CN109009324A - Exploration of common bile duct sheath with sacculus - Google Patents
Exploration of common bile duct sheath with sacculus Download PDFInfo
- Publication number
- CN109009324A CN109009324A CN201810838618.3A CN201810838618A CN109009324A CN 109009324 A CN109009324 A CN 109009324A CN 201810838618 A CN201810838618 A CN 201810838618A CN 109009324 A CN109009324 A CN 109009324A
- Authority
- CN
- China
- Prior art keywords
- channel
- pipeline section
- drainage pipeline
- drainage tube
- tube section
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 210000001953 common bile duct Anatomy 0.000 title claims abstract description 32
- 230000000151 anti-reflux effect Effects 0.000 claims description 7
- 239000000463 material Substances 0.000 claims description 7
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 7
- 239000004698 Polyethylene Substances 0.000 claims description 6
- -1 polyethylene Polymers 0.000 claims description 6
- 229920000573 polyethylene Polymers 0.000 claims description 6
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 5
- 239000000741 silica gel Substances 0.000 claims description 5
- 229910002027 silica gel Inorganic materials 0.000 claims description 5
- 239000004575 stone Substances 0.000 abstract description 8
- 210000000683 abdominal cavity Anatomy 0.000 abstract description 5
- 201000001883 cholelithiasis Diseases 0.000 abstract description 5
- 210000000941 bile Anatomy 0.000 abstract description 4
- 239000012530 fluid Substances 0.000 abstract description 4
- 238000011010 flushing procedure Methods 0.000 abstract description 4
- 208000015181 infectious disease Diseases 0.000 abstract description 3
- 230000002458 infectious effect Effects 0.000 abstract description 3
- 239000002775 capsule Substances 0.000 abstract 1
- 208000005646 Pneumoperitoneum Diseases 0.000 description 7
- 239000000243 solution Substances 0.000 description 7
- 210000002603 extrahepatic bile duct Anatomy 0.000 description 5
- 206010004637 Bile duct stone Diseases 0.000 description 4
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 4
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 210000003228 intrahepatic bile duct Anatomy 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 206010060921 Abdominal abscess Diseases 0.000 description 2
- 240000007643 Phytolacca americana Species 0.000 description 2
- 210000003815 abdominal wall Anatomy 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 2
- 229910002092 carbon dioxide Inorganic materials 0.000 description 2
- 239000001569 carbon dioxide Substances 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 230000007774 longterm Effects 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 238000010992 reflux Methods 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 206010000050 Abdominal adhesions Diseases 0.000 description 1
- 206010056519 Abdominal infection Diseases 0.000 description 1
- 208000010444 Acidosis Diseases 0.000 description 1
- 206010001526 Air embolism Diseases 0.000 description 1
- 206010016717 Fistula Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 230000007950 acidosis Effects 0.000 description 1
- 208000026545 acidosis disease Diseases 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 230000003890 fistula Effects 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 208000003243 intestinal obstruction Diseases 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 229940057995 liquid paraffin Drugs 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 210000003462 vein Anatomy 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
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00296—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22054—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation with two balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Vascular Medicine (AREA)
- External Artificial Organs (AREA)
- Surgical Instruments (AREA)
Abstract
本发明公开了一种带球囊的胆总管探查鞘管，其头部至尾部依次设有互相连接的引流管段Ⅰ、引流管段Ⅱ、引流管段Ⅲ、引流管段Ⅳ和引流管段Ⅴ；引流管段Ⅰ内设有通道Ⅰ，通道Ⅰ位于鞘管头部的一端封闭，引流管段Ⅰ外壁上设有两个相对设置且与通道Ⅰ连通的侧孔；引流管段Ⅱ内设有与通道Ⅰ连通的通道Ⅱ，引流管段Ⅱ外壁依次套接有上球囊和下球囊；引流管段Ⅲ内设有与通道Ⅱ连通的通道Ⅲ，通道Ⅲ内设有一端延伸至通道Ⅱ且分别与上球囊和下球囊连通的通道Ⅳ和通道Ⅴ。充盈上球囊和下球囊后，上球囊和下球囊封闭胆总管切口，可避免感染性胆汁、冲洗液、泥沙样结石及胆泥等进入腹腔。
The invention discloses a common bile duct exploration sheath with a balloon, which is sequentially provided with a drainage tube section I, a drainage tube section II, a drainage tube section III, a drainage tube section IV and a drainage tube section V from the head to the tail; the drainage tube section I There is a channel I inside, and the channel I is closed at one end of the sheath tube head, and the outer wall of the drainage tube section I is provided with two opposite side holes that communicate with the channel I; the drainage tube section II is provided with a channel II that communicates with the channel I , the outer wall of the drainage tube section II is sequentially sleeved with an upper balloon and a lower balloon; the drainage tube section III is provided with a channel III connected with the channel II, and one end of the channel III extends to the channel II and is respectively connected to the upper balloon and the lower balloon. The capsule communicates with channel IV and channel V. After the upper and lower balloons are inflated, the upper and lower balloons seal the common bile duct incision to prevent infectious bile, flushing fluid, sediment-like stones, and biliary sludge from entering the abdominal cavity.
Description
技术领域technical field
本发明涉及一种胆总管探查鞘管，具体地说是一种带球囊的胆总管探查鞘管。The invention relates to a common bile duct exploration sheath, in particular to a common bile duct exploration sheath with a balloon.
背景技术Background technique
肝内外胆管结石是我国的常见病和多发病，胆总管探查取石是治疗该疾病的主要手术方式，传统手术方案为开腹胆总管探查，具有创伤大、恢复慢等缺点。随着腹腔镜及胆道镜技术的发展，目前对于肝内外胆管结石的治疗多采取腹腔镜下胆总管探查、胆道镜取石治疗方案，与传统开腹手术相比，具有创伤小、恢复快、并发症少等优点。Extrahepatic and extrahepatic bile duct stones are common and frequently-occurring diseases in my country. Common bile duct stone removal is the main surgical method for the treatment of this disease. The traditional surgical method is open common bile duct exploration, which has the disadvantages of large trauma and slow recovery. With the development of laparoscopy and choledochoscopy technology, the treatment of intrahepatic and extrahepatic bile duct stones is mostly carried out by laparoscopic common bile duct exploration and choledochoscopy stone removal. Compared with traditional open surgery, it has the advantages of less trauma, faster recovery, and less complications. Advantages such as less symptoms.
目前，从腹腔穿刺器套管中置入胆道镜，进行胆总管探查及取石时，该方式存在诸多缺点：1.整个手术过程中均需建立气腹，而长时间的气腹容易影响膈肌的摆动，影响呼吸及循环，大量二氧化碳的吸收可发生酸中毒及离子紊乱，高压的二氧化碳经静脉回流，甚至发生气体栓塞，危及患者生命；2.胆道镜探查过程中，大量感染性胆汁、碎石、胆泥及胆道镜冲洗液经切口流入腹腔内，容易导致腹腔感染、腹腔脓肿，而碎石及胆泥进入腹腔后，难以清除干净，导致腹腔粘连、肠梗阻、内瘘、腹腔脓肿等并发症；3.胆总管切开后，胆总管压力降低并塌陷，增加了胆道镜进入胆总管的难度；4.戳卡外套管为硬质塑料，其头端管壁容易损伤胆道镜；5.胆道镜反复进出胆总管，容易导致切口出血。At present, there are many disadvantages when inserting a choledochoscope from the cannula of the abdominal puncture device for common bile duct exploration and stone removal: 1. Pneumoperitoneum needs to be established during the entire operation, and long-term pneumoperitoneum is likely to affect the diaphragm muscle Swing, affecting breathing and circulation, absorption of a large amount of carbon dioxide can lead to acidosis and ion disorder, high-pressure carbon dioxide reflux through the vein, and even gas embolism, endangering the life of the patient; , biliary sludge and choledochoscope flushing fluid flow into the abdominal cavity through the incision, which can easily lead to abdominal infection and abdominal abscess, while gravel and biliary sludge enter the abdominal cavity and are difficult to remove, resulting in abdominal adhesions, intestinal obstruction, internal fistula, abdominal abscess and other complications 3. After the common bile duct is incised, the pressure of the common bile duct decreases and collapses, which increases the difficulty of entering the common bile duct with the choledochoscope; 4. The poking card outer tube is made of hard plastic, and the tube wall at the head end is easy to damage the choledochoscope; 5. Repeated entry and exit of the choledochoscope into the common bile duct may easily lead to incision bleeding.
发明内容Contents of the invention
根据上述提出的技术问题，而提供一种带球囊的胆总管探查鞘管。本发明采用的技术手段如下：According to the technical problems raised above, a balloon-equipped common bile duct exploration sheath is provided. The technical means adopted in the present invention are as follows:
一种带球囊的胆总管探查鞘管，其头部至尾部依次设有互相连接的引流管段Ⅰ、引流管段Ⅱ、引流管段Ⅲ、引流管段Ⅳ和引流管段Ⅴ；A common bile duct exploration sheath with a balloon, which is sequentially provided with drainage tube section I, drainage tube section II, drainage tube section III, drainage tube section IV and drainage tube section V from the head to the tail;
所述引流管段Ⅰ内设有通道Ⅰ，所述通道Ⅰ位于所述鞘管头部的一端封闭，所述引流管段Ⅰ外壁上设有两个相对设置且与所述通道Ⅰ连通的侧孔；A channel I is provided in the drainage tube section I, and the channel I is closed at one end of the sheath tube head, and the outer wall of the drainage tube section I is provided with two oppositely arranged side holes communicating with the channel I;
所述引流管段Ⅱ内设有与所述通道Ⅰ连通的通道Ⅱ，所述引流管段Ⅱ外壁依次套接有上球囊和下球囊；The drainage tube section II is provided with a channel II communicating with the channel I, and the outer wall of the drainage tube section II is sequentially sleeved with an upper balloon and a lower balloon;
所述引流管段Ⅲ内设有与所述通道Ⅱ连通的通道Ⅲ，所述通道Ⅲ内设有一端延伸至所述通道Ⅱ且分别与所述上球囊和所述下球囊连通的通道Ⅳ和通道Ⅴ；The drainage tube section III is provided with a channel III communicating with the channel II, and the channel III is provided with a channel IV extending to the channel II and communicating with the upper balloon and the lower balloon respectively. and channel V;
所述引流管段Ⅳ内设有与所述通道Ⅲ连通的通道Ⅵ，所述引流管段Ⅳ外壁上设有充气接头Ⅰ、充气接头Ⅱ和与所述通道Ⅵ连通的出水接头；The drainage pipe section IV is provided with a passage VI communicating with the passage III, and the outer wall of the drainage pipe section IV is provided with an inflatable joint I, an inflatable joint II and a water outlet joint connected with the passage VI;
所述通道Ⅳ的另一端与所述充气接头Ⅰ连通；The other end of the channel IV communicates with the inflation joint I;
所述通道Ⅴ的另一端与所述充气接头Ⅱ连通；The other end of the channel V communicates with the inflation joint II;
所述引流管段Ⅴ内设有与所述通道Ⅵ连通的通道Ⅶ，所述引流管段Ⅴ外壁具有用于手持的粗糙面；The drainage tube section V is provided with a channel VII communicating with the channel VI, and the outer wall of the drainage tube section V has a rough surface for holding;
所述通道Ⅶ内壁设有防反流垫；The inner wall of the channel VII is provided with an anti-reflux pad;
所述防反流垫的材质为硅胶；The anti-reflux pad is made of silica gel;
所述防反流垫上设有用于胆道镜穿过的弹性孔，所述胆道镜穿过所述弹性孔后，所述弹性孔贴合所述胆道镜，构成密封，防反流。The anti-reflux pad is provided with an elastic hole for the choledochoscope to pass through. After the choledochoscope passes through the elastic hole, the elastic hole fits the choledochoscope to form a seal and prevent reflux.
所述侧孔的直径为0.5-0.8cm，胆道镜可通过所述侧孔。The diameter of the side hole is 0.5-0.8 cm, and the choledochoscope can pass through the side hole.
所述上球囊沿所述引流管段Ⅱ轴线方向的长度为3mm；The length of the upper balloon along the axial direction of the drainage tube section II is 3 mm;
所述下球囊沿所述引流管段Ⅱ轴线方向的长度均为5mm；The length of the lower balloon along the axial direction of the drainage tube section II is 5 mm;
所述上球囊和所述下球囊充盈时，所述上球囊和所述下球囊的最大直径均为1.5cm；When the upper balloon and the lower balloon are inflated, the maximum diameters of the upper balloon and the lower balloon are both 1.5 cm;
所述上球囊和所述下球囊上下两端分别通过金属环与所述引流管段Ⅱ固定。The upper and lower ends of the upper balloon and the lower balloon are respectively fixed to the drainage tube section II through metal rings.
所述引流管段Ⅰ、所述引流管段Ⅱ和所述引流管段Ⅲ的材质为硅胶，具有良好的弹性；The drainage pipe section I, the drainage pipe section II and the drainage pipe section III are made of silica gel, which has good elasticity;
所述引流管段Ⅳ的材质为聚乙烯；The material of the drainage pipe section IV is polyethylene;
所述引流管段Ⅴ的材质为聚乙烯；The material of the drainage pipe section V is polyethylene;
所述引流管段Ⅰ、所述引流管段Ⅱ、所述引流管段Ⅲ和所述引流管段Ⅳ的外径为0.9cm；The outer diameter of the drainage tube section I, the drainage tube section II, the drainage tube section III and the drainage tube section IV is 0.9cm;
所述引流管段Ⅰ、所述引流管段Ⅱ、所述引流管段Ⅲ和所述引流管段Ⅳ的壁厚为1mm，具有较好的支撑；The wall thickness of the drainage pipe section I, the drainage pipe section II, the drainage pipe section III and the drainage pipe section IV is 1 mm, which has better support;
所述引流管段Ⅰ、所述引流管段Ⅱ和所述引流管段Ⅲ的整体长为30～60cm，可经腹壁直达胆总管。The overall length of the drainage tube section I, the drainage tube section II and the drainage tube section III is 30-60 cm, and can directly reach the common bile duct through the abdominal wall.
与现有技术相比，本发明具有以下优点：Compared with the prior art, the present invention has the following advantages:
1.引流管段Ⅰ、引流管段Ⅱ和引流管段Ⅲ为硅胶材质，避免了胆道镜取石过程中戳卡外套管壁对胆道镜的损伤；1. Drainage tube section Ⅰ, drainage tube section Ⅱ and drainage tube section Ⅲ are made of silica gel, which avoids damage to the choledochoscope caused by poking the outer tube wall during choledochoscope stone removal;
2.引流管段Ⅰ设有两个侧孔，胆道镜可经过侧孔进入胆总管下段及上段；2. There are two side holes in the drainage tube section I, and the choledochoscope can enter the lower and upper parts of the common bile duct through the side holes;
3.充盈上球囊和下球囊后，上球囊和下球囊封闭胆总管切口，可避免感染性胆汁、冲洗液、泥沙样结石及胆泥等进入腹腔；3. After filling the upper and lower balloons, the upper and lower balloons seal the common bile duct incision, which can prevent infectious bile, flushing fluid, sediment-like stones and biliary sludge from entering the abdominal cavity;
4.充盈上球囊和下球囊后，上球囊和下球囊封闭胆总管切口产生弹性压力，具有压迫止血的作用，避免取石术中切口出血；4. After filling the upper and lower balloons, the upper and lower balloons seal the common bile duct incision to generate elastic pressure, which has the effect of compression and hemostasis, and avoids incision bleeding during stone extraction;
5.鞘管进入胆总管后，即可关闭气腹及腹腔镜视频，避免了长期气腹产生的并发症及腹腔镜系统的损耗；5. After the sheath tube enters the common bile duct, the pneumoperitoneum and laparoscopic video can be closed, avoiding the complications caused by long-term pneumoperitoneum and the loss of the laparoscopic system;
6.出水接头连接负压吸引管，可将感染性胆汁、冲洗液、泥沙样结石及胆泥等排出体外，降低上述物质进入腹腔所致的并发症。6. The water outlet connector is connected to a negative pressure suction tube, which can discharge infectious bile, flushing fluid, sediment-like stones and biliary sludge from the body, reducing the complications caused by the above substances entering the abdominal cavity.
基于上述理由本发明可在医疗器具等领域广泛推广。Based on the above reasons, the present invention can be widely applied in fields such as medical appliances.
附图说明Description of drawings
为了更清楚地说明本发明实施例或现有技术中的技术方案，下面将对实施例或现有技术描述中所需要使用的附图做以简单地介绍，显而易见地，下面描述中的附图是本发明的一些实施例，对于本领域普通技术人员来讲，在不付出创造性劳动性的前提下，还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description These are some embodiments of the present invention. For those skilled in the art, other drawings can also be obtained according to these drawings on the premise of not paying creative efforts.
图1是本发明的具体实施方式中带球囊的胆总管探查鞘管的结构示意图。Fig. 1 is a schematic structural view of a common bile duct exploration sheath with a balloon in a specific embodiment of the present invention.
图2是本发明的具体实施方式中带球囊的胆总管探查鞘管处于工作状态下的示意图(球囊充盈)。Fig. 2 is a schematic diagram of a common bile duct exploration sheath with a balloon in a working state (balloon filling) in a specific embodiment of the present invention.
图3是本发明的具体实施方式中带球囊的胆总管探查鞘管处于工作状态下的示意图(插入胆道镜)。Fig. 3 is a schematic diagram of a common bile duct exploration sheath with a balloon in a working state (inserted into a choledochoscope) in a specific embodiment of the present invention.
具体实施方式Detailed ways
为使本发明实施例的目的、技术方案和优点更加清楚，下面将结合本发明实施例中的附图，对本发明实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例是本发明一部分实施例，而不是全部的实施例。基于本发明中的实施例，本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例，都属于本发明保护的范围。In order to make the purpose, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the drawings in the embodiments of the present invention. Obviously, the described embodiments It is a part of embodiments of the present invention, but not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.
如图1-图3所示，一种带球囊的胆总管探查鞘管，其头部至尾部依次设有互相连接的引流管段Ⅰ1、引流管段Ⅱ2、引流管段Ⅲ3、引流管段Ⅳ4和引流管段Ⅴ5；As shown in Figures 1-3, a common bile duct exploration sheath with a balloon is provided with interconnected drainage tube section I1, drainage tube section II2, drainage tube section III3, drainage tube section IV4 and drainage tube section in sequence from the head to the tail V5;
所述引流管段Ⅰ1内设有通道Ⅰ6，所述通道Ⅰ6位于所述鞘管头部的一端封闭，所述引流管段Ⅰ1外壁上设有两个相对设置且与所述通道Ⅰ6连通的侧孔7；The drainage tube section I1 is provided with a channel I6, and the channel I6 is closed at one end of the sheath head, and the outer wall of the drainage tube section I1 is provided with two side holes 7 oppositely arranged and communicating with the channel I6 ;
所述引流管段Ⅱ2内设有与所述通道Ⅰ6连通的通道Ⅱ8，所述引流管段Ⅱ2外壁依次套接有上球囊9和下球囊10；The drainage tube section II2 is provided with a channel II8 communicating with the channel I6, and the outer wall of the drainage tube section II2 is sequentially sleeved with an upper balloon 9 and a lower balloon 10;
所述引流管段Ⅲ3内设有与所述通道Ⅱ8连通的通道Ⅲ11，所述通道Ⅲ11内设有一端延伸至所述通道Ⅱ8且分别与所述上球囊9和所述下球囊10连通的通道Ⅳ12和通道Ⅴ13；The drainage tube section III3 is provided with a channel III11 communicating with the channel II8, and the channel III11 is provided with a channel extending to the channel II8 at one end and communicating with the upper balloon 9 and the lower balloon 10 respectively. Channel IV12 and Channel V13;
所述引流管段Ⅳ4内设有与所述通道Ⅲ11连通的通道Ⅵ14，所述引流管段Ⅳ4外壁上设有充气接头Ⅰ15、充气接头Ⅱ16和与所述通道Ⅵ14连通的出水接头17；The drainage pipe section IV4 is provided with a passage VI14 communicating with the passage III11, and the outer wall of the drainage pipe section IV4 is provided with an inflation joint I15, an inflation joint II16 and a water outlet joint 17 communicating with the passage VI14;
所述通道Ⅳ12的另一端与所述充气接头Ⅰ15连通；The other end of the channel IV12 communicates with the inflation joint I15;
所述通道Ⅴ13的另一端与所述充气接头Ⅱ16连通；The other end of the channel V13 communicates with the inflation joint II16;
所述引流管段Ⅴ5内设有与所述通道Ⅵ14连通的通道Ⅶ18，所述引流管段Ⅴ5外壁具有用于手持的粗糙面；The drainage tube section V5 is provided with a channel VII18 communicating with the channel VI14, and the outer wall of the drainage tube section V5 has a rough surface for holding;
所述通道Ⅶ18内壁设有防反流垫19；The inner wall of the channel VII18 is provided with an anti-reflux pad 19;
所述防反流垫19上设有用于胆道镜20穿过的弹性孔21。The anti-reflux pad 19 is provided with an elastic hole 21 for passing the choledochoscope 20 .
所述侧孔7的直径为0.5-0.8cm。The diameter of the side hole 7 is 0.5-0.8 cm.
所述上球囊9沿所述引流管段Ⅱ2轴线方向的长度为3mm；The length of the upper balloon 9 along the axial direction of the drainage tube section II2 is 3 mm;
所述下球囊10沿所述引流管段Ⅱ2轴线方向的长度均为5mm；The length of the lower balloon 10 along the axial direction of the drainage tube section II2 is 5mm;
所述上球囊9和所述下球囊10充盈时，所述上球囊9和所述下球囊10的最大直径均为1.5cm；When the upper balloon 9 and the lower balloon 10 are inflated, the maximum diameters of the upper balloon 9 and the lower balloon 10 are both 1.5 cm;
所述上球囊9和所述下球囊10上下两端分别通过金属环25与所述引流管段Ⅱ2固定。The upper and lower ends of the upper balloon 9 and the lower balloon 10 are respectively fixed to the drainage tube section II2 through metal rings 25 .
所述引流管段Ⅰ1、所述引流管段Ⅱ2和所述引流管段Ⅲ3的材质为硅胶；The drainage tube section I1, the drainage tube section II2 and the drainage tube section III3 are made of silica gel;
所述引流管段Ⅳ4的材质为聚乙烯；The material of the drainage pipe section IV4 is polyethylene;
所述引流管段Ⅴ5的材质为聚乙烯；The material of the drainage tube section V5 is polyethylene;
所述引流管段Ⅰ1、所述引流管段Ⅱ2、所述引流管段Ⅲ3和所述引流管段Ⅳ4的外径为0.9cm；The outer diameter of the drainage tube section I1, the drainage tube section II2, the drainage tube section III3 and the drainage tube section IV4 is 0.9cm;
所述引流管段Ⅰ1、所述引流管段Ⅱ2、所述引流管段Ⅲ3和所述引流管段Ⅳ4的壁厚为1mm；The wall thickness of the drainage pipe section I1, the drainage pipe section II2, the drainage pipe section III3 and the drainage pipe section IV4 is 1mm;
所述引流管段Ⅰ1、所述引流管段Ⅱ2和所述引流管段Ⅲ3的整体长为30～60cm。The overall length of the drainage tube section I1, the drainage tube section II2 and the drainage tube section III3 is 30-60 cm.
建立气腹并经腹壁24置入戳卡22，取出戳卡22推进杆，出水接头17连接负压吸引管，使得通道Ⅰ6、通道Ⅱ8、通道Ⅲ11、通道Ⅵ14和负压吸引管连通。Establish pneumoperitoneum and insert the poke card 22 through the abdominal wall 24, take out the push rod of the poke card 22, and connect the water outlet joint 17 to the negative pressure suction tube, so that the channel I6, channel II8, channel III11, channel VI14 and the negative pressure suction tube are connected.
经戳卡22外套管置入所述鞘管并逐步接近胆总管23切口，将所述鞘管经切口进入到胆总管23内，经充气接头Ⅰ15注入空气或生理盐水并充盈上球囊9，再经充气接头Ⅱ16注入空气或生理盐水并充盈下球囊10。Put the sheath tube through the poking card 22 and gradually approach the incision of the common bile duct 23, enter the sheath tube into the common bile duct 23 through the incision, inject air or normal saline through the inflation joint I15 and inflate the upper balloon 9, Then inject air or physiological saline through the inflation joint II16 and fill the lower balloon 10 .
调整负压吸引管的负压吸引压力，使负压出水量与胆道镜20进水量及胆汁量相同，避免胆总管23塌陷或胆总管23内液体经切口外溢。Adjust the negative pressure suction pressure of the negative pressure suction tube, so that the negative pressure water output is the same as the water intake and bile volume of the choledochoscope 20, so as to prevent the common bile duct 23 from collapsing or the liquid in the common bile duct 23 from overflowing through the incision.
关闭气腹，停止腹腔镜视频系统，经所述鞘管(通道Ⅰ6、通道Ⅱ8、通道Ⅲ11、通道Ⅵ14和通道Ⅶ18)内注入液体石蜡，从弹性孔21置入胆道镜20，从引流管段Ⅰ1的两个侧孔7分别进入肝内外胆管进行探查及取石。Close the pneumoperitoneum, stop the laparoscopic video system, inject liquid paraffin into the sheath (channel I6, channel II8, channel III11, channel VI14 and channel VII18), insert the choledochoscope 20 through the elastic hole 21, and insert the choledochoscope 20 from the drainage tube segment I1 The two side holes 7 respectively enter the intrahepatic and extrahepatic bile ducts for exploration and removal of stones.
取净肝内外胆管结石后，再次建立气腹并打开腹腔镜系统，释放上球囊9和下球囊10，取出所述鞘管并缝合胆总管23切口。After removing the intrahepatic and extrahepatic bile duct stones, establish pneumoperitoneum again and open the laparoscope system, release the upper balloon 9 and the lower balloon 10, take out the sheath and suture the common bile duct 23 incision.
最后应说明的是：以上各实施例仅用以说明本发明的技术方案，而非对其限制；尽管参照前述各实施例对本发明进行了详细的说明，本领域的普通技术人员应当理解：其依然可以对前述各实施例所记载的技术方案进行修改，或者对其中部分或者全部技术特征进行等同替换；而这些修改或者替换，并不使相应技术方案的本质脱离本发明各实施例技术方案的范围。Finally, it should be noted that: the above embodiments are only used to illustrate the technical solutions of the present invention, rather than limiting them; although the present invention has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that: It is still possible to modify the technical solutions described in the foregoing embodiments, or perform equivalent replacements for some or all of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the technical solutions of the various embodiments of the present invention. scope.
Claims (4)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810838618.3A CN109009324B (en) | 2018-07-27 | 2018-07-27 | Common bile duct exploration sheath with balloon |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810838618.3A CN109009324B (en) | 2018-07-27 | 2018-07-27 | Common bile duct exploration sheath with balloon |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109009324A true CN109009324A (en) | 2018-12-18 |
| CN109009324B CN109009324B (en) | 2024-07-16 |
Family
ID=64645892
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810838618.3A Active CN109009324B (en) | 2018-07-27 | 2018-07-27 | Common bile duct exploration sheath with balloon |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109009324B (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111481807A (en) * | 2020-05-19 | 2020-08-04 | 上海市东方医院（同济大学附属东方医院） | Biliary tract internal drainage tube for preventing duodenal papilla hemorrhage |
| CN113143489A (en) * | 2021-03-09 | 2021-07-23 | 武汉开阖同立医疗科技有限公司 | A sacculus pipe that is arranged in laparoscopic surgery gallbladder bag decompression and pulls |
| CN113908409A (en) * | 2021-08-31 | 2022-01-11 | 山东大学第二医院 | Sacculus sheath pipe is exploreed to common bile duct |
| CN114533301A (en) * | 2022-02-18 | 2022-05-27 | 胡海 | Liner-protecting sleeve and using method thereof |
Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH0910219A (en) * | 1995-06-30 | 1997-01-14 | Nippon Zeon Co Ltd | Balloon catheter for endoscopic hemostasis |
| WO1999000156A1 (en) * | 1997-06-30 | 1999-01-07 | Handelsbolaget B & B Läkartjänst | Device to facilitate the removal of bile duct stones |
| US6440061B1 (en) * | 2000-03-24 | 2002-08-27 | Donald E. Wenner | Laparoscopic instrument system for real-time biliary exploration and stone removal |
| CN102348478A (en) * | 2009-02-13 | 2012-02-08 | 内测公司 | Endoscopic forceps with removable handle |
| CN203677140U (en) * | 2013-11-29 | 2014-07-02 | 苏州大学附属第一医院 | Puncture cannula for thoracoscope |
| CN204932395U (en) * | 2015-09-11 | 2016-01-06 | 董济民 | A kind of antiseepage leaky pleural/abdominal cavity drainage tube |
| CN205360220U (en) * | 2015-12-23 | 2016-07-06 | 丁贤 | Hydropneumothorax associated drainage catheter suitable for multiple human body |
| CN107485776A (en) * | 2017-09-05 | 2017-12-19 | 张镇鹏 | It is a kind of can both ends sealing abdominal thermal infusion drainage tube |
| CN209074777U (en) * | 2018-07-27 | 2019-07-09 | 上海市东方医院 | Exploration of common bile duct sheath with sacculus |
-
2018
- 2018-07-27 CN CN201810838618.3A patent/CN109009324B/en active Active
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH0910219A (en) * | 1995-06-30 | 1997-01-14 | Nippon Zeon Co Ltd | Balloon catheter for endoscopic hemostasis |
| WO1999000156A1 (en) * | 1997-06-30 | 1999-01-07 | Handelsbolaget B & B Läkartjänst | Device to facilitate the removal of bile duct stones |
| US6440061B1 (en) * | 2000-03-24 | 2002-08-27 | Donald E. Wenner | Laparoscopic instrument system for real-time biliary exploration and stone removal |
| CN102348478A (en) * | 2009-02-13 | 2012-02-08 | 内测公司 | Endoscopic forceps with removable handle |
| CN203677140U (en) * | 2013-11-29 | 2014-07-02 | 苏州大学附属第一医院 | Puncture cannula for thoracoscope |
| CN204932395U (en) * | 2015-09-11 | 2016-01-06 | 董济民 | A kind of antiseepage leaky pleural/abdominal cavity drainage tube |
| CN205360220U (en) * | 2015-12-23 | 2016-07-06 | 丁贤 | Hydropneumothorax associated drainage catheter suitable for multiple human body |
| CN107485776A (en) * | 2017-09-05 | 2017-12-19 | 张镇鹏 | It is a kind of can both ends sealing abdominal thermal infusion drainage tube |
| CN209074777U (en) * | 2018-07-27 | 2019-07-09 | 上海市东方医院 | Exploration of common bile duct sheath with sacculus |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111481807A (en) * | 2020-05-19 | 2020-08-04 | 上海市东方医院（同济大学附属东方医院） | Biliary tract internal drainage tube for preventing duodenal papilla hemorrhage |
| CN113143489A (en) * | 2021-03-09 | 2021-07-23 | 武汉开阖同立医疗科技有限公司 | A sacculus pipe that is arranged in laparoscopic surgery gallbladder bag decompression and pulls |
| CN113908409A (en) * | 2021-08-31 | 2022-01-11 | 山东大学第二医院 | Sacculus sheath pipe is exploreed to common bile duct |
| CN114533301A (en) * | 2022-02-18 | 2022-05-27 | 胡海 | Liner-protecting sleeve and using method thereof |
Also Published As
| Publication number | Publication date |
|---|---|
| CN109009324B (en) | 2024-07-16 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN109091176B (en) | Biliary tract endoscope sheath tube for protecting gall bladder and taking stone/polyp | |
| CN109009324A (en) | Exploration of common bile duct sheath with sacculus | |
| EP0225921A1 (en) | Variable diameter catheter | |
| JPH01502800A (en) | Catheter device with two balloons for diagnostic and surgical purposes | |
| CN107376100A (en) | Infant anus rectum supporting drainage pipe | |
| CN209074777U (en) | Exploration of common bile duct sheath with sacculus | |
| CN109124700B (en) | Common bile duct exploration sheath | |
| CN108852464B (en) | Common bile duct exploration sheath with circular balloon | |
| CN108888851B (en) | Balloon sheath tube for common bile duct exploration | |
| CN204840448U (en) | Prevent blockking up bladder clot clearing device | |
| CN209074710U (en) | It protects gallbladder and takes stone/polyp choledochoscope protection sheath | |
| CN110840504A (en) | A ureteral occlusion device with a balloon | |
| CN106166320A (en) | A kind of end soft and slender gradient decompression air bag kidney fistulation drainage catheter | |
| CN209074712U (en) | Exploration of common bile duct sheath | |
| CN209074776U (en) | Exploration of common bile duct sheath with annular balloon | |
| CN205339820U (en) | Catheter of jam is just prevented to leak protection urine | |
| CN209075814U (en) | Exploration of common bile duct sacculus sheath | |
| CN209933812U (en) | One-way pressure valve device | |
| CN209074711U (en) | It protects gallbladder and takes stone/polyp choledochoscope sheath | |
| CN109091175A (en) | It protects gallbladder and takes stone/polyp choledochoscope protection sheath | |
| CN218128641U (en) | Anal tube for compression hemostasis after anal operation | |
| CN105997181B (en) | A kind of Dual cavity sac duct | |
| CN216934414U (en) | Abdominal wall fixed type air bag drainage tube | |
| CN113456172B (en) | Inflatable near-end thrombus taking catheter | |
| CN212234549U (en) | A new type of postoperative hemostasis anal canal |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |