CN208781476U - For operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots - Google Patents
For operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots Download PDFInfo
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- CN208781476U CN208781476U CN201820437431.8U CN201820437431U CN208781476U CN 208781476 U CN208781476 U CN 208781476U CN 201820437431 U CN201820437431 U CN 201820437431U CN 208781476 U CN208781476 U CN 208781476U
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Abstract
The utility model relates to a kind of for operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots, the teaching mode for operation stitching in anal orifice and rectal intestine and the practice that knots include station, fixed bracket, intestinal tube, silica gel mucous membrane, light source；The station bottom is surrounded by liftable bar；The fixed branch is set up in station surface rear and front end；The intestinal tube middle part surface is equipped with fixed switch；The intestinal tube is set on fixed bracket；The silica gel mucous membrane is set to intestinal tube periphery of inner wall；The light source is set to the fixed bracket two sides of station front end surface.Its advantage is shown: simulating human anus intestines internal environment using intestinal tube, student can carry out the practice that sutures and knot in three-dimensional perspective and the simulation anus in direction in intestinal tube, utmostly environment when reduction operation, enhance substitution sense of the student in practice as operator, it can repeat, it experiences repeatedly, really implements suture and knotting operation in operation anus in the future for student and lay a solid foundation.
Description
Technical field
The utility model relates to Medical teaching appliance technologies, specifically, being a kind of for operation in anal orifice and rectal intestine
The teaching mode of suture and the practice that knots.
Background technique
Suture, which refers to, to be cut or the tissue of wound fracture, organ carry out pairing or rebuild its channel, restores its function
Energy.Knotting is the final step to finish up for suture, plays fixed and reinforcement effect.Both this is the base for guaranteeing well to heal
This condition is also important one of basic operative techniques technology, and even more each resolves to become surgical medico
Required course.
Currently, being clinically all made of the mode of two-dimensional surface, i.e., the silica gel put in one piece of level for the practice of suture
On carry out practice operation, generally using needle forceps clamping suture needle sutured, its advantage is that suture size and operation the visual field not
It is restricted.The practice of knotting can carry out simultaneously on the basis of suture, can not also be limited and be practiced by when and where
It practises, as long as there is root sutures on hand.But clinically, actual conditions are, the wound of human body surface is a two-dimensional plane,
The relative difficulty that unites by a seam is lower.Once going deep into abdominal cavity, go deep into internal organs, the environment for suturing knotting becomes three from two-dimensional surface
Dimension is three-dimensional, the depth of a depth occurs, and the operation thus to knot to suture produces higher requirement.Student is usually
Be difficult the operating environment for having a 3 D stereo when doing one's exercises, so even if on two-dimensional surface for suture and knotting skill slap
The case where holding very skilled, still having elbow processed when being transferred to human body deep and being operated appearance, such as passing in and out needle
Whether the assurance of weight, deep part knotting will appear slippage etc..For anorectum department, range of operation is confined to anus
In rectum (narrow space, and have depth), surgical field of view and operation are somewhat limited.And in minimally invasive theory
Guidance under, more and more surgical instruments are used in the operation of perianal (such as PPH, TST etc.), these art formulas are most
Crucial step is needed under the guidance of anal device, and intrarectal purse string suture, knotting are carried out, once it is existing that big bleeding occurs
As hemostasis is also a the problem of more having a headache in narrow space.Instantly, how operation to be made and tended in precisely medical treatment
How perfection for patient provides better postoperative experience, this requires clinician and is initially just laying solid clinical manipulation
Basis.
Chinese patent literature: CN201320602438.8, the applying date: 2013.09.27, patent name are as follows: in shaft type anal intestine
Stitching unstrument.It discloses stitching unstrument in a kind of shaft type anal intestine, including fixed link, motion bar, holds dials, special needle, hooking device, activity
Bar connects with fixed link one end and holds dials, and fixed link and motion bar middle section are fixed in fixing piece and motion bar compares fixed link
Short, special needle, which is fixed on, to be held on dials, and the special needle is arc, and pin hole is located at close to the position of needle point.
Stitching unstrument in a kind of shaft type anal intestine of above patent document, breaching current technical field tradition needle holder cannot be complete
At in per anum, the problem and cast of vertical intestinal tube X direction suture and rectum end to end anastomosis in enteric cavity or in close clearance
Digestive tract stapler coincide failure, coincide inaccurate, Anastomotic bleeding difficult the shortcomings that remedying, easy to operate, performance is stablized.But it closes
It is suitable in anal orifice and rectal intestine suture in the operation such as suture and PPH, TST anus in one kind, student is facilitated to simulate three in anal orifice and rectal intestine
Dimension suture and knotting improve suture and knot tying techniques in the anus of student, utmostly environment when reduction operation, enhance student and exist
As the substitution sense of operator when practice, it can repeat, experience repeatedly, really implement the perform the operation interior suture of anus and knotting for student
When provide invaluable experience it is a kind of for operation stitching in anal orifice and rectal intestine and knot practice teaching mode at present then without correlation
Report.
In conclusion needing one kind is suitable in anal orifice and rectal intestine suture in the operation such as suture and PPH, TST anus, facilitate
Three-dimensional suture and knotting in raw simulation anal orifice and rectal intestine, improve suture and knot tying techniques in the anus of student, utmostly reduction operation
When environment, it is that student is really real that enhancing student substitution sense as operator in practice, which can be repeated, be experienced repeatedly,
A kind of religion practiced for operation stitching in anal orifice and rectal intestine and knotting of invaluable experience is provided when the interior suture of the anus that operates on and knotting
Learn model.
Summary of the invention
The purpose of this utility model be aiming at the shortcomings in the prior art, provide it is a kind of be suitable in anal orifice and rectal intestine suture and
Suture in the operation anus such as PPH, TST facilitates student to simulate three-dimensional suture in anal orifice and rectal intestine and knot, improves the anus inseam of student
It closes and knot tying techniques, environment when utmostly reduction is performed the operation enhances substitution sense of the student when practicing as operator, it can be anti-
Multiple practice, is experienced repeatedly, and interior one kind for suturing and providing invaluable experience when knotting of anus of really implementing to perform the operation for student is for anus
Operation stitching and the teaching mode for the practice that knots in rectum.
To achieve the above object, the technical scheme adopted by the utility model is that:
A kind of teaching mode for for operation stitching in anal orifice and rectal intestine and the practice that knots, described is used for anal orifice and rectal intestine
Interior operation stitching and the teaching mode for the practice that knots include station, fixed bracket, intestinal tube, silica gel mucous membrane, light source；The behaviour
Make platform in rectangular parallelepiped structure, bottom is surrounded by liftable bar；The fixed branch is set up in station surface rear and front end；Institute
The intestinal tube stated is interior empty expandable type structure；The intestinal tube front end is open type, and end is semi-enclosed structure, and in intestinal tube
Portion surface is equipped with fixed switch；The fixed switch includes fixing buckle and fixing belt；The intestinal tube is set on fixed bracket,
And the bottom periphery of intestinal tube is matched with fixed rack surface；The silica gel mucous membrane is in rectangular parallelepiped structure, is set to intestinal tube inner wall
Around；The light source is set to the support bracket fastened two sides of station front end surface；Pass through between the light source and fixed bracket
Support arm connection.
As a kind of perferred technical scheme, the long 10cm of the intestinal tube, diameter 3.6cm.
As a kind of perferred technical scheme, the silica gel mucous membrane is replaceable.
As a kind of perferred technical scheme, the fixing belt is elastic reducing-fixing band.
As a kind of perferred technical scheme, the light source is LED light.
As a kind of perferred technical scheme, the support arm uses 360 ° of rotary type bourdon tubes.
As a kind of perferred technical scheme, the intestinal tube is made of medical PVC material.
The utility model advantage is:
1, human anus intestines internal environment is simulated using intestinal tube, student can carry out the simulation of three-dimensional perspective and direction in intestinal tube
Suture and the practice that knots in anus, with suture in normal surgical anus and knotting implementation environment mutually close to improving the quality of instruction of teacher
With the practice quality of student.
2, the silica gel mucous membrane being placed in intestinal tube can be replaced, after silica gel mucous membrane used in intestinal tube is taken,
It is placed in new silica gel mucous membrane, so that student be facilitated to continue the practice that sutures and knot in anus on new silica gel mucous membrane.
3, intestinal tube front end is open type structure, and for the entrance of sewing needle in anus of performing the operation, end is setting for semi-closed structure
Meter, then when intestinal tube is closed, so that intestinal tube body interior generates interior suture and knotting in the anus in dim environment, with actual surgery
Operating environment is close, the significantly more efficient practice effect for improving student.
4, the light source set on the fixed bracket two sides of station front end surface is LED light, and connects light source and support bracket fastened
Support arm uses 360 ° of rotary type bourdon tubes, can adjust the position of light source according to their own needs when student being facilitated to practice, make
The practice of student is more nearly true surgical procedure, to provide experience when really performing the operation for student.
5, set on the liftable bar of station bottom surrounding, for increasing or decreasing the height of station, so that behaviour
Make the height of sighting line that platform adapts to operator, facilitates practice.
6, human anus intestines internal environment is simulated using intestinal tube, using light source student by carrying out three-dimensional perspective in intestinal tube 3
Interior suture with direction and the practice that knots can utmostly restore environment when operation, and enhancing student is in practice as master
The substitution sense of knife, repeats, experiences repeatedly, lays a solid foundation for suture in real anus in the future and knotting operation.
7, human anus intestines internal environment is simulated by intestinal tube and by anal device instrument assisting in opening intestinal tube, student can be realized
It is sutured in anus under no instrument auxiliary and knotting is practiced and have to suture and knot in the anus under instrument auxiliary to practice, to mention significantly
The practice effect of high student.
Detailed description of the invention
Attached drawing 1 is a kind of front side for operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots of the utility model
Schematic diagram.
Attached drawing 2 is a kind of rear side for the teaching mode practiced for operation stitching in anal orifice and rectal intestine and knotting of the utility model
Schematic diagram.
Attached drawing 3 is that a kind of teaching mode silica gel for operation stitching in anal orifice and rectal intestine and the practice that knots of the utility model is glutinous
The schematic perspective view of film.
Attached drawing 4 is that a kind of teaching mode silica gel for operation stitching in anal orifice and rectal intestine and the practice that knots of the utility model is glutinous
Film is placed in the schematic diagram in intestinal tube inner wall.
Attached drawing 5 is the front side schematic diagram of existing anal device.
Attached drawing 6 is the rear side schematic diagram of existing anal device.
Specific embodiment
It elaborates with reference to the accompanying drawing to specific embodiment provided by the utility model.
Appended drawing reference involved in attached drawing and component part are as follows:
1. 11. liftable bar of station
2. fixed 3. intestinal tube of bracket
31. fixed 311. fixing buckle of switch
312. fixing belt, 4. silica gel mucous membrane
5. 51. support arm of light source
6. anal device
Embodiment 1
Please refer to attached drawing 1,2, Fig. 1 is a kind of religion practiced for operation stitching in anal orifice and rectal intestine and knotting of the utility model
Schematic diagram on front side of model is learned, Fig. 2 is a kind of teaching mould practiced for operation stitching in anal orifice and rectal intestine and knotting of the utility model
Schematic diagram on rear side of type.A kind of teaching mode practiced for operation stitching in anal orifice and rectal intestine and knotting, described is straight for anus
Enteral operation stitching and the teaching mode for the practice that knots include station 1, fixed bracket 2, intestinal tube 3, silica gel mucous membrane 4, light source 5；
The station 1 is in rectangular parallelepiped structure, and bottom is surrounded by liftable bar 11；The fixation bracket 2 is set to 1 table of station
Face rear and front end；The intestinal tube 3 is interior empty expandable type cylindrical structure；3 front end of intestinal tube is open type, and end is
Semi-enclosed structure, and 3 middle part surface of intestinal tube is equipped with fixed switch 31；The fixed switch 31 is including fixing buckle 311 and admittedly
Determine band 312；The intestinal tube 3 is set on fixed bracket 2, and the bottom periphery of intestinal tube 3 is matched with fixed 3 surface of bracket；Institute
The silica gel mucous membrane 4 stated is in rectangular parallelepiped structure, is set to 3 periphery of inner wall of intestinal tube；The light source 5 is solid set on 1 front end surface of station
The two sides of fixed rack 2；It is connected between the light source 5 and fixed bracket 2 by support arm 51.
It should be understood that the intestinal tube 3 is fabricated by medical PVC material, and long 10cm, diameter 3.6cm, student
The practice that sutures and knot in three-dimensional perspective and the simulation anus in direction can be carried out in intestinal tube 3, sutured and beaten in normal surgical anus
Knot implementation environment is mutually close to improving the quality of instruction of teacher and the practice quality of student；The silica gel being placed in intestinal tube 3 is glutinous
Film 4 can be replaced, and after silica gel mucous membrane 4 used in intestinal tube 3 is taken, be placed in new silica gel mucous membrane 4, thus convenient
Student continues the practice that sutures and knot in anus on new silica gel mucous membrane 4；The intestinal tube 3 is using interior empty expandable type knot
The design of structure, on the one hand convenient for the practice of the teaching of teacher and student, on the other hand, by being set to 3 middle part surface position of intestinal tube
Fixed switch 31,3 ontology of intestinal tube can be opened, facilitate the merging of silica gel mucous membrane 4 and take, for the practice of student；
Fixing belt 312 in the fixed switch 31 is elastic reducing-fixing band, so that fixed effect is more firm；The intestinal tube 3
The design that bottom periphery is matched with fixed 3 surface of bracket, it is ensured that the stabilization of intestinal tube 3 avoids student from carrying out anus in intestinal tube 3
During interior suture and knotting practice, intestinal tube 3 is moved, to influence the effect of practice；3 front end of intestinal tube is to open
Mouth formula structure, for the entrance of sewing needle in anus of performing the operation, end is the design of semi-closed structure, then when intestinal tube 3 is closed, so that
3 body interior of intestinal tube generates dim environment, close with suture interior in the anus in actual surgery and knotting operation environment, more efficient
Raising student practice effect；The light source 5 for being set to the fixed bracket two sides of 1 front end surface of station is LED light, and even
The support arm 51 for connecing light source 5 and fixed bracket 2 uses 360 ° of rotary type bourdon tubes, when student being facilitated to practice can according to oneself
It needs, adjusts the position of light source 5, the practice of student is made to be more nearly true surgical procedure, thus when really performing the operation for student
Offer experience；The liftable bar 11 set on 1 bottom surrounding of station, for increasing or decreasing the height of station 1, from
And station 1 is made to adapt to the height of sighting line of operator, facilitate practice；Instruction in drill practice model in described the utility model,
Human anus intestines internal environment is simulated using intestinal tube 3, simulates light-source brightness when suturing in anus using light source 5, is the teaching of teacher
And the practice of student provides important help, student in intestinal tube 3 by carrying out the interior suture of three-dimensional perspective and direction and beating
Knot practice, can utmostly restore environment when operation, and substitution sense of the enhancing student in practice as operator is practiced repeatedly
It practises, experiences repeatedly, lay a solid foundation for suture in real anus in the future and knotting operation.
Embodiment 2
Please refer to attached drawing 5,6, Fig. 5 be existing anal device front side schematic diagram, Fig. 6 be existing anal device rear side signal
Figure.The present embodiment is substantially the same manner as Example 1, the difference is that, by setting existing instrument anal device 6 in the present embodiment
Enter in intestinal tube 3,6 diameter of anal device is 36mm, can gradually strut intestinal tube 3 by anal device 6, simulate normal hand
When art, human body anal intestine is opened by extraneous instrument, facilitates suture and the progress to knot in anus, so that student can be in anal device
It improves suture in student's anus to suture and knotting operation in simulation anus is carried out on the silica gel mucous membrane 4 for being set to 3 inner wall of intestinal tube and beats in portion
Tie the effect of practice.
A kind of teaching mode practiced for operation stitching in anal orifice and rectal intestine and knotting of the utility model, utilizes intestinal tube mould
Anthropomorphic body anal intestine internal environment, student can carry out the practice that sutures and knot in three-dimensional perspective and the simulation anus in direction in intestinal tube,
With suture in normal surgical anus and knotting implementation environment mutually close to improving the quality of instruction of teacher and the practice quality of student；It sets
It can be replaced in the silica gel mucous membrane in intestinal tube, after silica gel mucous membrane used in intestinal tube is taken, be placed in new silica gel
Mucous membrane, so that student be facilitated to continue the practice that sutures and knot in anus on new silica gel mucous membrane；Intestinal tube front end is open type
Structure, for the entrance of sewing needle in anus of performing the operation, end is the design of semi-closed structure, then when intestinal tube is closed, so that intestinal tube
Body interior generates dim environment, close with suture interior in the anus in actual surgery and knotting operation environment, significantly more efficient to mention
The practice effect of high student；Light source set on the fixed bracket two sides of station front end surface is LED light, and connects light source and fixation
The support arm of bracket uses 360 ° of rotary type bourdon tubes, can adjust light source according to their own needs when student being facilitated to practice
Position makes the practice of student be more nearly true surgical procedure, to provide experience when really performing the operation for student；Set on operation
The liftable bar of platform bottom surrounding, for increasing or decreasing the height of station, so that station adapts to the view of operator
Line height facilitates practice；Human anus intestines internal environment is simulated using intestinal tube, using light source student by carrying out three in intestinal tube 3
It ties up the interior suture of angle and direction and the practice that knots, can utmostly restore environment when operation, enhancing student is in practice
It as the substitution sense of operator, repeats, experiences repeatedly, lay solid base for suture in real anus in the future and knotting operation
Plinth；Human anus intestines internal environment is simulated by intestinal tube and by anal device instrument assisting in opening intestinal tube, student can realize no instrument
Suture and knotting are practiced and have suture and knotting in the anus under instrument auxiliary to practice in anus under auxiliary, to greatly improve student
Practice effect.
The above is only the preferred embodiment of the utility model, it is noted that for the common skill of the art
Art personnel can also make several improvement and supplement under the premise of not departing from the utility model method, these are improved and supplement
Also it should be regarded as the protection scope of the utility model.
Claims (7)
1. a kind of teaching mode practiced for operation stitching in anal orifice and rectal intestine and knotting, which is characterized in that described is used for anus
Operation stitching and the teaching mode for the practice that knots include station, fixed bracket, intestinal tube, silica gel mucous membrane, light source in door rectum；Institute
The station stated is in rectangular parallelepiped structure, and bottom is surrounded by liftable bar；The fixed branch is set up in front of and after station surface
Both ends；The intestinal tube is interior empty expandable type structure；The intestinal tube front end is open type, and end is semi-enclosed structure,
And intestinal tube middle part surface is equipped with fixed switch；The fixed switch includes fixing buckle and fixing belt；The intestinal tube is set to solid
On fixed rack, and the bottom periphery of intestinal tube is matched with fixed rack surface；The silica gel mucous membrane is in rectangular parallelepiped structure, is set to
Intestinal tube periphery of inner wall；The light source is set to the support bracket fastened two sides of station front end surface；The light source and fixed bracket
Between pass through support arm connect.
2. according to claim 1 exist for operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots, feature
In the intestinal tube long 10cm, diameter 3.6cm.
3. according to claim 1 exist for operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots, feature
In the silica gel mucous membrane is replaceable.
4. according to claim 1 exist for operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots, feature
In the fixing belt is elastic reducing-fixing band.
5. according to claim 1 exist for operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots, feature
In the light source is LED light.
6. according to claim 1 exist for operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots, feature
In the support arm uses 360 ° of rotary type bourdon tubes.
7. according to claim 2 exist for operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots, feature
In the intestinal tube is made of medical PVC material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201820437431.8U CN208781476U (en) | 2018-03-29 | 2018-03-29 | For operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201820437431.8U CN208781476U (en) | 2018-03-29 | 2018-03-29 | For operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots |
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| Publication Number | Publication Date |
|---|---|
| CN208781476U true CN208781476U (en) | 2019-04-23 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201820437431.8U Active CN208781476U (en) | 2018-03-29 | 2018-03-29 | For operation stitching in anal orifice and rectal intestine and the teaching mode for the practice that knots |
Country Status (1)
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| CN (1) | CN208781476U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108269475A (en) * | 2018-03-29 | 2018-07-10 | 上海中医药大学附属岳阳中西医结合医院 | A kind of teaching mode practiced for operation stitching in anal orifice and rectal intestine and knotting |
-
2018
- 2018-03-29 CN CN201820437431.8U patent/CN208781476U/en active Active
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108269475A (en) * | 2018-03-29 | 2018-07-10 | 上海中医药大学附属岳阳中西医结合医院 | A kind of teaching mode practiced for operation stitching in anal orifice and rectal intestine and knotting |
| CN108269475B (en) * | 2018-03-29 | 2024-05-31 | 上海中医药大学附属岳阳中西医结合医院 | Teaching model for suture and knotting exercise of anorectal operation |
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