CN106859734A - Anal fistula orients hanging wire turnbuckle - Google Patents
Anal fistula orients hanging wire turnbuckle Download PDFInfo
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- CN106859734A CN106859734A CN201710195573.8A CN201710195573A CN106859734A CN 106859734 A CN106859734 A CN 106859734A CN 201710195573 A CN201710195573 A CN 201710195573A CN 106859734 A CN106859734 A CN 106859734A
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- drainage thread
- stringing
- thread
- drainage
- hole
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- 208000004680 Rectal Fistula Diseases 0.000 title claims abstract description 39
- 206010002156 anal fistula Diseases 0.000 title claims abstract description 39
- 238000005452 bending Methods 0.000 claims abstract description 12
- 238000003780 insertion Methods 0.000 claims abstract description 4
- 230000037431 insertion Effects 0.000 claims abstract description 4
- 206010016717 Fistula Diseases 0.000 claims description 12
- 230000003890 fistula Effects 0.000 claims description 12
- 239000004743 Polypropylene Substances 0.000 claims description 4
- -1 polypropylene Polymers 0.000 claims description 4
- 229920001155 polypropylene Polymers 0.000 claims description 4
- 229920001169 thermoplastic Polymers 0.000 claims description 4
- 239000004416 thermosoftening plastic Substances 0.000 claims description 4
- 229910000831 Steel Inorganic materials 0.000 claims description 3
- 239000010959 steel Substances 0.000 claims description 3
- 230000008602 contraction Effects 0.000 claims description 2
- 230000000694 effects Effects 0.000 abstract description 13
- 210000001519 tissue Anatomy 0.000 description 12
- 210000000936 intestine Anatomy 0.000 description 11
- 238000000034 method Methods 0.000 description 9
- 206010000269 abscess Diseases 0.000 description 6
- 210000000436 anus Anatomy 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 206010048946 Anal abscess Diseases 0.000 description 3
- 230000001684 chronic effect Effects 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 239000000523 sample Substances 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 2
- 238000004140 cleaning Methods 0.000 description 2
- 210000005224 forefinger Anatomy 0.000 description 2
- 238000009940 knitting Methods 0.000 description 2
- 230000036407 pain Effects 0.000 description 2
- 238000011160 research Methods 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 208000019901 Anxiety disease Diseases 0.000 description 1
- 208000034347 Faecal incontinence Diseases 0.000 description 1
- 241001484259 Lacuna Species 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000036506 anxiety Effects 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 210000003811 finger Anatomy 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000011835 investigation Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 208000037922 refractory disease Diseases 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
- 210000005070 sphincter Anatomy 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32056—Surgical snare instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1042—Alimentary tract
- A61M2210/1067—Anus
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Reproductive Health (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
A kind of anal fistula orients hanging wire turnbuckle, including seton device body, and its center sets guide hole, and there is nose-shaped bending section one end of seton device body；Traction piece, inserts in guide hole, and one end of traction piece has the drainage thread chucking lug, the other end to have release ring；Drainage thread, is connected with drainage thread chucking lug；Drainage thread wire tensioning device, including thread gripping-board and stringing buckle, feature：Drainage thread clamping hole is set in the center of stringing buckle, the length direction of drainage thread stringing hole insertion stringing buckle, self-closing expansion slot is set on stringing buckle, self-closing expansion slot is seized hole on both sides by the arms and is communicated with drainage thread, the drainage thread for seizing hole on both sides by the arms through drainage thread is seized on both sides by the arms by self-closing expansion slot is seized on both sides by the arms in hole in drainage thread, stringing buckle on the outer wall of one end of thread gripping-board away from setting the big head section of stringing buckle.Mitigate the working strength of operative doctor, shorten operating time and ensure desired stringing effect；Guarantee is normally carried out to anal fistula cutting；Ensure that Anal surgical is cleaned；Embody stepless stringing effect.
Description
Technical field
The invention belongs to medical surgery technical field of surgical instruments, and in particular to a kind of anal fistula orients hanging wire turnbuckle, is
A kind of anal intestine ring portion in high perianal abscess and high anal fistula treatment to needing drainage or Le to cut is carried out at hanging wire and stringing
The operating equipment of reason.
Background technology
The pipe that fistula is generated when being and abscess occurring in human or animal's body, pipe in opening or in skin surface or with other in
Dirty to communicate, the secretion in focus can be overflowed by fistula.Anal fistula is one of rather refractory disease in anorectal surgical field, right
Performed the operation in foregoing high perianal abscess and high anal fistula, do not require nothing more than operator（Operative doctor）With good technology, and
And abundant surgical experience is it is also desirable to have, for a long time, domestic and foreign scholars have poured into substantial amounts of in the research of such disease
Energy, among these, anal fistula seton technology is the emphasis of research all the time.
Hanging wire technology is the traditional characteristicses therapy of the traditional Chinese medical science, first recorded in the Ming Dynasty《Doctor's system is complete works of at all times》, the method is because that can control
More high anal fistula, will not cause completeness fecal incontinence again, so as to be used till today by clinician.In recent years, the work of the therapy
It has been elucidated with principle, can be specifically summarized as：The effect of the effect of cutting of chronic Le, drainage, foreign matter stimulation and mark, and
Drainage is gradually placed in top priority by industry.Shown by source investigation and clinical practice：To high anal fistula, high-order crissum
The hanging wire mode of abscess mainly has two kinds, and one is real hanging wire；Two is empty hanging wire.So-called real hanging wire is to handled anal intestine ring
Portion carries out chronic Le and cuts, and finally cuts off the anal intestine ring portion involved；So-called empty hanging wire refers to that the anal intestine ring portion to being involved is entered
Row drainage.All there is corresponding technical problem in real hanging wire and dotted line hang processing procedure, for the former real hanging wire, due to
Need the chronic incision for control to being intended to strangle the anal intestine ring portion cut in hanging wire, and needs after surgery in patient's recovery process not
Disconnected ground stringing, stringing clinically is held with the personal experience of doctor, thus be actually it is tight must it is more and use accelerate into
Journey or the tight a little less Bowel control preferably to protect anus, it is often different because of doctor, i.e., doctor each sticks to his own view, lose
Clinical objectivity.Additionally, stringing process is cumbersome, each stringing increased the pain of patient just as making once clinical minor operation.
For the empty hanging wire of the latter, due to requiring that the abscess lacuna or the tube chamber of anal fistula by anal intestine ring portion are led in surgical procedure
Cross apparatus（Round end probe is under curved forceps auxiliary）Drainage treatment is carried out, therefore operation technique is more difficult, its reason is do not have
Rational apparatus helps patient to be easily accomplished stoma and hanging wire.
" anal fistula seton device " that invention patent mandate notification number CN101642381B recommends compensate for prior art such as
CN201064458Y（A kind of high anal fistule thread-drawing device）、CN2559317Y（High anal fistule thread-drawing device）And CN101214165A（One
Plant the pressure control one-way seton device for treating anal fistula）The drawbacks of（Referring to the 0004th to 0006 section of the specification of CN101642381B）
And can objectively embody the 0020th section of technique effect of record of specification.
But still there is following shortcoming in foregoing CN101642381B：First, due to turnbuckle（Patent claims " drainage thread mark
Quasi- wire tensioning device "）Structural system stringing buckle without resilient closure force i.e. cannot by the Flexible change of itself as close
When drainage thread is held under the arm tightly（Or clamp）, thus need to be by operative doctor to the end of drainage thread after drainage thread passes through turnbuckle
（I.e. " anal fistula Le secant ", as follows）Knot, then on the one hand increased the working strength of operative doctor, on the other hand make operation
Time lengthening, the Le that another further aspect influences to anal fistula because the position of knot got is had differences with actual desired stringing degree
Cut effect；Second, because the surplus got in the end of drainage thread is in the anxiety loosened, thus once loosen, then necessarily cause
Stringing is failed, and influence orientation Le is cut, or even needs to re-start hanging wire stringing, and pain is increased to operation receiveing person；Third, due to stringing
Buckle easily product is just（Excrement）And it is unfavorable for cleaning, thus infection easily is produced to the surface of a wound；Fourth, by then passing through knot tying fashion
The end of drainage thread is positioned, thus the step-less adjustment requirement to the arbitrary extent of drainage thread can not be met, particularly by art
Person itself is difficult to or even can not carry out at all autonomous stringing operation, but during actual Treatment of Anal Fistula, patient is according to certainly
Body impression is good more than what operative doctor help was adjusted to the effect of drainage thread adjustment.In view of being not limited to foregoing shortcoming, having must
Then to improve, technical scheme described below is produced under this background.
The content of the invention
Task of the invention is to provide a kind of stringing buckle of the structural system for helping to make drainage thread wire tensioning device certainly
Position of the dynamic ground by drainage thread control after stringing and be used without being knotted in the end of drainage thread and can both mitigate operation doctor
Raw working strength can shorten operating time and ensure desired stringing effect, is conducive to avoiding the urgent line card button of drainage thread again
Shake off and use and ensure that what anal fistula Le was cut is normally carried out, is beneficial to eliminate the long-pending just situation of appearance at stringing buckle and uses really
Anal surgical cleaning is protected, is had and is easy to patient to experience according to itself and the preferable nothing of embodiment is independently used to drainage thread stringing
The anal fistula orientation hanging wire turnbuckle of level stringing effect.
What task of the invention was performed by, a kind of anal fistula orients hanging wire turnbuckle, including a seton device body,
The center of the length direction of the seton device body offers a guide hole, and is constituted in one end of seton device body and have a nose-shaped
Bending section, a release ring cavity communicated with described guide hole is concavely provided with the nose-shaped bending section；One traction piece, the traction piece
Slidably it is placed in described guide hole, there is a drainage thread chucking lug in one end of the traction piece, in the another of traction piece
End has use when in the guide hole in contraction state in the release ring cavity described in arrival in release conditions
Traction piece is pulled out the release ring of the guide hole after being hooked up for operator；One drainage thread, the drainage thread and described drainage
Line chucking lug is connected；One is arranged on the drainage thread and uses guarantor for increasing urging tissue surface in a state of use
Fistula tissue in drainage thread is proximally strangled disconnected and filled for the drainage thread stringing to drainage thread stringing by barrier drainage thread
Put, the drainage thread wire tensioning device includes a thread gripping-board and a stringing buckle, a drainage thread is offered on thread gripping-board and connects hole, tightly
Line card button is towards one end of thread gripping-board and a side contacts of thread gripping-board, and the opposite side of thread gripping-board is in a state of use with patient's
The surface contact of fistula tissue, the drainage thread by way of the drainage thread connect hole after through stringing buckle, be characterised by institute
The center of the length direction of the stringing buckle stated offers drainage thread clamping hole, the length of the drainage thread stringing hole Self stringing buckle
One end insertion in direction is spent to the other end, and is opened with being parallel to the state of the length direction of stringing buckle on the stringing buckle
A self-closing expansion slot is provided with, the self-closing expansion slot is seized hole on both sides by the arms and communicated with the drainage thread, will by the self-closing expansion slot
The drainage thread for seizing hole on both sides by the arms through drainage thread is seized on both sides by the arms and seized on both sides by the arms in hole in drainage thread, wherein：In the stringing buckle away from described
Expand the big head section of stringing buckle being provided with greater diameter than the diameter of stringing buckle on the outer wall of one end of thread gripping-board.
In a specific embodiment of the invention, one end expansion of described seton device body sets, and the narrow contracting of the other end,
Set end and be formed with one for holding the hand handle pinched for patient expanding, described nose-shaped crooked position is in described narrow contracting end.
In another specific embodiment of the invention, the length of the length than described guide hole of described traction piece
It is long.
In another specific embodiment of the invention, described the shape ovalize or circle that discharge ring cavity.
In another specific embodiment of the invention, described seton device body, thread gripping-board and stringing buckle are
It is made up of thermoplastic polypropylene.
In an also specific embodiment of the invention, described traction piece is the resilient steel wire of tool.
Of the invention more and in a specific embodiment, described drainage thread chucking lug is surrounding formation blind bore
Or the hook with an opening.
In an of the invention and then specific embodiment, described drainage thread is shirr.
It is circular arc plate in thread gripping-board of the invention and more and in a specific embodiment, described.
It is of the invention and and then a specific embodiment in, the length of described stringing buckle is 1.5 to 3cm.
One of technique effect of technical scheme that the present invention is provided is tight due to the structural system in drainage thread wire tensioning device
Line card to be buckled and opened up one being parallel to the state of stringing buckle and seize the self-closing expansion slot that hole communicates on both sides by the arms with drainage thread, thus
Being dropped without external force stringing buckle can be made reliably to clamp the drainage thread for seizing hole on both sides by the arms through drainage thread under the situation of drainage thread, without as
Prior art like that drainage thread end knot, can both mitigate the working strength of operative doctor, can shorten again operating time with
And ensure desired stringing effect；Two, seized on both sides by the arms in hole in drainage thread because drainage thread is able to be jammed, be not in shake off feelings
Shape, thus can ensure anal fistula cutting is normally carried out；Three, because there is self-closing expansion slot good elastic self-closing to imitate
Really, thus excrement will not invade drainage thread and seize hole on both sides by the arms, be able to ensure that Anal surgical is cleaned；Four, due to can by patient according to from
Body impression implements stringing to drainage thread, it is thus possible to embody preferably stepless stringing effect.
Brief description of the drawings
Fig. 1 is a specific embodiment structure chart of anal fistula seton device of the present invention.
Fig. 2 is the schematic diagram that anal intestine ring portion of the anal fistula seton device of the present invention to being involved implements empty hanging wire.
Fig. 3 is the schematic diagram that anal intestine ring portion of the anal fistula seton device of the present invention to being involved implements real hanging wire.
Fig. 4 is the operating process schematic diagram of Fig. 3.
Specific embodiment
In order to be more clearly understood from technical spirit of the invention and beneficial effect, applicant will below with implementation
The mode combination accompanying drawing of example elaborates, but is not the limitation to the present invention program, Ren Heyi to the description of embodiment
Technical side of the invention is regarded as according to the only formal rather than substantial equivalent transformation done by present inventive concept
Case category.
Embodiment 1：
See Fig. 1, it has been presented in Fig. 1 can be not only used for real hanging wire can be used for the anal fistula of the invention orientation hanging wire of dotted line hanging wire again
Turnbuckle, applicant first describes empty hanging wire in the present embodiment, and so-called empty hanging wire is that the anal intestine ring portion to being involved is drawn
Stream.Hanging wire turnbuckle is oriented as the anal fistula of the present invention suitable for empty hanging wire, including：One preferably uses thermoplastic polypropylene material
And seton device body 1 is produced by means of mould, one end expansion of the seton device body 1 sets and the narrow contracting of the other end, more specifically
Say, seton device body 1 has a stub end and with a small head end, is gradually shunk to small head end from stub end and forms one
The form of piece key.By taking location status at present as shown in Figure 1 as an example, the right-hand member of seton device body 1 expands and to set that be formed with one big
Head, and the narrow contracting of left end is formed with a small head end, is that right-hand member is configured to one and is easy to supply operative doctor in stub end（Abbreviation art
Person）The hand pinched is held 13, is that left end composition has a nose-shaped bending section 12 in small head end, the nose-shaped bending section 12 is concavely provided with a shape
Shape is preferably elliptoid release ring cavity 121.Because vomica or fistula chamber are to enter rectum with case of bending, therefore hanging wire
The preferable mode of operation is to ensure to be adapted with the bending in vomica or fistula chamber, of the invention to be formed in seton device body 1 one
The nose-shaped bending section 12 at end can meet hanging wire operating curve requirement.One is offered in the center of the length direction of seton device body 1
Guide hole 11, guide hole 11 is communicated with foregoing release ring cavity 121.One traction piece 2, the length of the traction piece 2 is led than foregoing
Draw hole 11 to grow, be that right-hand member shown in Fig. 1 is constituted and has a drainage thread chucking lug 21, drawing in the present embodiment in one end of traction piece 2
The structure of streamline chucking lug 21 is that a surrounding forms blind bore, naturally it is also possible to be just as in knitting field with an opening
The hook of the pinhock form of widely used knitting needle, is that left end shown in Fig. 1 is constituted and has a release ring in the other end of traction piece 2
22, whole traction piece 2 is slidably matched with foregoing guide hole 11, when discharging ring 22 and being in guide hole 11 at shrinking
State is disturbed in conjunction, and is once departed from（Row goes out）When guide hole 11 enters release ring cavity 121, then released in the presence of elastic-restoring force
Put and dehisce and form a ring bodies, to be hooked up and traction traction piece 2 for operative doctor finger（Fig. 4 shows）.By above-mentioned
Illustrate, self-evidently understand that traction piece 2 is the resilient steel wire of tool.One drainage thread 3 preferably filled the post of using shirr by
Seton device body 1 completes the guiding to traction piece 2 and withdraws after seton device body 1 and is placed through foregoing drainage thread chucking lug
On 21, to be drawn by traction piece 2, until making the Le of drainage thread 3 and in the anal intestine ring for being involved.It can be seen that the work(of seton device body 1
With being that, for guiding traction piece 2, and the function of traction piece 2 is traction drainage thread 3, three shows as the relation tried to make a match.
Application examples 1：
See Fig. 2 and continuing with Fig. 1, the empty hanging wire of narration has been carried out under good anesthesia to patient, cuts high-order
The part of the required drainage of anal fistula or abscess tripe pipe, that is, form main otch 6, the depth of main otch 6 as shown in Figure 2 and mark
In the degree of the dentate line 51 at the position of anus 5, the degree is outside internal sphincter lower edge, Subcutaneous section of external shincter muscle and part and includes
About flesh superficial part, makes the drainage of main otch 6 unimpeded.Empty hanging wire is carried out to high-order anal fistula tube chamber or abscess vomica.In operative doctor
Under the guiding of forefinger, by one end with nose-shaped bending section 12 of seton device body 1 from the highest point of fistula chamber or abscess cavity 7
Stoma 71 to stoma in the rectal cavity 81 of rectal wall 8, after completing stoma, by traction piece 2 from the guide hole 11 of seton device body 1
Probe into, until making the release ring 22 of traction piece 2 be flicked naturally after release ring cavity 12 is arrived at（Open）, now, operative doctor will
Forefinger buckles into release ring 22, and smoothly traction piece 2 is got from anus 5, while removing seton device body 1, makes one end of traction piece 2
In the rectal cavity 81 of rectal wall 8, and the other end of traction piece 2 is located in fistula chamber or abscess cavity 7, and drainage thread 3 is fixed
In on drainage thread chucking lug 21, with the help of traction piece 2（Traction piece 2 is drawn by operative doctor）Drainage thread 3 is drawn needed for being placed in
The tissue site of drainage, withdraws traction piece 2, due to being empty hanging wire, thus the two ends of drainage thread 3 are positioned at are described below
Drainage thread wire tensioning device 4 on, so as to complete all operationss, implement drainage.
Embodiment 2：
Continue to see Fig. 1, hanging wire turnbuckle is oriented as the anal fistula of the present invention suitable for real hanging wire, except with institute in embodiment 1
Outside seton device body 1, traction piece 2 and the drainage thread 3 for referring to, also include one and be arranged on foregoing drainage thread 3 in a state of use
On use that to ensure that drainage thread 3 proximally strangles the fistula tissue in the drainage thread 3 disconnected for increasing urging tissue surface
And for the drainage thread wire tensioning device 4 to the stringing of drainage thread 3, the drainage thread wire tensioning device 4 includes that a thread gripping-board 41 and is tight
Line card button 42, a drainage thread is offered on thread gripping-board 41 and connects hole 411, and stringing buckle 42 is towards one end of thread gripping-board 41 and hangs
One side contacts of line plate 41, and surface of the opposite side of thread gripping-board 41 in a state of use with the fistula tissue of patient contacts, it is preceding
State drainage thread 3 by way of foregoing drainage thread connect hole 411 after through stringing buckle 42.
The technical essential of the technical scheme provided as the present invention：In the center of the length direction of foregoing stringing buckle 42
Offer drainage thread clamping hole 421, one end insertion of the length direction of the Self stringing buckle 42 of drainage thread stringing hole 421 is to another
One end, and offer self-closing expansion to be parallel to the state of the length direction of stringing buckle 42 on the stringing buckle 42
Groove 422, the self-closing expansion slot 422 is seized hole 421 on both sides by the arms and is communicated with foregoing drainage thread, will be passed through by the self-closing expansion slot 422
The foregoing drainage thread 3 that drainage thread seizes hole 421 on both sides by the arms is seized on both sides by the arms and seized on both sides by the arms in hole 421 in drainage thread, wherein：Foregoing stringing buckle 42 away from
Expand the big head section of stringing buckle being provided with greater diameter than the diameter of stringing buckle 42 on the outer wall of one end of foregoing thread gripping-board 41
423。
In a state of use, thread gripping-board 41 with by hanging wire tissue（The anal intestine ring portion involved）Distal end be affixed it is tactile, and
Increase distal end the surface area of urging tissue, the concept of the tissue said here refers to a part for rectal wall, to make to be in
Drainage thread 3（That is hanging wire）Interior tissue is that a part for rectal wall is proximally strangled out, and not only conforms with hanging wire mechanism, and can protect
Shield anus Bowel control；The length of stringing buckle 42 is preferably 1.5-3cm, is preferably 2cm, the present embodiment selection 2cm（But simultaneously
It is not limited by this）.In the present embodiment, foregoing thread gripping-board 41 is circular arc plate, and thread gripping-board 4 and stringing buckle 42 are same
Sample is made up of thermoplastic polypropylene.Remaining is with the description to embodiment 1.
Application examples 2：
See Fig. 3 and Fig. 4 and Fig. 1 is combined, on the basis of the operation for completing application examples 1, by the two ends of drainage thread 3 from extension
The drainage thread of line plate 41 connects hole 411 and urgent line card buckles 42 drainage thread and seizes hole hole 421 on both sides by the arms and pass, according to the institute of stringing first
The tightness for needing regulates tension force of the thread gripping-board 41 to the tissue in drainage thread 3, and swollen by the self-closing of stringing buckle 42
The effect of swollen groove 422 and drainage thread 3 is seized on both sides by the arms in drainage thread and limit in hole 421, in order to avoid there is movement in drainage thread 3, that is to say, that
Dragged without external force draw when, drainage thread 3 is not in movement, because the hole wall that drainage thread seizes hole 421 on both sides by the arms wraps drainage thread 3.Art
Afterwards according in hanging wire be drainage thread 3 in Le cut situation, adjust at any time by shirr（That is rubber band）The drainage thread 3 filled the post of
Power or fastening force, both can be specifically that doctor drags and draws drainage thread 3 by patient, also can voluntarily be dragged by patient and draw drainage thread 3.This
The operation overall process of application examples is illustrated by Fig. 4, i.e., be in the result of Fig. 3 by the operating process of Fig. 4.Remaining is with to application examples
1 description.
Claims (10)
1. a kind of anal fistula orientation hanging wire turnbuckle, an including seton device body (1), in the length direction of the seton device body (1)
Center offer a guide hole (11), and constituted in one end of seton device body (1) and have a nose-shaped bending section (12), at this
Nose-shaped bending section (12) is concavely provided with a release ring cavity (121) communicated with described guide hole (11)；One traction piece (2), should
Traction piece (2) is slidably placed in described guide hole (11), has a drainage thread chucking lug in one end of the traction piece (2)
(21), the other end in traction piece (2) has one reaching described in contraction state when interior in the guide hole (11)
Release ring cavity (121) when in release conditions for being hooked up for operator after traction piece (2) is pulled out into the guide hole (11)
Release ring (22)；One drainage thread (3), the drainage thread (3) is connected with described drainage thread chucking lug (21)；One is using shape
Being used for increasing urging tissue surface on the drainage thread (3) is arranged under state and ensures that drainage thread (3) will be in drainage
Fistula tissue in line (3) is proximally strangled and broken and for the drainage thread wire tensioning device (4) to drainage thread (3) stringing, the drainage
Line wire tensioning device (4) includes a thread gripping-board (41) and a stringing buckle (42), and offering a drainage thread on thread gripping-board (41) wears
Draw hole (411), stringing buckle (42) is towards one end of thread gripping-board (41) and a side contacts of thread gripping-board (41), and thread gripping-board (41)
Surface of the opposite side in a state of use with the fistula tissue of patient contact, the drainage thread (3) is worn by way of the drainage thread
Draw hole (411) and pass through stringing buckle (42) afterwards, it is characterised in that opened in the center of the length direction of described stringing buckle (42)
It is provided with drainage thread clamping hole (421), one end insertion of the length direction of drainage thread stringing hole (421) Self stringing buckle (42)
To the other end, and one is offered certainly to be parallel to the state of the length direction of stringing buckle (42) on the stringing buckle (42)
Closure expansion slot (422), the self-closing expansion slot (422) is seized hole (421) on both sides by the arms and is communicated with the drainage thread, swollen by the self-closing
The drainage thread (3) for seizing hole (421) on both sides by the arms through drainage thread is seized on both sides by the arms and seized on both sides by the arms in hole (421) in drainage thread by swollen groove (422), its
In：Expand on the outer wall of the one end of the stringing buckle (42) away from the thread gripping-board (41) and be provided with greater diameter than stringing buckle
(42) the big head section of the stringing buckle (423) of diameter.
2. anal fistula according to claim 1 orients hanging wire turnbuckle, it is characterised in that the one of described seton device body (1)
End expansion sets, and the narrow contracting of the other end, sets end and is formed with one for holding the hand pinched (13), described nose-shaped bending section for patient expanding
(12) positioned at described narrow contracting end.
3. anal fistula according to claim 1 orients hanging wire turnbuckle, it is characterised in that the length ratio of described traction piece (2)
The length of described guide hole (11) is long.
4. anal fistula according to claim 1 orients hanging wire turnbuckle, it is characterised in that the shape of described release ring cavity (121)
Shape ovalize or circle.
5. anal fistula according to claim 1 orients hanging wire turnbuckle, it is characterised in that described seton device body (1), extension
Line plate (41) and stringing buckle (42) are made up of thermoplastic polypropylene.
6. the anal fistula according to claim 1 or 3 orients hanging wire turnbuckle, it is characterised in that described traction piece (2) is tool
Resilient steel wire.
7. anal fistula according to claim 1 orients hanging wire turnbuckle, it is characterised in that described drainage thread chucking lug (21)
Blind bore is formed for surrounding or with a hook being open.
8. anal fistula according to claim 1 orients hanging wire turnbuckle, it is characterised in that described drainage thread (3) is elastic
Line.
9. anal fistula orients hanging wire turnbuckle according to claim 1 or 5, it is characterised in that described thread gripping-board (41) is circle
Arc.
10. anal fistula orients hanging wire turnbuckle according to claim 1 or 5, it is characterised in that described stringing buckle (42)
Length be 1.5 to 3cm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710195573.8A CN106859734A (en) | 2017-03-29 | 2017-03-29 | Anal fistula orients hanging wire turnbuckle |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710195573.8A CN106859734A (en) | 2017-03-29 | 2017-03-29 | Anal fistula orients hanging wire turnbuckle |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106859734A true CN106859734A (en) | 2017-06-20 |
Family
ID=59159615
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710195573.8A Pending CN106859734A (en) | 2017-03-29 | 2017-03-29 | Anal fistula orients hanging wire turnbuckle |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106859734A (en) |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2865574Y (en) * | 2005-10-11 | 2007-02-07 | 山东凯利医疗器械有限公司 | Thread noosing device for operation |
| CN101642381A (en) * | 2009-08-14 | 2010-02-10 | 常熟市第二人民医院 | Anal fistula seton device |
| CN202699204U (en) * | 2012-07-18 | 2013-01-30 | 孙绍伟 | Self-locking ligature for treating anal fistula |
| CN207654206U (en) * | 2017-03-29 | 2018-07-27 | 常熟市第二人民医院 | Anal fistula orients hanging wire cord holder |
-
2017
- 2017-03-29 CN CN201710195573.8A patent/CN106859734A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2865574Y (en) * | 2005-10-11 | 2007-02-07 | 山东凯利医疗器械有限公司 | Thread noosing device for operation |
| CN101642381A (en) * | 2009-08-14 | 2010-02-10 | 常熟市第二人民医院 | Anal fistula seton device |
| CN202699204U (en) * | 2012-07-18 | 2013-01-30 | 孙绍伟 | Self-locking ligature for treating anal fistula |
| CN207654206U (en) * | 2017-03-29 | 2018-07-27 | 常熟市第二人民医院 | Anal fistula orients hanging wire cord holder |
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Application publication date: 20170620 |