A kind of urethra suture mirror and sewing method
Technical field
The present invention relates to technical field of medical instruments, more particularly to a kind of urethra suture mirror and sewing method.
Background technology
At present, in the field such as Urology Surgery and gynaecology, it is often necessary to carry out micro-wound surgical operation in Microendoscopic, still
After Minimally Invasive Surgery has been carried out, tissue apposition can not be realized under mirror.
The content of the invention
In order to solve problems of the prior art, the present invention proposes a kind of urethra suture mirror and sewing method, with
Just can it is postoperative to Urology Surgery and Gynecology it is to be stapled tissue suture.
To achieve these goals, an aspect of of the present present invention proposes a kind of urethra suture mirror, the urethra suture mirror by
Front end includes epitheca, interior sheath, hand part successively to rear end, wherein after the epitheca includes outer sheath and is arranged on the outer sheath
The epitheca seat at end, water intaking valve and outlet valve are provided with the epitheca seat, backflow is provided with the front end wall of the outer sheath
Hole;The interior sheath includes interior sheath and interior sheath seat, and the interior sheath is arranged in the outer sheath, and the interior sheath seat is rotatable
It is connected to the epitheca base rear end;The hand part includes endoscope, the first flexible handle, the first fixed handle and sliding block, its
Described in the first fixed handle be arranged at the rear end of the interior sheath seat, the first flexible handle for being connected with sliding block is arranged at described
The rear end of one fixed handle, the interior sheath sequentially passes through first fixed handle, sliding block and the first flexible handle, described
Endoscope is arranged at the rear end of first flexible handle, and the peephole of the endoscope is arranged in the interior sheath;
The urethra suture mirror also includes sewing needle, and the rear end of the sewing needle is fixed on the sliding block, and its front end is arranged at described
In outer sheath, and the sewing needle be arranged in parallel with the interior sheath, and the front end of the sewing needle, which is provided with, can pass through suture
Pin hole;The urethra suture mirror also includes suture duct, and the one end in the suture duct is connected with the outer sheath,
Its other end is arranged at first fixed handle.
Preferably, the outer sheath and epitheca seat are dismountable connection.
Preferably, the interior sheath seat and epitheca seat removably connect.
Preferably, the peephole exceeds the 1 ~ 2cm of outer sheath front end, and the observation minute surface of the peephole with
The angle of vertical direction is 25 ~ 35 degree of angles.
Preferably, the front end of the sewing needle is linear pattern, forms straight type pin, or the front end of the sewing needle is curved
It is curved, form curved pin.
Preferably, the angle of bend of the curved pin is 5 ~ 20 degree.
Preferably, the urethra suture mirror also includes auxiliary knotting pincers, and the auxiliary knotting pincers are described including being arranged at
Action bars in outer sheath, the action bars are be arranged in parallel with the sewing needle, and the front end edge of the action bars is hung down with action bars
Straight direction extension, forms regular jaw, and the first slideway is provided with the vertical plane of the action bars and regular jaw, and described first
Slideway is extended by the intersection of regular jaw and action bars along action bars, and moving jaw is relative with regular jaw to be arranged in parallel, living
Movable clamp port is provided with the first sliding block that is engaged, can be slid along the first slideway with the first slideway, in the moving jaw and grips pincers
Spring is provided between mouthful;The rear end of the action bars forms the operation handle of action bars along the direction vertical with action bars, in institute
State the action bars in front of operation handle and be provided with the second slideway, second slideway from the intersection of operation handle and action bars to
Preceding extension, auxiliary knotting pincers are additionally provided with moving jaw operation handle, and the moving jaw operation handle is provided with and described the
The second sliding block that two slideways are engaged, can slid along the second slideway, is provided with bracing wire, one end of the bracing wire in the action bars
It is connected with moving jaw, the other end is connected with moving jaw operation handle.
Preferably, the front end of the regular jaw is provided with the trimming edge of a knife.
The beneficial effect of the such scheme of the present invention is that above-mentioned urethra suture mirror can be led to Urology Surgery and gynaecology
The postoperative tissue to be stapled in domain is sutured, and the use of auxiliary knotting pincers, can be reduced operation path, be reduced patient's
Pain.
Another aspect of the present invention proposes a kind of sewing method of above-mentioned urethra suture mirror:Methods described includes following step
Suddenly:Step 1:By the way that with the use of first flexible handle and the first fixed handle, the sewing needle is passed through into be stapled group
Knit, the suture through tissue to be stapled is formed semicircular;Step 2:Clamped, clamped above-mentioned through to be stapled using auxiliary knotting
The suture of tissue;Step 3:By with the use of first flexible handle and the first fixed handle, by the sewing needle from
Retracted at tissue to be stapled;Step 4:Clamped using auxiliary knotting, movable one end of suture is passed through into the semicircular in step 1
Suture in;Step 5:By with the use of first flexible handle and the first fixed handle, by the seam of above-mentioned semicircular
Zygonema is locked;Step 6:Above step is repeated, completes the suture to tissue to be stapled.
Brief description of the drawings
Fig. 1 shows the structural representation of urethra suture mirror involved in the present invention.
Fig. 2 shows the enlarged diagram of urethra suture mirror front end involved in the present invention.
Fig. 3 shows a kind of enlarged diagram of embodiment of sewing needle involved in the present invention.
Fig. 4 shows the structural representation of auxiliary knotting pincers involved in the present invention.
Reference:1- epithecas, 11- outer sheaths, 12- epitheca seats, 13- water intaking valves, 14- outlet valves, 15- return ports, 2-
Interior sheath, sheath in 21-, sheath seat in 22-, 3- hand parts, 31- endoscopes, 311- peepholes, 312- observation minute surfaces, the activities of 32- first
Handle, the fixed handles of 33- first, 34- sliding blocks, 4- sewing needles, 41- pin holes, 5- sutures duct, 6- auxiliary knottings pincers, 60- are cut
The line edge of a knife, 61- action bars, 62- regular jaws, 63- moving jaws, 64- operation handles, 65- moving jaw operation handles, 66A-
First slideway, the slideways of 66B- second, 67- springs, 68- bracing wires, the sliding blocks of 69A- first, the sliding blocks of 69B- second.
Embodiment
The embodiment of the present invention is further described below in conjunction with the accompanying drawings.
As shown in figure 1, urethra suture mirror involved in the present invention includes epitheca 1, interior sheath 2, hand successively by front end to rear end
Part 3, wherein the epitheca 1 includes outer sheath 11 and is arranged on the epitheca seat 12 of the rear end of outer sheath 11, the outer sheath
11 and epitheca seat 12 be dismountable connection, water intaking valve 13 and outlet valve 14 are provided with the epitheca seat 12, in the epitheca
The front end wall of pipe 11 is provided with return port 15;The interior sheath 2 includes interior sheath 21 and interior sheath seat 22, and the interior sheath 21 is set
In the outer sheath 11, the interior sheath seat 22 is rotatably coupled to the rear end of epitheca seat 12, and the interior sheath seat 22
Removably connected with epitheca seat 12;The hand part 3 include endoscope 31, the first flexible handle 32, the first fixed handle 33 with
And sliding block 34, wherein first fixed handle 33 is arranged at the rear end of the interior sheath seat 22, be connected with sliding block 34 first lives
Fixed handle 32 is arranged at the rear end of first fixed handle 33, and the sliding block 34 is arranged at the first flexible handle 32 and
Between one fixed handle 33, the interior sheath 21 sequentially passes through first fixed handle 33, the movable hand of sliding block 34 and first
Handle 32, the endoscope 31 is arranged at the rear end of first flexible handle 32, and the peephole 311 of the endoscope 31 is set
It is placed in the interior sheath 21, the structure and operation principle of the specific endoscope 31 are prior art, and therefore not to repeat here.
The urethra suture mirror also includes sewing needle 4, and the rear end of the sewing needle 4 is fixed on the sliding block 34, the sewing needle 4
Front end is arranged in the outer sheath 11, and the sewing needle 4 be arranged in parallel with the interior sheath 21, the sewing needle 4
Front end, which is provided with, can pass through the pin hole 41 of suture.In order to facilitate the use of suture, urethra involved in the present invention suture mirror is also
Suture duct 5 can be included, the one end in the suture duct 5 is connected with the outer sheath 11, and its other end is arranged at
At first fixed handle 33.
The enlarged diagram of the urethra suture mirror front end is as shown in Fig. 2 the sight of urethra suture mirror involved in the present invention
Examine mirror 311 and exceed the front end of the outer sheath 11 about 1 ~ 2cm, and the observation minute surface 312 of the peephole 311 and vertical direction
Angle α is 25 ~ 35 degree of angles, wherein using 30 degree of angles to be optimal, to form the field of view for facilitating operation stitching.It is involved in the present invention
The front end of sewing needle 4 can be designed to linear pattern, form straight type pin, suture for convenience, can also be by the sewing needle 4
Front-end Design forms curved pin into flexure type, the structural representation of specific curved pin as shown in figure 3, the curved pin it is curved
Bent angle beta(The angle of i.e. curved pin and horizontal direction)For 5 ~ 20 degree.
During specific use, urethra suture mirror is placed at tissue to be stapled, passes through the peephole
311 observations tissue to be stapled, doctor is by with the use of the fixed handle 33 of the first flexible handle 32 and first, reaching behaviour
Make the purpose of the sewing needle 4, when not operating first flexible handle 32, the sewing needle 4 is accommodated in described outer completely
In sheath 11, when operating first flexible handle 32, the sewing needle 4 can exceed the about 2 ~ 3cm of outer sheath 11.
In order to reach preferable sewing effect, in suture, suture instrument can be aided in by others, such as perform the operation
Pincers, but will certainly so increase operation path, increase the pain of patient.In order to reduce operation path, and then reduce patient's
Pain, urethra involved in the present invention suture mirror can also include auxiliary knotting pincers 6, as shown in Fig. 1,2,4, the auxiliary knotting
Pincers 6 include the action bars 61 being arranged in the outer sheath 11, and the action bars 61 be arranged in parallel with the sewing needle 4, described
The front end of action bars 61 extends along the direction vertical with action bars 61, forms regular jaw 62, in the action bars 61 with fixing
The vertical plane of jaw 62 is provided with intersection edges of first the slideway 66A, the first slideway 66A by regular jaw 62 and action bars 61
Action bars 61 extends, and moving jaw 63 is relative with regular jaw 62 to be arranged in parallel, and moving jaw 63 is provided with and the first slideway 66A phases
The the first sliding block 69A that coordinates, can be slid along the first slideway 66A, is provided with bullet between the moving jaw 63 and regular jaw 62
Spring 67;The rear end of the action bars 61 forms the operation handle 64 of action bars 61 along the direction vertical with action bars 61, described
The action bars 61 in the front of operation handle 64 is provided with the second slideway 66B, and the second slideway 66B is by operation handle 64 and action bars
61 intersection extends forward, and the auxiliary knotting pincers 6 are additionally provided with moving jaw operation handle 65, the moving jaw manipulator
Handle 65 is provided with the second sliding block 69B that is engaged, can be slid along the second slideway 66B with the second slideway 66B, in the action bars
Bracing wire 68 is provided with 61, one end of the bracing wire 68 is connected with moving jaw 63, the other end and moving jaw operation handle 65
It is connected.
In order to which after suture, suture is cut, the front end of the regular jaw 62 is provided with the trimming edge of a knife 60;In order to
Convenient when suturing mirror without using urethra, the fixed auxiliary knotting clamps 6, and fixed use can be set at the operation handle 64
Hook(Not shown in figure), and retainer ring is set on urethra suture mirror(Not shown in figure), specific retainer ring can be with
It is arranged on the sliding block 34, other positions can also be arranged on, to fix the auxiliary knotting pincers 6.
Auxiliary knotting pincers 6 involved in the present invention when in use, pass through the moving jaw operation handle 65 and the behaviour
Make being used cooperatively for handle 64, it is possible to achieve the function that the moving jaw 63 clamps with the regular jaw 62.
The specific sewing method of urethra suture needle involved in the present invention is as follows:
Step 1:By the way that with the use of the fixed handle 33 of the first flexible handle 32 and first, the sewing needle 4 is worn
Tissue to be stapled is crossed, the suture through tissue to be stapled is formed semicircular.
Step 2:Using suture instrument, such as auxiliary knotting pincers 6 are aided in, the above-mentioned suture through tissue to be stapled is clamped
Line.
Step 3:By with the use of the fixed handle 33 of the first flexible handle 32 and first, by the sewing needle 4 from
Retracted at tissue to be stapled.
Step 4:Using suture instrument, such as auxiliary knotting pincers 6 are aided in, movable one end of suture is passed through into step 1
In semicircular suture in.
Step 5:By with the use of the fixed handle 33 of the first flexible handle 32 and first, by the seam of above-mentioned semicircular
Zygonema is locked.
Step 6:Above step is repeated, completes the suture to tissue to be stapled.
Urethra suture mirror involved in the present invention being capable of tissue to be stapled postoperative to Urology Surgery and Gynecology
Sutured, and the use of auxiliary knotting pincers, operation path can be reduced, reduces the pain of patient.