CN109303614A - Medical mullerianosis art director - Google Patents
Medical mullerianosis art director Download PDFInfo
- Publication number
- CN109303614A CN109303614A CN201710633025.9A CN201710633025A CN109303614A CN 109303614 A CN109303614 A CN 109303614A CN 201710633025 A CN201710633025 A CN 201710633025A CN 109303614 A CN109303614 A CN 109303614A
- Authority
- CN
- China
- Prior art keywords
- insertion piece
- mullerianosis
- medical
- length adjustment
- adjustment bar
- 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
- 238000003780 insertion Methods 0.000 claims abstract description 88
- 230000037431 insertion Effects 0.000 claims abstract description 88
- 230000003902 lesion Effects 0.000 claims abstract description 34
- 210000001072 colon Anatomy 0.000 claims abstract description 10
- 238000002347 injection Methods 0.000 claims abstract description 9
- 239000007924 injection Substances 0.000 claims abstract description 9
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 9
- 210000000436 anus Anatomy 0.000 claims description 10
- 238000009966 trimming Methods 0.000 claims description 10
- 201000009273 Endometriosis Diseases 0.000 claims description 5
- 230000004323 axial length Effects 0.000 claims description 3
- 238000007789 sealing Methods 0.000 claims 1
- 230000000968 intestinal effect Effects 0.000 abstract description 9
- 238000002357 laparoscopic surgery Methods 0.000 abstract description 5
- 238000004393 prognosis Methods 0.000 abstract description 4
- 238000001356 surgical procedure Methods 0.000 abstract description 4
- 238000010586 diagram Methods 0.000 description 6
- 208000032843 Hemorrhage Diseases 0.000 description 4
- 230000008901 benefit Effects 0.000 description 4
- 208000034158 bleeding Diseases 0.000 description 4
- 230000000740 bleeding effect Effects 0.000 description 4
- 208000019751 Anorectal disease Diseases 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 210000001650 focal adhesion Anatomy 0.000 description 3
- 125000004122 cyclic group Chemical group 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 210000000936 intestine Anatomy 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 210000000664 rectum Anatomy 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000000919 ceramic Substances 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 210000004696 endometrium Anatomy 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
Abstract
The invention discloses a kind of medical mullerianosis art directors comprising: its front end has the insertion piece of curved portion；It is mounted on the length adjustment bar of insertion piece rear end；Wherein, the length of its relatively described insertion piece is adjusted in the length adjustment bar, to adjust the insertion depth of the insertion piece, makes lesion described in the preceding end in contact of the curved portion and indicates the position of lesion；Wherein, the insertion piece venthole and adjusting rod venthole being connected are respectively set with the center of the length adjustment bar for the insertion piece, to form gas-permeable channels, for judging the integrality of colon by the gas injection into gas-permeable channels and/or water filling after cutting off the lesion.Director of the invention, structure is simple, easy to use, DIE lesions position is accurately indicated in art, facilitates surgical procedure, reduces intestinal canal damage in art, improve patient's prognosis situation, can play a significant role in the laparoscopic surgery of DIE, and have a extensive future in related fields.
Description
Technical field
The present invention relates to the field of medical instrument technology more particularly to a kind of medical mullerianosis art directors.
Background technique
Currently, carry out deeply infiltrating endometriosis (deeply infihrating endometriosis,
That is DIE) laparoscopic surgery when, need first to indicate lesions position, then implement and cut off to affected area using instrument needed for performing the operation
Processing.In general, the cyclic structure that lesion mostly uses ceramics to lift palace cup jacks up fornix vaginae, but the cyclic structure can not accurately determine
Position fornix vaginae, can not also jack up rectum.Therefore, deep infiltrative type mullerianosis is mostly jacked up in art in rectum with finger
Disease lesion is guided as position, but since the length of finger is often insufficient, is caused positioning both insecure or inaccurate, is influenced to perform the operation
Time and effect.
Summary of the invention
The purpose of the present invention is to solve the above-mentioned problems, provides a kind of medical mullerianosis art director, knot
Structure is simple, easy to use, and DIE lesions position is accurately indicated in art, facilitates surgical procedure, reduces intestinal canal damage in art, improves
Patient's prognosis situation can play a significant role in the laparoscopic surgery of DIE, and have a extensive future in related fields.
Above-mentioned purpose to realize the present invention, a kind of medical mullerianosis art director of the invention, for guiding
The lesions position of endometriosis patients comprising: its front end has the insertion piece of curved portion；It is mounted on insertion piece rear end
Length adjustment bar；Wherein, the length of its relatively described insertion piece is adjusted in the length adjustment bar, to adjust the insertion
The insertion depth of part makes lesion described in the preceding end in contact of the curved portion and indicates the position of lesion；Wherein, the insertion piece with
The insertion piece venthole and adjusting rod venthole being connected is respectively set in the center of the length adjustment bar, ventilative logical to be formed
Road, for judging the integrality of colon by the gas injection into gas-permeable channels and/or water filling after cutting off the lesion.
Preferably, the curved portion has the curved surfaces that the axis direction along the insertion piece protrudes outwardly.
Wherein, internal screw thread is arranged in the rear end of the insertion piece, and the outer wall setting of the length adjustment bar is adapted to internal screw thread
External screw thread.
Further, further include be mounted on the length adjustment bar outer wall or front end for preventing the insertion piece and institute
State the gasket of the gap air leak between length adjustment bar.
Further, further includes: the loop bar of the insertion piece rear end is set；Wherein, the outer wall setting of the loop bar is outer
The internal screw thread being adapted to external screw thread is arranged in screw thread, the inner wall of the length adjustment bar.
Alternatively, slot is arranged in the insertion piece rear end, flower compatible with slot is arranged in the outer wall of the length adjustment bar
Key.
Wherein, the insertion piece outer wall setting facilitates insertion into the narrowing portion at anus.
It further, further include the handle convenient for the gripping length adjustment bar for being placed in length adjustment bar end
The handle venthole being connected with the adjusting rod venthole is arranged in hand, center.
It further, further include described for being detachably plugged on the seal cap of the back-end closure of the gas-permeable channels
In the handle venthole of handle.
Wherein, the insertion piece has the trimming piece for being used to finely tune its axial length that can be moved along its axial reciprocating.
Compared with prior art, medical mullerianosis art director of the invention has the advantages that
1, the medical mullerianosis art director of the present embodiment, structure is simple, easy to use, accurately indicates in art
DIE lesions position is conducive to surgical procedure, reduces intestinal canal damage and bleeding risk in art, improves patient's prognosis situation, can be in DIE
Laparoscopic surgery in play a significant role, have a extensive future in related fields.
2, the medical mullerianosis art director of the present embodiment, insertion piece front end are curved portion, are inserted convenient for per anum
Enter colon interior, and reduce the damage to intestinal tube and other internal organs, reduces bleeding risk.
3, narrowing portion, the diameter of narrowing portion is arranged on insertion piece in the medical mullerianosis art director of the present embodiment
Less than the maximum gauge of insertion piece, and suitable with the diameter at anus, thus when avoiding insertion piece from being inserted in enteral being performed the operation,
Cause anus congested since operating time is long, it is serious to anal lesions.
4, the medical mullerianosis art director of the present embodiment has length adjustment bar, passes through length adjustment bar tune
The insertion depth of insertion piece is saved, so that the front end of curved portion can guide lesions position with focal contact and accurately, is conducive to perform the operation suitable
Benefit carries out.
5, the medical mullerianosis art director of the present embodiment has gas-permeable channels, thus after removal of lesions, it can
The integrality of colon is judged by the gas injection into gas-permeable channels and/or water filling, grasps surgical effect in time, is reduced bad anti-
It answers.
The embodiment of the present invention is described in detail with reference to the accompanying drawing.
Detailed description of the invention
Fig. 1 is the first structural schematic diagram of the medical mullerianosis art director of the present invention；
Fig. 2 is second of structural schematic diagram of the medical mullerianosis art director of the present invention；
Fig. 3 is the third structural schematic diagram of the medical mullerianosis art director of the present invention；
Fig. 4 is the 4th kind of structural schematic diagram of the medical mullerianosis art director of the present invention；
Fig. 5 is the 5th kind of structural schematic diagram of the medical mullerianosis art director of the present invention.
Specific embodiment
As Figure 1-Figure 5, the structure of the medical mullerianosis art director of five embodiments respectively of the invention
Schematic diagram, as seen from the figure, the medical mullerianosis art director of various embodiments of the present invention include: that its front end has curved portion
Insertion piece 1；It is mounted on the length adjustment bar 3 of 1 rear end of insertion piece；Wherein, it is adjusted with respect to insertion piece 1 in length adjustment bar 3
Length make the preceding end in contact lesion of curved portion to adjust the insertion depth of insertion piece 1 and indicate the position of lesion；Wherein,
The insertion piece venthole 6 and adjusting rod venthole 4 being connected are respectively set with the center of length adjustment bar 3 for insertion piece 1, so as to shape
At gas-permeable channels, for judging the integrality of colon by the gas injection into gas-permeable channels and/or water filling after removal of lesions.
Medical mullerianosis art director of the invention, insertion piece are used for via with deep infiltrative type endometrium
It plants at the anus of Endometriosis patient into the intestinal tube of patient, and indicates the position of lesion, accurately to refer to lesions position
After drawing, resection operation is implemented to lesion by surgical instrument such as ultrasound knife etc..
Specifically, it is in the long cylinder bodily form that insertion piece 1 of the present invention is whole, being used to plant the front end in intestinal tube is arc
Portion, curved portion have the curved surfaces that the axis direction along insertion piece 1 protrudes forward.Preferably, curved surfaces use taper
Surface or ellipsoidal surface.
In order to when insertion piece is inserted in patient's enteral and performs the operation, avoid causing anus to fill since operating time is long
Blood, serious to anal lesions, the present invention is provided with narrowing portion 2 on the insert 1, as Figure 1-Figure 5, at 2 minimum of narrowing portion
Outer diameter be less than insertion piece 1 maximum outside diameter.Preferably, when design, the outer diameter of narrowing portion 2 be can be selected and the diameter phase at anus
When diameter, and the smallest part of 2 diameter of narrowing portion should extend certain length along the axial direction of insertion piece 1, so as to
When operation, adjustment 1 front end of insertion piece plant to the position in intestinal tube so as to after focal contact, at the minimum outer diameter of narrowing portion 2
It can be located at the anus of patient.
Wherein, for the ease of the depth that insertion piece 1 is planted to patient's enteral is adjusted, the present invention is in insertion piece 1
Rear end is installed by one length adjustment bar 3, the length of its adjustable opposite insertion piece 1 of length adjustment bar 3, to make insertion piece 1
The preceding end in contact lesion of curved portion and the position for indicating lesion.
Wherein, as shown in Figure 1, Figure 2, Figure 4 shows, internal screw thread can be arranged in the rear end of insertion piece 1 in the present invention, in length adjustment
The external screw thread being adapted to internal screw thread is arranged in the outer wall of bar 3, so that the depth in insertion piece 1 is spun on by adjustment length adjusting rod 3,
Achieve the purpose that adjust the depth of the plant of insertion piece 1 in the intestine.
And in order to prevent, gas leak phenomenon occurs for existing gap between insertion piece 1 and length adjustment bar 3, and the present invention can be with
One gasket 7 (as shown in Figure 2) is installed in the front end of length adjustment bar 3, alternatively, on the outer wall of 3 front of length adjustment bar
It is arranged a gasket (not shown).
Alternatively, in order to adjust the insertion depth of insertion piece 1 according to lesions position, the present invention can also be using such as Fig. 3, Fig. 5
Shown in structure, a piece loop bar 9 is set in 1 rear end of insertion piece, external screw thread is arranged in the outer wall of loop bar 9, and length adjustment bar 3 is interior
The internal screw thread that be adapted to external screw thread is arranged in wall, by length adjustment bar 3 is spun on loop bar 9 it is outer and adjusting the two connect after overall length
Degree.
Alternatively, slot can also be arranged in the rear end of insertion piece 1 in the present invention, it is arranged and inserts in the outer wall of length adjustment bar 3
The compatible spline (not shown) of slot, the spline of length adjustment bar 3 are plugged in the slot of insertion piece 1, are grown by adjusting
Degree adjusting rod 3 is plugged on the depth of insertion piece 1, the total length of insertion piece 1 is adjusted, to adjust the insertion depth of insertion piece 1.It is excellent
Choosing, gasket can be equally arranged on the front outer wall of length adjustment bar 3, or fix a gasket in its front end.
And in order to after removal of lesions, can director through the invention examined to the gas injection of patient's enteral and/or water filling
The integrality of patient's colon is surveyed, also insertion piece venthole 6 is respectively set at the center of insertion piece 1 and length adjustment bar 3 in the present invention
With adjusting rod venthole 4 (as Figure 1-Figure 5), it is connected with will pass through insertion piece venthole 6 with the formation of adjusting rod venthole 4
Gas-permeable channels, by gas-permeable channels to the gas injection of patient's enteral and/or water filling.
It is also possible to hold the handle 5 of length adjustment bar 3, handle in the placement of 3 end of length adjustment bar
5 can be linked together by detachable or non-removable mode with length adjustment bar 3.And for the ease of gas injection, water filling,
The handle venthole being connected with the adjusting rod venthole 4 of length adjustment bar 3 is arranged in the center of handle 5, so as to gas-permeable channels
It is connected.And be to prevent the gas leak in gas-permeable channels when doing colon integrity test, the present invention can also be in handle
One is planted in handle venthole for by the seal cap 10 of the back-end closure of gas-permeable channels, seal cap 10 can be using elastic material
Material is made, and such as rubber cap, and rubber cap can be linked together by connector and handle, such as connecting rope, can prevent from pulling up
The generation of loss situation when rubber cap.
And due in use, insertion piece 1 of the invention is the enteral for being plugged on patient, to prevent from planting insertion in the intestine
The problem of part 1 is due to length and precise contact lesion or lesion can not be jacked up, insertion piece 1 of the invention can also be using such as Fig. 5
Shown in structure, that is, insertion piece 1 have can be moved along its axial reciprocating for finely tuning the trimming piece 11 of its axial length.
Specifically, insertion piece 1 includes the ontology that its front end has cylindrical circular sleeve part, one is disposed in sleeve part
Can the trimming piece 11 that moves back and forth in the axial direction of opposing body, trimming piece 11 is in bullet-headed.Trimming piece 11 can be with ontology
It is slidably connected, slot such as is set in the sleeve part of ontology, compatible with slot slotting key is set in 11 outer wall of trimming piece, it can also be with
It is threadedly coupled with ontology, or uses other connection types.And in order to move axially trimming piece 11 along ontology, in trimming piece
A pull rod 12 is installed in 11 rear end, which is threaded through above-mentioned gas-permeable channels so that in handle air hole, and pull rod 12
Rear end stretch out in handle 5, and dispose a pulling handle 13 in the end of pull rod 12.By pressing or rotating pulling handle
13, drive trimming piece 11 to move axially along ontology, to adjust the length of 1 front end of insertion piece.When design, to make pull rod 12 will not
The excessive space for occupying gas-permeable channels, although pull rod 12 of the invention should have very by force using diameter in the prior art is smaller
Rigidity material be made.
In conclusion compared with prior art, medical mullerianosis art director of the invention has the advantages that
1, the medical mullerianosis art director of the present embodiment, structure is simple, easy to use, accurately indicates in art
DIE lesions position is conducive to surgical procedure, reduces intestinal canal damage and bleeding risk in art, improves patient's prognosis situation, can be in DIE
Laparoscopic surgery in play a significant role, have a extensive future in related fields.
2, the medical mullerianosis art director of the present embodiment, insertion piece front end are curved portion, are inserted convenient for per anum
Enter colon interior, and reduce the damage to intestinal tube and other internal organs, reduces bleeding risk.
3, narrowing portion, the diameter of narrowing portion is arranged on insertion piece in the medical mullerianosis art director of the present embodiment
Less than the maximum gauge of insertion piece, and suitable with the diameter at anus, thus when avoiding insertion piece from being inserted in enteral being performed the operation,
Cause anus congested since operating time is long, it is serious to anal lesions.
4, the medical mullerianosis art director of the present embodiment has length adjustment bar, passes through length adjustment bar tune
The insertion depth of insertion piece is saved, so that the front end of curved portion can guide lesions position with focal contact and accurately, is conducive to perform the operation suitable
Benefit carries out.
5, the medical mullerianosis art director of the present embodiment has gas-permeable channels, thus after removal of lesions, it can
The integrality of colon is judged by the gas injection into gas-permeable channels and/or water filling, grasps surgical effect in time, is reduced bad anti-
It answers.
Although being explained in detail above to the embodiment of the present invention, the embodiment of the present invention is without being limited thereto, the art
Technical staff can be modified with principle according to the present invention, therefore, the various modifications that all principles according to the invention carry out
It all should be understood as falling into protection scope of the present invention.
Claims (10)
1. a kind of medical mullerianosis art director, special for guiding the lesions position of endometriosis patients
Sign is, comprising:
Its front end has the insertion piece of curved portion；
It is mounted on the length adjustment bar of insertion piece rear end；
Wherein, the length of its relatively described insertion piece is adjusted in the length adjustment bar, to adjust the plant of the insertion piece
Depth makes lesion described in the preceding end in contact of the curved portion and indicates the position of lesion；
Wherein, the insertion piece venthole and adjusting rod being connected are respectively set with the center of the length adjustment bar for the insertion piece
Venthole, to form gas-permeable channels, for after cutting off the lesion, by the gas injection into gas-permeable channels and/or and water filling
Judge the integrality of colon.
2. medical mullerianosis art director according to claim 1, which is characterized in that the curved portion has edge
The curved surfaces that the axis direction of the insertion piece protrudes outwardly.
3. medical mullerianosis art director according to claim 1, which is characterized in that the rear end of the insertion piece
Internal screw thread is set, and the external screw thread being adapted to internal screw thread is arranged in the outer wall of the length adjustment bar.
4. medical mullerianosis art director according to claim 3, which is characterized in that further include be mounted on it is described
The sealing for being used to prevent the gap air leak between the insertion piece and the length adjustment bar of length adjustment bar outer wall or front end
Pad.
5. medical mullerianosis art director according to claim 1, which is characterized in that further include:
The loop bar of the insertion piece rear end is set；
Wherein, external screw thread is arranged in the outer wall of the loop bar, and the interior spiral shell being adapted to external screw thread is arranged in the inner wall of the length adjustment bar
Line.
6. medical mullerianosis art director according to claim 1, which is characterized in that the insertion piece rear end is set
Slot is set, spline compatible with slot is arranged in the outer wall of the length adjustment bar.
7. medical mullerianosis art director according to claim 1-6, which is characterized in that the insertion
The setting of part outer wall facilitates insertion into the narrowing portion at anus.
8. medical mullerianosis art director according to claim 7, which is characterized in that further include be placed in it is described
The handle convenient for the gripping length adjustment bar of length adjustment bar end, center setting are connected with the adjusting rod venthole
Logical handle venthole.
9. medical mullerianosis art director according to claim 8, which is characterized in that further include for will be described
The seal cap of the back-end closure of gas-permeable channels is detachably plugged in the handle venthole of the handle.
10. medical mullerianosis art director according to claim 9, which is characterized in that the insertion piece has
What can be moved along its axial reciprocating is used to finely tune the trimming piece of its axial length.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710633025.9A CN109303614B (en) | 2017-07-28 | 2017-07-28 | Medical endometriosis guiding device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710633025.9A CN109303614B (en) | 2017-07-28 | 2017-07-28 | Medical endometriosis guiding device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109303614A true CN109303614A (en) | 2019-02-05 |
| CN109303614B CN109303614B (en) | 2024-01-23 |
Family
ID=65205192
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710633025.9A Active CN109303614B (en) | 2017-07-28 | 2017-07-28 | Medical endometriosis guiding device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109303614B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2783329C1 (en) * | 2022-02-09 | 2022-11-11 | Государственное бюджетное учреждение здравоохранения Московской области "Московский областной научно-исследовательский институт акушерства и гинекологии" Министерства здравоохранения Московской области (ГБУЗ МО МОНИИАГ) | Method for the treatment of colorectal endometriosis |
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Cited By (1)
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| RU2783329C1 (en) * | 2022-02-09 | 2022-11-11 | Государственное бюджетное учреждение здравоохранения Московской области "Московский областной научно-исследовательский институт акушерства и гинекологии" Министерства здравоохранения Московской области (ГБУЗ МО МОНИИАГ) | Method for the treatment of colorectal endometriosis |
Also Published As
| Publication number | Publication date |
|---|---|
| CN109303614B (en) | 2024-01-23 |
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