A kind of multifunctional thermal coagulation therapeutic instrument for gynaecologic diseaseTechnical field
The invention belongs to medical instruments field, especially a kind of gynecopathy therapeutic utensil.
Background technology
Diseases such as hysteromyoma (between the flesh wall and fleshy polyp and cervix uteri muscular tumor), dysfunctional uterine bleeding (abbreviation anovulatory dysfunctional uterine hemorrhage), endometrial polyp, cervical polyp, cervical erosion and cyst of cervix, cyst of vagina, vulval cyst are the most common gynecological diseases.In clinical treatment, be that traditional operative treatment is that hysterectomy or focus are excavated outside the master divided by Drug therapy to its treatment.The former relapse rate height, latter Ze Yin disease and " operating on " and or lost the genitals, and bring other problems therefrom.In recent years, risen the new physics therapy of intervention above-mentioned hysteropathy of biological thermotherapy gradually, promptly affacted uterine lesion and make it degeneration, come off, absorb with physical energies such as microwave or radio-frequency currents for the basis, and then fibrosis, reach therapeutic purposes thus.The characteristics of this therapy have been both to avoid the high deficiency of Drug therapy relapse rate, have avoided the drawback of traditional operation again, and easy to be quick, the treatment wound is small, is expected to become the comparatively ideal Therapeutic Method of above-mentioned hysteropathy.In addition, gynecological cancer is when for example patients such as cervical cancer, carcinoma vulvae and carcinoma of endometrium are with regard to rash, often there is unmanageable serious focus hemorrhage, the utensil of using the aforementioned physics heat energy of loading acts on the petechia on cancer surface, make it rapid hemostasis, for follow-up treatment creates favorable conditions, has sure clinical value.
Up to now, the utensil that loads aforementioned physical energy is the inner membrance thermocoagulation curet that is uterus curet shape, and acicular perforator, some drawbacks or deficiency have in use been remained, for example: curet heat-conducting metal surface is very easily in use adhered to by the attached layer of the formed incrustation of the internal film tissue of solidifying degeneration, this attached layer be electricity and heat insulation layer, has both influenced follow-up thermocoagulation effect, again easy-clear and be easy to damage utensil in the process of attached layer of removing not.In addition when the patient has two or more hysteropathys simultaneously, for example hysteromyoma merges anovulatory dysfunctional uterine hemorrhage, need the different thermocoagulation utensil of frequent change during the treatment, not only bring inconvenience to treatment, therapeutic appliance passes in and out the misery that cervical canal has also increased the patient repeatedly.
Summary of the invention
The purpose of this invention is to provide a kind of possess above-mentioned various gynecological diseases all healingly effectively practical is utilized physical energies such as radio-frequency current or microwave, through pudendum, vagina and cavity of uterus approach aforementioned diseases is implemented the utensil of thermocoagulation ablation, to overcome the drawback or the deficiency of thermocoagulation for the treatment utensil in the past.
The objective of the invention is to realize by the following technical programs, it comprises physics generator and metal guide rod, it is characterized in that: the surface at metal guide rod is pasted with insulating barrier, end at metal guide rod is connected with insulated handle, have lead to walk in the insulated handle hollow, an end of this lead links to each other with metal guide rod, and the other end links to each other with the physics generator, be connected with olecranon shape termination on the top of metal guide rod, be provided with insulating barrier in the junction of termination and guide rod.
The present invention has the following advantages owing to adopt technique scheme:
1, the termination is that sharp property and passivity combine, and can have the function of multi-use according to pathological changes situation performance puncture or attached subsides function, effectively prevents to change repeatedly in the operating process rough sledding that different therapeutic appliance are brought.
2. the termination is the olecranon shape, and itself and endometrium have action by contact area fully, have avoided the little deficiency of loop shaped thermocoagulation curet action by contact area.
3. the termination is the olecranon shape, the setting of its male and female face, make it when using, can be removed the attached layer of formed pathological tissues incrustation through simple wiping, avoided the curet of loop shaped thermocoagulation in the past must wiping ring internal ring and outer ring surface could remove form a scab attached layer loaded down with trivial details of internal film tissue.
Description of drawings
Fig. 1 is a structural representation of the present invention.
Fig. 2 is the right view of termination of the present invention.
Fig. 3 is the A-A profile of termination of the present invention.
Fig. 4 is bottom surface, a termination of the present invention sectional view.
Fig. 5 is the another kind of structural representation of metal guide rod.
In the accompanying drawing, 1-metal guide rod, 2-insulated handle, 3-olecranon shape termination, 4-convex surface, 5-concave surface, 6-bottom surface, 7-lead, 8, the 9-insulating barrier, 10-physics generator.
The specific embodiment
That the invention will be further described is as follows below in conjunction with accompanying drawing:
As shown in Figure 1, the present invention includesphysics generator 10 and metal guide rod 1, be pasted withinsulating barrier 9 on the surface of metal guide rod 1, end at metal guide rod 1 is connected with insulated handle 2, havelead 7 to walk in insulated handle 2 hollows, an end of thislead 7 links to each other with metal guide rod 1, and the other end links to each other withphysics generator 10, be connected witholecranon shape termination 3 on the top ofmetal guide rod 1,3 are provided with insulating barrier 8 with the junction of metal guide rod 1 in the termination.Thebottom surface 6 of thisolecranon shape termination 3 be crescent as shown in Figure 4.One facade is aconvex surface 4, and another facade is aconcave surface 5, andtermination 3 is narrowed down to the top gradually by bottom surface 6.In addition, judgetermination 3 in intrauterine orientation for the ease of the operator, also can find the degree of impairment on insulatingbarrier 9 surfaces simultaneously easily, theinsulating barrier 9 that metal guide rod 1 surface attaches is coloured insulating barrier, and it is marked with scale.For the ease of adapting to the physiology camber of cavity of uterus, the top of metal guide rod 1 is slightly crooked, as shown in Figure 5.
Treatment principle of the present invention be microwave or radio-frequency current 3 the diathermanous effect of sticking type reaches the heated denaturalization of pathological tissues through the termination, hot temperature is at 60 to 90 degrees centigrade.
Using method of the present invention:
Before implementing treatment, reply patient's lesions position is clarified a diagnosis, for example orientation, uterus, uterine cavity shape carry out imageology (mainly being the inspection of B ultrasound survey meter) inspection, and other is such as pudendum pathological changes, cervix lesion living tissue pathologic finding and endometrium diagnostic curettage pathologic finding etc.Basic operational steps when implementing treatment is as follows: 1. utensil is prepared: use preceding should making of utensil to disinfect, get 2% pentanedial liquid soaking disinfection usually.2. place utensil: the patient takes bladder to cut the stone position, and pudendum, vagina, cervix lesion direct-view are appeared.As the pathological changes that can look at straight for the bleeding part of pudendum, vagina, Cervical cyst and above-mentioned position cancerous issue etc., can directly convexsurface 4 of the present invention be affixed on the focus surface or the tip is punctured in the cyst; As be cervical erosion and polyp pathological changes,convex surface 4 of the present invention should be affixed on rotten to the corn face and the polyp.When being positioned at intrauterine as focus, suitable expansion cervix pipe is taken advantage of a situation according to the cavity of uterus degree of depth and radian utensil is inserted uterine cavity, as is uterus intermural myoma, should puncture into the tumor heart under B ultrasonic monitors; As be submucosal myoma of uterus, should be with the most advanced and sophisticated contact closely of this present invention tumor pedicle position; As be polyp or anovulatory dysfunctional uterine hemorrhage under the uterine mucosa, convexsurface 4 of the present invention should be affixed on the pathological tissues.The energy output value of 3. selected microwaves corresponding or radio frequency electric generator is also opened physics generator 10.4. the operator hold handle 2 and maketermination 3 in the focus surface or intralesional do and move in order, can intermittentlytermination 3 be taken out by intralesional therebetween, check also the attached layer of the formed incrustation of internal film tissue on thecleaning termination 3.
Compared with prior art, the present invention have multi-functional, use safety and the good characteristics of result for the treatment of.