CN219271305U - A kind of cold compress hemostatic balloon after cervical conization - Google Patents
A kind of cold compress hemostatic balloon after cervical conization Download PDFInfo
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Abstract
Description
技术领域technical field
本实用新型属于医疗器材领域,具体是一种应用于宫颈锥切术后进行冷敷止血的球囊。The utility model belongs to the field of medical equipment, in particular to a balloon used for cold compressing to stop bleeding after cervical conization.
背景技术Background technique
宫颈是子宫与阴道的交界处,由于宫颈处的表面只有一层柱状上皮细胞,比较脆弱,在人体正常活动时,宫颈处上皮细胞易磨损和脱落,复制和更新速度快。在快速复制过程中,如果宫颈处的环境发生改变,或者有微生物侵入,复制产生的新生细胞可能会发生癌变。检查宫颈有没有癌变,最常用的方法是用阴道镜观察这部分细胞形态,但有时候仅仅通过阴道镜无法得到明确的答案,或者已经确定癌变了需要切除,这种采样和切除的手术为宫颈锥切术。宫颈锥切术是妇产科切除子宫颈的一种手术,由外向内成圆锥形切除一部分宫颈组织,其目的一方面是为了进一步进行病理检查,确诊宫颈病变程度,另一方面作为宫颈病变的一种治疗方法。常用的宫颈锥切术有几种:冷刀锥切(CKC)、环形电切(LEEP)、激光锥切等,分别采用不同类型的器械进行手术,其中宫颈环形电刀切除术(LEEP)是通过环形金属丝(圈电极)传导高频交流电,利用高频电流所特有的干燥脱水效应、电弧切割效应来对电极接触的组织进行快速切开,操作简单、手术时间短、术中出血量少,术后可提供组织标本进行病理学检查,术后并发症少。The cervix is the junction of the uterus and the vagina. Since the surface of the cervix is only a layer of columnar epithelial cells, it is relatively fragile. During normal human activities, the epithelial cells of the cervix are easy to wear and fall off, and the speed of replication and renewal is fast. During the rapid replication process, if the environment at the cervix changes or microorganisms invade, the new cells produced by replication may become cancerous. The most common way to check whether the cervix is cancerous is to observe the cell morphology with a colposcope, but sometimes a clear answer cannot be obtained only through a colposcope, or it has been determined that the cancer has changed and needs to be removed. This sampling and removal operation is cervical cancer. Conization. Cervical conization is an operation performed in obstetrics and gynecology to remove a part of the cervical tissue in a conical shape from the outside to the inside. A cure. There are several kinds of cervical conization commonly used: cold knife conization (CKC), circular electrosurgical excision (LEEP), laser conization, etc., using different types of instruments for surgery, among which cervical circular electrosurgical excision (LEEP) is Conduct high-frequency alternating current through the ring wire (ring electrode), and use the unique drying and dehydration effect and arc cutting effect of high-frequency current to quickly cut the tissue in contact with the electrode. The operation is simple, the operation time is short, and the blood loss during operation is small. , Postoperative tissue samples can be provided for pathological examination, with few postoperative complications.
临床中随着宫颈癌筛选的普及,宫颈病变需要行宫颈冷刀锥切及LEEP刀的越来越多,工经部分切除后止血成了一个棘手的问题,宫颈语出阴道顶端,暴露困难,不管是压迫还是缝合都不如体表方便,止血效果差。为了辅助患者快速止血和愈合,临床医生经常会填充止血纱布填塞在宫颈下方,纱布上洒有止血药来促进创面止血,止血效果一般,但取出纱布时会对患者带来极大的痛苦。有申请号为201520146375.9的专利《宫颈止血球囊》,采用了充气/液球囊的办法来支撑宫颈,球囊外壁的止血药辅助患者止血,球囊取出时可以通过排气/液的办法使得球囊缩小,方便取出,减少了患者的痛苦,但止血效果依旧一般。With the popularization of cervical cancer screening in clinical practice, more and more cervical lesions require cervical cold knife conization and LEEP knife. Hemostasis after partial excision of menstrual cavity has become a difficult problem. The cervix protrudes from the top of the vagina, making it difficult to expose. Whether it is oppression or suture, it is not as convenient as the body surface, and the hemostatic effect is poor. In order to assist patients in rapid hemostasis and healing, clinicians often fill hemostatic gauze under the cervix. Hemostatic drugs are sprinkled on the gauze to promote wound hemostasis. The hemostatic effect is average, but taking out the gauze will cause great pain to the patient. There is a patent "Cervical Hemostatic Balloon" with application number 201520146375.9, which uses an inflatable/liquid balloon to support the cervix. The hemostatic drug on the outer wall of the balloon assists the patient to stop bleeding. The balloon shrinks and is easy to take out, reducing the pain of the patient, but the hemostatic effect is still average.
因此,不管是医护人员还是患者,临床中都需要一种更好的办法来辅助患者快速止血愈合。Therefore, whether it is a medical staff or a patient, a better method is needed in clinical practice to assist patients in rapid hemostasis and healing.
实用新型内容Utility model content
为了解决现有技术的不足,本实用新型提出一种宫颈锥切术后冷敷止血球囊,为患者的宫颈创面提供冷敷和止血。In order to solve the deficiencies of the prior art, the utility model proposes a cold compress hemostatic balloon after cervical conization, which provides cold compress and hemostasis for the patient's cervical wound.
本实用新型要解决的技术问题是通过以下技术方案实现的:The technical problem to be solved in the utility model is achieved through the following technical solutions:
一种宫颈锥切术后冷敷止血球囊,包括软管和设置在软管上的球囊,在本实用新型中,所述软管中空,软管前端封闭,软管内布置有两条输液管,球囊有两个,分别设置在软管的前端和前部,为宫内球囊和宫外球囊,分别与两条输液管相连通,宫外球囊内设置有小球囊,小球囊内置有冷冻剂,宫外球囊的外壁上涂覆有止血药。A cold compress hemostatic balloon after cervical conization, including a hose and a balloon arranged on the hose. In the utility model, the hose is hollow, the front end of the hose is closed, and two infusion fluids are arranged inside the hose There are two tubes and two balloons, which are respectively arranged at the front end and the front part of the flexible tube. They are intrauterine balloons and extrauterine balloons, which are respectively connected with two infusion tubes. A small balloon is arranged in the extrauterine balloon. The cryogen is built into the small balloon, and the outer wall of the extrauterine balloon is coated with a hemostatic drug.
在本实用新型中,所述的两条输液管分别为宫内输液管和宫外输液管,宫外输液管连通到宫外球囊和小球囊之间,宫内输液管连通到宫内球囊内,小球囊连通到软管内,宫内输液管和宫外输液管的尾部伸出软管,宫内输液管、宫外输液管和软管的尾部均设置有截止阀或截止夹。In the present utility model, the two infusion tubes are respectively an intrauterine infusion tube and an extrauterine infusion tube, the extrauterine infusion tube is connected between the extrauterine balloon and the small balloon, and the intrauterine infusion tube is connected to the intrauterine infusion tube. In the balloon, the small balloon is connected to the flexible tube, and the end of the intrauterine infusion tube and the extrauterine infusion tube extend out of the flexible tube, and the end of the intrauterine infusion tube, the extrauterine infusion tube and the flexible tube are all provided with a stop valve or a cut-off valve. folder.
在本实用新型中,所述球囊均以软管为中心设置,即软管穿过球囊的中心。In the present utility model, the balloons are all set with the flexible tube as the center, that is, the flexible tube passes through the center of the balloon.
进一步的,所述小球囊的壁上设置有若干条沿软管方向的弹性固定筋,固定筋勒向软管并与软管间隙配合,将小球囊分隔出若干个相连的收纳室,收纳室呈瓣状,环软管分布,收纳室内均收纳有冷冻剂。Further, the wall of the small balloon is provided with several elastic fixing ribs along the direction of the hose, and the fixing ribs stretch toward the hose and cooperate with the hose to separate the small balloon into several connected storage chambers. The storage room is petal-shaped, and the ring hoses are distributed, and refrigerants are stored in the storage rooms.
进一步的,所述冷冻剂为硝酸铵晶体或粉末,盛装于滤纸袋中。Further, the refrigerant is ammonium nitrate crystal or powder, which is contained in a filter paper bag.
在本实用新型中,所述软管内穿设有可插拔的硬质支撑杆。In the utility model, a pluggable hard support rod is passed through the hose.
在本实用新型中,所述止血药为云南白药。In the utility model, the hemostatic drug is Yunnan Baiyao.
与现有技术相比,本实用新型构思新颖,设计巧妙,双球囊配合实现对宫颈手术创面的压紧和定位,球囊胀大时封闭宫颈口,使得带有止血药的球囊壁与创面牢固贴合,压迫止血和止血药止血,冷冻剂吸水后吸热,为宫颈冷敷,缩紧宫颈口处的血管,延缓血液流动,进一步提高止血效果,止血效果显著,极大的促进患者创面愈合。Compared with the prior art, the utility model has a novel concept and ingenious design. The double balloons cooperate to realize the compression and positioning of the surgical wound of the cervix. The wound surface is firmly attached, the hemostatic effect is suppressed and the hemostatic drug is used to stop the bleeding. The refrigerant absorbs water and absorbs heat. It applies cold compresses to the cervix, tightens the blood vessels at the cervix, delays blood flow, and further improves the hemostatic effect. heal.
附图说明Description of drawings
图1 为本实用新型的使用状态示意图;Fig. 1 is a schematic diagram of the use state of the utility model;
图2 为本实用新型的结构示意图;Fig. 2 is the structural representation of the utility model;
图3 为图2中的小球囊横截面示意图。FIG. 3 is a schematic cross-sectional view of the small balloon in FIG. 2 .
图中:宫颈1、宫内球囊2、宫外球囊3、软管4、止血药5、小球囊6、收纳室7、冷冻剂8、宫内输液管9、宫外输液管10、支撑杆11、固定筋12。In the figure:
具体实施方式Detailed ways
以下结合说明书附图和具体优选的实施例对本实用新型作进一步描述,但并不因此而限制本实用新型的保护范围。The utility model will be further described below in conjunction with the accompanying drawings and specific preferred embodiments, but the protection scope of the utility model is not limited thereby.
实施例1Example 1
一种宫颈锥切术后冷敷止血球囊,应用于如图1所示的位置,包括软管4和设置在软管4上的球囊,在图2中,软管4中空,前端封闭,球囊有两个,分别为设置在软管4前端的宫内球囊2和设置在软管4前部的宫外球囊3,宫外球囊3内设置有小球囊6,小球囊6内置有冷冻剂8,软管4内布置有两条输液管,分别为宫内输液管9和宫外输液管10,宫内输液管9连通到宫内球囊2内,宫内输液管9尾部设置有截止夹,宫外输液管10连通到宫外球囊3和小球囊6之间的空腔,宫外输液管10的尾部设置有截止夹,小球囊6连通到软管中心,软管4尾部设置有截止夹,宫外球囊3的外壁涂覆有止血药5,软管4内穿设有可插拔的硬质支撑杆11。A cold compress hemostatic balloon after conization of the cervix, applied to the position shown in Figure 1, including a
在图3中,小球囊6的壁上设置有若干条沿软管4方向的弹性固定筋12,固定筋12勒向软管4并与软管4间隙配合,将小球囊6分隔出若干个相连的收纳室7,收纳室7呈瓣状,环软管4分布,收纳室7内均收纳有冷冻剂8,冷冻剂8为硝酸铵晶体或粉末,盛装于滤纸袋中。In Fig. 3, the wall of the
实施例2Example 2
一种宫颈锥切术后冷敷止血球囊,应用于如图1所示的位置,包括软管4和设置在软管4上的球囊,软管4中空,前端封闭,球囊有两个,分别为设置在软管4前端的宫内球囊2和设置在软管4前部的宫外球囊3,宫外球囊3内设置有小球囊6,小球囊6内置有冷冻剂8,软管4内布置有两条输液管,分别为宫内输液管9和宫外输液管10,宫内输液管9连通到宫内球囊2内,宫内输液管9尾部设置有截止夹,宫外输液管10连通到宫外球囊3和小球囊6之间的空腔,宫外输液管10的尾部设置有截止夹,宫外球囊10的外壁涂覆有止血药5,软管4内穿设有可插拔的硬质支撑杆11。A cold compress hemostatic balloon after conization of the cervix, applied to the position shown in Figure 1, including a
与实施例1不同的是,小球囊6与宫外球囊3连通,通过宫外球囊3与宫外输液管10连通,软管4中心仅用于穿设硬质支撑杆11。The difference from
实施例3Example 3
一种宫颈锥切术后冷敷止血球囊,应用于如图1所示的位置,包括软管4和设置在软管4上的球囊,软管中空,前端封闭,球囊有两个,分别为设置在软管4前端的宫内球囊2和设置在软管4前部的宫外球囊3,宫外球囊3内设置有冷冻剂8,软管4内布置有两条输液管,分别为宫内输液管9和宫外输液管10,宫内输液管9连通到宫内球囊2内,宫内输液管9尾部设置有截止夹,宫外输液管10连通到宫外球囊3内,宫外输液管10的尾部设置有截止夹,宫外球囊10的外壁涂覆有止血药5,软管4内穿设有可插拔的硬质支撑杆11。A cold compress hemostatic balloon after conization of the cervix, applied to the position shown in Figure 1, including a
本实用新型应用于宫颈锥切术患者,手术完成后,临床医护人员持硬质支撑杆11穿进软管4内,将所述的冷敷止血球囊探入患者阴道内,以实施例1为例,软管4携带宫内球囊2穿入宫颈1,将宫内球囊2置于子宫中,宫外球囊3抵住宫颈1外的锥形手术切面,然后抽出硬质支撑杆11,分别通过宫内输液管9和宫外输液管10向宫内球囊2和宫外球囊3内注入适量的洁净空气或洁净水,使得宫内球囊2和宫外球囊3胀大,在宫内球囊2和宫外球囊3的配合下,宫外球囊3压紧手术创面,再通过软管4向小球囊6内注入适量的洁净水,使得小球囊6内的冷冻剂8溶解,吸收热量,为宫外球囊3和小球囊6之间空腔内的水降温,实现宫外球囊3对宫颈1手术创面的冷敷。The utility model is applied to patients undergoing conization of the cervix. After the operation is completed, the clinical medical personnel hold the
综上,结合上述构造和使用过程可以发现,本实用新型所述的宫颈锥切术后冷敷止血球囊构思新颖,设计巧妙,双球囊定位压迫效果好,止血药和冷敷配合,对宫颈锥切术的创面进行三重止血,止血效果显著,极大的促进患者创面愈合。In summary, combined with the above structure and use process, it can be found that the cold compress hemostatic balloon after cervical conization described in the utility model has a novel concept, ingenious design, good positioning and compression effect of double balloons, and the combination of hemostatic medicine and cold compress has no effect on cervical conization. Triple hemostasis is performed on the resection wound, and the hemostatic effect is remarkable, which greatly promotes the wound healing of patients.
Claims (5)
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