CN203915744U - Hemostasis anal tube drainage pipe - Google Patents
Hemostasis anal tube drainage pipe Download PDFInfo
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- CN203915744U CN203915744U CN201420238031.6U CN201420238031U CN203915744U CN 203915744 U CN203915744 U CN 203915744U CN 201420238031 U CN201420238031 U CN 201420238031U CN 203915744 U CN203915744 U CN 203915744U
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- silicone tube
- tube
- hemostatic
- anal canal
- opening
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- Expired - Lifetime
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- 230000023597 hemostasis Effects 0.000 title abstract description 8
- 230000002439 hemostatic effect Effects 0.000 claims abstract description 23
- 229920001296 polysiloxane Polymers 0.000 claims description 61
- 210000002255 anal canal Anatomy 0.000 claims description 31
- 229920000159 gelatin Polymers 0.000 claims description 18
- 239000008273 gelatin Substances 0.000 claims description 18
- 108010010803 Gelatin Proteins 0.000 claims description 17
- 235000019322 gelatine Nutrition 0.000 claims description 17
- 235000011852 gelatine desserts Nutrition 0.000 claims description 17
- 229940099259 vaseline Drugs 0.000 claims description 6
- 108090000623 proteins and genes Proteins 0.000 claims description 4
- 102000004169 proteins and genes Human genes 0.000 claims description 4
- 239000004744 fabric Substances 0.000 claims description 3
- 239000003292 glue Substances 0.000 claims description 3
- 238000004804 winding Methods 0.000 claims description 3
- 230000036770 blood supply Effects 0.000 abstract description 4
- 230000000694 effects Effects 0.000 abstract description 3
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 abstract 7
- 239000000741 silica gel Substances 0.000 abstract 7
- 229910002027 silica gel Inorganic materials 0.000 abstract 7
- 230000006835 compression Effects 0.000 abstract 1
- 238000007906 compression Methods 0.000 abstract 1
- 208000032843 Hemorrhage Diseases 0.000 description 6
- 208000034158 bleeding Diseases 0.000 description 6
- 230000000740 bleeding effect Effects 0.000 description 6
- 230000003872 anastomosis Effects 0.000 description 3
- 230000035876 healing Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000000638 stimulation Effects 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 3
- 206010000060 Abdominal distension Diseases 0.000 description 2
- 206010056346 Anastomotic haemorrhage Diseases 0.000 description 2
- 229920000742 Cotton Polymers 0.000 description 2
- 206010040007 Sense of oppression Diseases 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 229920001971 elastomer Polymers 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000012856 packing Methods 0.000 description 2
- 208000004998 Abdominal Pain Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000013872 defecation Effects 0.000 description 1
- 206010013990 dysuria Diseases 0.000 description 1
- 210000003608 fece Anatomy 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000011010 flushing procedure Methods 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 239000004816 latex Substances 0.000 description 1
- 229920000126 latex Polymers 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
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- Materials For Medical Uses (AREA)
Abstract
Description
技术领域technical field
本实用新型涉及医疗器械领域,特别提供一种在在痔上黏膜环形切除钉合术(PPH)术后使用的止血肛管引流管The utility model relates to the field of medical devices, in particular to provide a hemostatic anal canal drainage tube used after hemorrhoidal mucous membrane circular excision and stapling (PPH)
背景技术Background technique
目前在肛肠科临床PPH术后一般用油纱条、药棉、气囊、水囊或肛管引流管进行创面压迫止血。但油纱条或药棉的压迫并不彻底,容易活动脱落,且造成排气排便不畅,容易引起腹胀、腹痛和排尿困难等症状。气囊或水囊为硬性材料,在临床使用时,难以控制其充气量或充水量,若对创面压迫过轻则起不到止血效果,若压迫过度,则会引起创面的局部缺血,严重时导致局部组织坏死。肛管引流管由于管径细不利于引流,由于弹性小,影响创面供血,不利于愈合,由于质地较硬,在拔管时容易对吻合口创面的产生较大物理刺激,增加吻合口出血几率。At present, oily gauze, cotton wool, air bag, water bag or anal canal drainage tube are generally used to compress the wound to stop bleeding after clinical PPH in the anorectal department. But the oppression of oil gauze or cotton wool is not thorough, it is easy to move and fall off, and it will cause poor exhaust and defecation, and it is easy to cause symptoms such as abdominal distension, abdominal pain, and dysuria. The air bag or water bag is made of hard material. It is difficult to control the amount of air or water in clinical use. If the pressure on the wound is too light, the hemostatic effect will not be achieved. If the pressure is too high, it will cause local ischemia of the wound. lead to local tissue necrosis. The small diameter of the anal canal drainage tube is not conducive to drainage. Due to its small elasticity, it affects the blood supply of the wound and is not conducive to healing. Due to its hard texture, it is easy to produce greater physical stimulation to the anastomotic wound during extubation, increasing the chance of anastomotic bleeding .
2013年1月在山东医药杂志一篇《自制肛管引流管接引流袋在PPH术中的应用》公开了一种自制肛管引流管接引流袋装置,其方法是在术毕时用自制肛管引流管接引流袋装置填塞肛管。其为长约30cm的橡胶管,头端剪侧孔2~3个,并用稀碘伏及凡士林纱布包裹、丝线固定,头端露出1个侧孔,尾端接普通引流袋。术后第1天用生理盐水从引流管进行冲洗并观察有无出血,术后第2天拔除肛管填塞物。In January 2013, an article titled "Application of Self-made Anal Canal Drainage Tube Connected to Drainage Bag in PPH Operation" in Shandong Medical Journal disclosed a self-made anal canal drainage tube connected to drainage bag device. The tube drainage tube is connected to the drainage bag device to fill the anal canal. It is a rubber tube with a length of about 30 cm, with 2 to 3 side holes cut at the head end, wrapped with dilute iodophor and Vaseline gauze, and fixed with silk thread. One side hole is exposed at the head end, and a common drainage bag is connected at the end end. On the first day after the operation, the drainage tube was flushed with normal saline and observed for bleeding, and the anal canal packing was removed on the second day after the operation.
该方法的不足之处为:The disadvantages of this method are:
1、研究中所用的自制肛管引流管为橡胶管,因为其较乳胶管质软,容易被组织压迫而塌陷,且使用的引流管管径较细,容易被粪渣堵塞,不利于引流。1. The self-made anal canal drainage tube used in the research is a rubber tube, because it is softer than the latex tube, and it is easy to be compressed by the tissue and collapse, and the drainage tube used is small in diameter, and it is easy to be blocked by feces, which is not conducive to drainage.
2、内容物经凡士林纱布包裹物弹性较差,对吻合口压迫的程度不随时间改变,可以引起吻合口处血供减少,不利于愈合;由于经凡士林纱布包裹物质地较硬,在拔管时容易对吻合口创面的产生较大物理刺激,增加吻合口出血几率。2. The content wrapped by vaseline gauze has poor elasticity, and the degree of oppression on the anastomotic stoma does not change with time, which can cause a decrease in blood supply at the anastomotic stoma, which is not conducive to healing; because the material wrapped by vaseline gauze is relatively hard, when extubation It is easy to produce greater physical stimulation to the anastomotic wound and increase the chance of anastomotic bleeding.
实用新型内容Utility model content
本实用新型要解决的技术问题是提供一种既能充分压迫止血、排气引流,又能保证创面血液供应,在拔管时刺激小,副作用小的PPH术后止血肛管引流管。The technical problem to be solved by the utility model is to provide a hemostatic anal canal drainage tube after PPH operation that can fully compress the hemostasis, exhaust the drainage, and ensure the blood supply of the wound surface, with little stimulation during extubation and little side effects.
为达以上目的,本实用新型一种止血肛管引流管,所述止血肛管引流管包括两端开口且内部中空的硅胶管,所述硅胶管分为三部分,所述硅胶管左边部分左端有前端开口,所述硅胶管右边部分右端有后端开口,所述硅胶管左边部分相对侧面分别设有第一开口和第二开口,所述硅胶管左边部分和右边部分外径大于中间部分外径,In order to achieve the above purpose, the utility model provides a hemostatic anal canal drainage tube. The hemostatic anal canal drainage tube includes a silicone tube with two openings and a hollow interior. The silicone tube is divided into three parts. There is a front opening, the right part of the silicone tube has a rear opening at the right end, the opposite side of the left part of the silicone tube is respectively provided with a first opening and a second opening, and the outer diameter of the left part and the right part of the silicone tube is larger than that of the middle part. path,
其中所述硅胶管中间部分缠绕有明胶海绵卷。Wherein the middle part of the silicone tube is wrapped with a gelatin sponge roll.
其中所述明胶海绵卷由丝线缠绕于所述硅胶管中间部分。Wherein the gelatin sponge roll is wound around the middle part of the silicone tube by silk threads.
其中所述硅胶管左边部分与所述硅胶管右边部分内径大小和外径大小分别相同。Wherein the left part of the silicone tube and the right part of the silicone tube have the same inner diameter and outer diameter respectively.
其中所述硅胶管中间部分外径小于或等于所述硅胶管左边部分和右边部分的内径,所述硅胶管左边部分与所述硅胶管中间部分以及所述硅胶管中间部分与所述硅胶管右边部分采用胶水连接。Wherein the outer diameter of the middle part of the silicone tube is less than or equal to the inner diameter of the left part and the right part of the silicone tube, the left part of the silicone tube and the middle part of the silicone tube and the middle part of the silicone tube and the right side of the silicone tube Parts are connected with glue.
其中所述硅胶管中间部分外径为0.9cm,内径为0.7cm,所述硅胶管左边部分和右边部分的外径均为1.2cm,内径为0.9cm。The outer diameter of the middle part of the silicone tube is 0.9 cm, the inner diameter is 0.7 cm, the outer diameter of the left part and the right part of the silicone tube are both 1.2 cm, and the inner diameter is 0.9 cm.
其中所述第一开口和所述第二开口为椭圆形。Wherein the first opening and the second opening are oval.
其中所述明胶海绵卷包含内层的明胶海绵、中层的凡士林布和外层的生物蛋白海绵。Wherein the gelatin sponge roll comprises an inner layer of gelatin sponge, a middle layer of vaseline cloth and an outer layer of biological protein sponge.
其中所述明胶海绵卷的缠绕直径为2.5-3.0cm。Wherein the winding diameter of the gelatin sponge roll is 2.5-3.0cm.
其中所述硅胶管三部分连接为一体成型Wherein the three parts of the silicone tube are connected into one body
本实用新型止血肛管引流管与现有技术不同之处在于本实用新型取得了如下技术效果:The difference between the hemostatic anal canal drainage tube of the utility model and the prior art is that the utility model has achieved the following technical effects:
本实用新型的有益效果是:在肛肠科PPH术中常规缝扎止血后,立即放入肛管内能有效地压迫吻合口处出血的小血管,且起到直肠填塞止血、排气、引流、经肛给药的器具,不仅能预防PPH术后出血并发症,又能够保证气体排放及引流通畅,防止腹胀,同时又能及时观察引流液的情况,且舒适度好,病人易耐受。临床治疗多例PPH术的病人,在手术结束前常规放入止血肛管,48小时后取出,均未发现出血,可以在PPH术中作为一种常规的使用的方式。The beneficial effects of the utility model are: after conventional suturing and hemostasis in the anorectal PPH operation, immediately put it into the anal canal to effectively compress the small blood vessels bleeding at the anastomosis, and play a role in rectal packing to stop bleeding, exhaust, drain, The device for transanal administration can not only prevent bleeding complications after PPH, but also ensure smooth gas discharge and drainage, prevent abdominal distension, and observe the situation of drainage fluid in time. It is comfortable and easy for patients to tolerate. In the clinical treatment of many cases of PPH patients, the hemostatic anal canal was routinely inserted before the end of the operation, and it was taken out 48 hours later. No bleeding was found, which can be used as a routine method in PPH surgery.
下面结合附图对本实用新型作进一步说明。Below in conjunction with accompanying drawing, the utility model is further described.
附图说明Description of drawings
图1为本实用新型止血肛管引流管的结构示意图;图2为本实用新型止血肛管引流管的改进结构示意图。Fig. 1 is a schematic diagram of the structure of the hemostatic anal canal drainage tube of the present invention; Fig. 2 is a schematic diagram of the improved structure of the hemostatic anal canal drainage tube of the present invention.
附图标记说明:1-硅胶管;2-硅胶管左边部分;3-硅胶管中间部分;4-硅胶管右边部分;5-前端开口;6-后端开口;7-第一开口;8-第二开口;9-明胶海绵卷;10-生物蛋白海绵。Explanation of reference signs: 1-silicone tube; 2-left part of silicone tube; 3-middle part of silicone tube; 4-right part of silicone tube; 5-front opening; 6-rear opening; 7-first opening; 8- Second opening; 9-gelatin sponge roll; 10-biological protein sponge.
具体实施方式Detailed ways
以下结合附图和实施例,对本实用新型上述的和另外的技术特征和优点作更详细的说明。The above and other technical features and advantages of the present utility model will be described in more detail below in conjunction with the accompanying drawings and embodiments.
如图1所示,本实用新型一种止血肛管引流管,所述止血肛管引流管包括两端开口且内部中空的硅胶管1,硅胶管1包括硅胶管左边部分2、硅胶管中间部分3和硅胶管右边部分4,三个部分通过胶水连接,硅胶管左边部分2左端有前端开口5,硅胶管右边部分4右端有后端开口6,硅胶管左边部分2和硅胶管右边部分4内径和外径分别相同,优选为外径均为1.2cm,内径为0.9cm,硅胶管中间部分3外径小于或等于硅胶管左边部分2(硅胶管右边部分4),优选外径为0.9cm,内径为0.7cm,硅胶管左边部分2上有第一开口7和第二开口8,第一开口7和第二开口8为椭圆形且在硅胶管左边部分2的相对两侧设置,第一7和第二开口8共同实现肛管引流管排气、引流、冲洗,便于术后观察;如图2所述,还可以将硅胶管中间部分3外部通过丝线缠绕有明胶海绵卷9,明胶海绵卷9包含内层的明胶海绵、中层的凡士林布和外层的生物蛋白海绵10,整体硅胶管1长度为40-45cm,明胶海绵卷9长为6cm,宽为6cm,缠绕直径为2.5-3.0cm,明胶海绵卷9前端距离前端开口5为2.0-2.5cm;由于硅胶管1管径不一致,在明胶海绵卷9包裹处的硅胶管中间部分3外径较细,可以对明胶海绵卷9起到很好固定作用。其余部分硅胶管1的外径、内径较粗,可以起到很好的引流作用,生物蛋白海绵可以直接接触吻合口创缘,可以起到良好的止血作用,并且可以主动修复、恢复愈后组织功能,提高吻合口愈合质量,后端开口6连接引流袋。As shown in Figure 1, the utility model is a hemostatic anal canal drainage tube. The hemostatic anal canal drainage tube includes a silicone tube 1 with both ends open and a hollow interior. The silicone tube 1 includes a left part 2 of the silicone tube and a middle part of the silicone tube. 3 and the right part 4 of the silicone tube, the three parts are connected by glue, the left part 2 of the silicone tube has a front opening 5 at the left end, the right part 4 of the silicone tube has a rear opening 6 at the right end, the left part 2 of the silicone tube and the right part 4 of the silicone tube have inner diameters It is the same as the outer diameter, preferably the outer diameter is 1.2cm, and the inner diameter is 0.9cm. The outer diameter of the middle part 3 of the silicone tube is less than or equal to the left part 2 of the silicone tube (the right part 4 of the silicone tube), and the preferred outer diameter is 0.9cm. The inner diameter is 0.7 cm. There are first opening 7 and second opening 8 on the left part 2 of the silicone tube. The first opening 7 and the second opening 8 are elliptical and arranged on the opposite sides of the left part 2 of the silicone tube. Together with the second opening 8, the exhaust, drainage, and flushing of the anal canal drainage tube can be realized, which is convenient for postoperative observation; 9 Including the inner layer of gelatin sponge, the middle layer of Vaseline cloth and the outer layer of biological protein sponge 10, the overall silicone tube 1 is 40-45cm in length, the gelatin sponge roll 9 is 6cm in length, 6cm in width, and the winding diameter is 2.5-3.0cm , the front end of the gelatin sponge roll 9 is 2.0-2.5cm away from the front end opening 5; because the diameter of the silicone tube 1 is inconsistent, the outer diameter of the middle part 3 of the silicone tube wrapped in the gelatin sponge roll 9 is relatively small, which can play a role in the gelatin sponge roll 9. Fixes well. The outer and inner diameters of the rest of the silicone tube 1 are relatively thick, which can play a good role in drainage. The bioprotein sponge can directly contact the wound edge of the anastomosis, which can play a good role in hemostasis, and can actively repair and restore the healed tissue function to improve the healing quality of the anastomotic stoma, and the rear opening 6 is connected to the drainage bag.
具体使用时,在肛肠科PPH术中常规缝扎止血后,将硅胶管中间部分3处缠绕明胶海绵卷9,用丝线固定,将肛管引流管前端插入直肠内8-10cm,使明胶海绵卷9恰好压迫吻合口处,并在硅胶管后端开口6处连接引流袋,通过术后观察引流袋变化情况来观察病情变化。In specific use, after routine suture hemostasis in the PPH operation of the anorectal department, the middle part of the silicone tube is wrapped with gelatin sponge roll 9 at 3 places, fixed with silk thread, and the front end of the anal canal drainage tube is inserted into the rectum for 8-10 cm to make the gelatin sponge roll 9 Just oppress the anastomosis, and connect the drainage bag at the opening 6 at the back end of the silicone tube, and observe the changes of the condition by observing the changes of the drainage bag after the operation.
以上所述的实施例仅仅是对本实用新型的优选实施方式进行描述,并非对本实用新型的范围进行限定,在不脱离本实用新型设计精神的前提下,本领域普通技术人员对本实用新型的技术方案作出的各种变形和改进,均应落入本实用新型权利要求书确定的保护范围内。The above-mentioned embodiments are only described to the preferred implementation of the utility model, and are not limited to the scope of the utility model. Various modifications and improvements made should fall within the scope of protection determined by the claims of the utility model.
Claims (10)
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| CN201420238031.6U CN203915744U (en) | 2014-05-09 | 2014-05-09 | Hemostasis anal tube drainage pipe |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104922788A (en) * | 2015-06-09 | 2015-09-23 | 崔春晖 | Enterocoelia growth factor dripping tube |
| CN108815689A (en) * | 2018-05-02 | 2018-11-16 | 南方医科大学珠江医院 | A kind of enteral growth factor intrusion pipe |
-
2014
- 2014-05-09 CN CN201420238031.6U patent/CN203915744U/en not_active Expired - Lifetime
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104922788A (en) * | 2015-06-09 | 2015-09-23 | 崔春晖 | Enterocoelia growth factor dripping tube |
| CN108815689A (en) * | 2018-05-02 | 2018-11-16 | 南方医科大学珠江医院 | A kind of enteral growth factor intrusion pipe |
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