CN209107761U - A kind of scleral buckling set composite - Google Patents

Abstract

The utility model discloses a kind of scleral buckling set composites, it is whole including sclera encircling band, the sclera encircling band is integrally mainly made of encircling band, sebific duct oversleeve and pressurization object, the pressurization object is made of silica gel block and silicon sponge, the silicon sponge and silica gel block fit closely the complex being integrated, the silicon sponge is fitted tightly on silica gel block inner wall, has encircling band dial on the encircling band, has silica gel block dial and cerclage trough of belt on the silica gel block.The utility model, easy to operate, more accurate, easy for installation, the complementary operation taken when simplifying surgical effectively shortens operating time, improves the success rate of operation to a certain extent, further decreases postoperative complication.

Description

A kind of scleral buckling set composite

Technical field

The utility model relates to a kind of one group of ophthalmologic operation auxiliary device, specifically a kind of compound dresses of scleral buckling It sets.

Background technique

With the arriving of information age, widely available, the illness rate for causing global eye disease especially near-sighted of electronic product It rises year by year, at the same time, becomes a kind of high-incidence disease with the closely related illness-rhegmatogenous detachment of retina of myopia, and Tend to rejuvenation, pathogenesis is complicated, form of expression multiplicity, and in existing medical technology, there are many operations in treating retinas It is detached from, but for ambitus to the multiple small ceasma of the same circumference of ora serrata or Lattice degeneration, aphakic eye, Intraocular lens eye (periphery checks difficult), the past row surgery of retinal detachment fails and sclera condition difference person, extensive vitreum are proliferated, retina is led It draws, fixed gauffer, long-standing retinal detachment etc. (it is generally acknowledged that C1 grade or more person should all cerclage), pupil is scattered can not less search Ceasma or other full detachment of retinas can not find ceasma person are chiefly used in scleral encircling operation before ambitus, and furthermore scleral encircling operation is also It is suitable for: the pressurization of sclera interlayer or sclera external pressure joint cerclage, to enhance and maintain sclera pressurization art effect and vitreum Stereotomy while the preventative scleral encircling operation (D grades or more) of row.

Conventional scleral buckling (cerclage adds external pressurized), doctor needs to calculate encircling band according to patient's axiallength and receive in art The amount of contracting does not still have scale on silica gel encircling band employed in present scleral buckling, then doctor goes to use ruler again It is truncated again after measurement, and the wheel the form of the foetus silica gel block for matching pressurization object with encircling band in some cases, needs also without scale One layer of silicon sponge is placed on wheel the form of the foetus silica gel block inner wall, play the pressure on top surface of scleral walls at good additional briquetting counterincision hole Amount, these materials require to go to measure in surgical procedure and cut, and existing silicon sponge and silica gel block are discrete states, to To in use, need to fold the silica gel block cut with silicon sponge and be aligned, using suture, the two is fixed as an entirety (silica gel adds silicon sponge) is then placed on the corresponding position of sclera again (at ceasma).Due to easily causing mistake when doctor's hand dipping Difference, cutting not only take time and effort, and easily cause cutting uneven (too thick or too thin), when suture fixes the two, perfect cannot paste Conjunction is placed on sclera, and postoperative idol has because suture slips, dissolution leads to silica gel or silicon sponge is deviate from, and extends the same of operating time When, undoubtedly increase the risk of postoperative complications.

Utility model content

The purpose of this utility model is to provide a kind of scleral buckling set composites, to solve to mention in above-mentioned background technique Out the problem of.

To achieve the above object, the utility model provides the following technical solutions:

A kind of scleral buckling set composite, including sclera encircling band are whole, the sclera encircling band integrally mainly by Encircling band, sebific duct oversleeve and pressurization object are constituted, and the pressurization object is made of silica gel block and silicon sponge, the silicon sponge and silica gel block The complex being integrated is fitted closely, the silicon sponge is fitted tightly on silica gel block inner wall, has encircling band on the encircling band Dial has silica gel block dial and cerclage trough of belt on the silica gel block.

As a further solution of the present invention: having scale on the encircling band and silica gel block.

As a further solution of the present invention: the cerclage trough of belt is rectangular channel.

As a further solution of the present invention: the encircling band is different according to its width demand, corresponding not isotype Number.

As a further solution of the present invention: the sebific duct oversleeve is made of silica gel, there is elasticity.

The pressurization object has different models as a further solution of the present invention, and width and thickness is different.

Compared with prior art, the utility model has the beneficial effects that the utility model, easy to operate, more accurate, peace Dress is convenient, and the complementary operation taken when simplifying surgical effectively shortens operating time, improves to a certain extent The success rate of operation, further decreases postoperative complication.

Detailed description of the invention

Fig. 1 is scleral buckling overall schematic.

Fig. 2 is human eyeball's stringer section schematic diagram.

Fig. 3 is scarf schematic diagram after scleral buckling.

Fig. 4 is that figure is seen in the postoperative front of Scleral buckling.

Fig. 5 is Scleral buckling overall structure diagram.

Fig. 6 is wheel the form of the foetus silica gel pressurization object set composite cross-sectional.

Fig. 7 is wheel the form of the foetus silica gel pressurization object overall structure diagram.

Fig. 8 is to cut out rear-wheel the form of the foetus silica gel briquetting to add silicon sponge complex structure schematic diagram.

Fig. 9 is silicone tube oversleeve structural schematic diagram.

Figure 10 is encircling band structural schematic diagram.

Figure 11 is curved forceps structural schematic diagram.

Figure 12 is that curved forceps supports sebific duct oversleeve schematic diagram.

In figure: 1- human eyeball, 101- rectus, 102- vitreum, 103- sclera, 104- choroid, 105- retina, 2- Sclera encircling band is whole, 201- encircling band, 201.1- encircling band dial, 202- sebific duct oversleeve, 203- pressurization object, 203.1- silicon Sponge, 203.2- silica gel block dial, 203.3- silica gel block, 203.4- cerclage trough of belt, 3- curved forceps.

Specific embodiment

The technical solution of the patent is explained in further detail With reference to embodiment.

Please refer to Fig. 1-12, a kind of scleral buckling set composite, including sclera encircling band whole 2, the sclera cerclage Band is whole to be mainly made of encircling band 201, sebific duct oversleeve 202 and pressurization object 203, and the pressurization object 203 is by silica gel block 203.3 Constituted with silicon sponge 203.1, the pressurization object 203 is silicon sponge 203.1 and silica gel block 203.3 fit closely be integrated it is compound Body, the silicon sponge 203.1 are fitted tightly on 203.3 inner wall of silica gel block, on the encircling band 201 and silica gel block 203.3 There is scale, has rectangular channel on 203.3 outer wall of silica gel block, the encircling band 201 is different according to its width demand, and there are many types Number, there is encircling band dial 201.1 on the encircling band 201, the sebific duct oversleeve 202 is made of silica gel, there is certain elasticity, There are silica gel block dial 203.2 and cerclage trough of belt 203.4 on the silica gel block 203.3, the pressurization object 203 has different types Number, width and thickness is different, and the cerclage trough of belt 203.4 is rectangular channel, facilitates and encircling band 201 is put into encircling band when operation In slot 203.4.

In the scleral buckling, after preparing and anaesthetize in the preoperative, art eye visual area is sterilized, eye speculum struts eyelid, uses Antibiotic (conventional to use gentamicin) rinses conjunctival sac, cuts off bulbar conjunctiva along 360 degree of annulars of corneal limbus, cuts separation rectus with blunt It is organized on 101 scleras 103, all hooks muscle fibre from 101 lower section of rectus with eye muscle hook, tissue clamps tears the fascia group of two sides Ligament is knitted and controlled, 4-0 silk thread is passed through below rectus 101, all slings rectus 101, the both ends of line knot, can arbitrarily rotate Eyeball, the scleral tissue between quadrant exposure rectus 101, pays attention to checking whether and all slings rectus muscle fibers, check venae vorticosae one by one Position, carry out ceasma label and condensation, after the completion of condensation and telltale mark, be inserted in one section of silicone tube sleeve with curved forceps 3 closures Cover 202(about 4mm long), jaw is opened, 201 one end of encircling band is sent into, 201 one end of encircling band is passed through and pulls out silicone tube oversleeve 202 head ends about 15mm or so, curved forceps 3 clamp 201 one end of encircling band, pass through under four rectus 101, silicone tube oversleeve 202 is placed in On 103 surface of ceasma anchor point opposite sclera, curved forceps 3 passes through silicone tube oversleeve 202, opens jaw, clamps encircling band 201 The other end is pierced by silicone tube oversleeve 202 in the opposite direction, 103 face distance marking both ends at least 2 ~ 3mm of sclera at ceasma Outside, respectively at 101 103 ambitus of sclera 5-0 white silks of rectus or the parallel corneal limbus inserting needle of polyester thread, make the figure of eight Fixed encircling band 201 is sutured in 103 surface of sclera, remaining quadrant sewing method is same as above.After puncture of anterior chamber tapping reduces intraocular pressure, root According to patient's axiallength, encircling band 201 is tightened, oversleeve end is fixed on scleral surface together with encircling band suture, cut by same procedure Except extra encircling band 201, retains oversleeve both ends lap encircling band about 2mm, prevent from slipping, by the pressurization object of required model After 203 are cut into the length of needs, it is placed in cerclage trough of belt 203.4, according to the height and range of detachment of retina in art, Make "U" shaped with 5-0 white silk or the parallel corneal limbus inserting needle of polyester thread away from the scleral surface at pressurization 203 edge of object about 1mm A pair of of pressurized line is sutured, art middle finger surveys intraocular pressure, decides whether Application of releasing aqueous humor of anterior chamber again, checks eyeground, has seen whether artery Whether beating, indirect review eyes ceasma are located on pressurization ridge, and the height of cerclage ridge inquires patient's light sensation, and art finishes, checks again for Whether encircling band 201 and pressurizing block 203 oppress venae vorticosae, if situations such as suture slips, in situ to stitch there are 101 incarceration of rectus Bulbar conjunctiva and fascia are closed, subconjunctival injection " tobramycin+dexamethasone sodium phosphate injection " about 0.3ml wraps up eyes, braking Rest.

The working principle of the utility model is:

The preferred embodiment of the patent is described in detail above, but this patent is not limited to above-mentioned embodiment party Formula within the knowledge of one of ordinary skill in the art can also be under the premise of not departing from this patent objective It makes a variety of changes.

Claims (6)

1. a kind of scleral buckling set composite, including sclera encircling band are whole, which is characterized in that the sclera encircling band is whole It is mainly made of encircling band, sebific duct oversleeve and pressurization object, the pressurization object is made of silica gel block and silicon sponge, the silicon sponge The complex being integrated is fitted closely with silica gel block, the silicon sponge is fitted tightly on silica gel block inner wall, on the encircling band There is encircling band dial, has silica gel block dial and cerclage trough of belt on the silica gel block.

2. scleral buckling set composite according to claim 1, which is characterized in that on the encircling band and silica gel block There is scale.

3. scleral buckling set composite according to claim 1, which is characterized in that the cerclage trough of belt is rectangular channel.

4. scleral buckling set composite according to claim 1, which is characterized in that the encircling band is according to its width need Ask different, corresponding model not of the same race.

5. scleral buckling set composite according to claim 1, which is characterized in that the sebific duct oversleeve is by silica gel system At with elasticity.

6. scleral buckling set composite according to claim 1, which is characterized in that the pressurization object has different types Number, width and thickness is different.