CN107693109B - A kind of gynaecology's tumor of breast finely cuts off and promotes prosthetic device - Google Patents

A kind of gynaecology's tumor of breast finely cuts off and promotes prosthetic device Download PDF

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CN107693109B
CN107693109B CN201710894096.4A CN201710894096A CN107693109B CN 107693109 B CN107693109 B CN 107693109B CN 201710894096 A CN201710894096 A CN 201710894096A CN 107693109 B CN107693109 B CN 107693109B
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pipe
knife
gas
main pipe
endoscope
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CN107693109A (en
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马延婷
岳秀艳
毛瑞平
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/325Applying electric currents by contact electrodes alternating or intermittent currents for iontophoresis, i.e. transfer of media in ionic state by an electromotoric force into the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1002Intraluminal radiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1014Intracavitary radiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00333Breast
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1007Breast; mammary

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
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  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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  • Radiology & Medical Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
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  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)

Abstract

A kind of gynaecology's tumor of breast finely cuts off and promotes prosthetic device, it mainly include Main Control Tank, device for excising and prosthetic device, device for excising includes fuselage, main pipe, knife pipe, high frequency cutter head, endoscope, three-layer sealed air bag, tissue collector, main pipe and tissue collector are connected to the front and back end of fuselage, high frequency cutter head is connected to the front end of knife pipe, knife pipe and endoscope are located at knife lumen and endoscope chamber inside main pipe, the right and left of endoscope chamber and knife lumen intersection is equipped with air chamber, the upper and lower of air chamber is respectively provided with a radiation source chamber, the intracavitary portion of radiation source is equipped with miniature X ray pipe, three-layer sealed air bag is flexibly connected with the front end of main pipe, knife pipe, air chamber and miniature X ray pipe respectively with the radio-frequency generator in Main Control Tank, gas generator is connected with X-ray emitter, prosthetic device and Main Control Tank The gentle body generator of interior ultralow frequency generator is connected.

Description

A kind of gynaecology's tumor of breast finely cuts off and promotes prosthetic device
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of gynaecology's tumor of breast finely cuts off and promotes to repair Device.
Background technique
Breast cancer is to endanger one of major malignant tumor of WomanHealth, and disease incidence rises year by year, and seeks effectively to control Treatment means become more and more important.Half a century, the treatment of breast cancer is by being gradually transferred to complex treatment based on surgical intervention. It with the research to oncobiology characteristic and re-recognizes, is constantly imported in the clinical treatment of tumour there are many new theory, Hope is brought to oncotherapy.New adjuvant chemotherapy is namely based on many-sided basis such as theory, pharmacological and clinical practice The new antineoplaston mode of one kind of upper proposition.Breast cancer is that one kind is in multifarious on oncobiology and clinical sign Systemic disease, status of the new adjuvant chemotherapy in locally advanced breast cancer is established, in the breast cancer treatment that can perform the operation It acts on also more and more important.New adjuvant chemotherapy can be such that breast cancer primary tumo(u)r and Metastatic Lymph Nodes is obviously reduced, and improve progress The Resection Rate of primary breast cancer increases the chance that breast cancer retains mammary gland, and it is the same to obtain at least equally adjuvant chemotherapy of patients Curative effect, while can get intracorporal drug sensitive test, clinical efficacy is likely to become predicted treatment as a result, instructing complex treatment side Case is formulated and the important symbol of judging prognosis.Because still may there is a small amount of cancer nests to remain in tumor around bed after new adjuvant chemotherapy, Or only residual fraction carcinoma in situ ingredient, but due to uncertainty, so row mammary gland part is cut off, in art evaluation incisxal edge whether there is or not Tumor residual and postoperative irradiation are best selections.However the prior art is mostly by external postoperative irradiation, to patient Side effect it is big, therefore, now need a kind of excision that can finely cut off to tumour and recurrence can be effectively prevent and treat one Body device.
Summary of the invention
Against the above technical problems, the present invention provides a kind of gynaecology's tumor of breast and finely cuts off and promote prosthetic device, energy It enough fine tumor resections and inside and outside prevent from infecting and promotes to repair.
The technical solution of the present invention is as follows: a kind of gynaecology's tumor of breast finely cuts off and promote prosthetic device, main includes master Case, device for excising and prosthetic device are controlled, the Main Control Tank inner hub location is equipped with controller, and the left side of the controller is under Supreme to be connected with negative pressure generator, gas generator and X-ray emitter, the right of controller is connected with height from bottom to up respectively and takes place frequently Raw device and ultralow frequency generator, the device for excising includes fuselage, main pipe, knife pipe, high frequency cutter head, endoscope, three-layer sealed Air bag, tissue collector, the main pipe are connected to the front end of the fuselage, and the axis top position of main pipe is equipped with knife pipe Chamber, the lower section of the knife lumen are equipped with endoscope chamber, and the right and left of the endoscope chamber and knife lumen intersection is equipped with gas Chamber, the air chamber are connected by No.1 gas-guide tube with the gas generator, and the No.1 gas-guide tube is equipped with No.1 gas Pressure valve, the upper and lower of air chamber are respectively provided with a radiation source chamber, the knife pipe pass through knife lumen and with fuselage and fuselage rear The tissue collector be connected, tissue collector is connected by negative-pressure drainage tube with the negative pressure generator, the high frequency knife Head is located at the front end of knife pipe and is linked together structure with knife pipe, and high frequency cutter head is connected by knife pipe with fuselage, and fuselage is by leading Line is connected with the radio-frequency generator, and knife pipe is equipped with drainage trough close to the position of high frequency cutter head, and the endoscope successively passes through interior Sight glass chamber and fuselage are connected with display, the inside of the three-layer sealed air bag pass through knife pipe and endoscope and with before main pipe End is flexibly connected, and three-layer sealed air bag is communicated with air chamber and radiation source chamber, and the intracavitary portion of radiation source is equipped with miniature X ray Pipe, the miniature X ray pipe are connected with the X-ray emitter, and the prosthetic device passes through No. two gas-guide tubes and conduction respectively Line is connected with gas generator and the ultralow frequency generator, and No. two gas-guide tubes are equipped with No. two gas pressure valves.
Further, the tube body of the main pipe is equipped with graduation mark, and the front end of main pipe is equipped with screw boss, described The diameter of screw boss is less than main pipe, and main pipe is equipped with graduation mark convenient for the depth of observation incision, and screw boss is convenient for master Conduit and three-layer sealed balloon-shaped are at being flexibly connected.
Further, the three-layer sealed air bag include big seal, the small seal of No.1, No. two small seal, internal gas-bag layer, in Air bag layer and external gas-bag layer, the big seal are coupled with the screw boss, and the small seal of No.1 and big seal are concentric And it is in same plane, and the both ends of the internal gas-bag layer are fixedly connected with the small seal of No.1 and No. two small seal respectively, and one Number small seal and No. two small seal are in ellipse, and the small seal of No.1 is connected to knife pipe and endoscope close to the main pipe direction Proximal end, No. two small seal are connected to far from the knife pipe in the main pipe direction and the distal end of endoscope, and are located at the drainage The one end at the rear portion of slot, the middle air bag layer is connected with the inner edge of big seal, and the other end of middle air bag floor and No. two small seal are solid Fixed connection, one end of the external gas-bag layer are connected with the outside of big seal, and the other end of external gas-bag layer is fixed with No. two small seal Connection, the big seal of three-layer sealed air bag is flexibly connected with the screw boss of main pipe to be structure as a whole, the small seal of No.1 and two Number small seal is proximally and distally tightly sleeved with knife pipe and endoscope respectively, between internal gas-bag layer and middle air bag layer with air chamber It is communicated with radiation source chamber, the internal therapentics reparation after being convenient for tumor resection.
Further, the external gas-bag layer is equipped with pore, and medical fluid is housed between external gas-bag layer and the middle air bag layer, After ventilating between internal gas-bag layer and middle air bag layer, middle air bag layer and external gas-bag layer are softened, and external gas-bag layer is equipped with pore Expand immediately, and the medicinal liquid osmosis between middle air bag layer and external gas-bag layer come out, be tumor resection after perienchyma into Row medicine-feeding.
Further, injection orifice is equipped between the inner edge and outside of the big seal, the injection orifice is miniature with being arranged with Embolism can be by injection orifice between middle air bag layer and external gas-bag layer before being assembled three-layer sealed air bag and main pipe Injection treatment medical fluid, and prevent from revealing by the closure of miniature embolism.
Further, the prosthetic device includes air pressure capsule, infra-red electromagnetic piece, silica gel patch and drug application piece, the air pressure The lower section of capsule is fixedly connected with the top surrounding of the infra-red electromagnetic piece, and the top of air pressure capsule is connected with No. two gas-guide tubes, The silica gel patch is connected to the surrounding of the infra-red electromagnetic piece, and the side of infra-red electromagnetic piece is connected with the conductor wire, described Drug application piece is attached to the lower position of infra-red electromagnetic piece, and after excision, device for excising exits patient body, and drug application piece is attached to Wound site, and fixed with silica gel patch, infra-red electromagnetic piece carries out SLF electromagnetic importing to drug by ultralow frequency generator, Gradient pressurization is carried out to wound by air pressure capsule simultaneously, also can inhibit interior tissue while promoting external wounds quickly to repair Lesion.
Further, the fuselage and the main pipe intersection are equipped with limiter, and the lower section of fuselage is equipped with handle, limit Device can prevent leading tube transitions from going deep into, and handle is conducive to doctor's control and direction.
Further, the controller is connected with remote controler by wireless signal, and the inside of the remote controler is equipped with battery, The top of remote controler is equipped with wireless transmitter, and the bottom of remote controler is equipped with lanyard, and the front surface of remote controler is equipped with display screen and behaviour Make button, remote controler can be hung on the neck of operator by lanyard, and is joined using wireless transmitter and controller Dynamic control, it is more convenient to operate.
Working method of the invention are as follows: after first patient is carried out local anaesthesia and fixed, carried out by ultrasonic positioning techniques Tumor of breast positioning by injection orifice to injection treatment medical fluid between middle air bag layer and external gas-bag layer, and is sealed by miniature embolism It is stifled to prevent from revealing, the big seal of three-layer sealed air bag is flexibly connected with the screw boss of main pipe then and is structure as a whole, one Number small seal and No. two small seal are proximally and distally tightly sleeved with knife pipe and endoscope respectively, open high frequency by remote controler Generator makes high frequency cutter head be powered and externally internal through lesion is cut in designated position, to tumour under the cooperation of endoscope Tissue is finely cut off, meanwhile, the tumor tissues of excision pass through the drainage trough stream on knife pipe under the action of negative pressure generator Enter tissue collector, after excision, gas generator is ventilated by air chamber between internal gas-bag layer and middle air bag layer, middle gas Cystoblast and external gas-bag layer are softened, and external gas-bag layer is equipped with pore and expands immediately, and make middle air bag layer and external gas-bag layer it Between medicinal liquid osmosis come out, add medicine to for the perienchyma after tumor resection, while passing through miniature X using X-ray emitter Ray tube internally carries out radiation therapy, completes backed off after random device for excising, and drug application piece is attached to wound site, and with silica gel patch Fixed, infra-red electromagnetic piece carries out SLF electromagnetic importing to drug by ultralow frequency generator, while by air pressure capsule to wound Carry out gradient pressurization.
Compared with prior art, the invention has the benefit that gynaecology's tumor of breast of the invention finely cuts off and promotes Prosthetic device fine tumor resection and inside and outside can prevent from infecting and promote to repair.Wherein, cooperation of the high frequency cutter head in endoscope Under tumor tissues are finely cut off, after excision, gas generator is by air chamber to internal gas-bag layer and middle air bag layer Between ventilate, middle air bag layer and external gas-bag layer are softened, and external gas-bag layer is equipped with pore and expands immediately, and make middle air bag layer Medicinal liquid osmosis between external gas-bag layer comes out, and adds medicine to for the perienchyma after tumor resection, inflatable bladder can make medicine Object contacted with perienchyma more comprehensively and quickly, while using X-ray emitter pass through miniature X ray pipe internally carry out spoke Treatment is penetrated, perienchyma's lesion is further prevented, and relative to external radiation therapy, inside fixed point radiation effect is more significant And it is less side effects.Device for excising exit it is external after, infra-red electromagnetic piece is by ultralow frequency generator to being attached to wound medicine-feeding patch On drug carry out SLF electromagnetic importing, while by air pressure capsule to wound carry out gradient pressurization, promote external wounds it is fast Speed also can inhibit interior tissue lesion while reparation.In short, present invention excision is efficiently and fine, and it can effectively mitigate disease People's postoperative complications optimize surgical quality.
Detailed description of the invention
Fig. 1 is overall structure and connection relationship diagram of the invention;
Fig. 2 is the end view of main pipe of the invention;
Fig. 3 is the face the A-A partial sectional view of Fig. 2 of the invention;
Fig. 4 is the face the B-B partial sectional view of Fig. 2 of the invention;
Fig. 5 is the structural schematic diagram of three-layer sealed air bag unaerated state of the invention;
Fig. 6 is the structural schematic diagram of three-layer sealed inflated condition of the invention;
Fig. 7 is the structural schematic diagram of big seal of the invention.
Wherein, 1- Main Control Tank, 11- controller, 111- remote controler, 112- battery, 113- wireless transmitter, 114- lanyard, 115- display screen, 116- operation button, 12- negative pressure generator, 13- gas generator, 14-X ray generator, 15- high take place frequently Raw device, the ultralow frequency generator of 16-, 2- device for excising, 21- fuselage, 211- limiter, 212- handle, 22- main pipe, 221- knife Lumen, 222- endoscope chamber, 223- air chamber, 224- radiate source chamber, 225- graduation mark, 226- screw boss, the miniature X of 2241- Ray tube, 23- knife pipe, 231- drainage trough, 24- high frequency cutter head, 25- endoscope, the three-layer sealed air bag of 26-, the big seal of 261-, The small seal of 262- No.1, No. bis- small seal of 263-, 264- internal gas-bag layer, air bag floor, 266- external gas-bag layer, 2661- maos in 265- Pore, 2611- injection orifice, the miniature embolism of 2612-, 27- tissue collector, 3- prosthetic device, 31- air pressure capsule, 32- infra-red electromagnetic No. bis- piece, 33- silica gel patch, 34- drug application piece, 4- No.1 gas-guide tube, 5- negative-pressure drainage tube, 6- conducting wire, 7- display, 8- air guides Pipe, No. bis- gas pressure valves of 81-, 9- conductor wire.
Specific embodiment
1-7 and specific embodiment are further described in detail the present invention with reference to the accompanying drawing
As shown in Figure 1, a kind of gynaecology's tumor of breast finely cuts off and promotes prosthetic device, it mainly include Main Control Tank 1, excision Device 2 and prosthetic device 3,1 inner hub location of Main Control Tank is equipped with controller 11, as shown in Figure 1, controller 11 passes through wireless communication It number is connected with remote controler 111, the inside of remote controler 111 is equipped with battery 112, and the top of remote controler 111 is equipped with wireless transmitter 113, the bottom of remote controler 111 is equipped with lanyard 114, and the front surface of remote controler 111 is equipped with display screen 115 and operation button 116, will Remote controler 111 can be hung on the neck of operator by lanyard 114, and be carried out using wireless transmitter 113 and controller 11 Linkage control, it is more convenient to operate.The left side of controller 11 is connected with negative pressure generator 12, gas generator 13 and X from bottom to up Ray generator 14, the right of controller 11 are connected with radio-frequency generator 15 and ultralow frequency generator 16 from bottom to up respectively;
As shown in figs. 1-7, device for excising 2 include fuselage 21, main pipe 22, knife pipe 23, high frequency cutter head 24, endoscope 25, Three-layer sealed air bag 26, tissue collector 27, main pipe 22 are connected to the front end of fuselage 21, as shown in Figure 1, fuselage 21 and leading 22 intersection of pipe is equipped with limiter 211, and the lower section of fuselage 21 is equipped with handle 212, and limiter 211 can prevent 22 transition of main pipe deep Enter, handle 212 is conducive to doctor's control and direction.As shown in Figs 1-4, the tube body of main pipe 22 is equipped with graduation mark 225, main The front end of conduit 22 is equipped with screw boss 226, and the diameter of screw boss 226 is less than main pipe 22, and main pipe is equipped with scale Line is convenient for the depth of observation incision, and screw boss is convenient for main pipe and three-layer sealed balloon-shaped at being flexibly connected.Main pipe 22 Axis top position is equipped with knife lumen 221, and the lower section of knife lumen 221 is equipped with endoscope chamber 222, endoscope chamber 222 and knife lumen The right and left of 221 intersections is equipped with air chamber 223, and air chamber 223 is connected by No.1 gas-guide tube 4 with gas generator 13, No.1 gas-guide tube 4 is equipped with No.1 gas pressure valve 41, and the upper and lower of air chamber 223 is respectively provided with a radiation source chamber 224, knife pipe 23 pass through knife lumen 221 and are connected with the tissue collector 27 at 21 rear of fuselage 21 and fuselage, and tissue collector 27 passes through negative pressure Drainage tube 5 is connected with negative pressure generator 12, and high frequency cutter head 24 is located at the front end of knife pipe 23 and is linked together structure with knife pipe 23, High frequency cutter head 24 is connected by knife pipe 23 with fuselage 21, and fuselage 21 is connected by conducting wire 6 with radio-frequency generator 15, and knife pipe 23 is close The position of high frequency cutter head 24 is equipped with drainage trough 231, and endoscope 25 successively passes through endoscope chamber 222 and fuselage 21 and 7 phase of display Even, the inside of three-layer sealed air bag 26 passes through knife pipe 23 and endoscope 25 and is flexibly connected with the front end of main pipe 22, and three layers close Envelope air bag 26 is communicated with air chamber 223 and radiation source chamber 224, is radiated and is equipped with miniature X ray pipe 2241, miniature X inside source chamber 224 Ray tube 2241 is connected with X-ray emitter 14;
As seen in figs. 5-6, three-layer sealed air bag 26 include big seal 261,262, No. two small seal 263 of the small seal of No.1, Internal gas-bag layer 264, middle air bag layer 265 and external gas-bag layer 266, big seal 261 are coupled with screw boss 222, the small envelope of No.1 Circle 262 is concentric with big seal 261 and in same plane, the both ends of internal gas-bag layer 264 respectively with the small seal 262 of No.1 and No. two Small seal 263 is fixedly connected, and the small seal 262 of No.1 and No. two small seal 263 are in ellipse, and the small seal 262 of No.1, which is connected to, leans on The nearly knife pipe 23 in 22 direction of main pipe and the proximal end of endoscope 25, No. two small seal 263 are connected to far from 22 direction of main pipe The distal end of knife pipe 23 and endoscope 25, and it is located at the rear portion of drainage trough 231, one end of middle air bag layer 265 is interior with big seal 261 Side is connected, and the other end of middle air bag floor 265 is fixedly connected with No. two small seal 263, one end of external gas-bag layer 266 and big seal 261 outside is connected, and the other end of external gas-bag layer 266 is fixedly connected with No. two small seal 263, the big envelope of three-layer sealed air bag 26 Circle 261 is flexibly connected with the screw boss 226 of main pipe 22 to be structure as a whole, and the small seal 262 of No.1 divides with No. two small seal 263 Be not tightly sleeved proximally and distally with knife pipe 23 and endoscope 25, between internal gas-bag layer 264 and middle air bag layer 265 with air chamber 223 communicate with radiation source chamber 224, the internal therapentics reparation after being convenient for tumor resection.
As shown in fig. 6, external gas-bag layer 266 is equipped with pore 2661, filled between external gas-bag layer 266 and 265 layers of middle air bag There is medical fluid, after ventilating between internal gas-bag layer 264 and middle air bag layer 265, middle air bag layer 265 and external gas-bag layer 266 are softened, outside Air bag layer 266 is equipped with pore 2661 and expands immediately, and the medical fluid between middle air bag layer 265 and external gas-bag layer 266 is seeped It appears and, add medicine to for the perienchyma after tumor resection.
As shown in fig. 7, being equipped with injection orifice 2611 between the inner edge and outside of big seal 261, injection orifice 2611, which is matched, to be arranged with Miniature embolism 2612 can be by injection orifice 2611 to middle air bag before being assembled three-layer sealed air bag 26 and main pipe 22 Injection treatment medical fluid between layer 265 and external gas-bag layer 266, and prevent from revealing by the closure of miniature embolism 2612.
As shown in Figure 1, prosthetic device 3 passes through No. two gas-guide tubes 8 and conductor wire 9 and gas generator 13 and ultralow frequency respectively Generator 16 is connected, and No. two gas-guide tubes 8 are equipped with No. two gas pressure valves 81.Wherein, prosthetic device 3 includes air pressure capsule 31, red Outer electromagnetic plate 32, silica gel patch 33 and drug application piece 34, the lower section of air pressure capsule 31 and the fixed company of the top surrounding of infra-red electromagnetic piece 32 It connects, the top of air pressure capsule 31 is connected with No. two gas-guide tubes 8, and silica gel patch 33 is connected to the surrounding of infra-red electromagnetic piece 32, infrared electricity The side of magnetic sheet 32 is connected with conductor wire 9, and drug application piece 34 is attached to the lower position of infra-red electromagnetic piece 32, after excision, cuts Except device 2 exits patient body, drug application piece 34 is attached to wound site, and fixed with silica gel patch 33, infra-red electromagnetic piece 32 is logical It crosses ultralow frequency generator 16 and SLF electromagnetic importing is carried out to drug, while gradient pressurization is carried out to wound by air pressure capsule 31, It also can inhibit interior tissue lesion while promoting external wounds quickly to repair.
The working method of the present embodiment are as follows: local anaesthesia first is carried out to patient and after fixing, by ultrasonic positioning techniques into The positioning of row tumor of breast by injection orifice 2611 to injection treatment medical fluid between middle air bag layer 265 and external gas-bag layer 266, and is led to Crossing the miniature closure of embolism 2612 prevents from revealing, then that the big seal 261 of three-layer sealed air bag 26 and the screw thread of main pipe 22 is convex The flexible connection of platform 226 is structure as a whole, the small seal 262 of No.1 and No. two small seal 263 respectively with knife pipe 23 and endoscope 25 It is proximally and distally tightly sleeved, radio-frequency generator 15 is opened by remote controler 111, so that high frequency cutter head 24 is powered and externally specifies The internal through lesion of position incision, finely cuts off tumor tissues under the cooperation of endoscope 25, meanwhile, the tumour of excision Group is woven under the action of negative pressure generator 12 and flows into tissue collector 27 by the drainage trough 231 on knife pipe 23, after excision, Gas generator 13 is ventilated by air chamber 223 between internal gas-bag layer 264 and middle air bag layer 265, middle air bag layer 265 and outer gas Cystoblast 266 is softened, and external gas-bag layer 266 is equipped with pore 2661 and expands immediately, and makes middle air bag layer 265 and external gas-bag layer Medicinal liquid osmosis between 266 comes out, and adds medicine to for the perienchyma after tumor resection, while logical using X-ray emitter 14 It crosses miniature X ray pipe 2241 and internally carries out radiation therapy, complete backed off after random device for excising 2, drug application piece 34 is attached to wound position It sets, and fixed with silica gel patch 33, infra-red electromagnetic piece 32 carries out SLF electromagnetic importing to drug by ultralow frequency generator 16, Gradient pressurization is carried out to wound by air pressure capsule 31 simultaneously.
Finally, it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations;Although Present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: it still may be used To modify to technical solution documented by previous embodiment or equivalent replacement of some of the technical features;And These are modified or replaceed, the spirit and model of technical solution of the embodiment of the present invention that it does not separate the essence of the corresponding technical solution It encloses.

Claims (8)

1. a kind of gynaecology's tumor of breast finely cuts off and promotes prosthetic device, which is characterized in that include mainly Main Control Tank (1), cut Except device (2) and prosthetic device (3), Main Control Tank (1) inner hub location is equipped with controller (11), the controller (11) The left side be connected with negative pressure generator (12), gas generator (13) and X-ray emitter (14) from bottom to up, controller (11) The right is connected with radio-frequency generator (15) and ultralow frequency generator (16) from bottom to up respectively, and the device for excising (2) includes fuselage (21), main pipe (22), knife pipe (23), high frequency cutter head (24), endoscope (25), three-layer sealed air bag (26), tissue collector (27), the main pipe (22) is connected to the front end of the fuselage (21), and the axis top position of main pipe (22) is equipped with knife pipe The lower section of chamber (221), the knife lumen (221) is equipped with endoscope chamber (222), the endoscope chamber (222) and knife lumen (221) The right and left of intersection is equipped with air chamber (223), and the air chamber (223) is sent out by No.1 gas-guide tube (4) and the gas Raw device (13) are connected, and the No.1 gas-guide tube (4) is equipped with No.1 gas pressure valve (41), and the upper and lower of air chamber (223) is each Equipped with a radiation source chamber (224), the knife pipe (23) pass through knife lumen (221) and with fuselage (21) and fuselage (21) rear The tissue collector (27) is connected, and tissue collector (27) passes through negative-pressure drainage tube (5) and the negative pressure generator (12) phase Even, the high frequency cutter head (24) is located at the front end of knife pipe (23) and is linked together structure, high frequency cutter head (24) with knife pipe (23) It is connected by knife pipe (23) with fuselage (21), fuselage (21) is connected by conducting wire (6) with the radio-frequency generator (15), knife pipe (23) position close to high frequency cutter head (24) is equipped with drainage trough (231), and the endoscope (25) successively passes through endoscope chamber (222) It is connected with fuselage (21) with display (7), the inside of the three-layer sealed air bag (26) passes through knife pipe (23) and endoscope (25) And it is flexibly connected with the front end of main pipe (22), three-layer sealed air bag (26) and air chamber (223) and radiation source chamber (224) phase It is logical, miniature X ray pipe (2241) are equipped with inside the radiation source chamber (224), the miniature X ray pipe (2241) is penetrated with the X Line generator (14) is connected, and the prosthetic device (3) passes through No. two gas-guide tubes (8) and conductor wire (9) and gas generator respectively (13) it is connected with the ultralow frequency generator (16), No. two gas-guide tubes (8) are equipped with No. two gas pressure valves (81).
2. a kind of gynaecology's tumor of breast as described in claim 1 finely cuts off and promotes prosthetic device, which is characterized in that described The tube body of main pipe (22) is equipped with graduation mark (225), and the front end of main pipe (22) is equipped with screw boss (226), the spiral shell The diameter of line boss (226) is less than main pipe (22).
3. a kind of gynaecology's tumor of breast as described in claim 1 finely cuts off and promotes prosthetic device, which is characterized in that described The tube body of main pipe (22) is equipped with graduation mark (225), and the front end of main pipe (22) is equipped with screw boss (226), the spiral shell Line boss (226) and the diameter ratio of main pipe (22) are 1:1.2-1.5.
4. a kind of gynaecology's tumor of breast as claimed in claim 2 finely cuts off and promotes prosthetic device, which is characterized in that described Three-layer sealed air bag (26) includes big seal (261), the small seal of No.1 (262), No. two small seal (263), internal gas-bag layer (264), middle air bag layer (265) and external gas-bag layer (266), the big seal (261) with the screw boss (226) phase coupling It closes, the small seal of No.1 (262) is concentric with big seal (261) and is in same plane, the both ends of the internal gas-bag layer (264) It is fixedly connected respectively with the small seal of No.1 (262) and No. two small seal (263), the small seal of No.1 (262) and No. two small envelopes Enclosing (263) is in ellipse, and the small seal of No.1 (262) is connected to knife pipe (23) and endoscope close to the main pipe (22) direction (25) proximal end, No. two small seal (263) are connected to knife pipe (23) and endoscope (25) far from the main pipe (22) direction Distal end, and be located at the rear portion of the drainage trough (231), the inner edge of one end of the middle air bag layer (265) and big seal (261) Be connected, the other end of middle air bag floor (265) is fixedly connected with No. two small seal (263), one end of the external gas-bag layer (266) and The outside of big seal (261) is connected, and the other end of external gas-bag layer (266) is fixedly connected with No. two small seal (263).
5. a kind of gynaecology's tumor of breast as claimed in claim 4 finely cuts off and promotes prosthetic device, which is characterized in that described Injection orifice (2611) are equipped between the inner edge and outside of big seal (261), the injection orifice (2611), which is matched, is arranged with miniature embolism (2612)。
6. a kind of gynaecology's tumor of breast as described in claim 1 finely cuts off and promotes prosthetic device, which is characterized in that described Prosthetic device (3) includes air pressure capsule (31), infra-red electromagnetic piece (32), silica gel patch (33) and drug application piece (34), the air pressure capsule (31) lower section is fixedly connected with the top surrounding of the infra-red electromagnetic piece (32), and the top of air pressure capsule (31) is led with described No. two Tracheae (8) is connected, and the silica gel patch (33) is connected to the surrounding of the infra-red electromagnetic piece (32), the side of infra-red electromagnetic piece (32) Side is connected with the conductor wire (9), and the drug application piece (34) is attached to the lower position of infra-red electromagnetic piece (32).
7. a kind of gynaecology's tumor of breast as described in claim 1 finely cuts off and promotes prosthetic device, which is characterized in that described Fuselage (21) and the main pipe (22) intersection are equipped with limiter (211), and the lower section of fuselage (21) is equipped with handle (212).
8. a kind of gynaecology's tumor of breast as described in claim 1 finely cuts off and promotes prosthetic device, which is characterized in that described Controller (11) is connected with remote controler (111) by wireless signal, and the inside of the remote controler (111) is equipped with battery (112), distant The top for controlling device (111) is equipped with wireless transmitter (113), and the bottom of remote controler (111) is equipped with lanyard (114), remote controler (111) Front surface be equipped with display screen (115) and operation button (116).
CN201710894096.4A 2017-09-28 2017-09-28 A kind of gynaecology's tumor of breast finely cuts off and promotes prosthetic device Active CN107693109B (en)

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CN109223253A (en) * 2018-08-16 2019-01-18 河南科技大学第附属医院 A kind of breast prosthesis
CN109499015A (en) * 2019-01-03 2019-03-22 李欣 A kind of breast localization component and glandula mammaria positioning device
CN113350648A (en) * 2021-07-18 2021-09-07 温州医科大学附属第一医院 Tracheal catheter capable of accurately local anesthesia

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Application publication date: 20180216

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Denomination of invention: A device for precise resection and promotion of repair of gynecological breast tumors

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