A kind of urethra sews up mirror and sewing method
Technical field
The present invention relates to technical field of medical instruments, particularly relate to a kind of urethra and sew up mirror and sewing method.
Background technology
At present, in the field such as Urology Surgery and gynecological, it is often necessary to carry out micro-wound surgical operation at Microendoscopic, but after having carried out Minimally Invasive Surgery, it is impossible to realize tissue apposition under mirror.
Summary of the invention
In order to solve problems of the prior art, the present invention proposes a kind of urethra and sews up mirror and sewing method, so as to the postoperative tissue to be stapled of Urology Surgery and Gynecology is sewed up.
To achieve these goals, an aspect of of the present present invention proposes a kind of urethra and sews up mirror, described urethra is sewed up mirror and is included epitheca, interior sheath, hands part successively by front end to rear end, wherein said epitheca includes outer sheath and is arranged on the epitheca seat of described outer sheath rear end, described epitheca seat is provided with water intaking valve and outlet valve, the front end wall of described outer sheath is provided with return port; Described interior sheath includes interior sheath pipe and interior sheath seat, and described interior sheath pipe is arranged in described outer sheath, and described interior sheath seat is rotatably coupled to described epitheca base rear end; Described hands part includes endoscope, the first flexible handle, the first fixed handle and slide block, wherein said first fixed handle is arranged at the rear end of described interior sheath seat, the first flexible handle being connected to slide block is arranged at the rear end of described first fixed handle, described interior sheath pipe sequentially passes through described first fixed handle, slide block and the first flexible handle, described endoscope is arranged at the rear end of described first flexible handle, and the sight glass of described endoscope is arranged in described interior sheath pipe; Described urethra is sewed up mirror and is also included sewing needle, the rear end of described sewing needle is fixed on described slide block, its front end is arranged in described outer sheath, and described sewing needle be arranged in parallel with described interior sheath pipe, and the front end of described sewing needle is provided with can by the pin hole of stitching thread; Described urethra is sewed up mirror and is also included stitching thread duct, and the one end in described stitching thread duct is connected with described outer sheath, and its other end is arranged at described first fixed handle place.
Preferably, described outer sheath and epitheca seat are dismountable connection.
Preferably, described interior sheath seat and the dismountable connection of epitheca seat.
Preferably, described sight glass exceeds described outer sheath front end 1 ~ 2cm, and the angle observing minute surface and vertical direction of described sight glass is 25 ~ 35 degree of angles.
Preferably, the front end of described sewing needle is linear type, forms straight type pin, or the front end of described sewing needle is flexure type, forms curved pin.
Preferably, the angle of bend of described curved pin is 5 ~ 20 degree.
Preferably, described urethra is sewed up mirror and is also included auxiliary knotting pincers, described auxiliary knotting pincers include the action bars being arranged in described outer sheath, described action bars and described sewing needle be arranged in parallel, the direction that the front end edge of described action bars is vertical with action bars extends, form regular jaw, vertical at described action bars Yu regular jaw is provided with the first slideway, described first slideway is extended along action bars by the intersection of regular jaw with action bars, moving jaw and the opposing parallel setting of regular jaw, moving jaw is provided with and matches with the first slideway, can along the first slide block of the first slideway sliding, it is provided with spring between described moving jaw and regular jaw, the rear end of described action bars forms the operation handle of action bars along the direction vertical with action bars, the action bars in described operation handle front is provided with the second slideway, described second slideway is extended forward by operating the handle intersection with action bars, described auxiliary knotting pincers are additionally provided with moving jaw operation handle, described moving jaw operation handle be provided with match with described second slideway, can along the second slide block of the second slideway sliding, it is provided with bracing wire in described action bars, one end of described bracing wire is connected with moving jaw, and the other end operates handle with moving jaw and is connected.
Preferably, the front end of described regular jaw is provided with the trimming edge of a knife.
The such scheme of the present invention have the beneficial effects that above-mentioned urethra sew up mirror the postoperative tissue to be stapled of Urology Surgery and Gynecology can be sewed up, and auxiliary knotting pincers use, it is possible to reduce operation path, reduce patient misery.
Another aspect of the present invention proposes a kind of above-mentioned urethra and sews up the sewing method of mirror: said method comprising the steps of: step 1: by with the use of described first flexible handle and the first fixed handle, by described sewing needle through tissue to be stapled, the stitching thread through tissue to be stapled is made to form semicircular; Step 2: utilize auxiliary knotting to clamp, clamps the stitching thread of above-mentioned traverse tissue to be stapled; Step 3: by with the use of described first flexible handle and the first fixed handle, described sewing needle being retracted from tissue to be stapled; Step 4: utilize auxiliary knotting to clamp, by the Semicircular stitching thread in movable one end of stitching thread traverse step 1; Step 5: by with the use of described first flexible handle and the first fixed handle, above-mentioned Semicircular stitching thread being locked; Step 6: repeat above step, complete the stitching to tissue to be stapled.
Accompanying drawing explanation
Fig. 1 illustrates that urethra involved in the present invention sews up the structural representation of mirror.
Fig. 2 illustrates that urethra involved in the present invention sews up the enlarged diagram of mirror front end.
Fig. 3 illustrates the enlarged diagram of a kind of embodiment of sewing needle involved in the present invention.
Fig. 4 illustrates the structural representation of auxiliary knotting pincers involved in the present invention.
Accompanying drawing labelling: 1-epitheca, 11-outer sheath, 12-epitheca seat, 13-water intaking valve, 14-outlet valve, 15-return port, sheath in 2-, sheath pipe in 21-, sheath seat in 22-, 3-hands part, 31-endoscope, 311-sight glass, 312-observes minute surface, 32-the first flexible handle, 33-the first fixed handle, 34-slide block, 4-sewing needle, 41-pin hole, 5-stitching thread duct, 6-auxiliary knotting clamps, the 60-trimming edge of a knife, 61-action bars, 62-regular jaw, 63-moving jaw, 64-operates handle, 65-moving jaw operation handle, 66A-the first slideway, 66B-the second slideway, 67-spring, 68-bracing wire, 69A-the first slide block, 69B-the second slide block.
Detailed description of the invention
Below in conjunction with accompanying drawing, the specific embodiment of the present invention is further described.
As shown in Figure 1, urethra involved in the present invention is sewed up mirror and is included epitheca 1, interior sheath 2, hands part 3 successively by front end to rear end, wherein said epitheca 1 includes outer sheath 11 and is arranged on the epitheca seat 12 of described outer sheath 11 rear end, described outer sheath 11 and epitheca seat 12 are dismountable connection, described epitheca seat 12 is provided with water intaking valve 13 and outlet valve 14, the front end wall of described outer sheath 11 is provided with return port 15, described interior sheath 2 includes interior sheath pipe 21 and interior sheath seat 22, and described interior sheath pipe 21 is arranged in described outer sheath 11, and described interior sheath seat 22 is rotatably coupled to described epitheca seat 12 rear end, and described interior sheath seat 22 and the dismountable connection of epitheca seat 12, described hands part 3 includes endoscope 31, first flexible handle 32, first fixed handle 33 and slide block 34, wherein said first fixed handle 33 is arranged at the rear end of described interior sheath seat 22, the first flexible handle 32 being connected to slide block 34 is arranged at the rear end of described first fixed handle 33, and described slide block 34 is arranged between the first flexible handle 32 and the first fixed handle 33, described interior sheath pipe 21 sequentially passes through described first fixed handle 33, slide block 34 and the first flexible handle 32, described endoscope 31 is arranged at the rear end of described first flexible handle 32, and the sight glass 311 of described endoscope 31 is arranged in described interior sheath pipe 21, structure and the operation principle of concrete described endoscope 31 are prior art, therefore not to repeat here. described urethra is sewed up mirror and is also included sewing needle 4, the rear end of described sewing needle 4 is fixed on described slide block 34, the front end of described sewing needle 4 is arranged in described outer sheath 11, and described sewing needle 4 be arranged in parallel with described interior sheath pipe 21, the front end of described sewing needle 4 is provided with the pin hole 41 that can pass through stitching thread. in order to facilitate the use of stitching thread, urethra involved in the present invention sews up mirror can also include stitching thread duct 5, and the one end in described stitching thread duct 5 is connected with described outer sheath 11, and its other end is arranged at described first fixed handle 33 place.
The enlarged diagram of described urethra stitching mirror front end is as shown in Figure 2, urethra involved in the present invention sews up the sight glass 311 of mirror beyond described outer sheath 11 front end about 1 ~ 2cm, and the angle �� observing minute surface 312 and vertical direction of described sight glass 311 is 25 ~ 35 degree of angles, wherein with 30 degree of angles for optimum, to form the field of view facilitating operation stitching. The front end of sewing needle 4 involved in the present invention can be designed to linear type, form straight type pin, sew up in order to convenient, the Front-end Design of described sewing needle 4 can also be become flexure type, form curved pin, the structural representation of concrete curved pin is as it is shown on figure 3, the angle of bend �� (i.e. the angle of curved pin and horizontal direction) of described curved pin is 5 ~ 20 degree.
In concrete use procedure, described urethra is sewed up mirror and is placed in tissue place to be stapled, tissue to be stapled is observed by described sight glass 311, doctor is by with the use of described first flexible handle 32 and the first fixed handle 33, reaching to operate the purpose of described sewing needle 4, when not operating described first flexible handle 32, described sewing needle 4 is accommodated in described outer sheath 11 completely, when operating described first flexible handle 32, described sewing needle 4 can exceed described outer sheath 11 about 2 ~ 3cm.
In order to reach good sewing effect, when sewing up, it is possible to by other auxiliary suture instrument, for instance operating forceps, but so will certainly increase operation path, increase the misery of patient.In order to reduce operation path, and then reduce the misery of patient, urethra involved in the present invention sews up mirror can also include auxiliary knotting pincers 6, such as Fig. 1, 2, shown in 4, described auxiliary knotting pincers 6 include the action bars 61 being arranged in described outer sheath 11, described action bars 61 be arranged in parallel with described sewing needle 4, the direction that the front end edge of described action bars 61 is vertical with action bars 61 extends, form regular jaw 62, vertical at described action bars 61 with regular jaw 62 is provided with the first slideway 66A, described first slideway 66A is extended along action bars 61 by the intersection of regular jaw 62 with action bars 61, moving jaw 63 and the opposing parallel setting of regular jaw 62, moving jaw 63 is provided with and matches with the first slideway 66A, can along the first slide block 69A of the first slideway 66A sliding, it is provided with spring 67 between described moving jaw 63 and regular jaw 62, the rear end of described action bars 61 forms the operation handle 64 of action bars 61 along the direction vertical with action bars 61, the action bars 61 in described operation handle 64 front is provided with the second slideway 66B, described second slideway 66B is extended forward by operating the handle 64 intersection with action bars 61, described auxiliary knotting pincers 6 are additionally provided with moving jaw operation handle 65, described moving jaw operation handle 65 is provided with and matches with described second slideway 66B, can along the second slide block 69B of the second slideway 66B sliding, it is provided with bracing wire 68 in described action bars 61, one end of described bracing wire 68 is connected with moving jaw 63, the other end operates handle 65 with moving jaw and is connected.
In order to, after sewing up, be cut off by stitching thread, the front end of described regular jaw 62 is provided with the trimming edge of a knife 60; In order to convenient when not using urethra to sew up mirror, fixing described auxiliary knotting pincers 6, fixing hook (not shown) can be set at described operation handle 64 place, and retainer ring (not shown) is set on described urethra stitching mirror, concrete retainer ring can be arranged on described slide block 34, other positions can also be arranged on, in order to fixing described auxiliary knotting pincers 6.
Auxiliary knotting pincers 6 involved in the present invention in use, operate the function with the use of, it is possible to achieve described moving jaw 63 with the clamping of described regular jaw 62 of handle 65 and described operation handle 64 by described moving jaw.
The concrete sewing method of urethra suture needle involved in the present invention is as follows:
Step 1: by with the use of described first flexible handle 32 and the first fixed handle 33, by described sewing needle 4 through tissue to be stapled, make the stitching thread through tissue to be stapled form semicircular.
Step 2: utilize auxiliary suture instrument, for instance auxiliary knotting pincers 6, clamps the stitching thread of above-mentioned traverse tissue to be stapled.
Step 3: by with the use of described first flexible handle 32 and the first fixed handle 33, described sewing needle 4 being retracted from tissue to be stapled.
Step 4: utilize auxiliary suture instrument, for instance auxiliary knotting pincers 6, by the Semicircular stitching thread in movable one end of stitching thread traverse step 1.
Step 5: by with the use of described first flexible handle 32 and the first fixed handle 33, above-mentioned Semicircular stitching thread being locked.
Step 6: repeat above step, complete the stitching to tissue to be stapled.
Urethra involved in the present invention is sewed up mirror and can the postoperative tissue to be stapled of Urology Surgery and Gynecology be sewed up, and the use of auxiliary knotting pincers, it is possible to reduces operation path, reduces the misery of patient.