Minimally-invasive treatment compression fracture of vertabral body vertebral plasty system
Technical field
This utility model relates to a kind of medical surgical instrument, particularly a kind of minimally-invasive treatment compression fracture of vertabral body vertebral plasty system.
Background technology
Along with the population senescence, osteoporosis becomes a kind of commonly encountered diseases of harm middle-aged and elderly people health.The total prevalence rate of China's mid-aged population osteoporosis is 12.4%, and prevalence increases with the age, and the sickness rate of osteoporotic compression fracture of vertabral body is 10% more than 60 years old.Vertebral compression fracture also can be caused by tumor invading, application class steroid hormone etc.Traditional treatment is an expectant treatment, comprise lie up, analgesic, physical therapy, support etc.But bed has more been quickened losing with muscle committee of bone and has been contracted, and pain increases the weight of thereupon.The osteoporosis centrum internal fixation is unreliable, and osteotomy orthopaedy is not greatly generally considered very much because of its wound behind the vertebral body kyphosis deformity vertebra.
The utility model content
The purpose of this utility model provides the minimally-invasive treatment compression fracture of vertabral body vertebral plasty system of the convenient, fast treatment that undergos surgery of a kind of energy.
The technical scheme that realizes this utility model purpose is: a kind of minimally-invasive treatment compression fracture of vertabral body vertebral plasty system, has self-existent separately piercing assembly, Stent assembly, guide needle, high pressure sacculus and bone cement fill assembly, piercing assembly has puncture needle and is socketed in its outer puncture casing, the puncture needle needle point stretches out puncture casing, guide needle is a slender cylinder, Stent assembly has the expanding pilot pipe, expanded casing and expansion bradawl, the expanding pilot external diameter of pipe is identical with expansion bradawl external diameter, match with the expanded casing internal diameter, high pressure sacculus front end is an elastic sack body, the middle part is a body, the body rear end is provided with the contrast agent inlet, the bone cement fill assembly has the sleeve pipe of filling and fills push rod, filling push rod is slidingly arranged in the filling sleeve pipe, the body of rod external diameter of filling push rod matches with the filling casing inner diameter, and the expanding pilot bore of filling telescopic external diameter and Stent assembly matches.
The puncture needle upper end of the piercing assembly of above-mentioned minimally-invasive treatment compression fracture of vertabral body vertebral plasty system is provided with the puncture needle handle, and the puncture casing upper end is provided with the puncture casing handle, and puncture needle handle and puncture casing handle can lock by locking mechanism.
The expanding pilot pipe upper end of the Stent assembly of above-mentioned minimally-invasive treatment compression fracture of vertabral body vertebral plasty system is provided with expanding pilot pipe handle, the expanded casing upper end is provided with the expanded casing handle, expansion bradawl upper end is provided with expansion bradawl handle, and expanding pilot pipe handle can be threaded with the expanded casing handle.
The filling sleeve pipe upper end of the bone cement fill assembly of above-mentioned minimally-invasive treatment compression fracture of vertabral body vertebral plasty system is provided with fills the sleeve pipe handle, fills push rod, and the upper end is provided with fills the push rod handle.
Self-existent separately piercing assembly, Stent assembly, guide needle, high pressure sacculus and the bone cement fill assembly of above-mentioned minimally-invasive treatment compression fracture of vertabral body vertebral plasty system are arranged in the workbox, be provided with depressed part in the workbox, the puncture needle of piercing assembly and puncture casing socket are placed in the depressed part, and puncture needle handle and puncture casing handlebar locked; The expanding pilot pipe and the expanded casing socket of Stent assembly are placed in the depressed part, and expanding pilot pipe handle is threaded with the expanded casing handle; The expansion bradawl independently is placed in the depressed part, and the filling sleeve pipe of bone cement fill assembly is placed in the depressed part with filling the push rod socket, and guide needle, high pressure sacculus independently are placed in the depressed part respectively.
The utlity model has positive effect: adopt minimally-invasive treatment compression fracture of vertabral body vertebral plasty of the present utility model system to undergo surgery, earlier will compress vertebral body with special air bag resets, under low pressure inject bone cement then, can reduce risk of leakage, not only enhanced stability, relieve the pain, can also recover vertebra height and physiological function, curative effect is better.
Description of drawings
Content of the present utility model is easier to be expressly understood in order to make, and according to specific embodiment also in conjunction with the accompanying drawings, this utility model is described in further detail, wherein below
Fig. 1 is this utility model sketch map;
Fig. 2 is the sketch map of this utility model piercing assembly;
Fig. 3 is this utility model expanding pilot pipe and the belled sketch map of expanded casing;
Fig. 4 is the sketch map of this utility model expansion bradawl;
Fig. 5 is the sketch map of this utility model high pressure sacculus;
Fig. 6 is the sketch map of this utility model bone cement fill assembly;
Fig. 7 is the sketch map of this utility model guide needle.
The specific embodiment
See Fig. 2 to Fig. 7, the utlity model has self-existent separately piercing assembly 1, Stent assembly 2, guide needle 3, high pressure sacculus 4 and bone cement fill assembly 5, piercing assembly 1 has puncture needle 11 and is socketed in its outer puncture casing 12, puncture needle 11 needle points stretch out puncture casing 12, guide needle 3 is a slender cylinder, Stent assembly 2 has expanding pilot pipe 21, expanded casing 22 and expansion bradawl 23, expanding pilot pipe 21 external diameters are identical with expansion bradawl 23 external diameters, match with expanded casing 22 internal diameters, high pressure sacculus 4 front ends are elastic sack body 41, the middle part is a body 42, body 42 rear ends are provided with contrast agent inlet 43, bone cement fill assembly 5 has the sleeve pipe of filling 51 and fills push rod 52, filling push rod 52 is slidingly arranged in the filling sleeve pipe 51, the body of rod external diameter of filling push rod 52 matches with filling sleeve pipe 51 internal diameters, fills the external diameter of sleeve pipe 51 and expanding pilot pipe 21 internal diameters of Stent assembly 2 and matches; Puncture needle 11 upper ends of piercing assembly 1 are provided with puncture needle handle 111, and puncture casing 12 upper ends are provided with puncture casing handle 121, and puncture needle handle 111 can lock by locking mechanism with puncture casing handle 121; Expanding pilot pipe 21 upper ends of Stent assembly 2 are provided with expanding pilot pipe handle 211, expanded casing 22 upper ends are provided with expanded casing handle 221, expansion bradawl 23 upper ends are provided with expansion bradawl handle 231, and expanding pilot pipe handle 211 can be threaded with expanded casing handle 221; Filling sleeve pipe 51 upper ends of bone cement fill assembly 5 are provided with fills sleeve pipe handle 511, fills push rod 52, and the upper end is provided with fills push rod handle 521
See Fig. 1, self-existent separately piercing assembly 1, Stent assembly 2, guide needle 3, high pressure sacculus 4 and bone cement fill assembly 5 are arranged in the workbox 6, be provided with depressed part 61 in the workbox 6, the puncture needle 11 of piercing assembly 1 and puncture casing 12 sockets are placed in the depressed part 61, and puncture needle handle 111 and 121 lockings of puncture casing handle; The expanding pilot pipe 21 of Stent assembly 2 and expanded casing 22 sockets are placed in the depressed part 61, and expanding pilot pipe handle 211 is threaded with expanded casing handle 221; Expansion bradawl 23 independently is placed in the depressed part 61, and the filling sleeve pipe 51 of bone cement fill assembly 5 is placed in the depressed part 61 with filling push rod 52 sockets, and guide needle 3, high pressure sacculus 4 independently are placed in the depressed part 61 respectively.
During operation, the patient gets prostrate hyperextension position, and under C shape arm X line machine perspective, the vertebra pedicle locations is determined to hinder in positive side position, and marks; Routine disinfection is assisted towel, cuts 0.5cm left and right sides osculum at gauge point,, enters from the outside, back and hinders vertebra vertebral body (about 2mm) by hindering the vertebra pedicle of vertebral arch under C shape arm X line machine monitors with piercing assembly 1; Remove puncture needle 11, allow puncture casing 12 stay in the body; From puncture casing 12, insert guide needle 3, remove puncture casing 12 then; Under guide needle 3 guiding, insert its outer expanded casing 22 of expanding pilot pipe 21 and socket, expanded casing 22 rotatable entering are to reduce resistance; Take out expanding pilot pipe 21 and guide needle 3 then, stay expanded casing 22 in vivo, as service aisle; , by expanded casing 22 the bone passage of vertebral body is enlarged with expansion bradawl 23; The anterior elastic sack body 41 of the high pressure sacculus 4 of extracting vacuum is inserted vertebral body inside by expanded casing 22, open contrast agent inlet 43 usefulness high pressure injectors and in sacculus, inject contrast agent, dilating sacculus progressively, (specification is the long sacculus of 15mm to each increase contrast agent 0.5ml, and the suggestion consumption is no more than 4ml; Specification is 20mm, the suggestion consumption is no more than 6ml), and stopping frequently checks whether elastic sack body 41 internal pressures reduce, if there is osteoporosis, pressure can occur and rise slowly, balloon system pressure should be controlled at below 15 atmospheric pressure, can reach satisfied expansion effect, elastic sack body 41 is expanded to the requirements of operation degree promptly can stop expansion, and the developing agent of finding time removes high pressure sacculus 4 after making elastic sack body 41 bounce back to vacuum; Carry out the offside operation with quadrat method.The bone cement fill assembly 5 of filling bone cement is in advance supported to vertebral body internal cavity leading edge by service aisle, inject bone cement, the bone cement consumption generally manys 0.5ml than the amount of dilating sacculus contrast agent; This process should be carried out under the perspective of C shape arm X line machine; After filling finishes, remove all instruments, conventional skin suture.
Above-described specific embodiment; the purpose of this utility model, technical scheme and beneficial effect are further described; institute is understood that; the above only is a specific embodiment of the utility model; be not limited to this utility model; all within spirit of the present utility model and principle, any modification of being made, be equal to replacement, improvement etc., all should be included within the protection domain of the present utility model.