A kind of kidney stone is molten except device and molten except method
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of kidney stone is molten to be removed device and remove dress with kidney stone is molten
Set the molten method except kidney stone.
Background technology
Calculi in urinary system is summarized:Calculi in urinary system is more common in any position of kidney, ureter, bladder and urethra, with
Kidney is relatively conventional with ureteral calculi.Lithiasis is easier to recur, and 1 year recurrence rate of calcium oxalate kidney stone is 10%, 5 according to statistics
Year, recurrence rate was 35%, and 10 years recurrence rates are 50%.
Kidney stone falls into ureter, and causes ureteral obstruction and angina occurs.About due to ureter relatively narrower
(wherein renal plevis and urine output pipe jointing part, bladder and urine output pipe jointing part be about), size existsIt ties below
Stone, when exclusion painless, accessible sense, is largely less thanCalculus symptom occur 1 month after can be automatically drained out, and
It is more thanCalculus can not be automatically drained out, be more thanCalculus there is more than half not to be automatically drained out.
Naturally stone or drug row's stone are arranged, row's stone purpose, extracorporeal shock wave lithotripsy and operation is extremely difficult to compared with maximum size to volume
Stone is taken, therapeutic effect is bad, and the period is long, and wound is larger.
Medical worker is when treating kidney stone patient, in medical level at this stage, mostly uses body
Then the method for outer rubble is excreted by patient from being about to internal rubble, but due to external stone crushing when is mostly direct
By calculus by falling off on kidney, calculus block may be bigger, is easy to block patient's urethra, brings pain to patient, therefore cannot be very
The good a variety of exclusive requirements when being treated to kidney stone patient at this stage that meet if things go on like this considerably increase medical matters
The work difficulty of personnel.
Invention content
It is an object of the present invention to overcome defect existing in the prior art, provide it is a kind of it is simple in structure, easy to use,
Therapeutic effect is good, will be explained and be dissolved using solvent, and the molten device that removes of kidney stone that solvent is the first purpose through the invention imports
After calculus lesions position and the second object of the present invention are dissolved kidney stone by solvent in kidney, excreted by urethra molten
Except the method for kidney stone.
To achieve the above object, one of technical scheme of the present invention is that a kind of kidney stone of design is molten except device, the kidney knot
Shi Rong includes instillator except device, and drip tube is equipped in instillator, and the front tube wall of drip tube is equipped with instillation hole, and drip tube exists
Sacculus casing is housed positioned at the following outer cover in instillation hole, leading portion and the drip tube of sacculus casing are fitted close, before close-fitting
The internal diameter of sacculus casing after section is more than the outer diameter of drip tube, and the gap between drip tube and sacculus casing is independent control ball
The fluid pipeline of capsule expansion, contraction, drip tube is interior to be equipped with seal wire, and the both ends of seal wire are stretched out outside drip tube respectively, and before seal wire
Section is fitted close with drip tube, is respectively equipped with the interface of sacculus controller in the other end of drip tube and sacculus casing and is instiled and controls
The interface end of sacculus controller and minim pipette are equipped with by the interface of device processed by the one end in hole of instiling merging human body when instillation
Portion out of the human body is arranged in the interface end of instillation controller.
For the ease of the instillation hole of drip tube leading portion is transported to lesions position, preferred technical solution is the instillation
Pipe is plastics pipe fitting made of semi-rigid material.
For the ease of with seal wire by sacculus casing by ureteroscope mirror it is intrathecal be pushed in ureter, make its leading portion with it is defeated
The mirror sheath of urinary catheter mirror is detached from, and the leading portion of seal wire is made not depart from drip tube, and further preferred technical solution is, described to lead
The front end of silk is ball head structure.
For the ease of the instillation hole of drip tube leading portion is transported to lesions position, further preferred technical solution in addition,
The front of the drip tube is straight tube or the bend pipe for being prefabricated into arc line shaped.
Expansion and liquid can be extracted out at sphere shape after filling liquid for the ease of the sacculus portion on control ball cuff pipe
The prototype of sacculus casing can be reverted to afterwards, and further preferred technical solution is in addition, the sacculus casing intervenes hand using conventional
Art balloon material is made.
For the ease of sacculus casing is brought into human body ureter with ureteroscope, further preferred technical solution is also
Have, the outer diameter of the instillator and sacculus casing is less than the internal diameter of the mirror sheath of ureteroscope.
For the ease of litholysis liquid to be transported to the calculus affected area in kidney, further preferred technical solution is also
Have, the sacculus controller and instillation controller are electronic, pneumatic, manually lysate promotes pump.
For achieving the above object two, technical scheme of the present invention second is that design a kind of removing device with kidney stone is molten
It is molten to remove kidney stone method, which is characterized in that the molten method except kidney stone includes the following steps:Wholistic therapy scheme point three
Stage:I, it is put into drip tube;II, instillation lysate, row's stone;III, drip tube is removed;
I, instillator is placed;
A, suitable, ripe soft lens ureteroscope or hard mirror ureteroscope are selected;
B, mirror that instillator is first inserted into ureteroscope is intrathecal;
C, urethra of the ureteroscope through human body, bladder are imported into ureter, is advanced into the pyelolithiasis disease close in ureter
At stove or nearly kidney position stops;
(1) instillator sacculus portion of sacculus casing in mirror sheath importing process is closed;
(2) it controls in vitro, seal wire is promoted by the interface end of instillator so that before the instillator inserted with seal wire is by mirror sheath
Section stretches out mirror sheath, and extends in kidney;
(3) it controls in vitro, the ball on sacculus casing is opened by control injection liquid by the interface end of sacculus controller
Capsule so that the gap between drip tube and sacculus casing is expanded to sacculus by the interface end of sacculus controller to top,
So that the outer wall of sacculus is squeezed the tube wall of ureter, for increasing the frictional force between sacculus and ureter on sacculus casing, prevents
Instillator is carried over when only ureteroscope exits;
(4) and then by ureteroscope it slowly exits, leaves instillator;
(5) liquid in sacculus is evacuated to close the sacculus of instillator;
(6) catheter is nested in the outside of instillator, and is inserted into bladder 8 by the urethra through human body;
II, instillation lysate, row's stone;
A, interface that lysate is accessed with propulsion pump by delivery outlet to the instillation controller on drip tube, starts dissolving of instiling
Liquid instils 48~240 hours;
B, pass through any one detection dissolve stone situation in B ultrasound, X-ray machine, CT, nuclear-magnetism, DSA radiographies, DSA after the completion of instillation
It is DSA contrast solutions directly to change dissolve stone agent when radiography detects;
III, drip tube is removed;
A, treatment is completed first to open the sacculus of sacculus casing when removing catheter;
B, instillator is slowly extracted, will be brought into molten rear remaining microlith in ureter using the sacculus on sacculus casing
Bladder;
C, the sacculus of instillator is closed, that is, extracts the liquid in sacculus out;
D, finally by catheter and instillator by being pulled out in human body.
For the ease of pyelolithiasis lysate to be transported to the pyelolithiasis affected area in kidney, preferred technical solution is also
Have, in vitro, propulsion pump is to be electric-only propulsion pump or is that pneumatic propulsion pump (in special circumstances may be used for the propulsion pump setting of the lysate
Manually), pump is promoted to be placed together with urine bag.
For the ease of pyelolithiasis lysate to be transported to the pyelolithiasis affected area in kidney, preferred technical solution is also
Have, the seal wire in the instillator is preset to mirror is intrathecal kind of a method:The first, the head of the seal wire of instillator is from mirror sheath tail
Portion is inserted into, and is suitable for straight peen seal wire;Second, the tail portion of the seal wire of instillator is inserted into from mirror sheath head, is suitable for elbow seal wire.
Stone principle is arranged in the dissolving of the present invention:
Kidney, ureteral calculi ingredient have calcium oxalate, calcium phosphate, lithate etc., wherein 70%~80% or so for grass
Sour calcium dissolves in hydrochloric acid, citric acid or other Solution liquid.
The present invention using can it is molten remove kidney stone device, by human body natural's cavity be inserted into kidney, placement drip,
Directly to stone location instillation lysate so that litholysis volume becomes smaller or is completely dissolved, and realizes molten except calculus.
The advantages of the present invention are:The kidney stone is molten except device and its molten except kidney stone method has structure
Simply, easy to use, therapeutic effect is good, will be explained and dissolved using solvent, and solvent is the kidney knot of the first purpose through the invention
After Shi Rong is except calculus lesions position and the second object of the present invention are dissolved kidney stone by solvent in device importing kidney, pass through
Urethra excretes.
Litholysis lithagogue method of the present invention also has the following advantages that:
1, stone location can be accurately positioned:By means of ripe endoscopic technique, observed when being inserted into;
2, can reach it is complete, thoroughly take stone:After calculus is completely dissolved in solvent or is dissolved as particulate solid;
3, hurtless measure without operation and is hospitalized:Instrument is inserted by human body natural's cavity, without operating on and other additional are created
Wound, naturally drains after dissolving with urine, without being hospitalized;
4, without side-effects:Calculus is in dissolving and after dissolving without other any side effects;
5, therapeutic process patient suffering sense is small.
The molten of the present invention is compared as follows table except kidney stone method with other lithagogue methods:
Description of the drawings
Fig. 1 is calculi in urinary system schematic diagram;
In Fig. 1:1, renal plevis;2, pyelolithiasis;3, renal plevis and urine output pipe jointing part;4, ureter;5, ureteral calculi;6、
Vesicoureteral interconnecting piece;7, inside ureter;8, bladder;9, vesical calculus;10, urethra;11, urethral calculus;
Fig. 2 is the molten structural schematic diagram for removing sacculus casing closed state in device of kidney stone of the present invention;
Fig. 3 is the molten structural schematic diagram for removing sacculus casing open state in device of kidney stone of the present invention;
In Fig. 2,3:12, instillator;13, drip tube;14, instillation hole;15, sacculus casing;15-1, sacculus control liquid line
Road;15-2, sacculus;16, seal wire;16-1, leading portion;17, the interface of sacculus controller;18, the interface of instillation controller;
Fig. 4-1 is molten one of the structural schematic diagram being used cooperatively with ureteroscope except device of kidney stone of the present invention;
Fig. 4-2 is the molten second structural representation being used cooperatively with Flexible ureteroscope except device of kidney stone of the present invention;
Fig. 4-3 is the molten third structural representation being used cooperatively with ureterscopy except device of kidney stone of the present invention;
In Fig. 4:19, ureteroscope;20, mirror sheath;.
Fig. 5 is the molten structural schematic diagram that kidney is accessed except device of kidney stone of the present invention;
Fig. 6 is the molten structural schematic diagram for removing outer body in device of kidney stone of the present invention
In Fig. 5, Fig. 6:21, catheter;22, urine bag.
Specific implementation mode
With reference to the accompanying drawings and examples, the specific implementation mode of the present invention is further described.Following embodiment is only
For clearly illustrating technical scheme of the present invention, and not intended to limit the protection scope of the present invention.
As shown in figures 2-3, the present invention is that a kind of kidney stone is molten except device, and the kidney stone is molten except device includes instillator
12, instillator 12 is interior to be equipped with drip tube 13, and the front tube wall of drip tube 13 is equipped with instillation hole 14, and drip tube 13 is positioned at instillation
14 or less outer cover of hole is equipped with sacculus casing 15, and leading portion and the drip tube 13 of sacculus casing 15 are fitted close, before close-fitting
The internal diameter of sacculus casing 15 after section is more than the outer diameter of drip tube 13, and the gap between drip tube 13 and sacculus casing 15 is only
Vertical control balloon inflation, contraction fluid pipeline 15-1, seal wire 16 is housed in drip tube 13, drop is stretched out at the both ends of seal wire 16 respectively
Note pipe is outer, and the leading portion 16-1 of seal wire 16 is fitted close with drip tube 13, in the other end of drip tube 13 and sacculus casing 15 point
Not She You the interface 17 of sacculus controller and the interface 18 of instillation controller, the one end in instillation hole 14 is placed in human body when instillation
Interior, portion out of the human body is arranged in 18 end of interface that 17 end of interface of sacculus controller and minim pipette are equipped with to instillation controller.
As shown in figures 2-3, for the ease of the instillation hole of 13 leading portion of drip tube is transported to lesions position, the present invention is preferred
Embodiment be, the drip tube 13 be semi-rigid material made of plastics pipe fitting.
As shown in figures 2-3, for the ease of sacculus casing intrathecal is pushed to ureter by the mirror of ureteroscope with seal wire
It is interior, so that the mirror sheath of its leading portion and ureteroscope is detached from, and the leading portion 16-1 of seal wire 16 is made not depart from drip tube 13, the present invention
Further preferred embodiment is that the front end of the seal wire 16 is ball head structure.
As shown in figures 2-3, for the ease of the instillation hole 14 of 13 leading portion of drip tube is transported to lesions position, the present invention into
One step preferred embodiment is in addition, the front of the drip tube 13 is straight tube or the bend pipe for being prefabricated into arc line shaped.
As shown in figures 2-3, for the ease of the sacculus portion 15-2 on control ball cuff pipe 15 can after filling liquid expansion at
Sphere shape, and the prototype of sacculus casing 15 can be reverted to after liquid is extracted out, further preferred embodiment of the present invention in addition,
The sacculus casing 15 is made of conventional intervention operation balloon material.
As figures 2-6, for the ease of sacculus casing 15 is brought into human body ureter with ureteroscope, the present invention
Further preferred embodiment is in addition, the outer diameter of the instillator 13 and sacculus casing 15 is less than the mirror sheath 20 of ureteroscope 19
Internal diameter.
As shown in figures 2-3, for the ease of litholysis liquid to be transported to the calculus affected area in kidney, the present invention is into one
Preferred embodiment is walked in addition, the sacculus controller and instillation controller can be electronic, pneumatic, manually lysate promotes
Pump.
Another embodiment of the present invention is
As shown in figs. 1 to 6, a kind of to remove that device is molten to remove kidney stone method with kidney stone is molten, the molten method except kidney stone
Include the following steps:Wholistic therapy scheme divides three phases:I, it is put into drip tube;II, instillation lysate, row's stone;III, drop is removed
Note pipe;
I, instillator 12 is placed;
A, suitable, ripe soft lens ureteroscope 19 or hard mirror ureteroscope are selected;
B, first instillator 12 is inserted into the mirror sheath 20 of ureteroscope 9;
C, the urethra 10 by ureteroscope 19 through human body, bladder 8 import ureter 4, are advanced into close to renal plevis in ureter 4
2 affected area of calculus or nearly kidney position stop;
(1) the sacculus portion of sacculus casing 15 in 20 importing process of mirror sheath of instillator 12 is closed;
(2) it controls in vitro, seal wire 16 is promoted by the interface end of instillator 12 so that the instillator 12 inserted with seal wire 16
Mirror sheath 20 is stretched out by 20 leading portion of mirror sheath, and is extended in kidney;
(3) it controls in vitro, liquid is injected by control by 17 end of interface of sacculus controller and is opened on sacculus casing 15
Sacculus so that the gap between drip tube 13 and sacculus casing 15, by 17 end of interface of sacculus controller to top
It is expanded to sacculus 15-2, so that the outer wall of sacculus 15-2 is squeezed the tube wall of ureter 4, for increasing the sacculus on sacculus casing 15
Frictional force between 15-2 and ureter 4, instillator 12 is carried over when preventing ureteroscope 19 from exiting;
(4) and then by ureteroscope 19 it slowly exits, leaves instillator 12;
(5) liquid in sacculus 15-2 is evacuated to close the sacculus of instillator 12;
(6) catheter 21 is nested in the outside of instillator 12, and is inserted into bladder 8 by the urethra 10 through human body;
II, instillation lysate, row's stone;
A, interface 18 that lysate is accessed with propulsion pump by delivery outlet to the instillation controller on drip tube 13, starts to instil
Lysate instils 48~240 hours;
B, dissolve stone situation can be detected by any one in B ultrasound, X-ray machine, CT, nuclear-magnetism, DSA radiographies after the completion of instillation,
It is DSA contrast solutions directly to change dissolve stone agent when DSA radiographies detect;
III, drip tube is removed;
A, treatment is completed first to open the sacculus 15-2 of sacculus casing 15 when removing catheter 21;
B, instillator 12 is slowly extracted, using the sacculus 15-2 on sacculus casing 15 will in ureter 4 it is molten after it is remaining
Microlith brings bladder 8 into;
C, the sacculus 15-2 of instillator 12 is closed, that is, extracts the liquid in sacculus 15-2 out;
D, finally by catheter 21 and instillator 12 by being pulled out in human body.
For the ease of pyelolithiasis lysate to be transported to the pyelolithiasis affected area in kidney, currently preferred implementation
In addition, the propulsion pump of the lysate is arranged in vitro, propulsion pumps to be electric-only propulsion pump or being that pneumatically propulsion pumps scheme, promotes pump
It is placed together with urine bag 22.
For the ease of pyelolithiasis lysate to be transported to the pyelolithiasis affected area in kidney, currently preferred implementation
Scheme is in addition, the seal wire 16 in the instillator 12, which is preset in mirror sheath 20,2 kinds of methods:The first, the seal wire of instillator
16 head is inserted into from 20 tail portion of mirror sheath, is suitable for straight peen seal wire 16;Second, the tail portion of the seal wire 16 of instillator is from mirror sheath 20
Head is inserted into, and elbow seal wire is suitable for.
Stone principle is arranged in the dissolving of the present invention:
Kidney, ureteral calculi ingredient have calcium oxalate, calcium phosphate, lithate etc., wherein 70%~80% or so for grass
Sour calcium, calcium oxalate dissolve in hydrochloric acid, citric acid or other Solution liquid.
The present invention using can it is molten remove kidney stone device, by human body natural's cavity be inserted into kidney, placement drip,
Directly to stone location instillation lysate so that litholysis volume becomes smaller or is completely dissolved, and realizes molten except calculus.
The above is only a preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art
For member, without departing from the technical principles of the invention, several improvements and modifications can also be made, these improvements and modifications
Also it should be regarded as protection scope of the present invention.