CN211300156U - A visualization of cellular balloon compression pants after inguinal lymph node dissection - Google Patents
A visualization of cellular balloon compression pants after inguinal lymph node dissection Download PDFInfo
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Abstract
本实用新型涉及一种腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤,包括透明的裤身和腰带,所述裤身由蜂窝状多孔膜制成,所述蜂窝状多孔膜的孔洞之间间隙为互通的加压气囊。本实用新型的有益效果是与皮肤贴合良好,对皮肤施加压力比传统绷带更加均匀、稳定、持续,改善腹股沟淋巴结清扫术后的皮肤并发症,加速患者术后康复。
The utility model relates to a visual honeycomb airbag compression trousers after inguinal lymph node dissection, which comprises a transparent trousers body and a waistband. Intercommunicating pressurized bladders. The beneficial effect of the utility model is that it fits well with the skin, exerts more uniform, stable and continuous pressure on the skin than traditional bandages, improves skin complications after inguinal lymph node dissection, and accelerates postoperative recovery of patients.
Description
技术领域technical field
本实用新型涉及医疗护理器械,具体是一种腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤。The utility model relates to a medical nursing device, in particular to a visualized honeycomb airbag compression pants after inguinal lymph node dissection.
背景技术Background technique
腹股沟淋巴结清扫术是指清除腹股沟区域有肿瘤转移的淋巴结,目前已成为外科治疗阴茎癌及外阴癌常用的手术方式,能有效提高患者的预后。研究表明,阴茎癌及外阴癌的淋巴结转移倾向性较大,其中阴茎癌的淋巴转移率超过35%,因此尽早进行腹股沟淋巴结清扫有利于阴茎癌及外阴癌患者的长期生存。以往开放腹股沟淋巴结清扫术的患者创伤大,术后并发症发生率高,近年来,随着微创技术的发展,腹腔镜下腹股沟淋巴结清扫术对病人损伤小,清扫效果与开放手术相当。Inguinal lymph node dissection refers to the removal of lymph nodes with tumor metastasis in the groin area. It has become a common surgical method for the surgical treatment of penile cancer and vulvar cancer, which can effectively improve the prognosis of patients. Studies have shown that penile cancer and vulvar cancer are more prone to lymph node metastasis, and the lymph node metastasis rate of penile cancer is over 35%. In the past, patients who underwent open inguinal lymph node dissection had great trauma and had a high incidence of postoperative complications. In recent years, with the development of minimally invasive techniques, laparoscopic inguinal lymph node dissection has less damage to patients, and the dissection effect is comparable to that of open surgery.
然而,无论是传统开放手术还是腹腔镜下腹股沟淋巴结清扫术都面临术后皮肤并发症,如淋巴水肿、皮肤感染坏死、皮肤愈合延迟等问题。研究表明,因腹股沟淋巴结清扫导致的淋巴水肿发生率可高达50-100%。淋巴结在淋巴液的回流中起到至关重要的作用,腹股沟淋巴结清扫术破坏了区域淋巴系统,淋巴管内的淋巴液无法顺畅回流导致淋巴液阻塞,组织代谢物、蛋白等生物大分子积聚造成组织间隙胶体渗透压升高,进一步加重了淋巴液瘀滞、皮下积液。同时,巨噬细胞的渗出引起慢性炎症反应,进而导致成纤维细胞与角质细胞的沉积,加剧了组织肿胀。淋巴水肿可导致皮肤紧缩发痒、皮肤积液、皮瓣漂浮、皮肤易破溃感染、肢体肿胀沉重、疼痛烧灼感、行动不便,最终影响血液循环重建和皮肤愈合过程。另外,肢体的反复感染甚至会导致恶性改变,与此同时,患者可能会产生焦虑、抑郁、睡眠障碍等心理问题。综上,阴茎癌及外阴癌腹股沟淋巴结清扫术后皮肤并发症严重影响了患者的生活质量和身心健康,因此,如何处理术后皮肤并发症成为摆在临床医生面前的一大难题。However, both traditional open surgery and laparoscopic inguinal lymph node dissection face postoperative skin complications, such as lymphedema, skin infection and necrosis, and delayed skin healing. Studies have shown that the incidence of lymphedema due to inguinal lymph node dissection can be as high as 50-100%. Lymph nodes play a crucial role in the return of lymph fluid. Inguinal lymph node dissection destroys the regional lymphatic system. Lymph fluid in the lymphatic vessels cannot flow back smoothly, resulting in lymph fluid obstruction. The accumulation of biological macromolecules such as tissue metabolites and proteins causes tissue damage. Interstitial colloid osmotic pressure increased, further aggravating lymphatic stasis and subcutaneous effusion. At the same time, the exudation of macrophages causes a chronic inflammatory response, which in turn leads to the deposition of fibroblasts and keratinocytes, which exacerbate tissue swelling. Lymphedema can lead to tight, itchy skin, fluid build-up in the skin, floating flaps, easy skin ulceration and infection, heavier swelling of the extremities, pain and burning sensation, reduced mobility, and ultimately, the re-circulation and skin healing process. In addition, repeated infections of limbs can even lead to malignant changes. At the same time, patients may have psychological problems such as anxiety, depression, and sleep disorders. In conclusion, skin complications after inguinal lymph node dissection for penile cancer and vulvar cancer seriously affect the quality of life and physical and mental health of patients. Therefore, how to deal with postoperative skin complications has become a major problem for clinicians.
针对腹股沟淋巴结清扫术后皮肤并发症高发的问题,早期皮肤加压固定显得尤为重要,目前并无专门用于腹股沟淋巴结清扫术后的皮肤固定加压工具,传统的解决方案主要是,术后于患者腹股沟及大腿根部区域缠绕弹力绷带,甚至包裹沙袋进行加压处理。然而,该方法存在许多弊端,由于腹股沟区域位置特殊,活动度较大,绷带固定效果很差,患者的日常翻身、如厕等活动较易引起绷带的松解,丧失加压效果,易造成淋巴水肿和皮瓣漂浮,影响皮肤愈合。同时,绷带的捆绑给病人的生活带来不便,长时间处于仰卧位姿势,更进一步加剧了术后可能发生褥疮、坠积性肺炎、深静脉血栓等致命并发症的风险。另外,加压绷带的使用,给术后伤口的换药带来不便,并且令医务工作者难以及时观察腹股沟区域皮肤情况,评估包扎压力是否合适。In view of the high incidence of skin complications after inguinal lymph node dissection, early skin compression and fixation is particularly important. At present, there is no skin fixation and compression tool specially used after inguinal lymph node dissection. The patient is wrapped with elastic bandages in the groin and thigh area, or even wrapped in sandbags for pressure treatment. However, this method has many drawbacks. Due to the special position of the groin area, the large range of activities, and the poor fixation effect of the bandage, the patient's daily turning over, going to the toilet and other activities are more likely to cause the bandage to loosen, lose the compression effect, and easily cause lymphatic drainage. Edema and flaps float, affecting skin healing. At the same time, the binding of bandages brings inconvenience to the patient's life, and the patient is in a supine position for a long time, which further aggravates the risk of potentially fatal complications such as pressure ulcers, hypostatic pneumonia, and deep vein thrombosis after surgery. In addition, the use of compression bandages brings inconvenience to dressing changes in postoperative wounds, and makes it difficult for medical workers to observe the skin condition of the groin area in time to assess whether the bandaging pressure is appropriate.
现有技术中的技术人员虽然尝试解决加压裤的这些问题,但在以公告号为CN2333370Y的加压裤叉、公告号为CN109008015A的辅助小儿血管穿刺的充气加压裤、公告号为CN206404019U的血氧监测电动加压裤等现有技术中,虽然提供了加压裤和气囊结合的技术方案,但这些方案中均未针对腹股沟淋巴结清扫术后皮肤并发症高发的问题进行改进。Although the technicians in the prior art try to solve these problems of the compression pants, they are still using the compression pants fork with the announcement number CN2333370Y, the inflatable compression pants for assisting pediatric blood vessel puncture with the announcement number CN109008015A, and the inflatable compression pants with the announcement number CN206404019U. In the prior art such as blood oxygen monitoring electric compression pants, although technical solutions of combining compression pants and airbags are provided, none of these solutions has been improved for the problem of high incidence of skin complications after inguinal lymph node dissection.
实用新型内容Utility model content
本实用新型的目的在于克服现有技术的不足,解决阴茎癌、外阴癌腹股沟淋巴结清扫术后患者的均匀加压固定问题,同时降低术后皮肤并发症的发生。The purpose of the utility model is to overcome the deficiencies of the prior art, solve the problem of uniform pressure and fixation of patients after penile cancer and vulvar cancer inguinal lymph node dissection, and simultaneously reduce the occurrence of postoperative skin complications.
为达到上述发明目的,提供一种腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤,包括透明的裤身和腰带,所述裤身由蜂窝状多孔膜制成,所述蜂窝状多孔膜的孔洞之间间隙为互通的加压气囊。In order to achieve the above purpose of the invention, there is provided a visual honeycomb airbag compression trousers after inguinal lymph node dissection, comprising a transparent trousers body and a waistband, and the trousers body is made of a honeycomb porous membrane, and the holes of the honeycomb porous membrane are between the holes. The gap is an interconnected pressurized air bag.
本处披露的孔洞之间间隙,为蜂窝状多孔膜的膜材质,从而孔洞之间间隙即加压气囊中的介质不会泄露至孔洞部分。The gaps between the holes disclosed herein are the membrane material of the honeycomb porous membrane, so that the gaps between the holes, that is, the medium in the pressurized air bag, will not leak to the holes.
优选的,所述裤身的前裤片外侧裤缝处与对应的后裤片外侧裤缝处均为魔术贴可拆卸连接。Preferably, the outer trouser seam of the front trousers of the trouser body and the outer trousers seam of the corresponding rear trousers are detachably connected with Velcro.
所述裤身的前裤片内侧裤缝处与后裤片内侧裤缝处一体化连接。The inner trousers seam of the front trousers body of the trouser body is integrally connected with the inner trousers seam of the rear trousers.
优选的,所述前裤片设有导通加压气囊的单向充气孔;所述前裤片还设有导通加压气囊的排气阀。Preferably, the front trousers piece is provided with a one-way inflating hole that conducts the pressurized airbag; the front trousers piece is also provided with an exhaust valve that conducts the pressurized airbag.
优选的,所述前裤片左右分别设置一个用于穿设引流管的引流口。Preferably, the left and right sides of the front trousers are respectively provided with a drainage opening for wearing a drainage tube.
优选的,所述裤身的裆部会阴区域设置供导尿管引出和会阴护理的开口。Preferably, the crotch and perineum area of the trousers body is provided with an opening for the catheter to be drawn out and the perineum to be cared for.
优选的,所述裤身的后片臀部设有缓冲垫。Preferably, the rear piece of the trousers body is provided with a buffer pad.
优选的,所述腰带为两端设有魔术贴的松紧带。Preferably, the waistband is an elastic band with Velcro at both ends.
优选的,所述腰带设有用于悬挂引流袋的扣环。Preferably, the belt is provided with a buckle for hanging the drainage bag.
蜂窝孔状结构不但利于皮肤透气,而且便于医护人员直接、及时地通过孔来观察患者的皮肤状态。同时,气囊相互连通的结构使得压力均匀。The honeycomb porous structure is not only conducive to the ventilation of the skin, but also facilitates the medical staff to directly and timely observe the skin condition of the patient through the pores. At the same time, the interconnected structure of the airbags makes the pressure uniform.
魔术贴的设置,使得医护人员既可通过改变魔术贴的粘贴量进而调节裤体的松紧度,又能随时打开裤体观察皮肤的局部情况,还方便患者穿脱、方便医务人员进行伤口护理。The setting of the Velcro enables medical staff to adjust the tightness of the trousers by changing the sticking amount of the Velcro, and to open the trousers at any time to observe the local condition of the skin. It is also convenient for patients to put on and take off, and for medical staff to perform wound care.
利用单向充气孔,不仅能根据病人的体型差异,灵活调整充入的气体量,进而控制压力大小,还能注入不同温度的生理盐水,达到对创面热敷、冷敷,达到止痛、止血、促进血液循环、加速创面愈合等效果。The use of one-way inflatable holes can not only flexibly adjust the amount of gas filled according to the patient's body shape, thereby controlling the pressure, but also inject physiological saline of different temperatures to achieve hot and cold compresses on the wound surface, so as to relieve pain, stop bleeding, and promote blood circulation. Circulation, accelerated wound healing and other effects.
排气阀的设置方便快速排气。The setting of the exhaust valve is convenient for quick exhaust.
引流口的设置方便引流管通过。The setting of the drainage port is convenient for the drainage tube to pass through.
裤体裆部会阴区域设置的开口,方便患者术后留置导尿时导尿管的引出及会阴部位的护理,拔出导尿管后,便于患者如厕。The opening provided in the perineal area of the crotch of the trousers is convenient for the extraction of the catheter and the care of the perineum when the patient is indwelling catheterization after surgery. After the catheter is pulled out, it is convenient for the patient to go to the toilet.
缓冲垫的设置能避免患者长时间卧床产生压疮。The setting of the cushion can prevent the patient from developing pressure ulcers in bed for a long time.
腰带为带魔术贴的松紧带,使之能适合不同腰围的人群。The waistband is an elastic band with Velcro, making it suitable for people with different waist sizes.
扣环悬挂引流袋,方便患者术后早期自由活动,进而促进淋巴回流和伤口愈合,防止深静脉血栓的发生。The drainage bag is suspended by the buckle to facilitate the free movement of patients in the early postoperative period, thereby promoting lymphatic return and wound healing, and preventing the occurrence of deep vein thrombosis.
本实用新型的有益效果是与皮肤贴合良好,对皮肤施加压力比传统绷带更加均匀、稳定、持续,改善腹股沟淋巴结清扫术后的皮肤并发症,加速患者术后康复。The beneficial effect of the utility model is that it fits well with the skin, exerts more uniform, stable and continuous pressure on the skin than traditional bandages, improves skin complications after inguinal lymph node dissection, and accelerates postoperative recovery of patients.
附图说明Description of drawings
图1为本实用新型的腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤正视图;Fig. 1 is the front view of visualized honeycomb airbag compression pants after inguinal lymph node dissection of the present invention;
图2为本实用新型的腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤侧视图;2 is a side view of the visualized honeycomb airbag compression pants after inguinal lymph node dissection of the present invention;
图3为本实用新型的图1中A处局部放大及蜂窝状结构中气流、液流流向示意图;Fig. 3 is the schematic diagram of the partial magnification of place A in Fig. 1 of the present utility model and the flow direction of air flow and liquid flow in the honeycomb structure;
其中:in:
1-裤身 2-腰带 3-加压气囊1-Pants body 2-Belt 3-Pressurized airbag
4-前裤片 5-后裤片 6-魔术贴4-front trousers 5-back trousers 6-velcro
7-单向充气孔 8-排气阀 9-引流口7-One-way inflation hole 8-Exhaust valve 9-Drainage port
10-开口 11-缓冲垫 12-扣环10-opening 11-buffer 12-retaining ring
具体实施方式Detailed ways
以下结合附图和具体实施例,对本实用新型做进一步说明。The present utility model will be further described below with reference to the accompanying drawings and specific embodiments.
根据图1至图3所示的一种腹股沟淋巴结清扫术后可视化蜂窝气囊加压裤,包括透明的裤身1和腰带2,所述裤身1由蜂窝状多孔膜制成,所述蜂窝状多孔膜的孔洞之间间隙为互通的加压气囊3。所述裤身1的前裤片4内侧裤缝处与后裤片5内侧裤缝处一体化连接。所述裤身1的前裤片4外侧裤缝处与对应的后裤片5外侧裤缝处均为魔术贴6可拆卸连接。According to FIG. 1 to FIG. 3 , a visual honeycomb airbag compression trousers after inguinal lymph node dissection includes a transparent trousers body 1 and a
所述前裤片4设有导通加压气囊3的单向充气孔7;所述前裤片4还设有导通加压气囊3的排气阀8。所述前裤片4左右分别设置一个用于穿设引流管的引流口9。所述裤身1的裆部会阴区域设置供导尿管引出和会阴护理的开口10。The
所述裤身1的后片臀部设有缓冲垫11。A
所述腰带2为两端设有魔术贴的松紧带,其上设有用于悬挂引流袋的扣环12。The
以上已对本实用新型创造的较佳实施例进行了具体说明,但本实用新型创造并不限于所述的实施例,熟悉本领域的技术人员在不违背本实用新型创造精神的前提下还可以作出种种的等同的变型或替换,这些等同变型或替换均包含在本申请权利要求所限定的范围内。The preferred embodiments of the present invention have been specifically described above, but the present invention is not limited to the described embodiments, and those skilled in the art can also make Various equivalent modifications or substitutions are included within the scope defined by the claims of the present application.
Claims (8)
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110368053A (en) * | 2019-07-31 | 2019-10-25 | 上海长征医院 | Visualization honeycomb air bag pressurizes trousers after a kind of inguinal lymphadenectomy |
| CN111938951A (en) * | 2020-08-26 | 2020-11-17 | 温州医科大学附属第一医院 | A postural braking device for patients with pancreatitis |
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2019
- 2019-07-31 CN CN201921219034.4U patent/CN211300156U/en active Active
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110368053A (en) * | 2019-07-31 | 2019-10-25 | 上海长征医院 | Visualization honeycomb air bag pressurizes trousers after a kind of inguinal lymphadenectomy |
| CN111938951A (en) * | 2020-08-26 | 2020-11-17 | 温州医科大学附属第一医院 | A postural braking device for patients with pancreatitis |
| CN111938951B (en) * | 2020-08-26 | 2021-05-25 | 温州医科大学附属第一医院 | Pancreatitis patient uses position arresting gear |
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