Breast lumbar vertebra anterior approach distraction instrument
Technical field
This utility model relates to medical assistance apparatus in a kind of operation, especially relates to the breast lumbar vertebra anterior approach distraction instrument of using in a kind of breast lumbar surgery operation.
Background technology
At present, breast lumbar vertebra anterior approach is widely used in spinal trauma, congenital malformation, special infection, the treatment of aspects such as tumor of spine.Anterior approach can appear the spinal column Front Frame clearly, and pathological changes be can be good at seeking and visiting and removing, and also helps inserting of the place ahead bone grafting and internal fixation device.But because in the lumbar vertebra anterior approach process, through multilayer tissue's structure, in the process that better appears spinal column, often need bigger otch, cause the part to damage comparatively widely, directly cause the increase of intraoperative blood loss, the pain discomfort of patient's postoperative, influence patient's postoperative function and take exercise and rehabilitation, prolonged the hospital stays, increased medical expense.Therefore, how better to appear the spinal column partial structurtes in the spinal column anterior approach, the damage that reduces surrounding tissue simultaneously to greatest extent has important clinic value.And the use of dilator is the committed step that better appears spine structure in the art, different dilators structure, stability, assembling complexity, appear effect and to the surrounding tissue degree of injury on quality is respectively arranged.In today that the lumbar vertebra anterior approach is extensively carried out, design and use and a kind ofly can finely appear spine structure, can reduce the surrounding tissue damage simultaneously again, and have dilator in the art of certain stability and simplification, better market application will be arranged.
Using comparatively widely the America and Europe, the Synframe drag hook can provide 360 degree that are connected with operation table based on anesthesia headstock structure to draw, the drag hook depth-adjustment, and can do certain rotation on axis of traction plane, towing point upper edge separately, i.e. 360 of two degree of freedom degree tractions.Substantially satisfied the requirement of flask shape operating field operation.The Synframe drag hook is the multipurpose drag hook, its primary structure is that the mid-diameter that is fixed in the operating-table both sides is the annulus (diameter of ring, height and position can need change because of the difference operation) of 315mm, the drag hook of different depth can be fixed in the difference on the annulus, with arbitrarily angled centrifugal traction, drag hook all around constitutes the service aisle that leads to intervertebral, and can adopt optical fiber that visual field illumination is provided, thereby allow with less otch, expose deeply the vertebra pre-structure.In theory, the body surface upper cut can be wild less than operation, as long as can be by operating theater instruments and intervertebral implant.As the conventional equipment of Wicresoft and open surgery, this drag hook can be used for preceding road or posterior approach and the pelvis and the hip operation of different parts such as cervical vertebra, thoracic vertebra, lumbar vertebra, and it is comparatively convenient to install, so be called general drag hook.Its market sale price is 1.5-2 ten thousand U.S. dollars.But the basic drag hook technology of bed that with Synframe is representative also has certain shortcoming, and its installation more complicated moves in appearing process easily, and structural stress disperses the risk that exists the soft tissue pressurized to damage by soft or hard tissue is common.
The utility model content
Technical problem to be solved in the utility model provides a kind of breast lumbar vertebra anterior approach distraction instrument that can play effective protective effect to soft tissue.
The technical scheme that its technical problem that solves this utility model adopts is: breast lumbar vertebra anterior approach distraction instrument comprises bracing frame and is arranged on dural retractor on the bracing frame that bracing frame is provided with the crista iliaca supporter.
Further be that a relative side bracing frame with the crista iliaca supporter is provided with the rib supporter.
Further be that described crista iliaca supporter and rib supporter all are hinged on the bracing frame.
Further be on bracing frame, to be hinged with illuminator.
Further be that radiotransparen material is adopted in described dural retractor.
Further be that described dural retractor is hinged on the bracing frame.
The beneficial effects of the utility model are: by the crista iliaca supporter that is provided with on bracing frame, when operation, the crista iliaca supporter can be acted on the crista iliaca, thereby effectively decompose dural retractor and act on active force on the human body soft tissue, prevent that dural retractor from forming the compressing of human body soft tissue and cause damage, improve the safety of operation technique greatly, be particluarly suitable for promoting the use of in the breast lumbar vertebra anterior approach.
Description of drawings
Fig. 1 is a perspective view of the present utility model.
Be labeled as among the figure: bracing frame 1, dural retractor 2, crista iliaca supporter 3, rib supporter 4, illuminator 5.
The specific embodiment
Below in conjunction with drawings and Examples this utility model is further specified.
As shown in Figure 1, breast lumbar vertebra anterior approach distraction instrument of the present utility model comprises bracing frame 1 and is arranged on dural retractor 2 on the bracing frame 1 that bracing frame 1 is provided with crista iliaca supporter 3.During operation, it is inner and crista iliaca supporter 3 is acted on the crista iliaca of human body that crista iliaca supporter 3 is stretched into otch from operative incision, acts on active force on the human body soft tissue thereby can decompose dural retractor 2, plays to prevent that human body soft tissue from suffering oppression and cause damage.
Act on active force on the human body soft tissue in order to decompose dural retractor 2 better, be provided with rib supporter 4 with crista iliaca supporter 3 corresponding side bracing frames 1.During operation, it is inner and rib supporter 4 is acted on the rib of human body that rib supporter 4 stretches into otch from operative incision, thus can make that the incision of human body is subjected to advocate to concentrate on crista iliaca and the rib, formation is to the effective protective effect of human body soft tissue.
In order conveniently to regulate crista iliaca supporter 3 and rib supporter 4, described crista iliaca supporter 3 and rib supporter 4 all are hinged on the bracing frame 1.Then in operation process, can rotate crista iliaca supporter 3 and the support angle of rib supporter 4, form protection better, reduce operation risk human body soft tissue according to the situation of operative incision in the operation at bracing frame 1.
For conveniently seeing the otch interior tissue clearly, be convenient to operation technique, on bracing frame 1, be hinged with illuminator 5.Illuminator 5 can external as required one or more body intraoral illuminations that carry out, and to reduce the operation blind area, improve surgical field of view, improve operation safety, and illuminator 5 also can rotate it according to the operation needs on bracing frame 1, the adjustment light angle.
In order can conveniently in art, to have an X-rayed, be beneficial to operation technique, radiotransparen material is adopted in described dural retractor 2.In the operation, for seeing the organizational structure of otch inside clearly, after radiotransparen material is adopted in dural retractor 2, and cooperate illuminator 5, can make things convenient for operation technique, wherein radiotransparen material can adopt material such as titanium alloy or carbon fiber.
After crista iliaca supporter 3 and rib supporter 4 were set, the protective effect to operation incision soft tissue was mainly played in dural retractor 2, when preventing operation technique to the damage of otch soft tissue.And for dural retractor 2 can all can be played about the effective protection to soft tissue under different operative incision situations, described dural retractor 2 is hinged on the bracing frame 1.Like this, can by rotating the support angle of dural retractor 2 on bracing frame 1, under different situations, all can play effective protective effect, improve operation safety according to the situation of operative incision.