CN104771129B - The enteroscope guide can developed under lonizing radiation - Google Patents
The enteroscope guide can developed under lonizing radiation Download PDFInfo
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- CN104771129B CN104771129B CN201510084570.8A CN201510084570A CN104771129B CN 104771129 B CN104771129 B CN 104771129B CN 201510084570 A CN201510084570 A CN 201510084570A CN 104771129 B CN104771129 B CN 104771129B
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Abstract
The invention discloses the enteroscope guide can developed under a kind of lonizing radiation, seal wire including a soft smooth, the front end of this seal wire is provided with a guide body, the rear end bifurcated of this seal wire forms the first bifurcated silk and the second bifurcated silk, this the first bifurcated silk connects one can be with the air bag of entry needle gas injection, and the end of this second bifurcated silk is provided with one for connecting the attachment structure of external silk thread.This seal wire is run through digestive tract by guide body traction, and what seal wire clearly showed that small intestinal under lonizing radiation completely walks row mode, makes operator's small intestinal traveling in the preoperative to each patient have a comprehensive understanding；Checking process can accurately judge the direction of travel of front end small intestinal；Precisely judge the scope front end distance away from ileocecal valve；This seal wire can enter biopsy duct and guide the operation of enteroscope.Therefore, this patent greatly enhances success rate and the efficiency of enteroscope operation, makes enteroscope technical difficulty be substantially reduced, and can develop the enteroscope that Novel warp seal wire guides according to this.
Description
Technical field
The present invention relates to a kind of enteroscope guide, particularly to a kind of can be able to develop under lonizing radiation little
Intestinal mirror guide, this device in the traveling of the little intestinal tube of clear view under lonizing radiation, and can be drawn into enteroscope
Biopsy duct is in order to guide completing of small intestinal endoscopy, and operation is simple, makes enteroscope technical difficulty significantly drop
Low, improve level and the success rate of small intestinal endoscopy.
Background technology
Small intestinal is organ the longest in digestion, total length about 5～7 meters of being grown up, and accounts for the 7 of digestive tract total length
5%.Upper small intestine connect stomach pylorus, lower end connects with colon at right iliac fossa, can be divided into duodenum, jejunum and
Ileum three part.Dissociate due to small intestinal length, tortuous overlap out of shape, be in health deep part, and away from oral cavity
And anus, the diagnosis and treatment of disease of intestine are always the difficult problem of Gastroenterology dept. doctor.Within a very long time in past, small intestinal
Far lag behind the diagnosis of other site disorders of gastrointestinal tract.
The development of enteroscope and clinical practice start from 20 century 70s, and traditional enteroscope can only observe proximal section
Jejunum and terminal ileum, medical experts once attempted various method, but the observation of distal jejunum and ileum still can not make
People is satisfied.1999, Israel Given Developed first deglutible capsule endoscope in the world,
All-digestive tract can be imaged, high to recall rate relatively other traditional methods of disease of intestine, its non-invasive, nothing
Cross infection is easily accepted by patient.But having its limitation, capsular movement is uncontrollable, and in intestinal, hydrops can
The observation to pathological changes can be affected, biopsy row pathologic finding can not be taken with clear and definite focus character.2002, Xue Zheshan
This Boulder and Fuji Photo Optic Machine Co., Ltd develop Double-balloon push enteroseopy jointly.Its appearance and application,
Diagnosis and the treatment of disease of intestine are risen to a brand-new height.But existing enteroscope operating technology is complicated, once
Property inspection can to get a glimpse of the probability of whole small intestinal extremely low, many patients need to enter mirror through bilateral and still cannot check out the least
Intestinal.
We by obduction research is found, there is the biggest variation in human small intestine's traveling, if to little
The traveling of intestinal is understood not and is easily become loop during mirror, it is thus possible to per os completes the success rate of full small bowel examination
The highest, and compare with gastroscope, colonoscopy, because small intestinal traveling and structure variation are very big, doctor before inspection and
Inspection all cannot be predicted the traveling of small intestinal, art also cannot be known the scope distance away from ileocecal valve, therefore there is pole
Big blindness.
That the most how to predict that the traveling of intestinal tube and guides enteroscope enters mirror direction, improve enteroscope inspection efficiency and
Success rate is the difficult problem that medical circle is faced.This research is intended to invention one and utilizes intestinal peristalsis promoting function voluntarily by little
Intestinal, can clearly show that small intestinal traveling under lonizing radiation, and can be drawn into enteroscope biopsy duct in order to guide small intestinal
The guide wire apparatus of spectroscopy.
Summary of the invention
For solving above-mentioned technical problem, it is an object of the invention to: the small intestinal that can develop under a kind of lonizing radiation is provided
Mirror guide, this device can be in the traveling of the little intestinal tube of clear view under lonizing radiation, and as the seal wire of enteroscope
It is directed into mirror direction, improves inspection efficiency and the success rate of enteroscope.
For achieving the above object, the technical solution adopted in the present invention is: the small intestinal that can develop under a kind of lonizing radiation
Mirror guide, it includes the seal wire of a soft smooth, and the front end of this seal wire is provided with a guide body, after this seal wire
End bifurcated forms the first bifurcated silk and the second bifurcated silk, and this first bifurcated silk connects one can be with the gas of entry needle gas injection
Capsule, the end of this second bifurcated silk is provided with one for connecting the attachment structure of external silk thread.
The enteroscope guide can developed under described lonizing radiation, this seal wire is by containing showing under lonizing radiation
The heavy metal material of shadow is made；This seal wire is provided with scale mark；A length of 4-6m of this seal wire, this seal wire straight
Footpath is 0.6-1.2mm.
The enteroscope guide can developed under described lonizing radiation, this guide body is by containing can be under lonizing radiation
The heavy metal material of development is made, and this guide body maximum radial dimension is 8-12mm.
The enteroscope guide can developed under described lonizing radiation, this air bag is by inelastic silica gel or latex material
Matter is made, and this air bag has an Inflation plug, and this Inflation plug is made up of the macromolecular material having from sealing function,
For unaerated state under this air bag normality, a diameter of 30-60mm after this airbag aeration.
The enteroscope guide can developed under described lonizing radiation, this guide body is circular, square or oval.
Compared with prior art, it is an advantage of the current invention that of technique scheme is used:
1) the software seal wire that this device is had can develop under the microscope, solves in enteroscope operation little
Intestinal traveling do not knows about, it is unpredictable to enter mirror direction, small intestinal endoscopy performance level cannot judge to be caused can not operate
A difficult problem for merit.
2) this device conceptually have changed the thinking of tradition enteroscope operation, and guide wire apparatus can draw through biopsy duct
Lead small intestinal endoscopy, make that operation is simple；
3) improve per os or per anum completes success rate and the efficiency of full small intestinal endoscopy, the most experienced
Scope doctor implements to check, makes young doctor the most skillfully grasp correlation technique, thus improves disease treatment and treatment
Level.
Accompanying drawing explanation
Fig. 1 is the schematic diagram under use state of the present invention.
Description of reference numerals: 1-seal wire；2-guide body；3-air bag；4-entry needle；The external silk thread of 5-；6-graduated scale
Note；7-attachment structure；8-the first bifurcated silk；9-Inflation plug；10-high density plug；11-Inflation plug outer wall；12-
Entry needle nook closing member；13-entry needle trocar sheath；14-the second bifurcated silk.
Detailed description of the invention
Further describing the present invention, advantages of the present invention and feature below in conjunction with specific embodiments and the drawings will be with
Description and apparent.
As it is shown in figure 1, the schematic diagram of the enteroscope guide for developing under a kind of lonizing radiation of the present invention.Should
Device specifically includes that seal wire 1；Guide body 2；Air bag 3；Entry needle 4；External silk thread 5.
This seal wire 1 quality is soft, includes heavy metal (such as tungsten, barium etc.), thus can clearly develop under lonizing radiation；
The long 4-6m of this seal wire, can run through small intestinal and colon；The a diameter of 0.6-1.2mm of this seal wire 1, smooth surface, can be suitable
Profit is by enteroscope biopsy duct；It is the most high-visible under lonizing radiation that this seal wire 1 is provided with scale mark 6；This is led
Silk 1 rear end bifurcated form the first bifurcated silk 8 and the second bifurcated silk 14, this first bifurcated silk 8 can by bonding,
The modes such as binding winding connect air bag 3, and the end of the second bifurcated silk 14 is provided with attachment structure 7, this attachment structure 7
Can be connected under scope with the external silk thread 5 through endoscopic biopsy duct.
This guide body 2 and seal wire 1 are wound around by binding or the mode such as bonding is connected；Also weight is contained in this guide body 2
Metal material (such as tungsten, barium etc.), therefore its position of observable under lonizing radiation；Guide body 2 a diameter of
8-12mm, in the implementation case, this guide body 2 is spherical, but and be not so limited the shape of guide body 2,
The shape of this guide body can be also that square or oval etc. other can pass through stomach pylorus and the shape of intestinal, this guiding
Body 2 can drive the front end of seal wire 1 to intestinal tube distal advancement by wriggling of small intestinal.
This air bag 3 is made up of inelastic silica gel or latex material, sends into gastral cavity, at gastric under unaerated state
Inflated by entry needle 4, separate with entry needle 4 after the inflation of this air bag 3 and keep inflated condition, this airbag aeration
After a diameter of 30-60mm, and the inelastic characteristic of air bag 3 ensures that it will not deform under gastric peristaltic wave and crosses stomach
Pylorus；This air bag 3 has Inflation plug 9 structure in order to complete the entry needle 4 gas injection to air bag 3；Inflation plug 9
It is made up of high density plug 10 and Inflation plug outer wall 11；High density plug 10 is made up of high polymer elastic material,
There are self sealss so that air bag 3 will not leak gas after inflation；Inflation plug outer wall 11 is to high density plug 10
Extend inside air bag, prevent entry needle 4 from puncturing air bag 3.
This entry needle 4 is current conventional use of transendoscopic biopsy duct entry needle；By entry needle nook closing member 12 and note
Penetrating pin trocar sheath 13 to form, both cooperations depart from after completing gas injection.
The software material that this external silk thread 5 develops for non-radioactive line, is difficult to break and smooth surface, this external silk thread
A diameter of 0.1-0.5mm of 5, transendoscopic biopsy hole again after can being connected with attachment structure 7 by endoscopic biopsy duct
Road is drawn, thus guides external silk thread 5 to enter endoscopic biopsy duct.
To specifically tell about the use process of apparatus of the present invention below.
Step one: insert esophagus sleeve pipe from oral cavity, this esophagus sleeve pipe can alleviate the sense of discomfort of patient in operating process,
By gastroscope, the front end guidance body 2 of seal wire 1 being sent into duodenum fall section, entry needle 4 passes through gastroscopic biopsy then
The Inflation plug 9 of air bag 3 is inserted, by gastroscope by the air bag 3 under unaerated state and residue seal wire 1 behind duct
Send into gastric, then give air bag 3 injected gas with entry needle 4, make air bag 3 be inflated to a diameter of 30-60mm,
Entry needle 4 is extracted again by gastroscopic biopsy duct.
Step 2: patient takes conventional catharsis agent, utilizes the creeping effect of intestinal, and this guiding object 2 drives seal wire
1 advances to anus direction in intestinal, now excessive owing to being positioned at the diameter of the air bag 3 of seal wire 1 rear end, air bag
3 can not pass through stomach pylorus, thus the end attachment structure 7 of fixing seal wire 1 is positioned at gastric, and guide body 2 is through about
Within four hours, discharging from anus, doctor can determine position and the seal wire 1 of guide body 2 during this period by lonizing radiation
The route of process, so that doctor can understand the trend of small intestinal and structure by overall picture before small intestinal microscopy.
Step 3: clamp the biopsy hole through enteroscope, the front end of an external silk thread 5 before small intestinal endoscopy with a biopsy forceps
Road is incorporated in stomach, keeps the rear end of external silk thread 5 to be positioned at external simultaneously, biopsy forceps at gastric by external silk thread 5
Front end through the attachment structure 7 of seal wire 1 end, and again by the biopsy duct lead body of enteroscope outside, continue
And the front-end and back-end of external silk thread 5 are fixed on external jointly.
Step 4: puncture air bag 3 by a sharp instrument by enteroscope biopsy duct and disconnect between air bag 3 and seal wire 1
The first bifurcated silk 8, make air bag 3 depart from seal wire 1, air bag 3 can excrete through digestive tract, now outside
Connect silk thread 5 and seal wire 1 connect as one, and per os to anus complete run through whole digestive tract.Enteroscope operates
Time, the external silk thread of outside tractive 5 makes seal wire 1 enter enteroscope biopsy duct, and seal wire 1 guides enteroscope to operate,
Improve efficiency and the success rate of small intestinal endoscopy, make this operation that is complicated and that be difficult to control of small intestinal endoscopy become letter
Single easy.
The present invention uses the advantage of technique scheme to be:
What seal wire clearly showed that small intestinal under lonizing radiation completely walks row mode, makes operator in the preoperative to each patient's
Small intestinal traveling has a comprehensive understanding；Checking process can accurately judge the direction of travel of front end small intestinal；Precisely sentence
Determine the scope front end distance away from ileocecal valve；Most importantly seal wire can enter biopsy duct and play guiding function.Therefore,
This patent greatly enhances success rate and the efficiency of enteroscope operation, makes enteroscope technical difficulty significantly drop
Low, so that this highly difficult technology is preferably promoted, and likely develop the little of Novel warp seal wire guiding
Intestinal mirror.
Above example is only exemplary, the scope of the present invention is not constituted any restriction.People in the art
Member it should be understood that lower without departing from the spirit and scope of the present invention can to the details of technical solution of the present invention and
Form is modified or replaces, but these amendments and replacement each fall within protection scope of the present invention.
Claims (5)
1. the enteroscope guide can developed under lonizing radiation, it is characterised in that it includes a soft smooth
Seal wire, this seal wire is provided with scale mark；The front end of this seal wire is provided with a guide body, the rear end bifurcated of this seal wire
Forming the first bifurcated silk and the second bifurcated silk, this first bifurcated silk connects one can be with the air bag of entry needle gas injection, should
The end of the second bifurcated silk is provided with one for connecting the attachment structure of external silk thread.
The enteroscope guide can developed under lonizing radiation the most according to claim 1, it is characterised in that
This seal wire is made by containing the heavy metal material can developed under lonizing radiation, and a length of 4-6m of this seal wire, this is led
A diameter of 0.6-1.2mm of silk.
The enteroscope guide can developed under lonizing radiation the most according to claim 1, it is characterised in that
This guide body is made by containing the heavy metal material can developed under lonizing radiation, the maximum radial dimension of this guide body
For 8-12mm.
The enteroscope guide can developed under lonizing radiation the most according to claim 1, it is characterised in that
This air bag is inelastic silica gel or latex material is made, and this air bag has an Inflation plug, this Inflation plug by have from
The macromolecular material of seal is made, for unaerated state under this air bag normality, a diameter of after this airbag aeration
30-60mm。
The enteroscope guide can developed under lonizing radiation the most according to claim 3, it is characterised in that
This guide body is circular, square or oval.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510084570.8A CN104771129B (en) | 2015-02-16 | 2015-02-16 | The enteroscope guide can developed under lonizing radiation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510084570.8A CN104771129B (en) | 2015-02-16 | 2015-02-16 | The enteroscope guide can developed under lonizing radiation |
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| Publication Number | Publication Date |
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| CN104771129A CN104771129A (en) | 2015-07-15 |
| CN104771129B true CN104771129B (en) | 2016-08-24 |
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| Application Number | Title | Priority Date | Filing Date |
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Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN105126227A (en) * | 2015-09-01 | 2015-12-09 | 王兆华 | Small intestine double-contrast angiographic catheter and using method thereof |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5318530A (en) * | 1991-12-06 | 1994-06-07 | Bissel Medical Products, Inc. | Gastrointestinal tube with inflatable bolus |
| CN200970222Y (en) * | 2006-10-17 | 2007-11-07 | 刘思德 | Improved leading type small intestine mirror |
| CN200970227Y (en) * | 2006-10-17 | 2007-11-07 | 刘思德 | Leading type single sac small intestine mirror |
| CN202589485U (en) * | 2012-05-21 | 2012-12-12 | 曹阳 | Endoscope jacket air bag with dual tubes |
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