WO2017206783A1 - 骨盆腔内膀胱底外支架和植入方法 - Google Patents

骨盆腔内膀胱底外支架和植入方法 Download PDF

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Publication number
WO2017206783A1
WO2017206783A1 PCT/CN2017/085812 CN2017085812W WO2017206783A1 WO 2017206783 A1 WO2017206783 A1 WO 2017206783A1 CN 2017085812 W CN2017085812 W CN 2017085812W WO 2017206783 A1 WO2017206783 A1 WO 2017206783A1
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Prior art keywords
bladder
pubic
pelvic
stent
injection channel
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PCT/CN2017/085812
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English (en)
French (fr)
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周建
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周建
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Application filed by 周建 filed Critical 周建
Priority to US16/304,088 priority Critical patent/US10952835B2/en
Priority to JP2019516043A priority patent/JP6689556B2/ja
Publication of WO2017206783A1 publication Critical patent/WO2017206783A1/zh

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    • A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
    • A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
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Definitions

  • the invention discloses a pelvic cavity endoscopic external stent implanted by surgery. It is used to improve the physiological function and function caused by the internal organs deficiency caused by the internal organs. It involves human senile diseases, Chinese doctors' internal gas theory and medical records, Western doctors understand the anatomy and surgical stent implantation technology, and medical three-dimensional printing technology. field. In the well-known theory of doctors, there is a discussion that "the lack of gas will cause the internal organs to fall down.” The lack of gas in life is mostly caused by the age of people after the age of 50. It is a life course that everyone cannot overcome. "Zhongqi" is one of the definitions of the Chinese doctor's science in "internal gas”.
  • the gas in the coke is not just the spleen and stomach.
  • the "qi" of the inner air is written as: ⁇ , which is different from the gas of breath and the gas phase of the grain, indicating that the material of the life level of " ⁇ ” exists objectively in human life (the following uses "qi” to represent the ⁇ character) And act on the whole process of human life.
  • the source of internal gas is called vitality, which is congenital; the vitality is the life fuel given by nature when a certain characteristic life originates. The quality and quantity of the vitality is determined from the moment when the living body exists. It is exhausted with age, and the lack of gas is a quantitative phase before the exhaustion of the vitality.
  • the present invention relates to the well-known Western doctor's understanding of the section, and the theory does not recognize the objective existence of the "qi" living substance in human life. Therefore, the lesions of the epigenetic group are separated and characterized. Although there is a definition of senile syndrome, only the phenomenological lesions can be treated according to anatomical classification, and the blood sputum caused by poor blood circulation of various organs is attributed to local inflammation. Targeted drugs lead to necrosis of directional organs. When applied to a broad-spectrum drug, it causes side-effect damage. The dysfunction after surgical removal of necrotic tissue symptoms cannot be avoided, indicating that its scientific nature is obviously insufficient, and the basic theory is wrong, resulting in diagnosis and treatment errors. .
  • the present invention relates to well-known stenting techniques and methods for stenting in Western medicine. Since the Western medical community did not correctly recognize the group lesions in the abdominal cavity during the prior art before the present invention, the surgical stent implantation technique does not use the expertise and method of pelvic endoscopic stent implantation.
  • the present invention relates to the field of medical tomography and three-dimensional data reconstruction techniques and three-dimensional three-dimensional printing technology, and uses a known printing technique of medical metal, ceramic and plastic materials to manufacture a personalized pelvic bladder endoscopic stent.
  • the closest to the creation of the present invention is the intraurethral stent implantation technique in the urinary system case, which is achieved by implanting a metal stent directly into the urethra from the outer urethra to expand the prostate and the internal and external sphincter internal urethra.
  • the inadequacy is the loss of function of the prostate and internal and external sphincters, the sense of abnormality is obvious, easy to be infected, can not eliminate the group of lesions in the abdominal cavity, and the condition of the deterioration of the auto-ecology can not be improved.
  • Intraurethral stent implantation techniques do not involve techniques and methods for abdominal surgery.
  • the invention raises the bladder by implanting the external bladder stent in the pelvic cavity, so that the internal and external sphincters, the prostate and the urethra are no longer subjected to the squeezing to restore the original physiological functions, and the independent ecological functions of other organs are improved and restored, and the group is effectively eliminated.
  • the lesions correct the errors in the understanding of the syndrome of the elderly defined in the pathology of Western medicine.
  • the well-known metal stent in the bladder urethra completely loses the contraction and closure function of the urethra in an open infection state. Its expansion force forces the male prostate to squeeze the rectum, while the female urethra directly squeezes the rectum, which causes difficulty in excretion of the feces and rectum. Prolapse.
  • the metal stent in the urethra only serves to artificially expand the urethra to release urine.
  • the well-known virtual reality technology is the pelvic cavity of the invention, and the external stent and the implantation method are realized by the characteristic individual belly.
  • the cavity structure 3D data virtual pelvic environment simulation method to verify the bladder reduction surgery program provides the basic theory and basic hardware.
  • the object of the present invention is to provide a pelvic cavity endoscopic stent and an implantation method, which can reduce the organ in the abdominal cavity, eliminate the crush injury of the pelvic viscera, restore the physiological function of each organ, and effectively improve The quality of life and longevity of human beings in old age.
  • the theory of the internal organs of the Chinese medicine is used to study the effective elimination of the five lesions in the pelvic cavity. And the method of implanting the front end fixed to the pelvic pubic comb to raise the lower body to eliminate the crush damage of the pelvic visceral organs below the bladder, and to achieve the recovery of the organ function.
  • Preparation of the pelvic cavity endoscopic stent The abdominal tomography data is converted into three-dimensional data using a well-known medical three-dimensional printing technology solution, and the prototype design parameters of the pelvic cavity external support in the pelvic cavity are completely matched by the three-dimensional modeling software.
  • the overall structure of the pelvic cavity bladder outer stent is assembled by two left and right pelvic cavity bladder outer stents and bridges with the same mirror image structure; the left and right pelvic cavity bladder outer stents with the same mirror image structure are provided with pubic combs.
  • the bridge plate and the bridge plate pubic symphysis gap, the bridge fixing hole, the bladder seat and the decompression arc; the front end of the bridge plate connects the pubic comb on the hook, the rear end connects the bladder seat, and the bridge plate is arranged into a frame-like surface
  • the front end is provided with a pubic symphysis gap, and the pubic comb is provided with a hook along the outer side of the nick.
  • the pubic comb is provided with an injection channel input hole and a screw hole along the hook surface; a bridge fixing hole is arranged inside the pubic symphysis; the bladder seat is arranged In a funnel shape conforming to the structure of the bladder neck, the funnel-shaped central decompression arc is arranged to avoid the shape of the bladder sphincter, and the injection channel output hole is arranged on the arc surface; the decompression arc is set on the cross section of the bridge between the hooks on the pubic comb
  • the two chucks are coupled with the two bridge fixing holes to fix the left and right pelvic cavity inner bladder outer brackets into a whole body.
  • the overall structure of the pelvic cavity and the outer support is assembled by the left and right pelvic cystic bladder outer stents and bridges with the same mirror image structure; the left and right pelvic cavity of the bladder with the same mirror structure are connected with the pubic bone at the front end.
  • the surface is provided with a screw hole
  • the pubic comb is connected to the outside of the pubic symphysis gap at the front end of the bridge plate along the hook
  • the pubic comb is provided with an injection channel input hole along the upper portion of the hook
  • the screw is provided in the input hole of the injection channel
  • a pubic symphysis gap is connected to the inner side of the front end of the plate, and a bridge fixing hole is arranged on the plane of the bridge plate at the pubic symphysis
  • the bladder seat is connected to the rear end of the bridge plate, and the bladder seat is arranged in a funnel shape conforming to the bladder neck structure, and the funnel-shaped center is reduced.
  • the arc is arranged to avoid the shape of the bladder sphincter, and the injection channel output hole is arranged on the decompression arc surface;
  • the bridge plate is arranged as a frame curved structure;
  • the injection channel output hole on the decompression arc surface is injected through the bridge plate section
  • the channel is connected to the pubic comb along the hook injection channel input hole, and the screw at the input end of the injection channel is used to connect the sealing screw, the electrode or deliver the drug In vitro ligation;
  • a gate-shaped bridge arranged to meet cuboid deck surface, are connected to both ends of a flat rectangular parallelepiped having a chuck fall prevention structure;
  • bladder pelvic cavity bottom left outer bracket The piece is connected to one end of the bridge through the fixing hole, and the other end of the connecting bridge is connected to the right piece of the bladder bottom outer bracket in the pelvic cavity through the fixing hole, and is connected into the outer pelvic cavity inner bladder outer bracket;
  • the characteristic abdominal data was collected using a tomography device: the pelvic cavity end of the bladder was printed and replaced with a medical three-dimensional printer.
  • a tomographic device Prior to implantation, a tomographic device was used to collect characteristic personal abdominal data; according to the well-known Wu Jieping urology, "the bladder position of the newborn is higher than that of the adult, and the urethral opening can reach the level of the upper edge of the pubic symphysis, most of which is located in the abdominal cavity. Even in the In the empty state, the top of the bladder is still above the level of the upper edge of the pubic symphysis. As the age increases, the bladder will gradually fall into the pelvis and reach the position of the person around puberty.” The description begins with the human body standing abdominal cavity tomography scan to obtain the dirty.
  • the pelvic cavity endoscopic stent is placed under the pubic ligament and between the pubic comb and the pubic comb, outside the pubic symphysis, between the bladder outsole and the external sphincter.
  • the implantation method is surgical abdominal stent implantation.
  • the liquid medicine is injected from the injection channel input hole, and after the gas is discharged from the output hole, the input hole is sealed with a special screw.
  • the screw mouth ensures that the drug solution can only ooze out from the injection channel output hole when the body fluid is inflated with body temperature; and then the surgical procedure of the bladder reduction is performed according to the preoperative verification, and the pubic ligament and the pubic comb are removed without damage.
  • the pubic comb can be implanted in the gap along the hook to avoid the pubic symphysis;
  • the male then removes the non-invasive tissue between the bladder outsole and the external sphincter, the posterior part of the bladder outsole and the ampulla of the vas deferens, and makes a gap in the bladder seat implanted at the posterior end of the bladder end of the pelvic cavity;
  • the female removes the already shrinking uterus according to the known medical case, sutures the vaginal opening and the peritoneum, so that the upper space of the bladder is released, and then the non-destructive peeling is created at the junction of the posterior edge of the outer base of the bladder and the outer wall of the vagina.
  • Vaginal truncation and peeling ensure that the bladder seat end can be implanted and the required lifting space, and then suture the vaginal cutoff; the front edge of the bladder bottom and the pubic and pubic comb joints should avoid the clitoris tissue when making non-destructive peeling, and ensure the left and right pelvic cavity
  • the inner bladder bottom outer stent is not pressed against the clitoris tissue when it is connected in a non-contact state;
  • Post-operative treatment is performed according to a known abdominal surgery protocol.
  • the above-mentioned decompression arc to the pubic comb is provided with an injection channel in the cross section of the bridge between the hooks; when the injection channel is used as a drug slow release body, a part of the liquid medicine can be saved, and the liquid medicine automatically exudes from the output hole when the body temperature expands with body temperature. When the pressure inside and outside the injection channel is equal, the oozing stops automatically.
  • the input channel end of the injection channel is provided with a screw; when the connector is installed at the screw, the drug can be injected from the outside of the body to the outer position of the bladder.
  • the above-mentioned injection channel input hole is provided with a screw; when the external connector is installed at the screw, it can be used as an electrode for applying a physical method.
  • the above-mentioned three-dimensional data virtual pelvic environment simulation is used to verify the bladder reduction operation plan by using the characteristic personal abdominal cavity structure.
  • the specific method is to construct a plurality of VR virtual three-dimensional eyes and tactile surgical instruments on the virtual operating table software interactive platform by using the well-known virtual reality technology.
  • the synthetic surgery simulation engineering system the surgical operator exercises the bladder reduction surgery program in the virtual reality environment through the surgical simulation engineering system until the best method and effect are obtained.
  • the pelvic cavity endoscopic stent and implantation method of the invention can correct the existing erroneous disease recognition and treatment plan in the field of senile diseases, correctly carry forward and develop the theoretical and practical achievements of Chinese medicine, and reduce the social medical resources and waste of funds caused by mistakes. And can effectively improve the quality of life and confidence of life in the human age.
  • the pelvic cavity endoscopic stent and implantation method of the present invention should be used. Eliminate group lesions, and substantially improve and improve the quality of life of middle-aged and elderly people.
  • the pelvic intraluminal external stent and implantation method designed by the invention can lift the bladder to the upper position of the pubic bone to prevent the abdominal internal organs from falling and restore the functions of various organs.
  • the funnel-shaped central decompression arc ensures the release of the pressure of the falling gravity on the internal and external sphincters, so that the parasympathetic nerves return to normal perception and signal transmission function, no longer squeeze the male prostate, urethra and rectum, female urethra and rectum, effectively alleviate Or eliminate the group of urinary and associated system lesions, restore excretory function.
  • the new support upper part restores the transverse colon to the original upper posterior position.
  • the jejunum and small intestine are returned, the peritoneum is decompressed, the hernia is eliminated, and the compression force on the bladder is effectively reduced.
  • the increase in space has gradually restored the urine storage to the original level.
  • the new upper support supports the pancreas and kidneys to eliminate the downward force caused by gravity, and the shape and function are restored.
  • the paroxysmal urine sugar and paroxysmal uremia gradually disappear.
  • the new upper part of the support causes the gallbladder and the liver to remove the downward force caused by gravity.
  • the shape and function of the elongated gallbladder are restored, and the uncooked bile is no longer overflowing.
  • the bladder head space is restored, and the volume of urine is increased and recovered when the urine is filled.
  • the urine backtracking increases the intrarenal pressure.
  • the phenomenon disappears;
  • the bladder seat bears the role of supporting the bladder.
  • the space released by the central decompression arc makes the internal and external sphincters of the bladder no longer bear the weight when the bladder is squeezed.
  • the urine-sensing ability and nerve conduction control function are restored, the urine is short, the urine is frequent, and the urine is urinary.
  • the bladder After the bladder is lifted to the upper position of the pubic bone, the lower prostate space is restored, the shape is restored, the blood circulation is smoothed, the blood stasis is quickly metabolized, the inflammation and hypertrophy symptoms are eliminated, the internal urethra is restored, and the urinary retention symptoms are eliminated.
  • the urine no additional effort is exerted, the symptoms of hernia are eliminated; the function of the urethral gland and the ejaculatory duct is restored, and the ejaculation-type sexual dysfunction and the irritability caused by it are eliminated.
  • the frame structure of the pelvic cavity bladder outer stent is low in manufacturing cost, saves materials, is firm and light, and has high matching precision.
  • the gas permeable structure can prevent infection and tissue necrosis caused by body fluid retention at the contact site.
  • the injection channel inside the frame structure of the pelvic cavity bladder outer stent has the function of transporting and storing the drug solution.
  • the drug can be injected from the outside to the outer bottom of the bladder; when the injection channel is used as a drug release body At the time, some of the liquid medicine can be saved, and the liquid medicine is automatically discharged from the output hole when it is swollen with body temperature.
  • the connector can also be used as an electrode for applying physical methods after the connector is installed at the screw end.
  • Figure 1 is a schematic illustration of a group lesion schedule of the present invention.
  • Fig. 2 is a schematic view showing the overall structure of the pelvic cavity outer bladder stent of the present invention.
  • Fig. 3 is a top plan view showing the assembly of the pelvic cavity bladder outer stent of the present invention.
  • Fig. 4 is a top plan view showing the left piece of the pelvic cavity endless stent of the present invention.
  • Fig. 5 is a partial structural view showing the screw hole in the input hole of the injection channel of the pelvic cavity outer stent in the pelvic cavity of the present invention.
  • Fig. 6 is a schematic view showing the structure of a bridge of a bladder bottom outer stent of the pelvic cavity of the present invention.
  • the pelvic cavity bladder outer stent and the implantation method to eliminate.
  • Wu Jieping urology "the bladder position of the newborn is higher than that of the adult, and the urethral opening can reach the level of the upper edge of the pubic symphysis, and most of it is located in the abdominal cavity. Even if the top of the bladder is in the empty state, it is still above the level of the upper edge of the pubic symphysis.
  • the description uses a tomographic scanner to collect characteristic personal abdominal data before implantation.
  • the data acquisition method of the pelvic cavity external bladder stent includes: firstly, the human body standing body position abdominal cavity tomography scan, obtain the three-dimensional spatial position data when the organ is completely dropped; and then do the human body supine tilting 20-40 degree angular position abdominal cavity tomography scan, The three-dimensional spatial position data of the adult prepubertal organ was not simulated, and the three-dimensional database of the characteristic individual abdominal cavity structure was generated, and then converted into a three-dimensional modeling software data format, and the pelvic cavity was created after modifying the characteristic abdominal cavity structure model and modifying the prototype design parameters.
  • the internal bladder bottom outer stent model file verifies the bladder reduction surgical plan by characterizing the individual abdominal cavity three-dimensional data virtual pelvic environment simulation; the method is to construct a plurality of VR virtual three-dimensional eyes and tactile surgical instruments on the virtual operating table using well-known virtual reality technology.
  • the surgical simulation engineering system is integrated, and the surgical operator exercises the bladder reduction surgery program in the virtual reality environment through the surgical simulation engineering system until the best method and effect are obtained.
  • Obtain all the safe operation data of the validated bladder reduction surgery program including the three-dimensional spatial position data and geometric shape data when each organ is completely dropped, the three-dimensional spatial position data and geometric shape data of each organ can be lifted), and then raise according to the determination.
  • the medical nano-ceramic material and the preparation process are selected, and the pelvic cavity bladder outer stent of the frame structure is printed by the medical-grade three-dimensional printer.
  • the parameters include the spatial position in the pelvic cavity, the pelvis and organ shape data; according to the characteristics of the individual abdominal cavity structure data model (including the data of the two models of the falling state and the post-lift state), through the surgical simulation of the engineering system in virtual reality
  • the environmentally-operated bladder reduction surgery program obtained validated safe operation data, and then modified the prototype design parameters of the bladder-outer stent in the pelvic cavity to generate a virtual pelvic bladder-outer stent.
  • This virtual pelvic cavity endoscopic stent was then brought into the surgery simulation system environment to repeat the exercise of the bladder reduction surgery in the virtual reality environment until the implantation operation was all smooth, and the virtual pelvic cavity was completely completed.
  • the model file of the pelvic cavity bladder external support model that is, the pelvic cavity bladder base stent model data.
  • the overall structure of the external bladder of the pelvic cavity is composed of two left and right 1-L pelvic cavity outer bladder stents and a bridge 6; the pelvic cavity
  • the inner bladder bottom outer stent structure is provided with a pubic comb along the hook 9 and the screw hole 10, the bridge plate 7 and the bridge plate pubic bone joint gap, the bridge fixing hole 8, the bladder seat 2 and the decompression arc 3; the pubic comb is hooked on the hook
  • the curved structure has a hook shape, one side of the curved surface is connected to the front end of the bridge plate, and the rear end of the bridge plate is connected to the bladder seat; the pubic comb is placed on the outer side of the pubic symphysis gap of the bridge plate, and the pubic comb is provided with an injection along the hook surface.
  • the channel input hole 5 and the screw port 5-2; the bridge plate 7 is arranged in a mesh curved surface structure, and the front end is provided with a pubic symphysis gap, the pubic joint gap is provided with a bridge fixing hole 8 on the plane of the bridge plate, and the back end is provided with a bladder seat 2, the bladder seat is set to conform to the funnel shape of the bladder neck structure,
  • the funnel-shaped central decompression arc 3 is arranged to avoid the shape of the bladder sphincter, and the injection channel output hole 4 is arranged on the arc surface; the injection channel connection input hole 5 and the output hole 4 are arranged in the bridge plate section.
  • the anterior and posterior pelvic cavity of the same anterior pelvic cavity is connected with a pubic comb along the hook (used to buckle the pubic comb from the pubic comb), and the surface is provided with a screw hole (for the pelvic cavity)
  • the bottom outer bracket and the pubic comb are firmly positioned.
  • the pubic comb is connected to the outer side of the pubic symphysis in the front end of the bridge.
  • the pubic comb is provided with an injection channel input hole along the upper portion of the hook, and a screw hole is arranged in the input hole of the injection channel;
  • a pubic symphysis gap is connected to the inner side of the front end, a bridge fixing hole is arranged at the pubic joint gap;
  • a bladder seat is connected to the rear end of the bridge plate, and the bladder seat is arranged in a funnel shape conforming to the bladder neck structure, and the decompression arc of the funnel-shaped center is set to avoid
  • the bladder sphincter shape is opened, and the injection channel output hole is arranged on the decompression arc surface;
  • the bridge plate is arranged as a frame curved structure; the injection channel output hole on the decompression arc surface is connected to the pubic comb through the injection channel provided in the bridge plate section
  • Upper hook injection channel input hole, screw port of injection channel input hole end is used to connect sealing screw, electrode or external connector for drug delivery;
  • bridge is set to The door-shaped rectangular parallele
  • the pubic comb is integrated with the hook, the bridge plate and the bladder seat.
  • the rectangular parallelepiped and the chuck of the bridge form a door-shaped rectangular structure, that is, the door frame structure of the house; the lower plane of the rectangular parallelepiped coincides with the curved surface formed by the connection of the two bridge plates, the upper and lower planes are parallel; the upper plane and all the vertical planes
  • the angle is guided into an arc; the ends of the lower plane of the rectangular parallelepiped are respectively connected with a chuck having an anti-drop structure.
  • the characteristic symmetry angle of the personal pubic comb the angle formed by the two bridge plates connected by the bridge is obtained.
  • the throat tube 5-1 is placed on the pubic comb along the surface of the hook.
  • the throat tube 5-1 is a part of the injection channel, the diameter is the same, and the screw port 5-2 is connected outside the throat tube for setting electrodes or delivering drugs.
  • Body connector is a part of the injection channel, the diameter is the same, and the screw port 5-2 is connected outside the throat tube for setting electrodes or delivering drugs.
  • the bridge 6 is arranged to conform to the curved structure of the left and right bridge plates to form a curved door structure 6-1 structure, which is molded by using nylon plastic with the same elasticity and strength as the pubic ligament.
  • a chuck 6-2 having an anti-shedding structure is respectively disposed on the planes of both ends of the rectangular parallelepiped above the gate structure. The two chucks are fixedly connected with the two bridge fixing holes to ensure a fixed gap between the left and right symmetrical sides of the bladder bottom outer bracket in the pelvic cavity.
  • the implantation method is surgical abdominal stent implantation.
  • the liquid medicine is injected from the injection channel input hole, and after the gas is discharged from the output hole, the input hole is sealed with a special screw.
  • the screw mouth ensures that the drug solution can only ooze out from the injection channel output hole when the body fluid is inflated with body temperature; and then the surgical procedure of the bladder reduction is performed according to the preoperative verification, and the pubic ligament and the pubic comb are removed without damage.
  • the pubic comb can be implanted in the gap along the hook to avoid the pubic symphysis;
  • the male then removes the non-invasive tissue between the bladder outsole and the external sphincter, the posterior part of the bladder outsole and the ampulla of the vas deferens, and makes a gap in the bladder seat implanted at the posterior end of the bladder end of the pelvic cavity;
  • the female removes the already shrinking uterus according to the known medical case, sutures the vaginal opening and the peritoneum, so that the upper space of the bladder is released, and then the non-destructive peeling is created at the junction of the posterior edge of the outer base of the bladder and the outer wall of the vagina.
  • Vaginal truncation and peeling ensure that the bladder seat can be implanted and the required lifting space, and then suture the vaginal cutoff; the bladder bottom leading edge and shame
  • the clitoris tissue should be avoided to ensure that there is no space for the left and right pelvic cavity in the non-contact state.
  • the medical electric drill is positioned according to the screw hole provided on the pubic comb along the hook curved surface, and the medical countersunk screw fixes the bladder bottom outer bracket of the pelvic cavity to the outer side of the pubic comb to ensure that the screw cap cannot have protrusion;
  • the chucks at both ends of the bridge are respectively inserted into the two fixing holes on the left and right sides of the front end of the bridge plate to ensure that the left and right bladder bottom outer brackets are connected and fixed in a non-contact state;
  • the postoperative treatment is performed according to a known abdominal surgery program.
  • the drug can be injected from the outside of the body to the outer bottom of the bladder; when the injection channel is used as a drug release body, a part of the drug solution can be saved, and the drug is injected into the sealed connector to ensure that the drug solution is inflated with body temperature. It can only ooze out from the output hole, and the oozing will stop automatically when the pressure inside and outside the injection channel is equal.
  • the connector can be used as an electrode for applying a physical method after the connector is installed at the screw of the injection channel input hole.

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Abstract

骨盆腔内膀胱底外支架（1）和植入方法，根据中医中气不足导致五脏六腑下坠的理论发明。骨盆腔内膀胱底外支架（1）通过后端设置在膀胱外底部位和前端固定到骨盆耻骨梳部位抬升下坠体的方法消除膀胱以下骨盆腔内脏器相互挤压损伤出现的群病灶，恢复脏器功能，实现精准医疗，切实提高人类中老龄时期的生存质量和寿命。骨盆腔内膀胱底外支架（1）结构内部设置有注射通道，输入孔（5）端设置有螺口（5-2）可连接到体外设备。骨盆腔内膀胱底外支架（1）使用断层扫描三维立体建模技术生成完全符合特征个人骨盆耻骨梳和膀胱外底生理形状和腹腔空间形态的模型文件，并打印成医用材料质量的框架结构的骨盆腔内膀胱底外支架（1）。术前采用虚拟现实技术模拟验证手术安全方案。

Description

骨盆腔内膀胱底外支架和植入方法 技术领域
本发明公开了一种通过外科手术植入的骨盆腔内膀胱底外支架。用于改善内气不足时导致五脏六腑下坠引起的生理机能和功能下降，涉及人类老年性疾病，中医生理内气理论和医案，西医生理解剖学和外科支架植入技术，医用三维立体打印技术领域。公知中医生理理论中有“中气不足时会导致五脏六腑下坠”的论述，人生的中气不足多发于人50岁之后的老年阶段，是每个人都无法逾越的生命进程。“中气”是“内气”的中医生理学分类学定义之一，中焦之气，不只是指脾胃之气。内气的“气”古人写成：炁，与呼吸之气和五谷之氣相区别，表示“炁”这个生命层次的物质客观存在于人类生命中(以下文中均用“气”，代表炁字)，并作用于人类生命的全过程。内气之源称为元气，既先天之气；元气是某特征生命起源时大自然赋予的寿命燃料。元气的质与量是生命体存在的那一刻起就已经确定，随着年龄增长而耗尽，中气不足是元气耗尽前的一个量变阶段。为此古人有通过补益脾胃之气来充盈后天之气“重在茹素、少食、不冷食”的保中气之法，更有经典验方《补中益气方》调整中气不足。由于《补中益气方》所补之气是后天之气，不是先天之气。后天之气与先天之气存在本质上差异，所补后天之气只能相对阻止后天耗损之气不再蚕蚀先天之气，不能完全替代和补充先天之气的损耗。来源于药物的后天之气，在药物半衰期的规律作用下，人需要长期服用和递增药量才能让后天之气暂时够用。尽管如此，人类生命的中气必将耗尽是客观事实，终有不可救药的痛苦时段伴随余生。每个人当中气不足时会导致五脏六腑下坠，在骨盆腔和泌尿生殖隔的阻止下五脏六腑在腹膜内外发生相互挤压引起各器官组织和功能损伤，呈现非孤立状态的群病灶(见图1)。
本发明涉及到公知的西医生理解剖学，其理论中没有认识到“气”这个生命物质在人类生命中的客观存在。因此，把表象群病灶割裂开来定性，虽有老年综合征之定义，也只能对表象病灶按解剖学分门别类加以论治，把各脏器血循环不畅造成的血瘀归结为局部炎症，施于靶向药物导致定向脏器坏死，施于广谱药物时又导致副作用损伤，施于外科切除坏死组织症状后功能障碍无法避免，表明其科学性明显存在不足，基础理论存在错误，致使诊断治疗错误。
本发明涉及到公知的西医人体内支架外科手术植入技术和方法。由于在本发明之前西方医学界对腹腔中脏器下坠出现的群病灶没有正确地认知，所以外科支架植入技术中没有使用骨盆腔内膀胱底外支架植入的专门技术和方法。
本发明涉及到公知的医用断层扫描和三维立体数据重建技术和三维立体打印技术领域，使用公知的医用金属、陶瓷及塑料材料的打印技术来制造个性化的骨盆腔内膀胱底外支架。
背景技术
近现代中医学中对中气不足认识普遍停留在《内经》“人以水谷为本”的宗旨，以“人以胃气为本”的思想为基础，着力阐发“内伤脾胃，百病由生”的病机理论，倡导培补脾土、潜降阴火的治则思想，形成较为系统的脾胃内伤病的辨证论治理论体系，及李东垣《脾胃论》定义的中气是指脾胃之气阶段，并没有足够的认识到人类老年至衰亡的生理特征中内气衰弱之时必然导致产生中气不足阶段。
使用公知的中国古代经典验方《补中益气》按脉相加减方治疗方法，用后天之气补益先天之气的消耗，可改善和减缓五脏六腑下坠程度维持数年，延缓到达不可救药阶段。年龄增长最终必将发生先天之气的中气不足至中气衰弱导致无法逆转地五脏六腑下坠，令老年人生存质量严重下降到无助的痛苦时期。由于现代中医理论在内气的验证研究方面手段西化结论出现否认倾向，因此没有使用骨盆腔内膀胱底外支架植入减压的方法来复原膀胱位置，消除群病灶中泌尿系统障碍的解决方案。
西医生理解剖学中公知的吴阶平《泌尿外科学》里有“新生儿的膀胱位置比成人高，尿道内口可达耻骨联合上缘水平，大部分位于腹腔内。即使处于排空状态膀胱顶部仍在耻骨联合上缘水平以上。随着年龄的增长，膀胱将逐渐降入骨盆内，青春期左右达成人的位置。……膀胱周围有盆筋膜及其形成的韧带对其起支持作用，维持膀胱在一正常水平。”的描述。只是找到了年龄增长膀胱位置产生下移的客观规律，并用筋膜及韧带松弛来解释这个规律的作用力，没有如古典中医学认识到膀胱位置产生下移的客观规律是人体内中气不足所致，更没有认识到随着年龄增长五脏六腑是同时下坠，只能针对泌尿系统论治，在切除前列腺之后仍不能恢复功能，还是要采用把导尿管插入尿道至膀胱的人工排尿方法，或者使用尿道内支架来替代自主功能，一步一步地破坏自主生态。在本发明之前西医学对腹腔中脏器下坠出现的群病灶没有正确地认知，所以外科支架植入技术中没有使用骨盆腔内膀胱底外支架植入的方法，没有使用复原膀胱位置来消除排泄系统障碍和弥补筋膜及韧带松弛的解决方案。
与本发明创造最接近的是泌尿系统医案中的尿道内支架植入技术，该技术和方法通过从尿道外口直接将金属支架植入尿道内，使其扩张前列腺和内外括约肌内部尿道实现人工协助排尿，不足之处是前列腺和内外括约肌功能丧失，异样感明显，易感染，不能消除腹腔中脏器下坠出现的群病灶，自主生态依然恶化的状况无法改善。尿道内支架植入技术不涉及腹腔手术技术和方法。本发明是通过植入骨盆腔内膀胱底外支架抬升膀胱，使内、外括约肌，前列腺和尿道不再承受挤压恢复原本的生理机能，并改善和恢复其他器官自主生态功能，有效地消除群病灶，纠正西医病理学中定义的老年综合征认识的错误。
公知的西医的体内支架植入技术已经比较成熟，但没有本发明的骨盆腔内膀胱底外支架和植入方法的相同和近似的专利技术。
公知的膀胱底尿道内植金属支架完全丧失了尿道的收缩关闭功能呈开放感染状态，其占位扩张力迫使男性的前列腺挤压直肠，女性则尿道直接挤压直肠，会造成粪便排泄困难和直肠脱垂。尿道内植金属支架只是起到人工扩张尿道释放尿液的作用。
公知的虚拟现实技术为本发明骨盆腔内膀胱底外支架和植入方法实现通过特征个人腹 腔构造三维数据虚拟骨盆环境模拟验证膀胱复位手术方案的方法提供了基础理论和基础硬件。
发明内容
本发明的目的是提供一种骨盆腔内膀胱底外支架和植入方法，使腹腔内下坠的脏器实现复位，消除骨盆腔内脏器的挤压损伤，恢复各脏器的生理功能，切实提高人类中老龄时期的生存质量和寿命。
根据中医中气不足导致的五脏六腑下坠的理论，研究五脏在骨盆腔内发生相互挤压损伤出现群病灶的有效消除方法后发明骨盆腔内膀胱底外支架，通过后端设置在膀胱外底部位和前端固定到骨盆耻骨梳部位抬升下坠体的植入方法消除膀胱以下骨盆腔内脏器的挤压损伤，实现脏器功能恢复。骨盆腔内膀胱底外支架的制备使用公知的医用三维立体打印技术解决方案把腹部断层扫描数据转换成三维立体数据，通过三维立体建模软件修改骨盆腔内膀胱底外支架原型设计参数生成完全符合特征个人骨盆耻骨梳和膀胱外底生理形状和腹腔空间形态的骨盆腔内膀胱底外支架模型文件，并打印成医用材料质量的框架结构的个性化骨盆腔内膀胱底外支架实体。骨盆腔内膀胱底外支架的整体结构由镜像结构相同的左右两片骨盆腔内膀胱底外支架和桥接器组装成型；镜像结构相同的左右两片骨盆腔内膀胱底外支架设置有耻骨梳上沿钩和螺钉孔，桥板和桥板耻骨联合缺口，桥接器固定孔，膀胱座和减压弧；桥板前端连接耻骨梳上沿钩，后端连接膀胱座，桥板设置成框架状曲面结构；前端设置有耻骨联合缺口，缺口外侧设置耻骨梳上沿钩，耻骨梳上沿钩曲面上设置有注射通道输入孔和螺钉孔；耻骨联合缺口处内侧设置有桥接器固定孔；膀胱座设置成符合膀胱颈结构的漏斗状，漏斗状的中心减压弧设置成避开膀胱括约肌形状，弧面上设置有注射通道输出孔；减压弧至耻骨梳上沿钩之间桥板断面中设置有注射通道，注射通道输入孔端设置有螺口，用于设置密封螺丝、电极或输送药物的体外连接器；桥接器设置成符合桥板曲面的门形长方体结构，长方体两端平面上分别设置一个具有防脱落结构的卡头。两卡头与两个桥接器固定孔配合连接固定左右两片骨盆腔内膀胱底外支架成整体。
骨盆腔内膀肮底外支架的整体结构由镜像结构相同的左右两片骨盆胱内膀胱底外支架和桥接器组装成型；镜像结构相同的左右两片骨盆腔内膀胱底外支架前端连接有耻骨梳上沿钩，曲面上设置有螺钉孔，耻骨梳上沿钩连接桥板前端耻骨联合缺口外侧，耻骨梳上沿钩上部设置有注射通道输入孔，注射通道输入孔内设置有螺口；桥板前端内侧连接有耻骨联合缺口，耻骨联合缺口处桥板平面上设置有桥接器固定孔；桥板后端连接有膀胱座，膀胱座设置成符合膀胱颈结构的漏斗状，漏斗状中心的减压弧设置成避开膀胱括约肌形状，减压弧弧面上设置有注射通道输出孔；桥板设置成框架曲面结构；减压弧弧面上的注射通道输出孔通过桥板断面中设置的注射通道连接到耻骨梳上沿钩注射通道输入孔，注射通道输入孔端的螺口用于连接密封螺丝、电极或输送药物的体外连接器；桥接器设置成符合桥板曲面的门形长方体结构，长方体两端平面上分别连接一个具有防脱落结构的卡头；骨盆腔内膀胱底外支架左 片通过固定孔连接桥接器一端，连接桥接器另一端通过固定孔连接骨盆腔内膀胱底外支架右片，连接成整体骨盆腔内膀胱底外支架；
使用断层扫描装置采集特征个人腹腔数据：再用医用三维立体打印机打印成型的骨盆腔内膀胱底外支架备用。
植入前使用断层扫描装置采集特征个人腹腔数据；根据公知的吴阶平泌尿外科学中“新生儿的膀胱位置比成人高，尿道内口可达耻骨联合上缘水平，大部分位于腹腔内。即使处于排空状态膀胱顶部仍在耻骨联合上缘水平以上。随着年龄的增长，膀胱将逐渐降入骨盆内，青春期左右达成人的位置。”的描述，首先做人体站立体位腹腔断层扫描，获得脏器完全下坠时的三维空间位置数据；再做人体仰卧倒倾20～40度角体位腹腔断层扫描，获得模拟成人青春期前脏器未下坠时的三维空间位置数据，生成特征个人腹腔构造三维数据库，再转换成三维建模软件数据格式，创建该特征个人腹腔构造模型和修改原型设计参数后的骨盆腔内膀胱底外支架模型文件，通过特征个人腹腔构造三维数据虚拟骨盆环境模拟验证膀胱复位手术方案后，用医用三维立体打印机打印成型备用；手术操作人员需通过特征个人腹腔构造模型和修改原型设计参数后的膀胱外支架模型的打印件实习，获得验证地膀胱复位手术方案安全操作的全部数据。
骨盆腔内膀胱底外支架的植入位置在耻骨梳韧带下与耻骨梳上沿和耻骨梳外侧面，耻骨联合部位外侧，到膀胱外底和外括约肌之间。
植入方法为外科腹腔支架植入手术，在公知的腹腔手术方案做术前无菌处置完成后，把药液从注射通道输入孔注入，待输出孔无气体排出后，用专用螺丝密封输入孔螺口，保证术后药液随体温热胀时只能从注射通道输出孔渗出；再按术前验证地膀胱复位手术方案操作，对耻骨梳韧带与耻骨梳上沿进行无损伤组织剥离做出骨盆腔内膀胱底外支架的耻骨梳上沿钩可以植入的间隙，避开耻骨联合部位；
男性再对膀胱外底和外括约肌之间，膀胱外底后部与输精管壶腹之间进行无损伤组织剥离，做出骨盆腔内膀胱底外支架后端的膀胱座植入的间隙；
女性按公知医案摘除已经萎缩的子宫，缝合阴道内口和腹膜，使膀胱上部空间得到释放，再在膀胱外底后缘与阴道外壁连接处做无损剥离创建间隔，无法剥离者需要在此做阴道截断剥离保证膀胱座端能够植入和所需提升空间，再缝合阴道截断处开口；膀胱底前缘与耻骨、耻骨梳连接处做无损剥离时要避开阴蒂组织，保证左右两片骨盆腔内膀胱底外支架呈非接触状态连接固定时不压迫阴蒂组织；
分别将左右两片骨盆腔内膀胱底外支架沿耻骨梳上沿间隙插入，使耻骨梳上沿钩与左右耻骨梳上沿和外侧面完全吻合，使膀胱座与膀胱外底完全吻合并准确避开内括约肌；用医用电钻按耻骨梳上沿钩曲面设置的螺钉孔定位打孔，将医用螺钉把骨盆腔内膀胱底外支架固定到耻骨梳外侧面上，保证螺丝帽没有突起；再将打印成的桥接器两端的卡头分别按进桥板前端左右两个固定孔中，保证左右两片骨盆腔内膀胱底外支架之间呈非接触状态连接固定；
植入完成需按公知的腹腔手术方案做术后处置。
上述的减压弧至耻骨梳上沿钩之间桥板断面中设置有注射通道；当注射通道作为药物缓释体时可以储蓄部分药液，药液随体温热胀时自动从输出孔渗出，当注射通道内外压相等后自动停止渗出。
上述的注射通道输入孔端设置有螺口；当螺口处安装连接器后可从体外注入药物直达膀胱外底部位。
上述的注射通道输入孔设置有螺口；当螺口处安装体外连接器后能够作为施用物理方法的电极使用。
上述的通过特征个人腹腔构造三维数据虚拟骨盆环境模拟验证膀胱复位手术方案，具体方法是使用公知的虚拟现实技术，将多个VR虚拟三维眼睛和触感手术器具构建在虚拟手术台软件互动平台上，整合成手术模拟工程系统，手术操作人员通过手术模拟工程系统在虚拟现实环境内演习膀胱复位手术方案，直至得到最佳方法和效果。
本发明的积极效果：
本发明的骨盆腔内膀胱底外支架和植入方法能够纠正老年性疾病领域现存的错误疾病认识和治疗方案，正确弘扬和发展中医理论和实践成果，减少因错误造成的社会医疗资源和资金浪费，并能够切实提高人类中老龄时期的生存质量和生活信心。
当人体的内气在药物无能为力已至中气匮乏时，或中老年人因排泄障碍导致生存质量严重下降到无助的痛苦时期，应使用本发明的骨盆腔内膀胱底外支架和植入方法消除群病灶，从实质上改善和提升中老年人生存质量。
本发明设计的骨盆腔内膀胱底外支架和植入方法能够将膀胱提升到耻骨上沿位置阻止腹腔内脏器下坠，恢复各脏器功能。
漏斗状的中心减压弧保证释放下坠重力对内、外括约肌的压力，使副交感神经恢复正常感知和信号传递功能，不再挤压男性的前列腺、尿道和直肠，女性的尿道和直肠，有效减轻或消除泌尿及相关联系统的群病灶，恢复排泄功能。
膀胱提升到耻骨上沿位置后横结肠和膈肌得到了新的支撑，被阻止了下坠进程，使心、肺功能得以恢复和稳定。
膀胱提升到耻骨上沿位置后新的支撑上部使横结肠恢复到原来的上后部位置，空肠和小肠随之回位，腹膜得以减压，疝气消除；有效减少对膀胱的挤压力，膀胱上部空间增加，使尿液储纳量逐渐恢复到原来水平。
膀胱提升到耻骨上沿位置后新的支撑上部使胰腺和肾脏消除重力引起的向下的力基本回位，形状和功能得到恢复，阵发性尿糖和阵发性尿毒症逐渐消失。
膀胱提升到耻骨上沿位置后新的支撑上部使胆囊和肝脏消除重力引起的向下的力基本回位，因肝脏下坠受到拉长的胆囊形状和功能得到恢复，未熟胆汁不再外溢，黄尿和尿毒症状消失，熟化的胆汁使消化能力恢复，体内偏酸导致皮肤湿痒的症状消失。
膀胱提升到耻骨上沿位置后使上部的脏器基本回位，膀胱顶部空间得到恢复，尿液充盈时的容量随之增加和恢复；膀胱内三角区空间恢复后，尿液回溯增加肾脏内压现象消失； 膀胱座承担支撑膀胱的作用，中心减压弧释放的空间使膀胱内、外括约肌不再承受膀胱被挤压时的重量，逼尿感知能力和神经传导控制功能得以恢复，尿短，尿频，尿急症状消失；精囊和输精管被挤压力消除，性功能恢复。
膀胱提升到耻骨上沿位置后使下部的前列腺空间还原，形状恢复，血液循环得以畅通，瘀血积液很快被代谢干净，炎症和肥大症状消除，内部经过的尿道恢复通畅，尿潴留症状消除，尿便时不再额外使劲用力，疝气症状消除；尿道球腺和射精管功能恢复，射精疼痛型性功能障碍及其引起的烦躁症状消除。
膀胱提升到耻骨上沿位置后使下部的泌尿生殖隔等组织形状和弹性恢复，不再挤压内部经过的尿道和外部的直肠，大小便交替潴留和排泄，直肠脱出，内痔外翻症状消除。
骨盆腔内膀胱底外支架的框架结构优点：采用三维立体打印技术制造成本低，节省材料，坚固质轻，吻合精度高，透气性结构可防止接触部位体液滞留引起的感染和组织坏死。
骨盆腔内膀胱底外支架的框架结构内部的注射通道具有输送和存储药液的功能，输入孔螺口端安装连接器后可从体外注入药物直达膀胱外底部；当注射通道作为药物缓释体时，可以储蓄部分药液，药液随体温热胀时自动从输出孔排出给药。输入孔螺口端安装连接器后还能够作为施用物理方法的电极使用。
手术操作人员通过使用虚拟现实技术整合成的手术模拟工程系统实习验证膀胱复位手术方案，能够保证每一个手术的精准质量和安全性。
附图说明
图1是本发明的群病灶时间表示意图。
图2是本发明的骨盆腔内膀胱底外支架的总成立体结构示意图。
图3是本发明的骨盆腔内膀胱底外支架的总成俯视结构示意图。
图4是本发明的骨盆腔内膀胱底外支架的左片俯视结构示意图。
图5是本发明的骨盆腔内膀胱底外支架的注射通道输入孔内螺口局部结构示意图。
图6是本发明的骨盆腔内膀胱底外支架的桥接器结构示意图。
其中，1整体结构，1-L一翼支架，2膀胱座，3减压弧，4注射通道输出孔，5注射通道输入孔，5-1内喉管，5-2螺口，6桥接器，6-1门形结构，6-2卡头，7桥板，8桥接器固定孔，9耻骨梳上沿钩，10螺钉孔。
具体实施方式
见图1，根据群病灶时间表所示，一般情况下人到50岁时脏器下坠就已经造成多个脏器功能下降，开始影响生存质量。剖腹产出生的人和年轻时做过腹腔手术的人出现脏器下坠的时间和程度要早于群病灶时间表所示时间，开始影响生存质量的时间多在50岁之前；坚持各种良好的体育、健身运动的人会在50岁之后开始影响生存质量；女性一般晚于男性。在知道脏器下坠时开始服用《补中益气》丸剂一般可以缓解下坠速度和程度，有效性与服用 时初始年龄和体质及服用方法和剂量有关，可以维持延缓3到5年时间不等。公知的西医外科腹腔手术安全年龄段一般在60岁之前，建议在50岁左右时施用本发明骨盆腔内膀胱底外支架和植入方法，可以避免其后时间段内发生的痛苦。
当人体出现中气不足导致腹腔脏器下坠，在骨盆腔内发生相互挤压损伤出现群病灶时需要使用骨盆腔内膀胱底外支架和植入方法来消除。根据公知的吴阶平泌尿外科学中“新生儿的膀胱位置比成人高，尿道内口可达耻骨联合上缘水平，大部分位于腹腔内。即使处于排空状态膀胱顶部仍在耻骨联合上缘水平以上。随着年龄的增长，膀胱将逐渐降入骨盆内，青春期左右达成人的位置。”的描述，在植入前使用断层扫描装置采集特征个人腹腔数据。骨盆腔内膀胱底外支架的数据采集方法包括：首先做人体站立体位腹腔断层扫描，获得脏器完全下坠时的三维空间位置数据；再做人体仰卧倒倾20～40度角体位腹腔断层扫描，获得模拟成人青春期前脏器未下坠时的三维空间位置数据，生成特征个人腹腔构造三维数据库，再转换成三维建模软件数据格式，创建该特征个人腹腔构造模型和修改原型设计参数后的骨盆腔内膀胱底外支架模型文件，通过特征个人腹腔构造三维数据虚拟骨盆环境模拟验证膀胱复位手术方案；方法是使用公知的虚拟现实技术，将多个VR虚拟三维眼睛和触感手术器具构建在虚拟手术台软件互动平台上，整合成手术模拟工程系统，手术操作人员通过手术模拟工程系统在虚拟现实环境内演习膀胱复位手术方案，直至得到最佳方法和效果。获得验证地膀胱复位手术方案全部的安全操作数据(包括各脏器完全下坠时的三维空间位置数据和几何形状数据，可以抬升的各脏器三维空间位置数据和几何形状数据)后，根据确定抬升后的各脏器三维空间位置数据和几何形状数据转换成修改支架的三维数据，选择医用纳米金属陶瓷材料和制备工艺，采用医用级三维立体打印机打印出框架结构的骨盆腔内膀胱底外支架。
其中，参数包括骨盆腔内的空间位置、骨盆和脏器形状数据；根据特征个人腹腔构造数据模型(包括下坠状态和抬升后的状态两组模型全部的数据)，通过手术模拟工程系统在虚拟现实环境内演习膀胱复位手术方案获得验证的安全操作数据，再对骨盆腔内膀胱底外支架原型设计参数进行具体修改，生成特征个人的虚拟骨盆腔内膀胱底外支架。再将这个虚拟的骨盆腔内膀胱底外支架带入到手术模拟工程系统环境中重复虚拟现实环境内膀胱复位手术方案的演习，直到植入操作一切顺利，虚拟的骨盆腔内膀胱底外支架完全和抬升的各脏器虚拟三维空间位置相吻合，即得到骨盆腔内膀胱底外支架模型文件，即骨盆腔内膀胱底外支架模型数据。
见图2、3、4、5、6，骨盆腔内膀胱底外支架的整体结构1，由镜像结构相同的左右两片1-L骨盆腔内膀胱底外支架和桥接器6组成；骨盆腔内膀胱底外支架结构中设置有耻骨梳上沿钩9和螺钉孔10，桥板7和桥板耻骨联合缺口，桥接器固定孔8，膀胱座2和减压弧3；耻骨梳上沿钩为曲面结构，截面为钩状，曲面的一侧连接在桥板前端，桥板后端连接膀胱座；耻骨梳上沿钩设置在桥板耻骨联合缺口外侧，耻骨梳上沿钩表面设置有注射通道输入孔5和螺口5-2；桥板7设置成网状曲面结构，前端设置有耻骨联合缺口，耻骨联合缺口处桥板平面上设置有桥接器固定孔8，后端设置有膀胱座2，膀胱座设置成符合膀胱颈结构的漏斗状， 漏斗状的中心减压弧3设置成避开膀胱括约肌形状，弧面上设置有注射通道输出孔4；桥板断面中设置有注射通道连接输入孔5和输出孔4。
镜像结构相同的左右两片骨盆腔内膀胱底外支架前端连接有耻骨梳上沿钩(用于从耻骨梳上沿部位扣住耻骨梳)，曲面上设置有螺钉孔(用于骨盆腔内膀胱底外支架与耻骨梳的牢固定位)，耻骨梳上沿钩连接桥板前端耻骨联合缺口外侧，耻骨梳上沿钩上部设置有注射通道输入孔，注射通道输入孔内设置有螺口；桥板前端内侧连接有耻骨联合缺口，耻骨联合缺口处设置有桥接器固定孔；桥板后端连接有膀胱座，膀胱座设置成符合膀胱颈结构的漏斗状，漏斗状中心的减压弧设置成避开膀胱括约肌形状，减压弧弧面上设置有注射通道输出孔；桥板设置成框架曲面结构；减压弧弧面上的注射通道输出孔通过桥板断面中设置的注射通道连接到耻骨梳上沿钩注射通道输入孔，注射通道输入孔端的螺口用于连接密封螺丝、电极或输送药物的体外连接器；桥接器设置成符合桥板曲面的门形长方体结构，长方体两端平面上分别连接一个具有防脱落结构的卡头；骨盆腔内膀胱底外支架左片通过固定孔连接桥接器一端，连接桥接器另一端通过固定孔连接骨盆腔内膀胱底外支架右片，连接成整体骨盆腔内膀胱底外支架。
左或右每片骨盆腔内膀胱底外支架中耻骨梳上沿钩、桥板、膀胱座为一体结构。桥接器的长方体与卡头构成门形长方体结构，即房屋的门框型结构；长方体的下平面与两个桥板连接后形成的曲面相吻合，上、下平面平行；上平面与所有垂直面的夹角导成圆弧；长方体下平面上两端分别连接一个具有防脱落结构的卡头。根据特征个人耻骨梳上沿固有的对称夹角得到两片桥板通过桥接器连接后所成角度。
见图3，设置在耻骨梳上沿钩表面的注射通道输入孔内喉管5-1为注射通道一部分，直径相同，喉管外连接有螺口5-2，用于设置电极或输送药物的体连接器。
见图4，桥接器6设置成符合左右两片桥板组合后形成的曲面结构的门形6-1结构，使用与耻骨联合韧带弹性、强度相同的尼龙塑料打印成型。门形结构上方的长方体两端平面上分别设置一个具有防脱落结构的卡头6-2。两卡头与两个桥接器固定孔配合固定连接成整体，保证骨盆腔内膀胱底外支架左右两片对称边之间具有固定间隙。
植入方法为外科腹腔支架植入手术，在公知的腹腔手术方案做术前无菌处置完成后，把药液从注射通道输入孔注入，待输出孔无气体排出后，用专用螺丝密封输入孔螺口，保证术后药液随体温热胀时只能从注射通道输出孔渗出；再按术前验证地膀胱复位手术方案操作，对耻骨梳韧带与耻骨梳上沿进行无损伤组织剥离做出骨盆腔内膀胱底外支架的耻骨梳上沿钩可以植入的间隙，避开耻骨联合部位；
男性再对膀胱外底和外括约肌之间，膀胱外底后部与输精管壶腹之间进行无损伤组织剥离，做出骨盆腔内膀胱底外支架后端的膀胱座植入的间隙；
女性按公知医案摘除已经萎缩的子宫，缝合阴道内口和腹膜，使膀胱上部空间得到释放，再在膀胱外底后缘与阴道外壁连接处做无损剥离创建间隔，无法剥离者需要在此做阴道截断剥离保证膀胱座端能够植入和所需提升空间，再缝合阴道截断处开口；膀胱底前缘与耻 骨、耻骨梳连接处做无损剥离时要避开阴蒂组织，保证有左右两片骨盆腔内膀胱底外支架呈非接触状态连接固定时不压迫阴蒂组织的空间；
再分别将左右两片骨盆腔内膀胱底外支架沿耻骨梳上沿间隙插入，使耻骨梳上沿钩与左右耻骨梳上沿和外侧面完全吻合，使膀胱座与膀胱外底完全吻合；用医用电钻按耻骨梳上沿钩曲面设置的螺钉孔定位打孔，将医用沉头螺钉把骨盆腔内膀胱底外支架固定到耻骨梳外侧面上，保证螺丝帽不能有突起；再将打印成型的桥接器两端的卡头分别按进桥板前端左右两个固定孔中，保证左右两片骨盆腔内膀胱底外支架之间呈非接触状态连接固定；
植入完成再按公知的腹腔手术方案做术后处置。
注射通道输入孔螺口处安装连接器后可从体外注入药物直达膀胱外底部；当注射通道作为药物缓释体时可以储蓄部分药液，药物注入完毕密封连接器，保证药液随体温热胀时只能从输出孔渗出，当注射通道内外压相等后自动停止渗出。
注射通道输入孔螺口处安装连接器后能够作为施用物理方法的电极使用。

Claims (7)

  1. 骨盆腔内膀胱底外支架，其特征在于：骨盆腔内膀胱底外支架的整体结构由镜像结构相同的左右两片骨盆腔内膀胱底外支架和桥接器组装成型；镜像结构相同的左右两片骨盆腔内膀胱底外支架设置有耻骨梳上沿钩和螺钉孔，桥板和桥板耻骨联合缺口，桥接器固定孔，膀胱座和减压弧；桥板前端连接耻骨梳上沿钩，后端连接膀胱座，桥板设置成框架状曲面结构；前端设置有耻骨联合缺口，缺口外侧设置耻骨梳上沿钩，耻骨梳上沿钩曲面上设置有注射通道输入孔和螺钉孔；耻骨联合缺口处内侧设置有桥接器固定孔；膀胱座设置成符合膀胱颈结构的漏斗状，漏斗状的中心减压弧设置成避开膀胱括约肌形状，弧面上设置有注射通道输出孔；减压弧至耻骨梳上沿钩之间桥板断面中设置有注射通道，注射通道输入孔端设置有螺口，用于设置密封螺丝、电极或输送药物的体外连接器；桥接器设置成符合桥板曲面的门形长方体结构，长方体两端平面上分别设置一个具有防脱落结构的卡头；两卡头与两个桥接器固定孔配合连接固定左右两片骨盆腔内膀胱底外支架成整体。
  2. 骨盆腔内膀胱底外支架，其特征在于：骨盆腔内膀肮底外支架的整体结构由镜像结构相同的左右两片骨盆胱内膀胱底外支架和桥接器组装成型；镜像结构相同的左右两片骨盆腔内膀胱底外支架前端连接有耻骨梳上沿钩，曲面上设置有螺钉孔，耻骨梳上沿钩连接桥板前端耻骨联合缺口外侧，耻骨梳上沿钩上部设置有注射通道输入孔，注射通道输入孔内设置有螺口；桥板前端内侧连接有耻骨联合缺口，耻骨联合缺口处设置有桥接器固定孔；桥板后端连接有膀胱座，膀胱座设置成符合膀胱颈结构的漏斗状，漏斗状中心的减压弧设置成避开膀胱括约肌形状，减压弧弧面上设置有注射通道输出孔；桥板设置成框架曲面结构；减压弧弧面上的注射通道输出孔通过桥板断面中设置的注射通道连接到耻骨梳上沿钩注射通道输入孔，注射通道输入孔端的螺口用于连接密封螺丝、电极或输送药物的体外连接器；桥接器设置成符合桥板曲面的门形长方体结构，长方体两端平面上分别连接一个具有防脱落结构的卡头；骨盆腔内膀胱底外支架左片通过固定孔连接桥接器一端，连接桥接器另一端通过固定孔连接骨盆腔内膀胱底外支架右片，连接成整体骨盆腔内膀胱底外支架。
  3. 根据权利要求1或2所述的骨盆腔内膀胱底外支架，其特征在于：使用断层扫描装置采集特征个人腹腔数据；再用医用三维立体打印机打印成型的骨盆腔内膀胱底外支架备用。
  4. 根据权利要求1或2所述的骨盆腔内膀胱底外支架，其特征在于：所述减压弧弧面上的注射通道输出孔至耻骨梳上沿钩注射通道输入孔之间桥板断面中设置有注射通道：当注射通道作为药物缓释体时可以储蓄部分药液，药液随体温热胀时自动从输出孔渗出，当注射通道内外压相等后自动停止渗出；
    注射通道输入孔内设置有螺口；当螺口处安装连接器后可以注入药物直达膀胱底外部：
    注射通道输入孔内设置有螺口；当螺口处安装连接器后能够作为施用物理方法的电极使用。
  5. 根据权利要求1或2所述的骨盆腔内膀胱底外支架的植入方法，其特征在于包括以下步骤：植入前使用断层扫描装置采集特征个人腹腔数据；首先做人体站立体位腹腔断层扫描，获得脏器完全下坠时的三维空间位置数据；再做人体仰卧倒倾20～40度角体位腹腔断层扫描，获得模拟成人青春期前脏器未下坠时的三维空间位置数据，生成特征个人腹腔构造三维数据库，再转换成三维建模软件数据格式，创建该特征个人腹腔构造模型和修改原型设计参数后的骨盆腔内膀胱底外支架模型文件，通过特征个人腹腔构造三维数据虚拟骨盆环境模拟验证膀胱复位手术方案后，用医用三维立体打印机打印成型备用；手术操作人员需通过特征个人腹腔构造模型和修改原型设计参数后的膀胱外支架模型的打印件实习，获得验证地膀胱复位手术方案安全操作的全部数据。
  6. 根据权利要求5所述的骨盆腔内膀胱底外支架的植入方法，其特征在于：
    骨盆腔内膀胱底外支架的植入位置在耻骨梳韧带下与耻骨梳上沿和耻骨梳外侧面，耻骨联合部位外侧，到膀胱外底和外括约肌之间；
    植入方法为外科腹腔支架植入手术，在公知的腹腔手术方案做术前无菌处置完成后，把药液从注射通道输入孔注入，待输出孔无气体排出后，用专用螺丝密封输入孔螺口，保证术后药液随体温热胀时只能从注射通道输出孔渗出；再按术前验证地膀胱复位手术方案操作，对耻骨梳韧带与耻骨梳上沿进行无损伤组织剥离做出骨盆腔内膀胱底外支架的耻骨梳上沿钩可以植入的间隙，避开耻骨联合部位；
    男性再对膀胱外底和外括约肌之间，膀胱外底后部与输精管壶腹之间进行无损伤组织剥离，做出骨盆腔内膀胱底外支架后端的膀胱座植入的间隙；
    女性按公知医案摘除已经萎缩的子宫，缝合阴道内口和腹膜，使膀胱上部空间得到释放，再在膀胱外底后缘与阴道外壁连接处做无损剥离创建间隔，无法剥离者需要在此做阴道截断剥离保证膀胱座端能够植入和所需提升空间，再缝合阴道截断处开口；膀胱底前缘与耻骨、耻骨梳连接处做无损剥离时要避开阴蒂组织，保证左右两片骨盆腔内膀胱底外支架呈非接触状态连接固定时不压迫阴蒂组织；
    分别将左右两片骨盆腔内膀胱底外支架沿耻骨梳上沿间隙插入，使耻骨梳上沿钩与左右耻骨梳上沿和外侧面完全吻合，使膀胱座与膀胱外底完全吻合并准确避开内括约肌；用医用电钻按耻骨梳上沿钩曲面设置的螺钉孔定位打孔，将医用螺钉把骨盆腔内膀胱底外支架固定到耻骨梳外侧面上，保证螺丝帽没有突起；再将打印成的桥接器两端的卡头分别按进桥板前端左右两个固定孔中，保证左右两片骨盆腔内膀胱底外支架之间呈非接触状态连接固定；
    植入完成需按公知的腹腔手术方案做术后处置。
  7. 根据权利要求5所述的骨盆腔内膀胱底外支架的植入方法，其特征在于：
    减压弧至耻骨梳上沿钩之间桥板断面中设置有注射通道；当注射通道作为药物缓释体时可以储蓄部分药液，药液随体温热胀时自动从输出孔渗出，当注射通道内外压相等后自动停止渗出；
    注射通道输入孔端设置有螺口；当螺口处安装连接器后可从体外注入药物直达膀胱外底 部位；
    注射通道输入孔设置有螺口；当螺口处安装体外连接器后能够作为施用物理方法的电极使用；
    通过特征个人腹腔构造三维数据虚拟骨盆环境模拟验证膀胱复位手术方案，具体方法是使用公知的虚拟现实技术，将多个VR虚拟三维眼睛和触感手术器具构建在虚拟手术台软件互动平台上，整合成手术模拟工程系统，手术操作人员通过手术模拟工程系统在虚拟现实环境内演习膀胱复位手术方案，直至得到最佳方法和效果。
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