CN218889981U - Internal drainage gastrointestinal integrated tube for anastomotic stoma fistula after esophagus reconstruction operation - Google Patents
Internal drainage gastrointestinal integrated tube for anastomotic stoma fistula after esophagus reconstruction operation Download PDFInfo
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- CN218889981U CN218889981U CN202222168762.5U CN202222168762U CN218889981U CN 218889981 U CN218889981 U CN 218889981U CN 202222168762 U CN202222168762 U CN 202222168762U CN 218889981 U CN218889981 U CN 218889981U
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Abstract
The utility model discloses an inner drainage gastrointestinal integrated tube for anastomotic stoma fistula after esophagus reconstruction operation, which comprises an inner drainage tube, a nutrition tube and a stomach tube, wherein the inner drainage tube, the nutrition tube and the stomach tube are all arranged on a three-way connecting piece, the tail end of the inner drainage tube, the tail end of the nutrition tube and the tail end of the stomach tube are all provided with side holes, a fixing rope for connecting the inner drainage tube, the nutrition tube and the stomach tube below the three-way connecting piece together is penetrated into the inner drainage tube, and fixing sheets for fixing two ends of the fixing rope are arranged outside the initial end of the inner drainage tube; one end of the fixing rope is positioned outside the initial end of the inner drainage tube, the other end of the fixing rope enters the inner drainage tube from the initial end of the inner drainage tube and then penetrates out of the side hole at the extreme end of the inner drainage tube and wraps the gastric tube and the nutrition tube, and the other end of the fixing rope penetrates back into the inner drainage tube from the extreme end of the inner drainage tube and penetrates out of the initial end of the inner drainage tube after wrapping the gastric tube and the nutrition tube. The utility model improves patient compliance and treatment experience.
Description
Technical Field
The utility model relates to an internal drainage gastrointestinal integral tube, in particular to an internal drainage gastrointestinal integral tube for anastomotic stoma fistula after esophagus reconstruction.
Background
Esophageal stomach anastomotic fistula is one of the most serious complications after esophageal reconstruction operation, and the Chinese esophageal cancer investigation database in 2020 shows that the incidence rate of the esophageal cancer postoperative anastomotic fistula in China is about 4.6 percent. For anastomotic fistula, a conservation treatment method such as nutrition support, enhanced drainage and the like is mostly adopted for naturally closing the anastomotic stoma, but the method can not discharge pus in time, so that the pus repeatedly stimulates the fistula, thereby being unfavorable for healing of the fistula and leading to prolonged treatment period and increased cost; in addition, long-term accumulation of pus consumes nutrition of the patient, so that the patient is in a poor nutrition state, the fistula growth is not facilitated, and once the immune function of the patient is reduced, complications such as sepsis and even septic shock can occur; second, prolonged accumulation of pus may also lead to severe complications such as sinus formation and even pyogenic and tracheal fistulae. Therefore, the ideal method for treating the esophageal and gastric anastomotic stoma fistula can simultaneously achieve the two aims of nutrition support and unobstructed drainage.
In the prior art, a double-tube-placing method is adopted to treat the esophageal-gastric anastomosis fistula, namely a three-cavity nutrition tube is placed into a jejunum or a duodenum and a drainage tube is placed into a pus cavity, so that the effects of gastric juice and pus drainage can be achieved while enough enteral nutrition is ensured, the closing median time of the pus cavity is only 15 days, and the closing median time is remarkably lower than the natural closing time, but the method still has some defects; firstly, two pipelines are respectively arranged in the nostrils at the same side by the double-tube arranging method, namely a three-cavity nutrition tube and a pus cavity drainage tube, the two pipelines are separately inserted into the nostrils for two times, the nasopharynx part is repeatedly rubbed by one pipeline inserted each time, the times of repeatedly rubbing the nasopharynx part by the two pipelines which are separately inserted are more, the operation time is long, the nasopharynx part of a patient is distended or rubbed, and the pain is hard to be tolerated, so that the treatment middle section is caused. Secondly, the operation process of respectively arranging the three-cavity nutrition tube and the pus cavity drainage tube by adopting the double-tube arrangement method also needs to repeatedly insert the nasogastric tube for a plurality of times, so that the mucous membrane of the nasopharynx is damaged, and discomfort such as pain, bleeding and the like is caused.
In view of the above reasons, we want to design an internal drainage gastrointestinal integrated tube, combines internal drainage tube, stomach tube, nutrition tube together, can not only manage and support the tube and pour into a sufficient amount of nutrient solution, guarantee good nutritional status of patient, can also make the anastomotic stoma be in clean state all the time through the continuous drainage of pyogenic cavity drainage tube and stomach tube, do benefit to the fistula healing, can also improve patient's tolerance of taking the pipe simultaneously, reduce and put the pipe degree of difficulty and operating time, promote patient compliance and treatment experience.
Disclosure of Invention
The utility model aims to provide an internal drainage gastrointestinal integrated tube for anastomotic stoma fistula after esophagus reconstruction operation, which aims to solve the problems that the operation time is long, a nasal gastroscope which is required to be inserted in the pipeline and the operation process can repeatedly rub the nasopharynx part for many times, so that the pain or friction pain of the nasopharynx part and the damage of mucous membrane of the nasopharynx part can occur to a patient, pain and bleeding are caused, and the like.
The utility model is realized by the following technical scheme:
the utility model provides an integrative pipe of internal drainage stomach and intestine that is used for anastomotic stoma fistula after esophagus reconstruction technique, including internal drainage tube, nutrition pipe, stomach tube, internal drainage tube, nutrition pipe, stomach tube are all installed on the tee junction spare, and internal drainage tube, stomach tube are located the both sides of nutrition pipe respectively, and the end of internal drainage tube, nutrition pipe's end, stomach tube all have the side opening, and internal drainage tube is inside to penetrate to have the fixed rope that links together internal drainage tube, nutrition pipe, the stomach tube below the tee junction spare, and the outside at internal drainage tube top is provided with the stationary blade at fixed rope both ends;
one end of the fixing rope is positioned outside the initial end of the inner drainage tube, the other end of the fixing rope enters the inner drainage tube from the initial end of the inner drainage tube and then penetrates out of the side hole at the extreme end of the inner drainage tube and wraps the gastric tube and the nutrition tube, and the other end of the fixing rope penetrates back into the inner drainage tube from the extreme end of the inner drainage tube and penetrates out of the initial end of the inner drainage tube after wrapping the gastric tube and the nutrition tube.
Every time a cannula is performed, a complex operation and pain of another patient are required, in the prior art, the cannula is performed twice, the injury and pain of the patient are doubled, the tolerance of the patient is obviously reduced, and the operation is possibly stopped because the patient cannot bear the cannula during the cannula. In view of the above, the utility model designs the internal drainage gastrointestinal integral tube, which combines the internal drainage tube, the gastric tube and the nutrition tube together, and only needs to perform intubation operation once, so that not only can sufficient nutrition liquid be filled into the nutrition tube and good nutrition condition of a patient be ensured, but also the anastomotic stoma can be always in a clean state through continuous drainage of the pus cavity drainage tube and the gastric tube, thereby facilitating fistula healing, and simultaneously improving tolerance of the patient with the tube, reducing tube placement difficulty and operation time, and improving patient compliance and treatment experience. The inner drainage tube is the drainage tube of the pus cavity in the utility model.
The nutrition tube is positioned in the middle and has the length of about 120-140cm, the guide wire is arranged, the tail end of the nutrition tube is provided with two side holes and is marked with scales, and the length of the scales is the distance from the connecting piece to the tail end of the nutrition tube; the nutrition tube is positioned in the middle and has the length of about 120-140cm, the guide wire is arranged at the tail end, the two side holes are arranged at the tail end, the scale length is the distance from the connecting piece to the tail end of the nutrition tube, the inner drainage tube is positioned at the other side of the nutrition tube and has the length of about 55cm, the two side holes are arranged at the tail end, the scale is arranged at the tail end, and the scale length is the distance from the connecting piece to the tail end of the inner drainage tube; the nutrition tube, the inner drainage tube and the stomach tube are all in the prior art, and the medical tube is not modified.
The three-way connecting piece is actually a plastic block or a rubber block and the like provided with three through holes, the three-way connecting piece connects the inner drainage tube, the nutrition tube and the stomach tube together to form a pipeline collecting structure, and when the three-way connecting piece is used for intubation, only one time of intubation is needed, so that the injury of a patient is reduced, the tolerance of the patient is improved, and the problem that at least two times of intubation operation are needed in the prior art is solved; when the intubation tube is in an intubation state, the tail end of the inner drainage tube, the nutrition tube and the stomach tube are bound together, after the intubation tube is in an intubation initial state, the movable end of the fixing rope is loosened, the binding effect of the fixing rope is not generated, the drainage tube, the nutrition tube and the stomach tube can be naturally separated, and the drainage tube, the nutrition tube and the stomach tube below the three-way connecting piece are mutually independent, so that the respective effects of the inner drainage tube, the nutrition tube and the stomach tube are not influenced.
In the utility model, in the initial state, one end of the fixing rope is fixed on the fixing sheet in advance, the other end of the fixing rope is penetrated by the initial part of the inner drainage tube, the inner drainage tube is tightly bound with the stomach tube and the nutrition tube by penetrating out of the side hole at the tail end of the inner drainage tube, then the inner drainage tube is penetrated back to the inner drainage tube through the same side hole, the inner drainage tube is penetrated back to the initial part and then fixed on the fixing sheet, at the moment, the tail end of the drainage tube is fixed with the stomach tube and the nutrition tube, and the tail end of the inner drainage tube is bound with the stomach tube and the nutrition tube through the fixing rope so as to be convenient for placement, and the fixing rope can be loosened after placement to separate the inner drainage tube from the stomach tube and the nutrition tube.
When the three-way connecting piece is used for intubation, the three are connected together from the position of the inner drainage tube, the nutrition tube and the stomach tube close to the initial end, the fixing rope is connected together from the tail end of the inner drainage tube, and the three-way connecting piece and the fixing rope are mutually matched, so that the three-way connecting piece is equivalent to the tail-end tightening of the inner drainage tube, the nutrition tube and the stomach tube, the occupied space of the three during intubation is reduced, and smooth and rapid intubation is ensured; according to the utility model, the three movable pipelines can be inserted only by performing the intubation operation once, so that the damage degree of the intubation to a patient is reduced; in addition, compared with the prior art, the utility model adds the gastric tube, and the gastric tube and the inner drainage tube are matched to continuously drain so that the anastomotic stoma is always in a clean state, thereby being beneficial to healing of the fistula.
The distance between the initial end of the inner drainage tube, the initial end of the nutrition tube, the initial end of the stomach tube and the three-way connecting piece is more than 10cm.
The initial end of the inner drainage tube, the initial end of the nutrition tube and the initial end of the stomach tube are also connected with equipment such as a negative pressure suction or infusion tube, so that the initial end of the inner drainage tube, the initial end of the nutrition tube, the initial end of the stomach tube and the three-way connecting piece are required to have enough operable length, and in the actual use process, the distances among the initial end of the inner drainage tube, the initial end of the nutrition tube, the initial end of the stomach tube and the three-way connecting piece are all larger than 10cm.
The fixing piece is a plastic piece, and a through hole for the fixing rope to pass through is formed in the fixing piece. One end of the fixing rope is fixed on the fixing rope in advance, the other end of the fixing rope is movably fastened on the small hole, the fixing rope can be loosened by loosening the movable fastener, and the operation is simple.
The inner drainage tube, the nutrition tube and the beginning end of the stomach tube are all communicated with a pipeline connector. The pipeline connector is a medical pipeline connector, so that the inner drainage tube, the nutrition tube and the stomach tube are conveniently connected with equipment such as a negative pressure suction or infusion tube, and the pipeline connector reduces abrasion of the initial ends of the inner drainage tube, the nutrition tube and the stomach tube.
One end of the pipeline connector is connected with the initial end of the corresponding inner drainage tube, the corresponding nutrition tube and the corresponding stomach tube, and one end of the pipeline connector is detachably connected with a sealing cover. The sealing cover is used for sealing the pipeline connector, so that external pollutants are prevented from entering the corresponding inner drainage tube, the nutrition tube and the stomach tube through the pipeline connector.
The inner drainage tube is in sliding connection with the three-way connecting piece, and the nutrition tube and the stomach tube are fixedly connected with the three-way connecting piece. The joint of the stomach tube and the nutrition tube is fixed together with the connecting piece and is not movable, and the inner drainage tube can slide in the connecting piece so as to adjust the length of the inner drainage tube by pulling the initial part according to the position of the fistula.
The nutrition tube and the stomach tube below the three-way connecting piece are in close contact. The stomach tube is closely contacted with the nutrition tube to form a whole body below the connecting piece, but the stomach tube and the nutrition tube are not communicated with each other; the gastric tube and the nutrition tube are in close contact with each other, so that the occupied space of the whole device can be reduced.
The nutrient canal is provided with a guide wire. The guide wire is arranged in the nutrition tube, so that the toughness and rigidity of the nutrition tube can be effectively increased, the nutrition tube can be inserted into a patient body more easily, and the guide wire in the nutrition tube can be pulled out after the nutrition tube is confirmed to be inserted in place; the guide wires commonly used in the prior art are usually made of metal materials, such as steel wires, and are only used for increasing the toughness and rigidity of the catheter when the catheter (nutrition tube) is inserted.
Compared with the prior art, the utility model has the following advantages and beneficial effects:
1. according to the internal drainage gastrointestinal integrated tube for the anastomotic stoma fistula after the esophageal reconstruction operation, the internal drainage tube, the stomach tube and the nutrition tube are combined together, and only one intubation operation is needed, so that the tolerance of a patient with the tube is improved, the tube placement difficulty and the operation time are reduced, and the patient compliance and the treatment experience are improved;
2. when the internal drainage gastrointestinal integrated tube for the anastomotic stoma fistula after the esophageal reconstruction operation is used for intubation, the three are connected together through the three-way connecting piece from the position, close to the starting end, of the internal drainage tube, the nutrition tube and the stomach tube, the three are connected together through the tail end of the internal drainage tube, the three-way connecting piece and the fixing rope are matched with each other, so that the three-way connecting piece is equivalent to the tail end tightening of the internal drainage tube, the nutrition tube and the stomach tube, the occupied space of the three during intubation is reduced, and smooth and rapid intubation is ensured;
3. the internal drainage gastrointestinal integrated tube for the anastomotic stoma fistula after the esophageal reconstruction operation can not only fill sufficient nutrient solution through the nutrient tube and ensure good nutrition condition of a patient, but also enable the anastomotic stoma to be always in a clean state through the continuous drainage of the pus cavity drainage tube and the gastric tube, and is beneficial to healing of the fistula.
Drawings
The accompanying drawings, which are included to provide a further understanding of embodiments of the utility model and are incorporated in and constitute a part of this application, illustrate embodiments of the utility model. In the drawings:
FIG. 1 is a schematic diagram of the structure of the present utility model;
FIG. 2 is a schematic view of the installation structure of the fixing rope of the present utility model;
fig. 3 is a schematic structural view of a three-way connector according to the present utility model.
In the drawings, the reference numerals and corresponding part names:
1-inner drainage tube, 2-nutrition tube, 3-stomach tube, 4-three-way connector, 5-fixing rope, 6-fixing piece, 7-pipeline connector, 61-through hole and 71-sealing cover.
Detailed Description
For the purpose of making apparent the objects, technical solutions and advantages of the present utility model, the present utility model will be further described in detail with reference to the following examples and the accompanying drawings, wherein the exemplary embodiments of the present utility model and the descriptions thereof are for illustrating the present utility model only and are not to be construed as limiting the present utility model.
Example 1
As shown in fig. 1-3, the utility model discloses an internal drainage gastrointestinal integrated tube for anastomotic stoma fistula after esophageal reconstruction operation, which comprises an internal drainage tube 1, a nutrition tube 2 and a stomach tube 3, wherein the internal drainage tube 1, the nutrition tube 2 and the stomach tube 3 are all arranged on a three-way connecting piece 4, the internal drainage tube 1 and the stomach tube 3 are respectively positioned at two sides of the nutrition tube 2, the tail end of the internal drainage tube 1, the tail end of the nutrition tube 2 and the tail end of the stomach tube 3 are respectively provided with a side hole, a fixing rope 5 for connecting the internal drainage tube 1, the nutrition tube 2 and the stomach tube 3 below the three-way connecting piece 4 is penetrated into the internal drainage tube 1, and fixing pieces 6 for fixing two ends of the fixing rope 5 are arranged outside the initial end of the internal drainage tube 1;
one end of a fixing rope 5 is positioned outside the initial end of the inner drainage tube 1, the other end of the fixing rope 5 enters the inner drainage tube 1 from the initial end of the inner drainage tube 1 and then penetrates out from the side hole at the extreme end of the inner drainage tube 1 and wraps the gastric tube 3 and the nutrition tube 2, and the other end of the fixing rope 5 penetrates back into the inner drainage tube 1 from the extreme end of the inner drainage tube 1 and then penetrates out from the initial end of the inner drainage tube 1 after wrapping the gastric tube 3 and the nutrition tube 2.
The distance between the starting end of the inner drainage tube 1, the starting end of the nutrition tube 2, the starting end of the stomach tube 3 and the three-way connecting piece 4 is more than 10cm.
The fixing piece 6 is a plastic piece, and a through hole 61 for the fixing rope 5 to pass through is formed in the fixing piece 6.
The nutrition tube 2 and the stomach tube 3 below the three-way connecting piece 4 are closely contacted. The feeding tube is in close contact with the gastric tube but not in communication.
The nutrient canal is provided with a guide wire. The guide wire is arranged in the nutrition tube, so that the toughness and rigidity of the nutrition tube can be effectively increased, the nutrition tube can be inserted into a patient body more easily, and the guide wire in the nutrition tube can be pulled out after the nutrition tube is confirmed to be inserted in place; the guide wire commonly used in the prior art is usually made of metal materials, such as steel wires, and is only used for increasing the toughness and rigidity of the catheter when in intubation (nutrition tube); the feeding tube with guide wire is the prior art, and the specific structure is not described herein too much.
The application mode of the utility model is as follows: in the utility model, in the initial state, one end of the fixing rope is fixed on the fixing sheet in advance, the other end of the fixing rope is penetrated by the initial part of the inner drainage tube, the inner drainage tube is tightly bound with the stomach tube and the nutrition tube by penetrating out of the side hole at the tail end of the inner drainage tube, then the inner drainage tube is penetrated back to the inner drainage tube through the same side hole, the inner drainage tube is penetrated back to the initial part and then penetrates through the through hole of the fixing sheet to form a movable buckle, both ends of the fixing rope can be fixed on the fixing sheet, at the moment, the tail end of the drainage tube is fixed with the stomach tube and the nutrition tube, the tail end of the inner drainage tube is bound with the stomach tube and the nutrition tube through the fixing rope so as to be convenient for placement, and one end of the movable buckle of the fixing rope can be loosened after placement, so that the fixing rope is loosened, and the inner drainage tube is separated from the stomach tube and the nutrition tube.
Example 2
Based on the embodiment 1, the initial ends of the inner drainage tube 1, the nutrition tube 2 and the stomach tube 3 are all communicated with a pipeline connector 7.
One end of the pipeline connector 7 is connected with the corresponding starting ends of the inner drainage tube 1, the nutrition tube 2 and the stomach tube 3, and one end of the pipeline connector 7 is detachably connected with a sealing cover 71.
The pipeline connector is a medical pipeline connector, so that the inner drainage tube, the nutrition tube and the stomach tube are conveniently connected with equipment such as a negative pressure suction or infusion tube, and the pipeline connector reduces abrasion of the initial ends of the inner drainage tube, the nutrition tube and the stomach tube.
Example 3
Based on the embodiment, the inner drainage tube 1 is in sliding connection with the three-way connecting piece 4, and the nutrition tube 2 and the stomach tube 3 are fixedly connected with the three-way connecting piece 4.
The joint of the stomach tube and the nutrition tube is fixed together with the connecting piece and is not movable, and the inner drainage tube can slide in the connecting piece so as to adjust the length of the inner drainage tube by pulling the initial part according to the position of the fistula.
The foregoing description of the embodiments has been provided for the purpose of illustrating the general principles of the utility model, and is not meant to limit the scope of the utility model, but to limit the utility model to the particular embodiments, and any modifications, equivalents, improvements, etc. that fall within the spirit and principles of the utility model are intended to be included within the scope of the utility model.
Claims (8)
1. An inner drainage gastrointestinal integrated tube for anastomotic stoma fistula after esophagus reconstruction operation is characterized by comprising an inner drainage tube (1), a nutrition tube (2) and a stomach tube (3), wherein the inner drainage tube (1), the nutrition tube (2) and the stomach tube (3) are all arranged on a three-way connecting piece (4), the inner drainage tube (1) and the stomach tube (3) are respectively positioned at two sides of the nutrition tube (2), the tail end of the inner drainage tube (1), the tail end of the nutrition tube (2) and the tail end of the stomach tube (3) are all provided with side holes, the inner drainage tube (1) is internally penetrated with a fixing rope (5) for connecting the inner drainage tube (1), the nutrition tube (2) and the stomach tube (3) below the three-way connecting piece (4), and fixing pieces (6) for fixing two ends of the fixing rope (5) are arranged at the outer part of the starting end of the inner drainage tube (1);
one end of a fixing rope (5) is positioned outside the starting end of the inner drainage tube (1), the other end of the fixing rope (5) enters the inner drainage tube (1) from the starting end of the inner drainage tube (1) and then penetrates out from the side hole at the extreme end of the inner drainage tube (1) and surrounds the gastric tube (3) and the nutrition tube (2), and the other end of the fixing rope (5) penetrates back into the inner drainage tube (1) from the extreme end of the inner drainage tube (1) and penetrates out from the starting end of the inner drainage tube (1) after surrounding the gastric tube (3) and the nutrition tube (2).
2. The integrated tube for internal drainage and gastrointestinal tract of anastomotic stoma fistula after esophageal reconstruction surgery according to claim 1, wherein the distance between the initial end of the internal drainage tube (1), the initial end of the nutrition tube (2), the initial end of the stomach tube (3) and the three-way connecting piece (4) is larger than 10cm.
3. An integrated tube for internal drainage of an anastomotic stoma fistula after esophageal reconstruction according to claim 1, wherein the fixing piece (6) is a plastic piece, and a through hole (61) for the fixing rope (5) to pass through is formed in the fixing piece (6).
4. An internal drainage gastrointestinal integrated tube for an anastomotic stoma fistula after esophageal reconstruction surgery according to claim 1, wherein the initial ends of the internal drainage tube (1), the nutrition tube (2) and the stomach tube (3) are all communicated with a pipeline connector (7).
5. An integrated tube for internal drainage of an anastomotic stoma fistula after esophageal reconstruction according to claim 4, wherein one end of the tube connector (7) is connected with the initial end of the corresponding internal drainage tube (1), nutrition tube (2) and stomach tube (3), and one end of the tube connector (7) is detachably connected with a sealing cover (71).
6. An integrated tube for internal drainage and gastrointestinal tract for anastomotic stoma fistula after esophageal reconstruction surgery according to claim 1, wherein the internal drainage tube (1) is in sliding connection with the three-way connecting piece (4), and the nutrition tube (2) and the stomach tube (3) are fixedly connected with the three-way connecting piece (4).
7. An internal drainage gastrointestinal integrated tube for an anastomotic stoma fistula after esophageal reconstruction according to claim 1, wherein the feeding tube (2) and the gastric tube (3) below the three-way connecting piece (4) are in close contact.
8. An internal drainage gastrointestinal tube for use in a post-esophageal reconstructive surgery anastomotic stoma fistula according to claim 1, characterized in that the feeding tube (2) is provided with a guidewire.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202222168762.5U CN218889981U (en) | 2022-08-18 | 2022-08-18 | Internal drainage gastrointestinal integrated tube for anastomotic stoma fistula after esophagus reconstruction operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202222168762.5U CN218889981U (en) | 2022-08-18 | 2022-08-18 | Internal drainage gastrointestinal integrated tube for anastomotic stoma fistula after esophagus reconstruction operation |
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| Publication Number | Publication Date |
|---|---|
| CN218889981U true CN218889981U (en) | 2023-04-21 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202222168762.5U Active CN218889981U (en) | 2022-08-18 | 2022-08-18 | Internal drainage gastrointestinal integrated tube for anastomotic stoma fistula after esophagus reconstruction operation |
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| Country | Link |
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| CN (1) | CN218889981U (en) |
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- 2022-08-18 CN CN202222168762.5U patent/CN218889981U/en active Active
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