CN115444977A - 微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团 - Google Patents
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Abstract
微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团,属于影像外科手术技术领域,由针头(1)、针头护套(2)、粘合剂囊(6)、填充物囊(7)、NHS酯(19)、聚氨酯(20)、聚丙烯酸(21)、聚乙烯醇(22)组成,其特征在于:所述的粘合剂囊(6)是盛装粘合剂各组分的球状囊,外表面为粘合剂囊壁(9),粘合剂囊壁(9)所围成的空腔为粘合剂囊腔(8);粘合剂囊口帽(10)是遮盖粘合剂囊口管(11)的管套;聚丙烯酸囊(12)、聚乙烯醇囊(13)和NHS酯囊(14)分别是用于盛放聚丙烯酸(21)、聚乙烯醇(22)和NHS酯(19)的囊状结构。该装置制作简单,可操作性强,成本低廉,效果明显。
Description
技术领域
本发明涉及一种微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团,属于影像外科手术技术领域。
背景技术
乳腺癌是女性最常见的恶性肿瘤之一,据资料统计,乳腺癌发病率占全身各种恶性肿瘤的7-10%,在妇女仅次于子宫癌,它的发病常与遗传有关,以及40-60岁之间,绝经期前后的妇女发病率较高,仅约1-2%的乳腺患者是男性。通常发生在乳房腺上皮组织的恶性肿瘤。是一种严重影响妇女身心健康甚至危及生命的最常见的恶性肿瘤之一,乳腺癌男性罕见。乳腺癌的早期发现、早期诊断,是提高疗效的关键。常见症状:乳房肿块、泌乳障碍、乳腺癌的远处转移、胸痛、剧痛、水肿、乳头内陷、乳头溢液、乳头破碎。检查方法:X线检查、超声显像检查、热图像检查、近红外线扫描、CT检查、肿瘤标志物检查和活体组织检查。乳腺癌的治疗方法中,手术治疗仍为乳腺癌的主要治疗手段之一,乳腺癌根治术:1894年Halsted及Meger分别发表乳腺癌根治术操作方法的手术原则:①原发灶及区域淋巴结应作整块切除;②切除全部乳腺及胸大,小肌;③腋淋巴结作整块彻底的切除,Haagensen改进了乳腺癌根治手术,强调了手术操作应特别彻底,主要有①细致剥离皮瓣;②皮瓣完全分离后,从胸壁上将胸大,小肌切断,向外翻起;③解剖腋窝,胸长神径应予以保留,如腋窝无明显肿大淋巴结者则胸背神经亦可以保留;④胸壁缺损一律予以植皮,术中常见并发症有:①腋静脉损伤:多因在解剖腋静脉周围脂肪及淋巴组织时,解剖不清,或因切断腋静脉分支时,过于接近腋静脉主干所致,因此,清楚暴露及保留少许分支断端,甚为重要,②气胸:在切断胸大肌,胸小肌的肋骨止端时,有时因钳夹胸壁的小血管穿通支,下钳过深,而致触破肋间肌及胸膜,造成张力性气胸,术后并发症有:①皮下积液:多因皮片固定不佳或引流不畅所致,可采用皮下与胸壁组织间多处缝合固定及持续负压引流而防止,②皮片坏死:皮肤缝合过紧及皮片过薄等均可为其发生原因,皮肤缺损较多时,宜采用植皮,③患侧上肢水肿,患侧上肢抬举受限:主要是术后活动减少,皮下疤痕牵引所致,因此,要求术后及早进行功能锻炼,一般应在术后一个月左右基本可达到抬举自如程度。Halsted首创的乳癌根治术,因手术合理,疗效明确,近百年来成为人们治疗乳癌所遵循的标准方式,近半个世纪以来,对乳癌术式进行了不少探索性修改,总的趋势不外保守和扩大两方面,乳房局部切除和全乳切除是保守手术的代表性手术,术后需辅以放疗,放射剂量不一,一般为30~70Gy,对严格选择的局限性早期癌,可以收到较好的疗效。乳腺是女性的第一性征,几乎所有的女性对于乳房都极为看重,目前,一旦对乳腺进行手术,很多人非常在意乳腺的保留程度,总想着尽可能多地将乳腺保留下来,否则,术后会对很多女性心理上造成极大的伤害,所以从保护女性心理宽慰的角度出发,在切除癌细胞并遏制复发的治疗过程中,微创和填充可能就是最好的手术方式。公知的微创手术是在影像技术的支持下,采用针式的手术器械将癌细胞组织块切割或溶化,通过引流或抽吸等带离身体,之后,由于内部创伤面较大,需要对术后创伤面进行严格处理,术后需辅以放疗。总所周知,癌症最本质的特点是细胞的异常增生,增生部位往往会形成肿块,肿块占据的空间实际上就是增生的肿块硬性的扩张形成的,无论肿块有多大,一旦恢复后,整个乳房应该都能基本恢复原状,因此如何在影像技术的支持下,对乳腺癌肿块进行微创切除,在切除后的空槽填充胶团后,更加利于创伤面的恢复成为急需解决的一大难题,所以微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团主要是往肿块切除术后的空槽中提供一些填充物,填充物表面涂有粘合剂,粘合剂能够在几秒钟内迅速粘在术后的创伤面上,并能保持足够的时间,比如一个多月。粘合剂会在几秒钟内与组织快速结合,并保持一个多月。同时,填充物和粘合剂还要非常灵活,能够在愈合时与功能正常的组织细胞一起扩张和收缩。一旦损伤完全愈合,填充物和粘合剂就会逐渐降解,而不会引起炎症或粘附在周围组织上。填充物为可生物降解的聚氨酯,粘合剂由聚丙烯酸、聚乙烯醇和NHS酯(N-hydroxysuccinimide ester)配制而成,聚氨酯具有与天然乳腺组织相同的弹性和硬度。经测试,微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团能够将两个湿的组织表面连接在一起,粘合剂的物理稳定性能够维持一个多月,这个时长足以让典型的乳腺组织损伤愈合。此外,在填充胶团中间是非粘性的填充物,填充物的成分是聚氨酯,可以防止填充胶团在灌注时从粘合剂溢出粘在周围组织上。同时,当将聚氨酯填充胶团摊成一层贴合在人类上皮细胞培养物中时,细胞依旧能继续生长,表明聚氨酯填充胶团具有良好的生物相容性。当将厚度为0.01-0.05毫米的一薄层聚氨酯填充胶团植入大鼠皮肤下时,聚氨酯填充胶团薄层在大约24周后完成生物降解,没有毒性作用。不仅如此,将该手术聚氨酯填充胶团应用于大鼠乳腺部位的损伤,发现随着伤口完全愈合,聚氨酯填充胶团仍保持与周围组织细胞牢固的结合,并观察到实验动物继续正常进食,没有发烧,嗜睡或其他不良健康影响。发明一种微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团是必要的。
发明内容
为了克服如何在影像技术的支持下,对乳腺癌肿块进行微创切除,在切除后的空槽填充胶团后,更加利于创伤面的恢复的难题,本发明提供了微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团,该种微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团利用往肿块切除术后的空槽中提供一些填充物,填充物表面涂有粘合剂,粘合剂能够在几秒钟内迅速粘在术后的创伤面上,并能保持足够的时间,比如一个多月。粘合剂会在几秒钟内与组织快速结合,并保持一个多月。同时,填充物和粘合剂还要非常灵活,能够在愈合时与功能正常的组织细胞一起扩张和收缩。一旦损伤完全愈合,填充物和粘合剂就会逐渐降解,而不会引起炎症或粘附在周围组织上。填充物为可生物降解的聚氨酯,粘合剂由聚丙烯酸、聚乙烯醇和NHS酯配制而成,聚氨酯具有与天然乳腺组织相同的弹性和硬度,最终达到在影像技术的支持下,对乳腺癌肿块进行微创切除,在切除后的空槽填充胶团后,更加利于创伤面的恢复的目的。
本发明解决其技术问题所采用的技术方案是:
本发明微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团,由针头1、针头护套2、粘合剂囊6、填充物囊7、NHS酯19、聚氨酯20、聚丙烯酸21、聚乙烯醇22组成,其特征在于:所述的粘合剂囊6是盛装粘合剂各组分的球状囊,粘合剂囊6的直径为2-5厘米,粘合剂囊6的外表面为粘合剂囊壁9,粘合剂囊壁9所围成的空腔为粘合剂囊腔8;粘合剂囊壁9为塑料质,厚度为0.2-0.5毫米;粘合剂囊口帽10是遮盖粘合剂囊口管11的管套、为塑料质或乳胶质;粘合剂囊口管11是粘合剂囊6顶部中央的圆筒状管,为塑料质;聚丙烯酸囊12是用于盛放聚丙烯酸21的囊状结构,聚丙烯酸囊12壁为橡胶质,厚度为0.1-0.2毫米,装入聚丙烯酸21后密封,置于粘合剂囊腔8中;聚乙烯醇囊13是用于盛放聚乙烯醇22的囊状结构,聚乙烯醇囊13壁为橡胶质,厚度为0.1-0.2毫米,装入聚乙烯醇22后密封,置于粘合剂囊腔8中;NHS酯囊14是用于盛放NHS酯19的囊状结构,NHS酯囊14壁为橡胶质,厚度为0.1-0.2毫米,装入NHS酯19后密封,置于粘合剂囊腔8中。
所述的填充物囊7是盛装填充物聚氨酯20的球状囊,填充物囊7的直径为5-20厘米,填充物囊7的外表面为填充物囊壁15,填充物囊壁15所围成的空腔为填充物囊腔16;填充物囊壁15为塑料质,厚度为0.2-0.5毫米;填充物囊口帽17是遮盖填充物囊口管18的管套、为塑料质或乳胶质,一旦填充物囊口帽17套在填充物囊口管18上,就能够将填充物囊口管18完全遮挡住,以防灭菌后的填充物囊口管18被污染;填充物囊口管18是填充物囊7顶部中央的圆筒状管,为塑料质,能够正好插入针头裤5中,将针头1与填充物囊7连通在一起,从而保证填充物聚氨酯20能够被顺利注入微创乳腺癌术后整个内表面涂满粘合剂的切除空槽内。
所述的针头1由针头尖3、针头管4和针头裤5组成,外面设置有针头护套2;针头护套2为塑料质,呈圆筒状,壁厚0.1-0.2毫米,分上下两部分,上部用于盛纳针头尖3和针头管4,下部用于盛纳针头裤5,在无菌环境下放入针头1后密封;针头尖3是针头1上部的尖端,是用器械在针头管4上部斜向切削而成,开口朝上;针头管4是针头1中部的长管,为表面镀铬的不锈钢质,横截面呈圆环形,针头管4圆环外直径为0.5-0.7毫米、管壁厚度为0.1-0.2毫米,针头管4的长度为5-15厘米;针头裤5为塑料质,针头裤5壁的厚度为0.5-1毫米,针头裤5的长度为1-2厘米,针头裤5内腔上端固定在针头管4下端并与针头管4相连通,下端游离并具有开口。
本发明的有益效果为,微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团利用往肿块切除术后的空槽中提供一些填充物,填充物表面涂有粘合剂,粘合剂能够在几秒钟内迅速粘在术后的创伤面上,并能保持足够的时间,比如一个多月。粘合剂会在几秒钟内与组织快速结合,并保持一个多月。同时,填充物和粘合剂组成的填充胶团还要非常灵活,能够在愈合时与功能正常的组织细胞一起扩张和收缩。一旦损伤完全愈合,填充物和粘合剂就会逐渐降解,而不会引起炎症或粘附在周围组织上。填充物为可生物降解的聚氨酯,粘合剂由聚丙烯酸、聚乙烯醇和NHS酯配制而成,聚氨酯具有与天然乳腺组织相同的弹性和硬度,最终达到在影像技术的支持下,对乳腺癌肿块进行微创切除,在切除后的空槽填充胶团后,更加利于创伤面的恢复的目的。微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团制作简单,可操作性强,成本低廉,效果明显。
附图说明
下面结合附图对本发明进一步说明。
图1为本发明微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团的粘合剂囊整体结构示意图
图2为本发明微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团的针头整体结构示意图。
图3为本发明微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团的填充物囊整体结构示意图。
图中1.针头,2.针头护套,3.针头尖,4.针头管,5.针头裤,6.粘合剂囊,7.填充物囊,8.粘合剂囊腔,9.粘合剂囊壁,10.粘合剂囊口帽,11.粘合剂囊口管,12.聚丙烯酸囊,13.聚乙烯醇囊,14.NHS酯囊,15.填充物囊壁,16.填充物囊腔,17.填充物囊口帽,18.填充物囊口管,19.NHS酯,20.聚氨酯,21.聚丙烯酸,22.聚乙烯醇。
具体实施方式
实施例一:
如图所示,本发明微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团,由针头1、针头护套2、针头尖3、针头管4、针头裤5、粘合剂囊6、填充物囊7、粘合剂囊腔8、粘合剂囊壁9、粘合剂囊口帽10、粘合剂囊口管11、聚丙烯酸囊12、聚乙烯醇囊13、NHS酯囊14、填充物囊壁15、填充物囊腔16、填充物囊口帽17、填充物囊口管18、NHS酯19、聚氨酯20、聚丙烯酸21、聚乙烯醇22组成。针头1是用于从粘合剂囊口管11伸进粘合剂囊腔8中,将聚丙烯酸囊12、聚乙烯醇囊13和NHS酯囊14的囊壁戳破,并在与粘合剂囊口管11或填充物囊口管18套在一起后,用手挤压粘合剂囊6或填充物囊7,从而将粘合剂或填充物依次注射进微创乳腺癌术后切除空槽内的结构,针头1由针头尖3、针头管4和针头裤5组成,外面设置有针头护套2;针头护套2为塑料质,呈圆筒状,壁厚0.1-0.2毫米,分上下两部分,上部用于盛纳针头尖3和针头管4,下部用于盛纳针头裤5,在无菌环境下放入针头1后密封,即可保证针头1能够较长时间使用,并保证灭菌后的针头1不受外界菌的污染,以免在使用时对患者乳腺造成微生物感染;针头尖3是针头1上部的尖端,是用器械在针头管4上部斜向切削而成,开口朝上,从而在针头1上部形成锋利的坚尖,使得针头1能够较为容易地在深入粘合剂囊腔8后,将聚丙烯酸囊12、聚乙烯醇囊13和NHS酯囊14的囊壁戳破;针头管4是针头1中部的长管,为表面镀铬的不锈钢质,横截面呈圆环形,针头管4圆环外直径为0.5-0.7毫米、管壁厚度为0.1-0.2毫米,针头管4的长度为5-15厘米;针头裤5是套在粘合剂囊口管11或填充物囊口管18上面、将针头1与粘合剂囊6或填充物囊7连通在一起的结构,为塑料质,针头裤5壁的厚度为0.5-1毫米,针头裤5的长度为1-2厘米,针头裤5内腔上端固定在针头管4下端并与针头管4相连通,下端游离,并具有开口,用于将针头裤5下端插入粘合剂囊口管11或填充物囊口管18后套在粘合剂囊口管11或填充物囊口管18上面,确保针头1与粘合剂囊6或填充物囊7连成一体。粘合剂囊6是盛装粘合剂各组分的球状囊,粘合剂囊6的直径为2-5厘米,粘合剂囊6的外表面为粘合剂囊壁9,粘合剂囊壁9所围成的空腔为粘合剂囊腔8;粘合剂囊壁9为塑料质,厚度为0.2-0.5毫米,不受外力挤压时能够保持球形状态,用手挤压时,受力点能够下陷,从而将粘合剂各组分在用针头1将粘合剂囊6内的聚丙烯酸囊12、聚乙烯醇囊13和NHS酯囊14的囊壁戳破后,NHS酯19、聚丙烯酸21、聚乙烯醇22被挤出来混合在一起后形成粘合剂,再将针头1套在粘合剂囊口管11上,在影像设备的配合下,使得粘合剂从针头1被注入微创乳腺癌术后切除空槽内,并涂满整个空槽内表面;粘合剂囊口帽10是遮盖粘合剂囊口管11的管套、为塑料质或乳胶质,一旦粘合剂囊口帽10套在粘合剂囊口管11上,就能够将粘合剂囊口管11完全遮挡住,以防灭菌后的粘合剂囊口管11被污染;粘合剂囊口管11是粘合剂囊6顶部中央的圆筒状管,为塑料质,能够正好插入针头裤5中,将针头1与粘合剂囊6连通在一起,从而保证粘合剂能够被顺利注入微创乳腺癌术后切除空槽内;聚丙烯酸囊12是用于盛放聚丙烯酸21的囊状结构,聚丙烯酸囊12壁为橡胶质,厚度为0.1-0.2毫米,装入聚丙烯酸21后密封,置于粘合剂囊腔8中;聚乙烯醇囊13是用于盛放聚乙烯醇22的囊状结构,聚乙烯醇囊13壁为橡胶质,厚度为0.1-0.2毫米,装入聚乙烯醇22后密封,置于粘合剂囊腔8中;NHS酯囊14是用于盛放NHS酯19的囊状结构,NHS酯囊14壁为橡胶质,厚度为0.1-0.2毫米,装入NHS酯19后密封,置于粘合剂囊腔8中。填充物囊7是盛装填充物聚氨酯20的球状囊,填充物囊7的直径为5-20厘米,填充物囊7的外表面为填充物囊壁15,填充物囊壁15所围成的空腔为填充物囊腔16;填充物囊壁15为塑料质,厚度为0.2-0.5毫米,不受外力挤压时能够保持球形状态,用手挤压时,受力点能够下陷,从而将填充物聚氨酯20被挤出来后,再将针头1套在填充物囊口管18上,在影像设备的配合下,使得填充物聚氨酯20从针头1被注入微创乳腺癌术后整个内表面涂满粘合剂的切除空槽内;填充物囊口帽17是遮盖填充物囊口管18的管套、为塑料质或乳胶质,一旦填充物囊口帽17套在填充物囊口管18上,就能够将填充物囊口管18完全遮挡住,以防灭菌后的填充物囊口管18被污染;填充物囊口管18是填充物囊7顶部中央的圆筒状管,为塑料质,能够正好插入针头裤5中,将针头1与填充物囊7连通在一起,从而保证填充物聚氨酯20能够被顺利注入微创乳腺癌术后整个内表面涂满粘合剂的切除空槽内,从而聚氨酯20与NHS酯19、聚丙烯酸21、聚乙烯醇22构成的粘合剂一起,形成微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团,填充后的乳腺能够保持固有的形态,达到美容的效果,避免了术后女性可能出现的心理创伤。
以上显示和描述了本发明的基本原理和主要特征和本发明的优点。本行业的技术人员应了解,本发明不受上述实施例的限制,上述实施例和说明书中描述的只是说明本发明的原理,在不脱离本发明精神和范围的前提下,本发明还会有各种变化和改进,这些变化和改进都落入要求保护的本发明范围内,本发明要求保护范围由所附的权利要求书其等效物界定。
Claims (3)
1.微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团,由针头(1)、针头护套(2)、粘合剂囊(6)、填充物囊(7)、NHS酯(19)、聚氨酯(20)、聚丙烯酸(21)、聚乙烯醇(22)组成,其特征在于:所述的粘合剂囊(6)是盛装粘合剂各组分的球状囊,粘合剂囊(6)的直径为2-5厘米,粘合剂囊(6)的外表面为粘合剂囊壁(9),粘合剂囊壁(9)所围成的空腔为粘合剂囊腔(8);粘合剂囊壁(9)为塑料质,厚度为0.2-0.5毫米;粘合剂囊口帽(10)是遮盖粘合剂囊口管(11)的管套、为塑料质或乳胶质;粘合剂囊口管(11)是粘合剂囊(6)顶部中央的圆筒状管,为塑料质;聚丙烯酸囊(12)是用于盛放聚丙烯酸(21)的囊状结构,聚丙烯酸囊(12)壁为橡胶质,厚度为0.1-0.2毫米,装入聚丙烯酸(21)后密封,置于粘合剂囊腔(8)中;聚乙烯醇囊(13)是用于盛放聚乙烯醇(22)的囊状结构,聚乙烯醇囊(13)壁为橡胶质,厚度为0.1-0.2毫米,装入聚乙烯醇(22)后密封,置于粘合剂囊腔(8)中;NHS酯囊(14)是用于盛放NHS酯(19)的囊状结构,NHS酯囊(14)壁为橡胶质,厚度为0.1-0.2毫米,装入NHS酯(19)后密封,置于粘合剂囊腔(8)中。
2.根据权利要求1所述的微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团,其特征在于:所述的填充物囊(7)是盛装填充物聚氨酯(20)的球状囊,填充物囊(7)的直径为5-20厘米,填充物囊(7)的外表面为填充物囊壁(15),填充物囊壁(15)所围成的空腔为填充物囊腔(16);填充物囊壁(15)为塑料质,厚度为0.2-0.5毫米;填充物囊口帽(17)是遮盖填充物囊口管(18)的管套、为塑料质或乳胶质,一旦填充物囊口帽(17)套在填充物囊口管(18)上,就能够将填充物囊口管(18)完全遮挡住,以防灭菌后的填充物囊口管(18)被污染;填充物囊口管(18)是填充物囊(7)顶部中央的圆筒状管,为塑料质,能够正好插入针头裤(5)中,将针头(1)与填充物囊(7)连通在一起,从而保证填充物聚氨酯(20)能够被顺利注入微创乳腺癌术后整个内表面涂满粘合剂的切除空槽内。
3.根据权利要求1所述的微创乳腺癌术后切除空槽恢复用聚氨酯填充胶团,其特征在于:所述的针头(1)由针头尖(3)、针头管(4)和针头裤(5)组成,外面设置有针头护套(2);针头护套(2)为塑料质,呈圆筒状,壁厚0.1-0.2毫米,分上下两部分,上部用于盛纳针头尖(3)和针头管(4),下部用于盛纳针头裤(5),在无菌环境下放入针头(1)后密封;针头尖(3)是针头(1)上部的尖端,是用器械在针头管(4)上部斜向切削而成,开口朝上;针头管(4)是针头(1)中部的长管,为表面镀铬的不锈钢质,横截面呈圆环形,针头管(4)圆环外直径为0.5-0.7毫米、管壁厚度为0.1-0.2毫米,针头管(4)的长度为5-15厘米;针头裤(5)为塑料质,针头裤(5)壁的厚度为0.5-1毫米,针头裤(5)的长度为1-2厘米,针头裤(5)内腔上端固定在针头管(4)下端并与针头管(4)相连通,下端游离并具有开口。
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