CN104922785A - Fistulization decompression tube for biliopancreatic supporting drainage jejunum - Google Patents
Fistulization decompression tube for biliopancreatic supporting drainage jejunum Download PDFInfo
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- CN104922785A CN104922785A CN201410103075.2A CN201410103075A CN104922785A CN 104922785 A CN104922785 A CN 104922785A CN 201410103075 A CN201410103075 A CN 201410103075A CN 104922785 A CN104922785 A CN 104922785A
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Abstract
The invention discloses a fistulization decompression tube for biliopancreatic supporting drainage jejunum. The tube is formed by a porous pancreiatic duct supporting drainage arm, two porous biliary duct supporting drainage arms and a porous jejunum fistulization decompression tube, wherein the two porous biliary duct supporting drainage arms are connected together in a Y shape; connection parts between the porous jejunum fistulization decompression tube are vertically connected with each other; a plurality of side holes are formed in the porous jejunum fistulization decompression tube; the porous pancreiatic duct supporting drainage arm extends into the porous jejunum fistulization decompression tube via the side holes; the middle section of the porous jejunum fistulization decompression tube is provided with a mushroom head-shaped expanding part; bile drainage can be facilitated by the left and right biliary duct supporting drainage arms; the pancreiatic duct position can be adjusted via different side holes based on individual differences of patients; the expansion design of the middle section of the jejunum fistulization decompression tube prevents fistulization postoperative complications due to duct leakage; the interior of the biliopancreatic drainage tube is evenly made from degradable material, so possibilities of infection, stone and obstruction due to long term arrangement can be reduced; and secondary operation is avoided.
Description
Technical field
The present invention relates to medical instruments field, multiduty gallbladder pancreas supporting drainage jejunum stoma relief pipe unified by one three pipe be specifically related to for pancreas, the decompression of gallbladder supporting drainage jejunum stoma after pancreaticoduodenectomy.
Background technology
Pancreas fistula, leak are complication the most common and the most serious after pancreaticoduodenectomy, incidence rate 5-25%, mortality rate is up to 80%, gallbladder intestinal, pancreas intestinal anastomotic stoma are narrow be occur after pancreaticoduodenectomy biliary tract infection, Biliary Calculi, pancreatemphraxis, atrophy of pancreas most commonly encountered diseases because of, for the generation of prevention pancreas fistula, leak, gallbladder pancreas anastomotic stricture, the mode of pancreas and reconstruction of digestive tract reaches more than 20 and plants.How to prevent the generation of pancreas fistula, leak, gallbladder pancreas anastomotic stricture except the updating of pancreas Surgical healing method, the drain of pancreatic juice and bile and the support of anastomotic stoma are still the key affecting pancreas fistula, leak and anastomotic stricture.
Report support tube is had to put (interior drainage) in the ductus pancreaticus at pancreas intestinal anastomotic stoma place, though the method solves the acatharsia of pancreatic juice, but because pancreatic juice alluvial is in the jejunum portion of pancreas intestinal anastomotic stoma before unresolved enterokinesia does not after surgery recover, anastomotic stoma tension force is increased and the factor of the identical rear healing of impact, such as Chinese Patent Application No.: CN98220754.9, publication number: CN2322639Y, denomination of invention: Y type pancreas gallbladder drainage tube.
Such as Chinese Patent Application No.: CN98220697.6, publication number: CN2320273Y, denomination of invention again: " ten " font pancreas gallbladder drainage tube, although after this drainage tube solves postoperative enterokinesia recovery, pancreatic juice, bile continue to lose on digestive and absorptive functions and the impact of healing that coincide, the generation of prevention fistula of operative incision; But this drainage tube ductus pancreaticus arm is fixing, cannot according to the different adjustment position of individual patient, bile duct supporting drainage arm does not meet the dissect physiology feature of left and right common hepatic duct yet, cannot play good support fixation, and this drainage tube easily skids off outside intestinal, causes intestinal fistula.
After current urgent need one solves pancreaticoduodenectomy, pancreatic juice biliary drainage and anastomotic stoma support problem, solve the pancreas gallbladder support jejunum decompression stoma gathered the impact of anastomotic healing that postoperative enterokinesia does not recover front pancreatic juice, bile.
Summary of the invention
The present invention is in order to solve pancreatic juice biliary drainage problem after pancreaticoduodenectomy, solve the impact gathered anastomotic healing that postoperative enterokinesia does not recover front pancreatic juice, bile, solve gallbladder intestinal, pancreas intestinal anastomotic stoma support prevention of postoperative anastomotic stricture causes biliary tract infection, atrophy of pancreas problem then, devise a kind of gallbladder pancreas supporting drainage jejunum stoma relief pipe.
The invention provides a kind of gallbladder pancreas supporting drainage jejunum stoma relief pipe, it is made up of porous ductus pancreaticus supporting drainage arm, two porous bile duct supporting drainage arms and gallbladder pancreas supporting drainage jejunum stoma relief pipe; Two porous bile duct supporting drainage arms are connected in " Y " type and merge together; Porous air intestine fistulization relief pipe is vertically connected with two porous bile duct supporting drainage arm meets; Porous air intestine fistulization pipe has plural side opening, and porous ductus pancreaticus supporting drainage arm extend in porous air intestine fistulization relief pipe by side opening; Porous air intestine fistulization relief pipe stage casing has a mushroom head to expand portion.
Angle between two bile duct supporting drainage arms is 45 degree.
Porous ductus pancreaticus supporting drainage arm, porous bile duct supporting drainage arm, porous air intestine fistulization relief pipe are for have multiple side opening in ductus pancreaticus supporting drainage arm, bile duct supporting drainage arm, jejunum stoma relief pipe end.
The diameter of porous air intestine fistulization relief pipe is 0.6-1.5cm, and the diameter of porous ductus pancreaticus supporting drainage arm is 0.1-0.4cm, and the diameter of porous bile duct supporting drainage arm is 0.4-0.6cm.
It is 1.5-2cm that porous air intestine fistulization relief pipe stage casing mushroom head expands the internal diameter in portion, and mushroom head portion of expanding in stage casing is 13-16cm apart from the distance of two porous bile duct supporting drainage arm meets, and the diameter of porous air intestine fistulization relief pipe side opening is 0.2-0.3cm.
In this gallbladder pancreas supporting drainage jejunum stoma relief pipe, the length of porous bile duct supporting drainage arm is 4-6cm, and the length of porous ductus pancreaticus supporting drainage arm is 35-40cm.
Porous bile duct supporting drainage arm of the present invention, porous ductus pancreaticus supporting drainage arm, porous bile duct supporting drainage arm meet expand portion's part to porous air intestine fistulization relief pipe mushroom head and are made up of degradable material half a year in human body, and stoma remainder is made up of rubber.
The present invention integrates ductus pancreaticus supporting drainage arm, bile duct supporting drainage arm, stoma, and three pipe unifications, reduce wound effectively; Accurate understanding bile, pancreatic secretion amount, alleviate in early days because intestinal peristalsis promoting does not recover, the huge liquid tension caused, affects the healing of anastomotic stoma, the generation of prevention fistula of operative incision; The bile duct that effective support is tiny and ductus pancreaticus, avoid postoperative anastomotic stricture; The position that the detachable design of ductus pancreaticus can regulate ductus pancreaticus different according to the situation of individual patient; Bile duct is divided into left and right two pipes, is more conducive to biliary drainage and fixes; Stoma stage casing mushroom head expands portion's design, and that drainage tube can be avoided to skid off is external; Stoma has that side opening makes pancreatic juice, bile is discharged to enteral, is of value to the maintenance of people digest's function, when pressure increases, also can plays decompressing effect, avoid the tension force of anastomotic stoma, serve dual regulation; Part adopts degradation material in body, reduces due to the infection after placing for a long time, calculus, the incidence rate of blocking, and the probability of again performing the operation, and alleviates patient's misery.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is that bile duct supporting drainage arm of the present invention inserts in bile duct, and ductus pancreaticus supporting drainage arm inserts the Clinical practice state diagram in ductus pancreaticus.
Wherein: porous bile duct supporting drainage arm 1,
Porous bile duct supporting drainage arm 2,
Porous ductus pancreaticus supporting drainage arm 3,
Porous air intestine fistulization relief pipe 4,
Side opening 5,
Mushroom head expands portion 6.
Detailed description of the invention
Elaborate to enforcement of the present invention below in conjunction with embodiment and accompanying drawing, following examples implement under premised on technical solution of the present invention, give detailed embodiment, but protection scope of the present invention is not limited to following embodiment.
Embodiment 1
A kind of gallbladder pancreas supporting drainage jejunum stoma relief pipe, it is made up of porous ductus pancreaticus supporting drainage arm 3, two porous bile duct supporting drainage arms 1,2 and porous air intestine fistulization relief pipe 4; Two porous bile duct supporting drainage arms 1,2 are connected in " Y " type and merge together; Porous air intestine fistulization relief pipe 4 is vertically connected with two porous bile duct supporting drainage arm 1,2 meets; Porous air intestine fistulization relief pipe has two side openings 5, and porous ductus pancreaticus supporting drainage arm 3 extend in porous air intestine fistulization relief pipe 4 by side opening 5; Porous air intestine fistulization relief pipe stage casing has a mushroom head to expand portion 6.
Angle between two described porous bile duct supporting drainage arms 1,2 is 45 degree.
Embodiment 2
The diameter of porous air intestine fistulization relief pipe 4 is 1cm, and the diameter of porous ductus pancreaticus supporting drainage arm 3 is 0.2cm, and the length of porous ductus pancreaticus supporting drainage arm is 36cm, and the diameter of porous bile duct supporting drainage arm 1,2 is 0.5cm, and length is 5cm.
It is 2cm that porous air intestine fistulization relief pipe stage casing mushroom head expands the internal diameter in portion 6, and portion of expanding, stage casing is 15cm apart from the distance of two porous bile duct supporting drainage arm meets, and the diameter of porous air intestine fistulization relief pipe side opening is 0.2cm.
Porous bile duct supporting drainage arm, porous ductus pancreaticus supporting drainage arm, porous bile duct supporting drainage arm meet expand portion's part to porous air intestine fistulization relief pipe mushroom head and are made up of degradable material half a year in human body, and gallbladder pancreas supporting drainage jejunum stoma relief pipe remainder is made up of rubber.
Embodiment 3
With reference to shown in Fig. 2, after by Pancreaticoduodenectomy, in ductus pancreaticus 7, insert porous ductus pancreaticus supporting drainage arm 3 about 8cm, tie ductus pancreaticus with absorbable thread and be fixed firmly.Conventional pancreas stump and jejunum 8 coincide, and porous ductus pancreaticus supporting drainage arm 3 is about 4cm apart from pancreas intestinal anastomotic stoma and draws jejunum, and is inserted in suitable porous air intestine fistulization relief pipe side opening 5, by porous bile duct supporting drainage arm 1,2 according to individual patient; Porous air intestine fistulization relief pipe 4 is along entering jejunum 8, distance pancreas intestinal anastomotic stoma 8cm place puncture draws jejunum, porous bile duct supporting drainage arm 1,2 is inserted common hepatic duct, with absorbable thread, its interrupted suture is fixed on common hepatic duct, interrupted suture jejunum 8 and common hepatic duct surrounding tissue, draw No. 0 gutstring purse string suture in enteric cavity position by porous air intestine fistulization relief pipe 4 afterwards.Before treating that Cholangio-jejunostomy and other end of operations of intraperitoneal close abdomen, on stomach wall, porous air intestine fistulization relief pipe is drawn abdominal cavity and is fixed by another puncture.Postoperative suitable lower negative pressure attracts, and this pancreas gallbladder drainage tube is pulled out by postoperative half a year, draining hole self-heal.
Above-described embodiment is the present invention's preferably embodiment, but embodiments of the present invention are not restricted to the described embodiments.Other are any do not depart from the spirit of the present invention and principle under the distortion done, all should protection scope of the present invention be thought.
Claims (10)
1. a gallbladder pancreas supporting drainage jejunum stoma relief pipe, is characterized in that, it is made up of porous ductus pancreaticus supporting drainage arm (3), two porous bile duct supporting drainage arms (1,2) and porous air intestine fistulization relief pipe (4); Two porous bile duct supporting drainage arms (1,2) are connected in " Y " type and merge together; Porous air intestine fistulization relief pipe (4) is vertically connected with two porous bile duct supporting drainage arm (1,2) meets; Porous air intestine fistulization relief pipe has multiple side opening (5), and porous ductus pancreaticus supporting drainage arm (3) extend in porous air intestine fistulization relief pipe (4) by side opening (5); Porous air intestine fistulization relief pipe stage casing has a mushroom head to expand portion (6).
2. a kind of gallbladder pancreas supporting drainage jejunum stoma relief pipe as claimed in claim 1, is characterized in that, the angle between two described porous bile duct supporting drainage arms (1,2) is 45 degree.
3. a kind of gallbladder pancreas supporting drainage jejunum stoma relief pipe as claimed in claim 1, it is characterized in that, the diameter of described porous air intestine fistulization relief pipe (4) is 0.6-1.5cm.
4. a kind of gallbladder pancreas supporting drainage jejunum stoma relief pipe as claimed in claim 1, it is characterized in that, the diameter of described porous ductus pancreaticus supporting drainage arm (3) is 0.1-0.4cm.
5. a kind of gallbladder pancreas supporting drainage jejunum stoma relief pipe as claimed in claim 1, it is characterized in that, the diameter of described porous bile duct supporting drainage arm (1,2) is 0.4-0.6cm.
6. a kind of gallbladder pancreas supporting drainage jejunum stoma relief pipe as claimed in claim 1, is characterized in that, it is 1.5-2cm that described porous air intestine fistulization relief pipe stage casing mushroom head expands portion (6) internal diameter.
7. a kind of gallbladder pancreas supporting drainage jejunum stoma relief pipe as claimed in claim 1, is characterized in that, it is 13-16cm apart from the distance of two porous bile duct supporting drainage arm meets that described porous air intestine fistulization relief pipe stage casing mushroom head expands portion (6).
8. a kind of gallbladder pancreas supporting drainage jejunum stoma relief pipe as claimed in claim 1, is characterized in that, porous bile duct supporting drainage arm (1,2) long 4-6cm, porous ductus pancreaticus supporting drainage arm (3) long 35-40cm.
9. a kind of gallbladder pancreas supporting drainage jejunum stoma relief pipe as claimed in claim 1, it is characterized in that, the diameter of porous air intestine fistulization relief pipe side opening (5) is 0.2-0.3cm.
10. a kind of gallbladder pancreas supporting drainage jejunum stoma relief pipe as claimed in claim 1, it is characterized in that, described porous bile duct supporting drainage arm (1,2), porous ductus pancreaticus supporting drainage arm (3), porous bile duct supporting drainage arm meet to porous air intestine fistulization relief pipe mushroom head expand portion (6) part be made up of degradable material half a year in human body, gallbladder pancreas supporting drainage jejunum stoma relief pipe remainder is made up of rubber.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410103075.2A CN104922785B (en) | 2014-03-19 | 2014-03-19 | Courage pancreas supporting drainage jejunum stoma relief pipe |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201410103075.2A CN104922785B (en) | 2014-03-19 | 2014-03-19 | Courage pancreas supporting drainage jejunum stoma relief pipe |
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| CN104922785A true CN104922785A (en) | 2015-09-23 |
| CN104922785B CN104922785B (en) | 2018-05-01 |
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| CN85204796U (en) * | 1985-12-11 | 1987-05-06 | 江苏省江浦县人民医院 | Three-way pipe for gall bladder and intestiner internal drainage |
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| JP2002200163A (en) * | 2000-12-28 | 2002-07-16 | Nippon Zeon Co Ltd | Drainage tube |
| CN2571379Y (en) * | 2002-09-27 | 2003-09-10 | 李芝梅 | Inner fixing type short period held T-shape biliary drainage-tube |
| WO2007050628A2 (en) * | 2005-10-24 | 2007-05-03 | Andrew Young | Biliary/pancreatic shunt device and method for treatment of metabolic and other diseases |
| CN201186108Y (en) * | 2008-05-07 | 2009-01-28 | 任培土 | Y type multifunctional gastrointestinal nutrient canal |
| CN101548903A (en) * | 2009-03-03 | 2009-10-07 | 蔡秀军 | Biliary-enteric anastomosis support tube |
| CN102247185A (en) * | 2011-04-11 | 2011-11-23 | 西安交通大学 | Pancreaticobiliary duct combined stent pipe device with magnetic ring for use in pancreatoduodenectomy |
| CN202069994U (en) * | 2011-04-07 | 2011-12-14 | 陈强谱 | Double-chamber T pipe for the perfusion of intestinal nutrient solution |
| US20120130163A1 (en) * | 2010-11-19 | 2012-05-24 | Boston Scientific Scimed, Inc. | Biliary Catheter Systems Including Stabilizing Members |
| CN103083787A (en) * | 2013-01-21 | 2013-05-08 | 昆明理工大学附属医院 | Flushing drainage tube |
| 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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2014
- 2014-03-19 CN CN201410103075.2A patent/CN104922785B/en active Active
Patent Citations (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN85204796U (en) * | 1985-12-11 | 1987-05-06 | 江苏省江浦县人民医院 | Three-way pipe for gall bladder and intestiner internal drainage |
| CN2307573Y (en) * | 1997-06-18 | 1999-02-17 | 刘广庆 | Pancreiatic duct T-shape drainage tube |
| JP2002200163A (en) * | 2000-12-28 | 2002-07-16 | Nippon Zeon Co Ltd | Drainage tube |
| CN2571379Y (en) * | 2002-09-27 | 2003-09-10 | 李芝梅 | Inner fixing type short period held T-shape biliary drainage-tube |
| WO2007050628A2 (en) * | 2005-10-24 | 2007-05-03 | Andrew Young | Biliary/pancreatic shunt device and method for treatment of metabolic and other diseases |
| CN201186108Y (en) * | 2008-05-07 | 2009-01-28 | 任培土 | Y type multifunctional gastrointestinal nutrient canal |
| CN101548903A (en) * | 2009-03-03 | 2009-10-07 | 蔡秀军 | Biliary-enteric anastomosis support tube |
| US20120130163A1 (en) * | 2010-11-19 | 2012-05-24 | Boston Scientific Scimed, Inc. | Biliary Catheter Systems Including Stabilizing Members |
| CN202069994U (en) * | 2011-04-07 | 2011-12-14 | 陈强谱 | Double-chamber T pipe for the perfusion of intestinal nutrient solution |
| CN102247185A (en) * | 2011-04-11 | 2011-11-23 | 西安交通大学 | Pancreaticobiliary duct combined stent pipe device with magnetic ring for use in pancreatoduodenectomy |
| CN103083787A (en) * | 2013-01-21 | 2013-05-08 | 昆明理工大学附属医院 | Flushing drainage tube |
| 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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| CN104922785B (en) | 2018-05-01 |
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