CN212592645U

CN212592645U - Auxiliary treatment device for enterocutaneous fistula

Info

Publication number: CN212592645U
Application number: CN202020455064.1U
Authority: CN
Inventors: 于洪燕; 余卓敏; 杨贻民
Original assignee: Sixth Affiliated Hospital of Sun Yat Sen University
Current assignee: Sixth Affiliated Hospital of Sun Yat Sen University
Priority date: 2020-04-01
Filing date: 2020-04-01
Publication date: 2021-02-26
Anticipated expiration: 2030-04-01

Abstract

The utility model relates to a medical auxiliary device, in particular to an enterocutaneous fistula auxiliary therapeutic device used after abdominal operation, which comprises a base and a liquid passing cover, wherein the base is detachably connected with the liquid passing cover; the base comprises a bottom surface and a side wall which extends upwards from the bottom surface, the upper end of the side wall is enclosed into a connecting port which is used for being connected with the liquid passing cover, and the lower end of the side wall is connected with the bottom surface; the bottom surface is divided into an inner area and an outer area by the lower end of the side wall, the outer area is in adhesive contact with the skin, the connecting port is arranged above the inner area, and the inner area is provided with a through hole; the liquid passing cover is provided with a flushing pipe interface and a drainage pipe interface. With the help of the utility model, the flushing pipe and the drainage pipe can be scientifically and reasonably communicated with the inner cavity of the therapeutic apparatus, the base can be well jointed with the abdominal wall of a patient, and the leakage of the flowing liquid or the overflow phenomenon can be effectively avoided.

Description

Auxiliary treatment device for enterocutaneous fistula

Technical Field

The utility model relates to a medical auxiliary device, in particular to a therapeutic device for enterocutaneous fistula after abdominal operation (such as acute intestinal obstruction, abdominal wall hernia repair, surgical treatment of inflammatory bowel diseases and the like).

Background

Generally, in order to treat various diseases such as acute intestinal obstruction, abdominal hernia repair, digestive tract tumor and the like, a relatively complex abdominal operation is required, wherein enterocutaneous fistula is a serious complication after the abdominal surgery, can cause abdominal infection, water electrolyte and acid-base balance disorder, even infectious shock and the like, and has the consequences of malnutrition, infection, septicemia, multi-organ failure and the like if improper treatment is caused, the course of disease is long, and the mortality rate reaches 15% -20%. The occurrence of the enterocutaneous fistula generally needs more than 3 months to perform a deterministic operation, how to maintain the water electrolyte balance in the period, smoothly drain corrosive and polluted intestinal liquid and fecal liquid, and the restoration of enteral nutrition is an important measure for treating the enterocutaneous fistula.

At present, a device capable of draining blood, intestinal fluid, fecal fluid, pus and the like is assembled clinically by adopting a plurality of disposable ostomy bags, various auxiliary materials and pipelines according to the position and the shape of an enterocutaneous fistula. The disposable ostomy bag is connected with the splicing base stuck on the abdomen of a patient through the clamping ring, wherein the clamping ring is fixed on the chassis stuck on the abdomen of the patient, and the disposable ostomy bag is provided with a clamping groove matched with the clamping ring, and the clamping ring is provided with a clamping position used for opening or combining the clamping ring, so that the disposable ostomy bag and the chassis can be fixedly connected through the clamping position or can be detached from the chassis.

The shape of the disposable ostomy bag is designed according to the stoma, the diameter of the chassis is regular circle, the diameter of the cuttable range is smaller (the diameter is less than or equal to 6cm), and the shape and the size of the wound on the abdomen of a patient are different due to the specific operation situation and are much longer than the diameter of the chassis of the existing ostomy bag in the market. Therefore, when the existing disposable ostomy bag is used for nursing and assisting in treatment of postoperative enterocutaneous fistula, a plurality of disposable ostomy bags and various auxiliary materials need to be spliced for use according to the condition of abdominal wall wounds; this approach has the following drawbacks:

1. the base that a plurality of ostomy bags splice formed has caused each chassis and stomach wall can not fine laminating, takes place the seepage easily for intestinal juice, liquid dung pollute, corrode healthy skin, clothing sheet around the wound, cause patient's quality of life relatively poor, it is frequent to doctorse and nurses and changes dressings, increases unnecessary work load, leads to patient's course of treatment extension.

2. After leakage of intestinal juice and fecal fluid occurs, the spliced chassis loses the adhesiveness and is difficult to be used again, and medical resources are wasted once each time of drug replacement.

3. The washing and drainage tube placement lack scientificity: at present, drainage tubes and irrigation tubes of people generally come in and go out from a feces discharge position of an ostomy bag, or a small hole is cut above the ostomy bag for placing, and then an adhesive tape or hydrocolloid dressing is used for sealing the cut hole to keep a sealing state, so that a problem exists that negative pressure sucks the ostomy bag, the ostomy bag is tightly attached to tissues, and an air suction hole is blocked, so that drainage is not smooth; it is not firm when exposed to digestive juice and large amount of washing liquid, and is a place where leakage often occurs. Because of the wound is not supported externally, the ostomy bag is in direct contact with wound tissues, the size of negative pressure and the flushing speed need to be adjusted frequently, so that the comfort of a patient is ensured, and the leakage caused by insufficient suction is avoided.

4. Lack of protection: the existing ostomy bag is soft and only made of thin plastic, and large wounds of abdominal wall enterocutaneous fistula often expose organs in abdominal cavity, such as intestinal tubes with serious inflammation and fragile granulation tissues, which easily cause unnecessary injuries and damage to fragile patients.

Disclosure of Invention

For solving the technical problem that prior art exists, the utility model provides a intestines skin fistula adjunctie therapy ware, its logical liquid cover is equipped with flushing pipe interface and drainage tube interface, and flushing pipe and drainage tube can be linked together with the therapentic equipment inner chamber scientifically, rationally, and the base is type rectangle can laminate well with patient's stomach wall, can tailor according to the shape of the stomach wall wound of intestines skin fistula, effectively avoids flowing liquid seepage or spills over the emergence of phenomenon.

The utility model discloses a following technical scheme realizes: an enterocutaneous fistula auxiliary treatment device comprises a base and a transparent liquid through cover, wherein the base is detachably connected with the liquid through cover; the base comprises a cuttable bottom surface and a side wall formed by extending upwards from the bottom surface, the upper end of the side wall is enclosed into a connecting port for connecting with the liquid through cover, and the lower end of the side wall is connected with the bottom surface; the bottom surface is divided into an inner area and an outer area by the lower end of the side wall, the outer area is in adhesive contact with the skin, the connecting port is arranged above the inner area, and the inner area is provided with a through hole; the liquid passing cover is provided with a flushing pipe interface and a drainage pipe interface.

Compared with the prior art, the utility model, following advantage and beneficial effect have:

1. the liquid passing cover of the therapeutic device is provided with an inlet (a flushing pipe and a nutrition pipe interface) and an outlet (a drainage pipe interface and an air vent), the inlet and the outlet are independently arranged on the liquid passing cover and physically supported by various pipelines, so that various pipelines can be more scientifically and reasonably communicated with the inner cavity of the therapeutic device and relatively sealed with the outside, the wound is effectively flushed and dosed, digestive juice such as intestinal juice, liquid dung and the like and a large amount of flushing fluid can smoothly flow out of the drainage pipe, the leakage or overflow of the flowing liquid is avoided, and healthy skin and clothes cannot be polluted.

2. The inlets can be provided with a plurality of inlets which are respectively connected with different flushing pipes so as to be connected with different liquid medicines, including physiological saline and anti-inflammatory liquid medicines, and simultaneously connected with the enteral nutrition tube, thereby improving the medicine changing efficiency of medical staff. The entry is respectively connect different pipelines in the interior outer joint of leading to liquid cover, is favorable to keeping increasing the flexibility when leading to liquid cover's leakproofness, if lead to liquid cover internal pendulum when the pipeline in wound and intestines tube does not use temporarily, only need lead to the pipeline on the outer joint that liquid cover corresponds and change the stopper into can, when using once more, can connect the pipeline at the outer joint, and need not dismantle and lead to liquid cover, expose the wound. The bottle changing method is also the same.

3. The export is established in the below of leading to the liquid cover, is equipped with the inner joint of 3 different directions in, 1 great outer joint of assembly more does benefit to the outflow of liquid, leads to liquid cover inner joint and can connect clinical common extension pipe simultaneously, cuts the side opening on it, spirals in the therapentic equipment, and liquid in the suction ware in time avoids hiding.

4. The base of the therapeutic device is made of silica gel, and can be well attached to the abdominal wall of a patient, so that leakage is effectively avoided; in addition, the base is similar to a rectangle, and the gap can be cut according to the shape and the size of the wound surface, so that the requirement for splicing use is greatly reduced, and healthy skin around the wound is better protected.

5. Lead to liquid cover for transparent hard material, the permeable cover that leads to liquid observes the wound several covers in various pipeline condition, passes through the snap ring with the base and is connected the back, and the therapentic equipment that constitutes is whole for the wound provides the support protection, compares in soft pocket direct contact wound tissue that makes, can guarantee the treatment space of stomach wall wound department to guarantee the stability of treatment in-process negative pressure size and washing speed, with the emergence of guaranteeing patient's comfort level and avoiding arousing the seepage because of attracting inadequately.

6. The upper end of the liquid passing cover is provided with a vent hole inclined by 30 degrees and can be connected with the existing air filtering plug. When using and using negative pressure drainage treatment, sometimes because of having the air vent in the sealed liquid cover that leads to, can make the inside pressure of therapentic equipment more stable, can not rise suddenly, cause the injury for fragile wound and intestines tube originally. The vent hole is designed to be inclined by 30 degrees, so that the vent hole is not easily blocked by clothes. When the vent hole is not used, a plug can be connected.

7. Because the therapeutic apparatus has better tightness and is not easy to leak, the treatment environment of the wound is relatively stable and safe. The patient's volume of going out in the treatment process is calculated more easily, accurately, knows patient's course of illness, adjusts treatment plan. The upper segment of intestinal fluid which damages the intestinal canal is easier to collect and is input into the lower segment of intestinal canal from the inlet, so that the intestinal fluid back-infusion treatment method is safer and more convenient. If the therapeutic apparatus does not leak, the disinfection method of the wound can inject Andufu disinfectant from the inlet and suck the Andufu disinfectant from the outlet, which is simple and convenient, reduces the workload of medical care personnel, relieves the pain and cost burden of patients, and improves the quality of life at the same time.

8. The base and the liquid-through cover are detachable and can be connected with a conventional disposable ostomy bag. When the patient is in the later treatment period and the treatment is reduced, a disposable ostomy bag can be connected as required.

9. Can dismantle between base and the logical liquid cover, when base live time longer with skin no longer laminate, change the base can, lead to the liquid cover and can continue to utilize, alleviate medical cost greatly.

Drawings

Fig. 1 is one of the overall structural schematic diagrams of the present invention;

fig. 2 is a second overall structural diagram of the present invention;

fig. 3 is a third overall structural schematic diagram of the present invention;

FIG. 4 is one of the schematic structural views of the base;

FIG. 5 is a second schematic structural view of the base;

fig. 6 is a schematic structural view of the liquid passing cover.

Detailed Description

The present invention will be described in further detail with reference to the following examples and drawings, but the present invention is not limited thereto.

Examples

As shown in fig. 1-3, the utility model discloses intestines skin fistula adjunctie therapy ware includes base 1, leads to liquid cover 2, snap ring 3 and draw-in groove, and the base adopts silica gel to make and paste on patient's skin, leads to liquid cover and can dismantle with the base through snap ring, draw-in groove and be connected, is equipped with on the snap ring to be used for opening the snap ring or closed joint position 31 to accessible joint position will lead to liquid cover and base fixed connection, perhaps dismantles from the base.

The base 1 can be made into a square, oval or round shape as a whole, and when the base is made into a square shape, chamfering treatment is carried out at four corners. As shown in fig. 4 and 5, the base includes a bottom surface 11 and a side wall 12 extending upward from the bottom surface, the upper end of the side wall 12 defines a clip interface, the clip interface is connected with the liquid passing cover through a matching clip ring and a clip groove (not shown in the figure), and the lower end of the side wall is connected with the bottom surface. The clamping ring can be arranged on the clamping interface, and correspondingly the clamping groove is arranged on the liquid passing cover; the clamping ring can be arranged on the liquid passing cover, and the clamping groove is arranged on the clamping interface.

The lateral wall lower extreme divides into inner zone 13 and outer zone 15 with the bottom surface, and outer zone bit is in the lateral wall outside, and outer zone pastes the contact with skin, and as the main contact surface that base and patient skin pasted, carries out reasonable setting with outer zone's size, can strengthen the fastness that base and skin pasted. The inner zone is located the lateral wall inboard, and the top in inner zone is for be equipped with through-hole 14 on the inner zone, the size of through-hole can be tailor according to the area and the shape of wound to make the inner zone can not oppress the wound surface, avoid the healthy skin of patient to expose simultaneously, receive digestive juice such as intestinal juice, liquid dung and the pollution of flush fluid, amazing.

In this embodiment, the side wall 12 is partially or completely inclined to the bottom surface 11, so that an accommodating chamber is formed between the side wall and the bottom surface, and the digestive juice such as intestinal juice and fecal juice and the washing liquid are temporarily accommodated, thereby further preventing the digestive juice and the washing liquid from leaking or overflowing; the side wall part or all incline to this structural design of bottom surface, also make the joint mouth size keep unchangeable under the circumstances simultaneously, increased the area of interior region 13, enlarged the wound area scope that the base can be suitable for.

Referring to fig. 6, the liquid passing cover is provided with a plurality of flushing pipe interfaces 21, for example, 1-3 flushing pipe interfaces 22. The flushing pipe interface and the drainage pipe interface are independently arranged on the liquid passing cover, namely the flushing pipe interface and the drainage pipe interface are not shared, and preferably the flushing pipe interface and the drainage pipe interface are oppositely arranged on the side surface of the liquid passing cover so as to effectively, conveniently and efficiently flush and treat the wound and simultaneously drain the waste liquid without polluting the healthy skin and clothes of a patient. In this embodiment, in order to realize the drainage of waste liquid more fast, lead to the liquid cover and set up collecting region 24 and a plurality of waste liquid entry 23, a plurality of waste liquid entries are located and lead to the liquid cover inboard, and the collecting region is located and leads to the liquid cover outside and is linked together with drain pipe interface, a plurality of waste liquid entry for assemble digestive juice and flush fluid such as intestinal juice, liquid dung. The liquid-passing cover is made of transparent hard material. The upper end of the liquid passing cover is provided with an inclined vent hole which can be connected with the existing air filtering plug; in the embodiment, the vent holes are designed to be inclined by 30 degrees, so that the vent holes are not easily blocked by clothes. When the vent hole is not used, a plug can be connected.

The above embodiments are preferred embodiments of the present invention, but the embodiments of the present invention are not limited to the above embodiments, and any other changes, modifications, substitutions, combinations, and simplifications which do not depart from the spirit and principle of the present invention should be equivalent replacement modes, and all are included in the scope of the present invention.

Claims

1. An enterocutaneous fistula auxiliary therapeutic device is characterized by comprising a base and a liquid passing cover, wherein the base is detachably connected with the liquid passing cover; the base comprises a bottom surface and a side wall which extends upwards from the bottom surface, the upper end of the side wall is enclosed into a connecting port which is used for being connected with the liquid passing cover, and the lower end of the side wall is connected with the bottom surface; the bottom surface is divided into an inner area and an outer area by the lower end of the side wall, the outer area is in adhesive contact with the skin, the connecting port is arranged above the inner area, and the inner area is provided with a through hole; the liquid passing cover is provided with a flushing pipe interface and a drainage pipe interface.

2. The enterocutaneous fistula auxiliary therapeutic device of claim 1, wherein the size of the through hole is cut according to the area and shape of the wound.

3. The enterocutaneous fistula auxiliary therapeutic device of claim 1, wherein part or all of the side wall is inclined to the bottom surface such that a receiving chamber is formed between the side wall and the bottom surface.

4. The enterocutaneous fistula auxiliary therapeutic device of claim 1, wherein the liquid passing cover is provided with a collection area and a plurality of waste liquid inlets, the plurality of waste liquid inlets are positioned at the inner side of the liquid passing cover, and the collection area is positioned at the outer side of the liquid passing cover and is communicated with the drainage tube interface and the plurality of waste liquid inlets.

5. The enterocutaneous fistula auxiliary therapeutic device according to claim 1 or 4, wherein the flushing tube interface is provided in plurality.

6. The enterocutaneous fistula auxiliary therapeutic device of claim 1, wherein the base is made of silica gel and the liquid-permeable cover is made of transparent hard material.

7. The enterocutaneous fistula auxiliary therapeutic device of claim 1, wherein the flushing tube interface and the drainage tube interface are independently provided on the fluid passing cover.

8. The enterocutaneous fistula auxiliary therapeutic device of claim 1, wherein the upper end of the liquid-passing cover is provided with an inclined vent hole.

9. The enterocutaneous fistula auxiliary therapeutic device of claim 1, further comprising a snap ring and a clamping groove matched with the snap ring, wherein the base and the liquid-passing cover are detachably connected through the snap ring and the clamping groove.

10. The enterocutaneous fistula auxiliary therapeutic device of claim 9, wherein the snap ring is provided with a snap position for opening or closing the snap ring.