CN207693614U - A kind of uterine neck pull-type stitching eyelid retractor - Google Patents
A kind of uterine neck pull-type stitching eyelid retractor Download PDFInfo
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- CN207693614U CN207693614U CN201720767337.4U CN201720767337U CN207693614U CN 207693614 U CN207693614 U CN 207693614U CN 201720767337 U CN201720767337 U CN 201720767337U CN 207693614 U CN207693614 U CN 207693614U
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- uterine neck
- eyelid retractor
- groove
- shaped structure
- cylinder
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Abstract
The utility model provides a kind of uterine neck pull-type stitching eyelid retractor, including：Cylinder club shaped structure is respectively arranged with a groove, radial direction setting of the groove along cylinder club shaped structure in the four direction all around of cylinder club shaped structure.The utility model sets a columned support stick in uterine neck internal orifice, avoids each mucosal surface of cervical canal from being mutually close to, it is narrow to reduce postoperative cervical canal.The utility model just all around designs groove at 4 points (namely 3,6,9,12 of clock) respectively at support stick, vacates space and lifts out uterine neck internal orifice upwards conducive to uterine neck tubing and sutures, and does not influence Suture hemostasis effect.
Description
Technical field
The utility model is related to technical field of medical auxiliary equipment more particularly to a kind of uterine neck pull-type stitching eyelid retractors.
Background technology
Placental presentation is attached to lower uterine segment, reaches or cover uterine neck internal orifice, and severe patient is embedded in cervical canal or with implantation.Tire
It practises usury from rear, angiorrhoxis and the blood sinus opening of placenta attachment surface；Because lower uterine segment tissue is thin, smooth muscle is relatively fewer, uterine neck
Portion is mainly made of connective tissue, and muscle fibre is few, it is difficult to which the open blood sinus of compressing, blood vessel tighten closure, therefore be susceptible to intractable
Uterine neck angiorrbagia.[1] Matsubara S, Ohkuchi A, Kikkawa M, et a1.Blood loss in low-lying
placenta：placental edge to cervical internal OS distance of less V8.n101.e
Than 2cm [J] .J Pefinat Med, 2008,36 (6)：507-512. selection ligation of internal iliac artery, because of gravid uterus
Greatly, difficult exposure in art, operating difficulty are big；It is removed rapidly in addition, being likely to occur placenta after delivery of baby, intraoperative hemorrhage is serious
When, often lose the opportune time of ligation internal iliac artery.How to solve the problems, such as that cervical canal is bled profusely after placenta is given birth to rapidly,
Effective means is clinically there is no, uterine neck internal orifice placenta thickness is covered especially for placenta previa centralis>2cm or regional flow
The high-risk patients such as abundant, the cervical canal placenta tissue caulked of signal, bleed profusely once there is cervical canal intractable, son when being often production
Palace cuts off one of the major reasons.Currently, the operation method having been reported includes the suture of uterine neck " u " type and the direct-view of uterine neck longitudinal incision
Lower suture.The suture of uterine neck front and rear wall is affixed by the suture of uterine neck " u " type reaches hemostasis purpose, but should be noted that conserving cervix pipe is unobstructed and keep away
Exempting from hematocele in uterine cavity leads to uterine apoplexy.And uterine neck longitudinal incision pushes away bladder and uterine neck section is cut 4~5cm again under needing fully, direct-view
Lower Suture hemostasis, operation wound are larger.Uterine neck pull-type is sewn to do not change cervical anatomy structure in the case of operated, pass through
Lifting neck tube mucous membrane is crossed, effectively suture can be rapidly reached the purpose in direct-view lower hemostasia.Placental presentation be attached to lower uterine segment and
It can lead to incompetence of internal orifice of uterus at uterine neck internal orifice, operating space is provided for the suture of uterine neck pull-type.By separation of placenta face uterine neck
Pipe normal structure pulls up, and bleeding face can be completely exposed, and normal structure covering is sutured on bleeding face, reach hemostasis mesh
's.
Due to being bladder in front of uterine neck, rear is rectum, if carrying out suture uterine neck muscle layer depth palm when pull-type suture
It holds bad, be easy to cause the damage for closing on internal organs such as rectum and bladder.If the length grasp of uterine neck suture is bad, it is not achieved
The purpose of hemostasis.The suture of uterine neck front and rear wall is affixed by the suture of uterine neck " u "-shaped reaches hemostasis purpose, but cervical canal may be caused narrow
Hematocele in uterine cavity and lead to uterine apoplexy.It would therefore be desirable to be improved to above-mentioned technical proposal.
Utility model content
Utility model aims to solve the problems of the above-mentioned prior art, providing a kind of can reach hemostasis
Purpose, and the unimpeded of cervical canal is kept, it avoids hematocele in uterine cavity and leads to the uterine neck pull-type stitching eyelid retractor of uterine apoplexy.
A kind of uterine neck pull-type stitching eyelid retractor, including：Cylinder club shaped structure, a left side before and after cylinder club shaped structure
Right four direction is respectively arranged with a groove, radial direction setting of the groove along cylinder club shaped structure.
Further, uterine neck pull-type stitching eyelid retractor as described above, in each groove and cylinder club shaped structure
The place of excircle linking uses arc transition structure.
Further, the height of uterine neck pull-type stitching eyelid retractor as described above, the cylinder club shaped structure is 5 lis
The round diameter of rice, cylinder bottom edge is 2 centimetres.
Further, uterine neck pull-type stitching eyelid retractor as described above, the groove is 0.5 centimetre deep, 0.5 centimetre wide,
It is 5 centimetres long.
Further, uterine neck pull-type stitching eyelid retractor as described above, the eyelid retractor material therefor be medical stainless steel,
One kind in medical titanium alloy, medical macromolecular materials.
Further, uterine neck pull-type stitching eyelid retractor as described above, in the outer of cylinder club shaped structure and groove
Layer is coated with one layer of cervical canal made of Misoprostol and softens layer.
Further, the outer layer of uterine neck pull-type stitching eyelid retractor as described above, cervical canal softening layer is provided with a guarantor
Sheath.
Advantageous effect：
(1) the utility model sets a columned support stick in uterine neck internal orifice, avoids each mucosal surface of cervical canal mutually tight
Patch, it is narrow to reduce postoperative cervical canal.
(2) the utility model just all around designing at 4 points (namely 3,6,9,12 of clock) respectively at support stick
Groove vacates space and lifts out the suture of uterine neck internal orifice upwards conducive to uterine neck tubing, do not influence Suture hemostasis effect.
Description of the drawings
Fig. 1 is the utility model uterine neck pull-type stitching eyelid retractor dimensional structure diagram；
Fig. 2 is the cross-sectional structure schematic diagram of Fig. 1；
Fig. 3 is the uterine neck pull-type stitching eyelid retractor cross-sectional structure schematic diagram of another embodiment of the application；
Fig. 4 is the uterine neck pull-type stitching eyelid retractor cross-sectional structure schematic diagram of the application another embodiment.
Specific implementation mode
To keep the purpose of this utility model, technical solution and advantage clearer, below technical side in the utility model
Case is clearly and completely described, it is clear that and described embodiment is the utility model a part of the embodiment, rather than all
Embodiment.Based on the embodiments of the present invention, those of ordinary skill in the art are not making creative work premise
Lower obtained every other embodiment, shall fall within the protection scope of the present invention.
Placental presentation, which is attached at lower uterine segment and uterine neck internal orifice, can lead to incompetence of internal orifice of uterus, be sutured for uterine neck pull-type
Provide operating space.In order to ensure uterine neck pull-type be sewn to do not change cervical anatomy structure in the case of operated, pass through
Lifting cervical canal mucous membrane is crossed, effectively suture can be rapidly reached the purpose in direct-view lower hemostasia.The application according to the length of cervical canal,
The characteristics of width and uterine neck pull-type suture, devises a kind of eyelid retractor, not only achievees the purpose that hemostasis, but also keep the smooth of cervical canal
It is logical, it avoids hematocele in uterine cavity and leads to uterine apoplexy.Achieve the purpose that quickly to control intractable hemorrhage of cervix, to retain this part
The uterus of patient and reproductive function.
As shown in Figure 1 and Figure 2, the utility model provides a kind of uterine neck pull-type stitching eyelid retractor, including：Cylinder is rodlike
Structure 1 is respectively arranged with a groove 2 in the four direction all around of cylinder club shaped structure 1, and the groove 2 is along cylinder
The radial setting of club shaped structure 1.
Uterine neck pull-type stitching step：Iodophor cotton balls cleans cervical canal, and sponge holding forceps sounds out cervical canal, while expanding in uterine neck
Mouthful, patient verifies uterine neck length of tube with finger, uterine neck internal orifice, clamp uterine neck internal orifice cervical tissue below is stretched into rat-tooth forceps
(mucous membrane and muscle layer), soft lifting, about 3-4cm upwards observe the surface of a wound of active hemorrhage.If lifting beneath tissue still has activity
Property bleeding, then move down rat-tooth forceps, then clamp cervical tissue below and lifts upwards..In aforementioned manners by uterine neck internal orifice
The uterine neck tubing of normal no placenta attachment at lower 3,6,9,12 points lifts out uterine neck internal orifice upwards, will be carried with absorbable thread
The tissue fold of pull-out sutures at uterine neck internal orifice square thereon and lower uterine segment placenta attachment, and suture depth is to pass through uterus muscle
Layer is advisable.It is easy to cause tissue cut-out if only suturing mucous membrane and decidua, the effect of sewing hemostasis is not achieved.If anterior uterine wall wing
Guang pushes away down, and uterus rear wall then sutures depth without adhesion can penetrate serosal layer.Interruption, continuous or company can be used in sewing method
Continuous padlock suture can be used from the top down or from bottom to top, can be used, accurately suture and up to from uterine mucosa layer inserting needle or from son
Palace placenta percreta inserting needle.A columned support stick is placed at uterine neck internal orifice, and each mucosal surface of cervical canal is avoided mutually to be close to.
Specifically, the utility model designs groove at support stick clock 3,6,9,12 points, vacates space and is conducive to palace
Neck tube tissue lifts out the suture of uterine neck internal orifice upwards, if 4 points of this in actual mechanical process cannot stop blooding completely, can also add
With other point hemostasis, then support stick can be rotated according to blutpunkte, blutpunkte is placed in groove, vacated space and be conducive to cervical canal group
It knits and lifts out uterine neck internal orifice Suture hemostasis upwards.
The utility model patent can be supported cervical canal, vacate Oversewing space, quickly, accurately in favor of operative doctor
It sutures and achievees the purpose that hemostasis.
Preferably, as shown in figure 3, in the place that each groove 2 is connected with the excircle of cylinder club shaped structure 1 using circle
Arc transition structure 3.
Specifically, due to being sharp portion, such hand in the excircle joining place of each groove 2 and cylinder club shaped structure 1
It is easy that cervical tissue is caused to damage when art, the utility model is connected in each groove 2 with the excircle of cylinder club shaped structure 1
Place use arc transition structure 3, by arc transition structure 3, cylinder club shaped structure 1 when operation can be made to place more
It is smooth.
Preferably, the height of the cylinder club shaped structure 1 is 5 centimetres, and the round diameter on cylinder bottom edge is 2 centimetres.
Groove 2 is 0.5 centimetre deep, 0.5 centimetre wide, 5 centimetres long.
Specifically, the length that the utility model limits support stick is 5 centimetres, is just over the length of uterine neck internal orifice, with
The mark of row length, reduce blindly sutured in operative doctor art and the suture that brings it is too short-hemostasis is imprecise, suture is long-
Cervical orifice suture is influenced into function from now on.
Preferably, which is one in medical stainless steel, medical titanium alloy, medical macromolecular materials
Kind.
Preferably, as shown in figure 4, being coated with one layer by misso forefront in the outer layer of cylinder club shaped structure 1 and groove 2
Cervical canal made of alcohol softens layer 4.
The utility model is made coated with one layer of Misoprostol in the outer layer of cylinder club shaped structure 1 and groove 2
Cervical canal softening layer 4 can reach the mesh of Rapid Expansion cervical canal.
Preferably, the outer layer of cervical canal softening layer 4 is provided with a protective case 5.
Specifically, the protective case 5 during stitching eyelid retractor roping, placement for avoiding protection cervical canal softening
The drug of layer 4 is scratched, in operation before use, protective case 5 is pushed aside.
Finally it should be noted that：Above example is only to illustrate the technical solution of the utility model, rather than its limitations；
Although the utility model is described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that：
It still can be with technical scheme described in the above embodiments is modified, or is carried out to which part technical characteristic etc.
With replacement；And these modifications or replacements, various embodiments of the utility model technology that it does not separate the essence of the corresponding technical solution
The spirit and scope of scheme.
Claims (7)
1. a kind of uterine neck pull-type stitching eyelid retractor, which is characterized in that including：Cylinder club shaped structure (1), it is rodlike in cylinder
The four direction all around of structure (1) is respectively arranged with a groove (2), and the groove (2) is along cylinder club shaped structure (1)
Radial setting.
2. uterine neck pull-type stitching eyelid retractor according to claim 1, which is characterized in that in each groove (2) and cylinder
The place of the excircle linking of body club shaped structure (1) uses arc transition structure (3).
3. uterine neck pull-type stitching eyelid retractor according to claim 1, which is characterized in that the cylinder club shaped structure
(1) height is 5 centimetres, and the round diameter on cylinder bottom edge is 2 centimetres.
4. uterine neck pull-type stitching eyelid retractor according to claim 3, which is characterized in that the groove (2) is 0.5 li deep
Rice, it is 0.5 centimetre wide, it is 5 centimetres long.
5. uterine neck pull-type stitching eyelid retractor according to claim 1, which is characterized in that the eyelid retractor material therefor is doctor
With one kind in stainless steel, medical titanium alloy, medical macromolecular materials.
6. according to any uterine neck pull-type stitching eyelid retractors of claim 1-5, which is characterized in that in the rodlike knot of cylinder
The outer layer of structure (1) and groove (2) is coated with one layer of cervical canal softening layer (4) made of Misoprostol.
7. uterine neck pull-type stitching eyelid retractor according to claim 6, which is characterized in that cervical canal softens the outer of layer (4)
Layer is provided with a protective case (5).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720767337.4U CN207693614U (en) | 2017-06-28 | 2017-06-28 | A kind of uterine neck pull-type stitching eyelid retractor |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720767337.4U CN207693614U (en) | 2017-06-28 | 2017-06-28 | A kind of uterine neck pull-type stitching eyelid retractor |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN207693614U true CN207693614U (en) | 2018-08-07 |
Family
ID=63020710
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201720767337.4U Expired - Fee Related CN207693614U (en) | 2017-06-28 | 2017-06-28 | A kind of uterine neck pull-type stitching eyelid retractor |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN207693614U (en) |
-
2017
- 2017-06-28 CN CN201720767337.4U patent/CN207693614U/en not_active Expired - Fee Related
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| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20180807 Termination date: 20190628 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |