CN204543210U - A kind of New Kidney stoma - Google Patents

A kind of New Kidney stoma Download PDF

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Publication number
CN204543210U
CN204543210U CN201520156025.0U CN201520156025U CN204543210U CN 204543210 U CN204543210 U CN 204543210U CN 201520156025 U CN201520156025 U CN 201520156025U CN 204543210 U CN204543210 U CN 204543210U
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China
Prior art keywords
tube
lumen
nephrostomy
skin
upper port
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Expired - Fee Related
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CN201520156025.0U
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Chinese (zh)
Inventor
谭靖
尹光明
何乐业
汤育新
蒋志强
汪金荣
姚鲲
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Third Xiangya Hospital of Central South University
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Third Xiangya Hospital of Central South University
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Abstract

本实用新型公开了一种新型肾造瘘管,包括腔管的侧壁上设有多个引流侧孔、腔管B上无孔洞密闭管体,其特征在于:腔管A的上端口和腔管B的下端口为可拆卸连接,腔管A的下端口联通膀胱,腔管B上端口穿出人体皮肤并固定体外。术后患者无留置粗大的肾造瘘管,减少疼痛等不适,术后可从皮肤直接拔除肾造瘘管DJ管,便于医疗操作,同时提高患者的生活质量。

The utility model discloses a new type of nephrostomy tube, which comprises a plurality of drainage side holes on the side wall of the cavity tube, and a closed tube body without holes on the cavity tube B, and is characterized in that: the upper port of the cavity tube A and the cavity tube The lower port of B is detachably connected, the lower port of lumen A communicates with the bladder, and the upper port of lumen B passes through human skin and is fixed outside the body. After the operation, there is no indwelling large nephrostomy tube in the patient, which reduces pain and other discomfort. After the operation, the DJ tube of the nephrostomy tube can be directly removed from the skin, which is convenient for medical operations and improves the quality of life of the patient.

Description

一种新型肾造瘘管A new type of nephrostomy tube

技术领域 technical field

本实用新型属于肾造瘘领域,具体涉及一种新型肾造瘘管。 The utility model belongs to the field of nephrostomy, in particular to a novel nephrostomy tube.

背景技术 Background technique

为了引流肾盂和改善肾功能,现医疗中常采用肾盂造瘘术减轻肾盂和肾实质感染,但术后肾盂又可因造瘘而反复感染,影响肾功能。采用常规肾盂造瘘管,在术后留置F16-F20(16mm-20mm)的肾造瘘管的PCNL术后患者有疼痛不适,延长住院时间,并发症多。也可不留置肾造瘘管实现无管化的PCNL术,但缺点是术后残石的问题;如果残石术中不能发现,需要再次肾穿刺行PCNL术,而且PCNL术后常规留置的DJ管应该是近端头留置在肾盂,远端头位于膀胱,术后1个月通过膀胱镜手术拔除DJ管。 In order to drain the renal pelvis and improve renal function, pyelostomy is often used in modern medical care to reduce infection of the renal pelvis and renal parenchyma, but postoperative renal pelvis may be repeatedly infected due to ostomy, affecting renal function. Using conventional nephrostomy tubes, patients with PCNL after indwelling F16-F20 (16mm-20mm) nephrostomy tubes have pain and discomfort, prolonged hospital stay, and many complications. It is also possible to achieve tubeless PCNL without indwelling a nephrostomy tube, but the disadvantage is the problem of postoperative residual stones; if the residual stones cannot be found during the operation, a second renal puncture is required for PCNL, and the routine indwelling DJ tube after PCNL should be The proximal end was placed in the renal pelvis, and the distal end was in the bladder. The DJ tube was removed through cystoscopy 1 month after the operation.

为了防止碎石残留梗阻,输尿管术后粘连、狭窄、梗阻。利用“经皮肾镜碎石取石"手术,通过皮肤打孔建立通道到肾脏碎石取石。留置DJ管在肾内,并常规留置较粗的肾造瘘管。但肾结石没取干净要重新建立肾通道,损伤大,大大降低患者的生活质量。 In order to prevent residual obstruction of gravel, postoperative adhesion, stenosis and obstruction of ureter. Using the "percutaneous nephrolithotomy" operation, a channel is established through skin drilling to remove stones from the kidney. The DJ tube is indwelled in the kidney, and a thicker nephrostomy tube is routinely indwelled. However, if the kidney stones are not removed, the renal channel must be re-established, which will cause great damage and greatly reduce the quality of life of the patient.

发明内容 Contents of the invention

本实用新型的技术任务是针对上述现有技术的不足而提供了一种新型肾造瘘管,实现“肾造瘘DJ管”,可以从皮肤直接拔除DJ管,由于留置的肾造瘘这段管腔小,患者术后不适小,如果有残石可以通过这段皮肤外的通道再次手术。 The technical task of this utility model is to provide a new type of nephrostomy tube for the deficiencies of the above-mentioned prior art, to realize the "nephrostomy DJ tube", which can directly pull out the DJ tube from the skin, because the indwelling nephrostomy tube The cavity is small, and the postoperative discomfort of the patient is small. If there are residual stones, the operation can be performed again through this passage outside the skin.

一种新型肾造瘘管,包括腔管A(1)的侧壁上设有多个引流侧孔、腔管B(2)上无孔洞密闭管体,其特征在于:腔管A(1)的上端口和腔管B(2)的下端口为可拆卸连接,腔管A(1)的下端口联通膀胱,腔管B(2)上端口穿出人体皮肤(4)并固定体外。 A new type of nephrostomy tube, including a plurality of drainage side holes on the side wall of the lumen A (1), and a closed body without holes on the lumen B (2), characterized in that: the lumen A (1) The upper port and the lower port of the lumen B (2) are detachably connected, the lower port of the lumen A (1) communicates with the bladder, and the upper port of the lumen B (2) passes through the human skin (4) and is fixed outside the body.

其中,肾造瘘管为硅胶DJ管,其管径为6-7mm,其中腔管B(2)上端口距皮肤10-20cm。 Among them, the nephrostomy tube is a silicone DJ tube with a diameter of 6-7 mm, and the upper port of the lumen B (2) is 10-20 cm away from the skin.

本实用新型带来的有益效果有: The beneficial effect that the utility model brings has:

1.患者无留置粗大的肾造瘘管后的疼痛等不适。 1. The patient had no pain or other discomfort after indwelling a thick nephrostomy tube.

2.术后可从皮肤直接拔除肾造瘘管DJ管。 2. After the operation, the DJ tube of the nephrostomy tube can be directly removed from the skin.

3.缩短住院时间。 3. Shorten hospital stay.

4. 能提高患者术后生活质量。 4. It can improve the quality of life of patients after surgery.

附图说明 Description of drawings

图1是现有技术的结构示意图 Fig. 1 is the structural representation of prior art

图2是本实用新型的结构示意图。 Fig. 2 is a structural representation of the utility model.

具体实施方式 Detailed ways

下面结合附图对本实用新型的实施例做详细说明。 Embodiments of the utility model are described in detail below in conjunction with the accompanying drawings.

一种新型肾造瘘管,包括腔管A(1)的侧壁上设有多个引流侧孔、腔管B(2)上无孔洞密闭管体,其特征在于:腔管A(1)的上端口和腔管B(2)的下端口为可拆卸连接,腔管A(1)的下端口联通膀胱,腔管B(2)上端口穿出人体皮肤(4)并固定体外。 A new type of nephrostomy tube, including a plurality of drainage side holes on the side wall of the lumen A (1), and a closed body without holes on the lumen B (2), characterized in that: the lumen A (1) The upper port and the lower port of the lumen B (2) are detachably connected, the lower port of the lumen A (1) communicates with the bladder, and the upper port of the lumen B (2) passes through the human skin (4) and is fixed outside the body.

其中,肾造瘘管为硅胶DJ管,其管径为6-7mm,其中腔管B(2)上端口距皮肤10-20cm。 Among them, the nephrostomy tube is a silicone DJ tube with a diameter of 6-7 mm, and the upper port of the lumen B (2) is 10-20 cm away from the skin.

在手术时,腔管B(2)通过肾手术通道留置到皮肤外,且不能有侧孔。腔管A(1)为正常有侧孔DJ管,通过输尿管留置到膀胱。 During the operation, the lumen B (2) is indwelled outside the skin through the renal surgical channel, and there should be no side holes. Lumen A (1) is a normal DJ tube with side holes, which is indwelled into the bladder through the ureter.

如有残石,能再次通过肾造瘘DJ管置入斑马导丝扩张,简单的行经皮肾镜手术,不需重新穿刺。 If there are residual stones, a zebra guide wire can be placed through the nephrostomy DJ tube again for expansion, and a simple percutaneous nephroscopic surgery is performed without re-puncture.

以上所述仅为本实用新型的较佳实施例而已,并不用以限制本实用新型,凡在本实用新型的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本实用新型的保护范围之内。 The above descriptions are only preferred embodiments of the present utility model, and are not intended to limit the present utility model. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present utility model shall be included in the Within the protection scope of the present utility model.

Claims (2)

1.一种新型肾造瘘管,包括腔管A(1)的侧壁上设有多个引流侧孔、腔管B(2)上无孔洞密闭管体,其特征在于:腔管A(1)的上端口和腔管B(2)的下端口为可拆卸连接,腔管A(1)的下端口联通膀胱,腔管B(2)上端口穿出人体皮肤并固定体外。 1. A new type of nephrostomy tube, including a plurality of drainage side holes on the side wall of the lumen A (1), and a closed body without holes on the lumen B (2), characterized in that: the lumen A (1) ) and the lower port of lumen B (2) are detachably connected, the lower port of lumen A (1) communicates with the bladder, and the upper port of lumen B (2) passes through human skin and is fixed outside the body. 2.根据权利要求1所述的一种新型肾造瘘管,其附加技术特征为:肾造瘘管为硅胶DJ管,其管径为6-7mm,其中腔管B(2)上端口距皮肤10-20cm。 2. A new type of nephrostomy tube according to claim 1, and its additional technical features are: the nephrostomy tube is a silicone DJ tube with a diameter of 6-7 mm, and the upper port of the lumen B (2) is 10 meters away from the skin. -20cm.
CN201520156025.0U 2015-03-19 2015-03-19 A kind of New Kidney stoma Expired - Fee Related CN204543210U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106166321A (en) * 2016-08-08 2016-11-30 徐亚文 A kind of end soft and slender kidney fistulation drainage catheter

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106166321A (en) * 2016-08-08 2016-11-30 徐亚文 A kind of end soft and slender kidney fistulation drainage catheter

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Granted publication date: 20150812

Termination date: 20160319