CN103908355B - Artificial anus - Google Patents
Artificial anus Download PDFInfo
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- CN103908355B CN103908355B CN201410148244.4A CN201410148244A CN103908355B CN 103908355 B CN103908355 B CN 103908355B CN 201410148244 A CN201410148244 A CN 201410148244A CN 103908355 B CN103908355 B CN 103908355B
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- Prior art keywords
- inner sleeve
- corrugated tube
- edge
- trocar sheath
- tubular structure
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- Expired - Fee Related
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- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The present invention a kind ofly avoids postoperative period complication, artificial anus easy to use.It comprises tubular structure and closing device; The tubular structure of up/down perforation centered by described tubular structure, described tubular structure is divided into again three structures different from top to bottom and the body be connected as a single entity, and described body is respectively tubaeform body, corrugated tube body, bushing type body from top to down; The medial wall of corrugated tube body and inner sleeve junction is provided with closing device.Advantage of the present invention is as follows: by manually setting up passage, facilitate doctor to be inserted in Intestinal Mucosal Injury in Patients Undergoing by drainage tube to clean, patient is also easy simultaneously controls stool, improve the quality of life that sufferer is postoperative, by detailed design, guarantee feces clean after sewage also can sucking-off, guarantee the clean and tidy of intestinal, on the other hand intestinal is massaged, reduce the possibility of late onset, risk after reduction operation in patients.Indirectly decrease the living burden of sufferer, especially financial burden.
Description
Technical field
The present invention relates to medical instruments field, particularly one is respond well, artificial anus easy to use.
Background technology
Recently during the last ten years, along with the improvement of diet, the disease about intestinal gets more and more, and such as rectum chronic inflammatory disease, rectum canceration etc., research from every side, proves that the absorption of acid food is the arch-criminal of cancer, and cancer is the representative of acidic physique.In food, the intake of meat, protein, fat improves a lot, the trend that large intestine rectum inflammation, canceration are significantly increased.Now about the Therapeutic Method of rectum canceration, divide again in order to operative treatment and chemotherapy, operative treatment is divided into radical-ability and Palliative two kinds, wherein radical surgery treatment can disposable excision cancerous region, canceration is avoided to spread, therefore most patients adopts radical surgery to treat, wherein radical surgery therapeutic scheme is according to circumstances divided into again following several
1 performs the operation through abdomen perineum Combination resection miles: be applicable to the distal rectal cancer of distance anus edge less than 7cm, excision extension comprises sigmoid colon and mesentery, rectum, anal canal, levator ani m., ischiorectal fossa inner tissue and skin around the rectum, blood vessel ligation below inferior mesenteric artery root or arteria colica sinistra point source are cut off, and cleans the other lymph node of corresponding tremulous pulse.Abdominal part does permanent colonic diversion artificial anus, perineum wound primary suture or clog with gauze.This excision is thorough, and cure rate is high;
2 through abdomen Lower resection and the outer primary anastomosis of peritoneum, also excision dixon operation on front side of rectal cancer is claimed, be suitable for the rectum epimere cancer apart from anus more than edge 12cm, in intraperitoneal excision sigmoid colon and the large portion of rectum, rectum below free peritoneal reflection portion, at peritoneum, identical sigmoid colon and rectum cut end outward.It is damaging little that this performs the operation, and can retain original anus, ideal.If cancerous protuberance volume is comparatively large, and infiltrate surrounding tissues, then should not adopt.
3 retain the sphincteral resection of rectal cancer of anus: be applicable to the Early rectal tumor apart from anus edge 7 ~ 11cm.As cancerous protuberance is comparatively large, differentiation degree is poor, or when main lymphatic vessel upwards is blocked by cancerous cell and has horizontal lymphatic vessel shift, this modus operandi excises thoroughly, still with through abdomen perineum Combination resection as well.Used reservation anus sphincter resection of rectal cancer has coincide by means of anastomat, through abdomen Lower resection-per anum everting anastomosis, through abdomen free-per anum hauls out resection and anastomosis, and through abdomen through modes such as sacrum excisions, can select as the case may be.
But after operation terminates, there is various problems, is exactly the most directly fistula of operative incision; Fistula of operative incision is one of modal severe complication of operation on rectum, is also the main tired element of postoperative death.Knot, rectum fistula of operative incision incidence rate are about 5%-10%, and mortality rate is about 1/3.Colon and rectum excision postoperative anastomotic fistula, interior generation in Post operation 4-9 days of being everlasting, individuals patients was at about 10 days.Produce anastomotic stoma reason repeatly to be generally divided into: anastomotic stoma blood fortune is bad; Mesenteric Injury; Anastomotic stoma overtension, can affect blood circulation; Suturing skill problem causes identical bad.The needle gage that coincide is excessive, easy seepage, and tension is overstocked, then affect blood fortune, end end is irregular to holding together, and embeds soft tissue etc.INTESTINAL CLEANSING is not good enough, and pelvic infection corrosion anastomotic stoma, particularly suffer from the patient of diabetes, malnutrition or prolonged application hormone etc. also can cause poor healing.Colonic anastomosis mouth leaks because intestinal contents is in a liquid state, and containing more enzyme, therefore serious peritonitis can be there is.Show as peritoneum irritation, systemic toxicity profiles symptom is heavier more.Intraperitoneal anastomotic leakage generally has peritoneum irritation in various degree, and with systemic toxicity profiles symptom, ectoperitoneal anastomotic leakage is generally based on local symptom, and anus refers to that inspection can find that fingerstall dye has pus and blood, and the visible anastomotic stoma place of intestinal mirror has pus to flow out;
Secondly retain the scheme of the sphincteral resection of rectal cancer of anus, may exist in operation process and destroy anus sphincter or perineural situation, cause anus sphincter " malfunctioning ", and then cause patient's gatism;
Again through abdomen perineum Combination resection miles perform the operation scheme, owing to having excised whole anus, need abdominal part set up for anus, and just also exist here make Lous and pipeline bounce back situation.
Due to highly professional, and difficulty is comparatively large, and the difficulty of nurse's nursing also strengthens, and workload also strengthens.
In addition, occur above-mentioned situation, patient can only solve problem by increasing operation number of times, this also increases the burden of patient.
Summary of the invention
The object of the present invention is to provide and a kind ofly avoid postoperative period complication, artificial anus easy to use.The object of the present invention is achieved like this: it comprises tubular structure and closing device; The tubular structure of up/down perforation centered by described tubular structure, described tubular structure is divided into again three structures different from top to bottom and the body be connected as a single entity, and described body is respectively tubaeform body 1, corrugated tube body 2, bushing type body 3 from top to down;
Tubaeform body 1: tubaeform body 1 is in horn-like, and its footpath suitable for reading diameter is greater than end opening footpath diameter, and the lateral surface of tubaeform body 1 is provided with some perforates 11;
Corrugated tube body 2: corrugated tube body 2 is positioned at below tubaeform body 1, when the overall structure that corrugated tube body 2 and tubaeform body 1 are formed is along the cross section of longitudinal middle axis, sidewall corrugated symmetrically, the tube wall of corrugated tube body 2 is also provided with some perforates 11;
Bushing type body 3: comprise inner sleeve 31 and trocar sheath 32, the lower limb of inner sleeve 31 and trocar sheath 32 is respectively equipped with outward extending edge, trocar sheath 32 is sheathed on outside inner sleeve 31, makes to form gap between inner sleeve 31 and trocar sheath 32 and between inner sleeve edge 33 and trocar sheath edge 34; The outer edge at inner sleeve edge 33 and the outer edge of trocar sheath 32 nosing are mutually closed to be connected, the upper edge of inner sleeve 31 is docked with the lower edge of corrugated tube body 2, the upper edge of trocar sheath 32 is connected on the lateral surface of corrugated tube, the tube wall of trocar sheath 32 is provided with several through holes 35, and the wall at inner sleeve edge 33 is provided with at least two pores 36;
Corrugated tube body 2 with the medial wall of inner sleeve 31 junction are provided with closing device.
Advantage of the present invention is as follows: 1 is easy to use, by manually setting up passage, facilitating doctor to be inserted in Intestinal Mucosal Injury in Patients Undergoing by drainage tube and cleaning, patient is also easy simultaneously controls stool, decrease the workload of nursing staff, improve the quality of life that sufferer is postoperative; 2 is respond well, by detailed design, guarantee feces clean after sewage also can sucking-off, guarantee the clean and tidy of intestinal, on the other hand intestinal massaged, reduce possibility of late onset, risk after reduction operation in patients.3, reduce nursing staff's workload, improve sufferer quality of life, risk after reduction operation in patients, decreases the living burden of sufferer, especially financial burden indirectly.
Accompanying drawing explanation
Fig. 1 is side view of the present invention;
Fig. 2 is the sectional view that Figure 1A-A locates;
Fig. 3 is the side view of bushing type body;
Fig. 4 is the sectional view that Figure 1B-B locates;
Fig. 5 is the schematic diagram after chassis is cut out;
Label declaration
1 tubaeform body, 2 corrugated tube bodys, 3 bushing type bodys, 11 perforates, 31 inner sleeves, 32 trocar sheaths, 33 inner sleeve edges, 34 trocar sheath edges, 35 through holes, 36 pores, 41 switches, 42 gas tube 5 chassis,
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention will be described:
As Figure 1-4: it comprises tubular structure and closing device; The tubular structure of up/down perforation centered by described tubular structure, described tubular structure is divided into again three structures different from top to bottom and the body be connected as a single entity, and described body is respectively tubaeform body 1, corrugated tube body 2, bushing type body 3 from top to down;
Tubaeform body 1: tubaeform body 1 is in horn-like, and its footpath suitable for reading diameter is greater than end opening footpath diameter, and the lateral surface of tubaeform body 1 is provided with some perforates 11; Tubaeform body 1 footpath suitable for reading diameter is greater than end opening footpath diameter, mainly in order to ensure after structure of the present invention is inserted human body, the upper edge of tubaeform body 1 due to bore larger, can comparatively firmly be attached on the inwall of intestinal, make body difficult drop-off, the on the other hand shape of tubaeform body 1, its principle and funnel are similar to, and can converge, water conservancy diversion to the sewage mixture flowed out after cleaning intestinal.The upper edge of tubaeform body 1 described above due to bore larger, only comparatively firmly be attached on the inwall of intestinal, part cleaning sullage may be there is to flow away from the gap between the upper edge and intestinal of tubaeform body 1 in the process of rinsing, therefore need to arrange perforate 11 on the sidewall of tubaeform body 1, the sewage flowed away can be flowed back in tubaeform body 1 from perforate 11;
Corrugated tube body 2: corrugated tube body 2 is positioned at below the tubaeform body 1 of body, when the overall structure that corrugated tube body 2 and tubaeform body 1 are formed is along the cross section of longitudinal middle axis, sidewall corrugated symmetrically, the tube wall of corrugated tube body 2 is also provided with some perforates 11; Because human body intestinal canal wriggling corrugate, therefore corrugated tube body 2 outer webs is designed to corrugated, the spasm system of anastomotic stoma can be reduced on the one hand, intestinal inwall can be made on the other hand to be fitted in tubaeform body 1 comparatively closely on corrugated tube body 2, the perforate 11 that the sidewall of corrugated tube body 2 is provided with is identical with the function sidewall of tubaeform body 1 being arranged perforate 11, be in order to avoid sewage mixture spill from the gap between intestinal inwall and tubaeform body 1 upper edge time, can enter in corrugated tube body 2 from opening.
Bushing type body 3: comprise inner sleeve 31 and trocar sheath 32, the lower limb of inner sleeve 31 and trocar sheath 32 is respectively equipped with outward extending edge, trocar sheath 32 is sheathed on outside inner sleeve 31, makes to form gap between inner sleeve 31 and trocar sheath 32 and between inner sleeve edge 33 and trocar sheath edge 34; The outer edge at inner sleeve edge 33 and the outer edge of trocar sheath 32 nosing are mutually closed to be connected, the upper edge of inner sleeve 31 is docked with the lower edge of corrugated tube body 2, the upper edge of trocar sheath 32 is connected on the lateral surface of corrugated tube, the tube wall of trocar sheath 32 is provided with several through holes 35, and the wall at inner sleeve edge 33 is provided with at least two pores 36; Here through hole is also to make the sewage mixture spilt enter gap between inner sleeve 31 and trocar sheath 32 from through hole, it is at least insert a suction catheter and syringe pipe that the wall at inner sleeve edge 33 is provided with at least two pores 36, see in Fig. 2, Fig. 2 between inner sleeve, trocar sheath the dot of gap location be namely syringe pipe, suction catheter.Syringe pipe is in order to dilute sewage mixture, and suction catheter is in order to the sewage mixture sucking-off by dilution.If pore is more, there is some pores not insert suction catheter or syringe pipe, then needs to be blocked.Certainly the opening that the sewage missed due to majority has been provided with from corrugated tube body 2 and the sidewall of charging aperture body has flowed in corrugated tube body 2 and charging aperture body, so the subsidiary value arranging through hole and pore is the dilution of sewage flushing in order to carry out only minute quantity, prior function is to carry out stimulation massage to anastomotic stoma in the process of rinsing, guarantee that its blood fortune is good, blood circulation is smooth and easy, promotes that it recovers.Here inner sleeve and trocar sheath are designed borderline structure, being the position in order to reasonable arrangement pore on the one hand, on the other hand in order to form stop, preventing ostomy retraction.
Corrugated tube body 2 with the medial wall of inner sleeve 31 junction are provided with closing device.Can by inflation venting, realize the path of tubular structure and closed circuit, realize opening and conjunction of manual control artificial anus.
The lower edge diameter of corrugated tube body 2 equals the diameter at the ripple trough place of sidewall.Guarantee that the path that closing device controls is less, make closed more tight.
Described closing device is gas-filled switching tube, gas-filled switching tube has switch 41 and gas tube 42 to form, switch 41 is positioned at corrugated tube body 2 with on the medial wall of inner sleeve 31 junction, and gas tube 42 is with switch 41 UNICOM and gas tube 42 guides to the external world by the sidewall of corrugated tube body 2 or bushing type body 3.Gas-filled switching tube is existing routine techniques means, is changed into bath or other electrical switches, as long as can realize the path of tubular structure and closed circuit.Its critical function controls stool, when use, gas tube connected aerating device, inflate switch, switch is generally airbag structure, expands and pipeline in body is closed, avoid stool to spill after inflation, after venting, in body, pipeline dredging, can rinse or defecation.In general aerating device adopts inflatable ball common on the market, and inflatable ball is with reference to the inflatable ball structure on hydrargyrum blood pressure instrument.
As shown in Figure 4,5: the lower edge of the trocar sheath 32 in bushing type body 3 is provided with pad pasting dish or chassis 5, described pad pasting dish or chassis 5 are provided with opening, and pad pasting dish or chassis 5 by opening through body and parameatal pad pasting dish or chassis 5 are fixedly fitted in the upper wall surface at trocar sheath edge 34.This equipment inserts rectum from the place of original anus, therefore arrange pad pasting dish or chassis and fit that on the one hand patient to be moved more convenient for original buttocks, also can prevent leakage further on the other hand.Can cut out pad pasting dish or chassis in use procedure, guarantee to fit with the profile of human body surface.In the process of productive manpower anus, pad pasting dish or chassis directly can be fixed on body, can certainly combine in the later stage, in process at that time due to later stage combination, there is the situation that technique is not smart, easily leakage occurs, Gu directly production is integrated is optimum selection.
Using method of the present invention is for insert in intestinal by the present invention from human anus, syringe pipe is inserted afterwards in tubular structure, rinse, also need in addition to be provided with at least two pores on the wall between inner sleeve 31 and trocar sheath 32 lower edge to insert syringe pipe and suction catheter respectively.
Claims (4)
1. an artificial anus, is characterized in that: it comprises tubular structure and closing device; The tubular structure of up/down perforation centered by described tubular structure, described tubular structure is divided into again three structures different from top to bottom and the body be connected as a single entity, and described body is respectively tubaeform body (1), corrugated tube body (2), bushing type body (3) from top to down;
Tubaeform body (1): tubaeform body (1) is in horn-like, and its footpath suitable for reading diameter is greater than end opening footpath diameter, and the lateral surface of tubaeform body (1) is provided with some perforates (11);
Corrugated tube body (2): corrugated tube body (2) is positioned at tubaeform body (1) below, when the overall structure that corrugated tube body (2) and tubaeform body (1) are formed is along the cross section of longitudinal middle axis, sidewall corrugated symmetrically, the tube wall of corrugated tube body (2) is also provided with some perforates (11);
Bushing type body (3): comprise inner sleeve (31) and trocar sheath (32), the lower limb of inner sleeve (31) and trocar sheath (32) is respectively equipped with outward extending edge, trocar sheath (32) is sheathed on inner sleeve (31) outward, makes to form gap between inner sleeve (31) and trocar sheath (32) and between inner sleeve edge (33) and trocar sheath edge (34); The outer edge at inner sleeve edge (33) and the outer edge of trocar sheath (32) nosing are mutually closed to be connected, the upper edge of inner sleeve (31) is docked with the lower edge of corrugated tube body (2), the upper edge of trocar sheath (32) is connected on the lateral surface of corrugated tube, the tube wall of trocar sheath (32) is provided with several through holes (35), and the wall of inner sleeve edge (33) is provided with at least two pores (36);
The medial wall of corrugated tube body (2) with inner sleeve (31) junction is provided with closing device.
2. artificial anus according to claim 1, is characterized in that: the lower edge diameter of corrugated tube body (2) equals the diameter at the ripple trough place of sidewall.
3. artificial anus according to claim 1, it is characterized in that: described closing device is gas-filled switching tube, gas-filled switching tube has switch (41) and gas tube (42) to form, switch (41) is positioned at corrugated tube body (2) with on the medial wall of inner sleeve (31) junction, and gas tube (42) is with switch (41) UNICOM and gas tube (42) guides to the external world by the sidewall of corrugated tube body (2) or bushing type body (3).
4. artificial anus according to claim 1, it is characterized in that: the lower edge of the trocar sheath (32) in bushing type body (3) is provided with pad pasting dish or chassis (5), described pad pasting dish or chassis (5) are provided with opening, and pad pasting dish or chassis (5) by opening through body and parameatal pad pasting dish or chassis (5) are fixedly fitted in the upper wall surface of trocar sheath edge (34).
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| Application Number | Priority Date | Filing Date | Title |
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| CN201410148244.4A CN103908355B (en) | 2014-04-14 | 2014-04-14 | Artificial anus |
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| CN201410148244.4A CN103908355B (en) | 2014-04-14 | 2014-04-14 | Artificial anus |
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| CN103908355A CN103908355A (en) | 2014-07-09 |
| CN103908355B true CN103908355B (en) | 2015-11-04 |
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| CN201410148244.4A Expired - Fee Related CN103908355B (en) | 2014-04-14 | 2014-04-14 | Artificial anus |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN108261577B (en) * | 2018-02-01 | 2024-06-11 | 辽宁省肿瘤医院 | Anastomotic stoma protection flusher |
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