CN105251099A - Double-balloon intestine fistulization catheter for preventing anastomotic fistula after colorectal surgery - Google Patents
Double-balloon intestine fistulization catheter for preventing anastomotic fistula after colorectal surgery Download PDFInfo
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- CN105251099A CN105251099A CN201510699515.XA CN201510699515A CN105251099A CN 105251099 A CN105251099 A CN 105251099A CN 201510699515 A CN201510699515 A CN 201510699515A CN 105251099 A CN105251099 A CN 105251099A
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- sacculus
- balloon
- catheter tube
- catheter
- tail end
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Abstract
The invention discloses a double-balloon intestine fistulization catheter for preventing anastomotic fistula after a colorectal surgery. The double-balloon intestine fistulization catheter comprises a catheter body, a first balloon, a second balloon, a threaded compressed tablet, a first water injection opening and a second water injection opening, wherein the first balloon and the second balloon are two hollow balloons which sleeve the catheter body and are made of an elastic material; the first balloon is close to the head end; the threaded compressed tablet sleeves the part between the second balloon and the tail end; a side hole is formed in the wall, between the first balloon and the head end, of the catheter body; the first water injection opening and the second water injection opening are positioned at the tail end of the catheter body, and are respectively communicated with the first balloon and the second balloon. According to the invention, when the catheter is inserted into the intestinal tract after an intestinal surgery, the circulation of the small intestine is blocked after the first balloon is injected with water to enable intestinal fluid to be led out of the body through the head end and side hole of the catheter; after being injected with water, the second balloon and the threaded compressed tablet positioned outside the body are coordinated to fix the catheter to prevent slipping or shifting of the catheter, and at the same time, the intestinal wall of the cecum is clung to and adhered with the abdominal wall to prevent intestinal fluid from leaking outwards to the abdominal cavity.
Description
Technical field
The present invention relates to patent of the present invention and relate to technical field of medical instruments, particularly a kind of for the postoperative two sacculus intestine fistulization conduits preventing fistula of operative incision of Colon and rectum.
Background technology
Colorectal cancer is one of modal malignant tumor of digestive tract, has the feature such as high incidence and high mortality.At present, excision is the most effective therapeutic scheme of colorectal cancer.Excise clinically after colorectal carcinoma, need by the end-to-end anastomosis of near-end and lower distal colon.Fistula of operative incision is clinical common complication, and American-European countries's incidence rate is about 20% of surgical patient, is domesticly about 5%.Curing anastomotic leakage difficulty, patient's hospital stays is long, costly, jeopardizes patients ' lives time serious.Domestic and international medical institutions routine adopts colon or terminal ileum stoma art, prevention fistula of operative incision.The method of this active fistulation, by being derived in advance by intestinal contents, makes it without anastomotic stoma, to reaching the object of prevention or minimizing fistula of operative incision.But the method too increases operation wound simultaneously, reduce patients ' life quality, and need second operation also to receive intestinal tube, complication rate is corresponding raising also.Therefore, be necessary to design a kind of new method can prevented fistula of operative incision, not increase again patient trauma.
Summary of the invention
Problem to be solved by this invention: design a kind of device preventing fistula of operative incision, do not increase again patient trauma.
For solving the problem, the scheme that the present invention adopts is as follows:
For the postoperative two sacculus intestine fistulization conduits preventing fistula of operative incision of Colon and rectum, comprise catheter tube, the first sacculus, the second sacculus, screw thread tabletting, the first water filling port and the second water filling port; Catheter tube is hollow body structure, and two ends are respectively head end and tail end; First sacculus and the second sacculus are two and are enclosed within and make hollow sacculus by elastomeric material outside catheter tube; Wherein, the first sacculus is near head end; Second sacculus is between the first sacculus and tail end; Screw thread tabletting is enclosed within the catheter tube between the second sacculus and tail end by the mode of screw-threaded engagement; Catheter tube between the first sacculus and head end tube wall on be provided with side opening; First water filling port and the second water filling port are positioned at the tail end place of catheter tube; First water filling port is connected by the first communicating pipe and is communicated with the first sacculus; Second water filling port is connected by the second communicating pipe and is communicated with the second sacculus.
Further, screw thread tabletting comprises threaded post and ring-type tabletting; Threaded post is coaxially connected with ring-type tabletting, forms screw thread tube chamber; Corrugated tubing intracavity is provided with female thread; Catheter tube is provided with a length of tape externally threaded thread segment; Thread segment is between the second sacculus and tail end; Screw thread tabletting by the engaging sleeve of thread segment place external screw thread and female thread on catheter tube.
Further, the first communicating pipe and the second communicating pipe insert the tube wall of catheter tube between tail end and screw thread tabletting, and the conduit cavity then through catheter tube connects the first sacculus and the second sacculus respectively.
Further, the position of the first communicating pipe and the second communicating pipe inserting the tube wall of catheter tube is not identical with the distance of tail end.
Further, the distance A between the first sacculus and head end is 5cm; Distance C between first sacculus and the second sacculus is 20cm; The length F of thread segment is 5cm; Distance E between thread segment and the second sacculus is 3cm; Distance G between thread segment and tail end is 12cm; The length L1 of threaded post is 3cm; The thickness L2 of ring-type tabletting is 0.5cm; The length of catheter tube is 50cm; The external diameter of catheter tube is 1cm.
Further, catheter tube can bend.
Technique effect of the present invention is as follows:
The present invention inserts at Colon and rectum Post operation ignorant of the economics intestinal wall puncture, and head end inserts terminal ileum by ileocecal valve.After inserting the first sacculus water filling in terminal ileum, separate the circulation of small intestinal, make intestinal juice by outside conduit head end and side opening lead body.After second sacculus water filling, can A/C, prevent conduit from slippage in intestinal tube or displacement.This sacculus be placed in external screw thread tabletting and mutually work in coordination with, appropriateness extruding, the caecum intestinal wall making conduit pass part is close to stomach wall, can prevent intestinal juice from exosmosing to abdominal cavity.Namely form firm adhesion after this place's intestinal wall attaches stomach wall a period of time, after conduit is pulled out, sinus tract can heal rapidly.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention.
Fig. 2 is application structure schematic diagram of the present invention.Wherein, 901 is skin layers, and 902 is fat deposits, and 903 is Musclar layers, and 904 is peritoneum and fascia, and 911 is caecums, and 912 is vermiform appendixs, and 913 is colons, and 914 is ileums, and 915 is ileocecal valve.
Fig. 3 is the structural representation of screw thread tabletting.
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention is described in further details.
As shown in Figure 1, Figure 2, Figure 3 shows, a kind of for the postoperative two sacculus intestine fistulization conduits preventing fistula of operative incision of Colon and rectum, comprise catheter tube 1, first sacculus 2, second sacculus 3, screw thread tabletting 4, first water filling port 5 and the second water filling port 6.Catheter tube 1 is hollow body structure, can bend, and two ends are respectively head end 18 and tail end 19.First sacculus 2 and the second sacculus 3 are two and are enclosed within and make hollow sacculus by elastomeric material outside catheter tube 1.First sacculus 2 and the second sacculus 3 can expand after charging, can shrink after drawing water.Wherein, the first sacculus 2 is near head end 18; Second sacculus 3 is between the first sacculus 2 and tail end 19.Distance A between first sacculus 2 and head end 18 is 5cm.Distance C between first sacculus 2 and the second sacculus 3 is 20cm.The length B that first sacculus 2 self occupies catheter tube is 3cm.The length D that second sacculus 3 self occupies catheter tube is 2cm.Screw thread tabletting 4 is enclosed within the catheter tube 1 between the second sacculus 3 and tail end 19 by the mode of screw-threaded engagement.Specific to the present embodiment, screw thread tabletting 4 comprises threaded post 41 and ring-type tabletting 42.Threaded post 41 is coaxially connected with ring-type tabletting 42, forms screw thread tube chamber 44.The length L1 of threaded post 41 is 3cm.The thickness L2 of ring-type tabletting 42 is 0.5cm.Female thread 43 is provided with in screw thread tube chamber 44.Catheter tube 1 is provided with a length of tape externally threaded thread segment 12.The length F of thread segment 12 is 5cm.Thread segment 12 is between the second sacculus 3 and tail end 19.Distance E between thread segment 12 and the second sacculus 3 is 3cm.Distance G between thread segment 12 and tail end 3 is 12cm.Screw thread tabletting 4 passes through the engaging sleeve of thread segment 12 place's external screw thread and female thread 43 on catheter tube 1.A to G section is added the length being catheter tube 1, is 50cm.The external diameter of catheter tube 1 is 1cm.Catheter tube 1 between the first sacculus 2 and head end 18 tube wall on be provided with side opening 11.First water filling port 5 and the second water filling port 6 are respectively used to be the first sacculus 2 and the second sacculus 3 water filling or to draw water.First water filling port 5 and the second water filling port 6 are positioned at tail end 19 place of catheter tube 1.First water filling port 5 is connected by the first communicating pipe 51 and is communicated with the first sacculus 2.Second water filling port 6 is connected by the second communicating pipe 61 and is communicated with the second sacculus 3.Specific to the present embodiment, the first communicating pipe 51 and the second communicating pipe 61 inserted the tube wall of catheter tube 1 between tail end 19 and screw thread tabletting 4, the conduit cavity then through catheter tube 1 connects the first sacculus 2 and the second sacculus 3 respectively.The position that first communicating pipe 51 and the second communicating pipe 61 insert the tube wall of catheter tube 1 is not identical with the distance of tail end 19.Can judge according to the difference of water filling port near tail end distance thus, in the first water filling port 5 and the second water filling port 6, which water filling port connects the first sacculus 2, and which water filling port connects the second sacculus 3.
Fig. 2 is situation when inserting human abdomen after the present embodiment is applied in intestinal surgery.Wherein, 901 is skin layers, and 902 is fat deposits, and 903 is Musclar layers, and 904 is peritoneum and fascia, and 911 is caecums, and 912 is vermiform appendixs, and 913 is colons, and 914 is ileums, and 915 is ileocecal valve.Skin layer 901, fat deposit 902, Musclar layer 903, peritoneum and fascia 904 form stomach wall.After rectum or partial colectomy, for preventing fistula of operative incision, feasible terminal ileum dual balloon catheter puts pipe fistulation.Concrete steps are as follows: suitably free ileocecus, open a side opening the most nearby, insert conduit in caecum distance stomach wall.The head end 18 of the catheter tube 1 of band side opening is inserted terminal ileum 914 through ileocecal valve 915, puts into the degree of depth for the second sacculus 3 intactly can be put into caecum intracavity.Caecum wall side opening place makes a purse string suture and is closed and A/C.Be the second sacculus 3 water filling by the second water injection hole 6, prevent conduit from skidding off intestinal tube or displacement.Then be the first sacculus 2 water filling by the first water filling port 5, water injection rate, according to the adjustment of small intestinal caliber, is close to intestinal wall with sacculus, and intestinal tube appropriateness is full, does not affect again intestinal wall blood fortune and is advisable.Intestinal juice can be stoped to flow to far-end intestinal tube after first sacculus 2 is full, pollute, corrode anastomotic stoma.Finally passed through by conduit, outside stomach wall puncture lead body, to be screwed by screw thread tabletting 4 by screw thread appropriateness, extrude with the second sacculus 3 is collaborative, the caecum intestinal wall making conduit pass part is close to stomach wall, prevents intestinal juice from exosmosing to abdominal cavity.The tail end 19 of catheter tube 1 connects drainage bag, reclaims the intestinal juice of drain.Be drained to by intestinal juice external by this measure, anastomotic stoma place pollutes, corrosion anastomotic stoma to prevent intestinal juice from flowing through, and can avoid or reduce the generation of fistula of operative incision.Within postoperative 2 weeks, through clinical assessment, when getting rid of fistula of operative incision, open first water filling port 5, finds time the water in the first sacculus 2, makes intestinal juice again flow to distal colorectal rectum.Treat the relieving constipation of patient's normal ventilation, when confirming without fistula of operative incision, socialize except screw thread tabletting 4 in postoperative 3, open second water filling port 6, by emptying for the water in the second sacculus 3, pulls out this pair of sacculus intestine fistulization conduit.Because caecum wall forms firm adhesion with stomach wall, intestinal juice can not exosmose to abdominal cavity.Shunk by abdominal wall muscle, can self-heal after conduit sinus tract 1-2 days.
Claims (9)
1. one kind for the postoperative two sacculus intestine fistulization conduits preventing fistula of operative incision of Colon and rectum, it is characterized in that, comprise catheter tube (1), the first sacculus (2), the second sacculus (3), screw thread tabletting (4), the first water filling port (5) and the second water filling port (6); Catheter tube (1) is hollow body structure, and two ends are respectively head end (18) and tail end (19); First sacculus (2) and the second sacculus (3) be two be enclosed within catheter tube (1) outward make hollow sacculus by elastomeric material; Wherein, the first sacculus (2) is near head end (18); Second sacculus (3) is positioned between the first sacculus (2) and tail end (19); Screw thread tabletting (4) is enclosed within the catheter tube (1) between the second sacculus (3) and tail end (19) by the mode of screw-threaded engagement; Catheter tube (1) be positioned between the first sacculus (2) and head end (18) tube wall be provided with side opening (11); First water filling port (5) and the second water filling port (6) are positioned at tail end (19) place of catheter tube (1); First water filling port (5) is connected by the first communicating pipe (51) and is communicated with the first sacculus (2); Second water filling port (6) is connected by the second communicating pipe (61) and is communicated with the second sacculus (3).
2. as claimed in claim 1 for the postoperative two sacculus intestine fistulization conduits preventing fistula of operative incision of Colon and rectum, it is characterized in that, screw thread tabletting (4) comprises threaded post (41) and ring-type tabletting (42); Threaded post (41) is coaxially connected with ring-type tabletting (42), forms screw thread tube chamber (44); Female thread (43) is provided with in screw thread tube chamber (44); Catheter tube (1) is provided with a length of tape externally threaded thread segment (12); Thread segment (12) is positioned between the second sacculus (3) and tail end (19); Screw thread tabletting (4) by the engaging sleeve of thread segment (12) place's external screw thread and female thread (43) on catheter tube (1).
3. as claimed in claim 1 for the postoperative two sacculus intestine fistulization conduits preventing fistula of operative incision of Colon and rectum, it is characterized in that, first communicating pipe (51) and the second communicating pipe (61) insertion catheter tube (1) are positioned at the tube wall between tail end (19) and screw thread tabletting (4), and the conduit cavity then through catheter tube (1) connects the first sacculus (2) and the second sacculus (3) respectively.
4. as claimed in claim 3 for the postoperative two sacculus intestine fistulization conduits preventing fistula of operative incision of Colon and rectum, it is characterized in that, the position that the first communicating pipe (51) and the second communicating pipe (61) insert the tube wall of catheter tube (1) is not identical with the distance of tail end (19).
5. as claimed in claim 1 for the postoperative two sacculus intestine fistulization conduits preventing fistula of operative incision of Colon and rectum, it is characterized in that, the distance A between the first sacculus (2) and head end (18) is 5cm.
6. as claimed in claim 1 for the postoperative two sacculus intestine fistulization conduits preventing fistula of operative incision of Colon and rectum, it is characterized in that, the distance C between the first sacculus (2) and the second sacculus (3) is 20cm.
7. as claimed in claim 2 for the postoperative two sacculus intestine fistulization conduits preventing fistula of operative incision of Colon and rectum, it is characterized in that, the length F of thread segment (12) is 5cm; Distance E between thread segment (12) and the second sacculus (3) is 3cm; Distance G between thread segment (12) and tail end (3) is 12cm; The length L1 of threaded post (41) is 3cm; The thickness L2 of ring-type tabletting (42) is 0.5cm.
8. as claimed in claim 1 for the postoperative two sacculus intestine fistulization conduits preventing fistula of operative incision of Colon and rectum, it is characterized in that, the length of catheter tube (1) is 50cm; The external diameter of catheter tube (1) is 1cm.
9. as claimed in claim 1 for the postoperative two sacculus intestine fistulization conduits preventing fistula of operative incision of Colon and rectum, it is characterized in that, catheter tube (1) can bend.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510699515.XA CN105251099A (en) | 2015-10-26 | 2015-10-26 | Double-balloon intestine fistulization catheter for preventing anastomotic fistula after colorectal surgery |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510699515.XA CN105251099A (en) | 2015-10-26 | 2015-10-26 | Double-balloon intestine fistulization catheter for preventing anastomotic fistula after colorectal surgery |
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| CN105251099A true CN105251099A (en) | 2016-01-20 |
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| CN201510699515.XA Pending CN105251099A (en) | 2015-10-26 | 2015-10-26 | Double-balloon intestine fistulization catheter for preventing anastomotic fistula after colorectal surgery |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105708514A (en) * | 2016-04-14 | 2016-06-29 | 吴德印 | Device for uterus hemostasis |
| CN106473834A (en) * | 2016-12-13 | 2017-03-08 | 郑州大学第附属医院 | The autologous refluxing device of intestinal contents and using method after small intestine two-chamber fistulization |
| CN107198604A (en) * | 2017-07-04 | 2017-09-26 | 赵国海 | A kind of ileum fistula catheter |
| CN111450330A (en) * | 2020-04-08 | 2020-07-28 | 海南省人民医院 | Drainage device for critical care |
| CN113577514A (en) * | 2021-09-03 | 2021-11-02 | 遂昌县人民医院 | Drainage tube capable of relieving postoperative pain of thoracic cavity and convenient to fix and using method thereof |
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| CN205108688U (en) * | 2015-10-26 | 2016-03-30 | 南京市鼓楼医院 | A two sacculus intestines fistulization pipes for tying rectum postoperative mouthful fistula that prevents to coincide |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN105708514A (en) * | 2016-04-14 | 2016-06-29 | 吴德印 | Device for uterus hemostasis |
| CN106473834A (en) * | 2016-12-13 | 2017-03-08 | 郑州大学第附属医院 | The autologous refluxing device of intestinal contents and using method after small intestine two-chamber fistulization |
| CN107198604A (en) * | 2017-07-04 | 2017-09-26 | 赵国海 | A kind of ileum fistula catheter |
| CN107198604B (en) * | 2017-07-04 | 2023-05-23 | 赵国海 | Ileum fistulization pipe |
| CN111450330A (en) * | 2020-04-08 | 2020-07-28 | 海南省人民医院 | Drainage device for critical care |
| CN113577514A (en) * | 2021-09-03 | 2021-11-02 | 遂昌县人民医院 | Drainage tube capable of relieving postoperative pain of thoracic cavity and convenient to fix and using method thereof |
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Application publication date: 20160120 |