CN116172791A

CN116172791A - Local pressurizing and fixing device used after breast cancer improvement surgery

Info

Publication number: CN116172791A
Application number: CN202211104168.8A
Authority: CN
Inventors: 陈志达; 郗洪庆; 张鹏飞; 卫勃; 刘怡; 陈凛
Original assignee: First Medical Center of PLA General Hospital
Current assignee: First Medical Center of PLA General Hospital
Priority date: 2022-09-09
Filing date: 2022-09-09
Publication date: 2023-05-30

Abstract

The invention discloses a local pressurization fixing device used after breast cancer improvement surgery, which comprises: a chest-rubbing main body; one side of the main body of the breast smear is provided with a first breast smear, and the other side is provided with a second breast smear; a chest pad and an armpit pad are arranged in the first chest coating; the chest pad and the armpit pad are hollow; the chest pad and the armpit pad are both provided with pressure gauges; the pressure gauge is provided with a pressurizing hole which is communicated with the interiors of the chest pad and the armpit pad; the pressurizing hole is used for connecting the pressurizing pipe. The device can meet the requirements of shaping breast walls and armpits after breast cancer operation and reducing complications such as local subcutaneous cavities, residual effusion and the like.

Description

Local pressurizing and fixing device used after breast cancer improvement surgery

Technical Field

The invention relates to the technical field of medical equipment, in particular to a local pressurizing and fixing device used after breast cancer improvement surgery.

Background

Breast cancer is one of the common malignant tumors of women, and the incidence rate is the first place of the malignant tumors of women, so that the physical and mental health of women is seriously endangered. At present, comprehensive means are mainly adopted for treating breast cancer, and among a plurality of means, surgery is still the most main treatment mode. Different operation modes are adopted according to different situations such as breast tumor size, pathological types, pre-operation screening of axillary lymph node metastasis and the like. The operative scope of breast cancer includes two parts, breast and axillary lymph nodes: 1. breast surgery includes tumor enlargement excision and total breast excision; 2. axillary lymph nodes can be biopsied from sentinel lymph nodes and cleaned from axillary lymph nodes. Wherein, the breast cancer improvement radical cure operation needs to be performed on the whole breast of one diseased side, and then the axillary lymph nodes are cleaned and resected according to the disease condition.

After the breast cancer improvement radical operation, because the whole defect of the gland of the affected side breast and the cleaning of the axillary lymph nodes, the operation wound surface is huge, so that the muscle tissue of the wound surface and the subcutaneous tissue of the skin can not be completely attached, a gap is reserved between the muscle tissue and the subcutaneous tissue, and the operation is specifically expressed as follows: 1. a gap between the pectoral fascia and subcutaneous fat of the chest wall skin; 2. a gap between the axillary tissue and subcutaneous tissue of the axillary skin; 3. the axillary skin is poorly attached to the lateral border of the pectoral major and pectoral minor muscles. The unnatural anatomical gap caused by the operation is easy to cause the conditions of subcutaneous cavity, residual effusion and the like caused by flap movement, and seriously influences the postoperative recovery and the body appearance of a patient. Therefore, the tissues at two sides of the gap are required to be closely contacted by externally giving a certain pressure, the chance of promoting the healing of fibers while the bleeding of the wound surface is reduced, and finally, the aim of fitting the lower muscle tissues of the chest wall and the armpit skin after operation can be achieved well, and the occurrence of adverse complications such as subcutaneous bleeding, subcutaneous effusion and the like is reduced.

The existing common practice is that after the surgery is finished, on the basis of covering incision dressing on the surface of incision (wound) in a conventional way, besides the sufficient drainage effusion of the conventional indwelling negative pressure drainage tube after the surgery, the partial pressurization fixation is needed to be additionally carried out on the chest anterior region and the armpit region on one side of the diseased excised mammary gland, and the recovery condition and the aesthetic degree of the chest anterior and the armpit after the mammary gland surgery are directly determined by the effect of the partial pressurization fixation. The prior binding and fixing treatment does not have a standard device or apparatus, and most of the binding and fixing treatment adopts empirical manual binding and fixing: the cotton cloth head (also called shaping cotton pad) is arranged into a hemispherical shape, the breast gland is simulated to replace the excised breast gland to cover the operation area of the chest wall and the armpit area, and then the cotton cloth head on the affected side and the breast on the healthy side are wrapped simultaneously by using an elastic bandage to transversely surround the chest and the back for 4 to 5 weeks.

The current binding and fixing mode can be used for cutting off the skin pressure of the chest wall at one side of the gland at the affected side, so that the occurrence probability of subcutaneous effusion can be reduced to a certain extent, but clinical practice finds that the defects are obvious, and the method is specifically characterized in that: 1. the bundling and fixing are mostly self-made, the hemispherical shape formed by cotton cloth heads is irregular, the sizes are difficult to be standardized and unified, and the quality uniformity and the reliability of each manufacturing can not be ensured; 2. the locally applied pressure force can not be displayed through objective data, and only the patient can be inquired whether the patient is painful or tolerated, so that two results are easy to cause, and the winding is too loose to achieve the effect of pressurizing and fixing. Secondly, the winding is too tension, the patient feels uncomfortable to the skin pain, and more serious patients can cause the pressed skin to reduce blood circulation, so that the skin flap is necrotized; 3. when the elastic bandage is used, the effect of pressing the affected side and protecting the breast on the healthy side is difficult to achieve, and the discomfort of the clamping pressure of the breast on the healthy side or the unstable fixation of the affected side often occurs because of contradictory requirements on the two sides, so that the purpose of pressing is not achieved; 4. the binding mode is complicated, and is not beneficial to opening the dressing after operation to observe the incision (wound) and sterilize and change the dressing; 5. the chest strap which continuously surrounds the wound is easy to shift and loose, and the uniform stress of the chest strap is affected.

Disclosure of Invention

In order to solve the problems in the prior art, the embodiment of the invention provides a local pressurization fixing device used after breast cancer improvement surgery. The technical scheme is as follows:

in one aspect, there is provided a topical compression fixation device for use after a breast cancer revision surgery, comprising: a chest-rubbing main body; one side of the main body of the breast smear is provided with a first breast smear, and the other side is provided with a second breast smear; a chest pad and an armpit pad are arranged in the first chest coating; the chest pad and the armpit pad are hollow; the chest pad and the armpit pad are both provided with pressure gauges; the pressure gauge is provided with a pressurizing hole which is communicated with the interiors of the chest pad and the armpit pad; the pressurizing hole is used for connecting the pressurizing pipe.

Further, the chest pad is hemispherical in shape, and the chest pad is sized to cover the skin in front of the chest.

Further, the armpit pad ranges from front to front line of armpit, from back to back line of armpit, down to rib edge, up to the junction of forearm and side chest wall, and the junction of upper arm and armpit is surrounded by armpit in C shape.

Further, the pressure gauge comprises an induction device and a display screen; the sensing device is arranged in the chest pad and the armpit pad and is used for sensing the internal pressure of the chest pad and the armpit pad, and the display screen is arranged on the outer surfaces of the chest pad and the armpit pad and is used for dynamically displaying the pressure values of the chest pad and the armpit pad.

Further, the local pressurization fixing device used after the breast cancer improvement surgery further comprises an elasticity regulator; the tightness regulator is arranged at the upper end of the chest-plastering main body; the tightness regulator is connected with an adjusting rope at the upper end of the bra main body and is used for adjusting the peripheral length of the bra main body within a preset range.

The technical scheme provided by the embodiment of the invention has the beneficial effects that:

1. the invention creatively supplements the blank of the standard binding fixing device after the mammary gland improvement operation, is applied to clinic after large-scale production, and is beneficial to standard binding and fixing after mammary gland operation.

2. The pressure of the local pressurization is visualized and controllable, and the patient and the nursing using method can be scientifically guided.

3. Protecting breast from being blocked and pressed, and reducing side reaction injury.

4. The dressing is easy to wear, and can be conveniently opened by doctors to carry out the treatment of surgical incision (wound) inspection, timely dressing change and the like, thereby reducing the adverse complications of surgical incision (wound) infection, skin flap necrosis and the like.

5. The fixation of the chest coating, the chest pad and the armpit pad accords with the human anatomy structure, and is not easy to move up and down or transversely.

Drawings

In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for the description of the embodiments will be briefly described below, and it is apparent that the drawings in the following description are only some embodiments of the present invention, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.

FIG. 1 is a schematic illustration of a topical compression fixation device for use after a breast cancer revision surgery in accordance with an embodiment of the present invention;

FIG. 2 is a schematic illustration of a chest pad connected to a pressurized tube in accordance with an embodiment of the present invention;

FIG. 3 is a schematic illustration of an armpit cushion attached to a pressurized tube in accordance with an embodiment of the present invention;

fig. 4 is a top view of a topical compression fixation device for use after a breast cancer revision surgery in accordance with an embodiment of the present invention.

Detailed Description

For the purpose of making the objects, technical solutions and advantages of the present invention more apparent, the embodiments of the present invention will be described in further detail with reference to the accompanying drawings.

The present invention provides a local compression fixation device for use after breast cancer revision surgery, see fig. 1-4, comprising: a chest-rubbing main body; one side of the main body of the breast smear is provided with a first breast smear, and the other side is provided with a second breast smear; a chest pad 1 and an armpit pad 2 are arranged in the first chest coating; the chest pad 1 and the armpit pad 2 are hollow; the chest pad 1 and the armpit pad 2 are both provided with a pressure gauge 3; the pressure gauge 3 is provided with a pressurizing hole which is communicated with the interiors of the chest pad and the armpit pad; the pressurizing hole is used for connecting the pressurizing pipe.

In the embodiment, the shape of the bra main body is rectangular and similar to that of female bra underwear, one side is the same as that of normal underwear, and the other side (the operation side for cutting off the mammary glands) can be assembled and matched with the chest pad and the armpit pad; the device can embody relatively independent fixation, and the tightness of two sides can be independently adjusted; meanwhile, inflation or flushing is adopted for pressurization; the chest pad and the armpit pad which are inflated or flushed are covered with the visualized pressure gauge, the pressure gauge is designed into a square liquid crystal screen of an electronic watch dial type, the square liquid crystal screen is covered on the surface of the chest pad, and the chest pad can be displayed, namely, the internal induction pressure can be displayed when the chest pad is inflated or inflated, and the external display screen can be dynamically displayed.

Further, the chest pad 1 is hemispherical, and is inflated or filled with water, the pressure is controllable, and the chest pad covers the skin in front of the chest.

Further, the armpit cushion 2 extends from the front to the front line of armpit, from the rear to the rear line of armpit, down to the rib edge, up to the junction of the forearm and the lateral chest wall, and the junction of the upper arm and the armpit is surrounded by the armpit in a C shape; the human body normal anatomy is met, and better comfort can be provided.

In particular, the armpit cushion is similar to a chest cushion, is inflatable or water filled, is flatter than the chest cushion, and can cover the armpit and the lateral chest.

Further, the pressure gauge 3 comprises a sensing device and a display screen; the sensing device is arranged in the chest pad and the armpit pad and is used for sensing the internal pressure of the chest pad and the armpit pad, and the display screen is arranged on the outer surfaces of the chest pad and the armpit pad and is used for dynamically displaying the pressure values of the chest pad and the armpit pad.

Further, the local pressurization fixing device used after the breast cancer improvement surgery further comprises an elasticity regulator 4; the tightness regulator 4 is arranged at the upper end of the chest-plastering main body; the tightness regulator is connected with an adjusting rope at the upper end of the bra main body and is used for adjusting the peripheral length of the bra main body within a preset range.

Specifically, the tightness regulator has the effect that the peripheral length of the chest can be adjusted within a certain range according to the chest circumference of a patient to be used, so that the chest is not too loose and too tight when the patient wears the chest, the chest pad and the armpit pad are ensured to have a pressurizing effect, and meanwhile, the good comfort level of the chest wearing can be ensured.

the device can meet the requirements of shaping breast walls and armpits after breast cancer operation and reducing complications such as local subcutaneous cavities, residual effusion and the like.

The foregoing is only illustrative of the present invention and is not to be construed as limiting thereof, but rather as various modifications, equivalent arrangements, improvements, etc., within the spirit and principles of the present invention.

Claims

1. A topical compression fixation device for use after a breast cancer revision surgery, comprising: a chest-rubbing main body; one side of the main body of the breast smear is provided with a first breast smear, and the other side is provided with a second breast smear; a chest pad and an armpit pad are arranged in the first chest coating; the chest pad and the armpit pad are hollow; the chest pad and the armpit pad are both provided with pressure gauges; the pressure gauge is provided with a pressurizing hole which is communicated with the interiors of the chest pad and the armpit pad; the pressurizing hole is used for connecting the pressurizing pipe.

2. A topical compression fixation device for use after a breast cancer revision surgery as claimed in claim 1 wherein the chest pad is hemispherical in shape and is sized to cover the skin in front of the chest.

3. A topical compression fixation device for use after breast cancer revision surgery as claimed in claim 1 wherein the armpit pad is in the range of anterior to the anterior axillary line, posterior to the posterior axillary line, down to the rib, up to the junction of the forearm and the lateral chest wall, and the armpit is in the shape of a "C" surrounding the junction of the upper arm and the armpit.

4. A topical compression fixation device for use after a breast cancer revision surgery as claimed in claim 1 wherein said pressure gauge comprises a sensing device and a display screen; the sensing device is arranged in the chest pad and the armpit pad and is used for sensing the internal pressure of the chest pad and the armpit pad, and the display screen is arranged on the outer surfaces of the chest pad and the armpit pad and is used for dynamically displaying the pressure values of the chest pad and the armpit pad.

5. A topical compression fixation device for use after a breast cancer revision surgery as claimed in claim 1 further comprising a slack adjuster; the tightness regulator is arranged at the upper end of the chest-plastering main body; the tightness regulator is connected with an adjusting rope at the upper end of the bra main body and is used for adjusting the peripheral length of the bra main body within a preset range.