CN110368053A - 一种腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤 - Google Patents
一种腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤 Download PDFInfo
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Abstract
本发明涉及一种腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤，包括透明的裤身和腰带，所述裤身由蜂窝状多孔膜制成，所述蜂窝状多孔膜的孔洞之间间隙为互通的加压气囊。本发明的有益效果是与皮肤贴合良好，对皮肤施加压力比传统绷带更加均匀、稳定、持续，改善腹股沟淋巴结清扫术后的皮肤并发症，加速患者术后康复。
Description
技术领域
本发明涉及医疗护理器械，具体是一种腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤。
背景技术
腹股沟淋巴结清扫术是指清除腹股沟区域有肿瘤转移的淋巴结，目前已成为外科治疗阴茎癌及外阴癌常用的手术方式，能有效提高患者的预后。研究表明，阴茎癌及外阴癌的淋巴结转移倾向性较大，其中阴茎癌的淋巴转移率超过35％，因此尽早进行腹股沟淋巴结清扫有利于阴茎癌及外阴癌患者的长期生存。以往开放腹股沟淋巴结清扫术的患者创伤大，术后并发症发生率高，近年来，随着微创技术的发展，腹腔镜下腹股沟淋巴结清扫术对病人损伤小，清扫效果与开放手术相当。
然而，无论是传统开放手术还是腹腔镜下腹股沟淋巴结清扫术都面临术后皮肤并发症，如淋巴水肿、皮肤感染坏死、皮肤愈合延迟等问题。研究表明，因腹股沟淋巴结清扫导致的淋巴水肿发生率可高达50-100％。淋巴结在淋巴液的回流中起到至关重要的作用，腹股沟淋巴结清扫术破坏了区域淋巴系统，淋巴管内的淋巴液无法顺畅回流导致淋巴液阻塞，组织代谢物、蛋白等生物大分子积聚造成组织间隙胶体渗透压升高，进一步加重了淋巴液瘀滞、皮下积液。同时，巨噬细胞的渗出引起慢性炎症反应，进而导致成纤维细胞与角质细胞的沉积，加剧了组织肿胀。淋巴水肿可导致皮肤紧缩发痒、皮肤积液、皮瓣漂浮、皮肤易破溃感染、肢体肿胀沉重、疼痛烧灼感、行动不便，最终影响血液循环重建和皮肤愈合过程。另外，肢体的反复感染甚至会导致恶性改变，与此同时，患者可能会产生焦虑、抑郁、睡眠障碍等心理问题。综上，阴茎癌及外阴癌腹股沟淋巴结清扫术后皮肤并发症严重影响了患者的生活质量和身心健康，因此，如何处理术后皮肤并发症成为摆在临床医生面前的一大难题。
针对腹股沟淋巴结清扫术后皮肤并发症高发的问题，早期皮肤加压固定显得尤为重要，目前并无专门用于腹股沟淋巴结清扫术后的皮肤固定加压工具，传统的解决方案主要是，术后于患者腹股沟及大腿根部区域缠绕弹力绷带，甚至包裹沙袋进行加压处理。然而，该方法存在许多弊端，由于腹股沟区域位置特殊，活动度较大，绷带固定效果很差，患者的日常翻身、如厕等活动较易引起绷带的松解，丧失加压效果，易造成淋巴水肿和皮瓣漂浮，影响皮肤愈合。同时，绷带的捆绑给病人的生活带来不便，长时间处于仰卧位姿势，更进一步加剧了术后可能发生褥疮、坠积性肺炎、深静脉血栓等致命并发症的风险。另外，加压绷带的使用，给术后伤口的换药带来不便，并且令医务工作者难以及时观察腹股沟区域皮肤情况，评估包扎压力是否合适。
现有技术中的技术人员虽然尝试解决加压裤的这些问题，但在以公告号为CN2333370Y的加压裤叉、公告号为CN109008015A的辅助小儿血管穿刺的充气加压裤、公告号为CN206404019U的血氧监测电动加压裤等现有技术中，虽然提供了加压裤和气囊结合的技术方案，但这些方案中均未针对腹股沟淋巴结清扫术后皮肤并发症高发的问题进行改进。
发明内容
本发明的目的在于克服现有技术的不足，解决阴茎癌、外阴癌腹股沟淋巴结清扫术后患者的均匀加压固定问题，同时降低术后皮肤并发症的发生。
为达到上述发明目的，提供一种腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤，包括透明的裤身和腰带，所述裤身由蜂窝状多孔膜制成，所述蜂窝状多孔膜的孔洞之间间隙为互通的加压气囊。
本处披露的孔洞之间间隙，为蜂窝状多孔膜的膜材质，从而孔洞之间间隙即加压气囊中的介质不会泄露至孔洞部分。
优选的，所述裤身的前裤片外侧裤缝处与对应的后裤片外侧裤缝处均为魔术贴可拆卸连接。
所述裤身的前裤片内侧裤缝处与后裤片内侧裤缝处一体化连接。
优选的，所述前裤片设有导通加压气囊的单向充气孔；所述前裤片还设有导通加压气囊的排气阀。
优选的，所述前裤片左右分别设置一个用于穿设引流管的引流口。
优选的，所述裤身的裆部会阴区域设置供导尿管引出和会阴护理的开口。
优选的，所述裤身的后片臀部设有缓冲垫。
优选的，所述腰带为两端设有魔术贴的松紧带。
优选的，所述腰带设有用于悬挂引流袋的扣环。
蜂窝孔状结构不但利于皮肤透气，而且便于医护人员直接、及时地通过孔来观察患者的皮肤状态。同时，气囊相互连通的结构使得压力均匀。
魔术贴的设置，使得医护人员既可通过改变魔术贴的粘贴量进而调节裤体的松紧度，又能随时打开裤体观察皮肤的局部情况，还方便患者穿脱、方便医务人员进行伤口护理。
利用单向充气孔，不仅能根据病人的体型差异，灵活调整充入的气体量，进而控制压力大小，还能注入不同温度的生理盐水，达到对创面热敷、冷敷，达到止痛、止血、促进血液循环、加速创面愈合等效果。
排气阀的设置方便快速排气。
引流口的设置方便引流管通过。
裤体裆部会阴区域设置的开口，方便患者术后留置导尿时导尿管的引出及会阴部位的护理，拔出导尿管后，便于患者如厕。
缓冲垫的设置能避免患者长时间卧床产生压疮。
腰带为带魔术贴的松紧带，使之能适合不同腰围的人群。
扣环悬挂引流袋，方便患者术后早期自由活动，进而促进淋巴回流和伤口愈合，防止深静脉血栓的发生。
本发明的有益效果是与皮肤贴合良好，对皮肤施加压力比传统绷带更加均匀、稳定、持续，改善腹股沟淋巴结清扫术后的皮肤并发症，加速患者术后康复。
附图说明
图1为本发明的腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤正视图；
图2为本发明的腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤侧视图；
图3为本发明的图1中A处局部放大及蜂窝状结构中气流、液流流向示意图；
其中：
1-裤身 2-腰带 3-加压气囊
4-前裤片 5-后裤片 6-魔术贴
7-单向充气孔 8-排气阀 9-引流口
10-开口 11-缓冲垫 12-扣环
具体实施方式
以下结合附图和具体实施例，对本发明做进一步说明。
根据图1至图3所示的一种腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤，包括透明的裤身1和腰带2，所述裤身1由蜂窝状多孔膜制成，所述蜂窝状多孔膜的孔洞之间间隙为互通的加压气囊3。所述裤身1的前裤片4内侧裤缝处与后裤片5内侧裤缝处一体化连接。所述裤身1的前裤片4外侧裤缝处与对应的后裤片5外侧裤缝处均为魔术贴6可拆卸连接。
所述前裤片4设有导通加压气囊3的单向充气孔7；所述前裤片4还设有导通加压气囊3的排气阀8。所述前裤片4左右分别设置一个用于穿设引流管的引流口9。所述裤身1的裆部会阴区域设置供导尿管引出和会阴护理的开口10。
所述裤身1的后片臀部设有缓冲垫11。
所述腰带2为两端设有魔术贴的松紧带，其上设有用于悬挂引流袋的扣环12。
以上已对本发明创造的较佳实施例进行了具体说明，但本发明创造并不限于所述的实施例，熟悉本领域的技术人员在不违背本发明创造精神的前提下还可以作出种种的等同的变型或替换，这些等同变型或替换均包含在本申请权利要求所限定的范围内。
Claims (8)
1.一种腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤，包括透明的裤身(1)和腰带(2)，其特征在于，所述裤身(1)由蜂窝状多孔膜制成，所述蜂窝状多孔膜的孔洞之间间隙为互通的加压气囊(3)。
2.根据权利要求1所述的加压裤，其特征在于，所述裤身(1)的前裤片(4)外侧裤缝处与对应的后裤片(5)外侧裤缝处均为魔术贴(6)可拆卸连接。
3.根据权利要求1所述的加压裤，其特征在于，所述前裤片(4)设有导通加压气囊(3)的单向充气孔(7)；所述前裤片(4)还设有导通加压气囊(3)的排气阀(8)。
4.根据权利要求1所述的加压裤，其特征在于，所述前裤片(4)左右分别设置一个用于穿设引流管的引流口(9)。
5.根据权利要求1所述的加压裤，其特征在于，所述裤身(1)的裆部会阴区域设置供导尿管引出和会阴护理的开口(10)。
6.根据权利要求1所述的加压裤，其特征在于，所述裤身(1)的后片臀部设有缓冲垫(11)。
7.根据权利要求1所述的加压裤，其特征在于，所述腰带(2)为两端设有魔术贴的松紧带。
8.根据权利要求7所述的加压裤，其特征在于，所述腰带(2)设有用于悬挂引流袋的扣环(12)。
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