CN111714270A

CN111714270A - Neck support device after esophageal cancer operation

Info

Publication number: CN111714270A
Application number: CN202010621293.0A
Authority: CN
Inventors: 李正芳; 阳仁美; 袁文秀; 李娅; 杨漫荣; 董亭; 黄文娇; 颜莹
Original assignee: Chongqing University Cancer Hospital
Current assignee: Chongqing University Cancer Hospital
Priority date: 2020-06-30
Filing date: 2020-06-30
Publication date: 2020-09-29

Abstract

The invention relates to the field of medical auxiliary instruments, and particularly discloses a neck support device after esophageal cancer operation. The locking device comprises a U-shaped main body, wherein the rear end of the main body is rotatably connected with a supporting part, the upper end of the supporting part is higher than the top of the rear end of the main body, and a locking part for locking the supporting part is fixed on the main body; the front end of main part is equipped with the hasp, and hasp one end is installed in one side of main part, and the other end can be dismantled with the opposite side of main part and be connected. The neck support device can adjust the fixing effect and reduce the fixing effect on the neck when the neck of a patient can be tilted backwards.

Description

Neck support device after esophageal cancer operation

Technical Field

The invention relates to the field of medical auxiliary instruments, in particular to a neck support device used after esophageal cancer surgery.

Background

Esophageal cancer is one of common malignant tumors of the digestive tract and one of six tumors with the highest global morbidity, the morbidity and mortality of esophageal cancer in China are the first in the world, and the treatment is relatively difficult. At present, the operation is still the most effective treatment method for esophageal cancer, with the continuous development of minimally invasive technology in the surgical field, the esophageal cancer minimally invasive operation has been rapidly popularized in the nationwide operation centers, and for the convenience of cleaning and anastomosis of superior mediastinal lymph nodes, the majority of operations adopt gastroesophageal neck anastomosis, however, the complications of neck anastomosis are obviously increased compared with intrathoracic anastomosis.

The 'Jiangshi' anastomosis operation is performed on the neck incision, and the neck movement of a patient needs to be limited after the operation, so that the situation that the incision is pulled during the neck movement, if the neck movement is excessively backwards, the wound tension is increased, the postoperative healing is not facilitated, the postoperative rehabilitation is influenced, and the patient is more likely to feel uncomfortable by choking and the like when drinking water is generated; but the neck excessively leans forward, then influences patient's comfort level, increases patient's uncomfortable experience of seeking medical advice after the operation, so at present need fix the neck usually, but present neck fixer highly can't adjust, can't change the fixed action of patient's neck, when wearing for a long time, patient's neck is in the state that excessively leans forward for a long time, very big influence patient's comfort level.

Disclosure of Invention

The invention aims to provide a neck supporting device used after esophageal cancer operation, which can adjust the fixing effect and reduce the fixing effect on the neck when the neck of a patient can be tilted backwards.

In order to achieve the purpose, the invention adopts the following technical scheme: the neck support device after esophageal cancer operation comprises a U-shaped main body, wherein the rear end of the main body is rotatably connected with a support part, the upper end of the support part is higher than the top of the rear end of the main body, and a locking part for locking the support part is fixed on the main body; the front end of main part is equipped with the hasp, hasp one end is installed in one side of main part, and the other end can be dismantled with the opposite side of main part and be connected.

The beneficial effect of this scheme does:

supporting part top in this scheme is higher than the top of main part rear end, and the supporting part upper end plays spacing effect to patient's head to reduce the angle that the patient can pitch backwards. And the supporting part is articulated with the main part, so the angle of supporting part can be adjusted, when the supporting part upper end is rotated to keeping away from patient one side, the distance increase of supporting part and patient afterbrain position reduces the limiting displacement of patient head to make the patient can pitch back bigger angle, improve patient's comfort level.

Further, the main body is laterally provided with a strip-shaped through groove.

The beneficial effect of this scheme does: the wound formed by the 'Jiang' anastomosis is usually in the lateral direction of the neck, and the through groove in the scheme is aligned with the wound, so that when the supporting device in the scheme is used, the supporting device is prevented from contacting the wound, pain is caused, or the wound is prevented from bursting apart.

Further, the main body is hinged with a cover body aligned with the through groove.

The beneficial effect of this scheme does: the lid plays the effect of sheltering from to leading to the groove, avoids the patient to extend clothing, sheet etc. from leading to the groove carelessly and to the wound cause the damage.

Further, the rear side of the main body is provided with a limit groove which is just opposite to the back neck of the patient.

The beneficial effect of this scheme does: the spacing groove can be better with the back neck position laminating of patient to avoid the relative patient of main part to rotate, lead to leading to groove to stagger with the wound, other positions and the wound contact of main part cause the damage to the wound.

Further, the lateral wall of supporting part orientation patient is equipped with the holding tank.

The beneficial effect of this scheme does: the holding tank can be better with the afterbrain position contact of patient, improve the comfort level of using.

Further, a cushioning layer is fixed to the side wall of the main body facing the patient.

The beneficial effect of this scheme does: the buffer layer is flexible, can further improve the comfort level of using.

Furthermore, an angle disc is fixed on the supporting part, and the rotation center of the angle disc is superposed with the rotation center of the supporting part; at least two marks are arranged on the angle scale along the circumferential direction.

The beneficial effect of this scheme does: can judge supporting part pivoted angle through the angle scale, under the unchangeable condition of size of supporting part, the supporting part upper end is big more to keeping away from patient one side pivoted angle, and is little less to patient's limiting displacement, and the angle that the patient head can be stood back is big more, so the accessible makes patient or patient family members know which kind of position should be adjusted the supporting part to the explanation of angle, makes things convenient for patient family members to nurse by oneself, no longer needs medical staff to operate one by one, reduces medical staff's work load.

The position that the supporting part can be adjusted is shown to the sign, can record the time of adjusting the supporting part to this position on like the sign, or serial number in proper order, and patient's family members can be in the stage adjustment supporting part of difference, makes the supporting part be in the position that the sign shows, compares with setting up the scale mark on the angle scale, need not patient's family members to remember specific angle, only can know the position that can adjust according to the sign, avoids patient's family members to remember wrong angle and leads to the regulation mistake.

Furthermore, the angle disc is provided with a plurality of slots along the circumferential direction, the slots are connected with plug-in cards in a sliding mode, and the identification is located on the plug-in cards.

The beneficial effect of this scheme does: because the plug-in card is located the slot, the sign on the plug-in card receives the protection of slot lateral wall and can not receive the damage, avoids leading to unable recognition because of reasons such as the sign fades, damages.

Furthermore, one side of the supporting part far away from the accommodating groove is provided with a supporting rod capable of being accommodated.

The beneficial effect of this scheme does: when a patient lies on the sickbed obliquely, the head of the patient is difficult to contact with the bed surface after the main body is abutted against the bed body due to the certain thickness of the main body; or when a patient lies on a sickbed and needs to watch television, the head needs to be lifted to a certain angle, the traditional method is that a pillow is usually placed below the head of the patient to lift the head of the patient, but on one hand, the pillow is soft and has poor supporting effect; on the other hand, the pillow has a large volume, and is easy to slide down to be abutted against the main body or even below the main body in the using process, so that the main body is lifted, and the discomfort is increased. The bracing piece in this scheme can support the supporting part, need not other pillow and can make patient's head lift certain angle, and the supporting effect is better, and the comfort level is higher.

Furthermore, the both sides of main part all are equipped with the stopper and two stoppers can slide to the direction that draws close each other.

The beneficial effect of this scheme does: different patients ' size is different, and the width of neck is different, and when the width of patient's neck was less, can slide two stoppers to the direction of drawing close each other to paste mutually with patient's neck, make the relative neck rotation of main part of patient of more laminating is avoided to the neck that makes the main part.

Drawings

FIG. 1 is a front full sectional view of example 1 of the present invention;

FIG. 2 is a top view of FIG. 1;

FIG. 3 is a front view of an angle scale in embodiment 2 of the present invention;

fig. 4 is a front partial sectional view of the angle scale in embodiment 3 of the present invention.

Detailed Description

The following is further detailed by way of specific embodiments:

reference numerals in the drawings of the specification include: the main body 1, the through groove 11, the cover body 12, the limiting groove 13, the buffer layer 14, the hasp 15, the retaining ring 16, the supporting part 2, the rotating shaft 21, the supporting leg 22, the fixing block 23, the limiting block 3, the angle scale 4, the fixing hole 41, the screw 42, the inserting card 43, the connecting channel 44, the groove 45, the puncture rod 5, the tip 51, the elastic airbag 6 and the elastic sheet 61.

Example 1

An esophageal cancer postoperative neck supporting device is shown in figure 1 and comprises a supporting part 2, a locking part and a U-shaped main body 1, wherein the upper end of the supporting part 2 is higher than the top of the main body 1, the lower end of the supporting part 2 comprises two supporting legs 22, a rotating shaft 21 is arranged between the supporting part 2 and the main body 1, and the rotating shaft 21 penetrates through the two supporting legs 22 and is welded and fixed with the two supporting legs 22; the lateral wall of 1 right-hand member of main part is equipped with the mounting groove, and the mounting groove is located the upper end of main part 1, and the lower extreme of pivot 21 and landing leg 22 is located the mounting groove, and the both ends of pivot 21 run through the front and back lateral wall of mounting groove, and landing leg 22, pivot 21 and mounting groove lateral wall in this embodiment constitute hinge structure, and supporting part 2 articulates in 1 upper end of main part promptly.

The right end of the main body 1 and the left wall of the support part 2 are respectively provided with a limit groove 13 and an accommodating groove, and when the device is worn, the limit groove 13 and the accommodating groove are respectively aligned with the back neck and the back brain of a patient; spacing groove 13 lateral wall and holding tank lateral wall all glue and connect buffer layer 14, and during the concrete implementation, buffer layer 14 can adopt rubber, latex or sponge material, and buffer layer 14 in this embodiment adopts the latex material.

The locking portion in this embodiment is a disk-shaped fixing block 23 welded at the end of the rotating shaft 21, the fixing block 23 is attached to the front side wall of the main body 1, a plurality of fixing holes 41 are circumferentially arranged on the fixing block 23, a threaded hole is formed in the side wall of the main body 1, the length between the threaded hole and the side wall of the rotating shaft 21 is equal to the length between the fixing hole 41 and the side wall of the rotating shaft 21, namely, the fixing hole 41 can be aligned to the threaded hole in the rotating process, a screw rod 42 is arranged on the fixing block 23, and the screw rod 42 penetrates through the fixing hole.

As shown in fig. 2, the upper and lower lateral wall of main part 1 all is equipped with stopper 3, stopper 3 in this embodiment, and stopper 3 is equipped with the connecting rod towards one side of main part 1, and the connecting rod runs through main part 1 and with 1 threaded connection of main part, and stopper 3 also splices buffer layer 14 towards patient's lateral wall, and buffer layer 14 at this place also adopts the latex material.

The left side of the buffer layer 14 is provided with a strip-shaped through groove 11, and the through groove 11 is directly opposite to the wound of a patient when the patient wears the device. The lateral wall of the main body 1 is hinged with a cover body 12, and the cover body 12 just faces the through groove 11 to shield the through groove 11. The left side of the main body 1 is provided with a lock catch, specifically, the lock catch in the embodiment adopts a structure of a hasp 15 and a retaining ring 16, the hasp 15 and the retaining ring 16 are respectively glued on the end parts of the upper side and the lower side of the main body 1, the left end of the main body 1 can be fixed through the matching of the hasp 15 and the retaining ring 16, and the main body 1 is prevented from sliding off from the neck of the patient to the right.

The specific implementation process is as follows:

initially, supporting part 2 is vertical, and in 41 and the screwed hole of screw rod 42 screw in alignment, fix supporting part 2, during the use, the hasp 15 is opened to the manual work earlier, then wear main part 1 at the patient neck left, and a small margin rotates main part 1, adjust the position of main part 1, make logical groove 11 just to patient's wound, spacing groove 13 and patient's back neck laminating, holding tank and patient's afterbrain position laminating this moment, carry on spacingly to patient's afterbrain. Then, the buckle 15 is fixed to the buckle 16, and the main body 1 is fixed. And finally, the limiting block 3 is rotated, so that the buffer layer 14 on the limiting block 3 is attached to the neck of the patient, and if the neck of the patient is attached to the limiting block 3 after the hasp 15 and the retaining ring 16 are fixed, the limiting block 3 does not need to be rotated.

In the use, when the angle that patient's head can be reclined increases, the manual work screw rod 42 of unscrewing, then clockwise rotation supporting part 2, then in the fixed orifices 41 and the screwed hole of screw rod 42 screw in alignment, because the distance increase between supporting part 2 and the patient's head this moment, the space that the patient can be reclined increases after the patient.

Example 2

Based on embodiment 1, as shown in fig. 3, an angle scale 4 is fixed on the supporting portion 2 in this embodiment, specifically, the angle scale 4 in this embodiment is coaxially glued on the rotating shaft 21, and the angle scale 4 in this embodiment is integrally formed with the fixed block 23. Being equipped with the arrow point to angle scale 4 on the main part 1, the arrow point is located angle scale 4 below, is equipped with a plurality of slots along circumference on the angle scale 4, and is concrete, and the quantity of slot in this embodiment is three, is equipped with plug-in card 43 in the slot, when actual implementation, can write the date that rotates to this position on the sticky note earlier, pastes the sticky note on plug-in card 43 again, forms the sign.

In addition, the right wall of the supporting part 2 in this embodiment is provided with a fixing groove, two mutually parallel supporting rods are arranged in the fixing groove, one end of each supporting rod is hinged with the side wall of the fixing groove, and the other end of each supporting rod is spherically hinged with a supporting block.

In the use process of the support part 2 in the embodiment, the angle dial 4 can be rotated when the time recorded on the mark is reached, and the plug-in card 43 recorded with the mark is rotated to the arrow alignment position, so that the support part 2 rotates by a corresponding angle. When a patient lies on the sickbed and wants to raise the head and see the television, the supporting rod is rotated out, so that the supporting block is in contact with the bed surface, and the supporting block can be supported without a pillow.

Example 3

On the basis of embodiment 2, as shown in fig. 4, in this embodiment, a connecting channel 44 is disposed between two adjacent fixing holes 41, a piercing rod 5 is slidably connected in the connecting channel 44, a groove 45 is disposed on a side wall of each fixing hole 41, an elastic airbag 6 with gas stored therein is disposed in each fixing hole 41, the elastic airbag 6 is fixed to a side wall of the groove 45, an air release opening aligned with the connecting channel 44 is disposed on the elastic airbag 6, an elastic sheet 61 for closing the air release opening is fixed on the elastic airbag 6, and a tip 51 capable of piercing the elastic sheet 61 is disposed at one end of the piercing rod 5 close to the elastic sheet 61; one end of the threaded rod is in a boss shape.

Specifically, the elastic air bag 6 in the present embodiment is glued to the side wall of the groove 45, wherein the elastic sheet 61 is similar to a balloon and can be ruptured after being acted by the tip 51 of the puncture rod 5; while the end of the puncture rod 5 away from the tip 51 extends from the side of the connecting channel 44 near the other fixing hole 41, and specifically, the elastic airbag 6 in the fixing hole 41 is offset from the puncture rod 5.

Initially, when the elastic air bag 6 in this embodiment stores gas, the elastic air bag 6 expands to close the fixing hole 41, thereby preventing the threaded rod from passing through. After the operation of the patient, when the doctor wears the device for the patient, the air bag is punctured by a sharp object such as an injector, so that the air in the air bag is discharged, the volume of the air bag is reduced, the air bag is retracted into the groove 45 and is stored, the screw rod 42 cannot penetrate through the screw rod 42 to have a blocking effect, and the screw rod 42 can fix the position of the cover body 12.

When the screw rod 42 passes through the fixing hole 41, the piercing rod 5 with the end portion extending into the fixing hole 41 can be pushed to slide to pierce the elastic airbag 6 in the fixing hole 41 on the right side, so that after the wound of the patient heals, the cover body 12 can be rotated by a small angle to align the fixing hole 41 on the right side with the threaded hole, and at the moment, the screw rod 42 can fix the cover body 12. And when the patient was too big with lid 12 pivoted angle, the second or third fixed orifices 41 in right side aligns with the screw hole, still store up gas in the elasticity gasbag 6 in the fixed orifices 41 this moment, so elasticity gasbag 6 still can seal fixed orifices 41, screw rod 42 can't pass fixed orifices 41, so lid 12 can't be fixed, the unable normal use of device, so the angle to adjusting lid 12 at every turn has been gone on in this embodiment, avoid the patient once to adjust too big angle and lead to the supporting effect to the neck to change too fast, and can't carry out effective protection to the wound.

The foregoing is merely an example of the present invention and common general knowledge in the art of designing and/or characterizing particular aspects and/or features is not set forth herein in any way. It should be noted that, for those skilled in the art, without departing from the technical solution of the present invention, several variations and modifications can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent. The scope of the claims of the present application shall be determined by the contents of the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.

Claims

1. Esophageal cancer postoperative neck strutting arrangement, including the main part of U-shaped, its characterized in that: the rear end of the main body is rotatably connected with a supporting part, the upper end of the supporting part is higher than the top of the rear end of the main body, and a locking part for locking the supporting part is fixed on the main body; the front end of main part is equipped with the hasp, hasp one end is installed in one side of main part, and the other end can be dismantled with the opposite side of main part and be connected.

2. The esophageal cancer post-operative neck support device of claim 1, wherein: the main body is laterally provided with a strip-shaped through groove.

3. The esophageal cancer post-operative neck support device of claim 2, wherein: the main body is hinged with a cover body aligned with the through groove.

4. The esophageal cancer post-operative neck support device of claim 2, wherein: the main part rear side is equipped with the spacing groove just to patient's nape.

5. The esophageal cancer post-operative neck support device of claim 4, wherein: the lateral wall of supporting part orientation patient is equipped with the holding tank.

6. The esophageal cancer post-operative neck support device of claim 5, wherein: the side wall of the main body facing the patient is fixed with a buffer layer.

7. The esophageal cancer post-operative neck support device of claim 2, wherein: a rotation center of the angle scale is superposed with that of the support part; at least two marks are arranged on the angle scale along the circumferential direction.

8. The esophageal cancer post-operative neck support device of claim 7, wherein: the angle disc is provided with a plurality of slots along the circumferential direction, the slots are connected with plug-in cards in a sliding mode, and the identification is located on the plug-in cards.

9. The esophageal cancer post-operative neck support device of claim 7, wherein: one side that the holding tank was kept away from to the supporting part is equipped with the bracing piece that can accomodate.

10. The esophageal cancer post-operative neck support device of claim 7, wherein: the both sides of main part all are equipped with the stopper and two stoppers can slide to the direction that draws close each other.