CN2501516Y

CN2501516Y - Drainage passage bridge tube for biliary intestinal tract

Info

Publication number: CN2501516Y
Application number: CN 01245138
Authority: CN
Inventors: 陆力
Original assignee: Individual
Current assignee: Individual
Priority date: 2001-07-30
Filing date: 2001-07-30
Publication date: 2002-07-24
Anticipated expiration: 2011-07-30

Abstract

A bridge tube used for biliary-intestinal internal drainage comprises two tubular short arms and a tubular long arm. The short arms are communicated with the long arm, which forms a Y-shaped pipe structure. The bridge tube is characterized in that: the bridge tube also comprises a choledocho scope tube that is communicated with the long arm; the distance of the communicating part and the Y-shaped crossing point is from 2 centimeters to 6 centimeters. The utility model has the advantages of wide indication, simple operation, low requirement for toleration of patients and technical level of surgical doctor, and easy in repeatedly cleaning and dredging ' biliary-intestinal bridge tube' and arranging built-in support frame at far and lately involved bile duct.

Description

Interior drainage of biliary tract and intestine road and bridge pipe

Technical field

This utility model relates to the interior drainage system of body that a kind of surgical operation is used, and is specifically related to a kind of interior drainage of biliary tract and intestine road and bridge pipe that is applicable to that drainage uses in the biliary tract.

Background technology

Benign Obstructive Jaundice patient due to shifting for the hepatic portal of hepatic portal portion cancer, hilar cholangiocarcinoma, carcinoma of gallbladder, gastric cancer, cancer of pancreas, colon cancer due to the cicatricial stricture of malignant obstructive jaundice and complicated inflammatory hilar bile duct etc. need put pipe for a long time and subtract Huang.Described in " the strong biliary surgery of yellow will is learned " book, commonly used at present is to put pipe and U-shaped pipe through liver, put the Guan Duoyong straight tube through liver, can be silicone rubber, polyethylene or general catheter, its end is drawn through liver, the other end is introduced enteral, its advantage is bile to be caused enteral (duodenum, jejunum), the bile flow vector is few, does not form the excessive and intestinal fistula of Digestive system, and is less to the patient's body influence, but distinct disadvantage is arranged also, mainly be: when stones in intrahepatic bile duct does not have obvious expansion, be difficult to place enough thick conduit, put the pipe difficulty, thicker THD pipe, stones in intrahepatic bile duct opening on the chock tube pathway, even intrahepatic calculi takes place, and the effect of bile drainage is not enough; The U-shaped pipe is that the other end of putting pipe through liver is also drawn outside the abdomen, and the drainage tube of part becomes " U " font in abdomen, generally uses the silicone rubber tube of 3～5 millimeters of diameters, its advantage is that flushing and replace tubes are convenient, can put into tubule earlier, progressively change extra heavy pipe subsequently, hepar damnification be managed difficulty with putting to reduce in the operation, but, owing to increase an external drainage tube than put pipe through liver, increased patient's inconvenience, simultaneously, if an end when intestinal loop is drawn, has generation intestinal juice to leak outside and the possibility of fistula.Thereby, design and a kind ofly put tube side just, do not need external pipeline section, and easy cleaned biliary drainage pipe, be that doctor and the patient who carries out the biliary drainage operation expects.

Summary of the invention

This utility model purpose provide a kind of simple in structure, effective, the patient is damaged little interior drainage of biliary tract and intestine device.

For achieving the above object, the technical solution adopted in the utility model is: a kind of interior drainage of biliary tract and intestine road and bridge pipe, comprise that two piped galianconism, one are piped long-armed, described galianconism and long-armed connection, the Y-piece road structure of formation also includes choledochoscope road pipe, the long-armed connection of described choledochoscope Lu Guanyu, connection place between Junction on bend ahead point for going into common hepatic duct segment length arm, connection place opposite side is long-armed for going into intestinal segment, the length of going into common hepatic duct segment length arm is between 2 centimetres to 6 centimetres.

In the technique scheme, best results when plane, described choledochoscope Lu Guanyu Y-piece road is arranged vertically all is operable in the subvertical scope in plane, Guan Zaiyu Y-piece road, choledochoscope road.

During operation, select the drainage tube of appropriate size, the long-armed length of intestinal segment of going into is wherein cut according to actual anatomy and inserted in the jejunum after making suitable shape, after choledochoscope road pipe is cut into appropriate length, with the crooked ligation of an end, implant subcutaneous abdomen, because of no external drainage pipeline section, the problem so zero accident comes off etc.When needs are removed gallbladder mud, when dredging bridge tube or carrying out cholangiography, are only needed make a little otch at abdominal part, the choledochoscope road pipe of bending is discharged, can carry out, after work is finished, choledochoscope road pipe still can return imbed subcutaneous.

For making things convenient for entering and operating of choledochoscope, in the technique scheme, the long-armed junction inwall of described choledochoscope Lu Guanyu is slick arcuate structure.

In the technique scheme, the angle between two galianconism of described Y type can be at 130 degree between 160 degree, and best situation is that this angle between 160 degree, relatively is fit to the anatomic form of left and right common hepatic duct at 150 degree.

In the technique scheme, for avoiding pipe leakage, Y-piece road and choledochoscope road pipe are structure as a whole, and can adopt the non-detachable mold injection forming.In suc scheme, should prepare the road and bridge pipe of a plurality of specifications, in operation, select for use according to practical situation according to wherein going into the long-armed length of hepatic segments.

Another kind of scheme is to reduce cost of manufacture and convenient the use, describedly long-armedly go into long-armed end of intestinal segment and choledochoscope road pipe and be communicated as one by going into common hepatic duct segment length arm and going into that intestinal segment is long-armed to be constituted, and by connection tube with go into common hepatic duct segment length arm and be connected; The long-armed junction of perhaps described choledochoscope Lu Guanyu is provided with tee T, goes into common hepatic duct segment length arm, goes into that intestinal segment is long-armed, choledochoscope road pipe is connected with three interfaces of tee T respectively.Under this class situation, go into the long-armed length of hepatic segments and can when operation, cut out as required, to implant the back and tighten with line, its advantage is the product that only needs to produce a kind of specification.

In the technique scheme, described each pipe constitutes by having radiopaque material, can be that integral body is used the opacity material, also can be to embed several metal wires in pipe.

Because the technique scheme utilization, this utility model compared with prior art has following advantage:

1, because two Y types of this utility model galianconism inserts left and right common hepatic duct, needn't draw through liver, thereby indication is wide, simple to operate, require lower to patient's body tolerance and surgical doctor technical level.

2, because this utility model does not have external pipeline section, reduced bacterium and gone into approach, the anxiety that zero accident comes off does not have influence to body movement, and it is comfortable that the patient feels.

3, to enteral, bile does not have to be lost bile of the present utility model through long-armed drain, less to water, electrolyte balance and digestive function influence, helps guaranteeing the body trophic level.

4, this utility model is provided with choledochoscope road pipe, in conjunction with modern biliary tract endoscopic technic, is easy to clean repeatedly, dredges " gallbladder intestinal bridge tube " and discharge built-in bracing frame to the far away period later stage bile duct of getting involved.

Description of drawings

Accompanying drawing 1 is the structural upright sketch map of this utility model embodiment one;

Accompanying drawing 2 is the structural front view of embodiment one;

Accompanying drawing 3 is the vertical view of Fig. 2;

Accompanying drawing 4 is the actual sketch map that uses among the embodiment one.

Wherein: [1], choledochoscope road pipe; [2], go into common hepatic duct segment length arm; [3], it is long-armed to go into intestinal segment; [4], galianconism; [5], skin; [6], liver; [7], intestinal.

The specific embodiment

Below in conjunction with drawings and Examples this utility model is further described:

Embodiment one: referring to accompanying drawing 1 to shown in the accompanying drawing 3, a kind of interior drainage of biliary tract and intestine road and bridge pipe, comprise two piped galianconism 4, one piped long-armed, described galianconism 4 and long-armed connection, the Y-piece road structure that constitutes, also include choledochoscope road pipe 1, described choledochoscope road pipe 1 is communicated with long-armed, connection place between Junction on bend ahead point for going into common hepatic duct segment length arm 2, connection place opposite side is for going into intestinal segment long-armed 3, the length of going into common hepatic duct segment length arm 2 is between 2 centimetres to 6 centimetres, and choledochoscope road pipe 1 is arranged vertically with plane, Y-piece road, and its junction inwall is slick arcuate structure, the angle that two galianconism of Y type are 4 is 150 degree, Y-piece road and choledochoscope road pipe 1 are structure as a whole, and adopt the silica gel one-shot forming of opacity or metal inlaying silk, and internal diameter of the pipeline is not less than 3.7 millimeters.

This utility model can be divided into plurality of specifications according to its length of going into common hepatic duct segment length arm 2, and the most frequently used can have three kinds of specifications, and being respectively this segment length is 3.5 centimetres, 4.5 centimetres, 5.5 centimetres.

During operation, as shown in Figure 4, select the drainage tube of appropriate size, two galianconism 4 of its Y type are inserted in the left and right common hepatic duct of liver 6, wherein the length of going into intestinal segment long-armed 3 cut according to actual anatomy insert in the intestinal 7 after making suitable shape, after choledochoscope road pipe 1 is cut into appropriate length,, implant skin of abdomen 5 times with the crooked ligation of an end.When needs are removed gallbladder mud, when dredging bridge tube or carrying out cholangiography, are only needed make a little otch at abdominal part, the choledochoscope road pipe 1 of bending is discharged, can carry out, after work is finished, choledochoscope road pipe still can return imbed subcutaneous.

Embodiment two: the road and bridge pipe of the interior drainage of biliary tract and intestine shown in embodiment one, and it is long-armed for one that wherein choledochoscope Lu Guanyu goes into intestinal segment, and two galianconism in Y-piece road are one with going into common hepatic duct segment length arm, also include a connection tube.During use, will go into common hepatic duct section long-armed scissors according to clinical needs is appropriate length, by connection tube with go into that intestinal segment is long-armed to be coupled together, the junction can be pricked and close.

Present embodiment only needs a kind of specification, and mould is required when making lowly, and shortcoming is that the joint portion is arranged in vivo, has the seepage of bile of generation etc. may.

Claims

1, a kind of interior drainage of biliary tract and intestine road and bridge pipe, comprise that two piped galianconism [4], one are piped long-armed, described galianconism [4] and long-armed connection, the Y-piece road structure that constitutes, it is characterized in that: also include choledochoscope road pipe [1], described choledochoscope road pipe [1] is communicated with long-armed, connection place between Junction on bend ahead point for going into common hepatic duct segment length arm [2], connection place opposite side is for going into intestinal segment long-armed [3], and the length of going into common hepatic duct segment length arm [2] is between 2 centimetres to 6 centimetres.

2, interior drainage of biliary tract and intestine as claimed in claim 1 road and bridge pipe is characterized in that: described choledochoscope road pipe [1] is arranged vertically with plane, Y-piece road.

3, interior drainage of biliary tract and intestine as claimed in claim 2 road and bridge pipe is characterized in that: described choledochoscope road pipe [1] is slick arcuate structure with long-armed junction inwall.

4, interior drainage of biliary tract and intestine as claimed in claim 1 road and bridge pipe is characterized in that: the angle between two galianconism [4] of described Y type is between 130 degree are spent to 160.

5, interior drainage of biliary tract and intestine as claimed in claim 4 road and bridge pipe is characterized in that: the angle between two galianconism [4] of described Y type is between 150 degree are spent to 160.

6, as claim 1 or 2 or 3 or 4 described interior drainage of biliary tract and intestine road and bridge pipes, it is characterized in that: Y-piece road and choledochoscope road pipe [1] are structure as a whole.

7, as claim 1 or 2 or 3 or 4 described interior drainage of biliary tract and intestine road and bridge pipes, it is characterized in that: described long-armed by going into common hepatic duct segment length arm [2] and go into intestinal segment long-armed [3] to constitute, go into long-armed [3] one ends of intestinal segment and choledochoscope road pipe [1] and be communicated as one, and by connection tube with go into common hepatic duct segment length arm [2] and be connected.

8, as claim 1 or 2 or 3 or 4 described interior drainage of biliary tract and intestine road and bridge pipes, it is characterized in that: described choledochoscope road pipe [1] is provided with tee T with long-armed junction, goes into common hepatic duct segment length arm [2], goes into intestinal segment long-armed [3], choledochoscope road pipe [1] is connected with three interfaces of tee T respectively.

9, as claim 1 or 2 or 3 or 4 described interior drainage of biliary tract and intestine road and bridge pipes, it is characterized in that: described each pipe constitutes by having radiopaque material.