancreatic juice inner drainage tube internal shift or
The effect of abjection;
4th, pancreatic juice inner drainage tube is directly connected with button loop formula bile drainage tube, is taking out the same of button loop formula formula bile drainage tube
When, pancreatic juice inner drainage tube can be taken out simultaneously, avoid secondary ERCP from performing the operation, reduce medical expense and operation risk.
The present invention can be widely popularized in fields such as drain age-tube devices for the foregoing reasons.
Brief description of the drawings
The present invention is further detailed explanation with reference to the accompanying drawings and detailed description.
Fig. 1 is the structural representation when line of Y type bile pancreatic juice drainage pipes in embodiment of the invention does not tense.
Fig. 2 is the structural representation when line of Y type bile pancreatic juice drainage pipes in embodiment of the invention tenses.
Fig. 3 is the structural representation of pancreatic juice inner drainage tube in embodiment of the invention.
Fig. 4 is A portions enlarged diagram in Fig. 3.
Fig. 5 is that Y type bile pancreatic juice drainage pipes insert operating position (bile duct, main pancreatic duct in embodiment of the invention
Deng) when structural representation.
Embodiment
As Figure 1-Figure 5, drained in a kind of Y types bile pancreatic juice drainage pipe, including button loop formula bile drainage tube 1 and pancreatic juice
Pipe 2, the button loop formula bile drainage tube 1 includes the straight tube 11 being sequentially connected, elasticity button loop pipe I 12 and elasticity button loop pipe II 13, described
Elasticity button loop pipe I 12 and the entirety of elasticity button loop pipe II 13 are in archimedes curve shape, and the side wall of the elasticity button loop pipe I 12 is provided with
The through hole I 14 on the head of the elasticity button loop pipe II 13 is accommodated, the through hole I 14 is located at plane where the archimedes curve
Interior, the elasticity button loop pipe II 13 is provided with line tie point 15, and the side wall of the elasticity button loop pipe I 12 is provided with string holes 16, the line
Tie point 15 and the string holes 16 are respectively positioned in the plane, and the line tie point 15 is provided with line 17, the line 17 it is another
End is entered in the elasticity button loop pipe I 12 through the string holes 16,
The pancreatic juice inner drainage tube 2 includes drainage tube body 21 and the pipe cap positioned at the upper end of the drainage tube body 21
22, the side wall of the drainage tube body 21 be connected with the side wall of the straight tube 11 by connecting portion 23 and with bile duct 4 and main pancreatic duct 5
Position match, the length of the drainage tube body 21 is one kind in 6cm, 7cm and 9cm, the drainage tube body 21
A diameter of 5Fr or 7Fr, and to ensure that the lower end of the drainage tube body 21 is stretched out from duodenofiberscope, so that described
Pancreatic juice inner drainage tube 2 realizes interior drainage.
It is equipped with the straight tube 11, the elasticity button loop pipe I 12, the elasticity button loop pipe II 13 and the drainage tube body 21
Side opening 3.
The string holes 16 is located at the side of the close straight tube 11 of the through hole I 14, and the line tie point 15 is located at institute
State the outer 18 of elasticity button loop pipe II 13.
The outer 18 and interior edge 19 are named according to the warp architecture of the elasticity button loop pipe II 13, i.e., positioned at the bullet
Property button loop pipe II 13 axis enclosed space in for the interior edge 19, outside the axis enclosed space of the elasticity button loop pipe II 13
For the outer 18.
The head of the elasticity button loop pipe II 13 has arc surface I 131, and the arc surface I 131 is provided with through hole III 132, institute
Through hole III 132 is stated to pass through for seal wire I.
The pipe cap 22 is round table-like pipe cap, and the upper end of the round table-like pipe cap has arc surface II 221, the arc surface
II 221 are provided with through hole II 222, and the through hole II 222 passes through for the seal wire II.
The connecting portion 23 is connecting plate.
The head end of seal wire II is inserted into main pancreatic duct 5, the pancreatic juice inner drainage tube 2 is socketed in the seal wire II
On, then the seal wire I is inserted into bile duct 4, the button loop formula bile drainage tube 1 is socketed on the seal wire I, it is described to lead
Silk I by the elasticity button loop pipe II 13, the elasticity button loop pipe I 12 and the straight tube 11, is promoted and drawn outside the button loop formula bile successively
Flow tube 1, the pancreatic juice inner drainage tube 2 is under the promotion of the button loop formula bile drainage tube 1 and under the guiding of the seal wire II
Push in main pancreatic duct 5, the pancreatic juice inner drainage tube 2 is predominantly located in main pancreatic duct 5, the lower end of the drainage tube body 21
In duodenal lumen 6, the lower end of the drainage tube body 21 is apart from duodenofiberscope about 1cm.
Meanwhile the button loop formula bile drainage tube 1 is inserted in bile duct 4 under the guiding of the seal wire I, is led afterwards by described
Silk I is recalled from the button loop formula bile drainage tube 1.
Tensing the line 17 so that the head of the elasticity button loop pipe II 13 enters in the through hole I 14,
Because the elasticity button loop pipe II 13 has the trend bent to the elasticity button loop pipe I 12, and the string holes 16
Near the through hole I 14, the distance between the string holes 16 and the through hole I 14 are 1-2mm, therefore tense the line 17 very
The head of the elasticity button loop pipe II 13 is entered in the through hole I 14, form a closure button loop, meanwhile, the elasticity button loop
Pipe I 12 forms semi-closed button loop, by the closure button loop and the semi-closed fasten with a rope, string, etc. the button loop formula bile drainage tube 1 and
Bile duct 4 is preferably fixed, and the external diameter of the closure button loop is 3-5mm, and the external diameter of the semi-closed button loop is 10~15mm.
When taking out the button loop formula bile drainage tube 1 and the pancreatic juice inner drainage tube 2, the line 17 is unclamped, passes through outer drawing
The button loop formula bile drainage tube 1, the semi-closed button loop is progressively opened, so that the button loop formula bile drainage tube 1 and bile duct 4
Separate, meanwhile, the pancreatic juice inner drainage tube 2 is pulled out from main pancreatic duct 5.
The material of the line 17 is silk line, the connecting plate, the straight tube 11, the elasticity button loop pipe I 12, the bullet
Property button loop pipe II 13 and the material of the pancreatic juice inner drainage tube 2 be polyethylene, a diameter of 7Fr or 8.5Fr of the straight tube 11.
The foregoing is only a preferred embodiment of the present invention, but protection scope of the present invention be not limited thereto,
Any one skilled in the art the invention discloses technical scope in, technique according to the invention scheme and its
Inventive concept is subject to equivalent substitution or change, should all be included within the scope of the present invention.
Claims (5)
1. a kind of Y types bile pancreatic juice drainage pipe, including button loop formula bile drainage tube and pancreatic juice inner drainage tube, it is characterised in that:
The button loop formula bile drainage tube includes the straight tube being sequentially connected, elasticity button loop pipe I and elasticity button loop pipe II, the elasticity button loop pipe
I and the elasticity button loop pipe II it is overall be in archimedes curve shape, the side wall of the elasticity button loop pipe I, which is provided with, to be accommodated the elasticity and fastens with a rope, string, etc.
The through hole I on the head of pipe II, the through hole I are located at archimedes curve institute planar, are set on the elasticity button loop pipe II
Wired connection point, the side wall of the elasticity button loop pipe I are provided with string holes, and the line tie point and the string holes are respectively positioned on the plane
Interior, the line tie point is provided with line, and the other end of the line is entered in the elasticity button loop pipe I through the string holes,
The pancreatic juice inner drainage tube includes drainage tube body and the pipe cap positioned at the upper end of the drainage tube body, the drainage tube
The side wall of body is connected with the side wall of the straight tube by connecting portion,
Side opening is equipped with the straight tube, the elasticity button loop pipe I, the elasticity button loop pipe II and the drainage tube body.
2. Y types bile pancreatic juice drainage pipe according to claim 1, it is characterised in that:The string holes is located at the through hole I
Close to the side of the straight tube, the line tie point is positioned at the outer of the elasticity button loop pipe II.
3. Y types bile pancreatic juice drainage pipe according to claim 1, it is characterised in that:The head tool of the elasticity button loop pipe II
There is arc surface I.
4. Y types bile pancreatic juice drainage pipe according to claim 1, it is characterised in that:The pipe cap is round table-like pipe cap, institute
Stating the upper end of round table-like pipe cap has arc surface II, and the arc surface II is provided with through hole II.
5. Y types bile pancreatic juice drainage pipe according to claim 1, it is characterised in that:The connecting portion is connecting plate.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201510236036.4A CN104815383B (en) | 2015-05-11 | 2015-05-11 | Y type bile pancreatic juice drainage pipes |
Applications Claiming Priority (1)
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CN201510236036.4A CN104815383B (en) | 2015-05-11 | 2015-05-11 | Y type bile pancreatic juice drainage pipes |
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CN104815383A CN104815383A (en) | 2015-08-05 |
CN104815383B true CN104815383B (en) | 2018-03-20 |
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Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN111420223A (en) * | 2020-05-07 | 2020-07-17 | 上海市东方医院(同济大学附属东方医院) | Reverse a-shaped nasobiliary drainage tube |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2322639Y (en) * | 1998-04-09 | 1999-06-09 | 刘广庆 | Pancreas gallbladder Y-drainage-tube |
JP2002200163A (en) * | 2000-12-28 | 2002-07-16 | Nippon Zeon Co Ltd | Drainage tube |
US6508789B1 (en) * | 2000-06-05 | 2003-01-21 | Merit Medical Systems, Inc. | Systems and methods for coupling a drainage catheter to a patient and decoupling the drainage catheter from the patient |
CN202459784U (en) * | 2011-12-21 | 2012-10-03 | 江苏源创医疗科技有限公司 | Biliary tract drainage tube capable of bile backflow |
CN203852725U (en) * | 2014-03-19 | 2014-10-01 | 中国人民解放军第二军医大学 | Three-in-one pancreaticobiliary jejunum supporting and depressurizing fistulization tube |
-
2015
- 2015-05-11 CN CN201510236036.4A patent/CN104815383B/en active Active
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN2322639Y (en) * | 1998-04-09 | 1999-06-09 | 刘广庆 | Pancreas gallbladder Y-drainage-tube |
US6508789B1 (en) * | 2000-06-05 | 2003-01-21 | Merit Medical Systems, Inc. | Systems and methods for coupling a drainage catheter to a patient and decoupling the drainage catheter from the patient |
JP2002200163A (en) * | 2000-12-28 | 2002-07-16 | Nippon Zeon Co Ltd | Drainage tube |
CN202459784U (en) * | 2011-12-21 | 2012-10-03 | 江苏源创医疗科技有限公司 | Biliary tract drainage tube capable of bile backflow |
CN203852725U (en) * | 2014-03-19 | 2014-10-01 | 中国人民解放军第二军医大学 | Three-in-one pancreaticobiliary jejunum supporting and depressurizing fistulization tube |
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