CN201153965Y - Anal and rectal examination and treatment auxiliary apparatus - Google Patents

Abstract

The utility model relates to a surgical instrument used for anorectal examination and treatment use, which belongs to the technical field of medical equipment. The surgical instrument comprises at least a cylinder shaped accommodation wall and a cone-shaped top structure; the accommodation wall extends and distributes from the near end to the far end of the top structure; a gap is arranged on the accommodation wall; the gap extends from the near end to the far end of the accommodation wall. The surgical instrument is characterized in that the internal diameter of the accommodation wall is 29 to 36 mm. Thus, the accommodation wall is combined with a round pipe shaped binding instrument to cut and cure non-circular hemorrhoids; compared with developing a new instrument, the surgical instrument has much lower cost and saves manufacturing cost.

Description

The assistive device that anorectal section checks and treatment is used

Technical field

This utility model relates to a kind of surgical instruments, and particularly a kind of assistive device that is used for inspection of anorectal section and treatment use belongs to technical field of medical instruments.

Background technology

People were to the history in surplus the understanding of hemorrhoid existing 4000 year, and the theory of relevant hemorrhoid emerges in an endless stream for a long time.Since 18th century, hemorrhoid are considered to the abundant venous plexus that rectum lower end or anal canal position exist, if at a place or expansion takes place at the number place or varicose promptly becomes hemorrhoid, that is hemorrhoid are the vein groups of giving prominence to, and are the vascular lesions that a variety of causes causes.Since the seventies in 20th century, the research of hemorrhoid has been obtained breakthrough, anatomy, histology and physiological discovery have been given modern notion to hemorrhoid.Thomson proposed first in 1975, and " hemorrhoid are normal anatomical structures that everybody all has, and are lip shape wart or anus pad (anal cushions) in the rectum lower end, and the pathology hypertrophy of anus pad is the hemorrhoid disease." this new notion is subjected to Alexander-Williams (1982), Bernstein (1983) and Melzier famous scholars' such as (1984) support.The external anorectal disease of publishing is recently learned the new ideas that extensively adopted hemorrhoid in the monograph, in the past few years also gains recognition gradually in China anorectal surgical educational circles nearly 10.

The traditional method of internal hemorrhoid treatment comprises that injection of sclerosing agent, rubber snare are pricked and various forms of excision arts etc., all is to treat at hemorrhoid itself, is intended to make blood stasis to dwindle or disappears.In the surgical operation of hemorrhoid excision, a kind of PPH of being called operation method is arranged, i.e. mucosa ring cutting art on the hemorrhoid of carrying out under the help of tubular bookbinding device.Its principle is: organize under the situation at reservation anus pad, with mucosa, the about 3～4cm of submucosa tissue circular resection on internal hemorrhoid and the hemorrhoid, two ends simultaneously coincide, in blocking-up hemorrhoid supply vascular flow, reach slippage organized and upwards suspend fixed purpose in midair, make the anorectal region of pathological state return to normal anatomic status.

Utilization PPH operative treatment severe hemorrhoids, advantages such as having the postoperative pain of alleviating, reduce postoperative hemorrhage, shorten the hospital stays, accelerate recovery period, do not influence daily life, relapse rate is low, the whole surgery process only needs 8～15 minutes, and operation back patient does not almost have the sensation of pain.Because operation has solved the pathogenetic root of hemorrhoid, so it is more satisfactory to reach long-term effect in the recent period.Treat very thorny hemorrhoid for some with traditional remedies, as mixed hemorrhoid, ring-type hemorrhoid, serious prolapse of hemorrhoid, proctoptosis etc., the PPH operation has unique curative effect equally.

Yet clinical practice finds that some patient is not that pathological changes takes place 3 hemorrhoid simultaneously, but wherein 1 or 2 hemorrhoid morbidities at this moment, are used present tubular type binding apparatus excision one circle, and no matter whether all morbidity all can be by disposable complete resection for 3 hemorrhoid.Obviously, this operation will cause unnecessary damage to the patient, and post-operative recovery is not had good effect yet.

Summary of the invention

The purpose of this utility model is to overcome the above problem that prior art exists, and a kind of surgical instruments is provided.

Be the assistive device of realizing that the purpose of this utility model anorectal section checks and treatment is used, agent structure is the sleeve that a top is taper, wherein: the described telescopic wall that holds is one to have the face of cylinder of breach, and face of cylinder internal diameter is 29～36mm, breach from the near-end that holds wall to remote extension.

Further, the assistive device that above-mentioned anorectal section checks and treatment is used wherein, describedly holds that the arc length of breach accounts for 1/6～5/6 of face of cylinder overall circumference on the wall.

Further, the assistive device that above-mentioned anorectal section checks and treatment is used wherein, describedly holds the inside of wall or is provided with buckle or hole clipping above the taper top structure.

Further, the assistive device that above-mentioned anorectal section's inspection and treatment are used, wherein, the described inside that holds wall or taper top structure is provided with screw thread.

Again further, the assistive device that above-mentioned anorectal section's inspection and treatment are used, wherein, the described near-end that holds wall is provided with handle.

Adopt technical solutions of the utility model, can mutually combine cutting treatment other than ring type hemorrhoid with the bookbinding device of tubular type, only need on the basis of existing tubular type binding apparatus, cooperate this surgical instrumenties of some breach specifications just can finish the cutting of different big or small other than ring type hemorrhoid.And, saved manufacturing cost, much smaller compared with new apparatus cost of exploitation.

The purpose of this utility model, advantage and characteristics will illustrate by the non-limitative illustration of following preferential embodiment and explain that these embodiment only provide as an example with reference to accompanying drawing.

Description of drawings

Fig. 1 is a total structure sketch map of the present utility model;

Fig. 2 adds total structure sketch map of the present utility model behind the handle;

Fig. 3 is this utility model and organigram after the nail-head component of bookbinding device combines.

The implication of each Reference numeral is as follows among the figure:

1 holds wall 2 top structures

3 breach, 4 handles

5 nail anvils, 6 nail-anvil caps

7 nail tubes

The specific embodiment

A kind of surgical instruments shown in Fig. 1～3, at least include wall 1, the conical top structure 2 of holding cylindraceous, holding wall 1 is distributed to remote extension by the near-end of top structure 2, hold wall 1 and be provided with breach 3, to remote extension, its special feature is: the described internal diameter that holds wall 1 is 29～36mm to breach 3 from the near-end that holds wall 1.Further, described breach 3 is at least one in the quantity of holding distribution on the wall 1.And, in order to realize better holding of 3 pairs of hemorrhoid of breach that the described cylindric arc length of holding breach 3 on the wall 1 accounts for whole 1/6～5/6 of wall 1 girth that holds.

Again further, be provided with buckle or hole clipping in the wall 1 described holding; Or conical top structure 2 is provided with buckle or hole clipping, use with other apparatus Rapid Combination with convenient, such as with the tubular type surgery binding instrument cutting and stitching hemorrhoidal tissue that combines.

Moreover, in holding wall 1, be provided with screw thread; Or conical top is provided with screw thread, also is that the Rapid Combination that realizes this utility model and other apparatus is for convenience used.Operation demand in conjunction with different is provided with handle 4 at the near-end that holds wall 1, helps the doctor and controls apparatus more easily.

Embodiment one

As shown in Figure 3, the nail-head component of bookbinding device and this utility model adopt movable smooth socket, and operating position is roughly as follows: after at first the medical worker ties pocket with 1 or 2 hemorrhoid, select to have this utility model of suitable indentations 3.Subsequently, this utility model is enclosed within the far-end of bookbinding device.Then, the breach 3 that will hold wall 1 in bookbinding device inserts anal canal, makes this utility model hemorrhoidal tissue drop on cylindrical shape fully and holds in breach 3 zones that distribute on the wall 1 behind the hemorrhoidal tissue that ties pocket.The tractive purse wire enters in the bookbinding device hemorrhoidal tissue then.Next fixing purse wire is regulated between the nail anvil 5 of bookbinding device and the nail bin to suitable distance.During this period, because nail-head component and this utility model of bookbinding device have adopted smooth socket, bookbinding device moves with respect to this utility model, and the breach 3 that wall 1 is held in order better holds, limits hemorrhoidal tissue.Subsequently, the medical worker pushes the handle of bookbinding device, finishes stitching and cutting hemorrhoidal tissue.At last, finish operation and withdraw from bookbinding device and this utility model.

Embodiment two

Equally as shown in Figure 3: the nail-head component of bookbinding device and this utility model adopt buckle to be connected or are threaded or fixed form connection such as bonding, its operating position is roughly as follows: after at first the medical worker tied pocket with 1 or 2 hemorrhoid, that selects to have suitable indentations 3 held wall 1.Subsequently, this utility model is enclosed within the far-end of bookbinding device, the breach 3 that holds wall 1 towards the hemorrhoidal tissue that ties pocket.Then, in bookbinding device inserts anal canal, hemorrhoidal tissue is dropped in columnar breach 3 zones that hold wall 1 fully this utility model.The tractive purse wire enters in the bookbinding device hemorrhoid then.Next the fixing purse wire of medical worker is regulated between the nail anvil 5 of bookbinding device and the nail bin to suitable distance.Further, because the nail tube of bookbinding device is fixedlyed connected with this utility model, the nail anvil 5 in the nail-head component up to the suitable back of the distance of nail anvil between nail bin of apparatus extrusion handle, is finished stitching and cutting hemorrhoidal tissue with respect to this utility model motion.Perhaps, if nail anvil 5 or nail-anvil cap 6 set on the bookbinding device are connected with this utility model, then this utility model is followed nail anvil 5 associated movement together, and the distance between nail anvil 5 and nail bin is adjusted suitable back medical worker extrusion handle then, can finish stitching and cutting hemorrhoidal tissue.At last, finish operation and withdraw from bookbinding device and this utility model.

By above-mentioned character express also in conjunction with the accompanying drawings as can be seen, can mutually combine cutting treatment other than ring type hemorrhoid with the bookbinding device of tubular type after adopting this utility model, only need on the basis of existing tubular type binding apparatus, cooperate this surgical instrumenties of some breach specifications just can finish the cutting of different big or small other than ring type hemorrhoid.And, saved manufacturing cost, much smaller compared with new apparatus cost of exploitation, be worth popularization in the field of business.

Certainly, more than only be concrete exemplary applications of the present utility model, protection domain of the present utility model is not constituted any limitation.In addition to the implementation, this utility model can also have other embodiment.All employings are equal to the technical scheme of replacement or equivalent transformation formation, all drop within this utility model scope required for protection.

Claims (5)

1, the assistive device that anorectal section checks and treatment is used, agent structure is the sleeve that a top is taper, it is characterized in that: the described telescopic wall that holds is one to have the face of cylinder of breach, and face of cylinder internal diameter is 29～36mm, breach from the near-end that holds wall to remote extension.

2, the assistive device that anorectal according to claim 1 section checks and treatment is used is characterized in that: describedly hold that the arc length of breach accounts for 1/6～5/6 of face of cylinder overall circumference on the wall.

3, the assistive device that anorectal according to claim 1 section checks and treatment is used is characterized in that: describedly hold the inside of wall or be provided with buckle or hole clipping above the taper top structure.

4, the assistive device of anorectal section's inspection according to claim 1 and treatment use, it is characterized in that: the described inside that holds wall or taper top structure is provided with screw thread.

5, according to the assistive device of any described anorectal section's inspection of claim 1～4 and treatment use, it is characterized in that: the described near-end that holds wall is provided with handle.

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