CN213249088U - Pelvic organ prolapse measuring device - Google Patents

Pelvic organ prolapse measuring device Download PDF

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Publication number
CN213249088U
CN213249088U CN202021675130.2U CN202021675130U CN213249088U CN 213249088 U CN213249088 U CN 213249088U CN 202021675130 U CN202021675130 U CN 202021675130U CN 213249088 U CN213249088 U CN 213249088U
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measuring
scale
pelvic organ
vagina
flaring portion
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CN202021675130.2U
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Chinese (zh)
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冯丹
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Chengdu Womens and Childrens Central Hospital
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Chengdu Womens and Childrens Central Hospital
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Abstract

The utility model discloses a pelvic organ measuring device that prolapses, expand cloudy marker and caliber including the unileaf, the unileaf expands cloudy marker includes handheld portion and the flaring portion that is used for inserting conflict vagina antetheca or back wall, the first end of flaring portion is connected with the first end of handheld portion is perpendicular, handheld portion and flaring portion integrated into one piece, the flaring portion recess is equipped with the cavity, the recess has been seted up in the institute cavity, the initiating terminal of recess and the first end parallel and level of flaring portion, the outer fringe of recess is equipped with first scale, the caliber is including measuring the body, be equipped with the second scale that is used for measuring pelvic organ and takes off the plumbing on measuring the body. By using the measuring device, medical workers can finish the measurement of nine measuring point data of the pelvic organ prolapse degree in a short time, and the obtained numerical value has high accuracy and good repeatability.

Description

Pelvic organ prolapse measuring device
Technical Field
The utility model relates to a medical treatment measuring tool technical field, concretely relates to pelvic cavity organ prolapse measuring device.
Background
Pelvic organ prolapse includes anterior vaginal prolapse, bladder prolapse, posterior vaginal prolapse, rectal prolapse, and uterine prolapse, which are common diseases for middle-aged and elderly women. Pelvic organ prolapse is defined as a condition in which pelvic organs descend from a normal position along the vagina due to damage or defects of a pelvic floor support structure, and a serious pelvic organ falls out of the vaginal orifice even completely. Pelvic organ prolapse often has symptoms such as urinary incontinence, dysuria and defecation, frequent micturition and the like, and seriously affects the life quality of women. The degree of pelvic organ prolapse needs to be measured in clinical diagnosis and treatment, currently, a doctor only roughly estimates the prolapse distance through a conventional cotton swab or a doctor finger to judge and read when measuring the degree of prolapse, and no practical method in the prior art can accurately measure the distance of pelvic organ prolapse with high repeatability. The true prolapse distance is often not accurately detected by means of a conventional cotton swab or a doctor's finger, and the repeatability is poor.
At present, the traditional graduation of uterine Prolapse and the traditional and half-range graduation method of vaginal wall bulging in China are basically replaced by the POP-Q (Pellic organic Prolapse quantification, POP-Q) of Pelvic Organ Prolapse used in the International, the POP-Q is an objective site-specific system and is used for description and graduation of female Pelvic Organ Prolapse (POP). The stage of prolapse is determined by quantitatively measuring six points representing the anterior, apical and posterior walls of the prolapsed vagina and the three lengths of the genital tract cleft, perineal body and total vaginal length, and then using these anatomical points. POP-Q staging is referenced to the hymen border (point 0) and indicated at 6 points on the anterior, posterior and top walls of the vagina (two points Aa, Ba on the anterior wall, two points Ap, Bp on the posterior wall, two points C, D on the top). The position change of the 6 points relative to the hymen is taken as a scale, the indicating points are positioned at the outer side of the hymen margin and recorded as positive numbers, the indicating points are positioned at the inner side of the hymen margin and recorded as negative numbers, and the degree of prolapse is quantified; the vaginal length (total digital length, tvl), height of genital tract cleft (gh), length of Perineal body (pb) were also recorded. By utilizing the representative points and distances, the POP-Q stage system can better evaluate the state of the pelvic floor defect exposed on the vaginal cavity surface in the dissection, and the marked points and distances indirectly reflect some functionally related indexes, such as a diagnosis standard and a quantitative index, and tell people the position and the degree of prolapse.
At present, when a clinician uses POP-Q stage measurement, the length of a finger or a medical cotton swab is basically used for measuring the genital tract gap, the total length of the perineum body and the vagina, then the length of the finger or the cotton swab is measured by using an original scale so as to obtain POP-Q measurement data, and the obtained numerical value is often not high in accuracy; in addition, because the most important A point in the POP-Q scoring system is manually specified, the front wall and the back wall of the vagina have no obvious anatomical marks, the clinician positions the A point mainly by visual inspection or finger estimation, the prolapsed patient does not have the accurate and repeatable positioning of the A point, and the POP-Q stage measurement of different doctors on the same prolapsed patient can cause larger difference measurement results.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide a pelvic cavity organ prolapse measuring device, medical staff can correctly accomplish scale reading work in the short time, and the numerical accuracy and the repeatability that obtain are high to solve the problem of mentioning in the background art.
The purpose of the utility model is realized through the following technical scheme:
a pelvic organ prolapse measuring device, which comprises a single-leaf vagina-enlarging marker and a measurer,
the utility model discloses a vagina marker, including simple leaf, flaring portion, the first end of flaring portion with the first end of handheld portion is connected perpendicularly, handheld portion and flaring portion integrated into one piece, the flaring portion concave is equipped with the cavity, has seted up the recess in the cavity, the initiating terminal of recess with the first end parallel and level of flaring portion, the outer fringe of recess is equipped with first scale, the caliber is including measuring the body, it is equipped with the second scale that is used for measuring the pelvic cavity organ degree of taking off the plumbing to measure on the body.
Further, the outer surface of the flared part is a smooth curved surface, and the second end of the flared part is an arc-shaped end surface.
Further, the range of the first scale is 0-5 cm.
Further, the measurement body is a cylindrical measurement rod, and a handle for holding a doctor is arranged at the tail end of the cylindrical measurement rod.
Further, the second scale range is 0-14 cm, and the 0 scale of the second scale range is overlapped with the head end of the cylindrical measuring rod.
The utility model has the advantages that:
the utility model discloses a pelvic organ prolapse measuring device, its single-leaf expands the vagina marker and is used for expanding bladder to cut stone patient's vagina in order to expose the cervix uteri to cooperate with the caliber to measure the length of fornix behind to virgin membrane reason earlier, be used for measuring vagina length; the concave cavity of the flaring part is internally provided with a groove, so that medical staff can conveniently Mark points A of the front wall and the rear wall of the vagina at a distance of 3cm from the direction of the external opening of the cervix by using the hymen edge as a starting point through the groove by using a Mark marking pen, and then quit the single-leaf flaring marker. The patient exerts the maximum force to hold the breath downwards, the prolapsed pelvic organ of the patient achieves the maximum prolapse degree, and then the single-leaf vagina expanding marker and the measurer are used for measuring the distance from the external cervix opening and the posterior fornix to the hymen edge, so that the positions of the point C and the point D are measured. The dilator is again withdrawn and the measurer measures the marked a point of the Mark pen and the distance between the B point and the hymen level determined by the a point. The utility model discloses a simple leaf expands interactive fit of cloudy marker and caliber and uses, and the data of each measuring point in the POP-Q branch period of measuring that can be more accurate compares and relies on conventional cotton swab or doctor's finger, and medical staff can correctly accomplish scale reading and data acquisition work in the short time, and the numerical value accuracy that obtains is high and repeatability is good.
Drawings
FIG. 1 is a schematic structural view of the single-leaf vagina-enlarging marker of the present invention;
FIG. 2 is a schematic structural view of the measuring device of the present invention;
FIG. 3 is a top view of the single-leaf vagina-enlarging marker of the present invention;
FIG. 4 is a schematic diagram of 6 sites for pelvic organ prolapse quantification in POP-Q staging measurement;
in the figure, 1-single-blade vagina expanding marker, 2-measurer, 3-hand-held part, 4-expanding part, 5-concave cavity, 6-groove, 7-first scale, 8-measuring body, 9-second scale and 10-handle.
Detailed Description
The technical solution of the present invention will be described clearly and completely with reference to the following embodiments, and it should be understood that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. Based on the embodiments in the present invention, all other embodiments obtained by those skilled in the art without creative efforts belong to the protection scope of the present invention.
Example 1
Referring to fig. 1-4, the present invention provides a technical solution:
referring to fig. 1-3, a pelvic organ prolapse measuring device includes a single-lobe vagina expanding marker 1 and a measuring device 2, where the single-lobe vagina expanding marker 1 includes a handheld portion 3 and an expanded portion 4 for being inserted into and abutting against the front wall or the rear wall of a vagina, a first end of the expanded portion 4 is vertically connected with a first end of the handheld portion 3, the handheld portion 3 and the expanded portion 4 are integrally formed, a cavity 5 is recessed in the expanded portion 4, a groove 6 is formed in the cavity 5, a starting end of the groove 6 is flush with a first end of the expanded portion 4, a first scale 7 is arranged on an outer edge of the groove 6, the measuring device 2 includes a measuring body 8, and a second scale 9 for measuring pelvic organ prolapse is arranged on the measuring body 8.
The utility model discloses a pelvic organ prolapse measuring device, its single-leaf expands the vagina marker 1 and is used for expanding bladder to cut stone patient's vagina in order to expose the cervix uteri, in order to cooperate with caliber 2 to measure the length of fornix behind to hymen edge earlier, is used for measuring vagina length; a groove 6 is formed in a cavity 5 of the flaring portion 4, so that medical staff can conveniently Mark points A of the front wall and the rear wall of the vagina at a position 3cm away from the direction of the external opening of the cervix by using a Mark marking pen through the groove 6 and taking the hymen edge as a starting point, then the single-leaf vagina-dilating marker 1 is withdrawn, and then the measurer 2 is used for measuring the horizontal distance between the rest measuring points and the hymen. The utility model discloses a simple leaf expands interactive fit use of cloudy marker 1 and caliber 2, can measure the data of each measuring point in the POP-Q branch period more accurately, compares and relies on conventional cotton swab or doctor's finger, and medical staff can correctly accomplish scale reading and data acquisition work in the short time, and the numerical value accuracy that obtains is high and repeatability is good.
Referring to fig. 1, the outer surface of the flared portion 4 is a smooth curved surface, and the second end of the flared portion 4 is an arc-shaped end surface.
The utility model discloses a 4 surfaces of flared portion set up to smooth curved surface, are of value to 4 conflict antethecas of flared portion or when the back wall, can reduce the uncomfortable sense that produce when patient's psychological burden and conflict.
Referring to fig. 3, the range of the first scale 7 is 0-5 cm, and the distance between the 0 scale of the range and the starting end of the groove 6 is 1 cm.
The measuring range of the first scale 7 of the utility model is set to be 0-5 cm, so as to more accurately mark and measure the point A of the front wall and the rear wall of the vagina which take the hymen edge as the starting point and are 3cm away from the external cervical orifice direction; when the single-leaf vagina expanding marker 1 is used, the position is adjusted to enable the hymen edge to be superposed with the 0 scale of the measuring range, the 0 scale of the measuring range and the hymen edge are aligned, and the mark A point is accurately positioned.
Referring to fig. 2, the measuring body 8 is a cylindrical measuring rod, and a handle 10 for holding a doctor is disposed at a distal end of the cylindrical measuring rod.
The utility model discloses a measure 8 designs of body for cylindrical measuring stick, can reduce and avoid the scotch to patient's vagina, is convenient for improve patient's comfort level.
Referring to fig. 2, the second scale 9 has a range of 0-14 cm, and the 0 scale of the range coincides with the head end of the cylindrical measuring rod.
The utility model discloses a maximum range design of caliber 2 is 14 centimetres, according to statistics of data, and women's vagina back wall length is 10-12cm, considers the individual patient overlength condition, and the ruler needs are longer in order to satisfy all people's needs.
Before explaining the using method of the pelvic organ prolapse measuring device in detail, 6 points for pelvic organ prolapse quantification in the POP-Q stage measurement need to be explained, as shown in fig. 4, and the evaluation indication points and range standards of the POP-Q are counted in table 1.1:
TABLE 1.1 POP-Q assessment indicator points and Range standards Table
Figure BDA0002629560940000061
The utility model discloses a pelvic cavity organ prolapse measuring device's application method as follows:
the first step is as follows: the measuring device 2 is used for measuring the laceration of the genital tract and the length of the perineum body of a patient, then the single-leaf vagina expanding marker 1 is slowly pushed into the vagina of the patient at the cystotome position, the vagina is expanded to expose the cervix to provide a viewing window, the measuring device 2 is used for measuring the length from the fornix to the edge of the hymen to measure the length of the vagina, and then the measuring device 2 is withdrawn.
The second step is that: the starting scale 0 of the groove 6 of the single-leaf vagina expanding marker 1 is aligned with the hymen edge, a medical Mark marking pen is used for marking the front wall and the rear wall of the vagina at a position which takes the hymen edge as a starting point and is 3cm away from the direction of the external orifice of the cervix, and the Mark is marked as a point A, wherein the reference point A is a point which is marked artificially and is a measuring point for compromise between Aa and Ap, the reference point A is marked on the vagina of a patient obviously and accurately, so that the measurement counting and the measurement of an accurate numerical value are facilitated, and then the single-leaf vagina expanding marker is withdrawn.
At present, the clinician mainly leans on range estimation or finger estimation to the location of A point, and the prolapse patient does not have the accurate and repeatable location of A point, probably leads to the great measuring result of difference when different doctors are measured the POP-Q stage of same prolapse patient, the utility model discloses accurately come out A point at the internal mark of patient, can improve measuring precision.
The third step: the patient exerts the maximum force to hold the breath downwards, the prolapsed pelvic organ of the patient achieves the maximum degree of prolapse, and the distance from the external cervix and the fornix posterior to the edge of the hymen is measured by using the measurer 2 and the single-leaf vagina expanding marker 1 if necessary, so that the positions of a point C and a point D are measured;
the fourth step: according to the description in the table 1.1, the marked point A and the hymen margin in the second step are taken as references, the patient holds his or her breath with the largest effort, after the prolapsed pelvic organ of the patient reaches the maximum degree of prolapse, the distance data of the point A on the front and back walls of the vagina and the point B and the hymen margin are measured, and the numerical range of the result of the point A ranges from-3 cm to +3 cm. The range of the numerical value of the result of the point B is-3 cm- + TVL; then 9 measurements were made to determine the degree of pelvic organ prolapse.
The foregoing is illustrative of the preferred embodiments of the present invention, and it is to be understood that the invention is not limited to the precise forms disclosed herein, and that various other combinations, modifications, and environments may be resorted to, falling within the scope of the invention as defined by the appended claims. But that modifications and variations may be effected by those skilled in the art without departing from the spirit and scope of the invention, which is to be limited only by the claims appended hereto.

Claims (5)

1. A pelvic organ prolapse measuring device is characterized in that: comprises a single-leaf vagina-enlarging marker (1) and a measurer (2),
single-leaf expands cloudy marker (1) including handheld portion (3) and be used for inserting flaring portion (4) of contradicting vagina antetheca or back wall, the first end of flaring portion (4) with the first end of handheld portion (3) is connected perpendicularly, handheld portion (3) and flaring portion (4) integrated into one piece, flaring portion (4) are recessed and are equipped with cavity (5), have seted up recess (6) in cavity (5), the initiating terminal of recess (6) with the first end parallel and level of flaring portion (4), the outer fringe of recess (6) is equipped with first scale (7), caliber (2) are including measuring body (8), be equipped with second scale (9) that are used for measuring pelvic cavity organ and take off the degree of plumbing on measuring body (8).
2. The pelvic organ prolapse measurement device of claim 1, wherein: the outer surface of the flaring portion (4) is a smooth curved surface, and the second end of the flaring portion (4) is an arc-shaped end surface.
3. The pelvic organ prolapse measurement device of claim 1, wherein: the measuring range of the first scale (7) is 0-5 cm.
4. The pelvic organ prolapse measurement device of claim 1, wherein: the measuring body (8) is a cylindrical measuring rod, and a handle (10) for a doctor to hold is arranged at the tail end of the cylindrical measuring rod.
5. The pelvic organ prolapse measurement device of claim 4, wherein: the measuring range of the second scale (9) is 0-14 cm, and the 0 scale of the measuring range is coincided with the head end of the cylindrical measuring rod.
CN202021675130.2U 2020-08-12 2020-08-12 Pelvic organ prolapse measuring device Expired - Fee Related CN213249088U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2024050995A1 (en) * 2022-09-09 2024-03-14 上海市浦东新区人民医院 Device for monitoring opening degree of uterine orifice of puerpera, and control method therefor

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2024050995A1 (en) * 2022-09-09 2024-03-14 上海市浦东新区人民医院 Device for monitoring opening degree of uterine orifice of puerpera, and control method therefor

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Granted publication date: 20210525