CN209092496U - Multiple positioning drainage device in latex dust - Google Patents

Abstract

The purpose of this utility model is to provide positioning drainage devices multiple in a kind of latex dust, treatment for latex dust and latex dust related disease, it is characterized by: the drainage device is by seal wire and covers the casing outside seal wire and forms, casing is transparent pipe, and front end has metal coating.The forward metal coating can image under radioactive ray, to can accurately set the position and direction of operative incision in the preoperative.Described sleeve pipe head can also be fixedly installed inflatable balloon, may be implemented precisely to determine the position in latex dust main where lesion.

Description

Multiple positioning drainage device in latex dust

Technical field

The utility model relates to medical instruments fields, especially provide multiple positioning drainage device in a kind of latex dust.

Background technique

Intracanalicular papilloma is the most common cause of disease of pathologic nipple discharge, and fiberoptic ductoscopy is discovery intracanalicular papilloma Most accurate method, more generally accepted Surgical Operation is that the complete of the main latex dust of lesion and affiliated gland leaf is carried out under periareolar incision Excision.The notch of operation generally by latex dust spectroscopy when the out of shape of lesion latex dust that finds determine.Lesion place is found in art The method of main latex dust is usually used tack needle and is inserted into main latex dust, then blue dyes is injected through tack needle, by touching latex dust Interior tack needle judges the direction of the main latex dust of lesion, determines the range of excision by the breast tissue boundary of the blue dye in distal end.

Although this method is widely adopted, but have the shortcomings that obvious.Firstly, for close to nipple center latex dust, Facula position when by latex dust spectroscopy, to determine the direction of lesion latex dust, and the position of operation periareolar incision, there are one Fixed difficulty.If periareolar incision direction selection mistake, needs to do a large amount of free and appear, the master where lesion can be found Mammary gland gland leaf belonging to latex dust and latex dust, not only increases the difficulty of operation and the dosage of anaesthetic, also increases simultaneously Damage the probability of surrounding latex dust.Secondly as the limited length of tack needle, increases and determines the main latex dust direction of lesion by palpation Difficulty；With the extension of operating time, blue dyes constantly to extravasation diffusion around latex dust, causes blue dye range to be not fixed, It is universal bigger than normal；Often divide brokenly main latex dust or coupled branch's latex dust during separation searching lesion main latex dust, causes Keep dyestuff excessive, causes extent of disease that can not judge.Disadvantages mentioned above can be such that the accuracy of operation reduces, the model of operation excision It encloses and significantly increases, keep the latex dust around the main latex dust of lesion impaired serious, the side breast is caused to lose lactation function；Make lesion latex dust The breast tissue indigo plant dye range of distal end is excessive, and the breast tissue of surrounding normal is removed excessively, is led to breast deformation, is seriously affected It is beautiful.

Being opened in latex dust the positioning crochet hook of indwelling at pathological tissues through latex dust under fiberoptic ductoscopy is that one kind for carrying out in recent years is opposite The accurately method of lesion latex dust position, but there are crochet hook thin-palpation feels partially in operating process not strong, crochet hook falls off shifting The disadvantages of position-causes lesion locations that can not judge.

In addition, when carrying out latex dust spectroscopy to Bloody nipple discharge, it sometimes appear that inspection result is negative, i.e. fiberoptic ductoscopy Without bloody fluid in the latex dust checked, basic reason is that latex dust is divided into rapidly Liang Ge branch, latex dust after nipple opening What is entered when spectroscopy is normal branch's latex dust, and branch's latex dust where lesion is missed, and leads to inspection result and clinic Symptom is not consistent.

Utility model content

In order to solve problem above, the purpose of this utility model is to provide positioning drainage device multiple in a kind of latex dust, For the treatment of latex dust and latex dust related disease, the device is preoperative to be imaged under radioactive ray by the metal coating of its front end Determine the direction of operative incision, in art can by its front end hard seal wire with colored metal coating and Qi Nei come it is true Determine the direction of the main latex dust in lesion place, while determining the position of lesion place latex dust, realization pair by the colored sacculus on its head The multiple precise positioning of lesion in latex dust.

The effect for positioning and/or draining according to described device is different, may be designed to two kinds of structure (1) front ends and only has metal Coating, for treatment of drug perfusion in latex dust；(2) metal coating and inflatable balloon of the non-human tissue color of front end band is used Lesion locations in latex dust are precisely determined when operation.

Technical solutions of the utility model are as follows:

Multiple positioning drainage device by seal wire and covers the casing outside seal wire and forms in latex dust described in the utility model, casing For transparent pipe, with metal coating, (metal coating may be provided at internal surface of sleeve pipe or outer wall, be preferably provided at outside casing for front end Wall)；Seal wire is hard seal wire.

In the metal coating that casing front end described in the utility model has, the metal coating is by radiopaque and to mammary gland The image of tissue influences small metal and is made, and coloring material can be added in coating, and it can also be other that coating color, which is preferably blue, Non-human tissue color, to facilitate identification；Metal coating can image under radioactive ray, to can accurately set hand in the preoperative The position and direction of art notch.

Casing described in the utility model is transparent pipe, even if passing through observation cream convenient in the case where nipple discharge is seldom Whether head discharge judges where whether casing is inserted into lesion in branch's latex dust in sleeve pipe.

The outer diameter of hard seal wire described in the utility model and the outer diameter of fiberoptic ductoscopy are in the same size, the size and cream of casing inner diameter The outer diameter of Guan Jing matches and (fiberoptic ductoscopy is enable to be inserted into casing), is switched between hard seal wire and fiberoptic ductoscopy with facilitating； And the length of fiberoptic ductoscopy is consistent or shorter than fiberoptic ductoscopy, the length of seal wire are slightly longer than casing length for the length of casing, convenient in seal wire Guidance under casing is brought into latex dust.

Hard seal wire described in the utility model front end is blunt round, does not damage latex dust to facilitate in insertion latex dust internal procedure Wall.There is limit buckle in hard seal wire tail portion, for preventing seal wire from sliding into casing, and then is fully sunk in latex dust.

Casing described in the utility model is equipped with scale numerical value, can be equipped with indentation in 1cm, 5cm etc., fixed to identify The depth of position drainage device indwelling in latex dust.

Casing tail portion described in the utility model can coupling adapter, connect with facilitating with syringe, through casing to latex dust Interior injection of medicine, and prevent casing from sliding into latex dust inwards.

The metal coating of casing front end described in the utility model has non-human tissue color, described sleeve pipe inner guide wire matter Firmly, convenient in art by vision and tactile two in terms of come the accurate direction of latex dust where judging lesion in latex dust.

Bushing head described in the utility model can be fixed with inflatable balloon, and inflatable balloon passes through inflating catheter and inflation Device, which is connected, to be inflated, and inflating catheter is preferably provided inside set tube wall, casing wall can be walked out at nearly casing tail portion, to prevent Inflating catheter is damaged when the hard materials such as insertion seal wire, fiberoptic ductoscopy；The color of the inflatable balloon is non-human tissue color, In order to position；The inflating catheter tail portion is equipped with check valve, the size for being kept fixed inflatable balloon after inflation and tough Degree, on the one hand can prevent tube displacement or fall off, on the other hand can realize in art through vision and tactile and determine cream Accurate location in managing where lesion in latex dust.

When described sleeve pipe is equipped with inflatable balloon, the metal coating of casing front end setting is preferably inhuman body tissue face Color, casing front end described in the utility model simultaneously design non-human tissue color metal coating and additional inhuman body tissue face The colored inflatable balloon of color, the accurate direction of main latex dust where lesion can be quickly and easily searched out in such art and Accurate location where lesion in latex dust；It is not easily to fall off since metal coating and colored sacculus are to be fixed on casing, thus The extravasation of injection dye method dyestuff, diffusion are avoided, the disadvantage that excision extension is excessive is caused.

Detailed description of the invention

Fig. 1 cannula structure schematic diagram.

The front end Fig. 2 has the positioning drainage device structure diagram of metal coating.

The front end Fig. 3 has the multiple positioning drainage device structure diagram (inflated condition of metal coating and inflatable balloon Under).

Description of symbols: 1, casing, 2, seal wire, 3, inflatable balloon, 4, inflating catheter, 5, one-way cock, 6, metal coating, 9, crossover sub.

Specific embodiment

Embodiment 1

As shown in Figure 1, 2, multiple positioning drainage device in a kind of latex dust by seal wire 2 and covers 1 group of casing outside seal wire 2 At；Its middle sleeve 1 is transparent pipe, and side is equipped with scale numerical value, and has indentation at 5cm, and 1 front end of casing has metal coating 6, the metal coating 6 is by radiopaque and influences small metal to the image of breast tissue and is made.Seal wire 2 is hard seal wire, Its front end blunt circle, and slightly longer than casing 1, there is limit buckle in tail portion.

Concrete operations:

Seal wire 2 is inserted into casing 1 first, casing 1 is inserted into discharge cream hole；Seal wire 2 is extracted, discharge, card are full of in casing 1 The latex dust that real casing 1 enters is discharge branch latex dust；Then it is inserted into fiberoptic ductoscopy through 1 tail portion of casing, lesion latex dust is checked, If it turn out that inflammation is obvious in latex dust, then fiberoptic ductoscopy is withdrawn from, by 1 indwelling of casing in latex dust, tail portion coupling adapter 9；It is right Casing 1 carries out breast molybdenum target photograph and checks after carrying out sticker on skin of breast and fixing, aobvious by 1 forward metal coating 6 of casing The position shown, further clarifies the accurate direction of the marked latex dust of casing 1, and with latex dust suggested by other inspections such as ultrasound Whether the position of lesion is consistent；If other inspection results one such as the marked latex dust lesion of latex dust spectroscopy and molybdenum target and ultrasounds It causes, then can enter treatment of drug perfusion in latex dust；Otherwise, it needs latex dust spectroscopy again or carries out other inspections, except Other suspicious lesions.

Embodiment 2

As shown in figure 3, described device is by seal wire 2 and covers the casing 1 outside seal wire and forms, middle sleeve 1 is transparent pipe, Side is equipped with scale numerical value, and has indentation at 5cm, and 1 front end of casing has metal coating 6, and the metal coating 6 is not by transmiting It line and small metal and coloring material is influenced on the image of breast tissue is made, the color of metal coating 6 is blue.Seal wire 2 Front end blunt circle, and slightly longer than casing 1, there is limit buckle in tail portion.

Meanwhile 1 head of casing be fixed with blue inflatable balloon 3, inflatable balloon 3 be located at 1 tube wall of casing inside Inflating catheter 4 be connected, the tail portion of inflating catheter 4 is equipped with one-way cock 5, can be connected with air charging system, is used for inflatable Sacculus 3 is inflated.

Concrete operations:

Seal wire 2 is inserted into casing 1 first, casing 1 is inserted into discharge cream hole；Seal wire 2 is extracted, discharge, card are full of in casing 1 The latex dust that real casing 1 enters is discharge branch latex dust；Then it is inserted into fiberoptic ductoscopy through 1 tail portion of casing, lesion latex dust is checked, If it turn out that occupying lesion exists in latex dust, then under the monitoring of fiberoptic ductoscopy, the head of casing 1 is placed in lesion, and lead to Cross one-way cock 5 and inject air, so that the inflation of inflatable balloon 3 is swollen, be stuck in latex dust, realize to the position of occupy-place in latex dust into Line flag, while preventing casing 1 from shifting；Fiberoptic ductoscopy is withdrawn from, by 1 indwelling of casing in latex dust, tail portion coupling adapter 9；It is right Casing 1 carries out breast molybdenum target photograph and checks, pass through the metal coating 6 of 1 front end of casing after carrying out sticker on skin of breast and fixing The position of display, further clarifies the accurate direction of the marked latex dust of casing 1, and with cream suggested by other inspections such as ultrasound Whether the position of pipe lesion is consistent；If other inspection results one such as the marked latex dust lesion of latex dust spectroscopy and molybdenum target and ultrasounds It causes, then can carry out operative treatment；Otherwise, need latex dust spectroscopy again or carry out other inspections, it is other except can hypochondriasis Become.

By breast molybdenum target inspection, after the direction where the latex dust marked to casing 1 further clarifies, operation delimited according to this Periareolar incision.When operation, by seeing colour and touch set that metal coating 6 of the indwelling in the casing front end in latex dust appear The double labeling of hard seal wire 2 in pipe 1 realizes the accurate judgement to the main latex dust direction of lesion；By seeing indwelling in latex dust The colour that appears of 1 forward metal coating 6 of casing and touch the double labeling of 1 front end inflatable balloon 3 of casing, realize to lesion Position in the main latex dust in place precisely determines.In the main latex dust of lesion from after teat base detachment, then the tail portion of casing 1 is connected and is turned Changing-over head 9 injects coloring agent, carries out dyeing to distal end mammary gland glandular lobule belonging to the main latex dust of the lesion and show, realize final Precisely excision.

It is not to be realized by injecting liquid dyes, so just fundamentally since metal coating 6 is coated on tube wall The case where blending leakage outside injection dyestuff is avoided, so that determining the accurate side of main latex dust where lesion in latex dust by this method It is effectively ensured to position.

Using positioning drainage device multiple in latex dust, determination for lesion distal end breast tissue range is still used Dye method is injected, but precise positioning has been completed in direction due to the main latex dust of lesion proximal end and position, reinjects dyeing at this time Agent determines that the breast tissue of lesion distal end, dyeing range will be significantly less than conventional dyestuff injection method, removed mammary gland Tissue will significantly reduce, and remain unchanged postoperative mammary contour and be effectively ensured.

The above embodiments are only for explaining the technical ideas and features of the present invention, and its object is to allow be familiar with technique Personage can understand the content of the utility model and implement accordingly, do not limit the protection scope of the present invention. All equivalent change or modifications according to made by the spirit of the present invention essence, should all cover the protection scope of the utility model it It is interior.

In addition, there is omitted herein to descriptions of well-known structures and technologies, to avoid the utility model is unnecessarily obscured Concept.

Claims (6)

1. multiple positioning drainage device in a kind of latex dust, it is characterised in that: the positioning drainage device is by seal wire and covers in seal wire Outer casing composition, casing are transparent pipe, and front end has metal coating；

Described sleeve pipe head is fixed with inflatable balloon, and inflatable balloon is connected by inflating catheter with air charging system；

Casing is equipped with scale numerical value；It casing tail portion can coupling adapter.

2. according to positioning drainage device multiple in latex dust described in claim 1, it is characterised in that: there is limit buckle in seal wire tail portion.

3. according to positioning drainage device multiple in latex dust described in claim 1, it is characterised in that: the length of casing is less than or equal to cream The length of Guan Jing, seal wire are longer than casing.

4. according to positioning drainage device multiple in latex dust described in claim 1, it is characterised in that: casing metal coating and inflatable The color of sacculus is non-human tissue color.

5. according to positioning drainage device multiple in latex dust described in claim 1, it is characterised in that: the inflation of the inflatable balloon Catheter tail has check valve.

6. according to positioning drainage device multiple in latex dust described in claim 1, it is characterised in that: the seal wire front end is blunt circle Shape.