CN112426196B

CN112426196B - Thyroid gland postoperative oppression fixing device

Info

Publication number: CN112426196B
Application number: CN202011104380.5A
Authority: CN
Inventors: 杨英; 颜贤惠; 王寅欢; 范海燕; 王莉
Original assignee: First Affiliated Hospital of Army Medical University
Current assignee: First Affiliated Hospital of Army Medical University
Priority date: 2020-10-15
Filing date: 2020-10-15
Publication date: 2021-10-01
Anticipated expiration: 2040-10-15
Also published as: CN112426196A

Abstract

The invention discloses a postoperative compression fixing device for thyroid gland, a fixing seat and a compression mechanism; the fixing seat is of a U-shaped structure and comprises a pressing part and two clamping parts, the pressing part is the closed end of the U-shaped fixing seat, the clamping parts are side edges of the fixing seat, two ends of the pressing part are respectively connected with the two clamping parts in a rotating mode, and the two clamping parts far away from the pressing part are connected through a clamping assembly; oppression mechanism includes oppression pole and oppression piece, oppression pole one end and oppression portion sliding connection, and the other end rotates with the oppression piece to be connected, and the one end that the oppression pole was kept away from to the oppression piece is used for the oppression in incision department. This thyroid gland postoperative oppression fixing device fixes in neck department through two clamping parts, adjusts the oppression power of oppression pole to incision department through the regulation pole that rotates oppression mechanism, has promoted notched healing, has avoided influencing patient's breathing to the oppression of incision department.

Description

Thyroid gland postoperative oppression fixing device

Technical Field

The invention relates to the technical field of medical care, in particular to a postoperative compression fixing device for thyroid gland.

Background

The thyroid gland is a very important gland of vertebrates and belongs to an endocrine organ. The thyroid gland is the largest endocrine gland of adults, is located in the front of the neck, is brownish red, is conical in the left and right lobes of the thyroid gland, is attached to the side surfaces of the larynx and trachea, and is located below the thyroid cartilage of the neck and on the two sides of the trachea. The thyroid gland of human is named after it is like butterfly, like the shield.

After thyroid surgery (operations such as unilateral thyroid resection, bilateral thyroid resection and the like), because thyroid blood vessels are abundant, bleeding is easy to occur after the surgery, in order to prevent hematoma formation in the incision after the thyroid surgery, the current clinical practice generally adopts a local salt bag or ice saline solution of the incision to perform compression bandaging to stop bleeding, and the bleeding and the hematoma formation are prevented. However, the salt bag or the brine ice is directly pressed near the incision to achieve the compression hemostasis effect, the pressure degree is not easy to control, the good compression hemostasis effect cannot be achieved when the pressure is small, and the trachea is easily compressed when the pressure is large, so that the breathing difficulty of a patient is caused. In addition, the existing compression hemostasis method is not firm in fixation, is easy to loosen or slide, needs frequent correction and is very troublesome.

Disclosure of Invention

Aiming at the defects in the prior art, the invention provides a compression fixing device after thyroid gland operation, which solves the problems that the compression strength of the existing thyroid gland incision is difficult to control and the fixation is easy to loosen.

In order to realize the technical effects, the technical scheme adopted by the invention is as follows:

a postoperative compression fixing device for thyroid comprises a fixing seat and a compression mechanism;

the fixing seat is of a U-shaped structure and comprises a pressing part and two clamping parts, the pressing part is the closed end of the U-shaped fixing seat, the clamping parts are side edges of the fixing seat, two ends of the pressing part are respectively connected with the two clamping parts in a rotating mode, and the two clamping parts far away from the pressing part are connected through a clamping assembly;

oppression mechanism includes oppression pole and oppression piece, oppression pole one end and oppression portion sliding connection, and the other end rotates with the oppression piece to be connected, and the one end that the oppression pole was kept away from to the oppression piece is used for the oppression in incision department.

Adopt above-mentioned thyroid gland postoperative oppression fixing device, fix in neck department through two clamping parts, adjust the oppression power of oppression pole to incision department through the regulation pole that rotates oppression mechanism, promoted the healing of incision, avoided the oppression to incision department to influence patient's breathing.

Further, the joint subassembly includes first connecting block, the second connecting block, spacing box and spacing bolt, first connecting block and second connecting block are connected with the one end that oppression portion was kept away from to two clamping parts respectively, spacing box fixed connection is on first connecting block, the joint hole has been seted up on the relative side of spacing box, spacing one end fixed connection is on the second connecting block, and the one end that the second connecting block was kept away from to spacing passes the joint hole and extends to the spacing box outside, spacing screw hole has been seted up on the top surface of spacing box, spacing screw hole female connection is inserted to the one end of spacing bolt, and spacing bolt inserts the inside one end butt of spacing box on spacing. Insert in spacing box through spacing, make spacing bolt joint on spacing, the removal of restriction spacing has further strengthened the fixed stability of fixing base.

Furthermore, one end of the limiting bolt inserted into the limiting box body is provided with a first clamping tooth, and the limiting strip is provided with a second clamping tooth matched with the first clamping tooth. First latch and second latch joint are connected and are prevented that spacing strip from taking out from spacing box is inside, have also made things convenient for the contact connection of first latch and second latch simultaneously.

Further, the inner sides of the two clamping parts and the inner sides of the two connecting blocks are provided with soft pads. The arrangement of the cushion can protect the neck of the patient.

Further, the both ends of oppression portion all are equipped with the screw rod, and first screw hole has all been seted up to the one end that two clamping parts are close to the oppression portion, and the screw rod inserts threaded hole downthehole and clamping part threaded connection. The screw rod and the clamping part are in threaded connection, so that the pressing part can rotate relative to the clamping part, and meanwhile, the threaded connection is high in stability.

Further, oppression portion is both ends confined tubular structure, oppression mechanism still includes regulation pole and sliding ring, the spout has all been seted up along the axis direction to the relative both sides of oppression portion, the inside intercommunication of spout and oppression portion, the one end that the oppression piece was kept away from to the oppression pole passes the inside that the spout inserted the oppression portion, sliding ring slip cap establishes at the tip that the oppression pole is located the inside of oppression portion, the second screw hole has been seted up along its axis direction to the one end that the oppression pole is located the inside of oppression portion, the one end of adjusting the pole is passed the spout and is inserted second screw hole and oppression pole threaded connection. Rotating the adjusting rod, and moving the pressing rod to the notch to press the notch by using the threaded connection of the adjusting rod and the pressing rod; meanwhile, the sliding ring can slide in the pressing part, and the pressing rod is adjusted to be aligned to the notch.

Further, the inside and outside both sides that oppression pole was kept away from to oppression portion all are equipped with the stopper along the axis direction of oppression portion, and two spacing grooves have been seted up along the circumferencial direction in the one end side that the regulation pole is in the oppression pole outside, and the position and two stopper one-to-one in two spacing grooves, the one end of stopper insert the spacing inslot, and the relative spacing inslot of stopper can slide. The limiting threaded hole is inserted into the limiting groove, so that the movement of the adjusting rod relative to the pressing part in the radial direction can be limited, and the adjusting rod is kept still.

Furthermore, a neck support assembly is arranged on the top side of the inner side face of the clamping portion and comprises an air bag support, an inflation tube and an inflation balloon, the air bag support is bonded on the top side of the inner side face of the clamping portion, one end of the inflation tube is communicated with the air bag support, the other end of the inflation tube is communicated with the inflation balloon, and the inflation balloon is detachably connected with the inflation tube. The gasbag holds in the palm and can carry out certain support to patient's lower jaw after the inflation, prevents that rocking of patient's head from causing the oppression portion to shift.

The invention has the beneficial effects that: the postoperative thyroid gland compression fixing device is fixed at a neck through the two clamping parts, the fixing stability is further enhanced through the clamping assembly, the compression force of the compression rod on the incision is adjusted through rotating the adjusting rod of the compression mechanism, the healing of the incision is promoted, the influence of the compression on the incision on the respiration of a patient is avoided, meanwhile, the air bag support has a supporting effect on the lower jaw of the patient, and the compression part is prevented from shifting due to the shaking of the head of the patient; and the arrangement of the protective pad and the soft pad has certain protective effect on the neck and the incision of the patient, thereby preventing the injury to the patient.

Drawings

In order to more clearly illustrate the embodiments of the present invention, the drawings, which are required to be used in the embodiments, will be briefly described below. In all the drawings, the elements or parts are not necessarily drawn to actual scale.

FIG. 1 is a schematic top view of the present invention;

FIG. 2 is a front view of the present invention (with the airbag support in an inflated state);

FIG. 3 is an enlarged view of A in FIG. 1;

reference numerals:

10-a fixed seat, 11-a pressing part, 111-a sliding groove, 12-a clamping part, 13-a screw rod, 14-a first threaded hole, 20-a pressing mechanism, 21-a pressing rod, 211-a second threaded hole, 22-a pressing block, 23-an adjusting rod, 231-a limiting groove, 24-a sliding ring, 25-a limiting block, 26-a protective pad, 30-a clamping component, 31-a first connecting block, 32-a second connecting block, 33-a limiting strip, 331-a second clamping tooth, 34-a limiting box body, 341-a clamping hole, 342-a limiting threaded hole, 35-a limiting bolt, 351-a first clamping tooth, 40-a soft pad, 50-a neck support component, 51-an air bag support, 52-an air inflation tube and 53-an air inflation air bag.

Detailed Description

Embodiments of the present invention will be described in detail below with reference to the accompanying drawings. The following examples are only for illustrating the technical solutions of the present invention more clearly, and therefore are only examples, and the protection scope of the present invention is not limited thereby.

In the description of the present invention, it is to be understood that the terms "center", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc., indicate orientations or positional relationships based on those shown in the drawings, and are only for convenience of description and simplicity of description, and do not indicate and imply that the positions or elements referred to must have particular orientations, be constructed and operated in particular ways, and thus, are not to be construed as limiting the present invention.

Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more features. In the description of the present invention, "a plurality" means at least two, e.g., two, three, etc., unless specifically limited otherwise.

Referring to fig. 1 and 2, the postoperative compression fixing device for thyroid comprises a fixing seat 10 and a compression mechanism 20, wherein the fixing seat 10 is in a U-shaped structure, the fixing seat 10 comprises a compression portion 11 and two clamping portions 12, the compression portion 11 is a closed end of the U-shaped fixing seat 10, the clamping portions 12 are side edges of the fixing seat 10, two ends of the compression portion 11 are rotatably connected with the two clamping portions 12 respectively, and the two clamping portions 12 far away from the compression portion 11 are connected through a clamping assembly 30. Two clamping parts 12 of fixing base 10 are added on patient's neck, and oppression mechanism 20 sets up on oppression portion 11 for oppress incision department, play hemostasis by compression's effect. Wherein, the both ends of oppression portion 11 all are equipped with screw rod 13, and first screw hole 14 has all been seted up to the one end that two clamping part 12 are close to oppression portion 11, and screw rod 13 inserts threaded hole and clamping part 12 threaded connection. The pressing part 11 is rotated to rotate the pressing part 11 relative to the clamping part 12, and the angle of the pressing rod 21 is adjusted to enable the pressing rod 21 to face the direction of the incision. Preferably, the holding portions 12 are made of an elastic material, and the two holding portions 12 have a certain holding force on the neck of the patient.

The pressing mechanism 20 includes a pressing rod 21, a pressing block 22, an adjusting rod 23 and a sliding ring 24, one end of the pressing rod 21 is slidably connected to the pressing portion 11, the other end of the pressing rod is rotatably connected to the pressing block 22, and one end of the pressing block 22 away from the pressing rod 21 is used for pressing the incision. Specifically, oppression portion 11 is both ends confined tubular structure, spout 111 has all been seted up along the axis direction to the relative both sides of oppression portion 11, spout 111 and the inside intercommunication of oppression portion 11, the one end that oppression piece 22 was kept away from to oppression pole 21 passes spout 111 and inserts the inside of oppression portion 11, sliding ring 24 slides the cover and establishes the tip that oppression pole 21 is located oppression portion 11 inside, and sliding ring 24 can slide in oppression portion 11 inside, second screw hole 211 has been seted up along its axis direction to the one end that oppression pole 21 is located oppression portion 11 inside, the one end of adjusting pole 23 is passed spout 111 and is inserted in second screw hole 211 and oppress pole 21 threaded connection. The end face of the pressing block 22 far from the pressing rod 21 is provided with a protection pad 26, the protection pad 26 is made of soft materials, and the protection pad 26 with soft performance can not only use the shape of the incision, but also avoid the pressing part 11 from damaging the incision, and enable a patient to feel comfortable.

When the pressing mechanism 20 is used for pressing the incision, the pressing part 11 is rotated for adjustment, and the position of the pressing rod 21 is adjusted to be aligned with the incision through the sliding of the pressing rod 21 in the sliding groove 111; the adjusting rod 23 is rotated, the adjusting rod 23 is connected with the pressing rod 21 through threads, the pressing block 22 moves far towards the incision, and finally the pressing block 22 is pressed at the incision through the protective pad 26 to press the incision; because the threaded connection of the adjusting rod 23 and the pressing rod 21 can adjust the pressure of the pressing block 22 on the incision at any time, and the stability of the threaded connection is high, so that the pressing of the pressing block 22 on the incision is very stable.

Preferably, the inner side and the outer side of the pressing part 11 away from the pressing rod 21 are provided with a limiting block 25 along the axial direction of the pressing part 11, the adjusting rod 23 is arranged at the side of the end outside the pressing rod 21 and is provided with two limiting grooves 231 along the circumferential direction, the positions of the two limiting grooves 231 correspond to the two limiting blocks 25 one by one, one end of the limiting block 25 is inserted into the limiting groove 231, and the limiting block 25 can slide in the limiting groove 231 relatively. The stopper 25 is inserted into the stopper groove 231 so that the adjustment lever 23 does not move in the radial direction with respect to the pressing portion 11, and further, when the adjustment lever 23 is rotated, the adjustment lever 23 is kept stationary, and the pressing lever 21 slides toward the incision with respect to the adjustment lever 23 to press the incision.

Referring to fig. 3, in the embodiment, the clamping assembly 30 includes a first connecting block 31, a second connecting block 32, a limiting strip 33, a limiting box 34 and a limiting bolt 35, the first connecting block 31 and the second connecting block 32 are respectively connected to one ends of the two clamping portions 12 far away from the pressing portion 11, the limiting box 34 is fixedly connected to the first connecting block 31, a clamping hole 341 is formed on an opposite side surface of the limiting box 34, one end of the limiting strip 33 is fixedly connected to the second connecting block 32, and one end of the limiting strip 33 far away from the second connecting block 32 passes through the clamping hole 341 and extends to the outside of the limiting box 34, a limiting threaded hole 342 is formed on the top surface of the limiting box 34, one end of the limiting bolt 35 is inserted into the limiting threaded hole 342 for threaded connection, and one end of the limiting bolt 35 inserted into the limiting box 34 abuts against the limiting strip 33. Wherein, the one end that spacing bolt 35 inserted inside spacing box 34 is equipped with first latch 351, is equipped with the second latch 331 that matches with first latch 351 on the spacing strip 33. Preferably, the inner sides of the two clamping portions 12 and the inner sides of the two connecting blocks are provided with cushions 40.

When the two clamping parts 12 are clamped on the neck of a patient, the cushion 40 on the inner side surface of the clamping part 12 has a protection effect on the neck of the patient, so that the first connecting block 31 and the second connecting block 32 are close to each other, the limiting bolt 35 is adjusted, one end of the limiting bolt 35 moves towards the inside of the limiting box body 34, and a gap is reserved between one end of the limiting bolt 35, which is positioned in the limiting box body 34, and the inner wall of the limiting box body 34, so that the limiting strip 33 can pass through; one end of the limiting strip 33, which is far away from the second limiting block 25, penetrates through the clamping hole 341 and is inserted into the limiting box body 34, so that the first clamping teeth 351 and the second clamping teeth 331 are clamped with each other; when the clamping connection between the limiting strip 33 and the limiting box body 34 needs to be released, the limiting bolt 35 is adjusted to enable the limiting bolt 35 to rotate upwards, the first clamping tooth 351 and the second clamping tooth 331 are separated, and the limiting strip 33 is drawn out from the limiting box body 34.

As shown in fig. 1 and fig. 2, in the present embodiment, a neck brace assembly 50 is disposed on the top side of the inner side of the clamping portion 12, the neck brace assembly 50 includes an airbag brace 51, an inflation tube 52 and an inflation balloon 53, the airbag brace 51 is adhered to the top side of the inner side of the clamping portion 12, one end of the inflation tube 52 is communicated with the airbag brace 51, the other end is communicated with the inflation balloon 53, and the inflation balloon 53 is detachably connected with the inflation tube 52, so that the inflation balloon 53 can be conveniently taken down after inflation, and the trouble of the inflation balloon 53 on the action of the patient can be avoided. The airbag holder 51 is only partially bonded to the clip portion 12. After the air bag support 51 is inflated, the inflated air bag support 51 extends to the upper jaw of the patient, so that the upper jaw of the patient is supported to a certain extent, the situation that the pressing part 11 is displaced due to the shaking of the head of the patient to influence the pressing of the pressing part 11 on the incision is avoided, and meanwhile, the pressing of the trachea of the patient is avoided.

The working principle of the invention is as follows: when the fixing seat is used, firstly, the two clamping parts 12 are clamped on the neck of a patient, the limiting bolt 35 is adjusted, the limiting strip 33 is inserted into the limiting box body 34, the first clamping teeth 351 and the second clamping teeth 331 are connected in a clamping mode, and the fixing seat 10 is fixed on the neck of the patient; then, the pressing part 11 is rotated to enable the pressing rod 21 to face the direction of the incision, and the pressing rod 21 is moved to be aligned with the incision; then, the adjusting rod 23 is rotated to enable the pressing rod 21 to move towards the incision, so as to press the incision; at the same time, the balloon holder 51 is inflated by the inflation balloon 53, so that the balloon holder 51 supports the lower jaw of the patient.

The invention has the beneficial effects that: the postoperative thyroid pressing and fixing device is fixed at a neck through the two clamping parts 12, the fixing stability is further enhanced through the clamping assembly 30, the pressing force of the pressing rod 21 on the incision is adjusted through rotating the adjusting rod 23 of the pressing mechanism 20, the healing of the incision is promoted, the influence of the pressing on the incision on the respiration of a patient is avoided, meanwhile, the air bag support 51 has a supporting effect on the lower jaw of the patient, and the pressing part 11 is prevented from shifting due to the shaking of the head of the patient; and the arrangement of the protective cushion 26 and the soft cushion 40 has certain protective effect on the neck and the incision of the patient, so as to prevent the injury to the patient.

The above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; such modifications and substitutions do not depart from the spirit and scope of the present invention, and they should be construed as being included in the following claims and description.

Claims

1. A postoperative compression fixing device for thyroid gland is characterized by comprising a fixing seat and a compression mechanism;

the fixing seat is of a U-shaped structure and comprises a pressing part and two clamping parts, the pressing part is the closed end of the U-shaped fixing seat, the clamping parts are side edges of the fixing seat, two ends of the pressing part are respectively rotatably connected with the two clamping parts, and the two clamping parts are far away from the pressing part and are connected through a clamping assembly;

the pressing mechanism comprises a pressing rod and a pressing block, one end of the pressing rod is connected with the pressing part in a sliding mode, the other end of the pressing rod is connected with the pressing block in a rotating mode, and one end, far away from the pressing rod, of the pressing block is used for pressing the incision;

two ends of the pressing part are respectively provided with a screw rod, one ends of the two clamping parts close to the pressing part are respectively provided with a first threaded hole, and the screw rods are inserted into the threaded holes and are in threaded connection with the clamping parts;

the compression part is of a tubular structure with two closed ends, the compression mechanism further comprises a regulating rod and a sliding ring, sliding grooves are formed in two opposite sides of the compression part along the axis direction, the sliding grooves are communicated with the inside of the compression part, one end, far away from the compression block, of the compression rod penetrates through the sliding grooves to be inserted into the compression part, the sliding ring is sleeved at the end, located inside the compression part, of the compression rod in a sliding mode, a second threaded hole is formed in one end, located inside the compression part, of the compression rod along the axis direction of the compression rod, and one end of the regulating rod penetrates through the sliding grooves to be inserted into the second threaded hole to be in threaded connection with the compression rod;

the inner side and the outer side of the compression part far away from the compression rod are respectively provided with a limiting block along the axial direction of the compression part, the side surface of one end of the adjusting rod, which is positioned at the outer side of the compression rod, is provided with two limiting grooves along the circumferential direction, the positions of the two limiting grooves correspond to the two limiting blocks one by one, one end of each limiting block is inserted into each limiting groove, and the limiting blocks can slide relative to the limiting grooves;

the utility model discloses a neck brace assembly, including clamping part medial surface, neck brace assembly, gasbag, inflation tube and inflatable balloon, the gasbag holds in the palm the top side that bonds at the clamping part medial surface, inflation tube one end and gasbag hold in the palm the intercommunication, the other end with inflate the sacculus intercommunication, and inflate the sacculus and can dismantle with the inflation tube and be connected.

2. The postoperative compression fixation device for thyroid gland according to claim 1, wherein: the joint subassembly includes first connecting block, second connecting block, spacing box and spacing bolt, first connecting block with the second connecting block is connected with the one end that oppression portion was kept away from to two clamping parts respectively, spacing box fixed connection is on first connecting block, the joint hole has been seted up on the relative side of spacing box, spacing one end fixed connection is on the second connecting block, and the one end that the second connecting block was kept away from to spacing passes the joint hole and extends to the spacing box outside, spacing screw hole has been seted up on the top surface of spacing box, spacing screw hole female connection is inserted to the one end of spacing bolt, and the inside one end butt of spacing bolt insertion spacing box is on spacing.

3. The postoperative compression fixation device for thyroid gland according to claim 2, wherein: the limiting bolt is inserted into one end inside the limiting box body and is provided with a first clamping tooth, and the limiting strip is provided with a second clamping tooth matched with the first clamping tooth.

4. The postoperative compression fixation device for thyroid gland according to claim 3, wherein: the medial surface of two clamping parts and the medial surface of two connecting blocks all are equipped with the cushion.