CN105852794A - Rectal prolapse trigger point injection anoscope - Google Patents

Rectal prolapse trigger point injection anoscope Download PDF

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Publication number
CN105852794A
CN105852794A CN201610247139.5A CN201610247139A CN105852794A CN 105852794 A CN105852794 A CN 105852794A CN 201610247139 A CN201610247139 A CN 201610247139A CN 105852794 A CN105852794 A CN 105852794A
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CN
China
Prior art keywords
injection
anoscope
trigger point
proctoptosis
rectal prolapse
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Pending
Application number
CN201610247139.5A
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Chinese (zh)
Inventor
周建华
李国峰
赵景明
陈亮
支晨阳
石冲
杜宇
杨铁峥
陈萍
于伟
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AFFILIATED HOSPITAL TO CHANGCHUN UNIVERSITY OF CHINESE MEDICINE
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AFFILIATED HOSPITAL TO CHANGCHUN UNIVERSITY OF CHINESE MEDICINE
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Priority to CN201610247139.5A priority Critical patent/CN105852794A/en
Publication of CN105852794A publication Critical patent/CN105852794A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064Constructional details of the endoscope body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131Accessories for endoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/31Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/04Liquids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1042Alimentary tract
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1042Alimentary tract
    • A61M2210/1067Anus

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Optics & Photonics (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention discloses a rectal prolapse trigger point injection anoscope, and belongs to the technical field of biomedical science. The rectal prolapse trigger point injection anoscope comprises a base and an anoscope body. The base and the anoscope body are connected with each other, a window is arranged on the base, the anoscope body is in the shape of a cylinder, the radius and the length of the cylinder gradually change, and the radius of the end, which is close to the base, of the cylinder of the anoscope body is larger than the radius of the end, which is far away from the base, of the cylinder of the anoscope body; one or a plurality of injection windows are arranged on the side walls of the anoscope body; the length of the anoscope body is 15 cm. The lengths of the elliptical injection windows range from 1.5 cm to 10 cm. The rectal prolapse trigger point injection anoscope has the advantages that the length of the anoscope body is increased and is 15 cm, accordingly, 'trigger point' injection treatment can be effectively carried out, and obvious clinical curative effects can be realized during rectal prolapse treatment; the rectal prolapse trigger point injection anoscope is simple in structure and easy to manufacture, operate and use.

Description

Proctoptosis trigger point injection anoscope
Technical field
The invention belongs to field of biomedicine technology, particularly to a kind of proctoptosis trigger point injection anoscope.
Background technology
Along with domestic dietary structure, the change of living habit, the sickness rate of ulcerative colitis is continuous in China Increasing, modern medicine is long to the medicine for treatment time of primary disease, and side effect is big, and therapeutic effect is not complied with one's wishes.Directly Although intestinal prolapsus be not anorectum department commonly encountered diseases, frequently-occurring disease, for proctoptosis etiology and pathology and treatment always Constantly inquiring into, because its high relapse rate treated annoyings anorectal surgical doctor always.Take off based on to rectum The different understanding of the cause of disease of hanging down, devise a lot of surgical operation therapy art formula, common are around rectum and mucosa Lower injection of sclerosing agent art, anus circle contracting art, proctopexy (Delorme art), Altemeir art, Goldberg Art, Ripstein art, Ivalon sponge implantation (Well art), rectum rumpbone suspension (Orr art), Nigro arts etc., curative effect is the most imprecise.It is reported, the art formula treating proctoptosis so far has kind more than 200, A kind of method of disease treatment is the most, illustrates that the understanding of the cause of disease to this disease is not clear, and the effect for the treatment of is also Not ideal enough, i.e. do not have a kind of operation method can be fully solved the symptomatology that proctoptosis is brought.Week Jian Hua professor et al. do three degree of proctoptosis open abdomen Suspending fixation operation time note that unintentionally with wet When gauze wipes pelvic cavity, find that all patients rectum front wall of about 2cm on peritoneal reflextion is the most inside Contractility caves in, and clamps the intestinal wall above it with big tweezers, and passage downwards can recur proctoptosis.Thus Guessing, this " contractility depression ", is i.e. proctoptosis " initiating agent " and the real cause of disease.Tentatively It is called " trigger point ".Under such theory instructs, when remaking the operation of proctoptosis, except dissociating, Outside fixing rectum, also this " is caved in " and Douglas lacuna antetheca is sewed up, fixed, the trouble after this operates Person, follows up a case by regular visits to the most all without recurrence.Thus reasoning, when using injection treatment proctoptosis, mainly " is pulling Machine point " place tela submucosa injection medicine, make rectal wall herein can be able to not stop de-to enteric cavity sunken inside The generation hung down.Therapeutic purposes are the most just reached.Under the guidance of this theory, for the patient of proctoptosis We attempt having carried out per anum peephole rectum front wall submucosal injections art, rule by law through this for three degree of proctoptosis Treat and achieve good effect.Early stage preliminary observation, 5 examples with this injection treatment, there is no in a short time Recurrent cases.For the clinical efficacy of system summary " trigger point " injection treatment proctoptosis, specification " is pulled Machine point " injection operation code, devise this clinical trial.
" trigger point " injection for curing it is crucial that accurately find the starting point of proctoptosis, i.e. " trigger point " Position, and give correct injection for curing.The clinical trial initial stage, we used common long speculum anoscope to enter Row operation, therapeutic effect is not good enough.And conventional anus mirror is megaphone-shaped, proctoptosis mucosa is the most congested Jing Kou, makes proctoptosis starting point location difficulty, it is impossible to make injection medicine effectively be expelled to position of prolapsing.
Summary of the invention
It is an object of the invention to overcome shortcoming and deficiency present in prior art, it is provided that a kind of proctoptosis Trigger point injection anoscope.
The purpose of the present invention is achieved through the following technical solutions: a kind of proctoptosis trigger point injection anoscope, Including the collet being connected and shank, being provided with form at described collet, described shank is radius length The cylindrical shape of gradual change, the described shank circular cylinder radius near one end of collet is more than away from the half of collet one end Footpath;Injection window it is provided with on the sidewall of described shank;The a length of 15cm of described shank.
Described injection mirror is preferably ellipse.
A length of 1.5cm~10cm of described injection mirror.
Described injection window is one or more;It is preferably one or two.
Above-mentioned proctoptosis trigger point injection anoscope is applied to treat proctoptosis and has significant curative effect.
It is applied to the method that above-mentioned proctoptosis trigger point injection anoscope carries out trigger point injection, including following Step: under waist acupuncture points on the human body is anaesthetized, patient takes calculi position or jack knife position, by proctoptosis trigger point injection anus Mirror surface uniform application lubricating oil, in order to inserting smoothly of anoscope, inserts anoscope, fully appears and " pull Machine point " mucosa, 1:1 XIAOZHILING ZHUSHEYE 5ml, at rectum front wall away from anus edge, male 10cm, women 8cm, Submucosal injections;Injection area about diameter 3.0cm size, in injection process, appropriateness adjusts syringe needle direction or little Amplitude moves up and down anoscope, it is ensured that fully appearing of " trigger point " mucosa, make xiaozhiling injection even dispersion in Tela submucosa, slightly swells full for degree with " trigger point " mucosa after injection.According to circumstances add and glue with rectum Point-like injection under film, or column injection, or rectum surrounding injection.
The present invention uses contractility depression " trigger point " of the initiating agent of the proctoptosis that Zhou Jianhua professor finds Principle, for overcome long speculum anoscope common in proctoptosis therapeutic process carry out operate therapeutic effect not good enough Defect;The proctoptosis trigger point injection anoscope of the present invention reaches 15cm by the length increasing shank, Preferably realize the injection for curing of " trigger point " position.
The present invention has such advantages as relative to prior art and effect:
The present invention uses contractility depression " trigger point " of the initiating agent of the proctoptosis that Zhou Jianhua professor finds Principle, for overcome long speculum anoscope common in proctoptosis therapeutic process carry out operate therapeutic effect not good enough Defect;The proctoptosis trigger point injection anoscope of the present invention reaches 15cm by the length increasing shank, Preferably realize the injection for curing of " trigger point " position, and the proctoptosis trigger point injection anus of the present invention Mirror has significant clinical efficacy in treatment proctoptosis;Meanwhile, the proctoptosis trigger point note of the present invention Penetrate mirror and there is simple in construction, it is easy to manufacture and operate with.
The proctoptosis trigger point injection anoscope of the present invention can be accurately positioned the starting point of proctoptosis, makes Injection effect is more preferably.Conventional anus mirror is megaphone-shaped, the easy congested Jing Kou of proctoptosis mucosa, makes rectum Prolapsus starting point location difficulty, it is impossible to make injection medicine effectively be expelled to position of prolapsing.And " trigger point " note Penetrate anoscope Jing Kou and be positioned at side, it is simple to observe rectal wall depression prolapsus position.
" trigger point " injection treatment of proctoptosis trigger point injection anoscope based on the present invention is based on right A kind of brand-new Therapeutic Method that the proctoptosis cause of disease designs on the basis of recognizing again.This method dose of medicament Little, this puts rectum surrounding injection different from the past and submucosal injections;Without operation wound compared with abdominal Wound, Endodontic failure does not interferes with successive treatment, is the remedy measures for the treatment of proctoptosis first-selection.Injection operation Step is relatively easy, it is easy to study and popularization and application.
Analyze in terms of economic benefit with social benefit, although the not common disease of proctoptosis, frequently-occurring disease, but Previously all in all Therapeutic Method exists that operation wound is big, Postoperative recurrent rate is high, the painful big feature of patient, " trigger point " injection for curing proctoptosis is entirely capable of avoiding disadvantage mentioned above, previously operative treatment proctoptosis Total hospitalization cost is at about 20,000 yuan, and " trigger point " injection for curing proctoptosis expense can be controlled in 5,000 About unit, there is good Social benefit and economic benefit.
Accompanying drawing explanation
Fig. 1 is the structural representation of proctoptosis trigger point injection mirror in embodiment 1;
Fig. 2 is the structural representation of proctoptosis trigger point injection mirror in embodiment 2;
Fig. 3 is the structural representation of proctoptosis trigger point injection mirror in embodiment 3.
Wherein: 1 collet, 2 shanks, 3 forms, 4 injection windows.
Detailed description of the invention
Below in conjunction with embodiment and accompanying drawing, the present invention is described in further detail, but embodiments of the present invention It is not limited to this.
Embodiment 1
As it is shown in figure 1, the invention provides a kind of proctoptosis trigger point injection anoscope, including being connected Collet 1 and shank 2, be provided with form 3 at described collet 1, described shank 2 be radius length gradually The cylindrical shape become, the described shank 2 circular cylinder radius near one end of collet 1 is more than away from collet one end Radius;Injection window 4 it is provided with on the sidewall of described shank 2;The a length of 15cm of described shank 2.
Described injection mirror is oval, a length of 1.5cm, has an injection window.
Embodiment 2
As in figure 2 it is shown, the invention provides a kind of proctoptosis trigger point injection anoscope, including being connected Collet 1 and shank 2, be provided with form 3 at described collet 1, described shank 2 be radius length gradually The cylindrical shape become, the described shank 2 circular cylinder radius near one end of collet 1 is more than away from collet one end Radius;Injection window 4 it is provided with on the sidewall of described shank 2;The a length of 15cm of described shank 2.
Described injection mirror is oval, a length of 1.5cm of described injection mirror;There are two injection windows.
Embodiment 3
As it is shown on figure 3, the invention provides a kind of proctoptosis trigger point injection anoscope, including being connected Collet 1 and shank 2, be provided with form 3 at described collet 1, described shank 2 be radius length gradually The cylindrical shape become, the described shank 2 circular cylinder radius near one end of collet 1 is more than away from collet one end Radius;Injection window 4 it is provided with on the sidewall of described shank 2;The a length of 15cm of described shank 2.
Described injection mirror is oval, a length of 10cm of injection mirror, has an injection mirror.
By opening the comparison repeatedly of abdomen suspension treating in the present invention, found the position ratio of " trigger point " originally Height, male distance anus edge about 10cm, women distance anus edge about 8cm, and common long cylinder are wanted in the position estimated Anoscope can not completely reveal the position of " trigger point ", has a strong impact on the effect of injection for curing.For this I Have developed the proctoptosis trigger point injection anoscope of " trigger point " injection for curing, hence it is evident that improve injection The success rate for the treatment of.
Application Example 1
The proctoptosis trigger point injection anoscope of embodiment 1~3 is applied to treat proctoptosis to be had significantly Curative effect.
It is applied to the method that the proctoptosis trigger point injection anoscope of embodiment 1~3 carries out trigger point injection, Comprise the following steps: under waist acupuncture points on the human body is anaesthetized, patient takes calculi position or jack knife position, by proctoptosis trigger point Injection anoscope surface uniform application lubricating oil, in order to inserting smoothly of anoscope, inserts anoscope, fully Appear " trigger point " mucosa, 1:1 XIAOZHILING ZHUSHEYE 5ml, at rectum front wall away from anus edge, male 10cm, Women 8cm, submucosal injections;Injection area about diameter 3.0cm size, in injection process, appropriateness adjusts pin Head direction or move up and down anoscope by a small margin, it is ensured that fully appearing of " trigger point " mucosa, make xiaozhiling injection Even dispersion is slightly swelled full for degree after tela submucosa, injection with " trigger point " mucosa.According to circumstances Add and inject by point-like under mucous membrane of rectum, or column injection, or rectum surrounding injection.
The method of above-mentioned trigger point injection should be noted that: the strict grasp drug injection degree of depth.Drug injection is the deepest, After injection, mucosa is without protuberance satiety, and tunica muscularis recti necrosis can be caused to bore a hole;Drug injection is the most shallow, does not reaches Tela submucosa, it is seen that after injection, intestinal mucosa is blister sample protuberance, it is impossible to play the effect of tela submucosa injection, The effect of blocking-up " trigger point " can not be played.
It is accurate that the proctoptosis trigger point injection anoscope of the present invention is applied to treat the key technology of proctoptosis Really find " trigger point " of proctoptosis." trigger point " rectum Microscopic observation and normal rectal after the reset Mucosa is as broad as long, is the difficult point of injection for curing.For accurately searching out " trigger point ", by opening abdomen Comparison repeatedly during suspension treating proctoptosis, finds that the position of " trigger point " is than the original position estimated Want height, male distance anus edge about 10cm, women distance anus edge about 8cm, and devise " trigger point " injection Special anoscope, it is ensured that being accurately positioned of proctoptosis starting point, also ensure that " trigger point " is injected The effect for the treatment of.
The present invention uses contractility depression " trigger point " of the initiating agent of the proctoptosis that Zhou Jianhua professor finds Principle, for overcome long speculum anoscope common in proctoptosis therapeutic process carry out operate therapeutic effect not good enough Defect;The proctoptosis trigger point injection anoscope of the present invention reaches 15cm by the length increasing shank, Preferably realize the injection for curing of " trigger point " position, and the proctoptosis trigger point injection anus of the present invention Mirror has significant clinical efficacy in treatment proctoptosis;Meanwhile, the proctoptosis trigger point note of the present invention Penetrate mirror and there is simple in construction, it is easy to prepare and use.
Proctoptosis trigger point injection anoscope can be accurately positioned the starting point of proctoptosis, makes injection effect More preferably.Conventional anus mirror is megaphone-shaped, the easy congested Jing Kou of proctoptosis mucosa, makes proctoptosis initiate Point location difficulty, it is impossible to make injection medicine effectively be expelled to position of prolapsing.And " trigger point " injection anoscope Jing Kou is positioned at side, it is simple to observe rectal wall depression prolapsus position.
" trigger point " injection for curing proctoptosis is to design based on the basis of recognizing the proctoptosis cause of disease again A kind of brand-new Therapeutic Method.This method dose of medicament is little, rectum surrounding injection different from the past and Submucosal injections;Without operation wound compared with abdominal, Endodontic failure does not interferes with successive treatment, we It is considered to treat the remedy measures that proctoptosis is first-selected.Injection operation step is relatively easy, it is easy to learns and pushes away Wide application.Use " trigger point " injection for curing proctoptosis that proctoptosis trigger point injection anoscope is carried out Clinical efficacy the results are shown in Table 1.
The clinical efficacy result of table 1 " trigger point " injection for curing proctoptosis
Number of cases Clinic control Effectively Invalid
20 18 2 0
The clinical observation of table 1 shows, total effective rate reaches 100%, during clinical trial, by with open abdomen The comparison repeatedly of operation, specify that the change in location of " trigger point " mucosa substantially, and by using " trigger Point " inject special anoscope, hence it is evident that improve the effect of injection for curing, control through " trigger point " injection at present The patient for the treatment of is the longest to be followed up a case by regular visits to reach 2 years, 18 example clinic control patients, recurs 3 examples, but the most relatively treats front disease Shape substantially alleviates;2 example effective conditions of patients recurrences, 1 example repeated injection for curing Morbidity control, 1 example is through opening Abdomen " trigger point " suspension treating is fully recovered.
Above-described embodiment is the present invention preferably embodiment, but embodiments of the present invention are not by above-mentioned enforcement The restriction of example, the change made, modifies, replaces under other any spirit without departing from the present invention and principle In generation, combine, simplify, all should be the substitute mode of equivalence, within being included in protection scope of the present invention.

Claims (5)

1. a proctoptosis trigger point injection anoscope, it is characterised in that: include collet and the mirror being connected Body, is provided with form at described collet, described shank is the cylindrical shape of radius length gradual change, described The shank circular cylinder radius near one end of collet is more than the radius away from collet one end;The sidewall of described shank On be provided with injection window;The a length of 15cm of described shank.
Proctoptosis trigger point injection anoscope the most according to claim 1, it is characterised in that: described Injection mirror be oval.
Proctoptosis trigger point injection anoscope the most according to claim 1, it is characterised in that: described Injection mirror a length of 1.5cm~10cm.
Proctoptosis trigger point injection anoscope the most according to claim 1, it is characterised in that: described Injection window be one or more.
Proctoptosis trigger point injection anoscope the most according to claim 1, it is characterised in that: described Injection window be one or two.
CN201610247139.5A 2016-04-19 2016-04-19 Rectal prolapse trigger point injection anoscope Pending CN105852794A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610247139.5A CN105852794A (en) 2016-04-19 2016-04-19 Rectal prolapse trigger point injection anoscope

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Application Number Priority Date Filing Date Title
CN201610247139.5A CN105852794A (en) 2016-04-19 2016-04-19 Rectal prolapse trigger point injection anoscope

Publications (1)

Publication Number Publication Date
CN105852794A true CN105852794A (en) 2016-08-17

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107029340A (en) * 2017-05-25 2017-08-11 苏州乐步生物科技有限公司 A kind of anal intestine treatment medical stick
CN108175372A (en) * 2018-01-10 2018-06-19 苏州贝诺医疗器械有限公司 A kind of rectal prolapse measuring instrument

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107029340A (en) * 2017-05-25 2017-08-11 苏州乐步生物科技有限公司 A kind of anal intestine treatment medical stick
CN108175372A (en) * 2018-01-10 2018-06-19 苏州贝诺医疗器械有限公司 A kind of rectal prolapse measuring instrument
CN108175372B (en) * 2018-01-10 2023-05-30 苏州贝诺医疗器械有限公司 Rectal prolapse measuring instrument

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