CN205433831U

CN205433831U - A needle sword for treating hand tenovaginitis of flexor digitorum

Info

Publication number: CN205433831U
Application number: CN201521090575.3U
Authority: CN
Inventors: 郭仲华
Original assignee: Individual
Current assignee: Individual
Priority date: 2015-12-24
Filing date: 2015-12-24
Publication date: 2016-08-10
Anticipated expiration: 2025-12-24

Abstract

The utility model provides a needle sword for treating hand tenovaginitis of flexor digitorum, belongs to the medical apparatus field. This needle sword includes: syringe needle, needle body, needle handle, the long 100mm of needle, diameter 2mm adopts the medical stainless steel material to make, and wherein the one end of the stainless steel body is passed the needle handle and is formed fixed connection with the needle body, and the needle handle is made with triangle -shaped association macromolecular polyethylene material for oval, the other end formation syringe needle of cutting sth. Askew, the inclined plane and the needle body of syringe needle form one 45 angle, and flank 5mm, needle body are solid construction, and be cylindric. Adopt ke shi needle sword to count on one's fingers this common disease of tendon de quervain's disease for the clinic treatment hand and open up new wicresoft's treatment way, reduce the patient and recur the misery, improve disposable cure rate.

Description

A kind of pin cutter for treating hands tenovaginitis of flexor digitorum

Technical field

This utility model medical apparatus technical field, particularly to a kind of pin cutter for treating hands tenovaginitis of flexor digitorum.

Background technology

Small needle knife technology is traditional Chinese medical science traditional treatment means, belongs to the medical skill of a kind of Wicresoft, non-operative treatment, and this technology is currently mainly for the treatment of chronic soft tissue injuries, osteoarthritis, stenosing tendon synovitis of flexor etc..

The principle of this technology is discussed in detail below as a example by needle knife therapy hands stenosing tendon synovitis of flexor.

Finger stenosing tendon synovitis of flexor is also known as " trigger finger ", mainly due to flexor tendon caused by fibrous sheath initial part slip obstacle, is one of common and multiple tendon disease of hand, and female middle-aged is common, and thumb is multiple, has a strong impact on daily life and work.Therapeutic Method mainly includes expectant treatment and operative treatment.Expectant treatment includes: local braking, physical therapy, medicine, closed treating etc., if but drug main nonsteroidal antiinflammatory drug (NSAIDS), such as aceclofenac, ketoprofen sustained release capsules etc., also has oral selectivity cox-2 inhibitor, celecoxib (celecoxib, celecoxib), but there are some side effect in this kind of medicine, often induce Nausea and vomiting, hydrosarca, allergy, coagulation function reduction etc. even occur.

Closing (retardance in sheath) therapy is clinical modal a kind of Therapeutic Method, and obvious to elimination early pain and aseptic inflammation effect, short run effect is preferable.To having formed the patient of scleroma, snap, close and but can not release Waisting cupola shape, typically need 2-3 time to treat, and have certain relapse rate.

Invalid to expectant treatment or beat the patient of anesthesia needle symptom recurrence, preferably use operative treatment, have author to report the operation minimal invasive operation such as sharp knife instigation, have certain effect.Cutting operation is introduced in " Campbell's bone surgery " and must be cut stndon sheath under local anaesthesia is looked at straight, sew up the incision, operation can once be cured, but operation wound is bigger, patient is typically difficult to accept, sometimes there is also wound infection, cicatrization, damage refer to the risk that nerve, finger are downright bad, and existing clinic is few to be used.

The traditional Chinese medical science is thought, this sick genus category such as " muscular rheumatism ", " injury of tendon and muscle ", the rule for the treatment of is QI and blood regulating, relaxing muscles and tendons and activating QI and blood in the collateral.Initial stage multiplex tendon-soothing maneuver, acupuncture and Internal TCM, middle and late stage is chosen cut treatment frequently with drug injection such as Radix Angelicae Sinensis injection intrathecal injection, small needle knife.But existing small needle knife is chosen and is cut treatment and have recurrent, it is impossible to once cure.

Summary of the invention

The purpose of this utility model be for the deficiencies in the prior art in place of, a kind of pin cutter for treating hands tenovaginitis of flexor digitorum is provided, belong to small needle knife " family " newcomer, loosen in order to solve existing pin cutter technology exists point-like, cutting is not exclusively, there is certain relapse rate, it is impossible to the problem once cured.

Technical solutions of the utility model are as follows:

A kind of pin cutter for treating hands tenovaginitis of flexor digitorum, including: syringe needle, needle body, needle handle, the long 100mm of pin, diameter 2mm, medical Kirschner wire material is used to make, wherein one end of rustless steel needle body forms a fixed connection with needle body through needle handle, and needle handle is that macromolecular material is made, and the other end is cut sth. askew formation syringe needle, the inclined-plane of syringe needle forms the angle of 45 ° with needle body, pin sword 5mm, needle body is solid construction, cylindric.

Preferably: syringe needle blade surface non-traditional pin cutter walk crosswise shape, and use slope shape.Being shaped as of needle handle is oval with triangle coalition.

Preferably: needle body and syringe needle are formed in one, the material that needle body and syringe needle use is rustless steel OOCr18Ni14Mo3, and the total length of described needle body and described syringe needle is 130mm, and external diameter is 2mm, and the material that described needle handle uses is politef.

Preferably: the needle handle of gripping is parallel with syringe needle blade surface.

Comparing Drug therapy, needle knife therapy is the big characteristic of the traditional Chinese medical science one, Wicresoft, painful little, good effect.Common small needle knife diameter 1mm, it is suitable for whole body neck, shoulder, the loosening and channels and collaterals dredging effect of waist-leg each position soft tissue pain, promote very fast in recent years, there are application in clinical multiple section office such as orthopaedics, Pain Management, rehabilitation department, numerous disease can be treated, including finger stenosing tendon synovitis of flexor.

This utility model has the beneficial effect that to solve to there is point-like in existing small needle knife technology and loosens, and cutting not exclusively, exists certain relapse rate, it is impossible to the problem once cured.

Accompanying drawing explanation

Fig. 1 is hands flexor tendon and stndon sheath, the flexor tendon of pathological changes and the schematic diagram of stndon sheath in prior art；

Fig. 2 is structural representation of the present utility model；

In accompanying drawing: needle handle 1, needle body 2, syringe needle 3.

Detailed description of the invention

In order to open up a new minimally-invasive treatment approach to clinical treatment hands stenosing tendon synovitis of flexor, reduce patient suffering, improve the implementation of one-time cure rate, this utility model provides a kind of Novel acupotomy, for special for treating hands stenosing tendon synovitis of flexor, below in conjunction with Figure of description, preferred embodiment of the present utility model is illustrated.

Refering to Fig. 1 tendon and stndon sheath, middle black bar thing is flexor tendon, and ring-shaped area is the narrow stndon sheath of pathological changes, and shadow region is that tendon tissue is expanded in inflammation, and there is tiny arteriae digitales propriae both sides and refers to neural traveling.

Refering to shown in Fig. 2, this utility model includes needle handle 1, needle body 2, syringe needle 3.Wherein, one end of needle body 2 rustless steel needle body forms a fixed connection through needle handle 1 with needle body, and needle handle is made with triangle coalition macromolecular material for ellipse, the needle body other end is shape syringe needle 3 of cutting sth. askew, its inclined-plane forms the angle of 45 ° with needle body, and needle body is solid construction, cylindric.

Concrete, needle handle 1 be the material used be politef, be used for fixing needle body 2, and be easy to user and hold, convenient operate, needle handle 1 is parallel with syringe needle 3 blade surface.During treatment, remain that small blade is consistent with flexor tendon traveling, and be unlikely to incised wound or cut off tendon, it is to avoid complication occurs.

Syringe needle 3 is positioned at the front end of needle body 2, and needle body 2 is formed in one, and needle body 2 and syringe needle use rustless steel OOCr18Ni14Mo3, and the total length of described needle body and described syringe needle is 100mm, and external diameter is 2mm.The other end is cut sth. askew formation syringe needle, and the inclined-plane of syringe needle forms the angle of 45 °, pin sword 5mm with needle body.

Shown by many experiments, in the comparatively fresh corpse hands cold preservation specimen preserved, cutting skin, subcutaneous tissue, appear thumb flexor tendon and stndon sheath, tendon direction of travel is consistent with finger orientation, and normally stndon sheath walks crosswise covering on tendon, width about 5-6mm, thickness about 1.5-2mm, its function is advantageous for tendon and slides, constraint tendon in a sheath pipe, tendon arciform projection when preventing from counting on one's fingers.When there is de Quervain's disease, tendon near-end edema hypertrophy is expanded, and contracture of tendon sheath narrows, and then, finger flex activity is dumb, and snap symptom occurs.We use diameter 1mm tradition small needle knife to cut stndon sheath, see that stndon sheath is only loosened, have no that stndon sheath cuts under direct-view, and use the operation of diameter 2mm Kirschner wire cutter instead, cut along tendon direction of travel, the most once stndon sheath is cut, muscle-tendon structure is complete, does not damage Digital arteries and refers to nerve simultaneously.

Showing in test, as long as topography is known about by operator, employing this utility model pin cutter can be the most successful, similar Guan Bi surgical effect, can avoid repeatable operation to cause tissue injury, hemorrhage, edema, so that postoperative finger function reaches maximum recovery, recovers normal finger function.

Meanwhile, during clinical trial, it has been found that the skin edge of a knife of Kirschner wire cutter treatment only has 3-4mm, position at the scleroma of thumb metacarpophalangeal joints, make marks, along tendon direction of travel, 1-2 minute operating time, without pain under local anaesthesia, needle body is cylindric, and patient does not fear, owing to syringe needle is sharper, similar " spike " knitted a sweater among the people, our pin cutter of some patient is called " stylet ".

Clinical treatment outcome shows, at once card pressure snap symptom resolution, and metacarpophalangeal joints scleroma disappears, and finger recovers normally to stretch range of activity in the wrong, and patient satisfaction is high, follows up a case by regular visits to symptom without recurrence, without infecting, impassivity blood vessel injury complication, it is not necessary to second operation through medium-long term.

In sum, the scheme that this utility model embodiment provides can be when carrying out the treatment of finger stenosing tendon synovitis of flexor, position with finger palmar intermediate line intersection according to finger palm band, the medical Kirschner wire cutter provided in this utility model inserts the region needing to loosen, vertical inserting needle, and suitable tendon is out of shape near, distally sliding, incision stndon sheath can be closed, exhort patient's active movement finger simultaneously, when finger movement without card pressure without snap, treatment i.e. success.As long as along tendon direction out of shape, will not damage the finger nerve of tendon both sides, Digital arteries, operation is simple, and effect is got instant result.

Claims

1. the pin cutter being used for treating hands tenovaginitis of flexor digitorum, it is characterized in that, this pin cutter includes: syringe needle (1), needle body (2), needle handle (3), wherein one end of needle body (2) forms a fixed connection through needle handle (3) with needle body, needle handle (3) is made with triangle coalition high-molecular polythene material for ellipse, and the other end of needle body is cut sth. askew formation syringe needle, the angle of the inclined-plane of syringe needle (1) and needle body formation one 45 °, needle body is solid construction, cylindric.

Pin cutter the most according to claim 1, it is characterised in that described needle body (2) long 100mm, diameter 2mm, uses medical stainless steel material to make.

Pin cutter the most according to claim 1, it is characterised in that the described long 5mm of syringe needle (1) sword.

Pin cutter the most according to claim 1, it is characterized in that: it is characterized in that: described needle handle (3) and described needle body (2) are formed in one, the material that described needle body and syringe needle use is rustless steel OOCr18Ni14Mo3, the total length of described needle body and described needle handle is 130mm, and the material that described needle handle uses is politef.

Pin cutter the most according to claim 1, it is characterised in that: described needle handle is oval and triangle coalition, and needle handle keeps same level with syringe needle blade surface, it is simple to operation.