CN213609298U

CN213609298U - Special ureter for vesical vaginal fistula

Info

Publication number: CN213609298U
Application number: CN202022196741.5U
Authority: CN
Inventors: 金克尔
Original assignee: Liaoning Cancer Hospital and Institute
Current assignee: Liaoning Cancer Hospital and Institute
Priority date: 2020-09-30
Filing date: 2020-09-30
Publication date: 2021-07-06
Anticipated expiration: 2030-09-30

Abstract

A special ureter for vesicovaginal fistula solves the problems that fistula of vesicovaginal fistula patients is difficult to heal, daily life is affected by a large amount of vaginal leakage, and the quality of life of the patients is poor in the prior art. Including the catheter who constitutes by the ureter main part, its characterized in that: a bladder urine connecting pipe and a bracket pipe connecting pipe are respectively arranged in the ureter main body; the urine connecting pipe inlet in the middle of the upper end of the ureter main body is connected with the bladder urine connecting pipe, and the support pipe inserting inlets on two sides of the upper end of the ureter main body are connected with the corresponding support pipe connecting pipes; the lower extreme of bladder urine connecting pipe and stand pipe connecting pipe all is linked together with the urination link of ureter main part lower extreme, and the urination link links to each other with the inlet of urine bag, and the upper end of catheter is provided with J type stand pipe. The novel bladder fistula catheter is reasonable in design and compact in structure, can solve the problem that a patient abnormally urinates for a long time after the patient has a bladder fistula, effectively improves the life quality of the patient, and is beneficial to rapid healing of the bladder fistula.

Description

Special ureter for vesical vaginal fistula

Technical Field

The utility model belongs to the technical field of medical treatment auxiliary appliance, concretely relates to can solve the problem that the long-term unusual urine leakage of vagina appears behind the cystovaginal fistula of patient, improve patient quality of life, be favorable to the special ureter of cystovaginal fistula of quick healing of cystozostomial fistula.

Background

The vesicovaginal fistula is a global medical health problem, which means that urine can not automatically escape from an abnormal anatomical channel between the bladder and the vagina, so that repeated infection is easily caused, the physiological and psychological health of a patient is threatened, and the life quality of the patient is seriously influenced. Causes of vesico-vaginal fistulas include: injury after hysterectomy and other operations, dystocia due to obstruction, radiotherapy or trauma. At present, most of treatment methods for patients with vesicovaginal fistula adopt a mode of indwelling ureters for 3-6 months and local skin care, and a part of patients with vesicovaginal fistula can heal by themselves; if the patient can not heal by self, the operation treatment can be carried out after 3 months. However, the way of indwelling the ordinary urinary catheter cannot solve the problem of continuous leakage of urine from the vagina of a patient, the life quality of the patient is extremely poor, and dozens of pieces of diaper need to be replaced every day. In addition, in the existing nephropystomy in which urine in the renal pelvis is directly led out of the body, the patient needs to have invasive operation, and the fistulization bag needs to be hung on the waist at the back of the two sides after the operation, so that not only is the life quality of the patient low and the patient is easy to be out of the tube, but also the postoperative complications are more, chronic pyelonephritis is often caused, and the renal function of the patient is easy to be damaged. There is a need for improved urine drainage means and devices for cysto-vaginal fistulas of the prior art.

SUMMERY OF THE UTILITY MODEL

The utility model discloses be exactly to above-mentioned problem, provide one kind can solve after the patient appears the vesicovaginal fistula, the problem of the long-term unusual urine leakage of vagina, improve patient's quality of life, be favorable to the special ureter of vesicovaginal fistula of the quick healing of vesicovaginal fistula.

The utility model adopts the technical proposal that: this special ureter of vesical vaginal fistula includes the catheter, its characterized in that: the urinary catheter is composed of a hollow urinary catheter main body, a bladder urine connecting pipe is arranged in the middle of the urinary catheter main body, and support pipe connecting pipes are respectively arranged inside the urinary catheter main body and on two sides of the bladder urine connecting pipe; the middle part of the upper end of the ureter main body is provided with a urine connecting pipe inlet, the urine connecting pipe inlet is connected with the upper end of a bladder urine connecting pipe, two sides of the urine connecting pipe inlet at the upper end of the ureter main body are respectively provided with a support pipe inserting inlet, and the support pipe inserting inlets are connected with the upper ends of corresponding support pipe connecting pipes; the lower end of the urine tube main body is provided with a urination connecting end, the lower ends of the bladder urine connecting tube and the bracket tube connecting tube are both communicated with a liquid outlet of the urination connecting end, and the urination connecting end is connected with a liquid inlet of the urine bag through an extension connecting tube; the upper end of catheter is provided with J type support tube, and the one end of J type support tube links to each other with the support tube grafting entry, and the other end of J type support tube enters into inside patient's renal pelvis along patient ureter.

The J-shaped stent tube comprises a pelvis bending-back built-in section, and the end part of the pelvis bending-back built-in section is provided with a ureter built-in section arranged in a ureter of a patient; the end of the ureter built-in section is provided with a bladder built-in section arranged in the bladder of a patient, and the end of the bladder built-in section is provided with a urethra external orifice section. The urine in the renal pelvis of a patient is directly drained into the catheter by utilizing the renal pelvis recurve built-in section, the ureter built-in section, the bladder built-in section and the external urethral opening section which are mutually connected on the J-shaped stent tube.

The end part of the external urethral orifice section of the J-shaped stent tube is provided with a connecting joint. So as to facilitate the mutual connection of the J-shaped bracket tube and the bracket tube connecting tube in the catheter.

The joint at the end part of the external urethral opening section of the J-shaped stent tube is connected with the middle upper part of the stent tube connecting tube in the urinary catheter main body of the catheter by a stent tube fixing suture line. The end part of the J-shaped stent tube is connected with the stent tube connecting tube through the stent tube fixing suture line, so that the smooth drainage of urine is ensured.

And a hard sewing part is arranged on the position sewed with the connecting joint at the end part of the J-shaped bracket pipe on the bracket pipe connecting pipe in the catheter. So that the joint of the end part of the J-shaped bracket pipe is firmly sewed on the bracket pipe connecting pipe inside the catheter by the bracket pipe fixing suture line.

The upper portion of the ureter main part of catheter is provided with the fixed water pocket of ureter, and the notes liquid mouth of the fixed water pocket of ureter links to each other with the inside water pocket notes liquid pipe of ureter main part, and the tip that the water pocket notes liquid pipe links to each other with the water pocket water filling port that sets up on the outer wall of catheter lower part. The liquid is injected into the ureter fixing water bag at the upper part of the catheter through the water bag water injection port and the water bag liquid injection pipe, and then the catheter is fixed in the bladder of the patient by utilizing the expanded ureter fixing water bag.

The utility model has the advantages that: the urinary catheter is composed of a hollow urinary catheter main body, the middle part of the urinary catheter main body is provided with the bladder urine connecting pipe, and the inner part of the urinary catheter main body and the two sides of the bladder urine connecting pipe are respectively provided with the bracket pipe connecting pipe; the urine connecting pipe inlet in the middle of the upper end of the urinary catheter main body is connected with the upper end of the bladder urine connecting pipe, and the support pipe inserting inlets on two sides of the upper end of the urinary catheter main body are connected with the upper ends of the corresponding support pipe connecting pipes; the lower ends of the bladder urine connecting pipe and the bracket pipe connecting pipe are both communicated with a liquid outlet of a urination connecting end at the lower end of the urine pipe main body, and the urination connecting end is connected with a liquid inlet of the urine bag through an extension connecting pipe; the upper end of catheter is provided with J type stand pipe, the one end of J type stand pipe links to each other with the stand pipe grafting entry, the J type stand pipe other end enters into the inside structural style of patient's renal pelvis along patient ureter, so its reasonable in design, compact structure, can solve after the patient appears the bladder vagina fistula, the problem of the long-term unusual urine leakage of vagina, improve patient's quality of life, and, because the urine directly draws outside, the bladder fistula is no longer urinated, be favorable to the rapid healing of bladder fistula.

Drawings

Fig. 1 is a schematic structural diagram of the present invention.

Fig. 2 is a schematic view of a structure of the J-shaped stent tube of fig. 1.

Fig. 3 is a schematic view of a construction of the urinary catheter of fig. 1.

Fig. 4 is a schematic cross-sectional structure of fig. 3.

Fig. 5 is a schematic view of a usage state of the present invention.

The sequence numbers in the figures illustrate: 1J type stent tube, 2 urinary catheter, 3 stent tube fixing suture lines, 4 urine bags, 5 pyelon recurvation built-in sections, 6 ureter built-in sections, 7 bladder built-in sections, 8 external urethral opening sections, 9 connecting joints, 10 urinary catheter main bodies, 11 stent tube connecting tubes, 12 bladder urine connecting tubes, 13 stent tube inserting inlets, 14 urine connecting tube inlets, 15 hard suture parts, 16 urination connecting ends, 17 water bag water filling ports, 18 urinary catheter fixing water bags, 19 water bag liquid filling tubes, 20 water filling tubes, 21 patient pyelon, 22 patient ureter and 23 patient bladder.

Detailed Description

The specific structure of the present invention is described in detail with reference to fig. 1 to 5. This special ureter of bladder vaginal fistula includes catheter 2 that comprises hollow ureter main part 10, and the middle part of the ureter main part 10 of catheter 2 is provided with bladder urine connecting pipe 12, and the inside of ureter main part 10, the both sides of bladder urine connecting pipe 12 are provided with support pipe connecting pipe 11 respectively. The middle part of the upper end of the ureter main body 10 is provided with a urine connecting pipe inlet 14, and the urine connecting pipe inlet 14 is connected with the upper end of the bladder urine connecting pipe 12. In addition, two sides of the urine connecting pipe inlet 14 at the upper end of the urinary catheter main body 10 are respectively provided with a bracket pipe inserting inlet 13; the support tube insertion inlet 13 is connected with the upper end of the corresponding support tube connection tube 11.

Two J-shaped bracket tubes 1 are arranged at the upper end of a urinary catheter main body 10 of the urinary catheter 2. The J-shaped stent tube 1 includes a pyelous recurved endoprosthesis section 5 arranged within a patient's renal pelvis 21, the end of the pyelous recurved endoprosthesis section 5 being provided with a ureteral endoprosthesis section 6 arranged within a patient's ureter 22. At the end of the endoureteral segment 6, an intravesical segment 7 is provided, which is arranged inside the patient's bladder 23; and the end part of the built-in bladder section 7 is provided with an external urethral opening section 8. The outer end of the external urethral opening section 8 of the J-shaped stent tube 1 is connected with the stent tube inserting inlet 13 at the upper end of the catheter 2, and the other end of the J-shaped stent tube 1 enters the renal pelvis 21 of the patient along the ureter 22 of the patient. Therefore, the urine in the renal pelvis 21 of the patient is directly drained into the catheter 2 by the renal pelvis inflection built-in section 5, the ureteral built-in section 6, the bladder built-in section 7 and the external urethral opening section 8 which are mutually connected on the J-shaped stent tube 1.

In order to facilitate the interconnection of the J-shaped stent tube 1 and the stent tube connecting tube 11 inside the urinary catheter 2, the end part of the external urethral opening section 8 of the J-shaped stent tube 1 is provided with a connecting joint 9 with a slightly hard texture. Meanwhile, a connecting joint 9 at the end part of the external urethral opening section 8 of the J-shaped stent tube 1 is connected with the middle upper part of a stent tube connecting tube 11 in a urinary catheter main body 10 of the urinary catheter 2 through a stent tube fixing suture 3 in a sewing way; and then the end part of the J-shaped stent tube 1 is connected with the stent tube connecting tube 11 through the stent tube fixing suture 3 so as to ensure the smooth drainage of urine. For the purpose of firmly sewing the connecting joint 9 at the end part of the J-shaped bracket tube 1 on the bracket tube connecting tube 11 in the catheter 2, a hard sewing part 15 is arranged at the position sewed with the connecting joint 9 at the end part of the J-shaped bracket tube 1 on the bracket tube connecting tube 11 in the catheter 2.

A urination connecting end 16 is arranged at the lower end of a ureter main body 10 of the urinary catheter 2, and a bladder urine connecting pipe 12 and the lower ends of two bracket pipe connecting pipes 11 in the ureter main body 10 are both communicated with a liquid outlet of the urination connecting end 16; and the urination connecting end 16 is also connected with a liquid inlet of the urine bag 4 for collecting urine through an extension connecting pipe. The upper part of the ureter main body 10 of the urinary catheter 2 is provided with a spherical ureter fixing water bag 18, and the liquid injection port of the ureter fixing water bag 18 is connected with a water bag liquid injection pipe 19 in the ureter main body 10. The end part of the water bag liquid injection pipe 19 is connected with a water bag water injection port 17 arranged on the outer wall of the lower part of the catheter 2, the water bag water injection port 17 is connected with a water injection pipe 20, and a stop valve is arranged at the position of the water bag water injection port 17. Therefore, the liquid is injected into the ureter fixing water bag 18 at the upper part of the catheter 2 through the water bag water injection port 17 and the water bag liquid injection tube 19, the water bag 18 is fixed by the expanded spherical ureter, and the catheter 2 is fixed in the bladder 23 of the patient, thereby ensuring the use reliability of the appliance.

When the special urinary catheter for vesicovaginal fistula is used, the pelvis inflection built-in section 5 at the front end of the J-shaped stent tube 1 is firstly extended into the pelvis 21 of a patient through the bladder 23 of the patient and along the ureter 22 of the patient. Then, outside the patient body, the stent tube fixing suture lines 3 are utilized to sew the connecting joints 9 at the end parts of the external urethral opening sections 8 of the two J-shaped stent tubes 1 and the hard sewing parts 15 of the corresponding stent tube connecting tubes 11 inside the catheter 2 together respectively so as to smoothly drain the urine in the renal pelvis 21 of the patient into the catheter 2 through the renal pelvis recurve bending built-in section 5, the ureteral built-in section 6, the bladder built-in section 7 and the external urethral opening sections 8 which are mutually connected on the J-shaped stent tubes 1. Then, the urination connecting end 16 at the lower end of the catheter 2 is connected with a urine bag 4 for collecting urine through an extension connecting pipe, liquid is injected into a urinary catheter fixing water bag 18 at the upper part of the catheter 2 through a water bag water injection port 17 and a water bag liquid injection pipe 19, and the catheter 2 is firmly fixed in the bladder 23 of a patient by utilizing an expanded spherical urinary catheter fixing water bag 18.

Claims

1. A special ureter of vesical vaginal fistula, includes catheter (2), its characterized in that: the urinary catheter (2) is composed of a hollow urinary catheter main body (10), a bladder urine connecting pipe (12) is arranged in the middle of the urinary catheter main body (10), and stent pipe connecting pipes (11) are respectively arranged inside the urinary catheter main body (10) and on two sides of the bladder urine connecting pipe (12); a urine connecting pipe inlet (14) is formed in the middle of the upper end of the urinary catheter main body (10), the urine connecting pipe inlet (14) is connected with the upper end of the bladder urine connecting pipe (12), support pipe inserting inlets (13) are respectively formed in two sides of the urine connecting pipe inlet (14) in the upper end of the urinary catheter main body (10), and the support pipe inserting inlets (13) are connected with the upper ends of the corresponding support pipe connecting pipes (11); the lower end of the ureter main body (10) is provided with a urination connecting end (16), the lower ends of the bladder urine connecting pipe (12) and the support pipe connecting pipe (11) are both communicated with a liquid outlet of the urination connecting end (16), and the urination connecting end (16) is connected with a liquid inlet of the urine bag (4) through an extension connecting pipe; the upper end of the catheter (2) is provided with a J-shaped bracket tube (1), one end of the J-shaped bracket tube (1) is connected with a bracket tube inserting inlet (13), and the other end of the J-shaped bracket tube (1) enters the renal pelvis (21) of the patient along the ureter (22) of the patient.

2. The special urinary catheter for vesico-vaginal fistula according to claim 1, wherein: the J-shaped stent tube (1) comprises a pelvis bending built-in section (5), and the end part of the pelvis bending built-in section (5) is provided with a ureter built-in section (6) arranged in a patient ureter (22); the end of the built-in ureteral section (6) is provided with a built-in vesical section (7) arranged in the bladder (23) of the patient, and the end of the built-in vesical section (7) is provided with an external urethral opening section (8).

3. The special urinary catheter for vesico-vaginal fistula according to claim 2, wherein: the end part of the external urethral opening section (8) of the J-shaped stent tube (1) is provided with a connecting joint (9).

4. The special urinary catheter for vesico-vaginal fistula according to claim 3, wherein: the joint (9) at the end part of the external urethral opening section (8) of the J-shaped stent tube (1) is connected with the middle upper part of a stent tube connecting tube (11) in the urinary tube main body (10) of the catheter (2) through a stent tube fixing suture (3).

5. The special urinary catheter for vesico-vaginal fistula according to claim 4, wherein: and a hard sewing part (15) is arranged at the position sewed with the connecting joint (9) at the end part of the J-shaped bracket tube (1) on the bracket tube connecting tube (11) in the urinary catheter (2).

6. The special urinary catheter for vesico-vaginal fistula according to claim 1, wherein: the upper portion of the ureter main body (10) of the catheter (2) is provided with a ureter fixing water bag (18), a liquid injection port of the ureter fixing water bag (18) is connected with a water bag liquid injection pipe (19) in the ureter main body (10), and the end portion of the water bag liquid injection pipe (19) is connected with a water bag water injection port (17) arranged on the outer wall of the lower portion of the catheter (2).