CN105997270B - It is a kind of integrally formed through closed pore Via vagina mid-urethral tape surgery managed locator - Google Patents

It is a kind of integrally formed through closed pore Via vagina mid-urethral tape surgery managed locator Download PDF

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Publication number
CN105997270B
CN105997270B CN201610278504.9A CN201610278504A CN105997270B CN 105997270 B CN105997270 B CN 105997270B CN 201610278504 A CN201610278504 A CN 201610278504A CN 105997270 B CN105997270 B CN 105997270B
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China
Prior art keywords
cross measure
measure body
longitudinal direction
extrusome
locator
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CN201610278504.9A
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CN105997270A (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

It is integrally formed through closed pore Via vagina mid-urethral tape surgery managed locator that the present invention relates to one kind, and the locator includes the first cross measure body, first longitudinal direction measurement body, extrusome, the second cross measure body, second longitudinal direction measurement body;One end of the first cross measure body and the second cross measure body is all provided with fluted;The groove and flexible mates;The length of the groove is less than the half of flexible body length;The first cross measure body and the second cross measure body is connected as being flexibly connected with extrusome.Its advantage is shown:The present invention it is a kind of it is body formed be capable of the measurement and positioning point of puncture of fast accurate through closed pore Via vagina mid-urethral tape surgery managed locator, it is easy to operate, be not necessarily to repeated multiple times measurement, improve work efficiency.

Description

It is a kind of integrally formed through closed pore Via vagina mid-urethral tape surgery managed locator
Technical field
The present invention relates to the field of medical instrument technology, specifically, being a kind of integrally formed through closed pore Via vagina urethra Stage casing tape surgery managed locator.
Background technology
Women Stress incontinence is women common disease.Parturition injury, postpartum bear a heavy burden too early, Pelvic support structure function by Undermining the factors such as post menopausal estrogen and androgen shortage causes female pelvic to prolapse, and in the case of basin bottom cavity organ prolapse, urethra Supporting tissue's weakness of bladder intersection and urethral smooth muscle hypotony etc. can cause or aggravate Stress incontinence.It is general next It says, Stress incontinence can be used Pelvic floor compared with light and treated initial stage patient and train, and drug therapy, nerve electric stimulation etc. are conservative Therapy, and and expectant treatment nonresponder heavier for symptom then needs operation to intervene.
In the prior art, the operative treatment urinary incontinence is mainly through closed pore Via vagina mid-urethral tape surgery managed, it is treatment The minimally invasive mainstream of stress incontinence is performed the operation, curative for effect.Pass through tension-free implantation netted suspender belt mode support stage casing urethra It obtains the power urethral resistance under pressure state, and normal voiding is had no effect under stationary state and urination state.
Puncturing point methods through closed pore Via vagina mid-urethral tape surgery managed is:After anaesthetizing successfully, patient takes lithotomy position, in urethra One horizontal line of collar extension horizontal bar, top 2cm standardized horizontal line again herein, on this line on the outside of extra-labia skinfold Entry point is found at 2cm.The piercing method is worn around pubic branch rear across closed pore, through opening the small notch at 2cm by pubic branch Go out, far from urethra and bladder, and is close to pubic branch and is pierced by from closed pore, avoid abdominal cavity and bone blood vessel, efficiently avoid urinating The damage in road, bladder, enteron aisle and blood vessel.
However, be needs precisely label entry point through closed pore Via vagina mid-urethral tape surgery managed, and in the prior art without phase The locator aid mark inserting needle point of puncture of pass, operative doctor measure to determine into pin puncture generally by measuring scale Point.It has the following disadvantages in this way or defect.1, the special physiological structure of private parts of human body, space are small, it has not been convenient to measure;2, it needs Urethral orifice establishes horizontal line benchmark, and it is difficult to establish horizontal line benchmark that human hand, which measures, so that follow-up measurement is not accurate;3, urethral orifice It after the horizontal line benchmark at place is established, needs to measure 2cm upwards, and establishing horizontal line benchmark at this again, then with this level 2cm is measured on the outside of the corresponding extra-labia skinfold of line as entry point is punctured, and is needed repeatedly to measure, be measured cumbersome.
In conclusion there is an urgent need for a kind of measurements simply, conveniently, accurately integrally formed hung through closed pore Via vagina mid-urethral Band art locator.And it yet there are no report about this locator.
Invention content
It is an object of the present invention to provide it is a kind of measurement simply, conveniently, it is accurately integrally formed through closed pore Via vagina urethra Stage casing tape surgery managed locator.
To achieve the above object, the technical solution adopted by the present invention is that:
A kind of integrally formed through closed pore Via vagina mid-urethral tape surgery managed locator, the locator includes first lateral Measure body, first longitudinal direction measures body, extrusome, the second cross measure body, second longitudinal direction measure body;First cross measure Body is marked with graduated scale, length 2cm;The first cross measure body measures body with first longitudinal direction and is fixedly connected;Institute It is vertical with the first cross measure body that the first longitudinal direction stated measures body;The first longitudinal direction measures body and is marked with graduated scale, length For 2cm;The first cross measure body measures apart from first longitudinal direction and is equipped with the first outer fold positioning datum block at body 2cm;Institute Longitudinal measure of the second cross measure body distance two stated is equipped with the second outer fold positioning datum block at body 2cm;Described second is horizontal It is marked with graduated scale, length 2cm to body is measured;It is to be fixedly connected that the second cross measure body measures body with second longitudinal direction 's;It is vertical with the second cross measure body that the second longitudinal direction measures body;The second longitudinal direction measures body and is marked with graduated scale, Length is 2cm;One end of the first cross measure body and the second cross measure body is all provided with fluted;The groove with it is flexible Mates;The length of the groove is less than the half of flexible body length;The first cross measure body and second is laterally surveyed Amount body is connected as being flexibly connected with extrusome.
Urethral orifice locating piece and level meter are additionally provided on the extrusome.
The urethral orifice locating piece is located at the middle of extrusome.
The extrusome is convex.
The central block upper surface of the extrusome is total with the upper surface of the first cross measure body and the second cross measure body Plane.
The extrusome includes the first convex block, central block, the second convex block;The central block externally protrudes out in the first convex block and Two convex blocks;First convex block and the second convex block are located at the both ends of central block;First convex block, central block, Second convex block is Integratively formed.
The invention has the advantages that:
1, the present invention's is a kind of body formed through closed pore Via vagina mid-urethral tape surgery managed locator, is capable of fast accurate Measurement and positioning point of puncture, it is easy to operate, it is not necessarily to repeated multiple times measurement, is improved work efficiency;
2, it is equipped with the first cross measure body and the second cross measure body, is capable of the abscissa positions of localised puncture point, is equipped with First longitudinal direction measures body and second longitudinal direction measures body, is capable of the ordinate position of localised puncture point, is sat by the transverse and longitudinal of point of puncture Cursor position can accurately mark point of puncture;
3, it is equipped with urethral orifice locating piece, there is positioning action, avoid locator to the left or to the right, to influence two points of puncture Abscissa and ordinate, simultaneously, moreover it is possible to horizontal line benchmark is quickly established at urethral orifice position;
4, the upper surface of the first cross measure body, the second cross measure body and extrusome is coplanar, which is to urinate The horizontal plane that road junction is established so that the follow-up transverse and longitudinal coordinate for measuring point of puncture is accurate;
5, it is equipped with level meter, it is whether horizontal that level meter is capable of the horizontal plane that the roads auxiliary judgement Niao Kou are established, and existing It is compared in technology by establishing horizontal reference in urethral orifice scribing line, avoids horizontal plane run-off the straight;
6, it is equipped with the first outer fold positioning datum block and the second outer fold positioning datum block, because of the special physiology knot of human body Structure, labia and outer fold in the same plane, do not pass through the first outer fold positioning datum block and the second outer fold positioning datum Block is located in outside human body both sides to be agreed at fold, is measured precisely, convenient.
Description of the drawings
Attached drawing 1 is that one kind of the present invention is integrally formed through closed pore Via vagina mid-urethral tape surgery managed locator measuring state Structural schematic diagram.
Attached drawing 2 is that one kind of the present invention is integrally formed through closed pore Via vagina mid-urethral tape surgery managed locator unfolded state Structural schematic diagram.
Attached drawing 3 is that one kind of the present invention is integrally formed through closed pore Via vagina mid-urethral tape surgery managed locator contraction state Structural schematic diagram.
Attached drawing 4 is extrusome partial enlargement structural representation.
Specific implementation mode
With reference to embodiment and with reference to attached drawing, the invention will be further described.
Reference numeral and component part involved in attached drawing is as follows:
1. 11. first longitudinal direction of the first cross measure body measures body
2. 21. second longitudinal direction of the second cross measure body measures body
3. 31. second outer fold positioning datum block of the first outer fold positioning datum block
4. 41. urethral orifice locating piece of extrusome
42. 43. first convex block of level meter
44. 45. central block of the second convex block
5. urethral orifice
51. 52. labia of introitus
53. 54. point of puncture of outer fold
6. graduated scale
Fig. 1 to Fig. 3 is please referred to, Fig. 1 is that one kind of the present invention is integrally formed through closed pore Via vagina mid-urethral tape surgery managed Locator measuring state structural schematic diagram.Fig. 2 is that one kind of the present invention is integrally formed through closed pore Via vagina mid-urethral suspender belt Art locator unfolded state structural schematic diagram.Fig. 3 is that one kind of the present invention is integrally formed to be hung through closed pore Via vagina mid-urethral Band art locator contraction state structural schematic diagram.It is a kind of integrally formed through closed pore Via vagina mid-urethral tape surgery managed locator; It is vertical that the locator includes the first cross measure body 1, first longitudinal direction measures body 11, extrusome 4, the second cross measure body 2, second To measurement body 21;The first cross measure body 1 is marked with graduated scale 6, length 2cm;The first cross measure body 1 Body 11 is measured with first longitudinal direction to be fixedly connected;It is vertical with the first cross measure body 1 that the first longitudinal direction measures body 11;Institute The first longitudinal direction stated measures body 11 and is marked with graduated scale 6, length 2cm;The first cross measure body 1 is apart from first longitudinal direction It measures and is equipped with the first outer fold positioning datum block 3 at body 112cm;Second cross measure body, 2 distance two is longitudinal to measure body The second outer fold positioning datum block 31 is equipped at 2cm.
The second cross measure body 2 is marked with graduated scale 6, length 2cm;The described second cross measure body 2 with Second longitudinal direction measures body 21 and is fixedly connected;It is vertical with the second cross measure body 2 that the second longitudinal direction measures body 21;It is described Second longitudinal direction measure body 21 be marked with graduated scale 6, length 2cm;The first cross measure body 1 and the second cross measure body 2 one end is all provided with fluted;The groove is matched with extrusome 4;The length of the groove is less than the one of 4 length of extrusome Half;The first cross measure body 1 and the second cross measure body 2 is connected as being flexibly connected with extrusome 4.
Fig. 4 is please referred to, Fig. 4 is extrusome partial enlargement structural representation.It is fixed that urethral orifice is additionally provided on the extrusome 4 Position block 41 and level meter 42;The urethral orifice locating piece 41 is located at the middle of extrusome 4;The extrusome 4 includes first Convex block 43, central block 45, the second convex block 44;The central block externally protrudes out in the first convex block 43 and the second convex block 44;Described One convex block 43 and the second convex block 44 are located at the both ends of central block 45;First convex block 43, central block 45, second are convex Block 44 is Integratively formed;First convex block 43 and the first cross measure body 1, which are established, to be connected, and the first convex block 43 with Connection between first cross measure body 1 is flexible connection;The end of second convex block 44 and the second cross measure body 2 is built Vertical connection, and the second cross measure body 2 is to be flexibly connected with the connection of the second convex block 44;The extrusome 4 is convex, described Extrusome 4 central block upper surface and the upper surface of the first cross measure body 1 and the second cross measure body 2 it is coplanar.
It should be noted that:The first cross measure body 1, first longitudinal direction measure body 11, extrusome 4, second laterally Measure body 2, light weight, the metal material of good toughness or nonmetallic materials, matter can be selected in the material of second longitudinal direction measurement body 21 Amount is light, is convenient for measuring, and good toughness is durable, because measuring needs constantly stretching, extension and shrinking, needs it with good toughness.
First cross measure body, the 1 second cross measure body 2 measures under use state, to divide right and left outside both sides The form of drawing stretches as needed, is suitble to the patient of different building shape, measures accurate.
The first cross measure body 1 and the second cross measure body 2 is two that extrusome 4 is assemblied in by groove End so that 2 adjustable in length of the first cross measure body 1 and the second cross measure body so that measure space and be adjusted, while can be wide The general measurement applied to different building shape patient.The first cross measure body 1 and two body both ends of the second cross side marks quarter Ruler 6 is spent, under measuring state, it is only necessary to the first cross measure body 1 and 2 both ends of the second cross measure body be unfolded, you can worn The lateral coordinates position of thorn point 54, meanwhile, first longitudinal direction measures body 11 and second longitudinal direction measures body 21 and is marked with graduated scale 6, and Length is 2cm, is mainly used for determining the longitudinal coordinate position of two points of puncture 54 under measuring state, easy to operate, quickly.
The first cross measure body 1, extrusome 4, the second cross measure body 2 under measuring state, upper surface with 5 edge of urethral orifice is concordant, and lower surface is located at the top of introitus 51;The first cross measure body 1, the second cross measure body 2, It is 2cm that first longitudinal direction measurement body 11, second longitudinal direction, which measure the label range of the graduated scale 66 of body 21, which is clinical It marks point of puncture 54 to determine, can ensure that point of puncture 54 is the optimum bit through closed pore Via vagina mid-urethral tape surgery managed under the length It sets.
The extrusome 4 is convex, 45 upper surface of central block of the extrusome 4 and the first cross measure body 1 and The upper surface of second cross measure body 2 is coplanar, the purpose is to be convenient for establishing horizontal line benchmark at urethral orifice 5, with existing skill Art human hand scribing line measurement markers point of puncture 54 is compared, without marking scribing line at urethral orifice 5, to establish horizontal line benchmark.It measures Under state, only horizontal line base need to be established at urethral orifice 5 by 5 position of locator merging urethral orifice of the present invention, it can Ensure subsequent measure precisely.
The urethral orifice locating piece 41 is located at the center of extrusome 4, and under use state, urethral orifice locating piece 41 is placed in urine At road junction 5, there is positioning action, avoid locator to the left or to the right, to influence the abscissa and ordinate of two points of puncture 54, Simultaneously, moreover it is possible to quickly establish horizontal line benchmark at 5 position of urethral orifice.
First outer fold positioning datum block, the 3 and second outer fold positioning datum block 31 is mainly at outer fold 53 Positioning, because of the special physiological structure of human body, not in the same plane, and the lateral of point of puncture 54 is sat for labia 52 and outer fold 53 Mark is to start telltale mark in outer fold 53 to measure, and base is positioned by 3 and second outer fold of the first outer fold positioning datum block Quasi- block 31 is located in outside human body both sides to be agreed at fold 53, is measured precisely, convenient.
The present invention's is a kind of body formed through closed pore Via vagina mid-urethral tape surgery managed locator, is capable of the survey of fast accurate Localised puncture point 54 is measured, it is easy to operate, it is not necessarily to repeated multiple times measurement, is improved work efficiency;Equipped with 1 He of the first cross measure body Second cross measure body 2 is capable of the abscissa positions of localised puncture point 54, is equipped with first longitudinal direction and measures body 11 and second longitudinal direction survey Body 21 is measured, the ordinate position of localised puncture point 54 is capable of.By the transverse and longitudinal coordinate position of point of puncture 54, can accurately mark Point of puncture 54;Equipped with urethral orifice locating piece 41, there is positioning action, avoid locator to the left or to the right, is punctured to influence two The abscissa and ordinate of point 54, simultaneously, moreover it is possible to quickly establish horizontal line benchmark at 5 position of urethral orifice;First cross measure The upper surface of body 1, the second cross measure body 2 and extrusome 4 is coplanar, which is the horizontal reference established in urethral orifice 5 Face so that the follow-up transverse and longitudinal coordinate for measuring point of puncture 54 is accurate;Equipped with level meter 42, level meter 42 being capable of the roads auxiliary judgement Niao Kou Whether the horizontal plane of foundation horizontal, in the prior art by urethral orifice 5 scribing line establish horizontal reference compared with, avoid water Flat reference plane run-off the straight;Equipped with 3 and second outer fold positioning datum block 31 of the first outer fold positioning datum block, because human body is special Physiological structure, labia 52 and outer fold 53 not in the same plane, by the first outer fold positioning datum block 3 and second outside Fold positioning datum block 31 is located in outside human body both sides to be agreed at fold 53, is measured precisely, convenient.
The above is only a preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art Member, without departing from the principle of the present invention, can also make several improvement and supplement, these are improved and supplement also should be regarded as Protection scope of the present invention.

Claims (6)

1. a kind of integrally formed through closed pore Via vagina mid-urethral tape surgery managed locator, which is characterized in that the locator packet Include the first cross measure body, first longitudinal direction measures body, extrusome, the second cross measure body, second longitudinal direction measure body;Described One cross measure body is marked with graduated scale, length 2cm;It is fixed that the first cross measure body measures body with first longitudinal direction Connection;It is vertical with the first cross measure body that the first longitudinal direction measures body;The first longitudinal direction measures body and is marked with quarter Spend ruler, length 2cm;The first cross measure body is measured apart from first longitudinal direction is equipped with the first outer fold positioning at body 2cm Reference block;The second cross measure body distance two longitudinal measure is equipped with the second outer fold positioning datum block at body 2cm;It is described The second cross measure body be marked with graduated scale, length 2cm;The second cross measure body measures body with second longitudinal direction It is fixedly connected;It is vertical with the second cross measure body that the second longitudinal direction measures body;The second longitudinal direction measures body label There are graduated scale, length 2cm;One end of the first cross measure body and the second cross measure body is all provided with fluted;Described Groove and flexible mates;The length of the groove is less than the half of flexible body length;The first cross measure body and Second cross measure body is connected as being flexibly connected with extrusome;The first cross measure body, first longitudinal direction measure body, flexible Body, the second cross measure body, second longitudinal direction measure the metal material or nonmetallic materials of the material selection light weight of body, good toughness It is made.
2. locator according to claim 1, which is characterized in that be additionally provided on the extrusome urethral orifice locating piece and Level meter.
3. locator according to claim 1, which is characterized in that the urethral orifice locating piece is located at the center of extrusome Between.
4. locator according to claim 1, which is characterized in that the extrusome is convex.
5. locator according to claim 1, which is characterized in that the central block upper surface of the extrusome is horizontal with first It is coplanar to the upper surface for measuring body and the second cross measure body.
6. locator according to claim 1, which is characterized in that the extrusome includes the first convex block, central block, second Convex block;The central block externally protrudes out in the first convex block and the second convex block;During first convex block and the second convex block is located at Entreat the both ends of block;First convex block, central block, the second convex block are 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 (4)

* 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
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

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6673010B2 (en) * 2001-10-22 2004-01-06 T. A. G. Medical Products Ltd. Biological vessel suspending assembly and systems and methods utilizing same

Patent Citations (4)

* 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
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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