CN109925124A - The postoperative Lymphatic Fistulas brace of thyroid cancer - Google Patents

The postoperative Lymphatic Fistulas brace of thyroid cancer Download PDF

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Publication number
CN109925124A
CN109925124A CN201910301103.4A CN201910301103A CN109925124A CN 109925124 A CN109925124 A CN 109925124A CN 201910301103 A CN201910301103 A CN 201910301103A CN 109925124 A CN109925124 A CN 109925124A
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China
Prior art keywords
bandage
strap
fistulas
shoulder strap
lymphatic fistulas
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CN201910301103.4A
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Chinese (zh)
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CN109925124B (en
Inventor
王维斌
董良博
赵邦博
邵仟仟
曹洪滔
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Abstract

The present invention discloses a kind of postoperative Lymphatic Fistulas brace of thyroid cancer, including Lymphatic Fistulas pressure support and wearable fixed bandage;Lymphatic Fistulas pressure support includes soft outer layer and rigid core, rigid core is arranged inside soft outer layer and is fixedly connected with soft outer layer, the shape of soft outer layer entirety is the Three-dimensional triangle type structure that pressure support side and pressure backing face junction radian meet human body supraclavicular fossa, and soft outer layer is additionally provided with anti-skid structure;Wearable fixed bandage includes shoulder strap, chest strap, shoulder strap length adjustment device, chest strap length adjustment device and bandage link position regulating device;Shoulder strap and chest strap all pass through shoulder strap length adjustment device and chest strap length adjustment device respectively, can carry out length adjustment;Chest strap is additionally provided with bandage link position regulating device, and chest strap is connect by bandage link position regulating device with shoulder strap;Lymphatic Fistulas pressure support can be pressed on Lymphatic Fistulas position by shoulder strap.

Description

The postoperative Lymphatic Fistulas brace of thyroid cancer
Technical field
The present invention relates to the field of medical instrument technology, and in particular to the postoperative Lymphatic Fistulas brace of thyroid cancer.
Background technique
Thyroid cancer needs row Radical Thyroidectomy (including neck lateral areas with the patient of neck lateral metastasis The Radical dissection of domain lymph node), because of the anatomical structure of neck complexity, the operation qualification of patient is different, range of operation is larger, leaching The cleaning reasons such as more thoroughly are fawned on, the biggish lymphatic vessel of cervical part of esophagus or ductus thoracicus are damaged sometimes, if finding and locating not in time in art Reason, it is postoperative just to will appear Lymphatic Fistulas.The patient of postoperative Lymphatic Fistulas can extend the hospital stays, and wound easily sends out infection, to patient's Psychology will also result in certain influence.The postoperative principle of reatment for Lymphatic Fistulas predominantly reduces lymph and generates, reinforces drainage, During controlling lymph generation, the most important is the pressure dressing of part (supraclavicular fossa region).Currently, without one Kind facilitates the pressure dressing brace of wearing.All be bandage and crumpled gauze are voluntarily used by clinician to patient supraclavicular fossa into Row pressure dressing.Doctor, which voluntarily wraps up, following problems: 1. local pressure strength cannot control well, and pressure dressing is difficult to reach To the appropriate and balanced intensity of pressure.When conduit lacerated wound is larger, when chyle leakage quantity is more, if pressurization is improper counter to can promote chyle liquid It infiltrates and leaks in the tissue, cause more serious consequence, it is possible to create lymphocyst, or even need to perform the operation for second.2. stretching tight Band poor flexibility, rougher, generates fash and allergy, also there is the phenomenon of skin friction breakage after some patient's Long Term Contacts, influence Quality of life.3. upward slip phenomenon easily occurs in male patient's chest strap when patient's clinostatism, shoulder bandage is caused to loosen, Influence pressure effect.4. existing local pressurizing device is the gauze agglomerate of doctor's self manufacture, for the shape of supraclavicular fossa Different surely complete fitting, and be easy to slip from bandage, cause pressure dressing to loosen, influences therapeutic effect.
Summary of the invention
The purpose of the present invention is to provide a kind of postoperative Lymphatic Fistulas braces of thyroid cancer, wherein pressure support can be cut, and make it Not only it can guarantee pressure but also everyone supraclavicular fossa shape can be suited;Wearable fixed bandage can voluntarily be dressed by patient, be worn Convenient, bandage is elastic adjustable, divides chest fixed fixed with lower limb, can make the stable fixation of different sexes patient.
One aspect of the present invention provides a kind of postoperative Lymphatic Fistulas brace of thyroid cancer, wherein including Lymphatic Fistulas pressure support With wearable fixed bandage;
The Lymphatic Fistulas pressure support includes soft outer layer and rigid core, and the rigid core is arranged in the soft outer layer Inside is simultaneously fixedly connected with the soft outer layer, and the shape of the soft outer layer entirety is that pressure support side and pressure backing face are handed over The place's of connecing radian meets the Three-dimensional triangle type structure of human body supraclavicular fossa, and the soft outer layer is additionally provided with anti-skid structure;
The wearable fixed bandage includes shoulder strap, chest strap, shoulder strap length adjustment device, chest strap Length adjustment device and bandage link position regulating device;The shoulder strap and the chest strap all pass through the shoulder respectively Portion's strap length regulating device and the chest strap length adjustment device, can carry out length adjustment;The chest strap is also set There is bandage link position regulating device, the chest strap passes through the bandage link position regulating device and the shoulder strap Connection;
The Lymphatic Fistulas pressure support can be pressed on Lymphatic Fistulas position by the shoulder strap.
The above-described postoperative Lymphatic Fistulas brace of thyroid cancer, it is preferable that the anti-skid structure is arranged in side surface.
The above-described postoperative Lymphatic Fistulas brace of thyroid cancer, it is preferable that the anti-skid structure is anti-skid bulge.
The above-described postoperative Lymphatic Fistulas brace of thyroid cancer, it is preferable that the soft outer layer material is memory sponge.
The above-described postoperative Lymphatic Fistulas brace of thyroid cancer, it is preferable that further include lower limb bandage, lower limb strap length tune Regulating device, the lower limb bandage pass through the lower limb strap length regulating device, can carry out length adjustment, the lower limb bandage with The chest strap connection.
The above-described postoperative Lymphatic Fistulas brace of thyroid cancer, it is preferable that the bandage link position regulating device includes Shoulder strap interconnecting piece and chest strap interconnecting piece, the chest strap interconnecting piece are at least three.
The above-described postoperative Lymphatic Fistulas brace of thyroid cancer, it is preferable that the shoulder strap interconnecting piece and the chest Bandage interconnecting piece can cooperate and be fixedly connected.
The above-described postoperative Lymphatic Fistulas brace of thyroid cancer, it is preferable that the shoulder strap, the chest strap and institute It states lower limb bandage surface and is equipped with pro-skin tissue layer.
Beneficial effect
The invention discloses a kind of postoperative Lymphatic Fistulas braces of thyroid cancer, including Lymphatic Fistulas pressure support and wearable fixation to tie up Band;Lymphatic Fistulas pressure support includes soft outer layer and rigid core, and rigid core is arranged inside soft outer layer and and soft outer layer It is fixedly connected, guarantees that the comfortable soft outer layer of sense of touch contacts patient, the shape of soft outer layer entirety is side and bottom surface junction Radian meets the Three-dimensional triangle type structure of human body supraclavicular fossa, and corresponding different clavicle nest shapes can also be trimmed suitably, make to press Power support is more bonded clavicle nest, and soft outer layer is additionally provided with anti-skid structure, and wearable fixed bandage carries out making pressure support when pressure dressing It is not easy to deviate from from bandage band, is conducive to the more preferable healing of Lymphatic Fistulas;Wearable fixed bandage includes that shoulder strap, chest are tied up Band, shoulder strap length adjustment device, chest strap length adjustment device and bandage link position regulating device;Shoulder strap is used To fix wrapping Lymphatic Fistulas pressure support;Shoulder strap and chest strap all pass through shoulder strap length adjustment device and chest respectively Strap length regulating device can carry out length adjustment, even if in use since movement has loosening that can also pass through patient It voluntarily adjusts strap length regulating device and adjusts strap length, keep the pressure for wrapping up Lymphatic Fistulas pressure support position suitable;Chest is tied up Band is additionally provided with bandage link position regulating device, and chest strap is connect by bandage link position regulating device with shoulder strap, Bandage link position regulating device, including shoulder strap interconnecting piece and chest strap interconnecting piece, chest strap interconnecting piece are at least Three, it connect shoulder strap at least three positions with chest strap, it can be by adjusting link position, to adjust The direction for wrapping up Lymphatic Fistulas pressure support makes Lymphatic Fistulas be pressurized uniformly, and patient is also relatively comfortable.Parent can be set in all bandage surfaces Skin tissue layer avoids Long Term Contact bandage from leading to skin lesion or allergy.
Detailed description of the invention
Fig. 1 is the front view of the adjustable postoperative Lymphatic Fistulas pressure support of thyroid cancer of the present invention;
Fig. 2 is the rearview of the adjustable postoperative Lymphatic Fistulas pressure support of thyroid cancer of the present invention;
Fig. 3 is the top view of Lymphatic Fistulas pressure support of the present invention;
Fig. 4 is the bottom view of Lymphatic Fistulas pressure support of the present invention;
Fig. 5 is the left view of Lymphatic Fistulas pressure support of the present invention;
Fig. 6 is the right view of Lymphatic Fistulas pressure support of the present invention;
Fig. 7 is the A-A sectional view along Fig. 4 of Lymphatic Fistulas pressure support of the present invention;
Fig. 8 is the schematic diagram of Lymphatic Fistulas pressure support of the present invention;
Fig. 9 is another schematic diagram of Lymphatic Fistulas pressure support of the present invention;
Figure 10 is that a side of Lymphatic Fistulas pressure support of the present invention is equipped with the schematic diagram of anti-skid structure.
Figure 11 is the front view of the wearable fixed bandage of the present invention;
Figure 12 is the left view of the wearable fixed bandage of the present invention;
Figure 13 is the top view of the wearable fixed bandage of the present invention;
Figure 14 is the bottom view of the wearable fixed bandage of the present invention;
Figure 15 is the schematic diagram of the wearable fixed bandage of the present invention;
Figure 16 is the front view of the wearable fixed bandage of the invention with lower limb bandage;
Figure 17 is the left view of the wearable fixed bandage of the invention with lower limb bandage;
Figure 18 is the top view of the wearable fixed bandage of the invention with lower limb bandage;
Figure 19 is the bottom view of the wearable fixed bandage of the invention with lower limb bandage;
Figure 20 is the schematic diagram of the wearable fixed bandage of the invention with lower limb bandage.
Figure 21 is that the postoperative Lymphatic Fistulas brace of thyroid cancer of the present invention dresses situation schematic diagram.
Appended drawing reference is as follows:
Shoulder strap 1, shoulder strap length adjustment device 11, shoulder strap interconnecting piece 12, chest strap 2, chest strap It is interconnecting piece 21, chest strap length adjustment device 22, lower limb bandage 3, lower limb bandage regulating device 31, pressure support side 4, anti-skidding Structure 41, rigid core 5, pressure backing face 6.
Specific embodiment
The following examples are used to illustrate the present invention, but are not intended to limit the scope of the present invention..Unless otherwise specified, embodiment Used in the conventional means that are well known to those skilled in the art of technological means.
Embodiment 1
Referring to a kind of postoperative Lymphatic Fistulas pressure support of adjustable thyroid cancer shown in Fig. 1 to Figure 10, is present embodiments provided, wrap Soft outer layer and rigid core 5 are included, rigid core 5, which is arranged inside the soft outer layer and fixes with the soft outer layer, to be connected It connects, the shape of soft outer layer entirety is that pressure support side 4 and 6 junction radian of pressure backing face meet the vertical of human body supraclavicular fossa Body triangular form structure, soft outer layer are additionally provided with anti-skid structure 41.Specifically, in the present embodiment, anti-skid structure 41 is arranged in side 4 Surface, three pressure support sides 4 are provided with anti-skid structure 41;Again specifically, anti-skid structure 41 is anti-skid bulge, anti-skid bulge For it is multiple, be uniformly arranged on side surface layer, surface have radian semi-cylindrical hill.In wrapping, bandage for dressing, which is tied up, is being pressed Power support side, anti-skid structure 41 can increase the frictional force between bandage and pressure support, and pressure support is avoided to slip from bandage Problem.Soft outer layer material is the comfortable material of tailorable sense of touch, can be the materials such as sponge, foamed cotton, latex, most preferably For memory sponge.Soft outer layer can be cut out fine tuning according to the clavicle nest structure of patient, make the pressure of pressure support fitting clavicle nest Backing face 6 and 4 part of pressure support side are more bonded affected part, are uniformly distributed pressure.Specifically, rigid core 5 is strip or circle Mesa-shaped structure, the hard material for being not easy deformation play the role of maintaining pressure, avoid pressure support that too big influence of crust deformation pressurization occurs Wrap up effect.
In use, pressure support is adjusted according to the size trimming of patient's clavicle nest, presses at Lymphatic Fistulas position, use bandage It is wrapped up around pressure support, until pressure support is stably fixed at Lymphatic Fistulas position.
Embodiment 2
Referring to present embodiments providing shown in Figure 11 to Figure 15, a kind of postoperative Lymphatic Fistulas of wearable thyroid cancer is fixed to be tied up Band, the bandage of the present embodiment are more suitable for women use, wherein including shoulder strap 1, chest strap 2, shoulder strap length adjustment Device 11, chest strap length adjustment device 22 and bandage link position regulating device.Shoulder strap 1 and chest strap 2 are distinguished Shoulder strap length adjustment device 11 and chest strap length adjustment device 22 are all passed through, length adjustment can be carried out.Specifically, shoulder Portion's strap length regulating device 11, chest strap length adjustment device 22 can be the knapsacks such as tri-glide, stair buttoon often with length tune Section button is identical with backpack strip adjustment length principle.By adjusting strap length adjustment to the pressure at Lymphatic Fistulas position.Chest strap 2 are additionally provided with bandage link position regulating device, and chest strap 2 is connect by bandage link position regulating device with shoulder strap 1. The bandage link position regulating device of the present embodiment includes shoulder strap interconnecting piece 12 and chest strap interconnecting piece 21, chest strap Interconnecting piece 21 is at least three, and particular number can adjust according to the actual situation, connect shoulder strap 1 and chest strap 2 When position can neatly left and right adjusting.Specifically, one of embodiment, shoulder strap interconnecting piece 12 can be mountain-climbing Button, chest strap interconnecting piece 21 can be the retaining ring that Fastener for climbing mountain can be made to be clamped.Another embodiment, shoulder strap interconnecting piece 12 It can be one end of eye-splice, chest strap interconnecting piece 21 can be the other end of eye-splice, and when use corresponds to eye-splice and is plugged in together. No matter which kind of connection type, shoulder strap interconnecting piece 12 and chest strap interconnecting piece 21 can all cooperate solid in selected position Fixed connection, the direction that can adjust the pressure of wrapping Lymphatic Fistulas by adjusting its link position, keeps bandage more steady in suitable position Admittedly fixed Lymphatic Fistulas pressure support.Preferably, in the present embodiment, shoulder strap 1 and 2 surface of chest strap are equipped with pro-skin fabric Layer (not shown), pro-skin tissue layer includes but is not limited to the materials fabric such as blended polyester-cotton blend, bamboo fibre, viscose rayon, can be kept away Exempt from bandage because rough surface, patient need to generate after long periods of wear the phenomenon of fash and allergy, even skin friction breakage again.
In use, chest strap 2 is first centered around breast lower part, chest strap length adjustment device 22 is adjusted, chest is made The length of bandage 2 is suitble to patient's bust, then dresses healthy side shoulder strap 1, finally dresses Ipsilateral shoulder strap 1, adjusts shoulder Strap length regulating device 11, pressure condition needed for making the length of Ipsilateral shoulder strap 1 be suitble to patient's Lymphatic Fistulas, reselection are suitable Chest strap interconnecting piece 21, shoulder strap interconnecting piece 12 is fixedly connected with selected chest strap interconnecting piece 21, makes shoulder The direction that bandage 1 presses is suitable, it can make Ipsilateral shoulder strap 1 steadily, intensity suitably presses in Lymphatic Fistulas pressure support Or on the gauze of closure Lymphatic Fistulas.
Embodiment 3
Referring to shown in Figure 16 to Figure 20, the postoperative Lymphatic Fistulas of the wearable thyroid cancer of the present embodiment fixes bandage, further includes Lower limb bandage 3, lower limb strap length regulating device 31, lower limb bandage 3 pass through lower limb strap length regulating device 31, can be grown Degree is adjusted, and lower limb bandage 3 is connect with chest strap 2.The other parts of the present embodiment are identical as the scheme in embodiment 1, again It repeats no more.
In use, two legs are first respectively penetrated the outside of lower limb bandage 3, lower limb bandage 3 is made to be stuck in femoribus internus, then by chest Bandage 2 is centered around breast lower part, adjusts chest strap length adjustment device 22, and the length of chest strap 2 is made to be suitble to patient's bust, Healthy side shoulder strap 1 is dressed again, finally dresses Ipsilateral shoulder strap 1, is adjusted shoulder strap length adjustment device 11, is made Ipsilateral Pressure condition needed for the length of shoulder strap 1 is suitble to patient's Lymphatic Fistulas, the suitable chest strap interconnecting piece 21 of reselection, by shoulder Bandage interconnecting piece 12 is fixedly connected with selected chest strap interconnecting piece 21, and the direction for making shoulder strap 1 press is suitable, it can Make Ipsilateral shoulder strap 1 steadily, intensity suitably press Lymphatic Fistulas pressure support or block Lymphatic Fistulas gauze on.
Embodiment 4
The present embodiment provides a kind of postoperative Lymphatic Fistulas braces of thyroid cancer, including above embodiments 1 to the lymph of embodiment 3 Pressure support and wearable fixed bandage are leaked, structure is identical as described in above embodiments, is not repeating herein.
Ms's bandage (as shown in figure 21) is adjusted in use, first trimming Lymphatic Fistulas pressure support according to the size of patient's clavicle nest It is whole good, chest strap 2 is then centered around breast lower part, chest strap length adjustment device 22 is adjusted, makes the length of chest strap 2 It spends and is suitble to patient's bust, then dress healthy side shoulder strap 1, then the pressure support trimmed is pressed at Lymphatic Fistulas position, later Ipsilateral shoulder strap 1 is dressed, shoulder strap 1 is made to be pressed in the pressure support side 4 of Lymphatic Fistulas pressure support, adjusts shoulder strap length tune Regulating device 11, pressure condition needed for making the length of Ipsilateral shoulder strap 1 be suitble to patient's Lymphatic Fistulas, the suitable chest strap of reselection Shoulder strap interconnecting piece 12 is fixedly connected with selected chest strap interconnecting piece 21, makes shoulder strap 1 to lymph by interconnecting piece 21 The direction for leaking pressure support pressure is suitable, it can make Ipsilateral shoulder strap 1 steadily, intensity suitably presses in Lymphatic Fistulas pressure In support, and Lymphatic Fistulas pressure support is not easily shifted or deviates from.
Man is in use, equally first adjust Lymphatic Fistulas pressure support according to the size trimming of patient's clavicle nest, then by two Leg respectively penetrates 3 outside of lower limb bandage, so that lower limb bandage 3 is stuck in femoribus internus, then chest strap 2 is centered around breast lower part, Chest strap length adjustment device 22 is adjusted, so that the length of chest strap 2 is suitble to patient's bust, then dress healthy side shoulder strap 1, then the pressure support trimmed pressing is dressed into Ipsilateral shoulder strap 1 at Lymphatic Fistulas position later, adjust shoulder strap length tune Regulating device 11, pressure condition needed for making the length of Ipsilateral shoulder strap 1 be suitble to patient's Lymphatic Fistulas, the suitable chest strap of reselection Shoulder strap interconnecting piece 12 is fixedly connected by interconnecting piece 21 with selected chest strap interconnecting piece 21, and shoulder strap 1 is made to press Direction is suitable, it can make Ipsilateral shoulder strap 1 steadily, intensity suitably presses in Lymphatic Fistulas pressure support.
Although above the present invention is described in detail with a general description of the specific embodiments, On the basis of the present invention, it can be made some modifications or improvements, this will be apparent to those skilled in the art.Cause This, these modifications or improvements, fall within the scope of the claimed invention without departing from theon the basis of the spirit of the present invention.

Claims (8)

1. a kind of postoperative Lymphatic Fistulas brace of thyroid cancer, which is characterized in that including Lymphatic Fistulas pressure support and wearable fixed bandage;
The Lymphatic Fistulas pressure support includes soft outer layer and rigid core, and the rigid core is arranged inside the soft outer layer And be fixedly connected with the soft outer layer, the shape of the soft outer layer entirety is pressure support side and pressure backing face junction Radian meets the Three-dimensional triangle type structure of human body supraclavicular fossa, and the soft outer layer is additionally provided with anti-skid structure;
The wearable fixed bandage includes shoulder strap, chest strap, shoulder strap length adjustment device, chest strap length Regulating device and bandage link position regulating device;The shoulder strap and the chest strap all pass through the shoulder respectively and tie up Strip length regulating device and the chest strap length adjustment device, can carry out length adjustment;The chest strap, which is additionally provided with, to be tied up Band connection apparatus for adjusting position, the chest strap are connected by the bandage link position regulating device and the shoulder strap It connects;
The Lymphatic Fistulas pressure support can be pressed on Lymphatic Fistulas position by the shoulder strap.
2. the postoperative Lymphatic Fistulas brace of thyroid cancer as described in claim 1, which is characterized in that the anti-skid structure is arranged in side Face surface.
3. the postoperative Lymphatic Fistulas brace of thyroid cancer as claimed in claim 2, which is characterized in that the anti-skid structure is anti-skidding convex It rises.
4. the postoperative Lymphatic Fistulas brace of thyroid cancer as described in claim 1, which is characterized in that the soft outer layer material is note Recall cotton.
5. the postoperative Lymphatic Fistulas brace of thyroid cancer as described in claim 1, which is characterized in that further include lower limb bandage, lower limb Strap length regulating device, the lower limb bandage passes through the lower limb strap length regulating device, can carry out length adjustment, described Lower limb bandage is connect with the chest strap.
6. the postoperative Lymphatic Fistulas brace of thyroid cancer as described in claim 1, which is characterized in that the bandage link position is adjusted Device includes shoulder strap interconnecting piece and chest strap interconnecting piece, and the chest strap interconnecting piece is at least three.
7. the postoperative Lymphatic Fistulas brace of thyroid cancer as described in claim 1, which is characterized in that the shoulder strap interconnecting piece and The chest strap interconnecting piece, which can cooperate, to be fixedly connected.
8. the postoperative Lymphatic Fistulas brace of thyroid cancer as claimed in claim 5, which is characterized in that the shoulder strap, the chest Portion's bandage and lower limb bandage surface are equipped with pro-skin tissue layer.
CN201910301103.4A 2019-04-15 2019-04-15 Thyroid cancer postoperative lymph leakage support Active CN109925124B (en)

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CN109091197A (en) * 2018-10-15 2018-12-28 南通市第人民医院 A kind of compression cord and preparation method thereof

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