CN110251297A - Exempt to go back fistula small intestine Fistulation apparatus - Google Patents
Exempt to go back fistula small intestine Fistulation apparatus Download PDFInfo
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- CN110251297A CN110251297A CN201910620519.2A CN201910620519A CN110251297A CN 110251297 A CN110251297 A CN 110251297A CN 201910620519 A CN201910620519 A CN 201910620519A CN 110251297 A CN110251297 A CN 110251297A
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- small intestine
- tube
- distal end
- support tube
- fluid hose
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- 210000000813 small intestine Anatomy 0.000 title claims abstract description 101
- 206010016717 Fistula Diseases 0.000 title claims abstract description 25
- 230000003890 fistula Effects 0.000 title claims abstract description 25
- 239000012530 fluid Substances 0.000 claims abstract description 52
- 230000000968 intestinal effect Effects 0.000 claims abstract description 21
- 230000009975 flexible effect Effects 0.000 claims abstract description 11
- 239000007779 soft material Substances 0.000 claims abstract description 5
- 230000000694 effects Effects 0.000 claims description 6
- 210000003736 gastrointestinal content Anatomy 0.000 claims description 6
- 210000002784 stomach Anatomy 0.000 claims description 5
- 239000002775 capsule Substances 0.000 claims description 3
- 230000003187 abdominal effect Effects 0.000 abstract description 9
- 230000000638 stimulation Effects 0.000 abstract description 6
- 201000004624 Dermatitis Diseases 0.000 abstract description 2
- 210000000664 rectum Anatomy 0.000 description 11
- 238000010586 diagram Methods 0.000 description 8
- 230000035876 healing Effects 0.000 description 5
- 210000000936 intestine Anatomy 0.000 description 4
- 238000002271 resection Methods 0.000 description 3
- 206010050456 Anastomotic leak Diseases 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 201000001275 rectum cancer Diseases 0.000 description 2
- 238000007789 sealing Methods 0.000 description 2
- 208000015634 Rectal Neoplasms Diseases 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 210000000436 anus Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000003628 erosive effect Effects 0.000 description 1
- 230000002550 fecal effect Effects 0.000 description 1
- 235000011389 fruit/vegetable juice Nutrition 0.000 description 1
- 230000008676 import Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000003672 processing method Methods 0.000 description 1
- 238000011470 radical surgery Methods 0.000 description 1
- 206010038038 rectal cancer Diseases 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
- A61F5/445—Colostomy, ileostomy or urethrostomy devices
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- Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
One kind exempting to go back fistula small intestine Fistulation apparatus, solve it is of the existing technology need to carry out secondary enteric fistula mouth and also receive operation, increase patient body and spiritual pain, medical expense is high, and intestinal fluid is easy to stimulate skin, causes the problem of aggressivity dermatitis.Threeway fluid hose including soft materials, it is characterised in that: threeway fluid hose is made of proximal small bowel support tube and small intestine distal end support tube, and the position that proximal small bowel support tube is connected with small intestine distal end support tube is provided with outer shunt tube；It is movably set with the small intestine distal end closed plate being vertically arranged in outer shunt tube, is provided with swing handle in the connection valve of outer shunt tube upper end setting；Connection valve one end is connected with outer turn of tidal stream tube end, and the connection valve other end is connected with direction flexible.It is designed rationally, compact-sized, is easy to excrement turn of tidal stream, reduces stimulation of the intestinal fluid to abdominal skin, and can be closed turn of tidal stream at any time, be restored the original access of enteron aisle；And can be avoided the secondary fistula of going back of patient experience and perform the operation, it is convenient to pick and place, using flexible.
Description
Technical field
The invention belongs to postoperative auxiliary medical apparatus technical fields, and in particular to a kind of turn of tidal stream for being easy to excrement is reduced small
Stimulation of the intestinal juice to abdominal skin, and turn of tidal stream can be closed at any time, restore the original access of enteron aisle, it is convenient to pick and place, and can be avoided patient
Secondary fistula of going back is undergone to perform the operation, using flexible exempts to go back fistula small intestine Fistulation apparatus.
Background technique
Anterior resection of rectum is one of the chief surgical mode for treating the carcinoma of the rectum, it does not only belong to radical surgery, and
Remain the anus of patient；However, anastomotic leakage is the more serious complication of anterior resection of rectum, the probability of generation is 7~
9%.In recent years, in order to prevent after anastomotic leakage, fecal pollution abdominal cavity serious consequence caused by patient, each Surgicenter is usual
After implementing anterior resection of rectum, distal small intestine stoma (the preventative stoma of small intestine) is carried out to patient, to realize to excrement
Turn of tidal stream.By 3~6 months time, well and then by the intestines stoma on stomach wall also receives, restore to rectum anastomotic healing
Enteron aisle structure originally.Its principle is: due to the abdominal stoma turn of tidal stream excrement of intestines proximal end, so that excrement no longer passes through
Previous anastomotic, to reduce the relevant complication of previous anastomotic.
This traditional processing method usually makes the patient of rectal cancer surgery need to carry out secondary enteric fistula mouth and also receives hand
Art not only increases patient body and spiritual dual pain, and medical expense is high；In addition, after this small enterostomy
The intestinal fluid of exudation, it is easy to which stimulation and erosion skin often cause aggressivity dermatitis.Therefore it is necessary to the small intestines to the prior art
The excrement turn of tidal stream mode and utensil of end stoma improve.
Summary of the invention
The present invention addresses the above problem, provides a kind of turn of tidal stream for being easy to excrement, reduces intestinal fluid to abdominal skin
Stimulation, and turn of tidal stream can be closed at any time, restore the original access of enteron aisle, it is convenient to pick and place, and it can be avoided the secondary fistula of going back of patient experience and perform the operation,
Using flexible exempts to go back fistula small intestine Fistulation apparatus.
The technical scheme adopted by the invention is that: this exempts to go back the threeway fluid hose that fistula small intestine Fistulation apparatus includes soft materials,
It is characterized by: the threeway fluid hose is remote by the proximal small bowel support tube and small intestine arranged along intestinal contents flow direction
Support tube is held to constitute, the front end of proximal small bowel support tube is connected with the rear end of small intestine distal end support tube, and proximal small bowel support tube
The position being connected with small intestine distal end support tube is provided with the outer shunt tube being vertically arranged, and then forms the three-way type of fluid hose
Structure；The small intestine distal end closed plate being vertically arranged is movably set in the outer shunt tube, the upper end of outer shunt tube is provided with company
Valve is connect, detachable swing handle is provided in connection valve；One end of connection valve is connected with the end of outer shunt tube, connection valve it is another
One end is connected with direction flexible.
Tube body fixation balloon is provided on the outside of the threeway fluid hose, tube body fixation balloon is wrapped in the small intestine
Intestinal tube inner wall air bag on proximal support pipe and small intestine distal end support pipe outer wall, and it is wrapped in making for the outer shunt tube lower part
Mouth closed airbag；Intestinal tube inner wall gas on the stoma closed airbag and proximal small bowel support tube and small intestine distal end support pipe outer wall
The airbag chamber of capsule is interconnected, and then forms fluid hose and wrap up chamber；And stoma closed airbag is located at the setting of the upper end on the outside of stomach wall
There is air bag inflating port.Inflated into the tube body fixation balloon on the outside of threeway fluid hose by air bag inflating port, and then by threeway
Fluid hose is fixed on the inside of small intestine enteric cavity, is conducive to closing enteric cavity, convenient for the turn of tidal stream of excrement.
The stoma closed airbag for being wrapped in outer shunt tube lower part is by the straight section air bag structure for closing stoma inner sidewall
At the upper end of straight section air bag is provided with the spherical envelope for closing stoma outer periphery, and two air bags communicate；The air bag
Inflating port is arranged in spherical envelope.To close using the cooperation of straight section air bag and spherical envelope, it is effectively sealing off the interior of stoma
Side wall and outer periphery.
The end of the proximal small bowel support tube of the threeway fluid hose is provided with tubaeform content entrance, and the tube body is solid
The end for determining air bag is connected on tubaeform content entrance.Be conducive to intestinal contents enter it is same in threeway fluid hose
When, the position of tube body fixation balloon can also be limited, the use reliability of utensil is promoted.
The small intestine distal end closed plate of activity setting, the closed plate master including strip in the outer shunt tube of the threeway fluid hose
Body, the lower end of closed plate main body are provided with the closing baffle for closing small intestine distal end support tube access, closed plate main body it is upper
Portion is then provided with slide handle；The slide handle sliding is arranged in the closed plate guiding being arranged on the side wall of outer shunt tube upper end and slides
In hole, and the end of slide handle passes through closed plate guiding slide opening, positioned at the outside of outer shunt tube.To be driven by slide handle
Dynamic small intestine distal end closed plate is slided along closed plate guiding slide opening, up and down reciprocatingly, and then according to treatment needs, is closed small intestine downwards
Distal end closed plate, by small intestine contents by outer shunt tube lead body outside, prevent small enteral excrement flow direction distal end, protection rectum kiss
It heals up；Or small intestine distal end closed plate is upwardly opened, restore small intestine channel, allows small intestine contents to flow to small intestine distal end, make excrement stream
To distal end rectum and previous anastomotic, to examine the patency of intestinal tube and the healing state of previous anastomotic.
On the lower section of the outer shunt tube, the downside inner wall of threeway fluid hose, it is provided with closing limited block, closing limit
Block is made of arc block, and the interior stream opening passed through for excrement, interior stream opening inner side, court are provided in the middle part of arc block
It is provided with limit convex edge on one side to small intestine distal end.To utilize small intestine distal end closed plate lower end closed baffle and closing limited block
Limit convex edge cooperation clamping, it is mobile to distal end to effectively prevent closing baffle, and then keep closing baffle to the envelope of intestinal tube
Closing property effect, it is ensured that the effect of the outside turn of tidal stream of excrement.
The connection valve of the outer shunt tube upper end setting is made of valve body, and rotation ball valve is movably set in valve body,
The rotating shaft for rotating ball valve is connected with the detachable swing handle being arranged on the outside of valve body；It is additionally provided on detachable swing handle
Handle limited bent plate, and on valve body, it is corresponding with the extreme position that handle limited bent plate is rotated with detachable swing handle
Position is respectively arranged with spacing block set.To pass through the handle limited bent plate and valve body that rotate together with detachable swing handle
On spacing block set limit clamping, mechanically to limit the rotation position of detachable swing handle, be conducive to connection valve in rotation
The opening and closing of ball valve.
Angle α between the outer shunt tube and small intestine distal end support tube of the threeway fluid hose is 60~80 degree.In benefit
While small intestine contents are by outside outer shunt tube lead body, facilitate threeway fluid hose the taking from abdominal stoma of soft materials
It puts.
Beneficial effects of the present invention: since the present invention is using the proximal small bowel by arranging along intestinal contents flow direction
The threeway fluid hose that support tube and small intestine distal end support tube are constituted, front end and the small intestine distal end support tube of proximal small bowel support tube
Rear end is connected；The position that proximal small bowel support tube is connected with small intestine distal end support tube is provided with the outer shunt tube being vertically arranged,
And then form the three-way type structure of fluid hose；The small intestine distal end closed plate being vertically arranged is movably set in outer shunt tube, outside
The upper end of shunt tube is provided with connection valve, and detachable swing handle is provided in connection valve；Connection valve one end and outer turn of tidal stream pipe end
Portion is connected, the structure type that the connection valve other end is connected with direction flexible, so its design is rationally, it is compact-sized, it is easy to excrement
Turn of tidal stream, stimulation of the intestinal fluid to abdominal skin can be reduced, and can close at any time turn of tidal stream, restore the original access of enteron aisle, pick and place
It is convenient, using flexible；It can avoid the secondary body gone back caused by fistula is performed the operation of patient experience and spiritual pain, reduce intestine fistulization
Caused related complication saves medical expense.
Detailed description of the invention
Fig. 1 is a kind of structural schematic diagram of the invention.
Fig. 2 is a kind of structural schematic diagram of the threeway fluid hose in Fig. 1.
Fig. 3 is the left view of Fig. 2.
Fig. 4 is cross-sectional view of the Fig. 3 along line A-A.
Fig. 5 is a kind of structural schematic diagram of the closing limited block in Fig. 4.
Fig. 6 is a kind of structural schematic diagram of the tube body fixation balloon in Fig. 1.
Fig. 7 is the internal structure cross-sectional view of Fig. 6.
Fig. 8 is a kind of structural schematic diagram of the small intestine distal end closed plate in Fig. 1.
Fig. 9 is a kind of structural schematic diagram of the connection valve in Fig. 1.
Figure 10 is the B direction view of Fig. 9.
Figure 11 is a kind of use state diagram of the present invention by outer shunt tube to external turn of tidal stream.
Figure 12 is a kind of use state diagram that the present invention restores small intestine channel by small intestine distal end support tube.
Number explanation in figure: 1 threeway fluid hose, 2 tube body fixation balloons, 3 small intestine distal end closed plates, 4 connection valves, 5 removable
Swing handle, 6 direction flexibles, 7 proximal small bowel support tubes, 8 small intestine distal end support tubes, 9 outer shunt tubes, 10 closed plates guiding is unloaded to slide
Hole, 11 tubaeform content entrances, 12 closing limited blocks, 13 arc blocks, 14 interior stream openings, 15 limit convexes edge, 16 intestinal tubes
Inner wall air bag, 17 stoma closed airbags, 18 straight section air bags, 19 spherical envelopes, 20 air bag inflating ports, 21 fluid hoses wrap up chamber, 22
Closed plate main body, 23 closing baffles, 24 slide handles, 25 valve bodies, 26 rotation ball valves, 27 closed plates limit card hole, 28 handles
Limit bent plate, 29 spacing block sets, 30 stomach walls, 31 small intestine enteric cavities.
Specific embodiment
According to Fig. 1~12 specific structure that the present invention will be described in detail.This exempts to go back fistula small intestine Fistulation apparatus to include by soft silica gel
Manufactured threeway fluid hose 1, wherein threeway fluid hose 1 is supported by the proximal small bowel arranged along intestinal contents flow direction
Pipe 7 and small intestine distal end support tube 8 are constituted.The front end of proximal small bowel support tube 7 is connected with the rear end of small intestine distal end support tube 8,
Also, the position that proximal small bowel support tube 7 is connected with small intestine distal end support tube 8 is provided with the outer shunt tube 9 being vertically arranged,
And then form the three-way type structure of fluid hose.Between the outer shunt tube 9 and small intestine distal end support tube 8 of threeway fluid hose 1
Angle α is between 60 degree~80 degree；And then it is same outside 9 lead body of outer shunt tube being vertically arranged passing through conducive to small intestine contents
When, facilitate pick-and-place of the threeway fluid hose 1 of soft materials from abdominal stoma.
In the outer shunt tube 9 of threeway fluid hose 1, it is movably set with the small intestine distal end closed plate 3 being vertically arranged.Small intestine distal end
Closed plate 3 includes the closed plate main body 22 of strip, and the lower end of strip closed plate main body 22 is provided with for closing small intestine distal end branch
The elliptical closed baffle 23 of 8 access of stay tube；The top of strip closed plate main body 22, then be provided with the cunning for going up and down closed plate
Dynamic handle 24.Slide handle 24, which is slided, to be arranged in the closed plate guiding slide opening 10 being arranged on outer 9 upper end side wall of shunt tube, and sliding
The end of dynamic handle 24 passes through closed plate guiding slide opening 10, positioned at the outside of outer shunt tube 9.To, by slide handle 24 come
Driving small intestine distal end closed plate 3 is slided along closed plate guiding slide opening 10, up and down reciprocatingly, to be closed downwards according to treatment needs
The rotation ball valve 26 of small intestine distal end closed plate 3(connection valve 4 is opened), small intestine contents are passed through outside outer 9 lead body of shunt tube, resistance
Only small enteral excrement flow direction distal end, protects rectum previous anastomotic；Or upwardly open the rotating ball of small intestine distal end closed plate 3(connection valve 4
Valve 26 is closed), restore small intestine channel, allows small intestine contents to flow to small intestine distal end, excrement is made to flow to distal end rectum and previous anastomotic, from
And examine the patency of intestinal tube and the healing state of previous anastomotic.
In order to ensure the turn of tidal stream effect of the outside shunt tube 9 of excrement, in the lower section of outer shunt tube 9, the downside of threeway fluid hose 1
On wall, it is provided with U-shaped closing limited block 12.U-shaped closing limited block 12 is made of arc block 13, arc block 13
Middle part is provided with the interior stream opening 14 passed through for excrement；14 inside of interior stream opening, towards one side of small intestine distal end, be arranged useful
The limit convex of clamping is matched along 15 in the closing baffle 23 with small intestine distal end closed plate 3.And then utilize small intestine distal end closed plate 3
The limit convex of lower end closed baffle 23 and closing limited block 12 is clamped along 15 cooperation, to effectively prevent closing baffle 23 to remote
End movement, so that closing baffle 23 be kept to act on the closure of intestinal tube.
The upper end of outer shunt tube 9 is provided with connection valve 4, and connection valve 4 is made of valve body 25, activity setting in valve body 25
There is rotation ball valve 26, rotates the detachable swing handle 5 being arranged on the outside of the rotating shaft and valve body 25 of ball valve 26 and be connected.It is removable
It unloads and is additionally provided with handle limited bent plate 28 on swing handle 5, and with detachable rotation on valve body 25, with handle limited bent plate 28
The corresponding position of extreme position that handle 5 rotates, is respectively arranged with spacing block set 29；And then by with detachable swing handle
The limit of spacing block set 29 on the 5 handle limited bent plates 28 rotated together and valve body 25 is clamped, removable mechanically to limit
The rotation position of swing handle 5 is unloaded, conducive to the opening and closing for rotating ball valve 26 in connection valve 4.Detachable swing handle makes
It can be freely disassembled after, to facilitate the daily action of patient.The lower end of connection valve 4 is connected with the upper end of outer shunt tube 9, even
The upper end for connecing valve 4 is then connected with the direction flexible 6 of free to rotate, any transformation crooked radian.It is closed for small intestine distal end
3 lifting position of plate carries out effectively fixed purpose, in 25 bottom side of the wall of valve body, the closed plate with outer 9 upper end side wall of shunt tube
It is oriented to the corresponding position of slide opening 10, is provided with closed plate limit card hole 27；To ensure to restore the unimpeded state behind small intestine channel.
The outside of threeway fluid hose 1 is provided with tube body fixation balloon 2, and tube body fixation balloon 2 is wrapped in proximal small bowel
Intestinal tube inner wall air bag 16 on 8 outer wall of support tube 7 and small intestine distal end support tube, and it is wrapped in the stoma of outer 9 lower part of shunt tube
Closed airbag 17.Stoma closed airbag 17 is made of the straight section air bag 18 for closing stoma inner sidewall, straight section air bag 18 it is upper
End is provided with the spherical envelope 19 for closing stoma outer periphery；Gas is provided in the spherical envelope 19 of stoma closed airbag 17
Capsule inflating port 20 is additionally provided with check valve on air bag inflating port 20；To utilize the straight section air bag 18 and ball of stoma closed airbag 17
The cooperation of shape air bag 19 is closed, and the inner sidewall and outer periphery of stoma are effectively sealing off.Stoma closed airbag 17 and intestinal tube inner wall
The airbag chamber of air bag 16 is interconnected, and then forms the fluid hose package chamber 21 for wrapping up threeway fluid hose 1.To pass through
Air bag inflating port 20 is inflated into the tube body fixation balloon 2 in 1 outside of threeway fluid hose, and threeway fluid hose 1 is fixed on small intestine
The inside of enteric cavity 31, conducive to the turn of tidal stream of excrement., it is understood that in order to be conducive to intestinal contents enter in threeway fluid hose 1 and
The position for limiting tube body fixation balloon 2, promotes the use reliability of utensil, the end of the proximal small bowel support tube 7 of threeway fluid hose 1
Portion is provided with tubaeform content entrance 11, and the closing end of the intestinal tube inner wall air bag 16 of tube body fixation balloon 2 is connected to loudspeaker
On shape content entrance 11.
This exempts to go back fistula small intestine Fistulation apparatus in use, firstly, then, inciting somebody to action on stomach wall 30, the position stoma of small intestine enteric cavity 31
Outside is enclosed with the proximal small bowel support tube 7 and small intestine distal end support tube 8 of the soft threeway fluid hose 1 of tube body fixation balloon 2, warp
It is inserted into 31 intestinal tube of small intestine enteric cavity by abdominal stoma flexibility, meanwhile, the upper end of the outer shunt tube 9 of threeway fluid hose 1 is located at abdomen
30 outside of wall；Also, the direction flexible 6 being connected with outer 9 upper end connection valve 4 of shunt tube is connected or straight with external turn of tidal stream pipeline
It connects and imports in ostomy bag.Later, by air bag inflating port 20 to the tube body in the outside of threeway fluid hose 1 for being arranged in small intestine enteric cavity 31
It is inflated in fixation balloon 2, and then threeway fluid hose 1 is fixed on to the inside of small intestine enteric cavity 31, conducive to the turn of tidal stream of excrement；And it utilizes
The cooperation closing of the straight section air bag 18 of stoma closed airbag 17 and spherical envelope 19, effectively to close abdominal stoma inner sidewall and
Outer periphery avoids intestinal fluid stimulation, corrodes skin.
When need to it is external carry out turn of tidal stream when, small intestine distal end closed plate 3 is driven by slide handle 24, along envelope
Closing plate is oriented to 10 slide downward of slide opening, using the closing baffle 23 of 3 lower end of small intestine distal end closed plate to small intestine distal end support tube 8
Access is closed, and opens the rotation ball valve 26 of connection valve 4, thus by small intestine contents by outside outer 9 lead body of shunt tube,
Small enteral excrement flow direction distal end is prevented, rectum previous anastomotic is protected.When needing to restore small intestine normal channel, it is remote to upwardly open small intestine
End seal closing plate 3 and the rotation ball valve 26 for closing connection valve 4 allow small intestine contents by small intestine distal end support tube 8, flow to small intestine
Distally, excrement is made to flow to distal end rectum and previous anastomotic, and then the healing state of the patency of adjunct test intestinal tube and previous anastomotic.To
After rectum anastomotic healing is good, the gas in tube body fixation balloon 2 is released from air bag inflating port 20, makes air bag relaxation, so
Afterwards, exempt from this to go back fistula small intestine Fistulation apparatus and be taken out from small enteral, then, then suture closing incision of abdominal wall, allow patient not into
In the case where entering operating room operation, also receiving for enteric fistula mouth is completed, original enteron aisle structure is restored；It is secondary to avoid patient experience
Pain also on body & mind caused by fistula operation, and reduce related complication caused by intestine fistulization.
Claims (8)
1. one kind is exempted to go back fistula small intestine Fistulation apparatus, the threeway fluid hose (1) including soft materials, it is characterised in that: the three-way flow
Body pipe (1) is by the proximal small bowel support tube (7) and small intestine distal end support tube (8) structure arranged along intestinal contents flow direction
At, the front end of proximal small bowel support tube (7) is connected with the rear end of small intestine distal end support tube (8), and proximal small bowel support tube (7) and
The position that small intestine distal end support tube (8) is connected is provided with the outer shunt tube (9) being vertically arranged, and then forms the threeway of fluid hose
Road formula structure；It is movably set with the small intestine distal end closed plate (3) being vertically arranged in the outer shunt tube (9), outer shunt tube (9)
Upper end is provided with connection valve (4), and detachable swing handle (5) are provided in connection valve (4)；One end of connection valve (4) turns with outer
The end of flow tube (9) is connected, and the other end of connection valve (4) is connected with direction flexible (6).
2. according to claim 1 exempt to go back fistula small intestine Fistulation apparatus, it is characterised in that: the outside of the threeway fluid hose (1)
It is provided with tube body fixation balloon (2), tube body fixation balloon (2) is wrapped in the proximal small bowel support tube (7) and small intestine is remote
The intestinal tube inner wall air bag (16) on support tube (8) outer wall is held, and is wrapped in the stoma closing gas of outer shunt tube (9) lower part
Capsule (17)；Intestinal tube on the stoma closed airbag (17) and proximal small bowel support tube (7) and small intestine distal end support tube (8) outer wall
The airbag chamber of inner wall air bag (16) is interconnected, and then forms fluid hose package chamber (21)；And stoma closed airbag (17) is located at
Upper end on the outside of stomach wall (30) is provided with air bag inflating port (20).
3. according to claim 2 exempt to go back fistula small intestine Fistulation apparatus, it is characterised in that: described to be wrapped under outer shunt tube (9)
The stoma closed airbag (17) in portion is made of the straight section air bag (18) for closing stoma inner sidewall, the upper end of straight section air bag (18)
It is provided with the spherical envelope (19) for closing stoma outer periphery, and two air bags communicate；The air bag inflating port (20) sets
It sets on spherical envelope (19).
4. according to claim 2 exempt to go back fistula small intestine Fistulation apparatus, it is characterised in that: the small intestine of the threeway fluid hose (1)
The end of proximal support pipe (7) is provided with tubaeform content entrance (11), and the end of the tube body fixation balloon (2) is connected to
On tubaeform content entrance (11).
5. according to claim 1 exempt to go back fistula small intestine Fistulation apparatus, it is characterised in that: outer turn of the threeway fluid hose (1)
The small intestine distal end closed plate (3) of activity setting, the closed plate main body (22) including strip, closed plate main body (22) in flow tube (9)
Lower end be provided with the closing baffle (23) for closing small intestine distal end support tube (8) access, the top of closed plate main body (22)
Then it is provided with slide handle (24)；Slide handle (24) sliding is arranged in the envelope being arranged on the side wall of outer shunt tube (9) upper end
Closing plate is oriented in slide opening (10), and the end of slide handle (24) passes through closed plate guiding slide opening (10), is located at outer shunt tube (9)
Outside.
6. according to claim 5 exempt to go back fistula small intestine Fistulation apparatus, it is characterised in that: the lower section of the outer shunt tube (9), three
On the downside inner wall of logical fluid hose (1), it is provided with closing limited block (12), closes limited block (12) by arc block (13)
It constitutes, the interior stream opening (14) passed through for excrement, interior stream opening (14) inside, direction is provided in the middle part of arc block (13)
Small intestine distal end is provided with limit convex along (15) on one side.
7. according to claim 1 exempt to go back fistula small intestine Fistulation apparatus, it is characterised in that: outer shunt tube (9) the upper end setting
Connection valve (4) be made of valve body (25), rotation ball valve (26) is movably set in valve body (25), rotation ball valve (26)
Rotating shaft is connected with the detachable swing handle (5) being arranged on the outside of valve body (25)；It is additionally provided on detachable swing handle (5)
Handle limited bent plate (28), and the pole rotated on valve body (25), with handle limited bent plate (28) with detachable swing handle (5)
The corresponding position of extreme position is respectively arranged with spacing block set (29).
8. according to claim 1 exempt to go back fistula small intestine Fistulation apparatus, it is characterised in that: outer turn of the threeway fluid hose (1)
Angle α between flow tube (9) and small intestine distal end support tube (8) is 60~80 degree.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910620519.2A CN110251297A (en) | 2019-07-10 | 2019-07-10 | Exempt to go back fistula small intestine Fistulation apparatus |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910620519.2A CN110251297A (en) | 2019-07-10 | 2019-07-10 | Exempt to go back fistula small intestine Fistulation apparatus |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN110251297A true CN110251297A (en) | 2019-09-20 |
Family
ID=67925511
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910620519.2A Pending CN110251297A (en) | 2019-07-10 | 2019-07-10 | Exempt to go back fistula small intestine Fistulation apparatus |
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Cited By (1)
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| CN111150448A (en) * | 2019-12-26 | 2020-05-15 | 中国人民解放军陆军军医大学第一附属医院 | Cut-off device for intestinal treatment |
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| CN111150448A (en) * | 2019-12-26 | 2020-05-15 | 中国人民解放军陆军军医大学第一附属医院 | Cut-off device for intestinal treatment |
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