WO2018076957A1 - 一种手术用导件 - Google Patents

一种手术用导件 Download PDF

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Publication number
WO2018076957A1
WO2018076957A1 PCT/CN2017/102006 CN2017102006W WO2018076957A1 WO 2018076957 A1 WO2018076957 A1 WO 2018076957A1 CN 2017102006 W CN2017102006 W CN 2017102006W WO 2018076957 A1 WO2018076957 A1 WO 2018076957A1
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Prior art keywords
surgical guide
cylindrical body
surgical
guide according
wing
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PCT/CN2017/102006
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English (en)
French (fr)
Inventor
李天庆
傅尹志
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高雄医学大学
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Application filed by 高雄医学大学 filed Critical 高雄医学大学
Priority to US16/346,107 priority Critical patent/US10932881B2/en
Priority to SG11201903751UA priority patent/SG11201903751UA/en
Priority to CN201780064017.5A priority patent/CN109996500B/zh
Priority to EP17863950.6A priority patent/EP3533397B1/en
Publication of WO2018076957A1 publication Critical patent/WO2018076957A1/zh

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/320036—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes adapted for use within the carpal tunnel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/317—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for bones or joints, e.g. osteoscopes, arthroscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320044—Blunt dissectors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320052—Guides for cutting instruments

Definitions

  • the present invention relates to a device for treating neurological stress and damage in animals, including methods of treatment and surgery, and more particularly to methods and devices for treating human carpal tunnel syndrome.
  • Carpal tunnel syndrome is the most common peripheral nerve compression lesion in the human wrist. The main reason is that when the hand nerve (median nerve) enters the palm of the hand at the wrist, it is caused by the compression of the wrist transverse ligament.
  • the clinical symptoms associated with carpal tunnel syndrome are hand swelling and burning tingling, and it is limited to the area of the median nerve innervation of the index finger and middle finger and thumb.
  • a surgical method is generally applied to a patient whose symptoms last longer and is more severe, which is to cut the transverse wrist ligament which is pressed against the nerve to reduce the compression of the nerve, thereby improving the symptoms.
  • Current mainstream non-surgical treatments for carpal tunnel syndrome include rest, limiting activity from trauma, splinting wrists in neutral positions, anti-inflammatory drugs, and steroid injections.
  • the most common procedure is to relieve the pressure on the median nerve by releasing it from the transverse ligament of the wrist.
  • the carpal ligament is cut open. More specifically, the ligaments of the skin and the connected tissue are cut as described above, or with an endoscope, wherein a small incision is made by inserting a wrist through the endoscope. The median nerve is isolated and separated from the wrist ligament. The ligament is then cut and the pressure is relieved from the median nerve.
  • the invention provides a surgical guide, comprising: a long column-shaped body, which is hollow, has a half cylinder on an upper side, and has a rectangular parallelepiped at the bottom thereof, and has a long groove communicating with the tail and the tail, the semi-cylindrical body
  • the inner portion is in communication with the inner portion of the rectangular parallelepiped;
  • a wing portion having a wing shape is disposed at one end of the long cylindrical body and joined to one side of the rectangular parallelepiped body and extends from both ends of the one side for the surgical holding
  • a replaceable dilator placed in the elongated slot for expanding a surgical opening of the distracted tissue, wherein the dilator can be adjacent to the side of the wing by the cuboid in the trough
  • the progressive mode is replaced by different sizes for expansion.
  • the replaceable dilator is in the form of a round rod, and is sequentially connected by a tail rod handle, a threaded rod and an expanding rod body.
  • the long columnar body and the wing are integrally formed.
  • the device further includes a limiting member that is annularly sleeved on the other side of the elongated cylindrical body and joined to the other side of the rectangular parallelepiped for supporting the tissue during surgery.
  • a limiting member that is annularly sleeved on the other side of the elongated cylindrical body and joined to the other side of the rectangular parallelepiped for supporting the tissue during surgery.
  • the long columnar body, the wing portion and the limiting member are integrally formed.
  • the semi-cylindrical body on the upper side of the elongated cylindrical body has a thread on an outer surface adjacent to the wing portion for frictionally extending the elongated cylindrical body into the tissue.
  • a tool is further included in the slot for cutting the portion to be cut.
  • an imaging member is further included in an appropriate portion of the elongated slot and includes an external imaging member for surgical operation.
  • it is for hand, wrist, elbow, shoulder, spine, hip, knee, ankle or foot surgery.
  • it is for the treatment of carpal tunnel syndrome.
  • the invention provides a surgical guide, comprising: a long column-shaped body, which is hollow, has a half cylinder on an upper side, and has a rectangular parallelepiped at the bottom thereof, and has a long groove communicating with the tail and the tail, the semi-cylindrical body The inner portion is in communication with the inner portion of the rectangular parallelepiped; a limiting member is annularly sleeved on the other side of the long cylindrical body and joined to the other side of the rectangular parallelepiped for supporting the tissue during surgery And a replaceable dilator placed in the elongated slot for expanding a surgical opening of the distracted tissue, wherein the dilator can be adjacent to the side of the wing by the cuboid in the trough
  • the progressive mode is replaced by different sizes for expansion.
  • the replaceable dilator is in the form of a round rod, and is sequentially connected by a tail rod handle, a threaded rod and an expanding rod body.
  • the long columnar body and the limiting member are integrally formed.
  • the method further includes a wing portion having a wing shape disposed at one end of the long columnar body and joined to one side of the rectangular parallelepiped body and extending from both ends of the side body for surgical holding .
  • a wing portion having a wing shape disposed at one end of the long columnar body and joined to one side of the rectangular parallelepiped body and extending from both ends of the side body for surgical holding .
  • the long columnar body, the limiting member and the wing are integrally formed.
  • the semi-cylindrical body on the upper side of the elongated cylindrical body has a thread on an outer surface adjacent to the wing portion for frictionally extending the elongated cylindrical body into the tissue.
  • a tool is further included in the slot for cutting the portion to be cut.
  • an imaging member is further included in an appropriate portion of the elongated slot and includes an external imaging member for surgical operation.
  • it is for hand, wrist, elbow, shoulder, spine, hip, knee, ankle or foot surgery.
  • it is for the treatment of carpal tunnel syndrome.
  • Figure 1 is a schematic view of a surgical guide of the present invention.
  • Figure 2 is a schematic illustration of a replaceable dilator in a surgical guide of the present invention.
  • Figure 3 is a schematic view showing the combination of the surgical guide of the present invention.
  • Embodiment 1 is not intended to be limiting, but merely to present various aspects of the invention.
  • the present invention provides a surgical guide (10) comprising: a long cylindrical body (20) having a hollow shape with a half cylinder (21) on the upper side thereof. It has a thread (211) at one end near the grip, a cuboid (22) at the bottom, and a long groove (23) communicating with the tail and the tail, and the inside of the semi-cylinder is in communication with the inside of the cuboid a wing portion (30) having a wing shape disposed at one end of the long columnar body and joined to one side of the rectangular parallelepiped and extending from both ends of the one side for surgical holding; a limit member (40) annularly sleeved on the other side of the elongated cylindrical body and joined to the other side of the rectangular parallelepiped for occlusion of tissue during surgery; and a replaceable dilator (50), shown In FIG. 2, it is in the shape of a round rod, and is sequentially connected by a tail rod
  • FIG 3 is a schematic view showing the combination of the surgical guide of the present invention, that is, the displaced expander (50) is placed in the long groove of the rectangular parallelepiped (22) of the elongated cylindrical body (20).
  • the threaded rod (53) of the replaceable dilator (50) and the upper side of the long cylindrical body (20) The semi-cylindrical body (21) has a position corresponding to the thread (211) at an outer surface adjacent to the wing portion (ie, near the grip) to form a surgical guide (10), which can be rotated
  • the rod (52) extends into the hand tissue for expansion.
  • the dilator (50) is replaced with a cutter (not shown), and the inside of the long groove is used to cut the portion of the transverse carpal ligament to be cut and the restriction member (40) is passed. Informing the physician that the proper cutting position has been reached, avoiding cutting to the tissue that is not to be cut forward, and in the cutting process, an imaging member (not shown) disposed at an appropriate portion of the long groove may be used. The imaging is performed and an external imaging member is included to facilitate the operation.
  • the dilator may be displaced from the one side of the wing by the cuboid in a progressive manner in a different size (e.g., in the order of 5 mm, 6 mm, or 7 mm).

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
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  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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  • Orthopedic Medicine & Surgery (AREA)
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  • Physical Education & Sports Medicine (AREA)
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  • Oral & Maxillofacial Surgery (AREA)
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Abstract

一种手术用导件（10），包括：一长柱状本体（20），呈中空状，长柱状本体（20）上侧具有一半圆柱体（21），长柱状本体（20）底部具有一长方体（22），长方体（22）内有一头尾相通的长槽（23），半圆柱体（21）的内部与长方体（22）的内部相通；一翼状部（30），具有翅膀状，设置于长柱状本体（20）的一端并接合于长方体（22）的一侧且自一侧的两端伸展，用以供手术握持用；一限位件（40），呈环状而套接于长柱状本体（20）的另一侧并接合于长方体（22）的另一侧，以供手术时顶住组织；以及一可置换的扩张器（50），置放于长槽（23）中，用以扩充撑开组织的手术开口。

Description

一种手术用导件 技术领域
本发明涉及用于治疗在动物神经压迫病症和损伤，包括治疗的方法和手术用的器械，更具体涉及的方法和装置用于治疗人类腕隧道综合症。
背景技术
腕隧道综合症(carpal tunnel syndrome)是人体手腕最常见的周边神经压迫病变，其主要原因是为手部神经(正中神经)在手腕部位进入到手掌时，受到手腕的腕横韧带压迫所引起。有关于腕隧道综合症的临床症状为手部肿痛灼热及刺痛麻木，且其局限于食指和中指及大拇指的正中神经支配的区域。临床医疗上，通常对于症状持续较久且较厉害的病患施以外科手术的方法，其是将压迫在神经上面的横腕韧带切开，以使神经的压迫得以减轻，而借以改善症状。腕隧道综合症的当前主流非手术治疗包括休息，限制从创伤的活动，在中立位置夹板手腕，消炎药，和类固醇注射。
最常见的手术是通过从腕横韧带释放它，以减轻对正中神经的压力。通过打开或内窥镜手术，其中腕韧带切开完成。更具体地说，在皮肤和连接组织的韧带上述切开，或者与内窥镜检查，其中，一个小的切口，在通过该内窥镜插入手腕制成。正中神经被隔离，并从腕韧带分开。然后韧带切开和压力从正中神经缓解。
只是目前市售腕隧道综合症手术用刀具，有用装设光源、摄像镜头及显示器等监控装置，让医师在手术进行时知道刀刃的实际切 割处，但这些器械必须要经消毒灭菌处理，且增加手术操作难度，如能有抛弃式手术用的器械，利用器械本身改良减少操作困扰，减少病患手术期间不舒服感，同时增加医师在手术进行的便利。
发明内容
本发明提供一种手术用导件，包括：一长柱状本体，呈中空状，其上侧具有一半圆柱体，其底部具有一长方体，其内有一头尾相通的长槽，该半圆柱体的内部与该长方体的内部是相通；一翼状部，具有翅膀状，设置于该长柱状本体的一端并接合于该长方体的一侧且自该一侧的两端伸展，用以供手术握持用；以及一可置换的扩张器，置放于该长槽中，用以扩充撑开组织的手术开口，其中，该扩张器可由该长方体靠近该翼状部的该一侧而于该长槽内以渐进方式作不同尺寸的置换，以进行扩张。
在一实施例中，其中该可置换的扩张器呈圆杆状，依序由一尾部杆柄、一螺纹杆与一扩张用的杆体连接而成。
在一实施例中，其中该长柱状本体及该翼状部为一体成型。
在一实施例中，其更包含一限位件，该限位件呈环状而套接于该长柱状本体的另一侧并接合于该长方体的另一侧，以供手术时顶住组织。较佳地，其中该长柱状本体、该翼状部及该限位件为一体成型。
在一实施例中，其中该长柱状本体上侧的半圆柱体于邻近该翼状部处的外表面具有螺纹，用以使该长柱状本体可摩擦式地伸入于该组织。
在一实施例中，进而包含一刀具，设置于该长槽内，用以切开所欲切除的部位。
在一实施例中，进而包含一摄像构件，置于该长槽的一适当部位，并包含一外接的显像构件，以利手术的进行。
在一实施例中，其是用于手部、腕部、肘部、肩部、脊椎、臀部、膝部、踝部或足部手术。
在一实施例中，其是用于腕隧道综合症的治疗。
本发明提供一种手术用导件，包括：一长柱状本体，呈中空状，其上侧具有一半圆柱体，其底部具有一长方体，其内有一头尾相通的长槽，该半圆柱体的内部与该长方体的内部是相通；一限位件，该限位件呈环状而套接于该长柱状本体的另一侧并接合于该长方体的另一侧，以供手术时顶住组织；以及一可置换的扩张器，置放于该长槽中，用以扩充撑开组织的手术开口，其中，该扩张器可由该长方体靠近该翼状部的该一侧而于该长槽内以渐进方式作不同尺寸的置换，以进行扩张。
在一实施例中，其中该可置换的扩张器呈圆杆状，依序由一尾部杆柄、一螺纹杆与一扩张用的杆体连接而成。
在一实施例中，其中该长柱状本体及该限位件为一体成型。
在一实施例中，其更包含一翼状部，具有翅膀状，设置于该长柱状本体的一端并接合于该长方体的一侧且自该一侧的两端伸展，用以供手术握持用。较佳地，其中该长柱状本体、该限位件及该翼状部为一体成型。
在一实施例中，其中该长柱状本体上侧的半圆柱体于邻近该翼状部处的外表面具有螺纹，用以使该长柱状本体可摩擦式地伸入于该组织。
在一实施例中，进而包含一刀具，设置于该长槽内，用以切开所欲切除的部位。
在一实施例中，进而包含一摄像构件，置于该长槽的一适当部位，并包含一外接的显像构件，以利手术的进行。
在一实施例中，其是用于手部、腕部、肘部、肩部、脊椎、臀部、膝部、踝部或足部手术。
在一实施例中，其是用于腕隧道综合症的治疗。
图式简单说明
图1是本发明手术用导件的示意图。
图2是本发明手术用导件中可置换扩张器的示意图。
图3是本发明手术用导件的组合示意图。
符号说明
10 手术用导件
20 长柱状本体
21 半圆柱体
211 螺纹
22 长方体
23 长槽
30 翼状部
40 限位件
50 扩张器
51 尾部杆柄
52 杆体
53 螺纹杆。
具体实施方式
以下的实施例非为限定用途，仅用以呈现此发明的多种方面。实施例一
参考图1-3，如图1所示，本发明提供一种手术用导件(10)，包括：一长柱状本体(20)，呈中空状，其上侧具有一半圆柱体(21)，其于接近手握处的一端具有螺纹(211)，其底部具有一长方体(22)，且其内有一头尾相通的长槽(23)，该半圆柱体的内部与该长方体的内部是相通；一翼状部(30)，具有翅膀状，设置于该长柱状本体的一端并接合于该长方体的一侧且自该一侧的两端伸展，用以供手术握持用；一限位件(40)，呈环状而套接于该长柱状本体的另一侧并接合于该长方体的另一侧，以供手术时顶住组织；以及一可置换的扩张器(50)，其示于图2中，是呈圆杆状，依序由一尾部杆柄(51)、一螺纹杆(53)与作为扩张用的一杆体(52)连接而成，置放于该长槽中，用以扩充撑开组织的手术开口。
图3所示为本发明手术用导件的组合示意图，即该置换的扩张器(50)是置放于该长柱状本体(20)的长方体(22)的长槽中。在实际操作中，该可置换的扩张器(50)中螺纹杆(53)与该长柱状本体(20)上侧的 半圆柱体(21)于邻近该翼状部(30)处(即接近手握处)的外表面所具有该螺纹(211)位置互相契合，形成手术用导件(10)，可旋转该螺纹将杆体(52)伸入于手部组织，以进行扩张。在扩张完成后，利用一刀具(未显示)替换扩张器(50)，并顺着该长槽内往前用以切开所欲切除横腕韧带的部位且透过限位件(40)，告知医师适当切割位置已到达，避免往前切到不欲切割的组织，在切割过程中，也可用置于该长槽的一适当部位的一摄像构件(未示于图中)，其用以进行摄像，并包含一外接的显像构件，以利手术的进行。该扩张器可由该长方体靠近该翼状部的该一侧而于该长槽内以渐进方式作不同尺寸(如由5mm、6mm或至7mm的顺序)的置换。
为使此发明所属技术领域中技术人员得以了解制作以及使用这项技艺的方法，此发明已描述并已充分详细举例说明，然而，各式各样的变体、修改或改进应被视为无异于此项发明的精神与范围。
本发明所属技术领域中技术人员易于理解本发明适合于实现目的以及获得先前所提到的固有的结果及优点。本发明所使用的仪器，材料以及生产它们的过程和方法是代表最佳实施例，是示例性质，而不作为限制本发明的范围用途。本领域的技术人员与制作或使用此项技艺时所将产生的修改或其他用途都涵盖于本发明的精神内，并且由权利要求范围所限定。

Claims (20)

  1. 一种手术用导件，包括:
    一长柱状本体，呈中空状，其上侧具有一半圆柱体，其底部具有一长方体，其内有一头尾相通的长槽，所述半圆柱体的内部与所述长方体的内部是相通；
    一翼状部，具有翅膀状，设置于所述长柱状本体的一端并接合于所述长方体的一侧且自所述一侧的两端伸展，用以供手术握持用；以及
    一可置换的扩张器，置放于所述长槽中，用以扩充撑开组织的手术开口，
    其中，所述扩张器能够由所述长方体靠近所述翼状部的所述一侧而于所述长槽内以渐进方式作不同尺寸的置换，以进行扩张。
  2. 根据权利要求1所述的手术用导件，其中所述可置换的扩张器呈圆杆状，依序由一尾部杆柄、一螺纹杆与一扩张用的杆体连接而成。
  3. 根据权利要求1所述的手术用导件，其中所述长柱状本体及所述翼状部为一体成型。
  4. 根据权利要求1所述的手术用导件，其还包含一限位件，所述限位件呈环状而套接于所述长柱状本体的另一侧并接合于所述长方体的另一侧，以供手术时顶住组织。
  5. 根据权利要求4所述的手术用导件，其中所述长柱状本体、所述翼状部及所述限位件为一体成型。
  6. 根据权利要求1所述的手术用导件，其中所述长柱状本体上侧的 半圆柱体于邻近所述翼状部处的外表面具有螺纹，用以使所述长柱状本体可摩擦式地伸入于所述组织。
  7. 根据权利要求1所述的手术用导件，进一步包含一刀具，设置于所述长槽内，用以切开所欲切除的部位。
  8. 根据权利要求1所述的手术用导件，进一步包含一摄像构件，置于所述长槽的一适当部位，并包含一外接的显像构件，以利手术的进行。
  9. 根据权利要求1所述的手术用导件，其是用于手部、腕部、肘部、肩部、脊椎、臀部、膝部、踝部或足部手术。
  10. 根据权利要求1所述的手术用导件，其是用于腕隧道综合症的治疗。
  11. 一种手术用导件，包括:
    一长柱状本体，呈中空状，其上侧具有一半圆柱体，其底部具有一长方体，其内有一头尾相通的长槽，所述半圆柱体的内部与所述长方体的内部是相通；
    一限位件，所述限位件呈环状而套接于所述长柱状本体的另一侧并接合于所述长方体的另一侧，以供手术时顶住组织；以及
    一可置换的扩张器，置放于所述长槽中，用以扩充撑开组织的手术开口，
    其中，所述扩张器能够由所述长方体靠近所述翼状部的所述一侧而于所述长槽内以渐进方式作不同尺寸的置换，以进行扩张。
  12. 根据权利要求11所述的手术用导件，其中所述可置换的扩张器呈 圆杆状，依序由一尾部杆柄、一螺纹杆与一扩张用的杆体连接而成。
  13. 根据权利要求11所述的手术用导件，其中所述长柱状本体及所述限位件为一体成型。
  14. 根据权利要求11所述的手术用导件，其还包含一翼状部，具有翅膀状，设置于所述长柱状本体的一端并接合于所述长方体的一侧且自所述一侧的两端伸展，用以供手术握持用。
  15. 根据权利要求14所述的手术用导件，其中所述长柱状本体、所述限位件及所述翼状部为一体成型。
  16. 根据权利要求11所述的手术用导件，其中所述长柱状本体上侧的半圆柱体于邻近所述翼状部处的外表面具有螺纹，用以使所述长柱状本体可摩擦式地伸入于所述组织。
  17. 根据权利要求11所述的手术用导件，进一步包含一刀具，设置于所述长槽内，用以切开所欲切除的部位。
  18. 根据权利要求11所述的手术用导件，进一步包含一摄像构件，置于所述长槽的一适当部位，并包含一外接的显像构件，以利手术的进行。
  19. 根据权利要求11所述的手术用导件，其是用于手部、腕部、肘部、肩部、脊椎、臀部、膝部、踝部或足部手术。
  20. 根据权利要求11所述的手术用导件，其是用于腕隧道综合症的治疗。
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