CN204169927U - The isolating membrane of colonic lumen series - Google Patents
The isolating membrane of colonic lumen series Download PDFInfo
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- CN204169927U CN204169927U CN201420542274.9U CN201420542274U CN204169927U CN 204169927 U CN204169927 U CN 204169927U CN 201420542274 U CN201420542274 U CN 201420542274U CN 204169927 U CN204169927 U CN 204169927U
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- isolating membrane
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Abstract
This utility model relates to medical therapeutic Instrument, disclose a kind of isolating membrane of colonic lumen series, isolating membrane is tubulose, isolating membrane lower end is provided with the first annular air-pocket be connected with isolating membrane integral type, isolating membrane is provided with the second annular air-pocket, isolating membrane is provided with longitudinal air bag, and longitudinal air bag all communicates with the first annular air-pocket and the second annular air-pocket.This utility model development tubulose isolating membrane plays the effect of intracavity isolation and protection to Colonic anastomosis mouth in colonic lumen, the movement of postoperative intestinal lumen contents (feces) is by isolating membrane intracavity, avoid feces and anastomotic stoma contact tissue, available protecting anastomotic stoma is polluted, also reduce from enteric cavity inside (feces) the tension force of anastomotic stoma, be conducive to the healing of anastomotic stoma, reduce the generation of fistula of operative incision; Reach and to break or colon tumor causes complete intestinal obstruction etc. because war wound is directed at emergency treatment left hemicolon, when unconditionally carrying out effective INTESTINAL CLEANSING, I phase lesion resection coincide object.
Description
Technical field
This utility model relates to medical therapeutic Instrument, has particularly related to a kind of isolating membrane of colonic lumen series.
Background technology
Colorectal cancer is common malignant tumor of digestive tract.Clinical in emergency treatment Right-sided Colon Cancer secondary intestinal obstruction now, select One-stage Resection to obtain the consensus of affirmative, but then can not select identical I stage excision repair to left hemicolon war, wound or cancerous protuberance secondary complete intestinal obstruction.Because left hemicolon intestinal wall is thin, blood fortune is poor, and bacteria containing amount is many, and its content is many and be semisolid or solid, shaped, and be difficult to removing, patient mostly is elderly patient in addition, and have bad physiques, occur together various diseases, clinical treatment exists more difficulty.Processing method has up to now:
(1) traditional caecum or block proximal colonic neostomy: the object of this method first solves obstruction, overall health of patients emptying until intestinal row secondary tumours resection operation again after improving.The maximum drawback of this art formula incurs loss through delay the time of cancerous protuberance radical excision, and within 5 years, survival rate is lower than 20%, clinically at present do not advocated application.
(2) traditional three-stage operation, this art formula comprises: the alleviation of first phase colonic diversion is blocked; Two-step hepatectomy tumor, three phases closed the seriality of ostomy recovery intestinal.The shortcoming of this operation: even cause that tumor is iatrogenic to be sent out the opportunity 1. incuring loss through delay cancerous protuberance radical excision, length of patient stay is long, adds incidence rate and the operative mortality of abdominal operation complication; 2. repeatedly to perform the operation the misery both having added patient and hospitalization cost.3. patient's 5 years survival rates decline.Therefore current this art formula is also seldom implemented.
(3) second phase (Hartmann formula) operation, through the carcinectomy of abdomen left hemicolon, proximal colonic is ostomy, and lower distal colon is closed and put back to abdominal cavity, the second stage of ostomyly also receive and recovers human colorectal seriality.Since 20 century 70s are carried out, this operation is considered to the comparatively ideal classical art formula of the process acute left colonic acute obstruction of tumprigenicity.The progress of this art formula tumor that has been first phase radical excision, leave again the sufficient time to carry out intestinal emptying simultaneously, is convenient to have under sufficient INTESTINAL CLEANSING by the ostomy abdominal cavity recover human colorectal seriality also received in the future.But the ostomy relevant complication in single chamber of Hartmann formula operation is still more, as bad in skin erosion, ostomy narrow, pour hernie parastomiale, ostomy infection, intestinal obstruction, ostomy prolapsus, ostomy position, abscess, intestinal fistula, even can not also receive and be formed permanent ostomy.The ostomy rate of receiving of 22% is only had according to harbonnet report.
(4), unconditional or can not the descending acute left hemicolon I stage excision repair of situation of INTESTINAL CLEANSING be danger close, easily there is intestinal fistula, abdominal cavity infection, infection of incisional wound, operative mortality be high, be once regarded as taboo in I stage excision repair.
Dudley proposed total colectomy road lavation in art and completes INTESTINAL CLEANSING fast in 1980, create condition for left hemicolon Emergency in one stage coincide.Most author applies this method and obtains good efficacy.Fistula of operative incision is lower than 3%.But loaded down with trivial details time-consuming, the normal pollution visual area of total colectomy lavation and surgical environments in art.Also have colon entirely cut or secondary full excision, band the base of a fruit slurry muscle flap hold cover reinforce anastomotic stoma, in scope colonic lumen, place internal metal rack expansion of intestinal canal, the utilization etc. of biodegradable anastomosis ring in Colonic anastomosis.But all have shortcoming in various degree and complication, as frequently diarrhoea and malnutrition, placement metal rack come off, hemorrhage, perforation etc., cause wound and psychic pain to patient.How can avoiding above-mentioned shortcoming, for realizing the new concept requirement of current minimally invasive surgery and fast track rehabilitation surgery, designing even more ideal, safe, effective, feasible surgical intervention mode, be the new problem of current surgical field.
Summary of the invention
In order to alleviate the misery of patient, the patient of colon cancer is avoided to lose the chance of radical cure, and avoid the patient of colon wound to suffer the strike of second operation wound, this utility model provides a kind of isolating membrane of colonic lumen series, under the prerequisite of unconditional INTESTINAL CLEANSING, adopt tubulose latex film isolation technology first phase Colonic anastomosis in colonic lumen.
In order to solve the problems of the technologies described above, this utility model is solved by following technical proposals:
The isolating membrane of colonic lumen series, isolating membrane is tubulose, isolating membrane lower end is provided with the first annular air-pocket be connected with isolating membrane integral type, isolating membrane is provided with the second annular air-pocket with isolating membrane upper end at a distance of the position of 0.2-0.3cm, isolating membrane is provided with longitudinal air bag, and longitudinal air bag all communicates with the first annular air-pocket and the second annular air-pocket.
As preferably, isolating membrane upper end is provided with the 3rd annular air-pocket be connected with isolating membrane integral type, and longitudinal air bag communicates with the 3rd annular air-pocket.
As preferably, isolating membrane upper end is provided with the annular boss be connected with isolating membrane integral type, and annular boss is solid annular boss.
As preferably, longitudinal air bag is two, is symmetricly set on the two ends, left and right of isolating membrane.
As preferably, the part names on isolating membrane between the second annular air-pocket and the 3rd annular air-pocket is suturing part, and the thickness of suturing part is between 0.04-0.1cm.
As preferably, the part names on isolating membrane between the second annular air-pocket and annular boss is suturing part, and the thickness of suturing part is between 0.04-0.1cm.
As preferably, the diameter of isolating membrane between 2-5cm, the wall thickness of length between 8-12cm, between the first annular air-pocket and the second annular air-pocket be between 0.005-0.04cm.
As preferably, the thickness of the airbag wall of the first annular air-pocket and the second annular air-pocket is all between 0.1-0.15cm.
This utility model development tubulose isolating membrane plays the effect of intracavity isolation and protection to Colonic anastomosis mouth in colonic lumen, the movement of postoperative intestinal lumen contents (feces) is by isolating membrane intracavity, avoid feces and anastomotic stoma contact tissue, play the effect of Intracolonic bypass, available protecting anastomotic stoma is polluted, to also reduce from enteric cavity inside (feces) the tension force of anastomotic stoma, be conducive to the healing of anastomotic stoma, reduce the generation of fistula of operative incision; After anastomotic healing, isolating membrane excretes with feces about about 4 ~ 6 weeks self fallings greatly along with the degraded of absorbable thread; Reach emergency treatment to coincide object to the I phase lesion resection when unconditionally carrying out effective INTESTINAL CLEANSING such as left hemicolon tumor, lacerated wound.Specific as follows:
(1) decrease patient's Repeated Operation, avoid three-stage operation and incur loss through delay opportunity of cancerous protuberance radical excision;
(2) avoiding 2 or 3 operations and being directed at that tumor is iatrogenic to be sent out;
(3) wound and misery of repeatedly performing the operation and bringing to patient is alleviated;
(4) decrease the incidence rate of the complication such as this Post operation fistula of operative incision, anastomotic stricture, improve 5 years survival rates;
(5) shorten length of patient stay, reduce medical expense;
(6) quality of life of colorectal cancer patients is drastically increased.
Accompanying drawing explanation
Fig. 1 is structure chart of the present utility model.
Fig. 2 is the fragmentary cross-sectional view of Fig. 1.
Fig. 3 is the fragmentary cross-sectional view of embodiment 2.
The toponym that in accompanying drawing, each number designation refers to is as follows: wherein the 1-the first annular air-pocket, the 2-the second annular air-pocket, the 3-the three annular air-pocket, 4-longitudinal air bag, 5-suturing part, 6-isolating membrane, 7-annular boss.
Detailed description of the invention
Below in conjunction with accompanying drawing and embodiment, this utility model is described in further detail.
Embodiment 1
The isolating membrane of colonic lumen series, as shown in Figure 1 to Figure 2, isolating membrane 6 is tubulose, the diameter of the isolating membrane 6 of tubulose between 2-5cm, the wall thickness of length between 8-12cm, on isolating membrane 6 below the second annular air-pocket 2 between 0.005-0.04cm, isolating membrane 6 is made for latex film.In the present embodiment, the diameter of isolating membrane 6 is 3cm, and the length of isolating membrane 6 is 10cm, and the wall thickness at the position on isolating membrane 6 between first ring shape air bag 1 and the second annular air-pocket 2 is 0.01cm.
Isolating membrane 6 lower end of tubulose is provided with the first annular air-pocket 1 be connected with isolating membrane 6 integral type, isolating membrane 6 is provided with the second annular air-pocket 2 with isolating membrane 6 upper end at a distance of the position of 0.2-0.3cm, in the present embodiment, the second annular air-pocket 2 is arranged on the position of isolation by distance film the top 0.25cm.Isolating membrane 6 upper end is provided with the 3rd annular air-pocket 3 be connected with isolating membrane 6 integral type, the thickness of the airbag wall of the first annular air-pocket 1, second annular air-pocket 2 and the 3rd annular air-pocket 3 is all between 0.1-0.15cm, in the present embodiment, the thickness of the airbag wall of the first annular air-pocket 1, second annular air-pocket 2 and the 3rd annular air-pocket 3 is 0.12cm.Part names on isolating membrane 6 between the second annular air-pocket 2 and the 3rd annular air-pocket 3 is suturing part 5, the thickness of suturing part 5 is between 0.04-0.1cm, in the present embodiment, the thickness of suturing part 5 is 0.08cm, suturing part 5 is for sewing up isolating membrane 6 and colon, and thickness is thicker than other positions of isolating membrane 6, convenient stitching, prevent needlework from wearing out isolating membrane 6, affect buffer action.Isolating membrane 6 is conveniently sewn on colonic by arranging of the 3rd annular air-pocket 3, and prevent needlework from the process sewed up, passing isolating membrane 6 upper end, the 3rd annular air-pocket 3 is equivalent to effect needlework being played to a border, and prevents needlework from penetrating isolating membrane 6 upper end.
The isolating membrane 6 of tubulose is provided with longitudinal air bag 4, and longitudinal air bag 4 all communicates with the first annular air-pocket 1, second annular air-pocket 2 and the 3rd annular air-pocket 3.Longitudinal air bag 4 runs through whole isolating membrane 6 along the length direction of isolating membrane 6, and namely longitudinal air bag 4 upper end connects with the 3rd annular air-pocket 3, and longitudinal air bag 4 lower end connects with the first annular air-pocket 1.In the present embodiment, longitudinal air bag 4 is two, is symmetricly set on the two ends, left and right of isolating membrane 6.Two longitudinal air bags 4 are set, on the one hand can strut isolating membrane 6, ensure on the other hand the first annular air-pocket 1, second annular air-pocket 2 and the 3rd annular air-pocket 3 all inflatable.When only to arrange two being to ensure to strut isolating membrane 6, can being flattened by colon when isolating membrane 6 comes off and being excreted, preventing from can not being crushed because arranging too many longitudinal air bag 4, excreting difficulty.
Isolating membrane 6 lower end is provided with gas injection interface, gas injection interface is on the first annular air-pocket 1, gas injection interface is the solid section with entry point that first annular air-pocket 1 the preceding paragraph is about 1cm, gas injection in the first annular air-pocket 1 is penetrated through this solid section with Aerating needle, thus be all airbag aerations, Aerating needle is pulled out again after having inflated, simple to operation.Solid section adopts latex or polyurethane to make, and its sealing is reliable.
After appropriate inflation, the isolating membrane 6 of tubulose can be propped up because of tension force and form open column shape structure by the first annular air-pocket 1, second annular air-pocket 2 and two longitudinal air bags 4.Isolating membrane 6 lower end struts by the first annular air-pocket 1, and isolating membrane 6 top struts by the second annular air-pocket 2, and isolating membrane 6 is strutted into a strip by longitudinal air bag 4, thus can be sewn in colonic lumen by isolating membrane 6, reaches the object of feces etc. and colon being isolated.
The outside protection intestinal wall of isolating membrane 6, feces is passed through in the inside of isolating membrane 6.Isolating membrane 6 requires to adopt nontoxic, tasteless, that quality is soft material to make.After excision left hemicolon focus, the suturing part 5 of the isolating membrane 6 of suitable bore absorbable thread is sewn to anastomotic stoma in near-end enteric cavity three layers continuously, does not penetrate seromuscular layer, be about 3-4cm apart from the pre-edge nearside that coincide.Concrete operations are as follows:
After colon end to-end anastomosis is good, proper amount of gas is injected through gas injection interface in isolating membrane 6 lower end, make the isolating membrane 6 of tubulose under the effect of gas injection tension force, form column, with absorbable thread, the isolating membrane 6 of tubulose being sewn to anastomotic stoma near-end is about in 3-4cm colonic lumen, and isolating membrane 6 lower end is free in distal colon intracavity naturally by anastomotic stoma.Postoperative feces is excreted by anastomotic stoma through isolating membrane 6 intracavity of tubulose; realize feces per rectum internal bypass and do not contact anastomotic stoma tissue; available protecting anastomotic stoma is not contaminated, and the elastic force simultaneously also using isolating membrane 6 effectively alleviates enteric cavity inside (feces) to the tension force of anastomotic stoma.After anastomotic healing (about 3-4 week), isolating membrane 6 excretes with feces with the absorption self falling of absorbable thread.
Isolating membrane 6 pairs of Colonic anastomosis mouths play the effect of intracavity isolation and protection; be conducive to anastomotic healing; avoid intestinal fistula to occur, reach emergency treatment and the I phase lesion resection when unconditionally carrying out effective colon preparation such as left hemicolon tumor, rupture of colon wound is coincide object.Absorption Line can adopt micro-buckwheat suture.
Embodiment 2
As shown in Figure 3, its basic structure is identical with embodiment 1, difference is that isolating membrane 6 upper end of tubulose is provided with the annular boss 7 be connected with isolating membrane 6 integral type, annular boss 7 is solid annular boss 7, isolating membrane 6 lower end is provided with the first annular air-pocket 1 be connected with isolating membrane 6 integral type, isolating membrane 6 is provided with the second annular air-pocket 2 with annular boss 7 at a distance of the position of 0.2-0.3cm, and in the present embodiment, the second annular air-pocket 2 is arranged on the position of isolation by distance film 6 the top 0.3cm.The thickness of the airbag wall of the first annular air-pocket 1 and the second annular air-pocket 2 is all between 0.1-0.15cm, and in the present embodiment, the thickness of the airbag wall of the first annular air-pocket 1 and the second annular air-pocket 2 is 0.15cm.The cross section of annular boss 7 is triangle.Part names on isolating membrane 6 between the second annular air-pocket 2 and annular boss 7 is suturing part 5, the thickness of suturing part 5 is between 0.04-0.1cm, in the present embodiment, the thickness of suturing part 5 is 0.04cm, suturing part 5 is for sewing up isolating membrane 6 and colon, and thickness is thicker than other positions of isolating membrane 6, convenient stitching, prevent needlework from wearing out isolating membrane 6, affect buffer action.Isolating membrane 6 is conveniently sewn on colonic by arranging of solid annular boss 7, and prevent needlework from the process sewed up, passing isolating membrane 6 upper end, annular boss 7 is equivalent to effect needlework being played to a border, and prevents needlework from penetrating isolating membrane 6 upper end.Annular boss 7 is solid, can prevent the needlework when stitching isolating membrane 6 from penetrating hollow air bag, thus all air bags on damage containment film 6, cause the first annular air-pocket 1, second annular air-pocket 2, longitudinal air bag 4 can not strut isolating membrane 6, isolating membrane 6 is strutted into the structure of a tubulose.Longitudinal air bag 4 runs through whole isolating membrane 6 along the length direction of isolating membrane 6, and namely longitudinal air bag 4 upper end connects with annular boss 7, and longitudinal air bag 4 lower end connects with the first annular air-pocket 1.
In a word, the foregoing is only preferred embodiment of the present utility model, all equalizations done according to this utility model claim change and modify, and all should belong to the covering scope of this utility model patent.
Claims (8)
1. the isolating membrane of colonic lumen series, it is characterized in that: isolating membrane (6) is tubulose, isolating membrane (6) lower end is provided with the first annular air-pocket (1) be connected with isolating membrane (6) integral type, on isolating membrane (6) and isolating membrane (6) upper end is provided with the second annular air-pocket (2) at a distance of the position of 0.2-0.3cm, isolating membrane (6) is provided with longitudinal air bag (4), and longitudinal air bag (4) all communicates with the first annular air-pocket (1) and the second annular air-pocket (2).
2. the isolating membrane of colonic lumen series according to claim 1, it is characterized in that: isolating membrane (6) upper end is provided with the 3rd annular air-pocket (3) be connected with isolating membrane (6) integral type, and longitudinal air bag (4) communicates with the 3rd annular air-pocket (3).
3. the isolating membrane of colonic lumen series according to claim 1, it is characterized in that: isolating membrane (6) upper end is provided with the annular boss (7) be connected with isolating membrane (6) integral type, annular boss (7) is solid annular boss (7).
4. the isolating membrane of colonic lumen series according to claim 1, is characterized in that: longitudinal air bag (4) is two, is symmetricly set on the two ends, left and right of isolating membrane (6).
5. the isolating membrane of colonic lumen series according to claim 2, it is characterized in that: part names isolating membrane (6) is positioned between the second annular air-pocket (2) and the 3rd annular air-pocket (3) is suturing part (5), and the thickness of suturing part (5) is between 0.04-0.1cm.
6. the isolating membrane of colonic lumen series according to claim 5, it is characterized in that: part names isolating membrane (6) is positioned between the second annular air-pocket (2) and annular boss (7) is suturing part (5), and the thickness of suturing part (5) is between 0.04-0.1cm.
7. the isolating membrane of colonic lumen series according to claim 1, is characterized in that: the diameter of isolating membrane (6) between 2-5cm, the wall thickness of length between 8-12cm, between the first annular air-pocket (1) and the second annular air-pocket (2) be between 0.005-0.04cm.
8. the isolating membrane of colonic lumen series according to claim 1, is characterized in that: the thickness of the airbag wall of the first annular air-pocket (1) and the second annular air-pocket (2) is all between 0.1-0.15cm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
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| CN201420542274.9U CN204169927U (en) | 2014-09-19 | 2014-09-19 | The isolating membrane of colonic lumen series |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201420542274.9U CN204169927U (en) | 2014-09-19 | 2014-09-19 | The isolating membrane of colonic lumen series |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104490473A (en) * | 2014-12-03 | 2015-04-08 | 中国人民解放军第一一七医院 | Colonic lumen series isolating membrane |
| CN109044429A (en) * | 2018-07-03 | 2018-12-21 | 郑州大学第附属医院 | A kind of multi-functional organ isolator |
| CN112336470A (en) * | 2020-10-30 | 2021-02-09 | 南方医科大学珠江医院 | A intestinal intelligence protection device for intestinal postoperative |
| CN112603560A (en) * | 2020-12-08 | 2021-04-06 | 邢孟宣 | Isolated protective sheath of low level rectal cancer tumour |
| TWI794735B (en) * | 2021-02-04 | 2023-03-01 | 盧季妍 | bowel protection device |
-
2014
- 2014-09-19 CN CN201420542274.9U patent/CN204169927U/en not_active Expired - Fee Related
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104490473A (en) * | 2014-12-03 | 2015-04-08 | 中国人民解放军第一一七医院 | Colonic lumen series isolating membrane |
| CN109044429A (en) * | 2018-07-03 | 2018-12-21 | 郑州大学第附属医院 | A kind of multi-functional organ isolator |
| CN112336470A (en) * | 2020-10-30 | 2021-02-09 | 南方医科大学珠江医院 | A intestinal intelligence protection device for intestinal postoperative |
| CN112603560A (en) * | 2020-12-08 | 2021-04-06 | 邢孟宣 | Isolated protective sheath of low level rectal cancer tumour |
| TWI794735B (en) * | 2021-02-04 | 2023-03-01 | 盧季妍 | bowel protection device |
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Address after: 310004 No.14, Lingyin Road, Xihu District, Hangzhou City, Zhejiang Province Patentee after: 903rd Hospital of the joint service support force of the Chinese people's Liberation Army Address before: 310004 No. 40, Airport Road, Hangzhou, Zhejiang Patentee before: THE PLA 117 Hospital |
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Granted publication date: 20150225 Termination date: 20190919 |