CN2770694Y - Nasal stomach bile duct - Google Patents

Abstract

The utility model relates to a tube for a nose, a stomach and a gallbladder, which belongs to a medical appliance. The utility model has the technical scheme that an elastic dilator is arranged on the front end of a tube body, and an opening is formed on the end part of the tube body; a side hole is arranged on the tube body near the dilator. The rear part of the tube body is inserted into a stomach tube to be connected with the inner wall of one side of the stomach tube, and a side hole is arranged on the front end of the stomach tube. The utility model can be operated conveniently, pain of patients can be relieved and other disease symptoms can be avoided.

Description

Nose, stomach bile duct

Technical field

This utility model belongs to a kind of medical apparatus and instruments, specifically a kind of nose, stomach bile duct.

Background technology

When doing operation on biliary tract, for avoiding the early stage bile of the postoperative abdominal cavity of bleeding, custom is inserted in the common bile duct drain to external with T type pipe.The defective of this T type Tube Drain art is: indwelling time is long, usually need just can pull out after 14～30 days after surgery, body fluid electrolyte and digestive enzyme are lost thereupon, cause the Water-Electrolyte disorder, digestive function descends, in addition, because of lay T type pipe improper due to gallbladder leakage, bile duct injury, intestinal tube pressurized damage, T type pipe is deviate from and tube drawing after the biliary peritonitis that causes etc., still happen occasionally, cause serious consequence.

Summary of the invention

The purpose of this utility model is to design a kind of nose, stomach bile duct, with handled easily, alleviates patient's misery, avoids causing other disease.

According to design provided by the utility model, at the front end of body an elastic dilator is set, and forms opening in the end of body, the position near dilator on body is provided with side opening.

Dilator is made ring-type or splayed by latex rubber.

Body comprises bile duct body and stomach tube body, and wherein the total length of bile duct body portion is 1200 millimeters, and bile duct part external diameter is 3～4 millimeters, internal diameter is 1.5～2.5 millimeters, the total length of stomach tube body portion is 500～700 millimeters, and external diameter is 6～8 millimeters, and internal diameter is 4～6 millimeters.Near the initial position of stomach tube side opening is set on the body.

The utility model has the advantages that: 1, simple to operate, reliable, when operation, do not need to place nose bile duct by scope, alleviated patient's misery and expense, the failure problem that does not have original nose bile duct when intubate, may occur; 2, owing to need before art, not place nose bile duct, avoided because of placing the nose bile duct problem the problem includes: in the obstruction operation exploration of common bile duct get problems such as stone and choledochoscope inspection; 3, eliminated and pulled out behind the T type pipe because of the fistula road forms not exclusively the complication that causes gallbladder to leak; 4, this utility model adopts polyurethane to make, biocompatibility is good, and the soft pliable song does not have the danger of stopping up, fractureing, its external diameter is thinner, so it is the involutory no tension force of choledochal wall cutting section is sewed up easily, special under the situation that common bile duct is not expanded, more apparent its superiority, and former nose bile duct is a screw type, causes the involutory stitching difficulty of choledochal wall cutting section, and its tip has the choledochal wall of passing incision suture to cause the Lou worry of gallbladder; 5, adopt this device after, can pull out nose bile duct in back 5 days in operation, classical T type pipe external drainage need be placed and compare in 14～30 days, has obviously shortened extubation time, and nose bile duct flows to along biliary tract physiology, part bile flows into duodenum around the nose bile duct, and this phenomenon postoperative confirmed through the capable cholangiography of nose bile duct, therefore, the a large amount of drawbacks that run off of bile have been overcome, patient recovers to have shortened the hospital stays soon, has saved hospitalization cost.In addition, this utility model has also overcome nose bile duct and has caused untoward reaction such as bottleneck throat discomfort.

Description of drawings

Fig. 1 is nose, stomach gallbladder tube structure figure.

The specific embodiment

Figure 1 shows that the nose bile duct structure, at the front end of body 4 an elastic dilator 1 is set, and form opening 2 in the end of body 4, the position near dilator 1 on body 4 is provided with two side openings 3.Nose bile duct length is 1200 millimeters, and external diameter is 3～4 millimeters, and internal diameter is 1.5～2.5 millimeters.Stomach bile duct length is 200～300 millimeters, and bile duct part external diameter is 3～4 millimeters, and internal diameter is 1.5～2.5 millimeters.Dilator 1 is made ring-type or splayed by latex rubber.During use, cut common bile duct through opening abdominal operation, after getting clean calculus, the nose bile duct guide (seeing another patent " the mid-nose of art; stomach bile duct guide " of my application) of band being led core inserts common bile duct, enter duodenum by the distal common bile duct vater's papilla, the sense that falls through is arranged this moment, make the Directional Sign of bile duct guide point to the right side, extract and lead core, the nose bile duct guide is pushed 2 centimetres to duodenum again, make the head end opening of stomach bile duct guide point to pylorus, insert endoscopic forceps from the nose bile duct guide, biopsy forceps enters duodenum under the nose bile duct guiding, and upwards arrive gastral cavity by pylorus, the shape of tail latex bar that biopsy forceps is clamped guiding stomach tube (seeing another patent " the mid-nose bile duct guiding of art stomach tube " that I apply for) front end is inducted into duodenum with it, and enter biliary tract by vater's papilla, the shape of tail latex bar of guiding stomach tube front end is inserted nose bile duct tail end tube chamber, and through and through suture is fixed, outside nasal cavity, draw stomach tube, make nose bile duct enter duodenum by vater's papilla, stomach, esophagus is drawn the nostril at last.The dilator of nose bile duct head end is placed into left and right sides common hepatic duct fluidic junction, and dilator relies on the elastic force nature support fixation of self in bile duct, and the nose bile duct body is straight to be placed in the common bile duct, utilizes No. 1 or No. zero silk thread interruption holostrome stitching common bile duct.Nothing was pulled out nose bile duct after leaking gallbladder to postoperative through the capable cholangiography of nose bile duct in 5 days.

Fig. 2 is the stomach bile duct, and insert in the stomach tube 5 at the rear portion of body 4, and be close on the side inwall of stomach tube 5.Front end at stomach tube is provided with two side openings 6.The total length of body 4 is 500～700 millimeters, and wherein the bile duct partial-length is 200～300 millimeters, and bile duct part external diameter is 3～4 millimeters, and internal diameter is 1.5～2.5 millimeters, and the external diameter of stomach tube part is 6～8 millimeters, and internal diameter is 6～4 millimeters.

During use, cut common bile duct through opening abdominal operation, after getting clean calculus, the nose bile duct guide of band being led core inserts common bile duct, enter duodenum by the distal common bile duct vater's papilla, the sense that falls through is arranged this moment, make the Directional Sign of bile duct guide point to the right side, extract and lead core, the nose bile duct guide is pushed 2 centimetres to duodenum again, make the head end opening of stomach bile duct guide point to pylorus, insert endoscopic forceps from the nose bile duct guide, biopsy forceps enters duodenum under the nose bile duct guiding, and upwards arrive gastral cavity by pylorus, make a purse string suture at body of stomach antetheca seromuscular layer, punching into gastral cavity in pocket central authorities, from then on the guiding biopsy forceps passes gastral cavity in the hole, the dilator that biopsy forceps is clamped stomach bile duct head end is inducted into stomach with it, duodenum, and enter biliary tract by vater's papilla, and tighten up the pocket knotting, around the stomach bile duct, do a purse string suture again.Stomach bile duct afterbody is drawn the abdominal cavity in the corresponding stomach wall puncture of body of stomach antetheca round ligament of liver, and body of stomach antetheca seromuscular layer and round ligament of liver are sewed up around the stomach bile duct, utterly destroy the tunnel of stomach bile duct in free abdominal cavity.The dilator of stomach bile duct head is placed into left and right sides common hepatic duct fluidic junction, and dilator relies on the elastic force of self to be supported in naturally in the bile duct, and what stomach bile duct trunk was straight places in the common bile duct, No. zero or No. 1 silk thread interruption holostrome stitching common bile duct.The open stomach tube in operation back, bile duct make its bile drainage and gastric juice.Can close stomach tube when needing.No gallbladder was pulled out the stomach bile duct after leaking to postoperative through the capable cholangiography of stomach bile duct in 5 days.Need carry out enteral nutrition as patient, postoperative can be extracted the stomach bile duct to duodenum under the X line monitors.The biliary stent of stomach bile duct becomes the enteral nutrition pipe like this.

Claims (6)

1, nose, stomach bile duct is characterized in that: the front end at body (4) is provided with an elastic dilator (1), and forms opening (2) in the end of body (4), and the position of going up near dilator (1) at body (4) is provided with side opening (3).

2, nose according to claim 1, stomach bile duct is characterized in that: insert in the stomach tube (5) at the rear portion of body (4), and be connected on the side inwall of stomach tube (5).

3, nose according to claim 2, stomach bile duct is characterized in that: the front end at stomach tube is provided with side opening (6).

4, nose according to claim 1 and 2, stomach bile duct, it is characterized in that: body (4) comprises bile duct body and stomach tube body, wherein the total length of bile duct body portion is 1200 millimeters, bile duct part external diameter is 3～4 millimeters, internal diameter is 1.5～2.5 millimeters, the total length of stomach tube body portion is 500～700 millimeters, and external diameter is 6～8 millimeters, and internal diameter is 4～6 millimeters.

5, nose according to claim 1, stomach bile duct is characterized in that: dilator (1) is made ring-type or splayed by latex rubber.

6, nose according to claim 1, stomach bile duct, it is characterized in that: body utilizes polyurethane to make.