CN113679489B - Bougie tracing device suitable for anal fistula pipeline - Google Patents
Bougie tracing device suitable for anal fistula pipeline Download PDFInfo
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- CN113679489B CN113679489B CN202110988963.7A CN202110988963A CN113679489B CN 113679489 B CN113679489 B CN 113679489B CN 202110988963 A CN202110988963 A CN 202110988963A CN 113679489 B CN113679489 B CN 113679489B
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- water
- water flow
- pull wire
- bougie
- traction
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/42—Detecting, measuring or recording for evaluating the gastrointestinal, the endocrine or the exocrine systems
Abstract
The invention discloses a bougie tracing device suitable for an anal fistula pipeline, which adopts a water flow tracing method to inject water from an outer opening of the fistula pipeline, utilizes the mobility of the water to find an inner opening of the fistula pipeline, is efficient and quick, has no harm to human bodies, utilizes water flow to wrap a traction line, can directly take the traction line out of the inner opening of the fistula pipeline, utilizes the traction line to bind metal bougies, and can efficiently finish the metal bougies inserting work of the anal fistula pipeline. Secondly, be equipped with the cylinder manifold for fixed pull wire places the chamber, be equipped with pull wire export and rivers passageway, rivers passageway encircles the pull wire export and sets up, can introduce the play water channel that converges with the rivers of the intracavity that converge with the vortex mode of circling round, forms the low atmospheric pressure district in encircleing the pull wire exit, when having increased the rivers velocity of flow, ensures rivers and to the wrapping up in of pull wire and hold the power, the guarantee pull wire is washed out along with the rivers.
Description
Technical Field
The invention relates to the field of anal fistula equipment, in particular to bougie tracing equipment suitable for an anal fistula pipeline.
Background
Anal fistula is a short term for anorectal fistula and is a residual lesion caused by abscess rupture or incision drainage around the anorectum. As shown in fig. 10, a typical anal fistula comprises an outer fistula tract opening 91 at the perianal skin surface of the body 9, an inner fistula tract opening 92 at the outer anal margin, or at the rectal wall, and an open, but sinuous, intact fistula tract 90 communicating the outer fistula tract opening 91 with the inner fistula tract opening 92, wherein there may be a plurality of fistula tract openings 92.
The prior operation mode is determined according to the penetration depth of the fistula 90, wherein the most important is to determine the position and the number of the fistula inner openings 92, directly incise or dig out the fistula 90 after determining the fistula inner openings 92, cauterize the wound surface and finish the operation.
At present, the dye is generally injected into an external opening clinically, the dyeing position is observed through an anoscope, and then a metal bougie is inserted into the external opening, is detected to the internal opening and penetrates out from a dye outlet. The metal bougie mainly plays a positioning role, and in the operation process, a pipeline is cut along the metal bougie, so that the operation wound can be effectively reduced, and the metal bougie is the most important operation mode at present.
However, since the internal structure of the pustule of the duct is complicated, when a metal bougie is used to penetrate the duct, the following problems are present:
1. because the pipe formed by the anal fistula is not a straight pipe, and the general anal fistula pipe has a large number of holes and tortuous pipelines as shown in figure 1, after the metal bougie is penetrated along the anal sinus, the metal bougie is not easy to directly reach the other end of the anal fistula pipe, but is easy to penetrate through the inside of the pus cavity to cause bleeding or secondary infection spreading.
2. In the actual operation, still there is the condition that same anal fistula formed a plurality of openings, consequently, when carrying out the perforation of metal bougie, has increased the operation degree of difficulty again, and current operation can only adopt the mode of manual trial and error, directly alternates to seek the inside of anal fistula, seeks the export, very easily harms human tissue, causes the secondary damage.
Disclosure of Invention
The technical problems to be solved by the invention are as follows: the invention aims to solve the defects in the prior art and provides the method.
The technical scheme of the invention is as follows: the invention relates to bougie tracing equipment suitable for an anal fistula pipeline, which is characterized in that: comprises a water flow delivery device and a pull wire which can provide stable flushing water flow; the pull wire may be advanced with the flushing water flow.
Further, the water flow conveying equipment comprises a water supply device and a pressurizing confluence device arranged at a water outlet of the water supply device; the pressurizing junction station comprises a junction chamber, a traction line placing chamber, a junction plate and a junction water outlet channel, wherein the traction line placing chamber is arranged in the junction chamber and used for storing the traction lines; after water provided by the water supply device is collected by the confluence cavity, the water passes through the confluence plate and is discharged along the confluence water outlet channel;
the traction wire placing cavity is formed in the bus bar, and the traction wire flows out along with scouring water flow through a traction wire outlet in the bus bar.
Further, the bus board comprises a traction line channel and a water flow channel; the confluence water outlet channel is arranged right below the traction line channel.
Further, the traction wire placing cavity is arranged right below the water inlet end of the pressurization flow combiner;
The traction wire placing cavity comprises a first water diversion plate and a vortex flow guide plate surrounding the first water diversion plate; and after water flow at the water inlet end of the pressurizing junction station is blocked by the first water diversion plate, the water flow flows along the vortex grooves on the turbine drainage plate to downwards rotate around the first water diversion plate, and a rotating vortex is formed in the junction chamber.
Furthermore, the confluence water outlet channel comprises an annular bucket-shaped connecting wall connected with the confluence cavity and a confluence water outlet pipe arranged at the water outlet end of the connecting wall.
The invention also discloses a bougie tracing method suitable for the anal fistula pipeline, which comprises bougie tracing equipment and a metal bougie and comprises the following steps,
s1, after the anal fistula outer opening is determined, inserting the water outlet end of the water flow delivery device into the anal fistula outer opening, and starting the water flow delivery device;
s2, under the drive of the scouring water flow, the traction line moves in the fistula tract along with the scouring water flow, namely flows from the external anal fistula orifice to the external anal fistula orifice until the traction line flows out of the internal fistula tract orifice along with the scouring water flow;
and S3, when the pull wire flows out of the fistula tract inner opening along with the scouring water flow, the pull wire is tied to the metal bougie and pulled in along the anal fistula outer opening or inner opening until the pull wire reaches the other end.
Further, the method also comprises blocking; the S3 further includes the step of,
S3.1, after the traction line flows out of the internal orifice of the fistula tract along with the scouring water flow, tying the traction line to block, pulling back the traction line, and blocking the fistula tract orifice by using the block;
then repeating S1, if no water flows out, indicating that the track is finished; if a new water flow outlet is found, repeating the step S3.1 until no water flow flows out of the anus;
and S3.2, replacing the plugging plug with a metal bougie, and pulling the plugging plug into the anal fistula outer opening or inner opening by using a pull wire until the plugging plug reaches the other end of the fistula tract.
Compared with the prior art, the invention has the beneficial effects that:
1. the fistula tract internal orifice is searched by using a water flow tracing method and water injection from the fistula tract external orifice, the mobility of water is utilized to search the fistula tract internal orifice, the method is efficient and rapid, no harm is caused to a human body, the water flow is utilized to wrap the traction line, the traction line can be directly taken out of the fistula tract internal orifice, the metal bougie is bound by the traction line, and the metal bougie inserting work of the anal fistula tract can be efficiently completed.
2. The device is provided with a confluence plate used for fixing a traction wire placing cavity, and is provided with a traction wire outlet and a water flow channel, wherein the water flow channel is arranged around the traction wire outlet, and can introduce water flow in the confluence cavity into a confluence water outlet channel in a vortex convolution mode, and a low-pressure area is formed around the traction wire outlet, so that the flow velocity of the water flow is increased, the wrapping force of the water flow on the traction wire is ensured, and the traction wire is flushed out along with the water flow; wherein, the chamber is placed except that being used for preventing the pull wire to the pull wire, prevents that the line body from knoing, can also block the reposition of redundant personnel to the thick rivers of water supply installation input, flows into the rivers passageway behind the vortex drainage plate drainage.
3. Be equipped with to seal and block up, to complicated anal fistula to the open-ended, can effectively block up one end export, reuse this device, look for fistulous way internal orifice one by one.
Drawings
FIG. 1 is a schematic diagram of an embodiment of the present invention;
FIG. 2 is a schematic structural diagram of a supercharging junction station according to the present invention;
FIG. 3 is a schematic view of the water flow analysis during operation of the supercharging flow combiner of the present invention;
FIG. 4 is a schematic diagram of a specific structure of a bus bar according to the present invention;
FIG. 5 is a schematic view of the outer surface configuration of the pull wire placement cavity of the present invention;
FIG. 6 is a schematic view of the plugging plug according to the present invention;
FIG. 7 is a schematic view showing a detailed structure of a water supply apparatus according to the present invention;
FIG. 8 is a schematic view showing the connection state of the water supply device and the pressurizing junction station according to the present invention;
FIG. 9 is a schematic view of a detailed structure of the metal bougie of the present invention;
fig. 10 is a schematic view of the structure of a conventional fistula.
Detailed Description
For the purpose of enhancing the understanding of the present invention, the following detailed description will be given with reference to the accompanying drawings, which are provided for the purpose of illustration only and are not intended to limit the scope of the present invention.
As shown in figures 1-9, the invention discloses a bougie tracing device suitable for anal fistula pipelines, which comprises a water flow delivery device 1 and a pull wire 10, wherein the water flow delivery device can provide stable flushing water flow; the pull wire 10 may be advanced with the flushing water flow. The water flow conveying equipment 1 comprises a water supply device 11 and a pressurizing confluence device 3 arranged at a water outlet of the water supply device; the pressurizing junction station 3 comprises a junction chamber 31, a pull wire placing chamber 32 arranged in the junction chamber 31 and used for storing the pull wires 10, a junction plate 33 and a junction water outlet channel 34; after being collected by the converging cavity 31, water provided by the water supply device 11 passes through the converging plate 33 and is discharged along the converging water outlet channel 34; the pull wire containing cavity 32 is arranged on the bus bar 33, and the pull wires 10 flow out with the flushing water flow through the pull wire outlet 331 on the bus bar 33. Wherein the bus bar 33 includes a pull wire passage 331 and a water flow passage 332; the confluent water outlet passage 34 is provided directly below the pull-wire passage 331.
The pull wire placing cavity 32 is arranged right below the water inlet end of the pressurization junction station 3; the pull wire placing cavity 32 comprises a first water diversion plate 321, and a vortex flow guide plate 322 surrounding the first water diversion plate 321; after the water flow at the water inlet end of the pressurizing junction station 3 is blocked by the first water diversion plate 321, the water flow revolves downwards around the first water diversion plate 321 along the vortex groove on the turbine flow guide plate 322, and a rotary vortex is formed in the junction chamber 31. The confluent outlet passage 34 comprises an annular bucket-shaped connecting wall 341 connected with the confluent chamber 31 and a confluent outlet pipe 342 arranged at the outlet end of the connecting wall 341.
The inner wall of the traction wire placing cavity 32 is provided with a flexible traction wire hook 320, and the flexible traction wire hook 320 is easy to straighten under the stress. The front end of the water outlet tip 1-11 of the water storage pipe is provided with a threaded anti-skid connector 1-3; the pressurizing junction station 3 is provided with a thread section 35 matched with the thread anti-slip interface 1-3; the front end of the water outlet tip 1-11 of the water storage pipe is provided with a necking flange 1-13, and the necking flange 1-13 is provided with a water collecting wall 1-14 which protrudes outwards from the flange 1-13; the water collecting wall 1-14 extends out of a thread section 35; the front end of the water outlet tip of the water storage pipe is provided with a necking flange to reduce the area of the water outlet, and the water collecting wall is arranged to further keep the water flow stable; the water collecting wall protrudes outwards and extends out of the thread section, and after the thread section is in butt joint with the thread anti-slip interface, the water collecting wall can directly convey water flow to the first water dividing plate of the traction line placing cavity.
The pull wire placing cavity 32 comprises a first water diversion plate 321, and a vortex flow guide plate 322 surrounding the first water diversion plate 321; the vortex flow guide plate 322 is provided with a main turbine blade 322-1 and an auxiliary turbine blade 322-2; after the water flow of the water collecting wall 1-14 reaches the first water dividing plate 321, the water flow is dispersed under the action of the first water dividing plate 321, flows downwards along the vortex flow guide plate 322 at the lower end of the first water dividing plate 321, and passes through the main turbine blade 322-1 and the auxiliary turbine blade 322-2 to form spiral downward-flowing vortex-shaped water flow which flows to the annular bucket-shaped connecting wall 341 through the flow passage 322-3.
The outlet end of the confluence water outlet passage 34 is provided with a hemispherical blunt circle 341. The front end of the traction line 10 is provided with a floating ball 101. The water supply device 11 comprises a water storage pipe 1-1, a push rod 1-2 and a junction 1-3 of a confluence device; the push rod 1-2 comprises a push head 1-21 and a push handle 1-22; the front end of the pushing head 1-21 is provided with a sealing piston 1-23 matched with the water outlet tip 1-11 of the water storage pipe. Also comprises a sealing plug 12; the plug 12 is connected to the hanging ring 121 by a connecting wire 120.
The invention also discloses a bougie tracing method suitable for the anal fistula pipeline, which comprises the following steps of adopting the bougie tracing device and the metal bougie 8,
s1, after the anal fistula outer opening is determined, inserting the water outlet end of the water flow delivery device 1 into the anal fistula outer opening, and starting the water flow delivery device 1;
S2, under the drive of the flushing water flow, the traction line 10 moves in the fistula tract along with the flushing water flow, namely flows from the external anal fistula orifice to the external anal fistula orifice until the traction line 10 flows out of the internal fistula tract orifice along with the flushing water flow;
s3, when the pull wire 10 flows out of the fistula tract inner opening along with the scouring water flow, the pull wire 10 is tied to the metal bougie 8 and is pulled in along the anal fistula outer opening or inner opening until the pull wire reaches the other end.
7. The bougie tracing method for anal fistula tracts according to claim 6, wherein: also comprises a sealing plug 12; s3 further includes the steps of,
s3.1, after the traction line 10 flows out of the internal orifice of the fistula tract along with the scouring water flow, tying the traction line 10 to the blocking plug 12, pulling back the traction line 10, and blocking the fistula orifice with the blocking plug 12;
then repeating S1, if no water flows out, indicating that the track is finished; if a new water flow outlet is found, repeating the step S3.1 until no water flow flows out of the anus;
s3.2, replacing the sealing plug 12 with a metal bougie 8, and pulling the metal bougie into the anal fistula along the external orifice or the internal orifice of the anal fistula by using a pull wire 10 until the other end of the fistula reaches
The fistulous tract internal opening is searched by injecting water from the fistulous tract external opening by adopting a water flow tracing method, the fistulous tract internal opening is searched by utilizing the fluidity of the water, the method is efficient and quick, and has no harm to a human body, the traction line can be directly taken out of the fistulous tract internal opening by utilizing the water flow to wrap the traction line, and the metal bougie can be efficiently inserted into the anal fistula by utilizing the traction line to bind the metal bougie.
Secondly, a confluence plate is arranged and used for fixing a traction line placing cavity, and is provided with a traction line outlet and a water flow channel, wherein the water flow channel is arranged around the traction line outlet, and can introduce water flow in the confluence cavity into a confluence water outlet channel in a vortex convolution mode, and a low-pressure area is formed around the traction line outlet, so that the flow velocity of the water flow is increased, the wrapping force of the water flow on the traction line is ensured, and the traction line is flushed out along with the water flow; wherein, the chamber is placed except that being used for preventing the pull wire to the pull wire, prevents that the line body from knoing, can also block the reposition of redundant personnel to the thick rivers of water supply installation input, flows into the rivers passageway behind the vortex drainage plate drainage.
Finally, be equipped with to seal and block up, to complicated anal fistula to the open-ended, can effectively block up one end export, reuse this device, look for the fistula one by one and say the internal orifice.
The above embodiments are merely illustrative of the technical concept and structural features of the present invention, and are intended to be implemented by those skilled in the art, but the present invention is not limited thereto, and any equivalent changes or modifications made according to the spirit of the present invention should fall within the scope of the present invention.
Claims (4)
1. A bougie tracing device suitable for anal fistula pipelines is characterized in that: comprises a water flow delivery device (1) and a pull wire (10) which can provide stable flushing water flow; the traction wire (10) can advance along with the flushing water flow;
the water flow conveying equipment (1) comprises a water supply device (11) and a pressurizing confluence device (3) arranged at a water outlet of the water supply device; the pressurizing junction station (3) comprises a junction cavity (31), a traction line placing cavity (32) arranged in the junction cavity (31) and used for storing the traction lines (10), a junction plate (33) and a junction water outlet channel (34); after water provided by the water supply device (11) is collected by the collecting cavity (31), the water passes through the collecting plate (33) and is discharged along the collecting water outlet channel (34);
the traction wire placing cavity (32) is arranged on the bus bar (33), and the traction wire (10) flows out along with flushing water flow through a traction wire outlet (331) on the bus bar (33).
2. The bougie tracing device for anal fistula tracts of claim 1, wherein: the bus bar (33) comprises a pull wire passage (331) and a water flow passage (332); the confluence water outlet channel (34) is arranged right below the traction line channel (331).
3. The bougie tracing device for anal fistula tracts of claim 1, wherein: the traction wire placing cavity (32) is arranged right below the water inlet end of the pressurization junction station (3);
the traction wire placing cavity (32) comprises a first water diversion plate (321) and a vortex flow guide plate (322) surrounding the first water diversion plate (321); the water flow at the water inlet end of the pressurizing junction station (3) is blocked by the first water diversion plate (321), and then revolves downwards around the first water diversion plate (321) along the eddy current groove on the turbine flow guide plate (322), so that a rotary eddy current is formed in the junction cavity (31).
4. The bougie tracing device for anal fistula tracts of claim 3, wherein: the confluence water outlet channel (34) comprises an annular hopper-shaped connecting wall (341) connected with the confluence cavity (31) and a confluence water outlet pipe (342) arranged at the water outlet end of the connecting wall (341).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110988963.7A CN113679489B (en) | 2021-08-26 | 2021-08-26 | Bougie tracing device suitable for anal fistula pipeline |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110988963.7A CN113679489B (en) | 2021-08-26 | 2021-08-26 | Bougie tracing device suitable for anal fistula pipeline |
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| Publication Number | Publication Date |
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| CN113679489A CN113679489A (en) | 2021-11-23 |
| CN113679489B true CN113679489B (en) | 2022-07-29 |
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Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8974418B2 (en) * | 2007-06-12 | 2015-03-10 | Boston Scientific Limited | Forwardly directed fluid jet crossing catheter |
| CN201082159Y (en) * | 2007-10-18 | 2008-07-09 | 曾涛 | Multifunctional anal fistula probing device |
| CN104161575A (en) * | 2013-05-17 | 2014-11-26 | 张震宇 | Fallopian tube guide wire guide tube |
| CN203828981U (en) * | 2014-04-24 | 2014-09-17 | 莫波 | Fistula-in-ano probe with thread capable of being hung and capable of carrying out injection detection |
| EP3257455A1 (en) * | 2016-06-17 | 2017-12-20 | National University of Ireland, Galway | A fistula treatment device |
| CN107537077A (en) * | 2016-06-24 | 2018-01-05 | 湖北心源科技有限公司 | A kind of anal fistula rinses thread-laying device |
| CN108201436A (en) * | 2017-12-25 | 2018-06-26 | 黄东胜 | The soft anal fistula probe of disposable multifunction |
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