CN105997270A - Integrally formed Transobturator transvaginal urethra midurethral tape positioned - Google Patents

Integrally formed Transobturator transvaginal urethra midurethral tape positioned Download PDF

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Publication number
CN105997270A
CN105997270A CN201610278504.9A CN201610278504A CN105997270A CN 105997270 A CN105997270 A CN 105997270A CN 201610278504 A CN201610278504 A CN 201610278504A CN 105997270 A CN105997270 A CN 105997270A
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China
Prior art keywords
cross measure
measure body
extrusome
longitudinally
localizer
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CN201610278504.9A
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Chinese (zh)
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CN105997270B (en
Inventor
王阳贇
施国伟
史朝亮
王洋
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FIFTH PEOPLE'S HOSPITAL OF SHANGHAI FUDAN UNIVERSITY
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FIFTH PEOPLE'S HOSPITAL OF SHANGHAI FUDAN UNIVERSITY
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Abstract

The invention relates to an integrally formed Transobturator transvaginal urethra midurethral tape positioned, which comprises a first transversal measuring body, a first vertical measuring body, a telescoping body, a second transversal measuring body, and a second vertical measuring body; one end of the first transversal measuring body and one end of the second transversal measuring body have a groove respectively; the groove and the telescoping body are cooperated with each other; the length of the groove is less than half of the length of the telescoping body; and the first transversal measuring body and the second transversal measuring body are actively connected with the telescoping body. The advantages are that the positioning puncture point can be measured rapidly and accurately; the operation is simple; repeated measuring is avoided; and work efficiency is improved.

Description

A kind of integrated through closed pore transvaginal mid-urethral tape surgery managed localizer
Technical field
The present invention relates to technical field of medical instruments, specifically, be a kind of integrated through closed pore through the moon Road mid-urethral tape surgery managed localizer.
Background technology
Women Stress incontinence is women common disease.Parturition injury, puerperal bear a heavy burden too early, support at the bottom of basin Function of organization is undermined the factors such as post menopausal estrogen and androgen shortage and causes female pelvic to prolapse, and at basin bottom cavity device In the case of official's prolapsus, the supporting tissue weakness of bladder intersection and urethral smooth muscle hypotonia etc. can Cause or increase the weight of Stress incontinence.In general, Stress incontinence is compared with light and initial stage subject patient Ke Cai Train with Pelvic floor, the conservative treatment such as Drug therapy, nerve electric stimulation, and heavier for symptom and conservative control Treating nonresponder then needs operation to intervene.
In prior art, being mainly through closed pore transvaginal mid-urethral tape surgery managed of operative treatment urinary incontinence, It is Wicresoft's main flow operation for the treatment of stress incontinence, determined curative effect.Hang by tension-free implantation is netted The power urethral resistance under pressure state is obtained with mode support stage casing urethra, and in resting state with urinate Normal voiding is had no effect under state.
It is: after anaesthetizing successfully that patient takes and cuts stone through closed pore transvaginal mid-urethral tape surgery managed point of puncture method Position, at external orifice of urethra level standardized bar horizontal line, 2cm the most standardized bar horizontal line above this, on this line Entry point is found at 2cm outside extra-labia skinfold.This piercing method, around pubic branch rear, is worn Cross closed pore, by pubic branch, open the little otch at 2cm pass, away from urethra and bladder, and be close to pubis Prop up and pass from closed pore, avoid abdominal cavity and bone blood vessel, efficiently avoid urethra, bladder, intestinal and blood vessel Damage.
But, it is to need accurate labelling entry point through closed pore transvaginal mid-urethral tape surgery managed, and existing skill Without relevant localizer aid mark inserting needle point of puncture in art, operative doctor is surveyed generally by dip stick Amount determines inserting needle point of puncture.So have the following disadvantages or defect.1, the physiology knot that private parts of human body is special Structure, space is little, it has not been convenient to measure;2, need to set up horizontal line benchmark at urethral orifice, and people's hand measurement is very Difficulty sets up horizontal line benchmark so that follow-up measurement is the most accurate;3, after the horizontal line benchmark at urethral orifice is set up, Need upwards to measure 2cm, and setting up horizontal line benchmark in this place again, then with the moon that this horizontal line is corresponding Outside lip lateral cutaneous gauffer, measurement 2cm is as puncturing entry point, needs repetitive measurement, measures loaded down with trivial details.
In sum, a kind of measurement is needed badly simple, convenient, the most integrated through closed pore transvaginal Mid-urethral tape surgery managed localizer.And yet there are no report about this localizer.
Summary of the invention
It is an object of the present invention to provide a kind of measurement simple, convenient, the most integrated through closed pore warp Vagina, urethra stage casing tape surgery managed localizer.
For achieving the above object, the present invention adopts the technical scheme that:
A kind of integrated through closed pore transvaginal mid-urethral tape surgery managed localizer, described localizer includes the One cross measure body, first longitudinal measurement body, extrusome, the second cross measure body, second longitudinal measurement body; The first described cross measure body tag has rule, a length of 2cm;The first described cross measure body with First longitudinal body of measuring is fixing connection;It is vertical with the first cross measure body that described first longitudinally measures body; Described first longitudinally measures body tag rule, a length of 2cm;The first described cross measure body away from Longitudinally measure away from body 2cm from first and be provided with the first outer fold positioning datum block;The second described cross measure body Distance two is longitudinally measured at body 2cm and is provided with the second outer fold positioning datum block;The second described cross measure body It is marked with rule, a length of 2cm;It is fixing that the second described cross measure body and second longitudinally measures body Connect;It is vertical with the second cross measure body that described second longitudinally measures body;Described second is longitudinally measured Body tag has rule, a length of 2cm;Described first cross measure body and one end of the second cross measure body It is equipped with groove;Described groove matches with extrusome;The length of described groove is less than extrusome length Half;The first described cross measure body and the second cross measure body are connected as being flexibly connected with extrusome.
Urethral orifice locating piece and level indicator it is additionally provided with on described extrusome.
Described urethral orifice locating piece is positioned at the middle of extrusome.
Described extrusome is convex.
The central block upper surface of described extrusome and the first cross measure body and the second cross measure body upper Surface copline.
Described extrusome includes the first projection, central block, the second projection;Described central block externally protrudes out in first Projection and the second projection;A described projection and the second projection lay respectively at the two ends of central block;Described The first projection, central block, the second projection be Integratively formed.
The invention has the advantages that:
1, the present invention's is a kind of body formed through closed pore transvaginal mid-urethral tape surgery managed localizer, it is possible to fast Speed measurement and positioning point of puncture accurately, simple to operate, it is not necessary to repeated multiple times measurement, improve work efficiency;
2, the first cross measure body and the second cross measure body it are provided with, it is possible to the abscissa position of localised puncture point Put, be provided with first and longitudinally measure body and second longitudinally measurement body, it is possible to the vertical coordinate position of localised puncture point, By the transverse and longitudinal coordinate position of point of puncture, just can labelling point of puncture accurately;
3, it is provided with urethral orifice locating piece, there is positioning action, it is to avoid localizer is to the left or to the right, thus shadow Ring abscissa and the vertical coordinate of two points of puncture, simultaneously, moreover it is possible to quickly set up horizontal line base in urethral orifice position Accurate;
4, the first cross measure body, the second cross measure body and the upper surface copline of extrusome, this is put down Face is the level reference set up at urethral orifice so that the transverse and longitudinal coordinate of follow-up measurement point of puncture is accurate;
5, be provided with level indicator, level indicator can the level reference whether level set up of auxiliary judgement urine stomatodeum, Compared with prior art being passed through set up horizontal reference in urethral orifice line, it is to avoid level reference run-off the straight;
6, the first outer fold positioning datum block and the second outer fold positioning datum block it are provided with, because human body is special Physiological structure, its labia and outer fold the most in the same plane, by the first outer fold positioning datum block and the Two outer fold positioning datum blocks are positioned at outside human body both sides and agree with at fold, measure precisely, convenient.
Accompanying drawing explanation
Accompanying drawing 1 is that the one of the present invention is integrated through the survey of closed pore transvaginal mid-urethral tape surgery managed localizer Amount status architecture schematic diagram.
Accompanying drawing 2 is that the one of the present invention is integrated through closed pore transvaginal mid-urethral tape surgery managed localizer exhibition Open state structural representation.
Accompanying drawing 3 is that the one of the present invention is integrated through closed pore transvaginal mid-urethral tape surgery managed localizer receipts Contracting status architecture schematic diagram.
Accompanying drawing 4 is extrusome partial enlargement structural representation.
Detailed description of the invention
Below in conjunction with embodiment and referring to the drawings the invention will be further described.
The reference and the ingredient that relate in accompanying drawing are as follows:
1. the first cross measure body 11. first longitudinally measures body
2. the second cross measure body 21. second longitudinally measures body
3. the first outer fold positioning datum block 31. second outer fold positioning datum block
4. extrusome 41. urethral orifice locating piece
42. level indicator 43. first projections
44. second projection 45. central block
5. urethral orifice
51. vaginal orifice 52. labias
53. outer fold 54. points of puncture
6. rule
Refer to Fig. 1 to Fig. 3, Fig. 1 is that the one of the present invention is integrated in closed pore transvaginal urethra Section tape surgery managed localizer measuring state structural representation.Fig. 2 is that the one of the present invention is integrated through closed pore Transvaginal mid-urethral tape surgery managed localizer deployed condition structural representation.Fig. 3 is a kind of one of the present invention Molding through closed pore transvaginal mid-urethral tape surgery managed localizer contraction state structural representation.A kind of one becomes Type through closed pore transvaginal mid-urethral tape surgery managed localizer;Described localizer include the first cross measure body 1, First longitudinally measures body 11, extrusome the 4, second cross measure body 2, second longitudinally measurement body 21;Described The first cross measure body 1 be marked with rule 6, a length of 2cm;The first described cross measure body 1 Longitudinally measurement body 11 is fixing with first is connected;Described first is longitudinally measured body 11 and laterally surveys with first Amount body 1 is vertical;Described first is longitudinally measured body 11 and is marked with rule 6, a length of 2cm;Described First cross measure body 1 distance first is longitudinally measured at body 112cm and is provided with the first outer fold positioning datum block 3; The second described cross measure body 2 distance two is longitudinally measured at body 2cm and is provided with the second outer fold positioning datum block 31。
The second described cross measure body 2 is marked with rule 6, a length of 2cm;Described second is horizontal Measurement body 2 is fixing with second longitudinal measurement body 21 to be connected;Described second longitudinally measures body 21 and the Two cross measure bodies 2 are vertical;Described second is longitudinally measured body 21 and is marked with rule 6, a length of 2cm; One end of described first cross measure body 1 and the second cross measure body 2 is equipped with groove;Described groove with Extrusome 4 matches;The length of described groove is less than the half of extrusome 4 length;Described first is horizontal Measure body 1 and the second cross measure body 2 is connected as being flexibly connected with extrusome 4.
Refer to Fig. 4, Fig. 4 is extrusome partial enlargement structural representation.On described extrusome 4 It is additionally provided with urethral orifice locating piece 41 and level indicator 42;Described urethral orifice locating piece 41 is positioned at extrusome 4 Middle;Described extrusome 4 includes the first projection 43, central block the 45, second projection 44;Described Central block externally protrudes out in the first projection 43 and the second projection 44;Described projection 43 and second projection 44 two ends laying respectively at central block 45;Described the first projection 43, central block the 45, second projection 44 It is Integratively formed;The first described projection 43 is set up with the first cross measure body 1 and is connected, and the Connection between one projection 43 with the first cross measure body 1 is for being flexibly connected;Described second projection 44 with The end of the second cross measure body 2 is set up and is connected, and the second cross measure body 2 and company of the second projection 44 Connect as being flexibly connected;Described extrusome 4 is convex, the central block upper surface of described extrusome 4 and One cross measure body 1 and the upper surface copline of the second cross measure body 2.
It should be understood that described first cross measure body 1, first longitudinally measure body 11, extrusome 4, The material of the second cross measure body 2, second longitudinally measurement body 21 can be selected for the metal material of light weight, good toughness Material or nonmetallic materials, its light weight, be convenient for measuring, good toughness, durable in use, needs constantly because measuring Stretch and shrink, need it to have good toughness.
The first described cross measure body 1 second cross measure body 2 is measured under use state, for dividing right and left The form drawn outside both sides, stretches as required, is suitable for the patient of different building shape, measures precisely.
The first described cross measure body 1 and the second cross measure body 2 are all to be assemblied in extrusome by groove The two ends of 4 so that the first cross measure body 1 and the second cross measure body 2 adjustable in length so that measure Space scalable, can be widely applied to the measurement of different building shape patient simultaneously.The first described cross measure body 1 and the second cross side two body two ends equal reference mark chi 6, under measuring state, it is only necessary to laterally survey first Amount body 1 and the second cross measure body 2 two ends are launched, and can obtain the lateral coordinates position of point of puncture 54, Meanwhile, first longitudinal measurement body 11 and second longitudinal body 21 of measuring are marked with rule 6, and a length of 2cm, It is mainly used in determining the longitudinal coordinate position of two points of puncture 54 under measuring state, easy to operate, quickly.
Described the first cross measure body 1, extrusome the 4, second cross measure body 2 under measuring state, Its upper surface is concordant with urethral orifice 5 edge, and lower surface is positioned at the top of vaginal orifice 51;Described first horizontal Measure body the 1, second cross measure body 2, first and longitudinally measure the scale of body 11, second longitudinally measurement body 21 The label range of chi 66 is 2cm, and this length scale is that clinical marker point of puncture 54 determines, this length Under can ensure that point of puncture 54 is the optimum position through closed pore transvaginal mid-urethral tape surgery managed.
Described extrusome 4 is convex, central block 45 upper surface of described extrusome 4 and first horizontal Measure body 1 and the upper surface copline of the second cross measure body 2, its objective is to be easy at urethral orifice 5 build Vertical horizontal line benchmark, compared with prior art staff line measurement markers point of puncture 54, it is not necessary at urethral orifice 5 Place's labelling line, to set up horizontal line benchmark.Under measuring state, only the localizer of the present invention need to be inserted urine Position, road junction 5, i.e. establishes horizontal line base, it can be ensured that follow-up measurement is accurate at urethral orifice 5.
Described urethral orifice locating piece 41 is positioned at the central authorities of extrusome 4, and under use state, urethral orifice positions Block 41 is placed at urethral orifice 5, has positioning action, it is to avoid localizer is to the left or to the right, thus affects two The abscissa of point of puncture 54 and vertical coordinate, simultaneously, moreover it is possible to quickly set up horizontal line in urethral orifice 5 position Benchmark.
The first described outer fold positioning datum block 3 and the second outer fold positioning datum block 31 are the most outside Positioning at fold 53, because of the physiological structure that human body is special, its labia 52 and outer fold 53 be not same flat In face, and the lateral coordinates of point of puncture 54 is that fold 53 starts telltale mark measurement outside, by first Outer fold positioning datum block 3 and the second outer fold positioning datum block 31 are positioned at outside human body both sides at fold 53 Agree with, measure precisely, convenient.
The present invention's is a kind of body formed through closed pore transvaginal mid-urethral tape surgery managed localizer, it is possible to quickly essence Accurate measurement and positioning point of puncture 54, simple to operate, it is not necessary to repeated multiple times measurement, improve work efficiency;If There is the first cross measure body 1 and the second cross measure body 2, it is possible to the abscissa positions of localised puncture point 54, It is provided with first and longitudinally measures body 11 and second longitudinal measurement body 21, it is possible to the vertical coordinate position of localised puncture point 54 Put.By the transverse and longitudinal coordinate position of point of puncture 54, just can labelling point of puncture 54 accurately;It is provided with urethral orifice Locating piece 41, has positioning action, it is to avoid localizer is to the left or to the right, thus affects two points of puncture 54 Abscissa and vertical coordinate, simultaneously, moreover it is possible to quickly set up horizontal line benchmark in urethral orifice 5 position;First is horizontal To measuring body the 1, second cross measure body 2 and the upper surface copline of extrusome 4, this plane is at urine The level reference that road junction 5 is set up so that the transverse and longitudinal coordinate of follow-up measurement point of puncture 54 is accurate;It is provided with water Level 42, level indicator 42 can the level reference whether level set up of auxiliary judgement urine stomatodeum, with existing Technology is passed through set up horizontal reference in urethral orifice 5 line compare, it is to avoid level reference run-off the straight;If There is the first outer fold positioning datum block 3 and the second outer fold positioning datum block 31, because of the physiology knot that human body is special Structure, its labia 52 with outer fold 53 the most in the same plane, by the first outer fold positioning datum block 3 He Second outer fold positioning datum block 31 is positioned at outside human body both sides and agrees with at fold 53, measures precisely, convenient.
The above is only the preferred embodiment of the present invention, it is noted that common for the art Technical staff, under the premise without departing from the principles of the invention, it is also possible to make some improvement and supplement, these Improve and supplement and also should be regarded as protection scope of the present invention.

Claims (6)

1. one kind integrated through closed pore transvaginal mid-urethral tape surgery managed localizer, it is characterised in that institute State localizer include the first cross measure body, first longitudinally measure body, extrusome, the second cross measure body, Second longitudinally measures body;The first described cross measure body tag has rule, a length of 2cm;Described It is fixing connection that first cross measure body and first longitudinally measures body;Described first longitudinally measures body and the One cross measure body is vertical;Described first longitudinally measures body tag rule, a length of 2cm;Described The first cross measure body distance first longitudinally measure at body 2cm and be provided with the first outer fold positioning datum block;Institute The the second cross measure body distance two stated longitudinally is measured at body 2cm and is provided with the second outer fold positioning datum block;Institute The the second cross measure body tag stated has rule, a length of 2cm;The second described cross measure body and Two longitudinal bodies of measuring are fixing connections;It is vertical with the second cross measure body that described second longitudinally measures body; Described second longitudinally measures body tag rule, a length of 2cm;Described first cross measure body and One end of two cross measure bodies is equipped with groove;Described groove matches with extrusome;The length of described groove Degree is less than the half of extrusome length;The first described cross measure body and the second cross measure body and extrusome It is connected as being flexibly connected.
Localizer the most according to claim 1, it is characterised in that be additionally provided with urine on described extrusome Road junction locating piece and level indicator.
Localizer the most according to claim 1, it is characterised in that described urethral orifice locating piece is positioned at The middle of extrusome.
Localizer the most according to claim 1, it is characterised in that described extrusome is convex.
Localizer the most according to claim 1, it is characterised in that in the central block of described extrusome Surface and the first cross measure body and the upper surface copline of the second cross measure body.
Localizer the most according to claim 1, it is characterised in that described extrusome includes that first is convex Block, central block, the second projection;Described central block externally protrudes out in the first projection and the second projection;Described One projection and the second projection lay respectively at the two ends of central block;Described the first projection, central block, second Projection is Integratively formed.
CN201610278504.9A 2016-04-29 2016-04-29 It is a kind of integrally formed through closed pore Via vagina mid-urethral tape surgery managed locator Active CN105997270B (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6221005B1 (en) * 1998-02-17 2001-04-24 Norman I. Bruckner Pubo-urethral support harness apparatus for percutaneous treatment of female stress urinary incontinence with urethal hypemobility
US20030078468A1 (en) * 2001-10-22 2003-04-24 Jeff Skiba Biological vessel suspending assembly and systems and methods utilizing same
CN201533879U (en) * 2009-08-05 2010-07-28 永辉控股有限公司 Urethra under-slung sling for surgical treatment of female urinary incontinence
CN201692011U (en) * 2010-02-12 2011-01-05 赵继懋 Surgery puncture needle for treating stress incontinence
CN205814443U (en) * 2016-04-29 2016-12-21 复旦大学附属上海市第五人民医院 Integrated through closed pore transvaginal mid-urethral tape surgery managed localizer

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6221005B1 (en) * 1998-02-17 2001-04-24 Norman I. Bruckner Pubo-urethral support harness apparatus for percutaneous treatment of female stress urinary incontinence with urethal hypemobility
US20030078468A1 (en) * 2001-10-22 2003-04-24 Jeff Skiba Biological vessel suspending assembly and systems and methods utilizing same
CN201533879U (en) * 2009-08-05 2010-07-28 永辉控股有限公司 Urethra under-slung sling for surgical treatment of female urinary incontinence
CN201692011U (en) * 2010-02-12 2011-01-05 赵继懋 Surgery puncture needle for treating stress incontinence
CN205814443U (en) * 2016-04-29 2016-12-21 复旦大学附属上海市第五人民医院 Integrated through closed pore transvaginal mid-urethral tape surgery managed localizer

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