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CN107233655A - The application method and its double balloon drainage tube structures of the double balloon drainage tubes of ureter - Google Patents

The application method and its double balloon drainage tube structures of the double balloon drainage tubes of ureter
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CN107233655A
CN107233655ACN201710532306.5ACN201710532306ACN107233655ACN 107233655 ACN107233655 ACN 107233655ACN 201710532306 ACN201710532306 ACN 201710532306ACN 107233655 ACN107233655 ACN 107233655A
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sacculus
balloon
ureter
urine
external tapping
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CN107233655B (en
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王勇
李玲
苏杨波
曾军
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Union Hospital Tongji Medical College Huazhong University of Science and Technology
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Abstract

Translated fromChinese

本发明公开了输尿管双球囊引流管的使用方法。它包括如下步骤:常规经皮穿刺积水扩张肾盂肾盏后,引入导丝通过输尿管狭窄处,再经导丝引入输尿管双球囊引流管;通过叉形注射座的连接尿液引流腔的外接口注射造影剂;输尿管狭窄处位于输尿管上段时,第二球囊位于输尿管狭窄处,第一球囊位于输尿管内;输尿管狭窄处位于输尿管下段时,第一球囊位于输尿管狭窄处,第二球囊位于输尿管内;通过叉形注射座的连接第一球囊的外接口和连接第二球囊的外接口注射造影剂充盈第一球囊及第二球囊;体表固定输尿管双球囊引流管。具有在有效引流尿液、解除肾积水,且持续扩张输尿管狭窄的优点。本发明还公开了输尿管双球囊引流管的使用方法的双球囊引流管结构。

The invention discloses a method for using a ureter double-balloon drainage tube. It includes the following steps: after routine percutaneous puncture of hydrops to dilate the renal pelvis and calyces, introduce a guide wire through the ureteral stricture, and then introduce a ureteral double-balloon drainage tube through the guide wire; Inject contrast agent through the interface; when the ureteral stricture is located in the upper ureter, the second balloon is located at the ureteral stricture, and the first balloon is located in the ureter; when the ureteral stricture is located in the lower ureter, the first balloon is located at the ureteral stricture, and the second balloon The sac is located in the ureter; inject contrast medium through the fork-shaped injection seat’s external port connected to the first balloon and the external port connected to the second balloon to fill the first balloon and the second balloon; fix the ureteral double-balloon drainage on the body surface Tube. It has the advantages of effectively draining urine, relieving hydronephrosis, and continuously dilating ureteral stricture. The invention also discloses the double-balloon drainage tube structure of the use method of the ureteral double-balloon drainage tube.

Description

Translated fromChinese
输尿管双球囊引流管的使用方法及其双球囊引流管结构Method of using ureteral double-balloon drainage tube and the structure of the double-balloon drainage tube

技术领域technical field

本发明涉及医疗器械技术领域,更具体的说它是输尿管双球囊引流管的使用方法。本发明还涉及输尿管双球囊引流管的使用方法的双球囊引流管结构。The invention relates to the technical field of medical equipment, more specifically, it relates to a method for using a ureteral double-balloon drainage tube. The invention also relates to the structure of the double-balloon drainage tube used in the method of using the ureteral double-balloon drainage tube.

背景技术Background technique

输尿管狭窄是泌尿外科常见疾病,长期输尿管狭窄会对肾脏功能产生严重影响,轻者引起肾积水,严重者则造成肾功能损害;目前多采用开放或腔镜手术方法行输尿管成形治疗,但该术式创伤较大,对术中经验技术要求较高,术后容易出现尿瘘、吻合口再狭窄或切口感染;随着科学技术的不断发展及人们对微创技术认识的不断深入,采用输尿管腔内扩张并双J管置入治疗输尿管狭窄的方法得到广泛应用,该操作具有操作简单、住院时间短、创伤小、恢复快等优点,置入输尿管腔内双J管后不仅具有引流支撑作用,且利于输尿管黏膜修复,已逐渐受到临床医生的认可,但植入的双J形管径一般较细(管径小于3mm),并且扩张能力有限,良性输尿管狭窄处常常需要反复扩张,反复更换并长期留置双J管,从而容易诱发尿盐沉积,继而导致输尿管尿路感染或梗阻的发生。Ureteral stenosis is a common disease in urological surgery. Long-term ureteral stenosis will have a serious impact on kidney function, causing hydronephrosis in mild cases, and renal function damage in severe cases. At present, open or laparoscopic surgery is usually used for ureteroplasty, but this Surgical trauma is relatively large, requiring high intraoperative experience and technology, and postoperative urinary fistula, anastomotic restenosis or incision infection are prone to occur; The method of internal expansion and double-J tube placement for the treatment of ureteral stenosis has been widely used. This operation has the advantages of simple operation, short hospital stay, less trauma, and quick recovery. And it is beneficial to the repair of ureteral mucosa, which has gradually been recognized by clinicians. However, the diameter of the implanted double J-shaped tube is generally small (diameter less than 3mm), and the expansion capacity is limited. The benign ureteral stricture often needs to be expanded repeatedly. Long-term indwelling double J tubes can easily induce urinary salt deposition, which in turn leads to urinary tract infection or obstruction of the ureter.

现有专利号为201220596709.9,专利名称为《输尿管扩张肾腔引流管》应用于输尿管,球囊为单球囊,仅仅为固定作用。The existing patent number is 201220596709.9, and the patent name is "ureteral expansion renal cavity drainage tube" which is applied to the ureter, and the balloon is a single balloon, which is only for fixing.

现有专利号为201120011674.3,专利名称为《一体化胆道内照射球囊引流管》应用于胆道恶性肿瘤,为内照射放疗,双腔引流管长度为25~40cm,外径为7~12F;内照射球囊长度为3~7cm,外径为5~7cm。The existing patent number is 201120011674.3, and the patent name is "Integrated Biliary Irradiation Balloon Drainage Tube" applied to malignant tumors of the biliary tract for internal radiation therapy. The length of the double-lumen drainage tube is 25-40cm, and the outer diameter is 7-12F; The length of the irradiated balloon was 3-7cm, and the outer diameter was 5-7cm.

现有专利号为201710173135.X,专利名称为《一种双腔多孔球囊导管》,引流管末端封闭,双腔导管尾端为单向气阀,为单一外引流方式,应用于肠道、胆道、尿道。The existing patent number is 201710173135.X, and the patent name is "A Double-lumen Porous Balloon Catheter". The end of the drainage tube is closed, and the end of the double-lumen catheter is a one-way air valve. Biliary tract, urethra.

发明内容Contents of the invention

本发明的第一目的是提输尿管双球囊引流管的使用方法,通过与尿液引流腔相连通的连接尿液引流腔的外接口造影判断输尿管腔通畅情况,及时调整置于输尿管狭窄处的球囊的直径,准确扩张输尿管狭窄处。The first object of the present invention is the use method of the double-balloon drainage tube of the ureter, judging the patency of the ureter cavity through angiography of the external interface connected to the urine drainage cavity connected with the urine drainage cavity, and timely adjusting the catheter placed at the ureteral stricture. The diameter of the balloon can accurately dilate the ureteral stricture.

本发明的第二目的是提供所述的输尿管双球囊引流管的使用方法的双球囊引流管结构,采用双球囊设计,一个球囊用于输尿管狭窄处的扩张,另一个球囊位于输尿管内起辅助固定作用,用于不同部位的输尿管狭窄处的扩张;尿液引流腔可以随时冲洗,避免尿液沉积。The second object of the present invention is to provide the double-balloon drainage tube structure of the method of using the ureteral double-balloon drainage tube, which adopts a double-balloon design, one balloon is used for dilating the ureteral stricture, and the other balloon is located at the ureteral stricture. The ureter serves as an auxiliary fixation for the expansion of ureteral strictures in different parts; the urine drainage cavity can be flushed at any time to avoid urine deposition.

为了实现上述本发明的第一目的,本发明的技术方案为:输尿管双球囊引流管的使用方法,其特征在于:包括如下步骤:In order to achieve the above-mentioned first purpose of the present invention, the technical solution of the present invention is: a method for using a ureteral double-balloon drainage tube, which is characterized in that it includes the following steps:

步骤1:常规经皮穿刺积水扩张肾盂肾盏后,引入导丝通过输尿管狭窄处,再经导丝引入输尿管双球囊引流管;Step 1: After conventional percutaneous puncture of hydrops to dilate the renal pelvis and calices, introduce a guide wire through the ureteral stricture, and then introduce a ureteral double-balloon drainage tube through the guide wire;

步骤2:通过叉形注射座的连接尿液引流腔的外接口注射造影剂(含碘量100-150mgl/dl),确定尿液引流腔的近端侧孔位于肾盂或输尿管内,用可反复穿刺注射的肝素帽封闭连接尿液引流腔的外接口;造影剂经引流管进入膀胱后排出体外;Step 2: Inject contrast agent (containing iodine 100-150 mgl/dl) through the external interface of the fork-shaped injection seat connected to the urine drainage cavity, and make sure that the proximal side hole of the urine drainage cavity is located in the renal pelvis or ureter, and can be used repeatedly The puncture-injected heparin cap seals the external interface connected to the urine drainage chamber; the contrast agent enters the bladder through the drainage tube and is discharged from the body;

步骤3:调整第一球囊和第二球囊的位置,当输尿管狭窄处位于输尿管上段时,第二球囊位于输尿管狭窄处,第一球囊位于输尿管内;当输尿管狭窄处位于输尿管下段,第一球囊位于输尿管狭窄处,第二球囊位于输尿管内;通过叉形注射座的连接第一球囊的外接口和连接第二球囊的外接口注射稀释后的造影剂(含碘量100-150mgl/dl)充盈第一球囊及第二球囊,使位于输尿管狭窄处的球囊扩张至直径为4-6mm,正常的输尿管内的球囊扩张至3-4mm;用可反复穿刺注射的肝素帽封闭连接第一球囊的外接口和连接第二球囊的外接口;拔除双 球囊引流管时,开启可反复穿刺注射的肝素帽,用注射器回抽,造影剂流出;Step 3: Adjust the positions of the first balloon and the second balloon. When the ureteral stricture is located in the upper ureter, the second balloon is located in the ureteral stricture, and the first balloon is located in the ureter; when the ureteral stricture is located in the lower ureter, The first balloon is located at the ureteral stenosis, and the second balloon is located in the ureter; the diluted contrast medium (containing iodine) is injected through the external interface of the fork-shaped injection seat connected to the first balloon and the external interface connected to the second balloon. 100-150mgl/dl) to fill the first balloon and the second balloon, so that the balloon located at the ureteral stricture is expanded to a diameter of 4-6mm, and the balloon in the normal ureter is expanded to 3-4mm; it can be repeatedly punctured The injected heparin cap seals the external interface connected to the first balloon and the external interface connected to the second balloon; when the double-balloon drainage tube is pulled out, the heparin cap that can be repeatedly punctured and injected is opened, withdrawn with a syringe, and the contrast medium flows out;

步骤4:体表固定输尿管双球囊引流管;尿液经侧孔进入尿液引流腔进而通过输尿管下段和膀胱排出,或通过连接尿液引流腔的外接口排出体外;二周后复查造影的情况,根据复查造影的情况,决定是否继续扩张至6-8mm。Step 4: Fix the ureteral double-balloon drainage tube on the body surface; urine enters the urine drainage cavity through the side hole and then is discharged through the lower ureter and bladder, or is discharged from the body through the external interface connected to the urine drainage cavity; re-examine the angiography after two weeks Depending on the situation, it is decided whether to continue to expand to 6-8mm according to the situation of the re-examination angiography.

在上述技术方案中,输尿管双球囊引流管的型号根据患者年龄(幼儿、儿童、成年)和/或输尿管长度选择。便于引流肾积水,解除输尿管梗阻,准确扩张输尿管狭窄处。In the above technical solution, the model of the ureteral double-balloon drainage tube is selected according to the age of the patient (infant, child, adult) and/or the length of the ureter. It is convenient to drain hydronephrosis, relieve ureteral obstruction, and accurately dilate ureteral strictures.

为了实现上述本发明的第二目的,本发明的技术方案为:所述的输尿管双球囊引流管的使用方法的双球囊引流管结构,包括尿液引流腔、球囊,球囊包括第一球囊和第二球囊,其特征在于:球囊分别位于输尿管狭窄处和输尿管内;输尿管双球囊引流管为三腔结构;尿液引流腔长度为15-30cm、外径为2-3mm,尿液引流腔材质为聚氨酯;球囊长度为5-10cm,外径为4-7mm,第一球囊和第二球囊相距10cm,球囊材质为乳胶;叉型注射座包括连接第一球囊的外接口、连接第二球囊的外接口、连接尿液引流腔的外接口;球囊连接腔包括第一球囊连接腔、第二球囊连接腔,第一球囊连接腔与第一球囊相连通,第二球囊连接腔与第二球囊相连通;第一球囊连接腔无缝连接于第一球囊、且一端无缝连接于连接第一球囊的外接口,第二球囊连接腔无缝连接于第二球囊、且一端无缝连接于连接第二球囊的外接口,尿液引流腔右端与连接尿液引流腔的外接口无缝连接;球囊位于尿液引流腔外侧;不透X线金属标志设置于球囊内侧、且位于尿液引流腔外壁;侧孔设置于尿液引流腔外壁上、且位于球囊左右两侧,侧孔与尿液引流腔相连通;端孔分别设置于尿液引流腔左右两端;连接第一球囊的外接口为螺口结构,连接第二球囊的外接口为螺口结构,连接尿液引流腔的外接口为螺口结构,连接第一球囊的外接口、连接第二球囊的外接口及连接尿液引流腔的外接口上分别连接可反复穿刺注射的肝素帽;输尿管双球囊引流管的型号根据患者年龄(幼儿、儿童、成年) 和/或输尿管长度选择。In order to achieve the second objective of the present invention above, the technical solution of the present invention is: the double-balloon drainage tube structure of the method for using the ureteral double-balloon drainage tube includes a urine drainage cavity and a balloon, and the balloon includes the first A balloon and a second balloon are characterized in that: the balloons are respectively located at the ureteral stricture and in the ureter; the ureteral double-balloon drainage tube has a three-chamber structure; the length of the urine drainage lumen is 15-30 cm, and the outer diameter is 2- 3mm, the urine drainage cavity is made of polyurethane; the length of the balloon is 5-10cm, the outer diameter is 4-7mm, the distance between the first balloon and the second balloon is 10cm, and the material of the balloon is latex; The external interface of a balloon, the external interface connected with the second balloon, and the external interface connected with the urine drainage cavity; the balloon connection cavity includes the first balloon connection cavity, the second balloon connection cavity, the first balloon connection cavity It communicates with the first balloon, and the second balloon connection cavity communicates with the second balloon; the first balloon connection cavity is seamlessly connected to the first balloon, and one end is seamlessly connected to the outer surface of the first balloon. Interface, the second balloon connection cavity is seamlessly connected to the second balloon, and one end is seamlessly connected to the external interface connected to the second balloon, and the right end of the urine drainage cavity is seamlessly connected to the external interface connected to the urine drainage cavity; The balloon is located outside the urine drainage cavity; the X-ray-opaque metal mark is set on the inside of the balloon and on the outer wall of the urine drainage cavity; the side holes are set on the outer wall of the urine drainage cavity and are located on the left and right sides of the balloon; the side holes It communicates with the urine drainage cavity; the end holes are respectively set at the left and right ends of the urine drainage cavity; the external interface connected to the first balloon is a screw structure, and the external interface connected to the second balloon is a screw structure, which is connected to the urine The external interface of the drainage cavity is a screw structure, and the external interface connected to the first balloon, the external interface connected to the second balloon, and the external interface connected to the urine drainage cavity are respectively connected with heparin caps that can be repeatedly punctured and injected; The size of the bladder drain is selected based on patient age (infant, child, adult) and/or ureteral length.

在上述技术方案中,侧孔有二个或多个。便于引流尿液。In the above technical solution, there are two or more side holes. Facilitates drainage of urine.

在上述技术方案中,不透X线金属标志有二个或多个。便于确定球囊位置。In the above technical solution, there are two or more radiopaque metal markers. Easy to locate the balloon.

本发明具有如下优点:The present invention has the following advantages:

(1)本发明可以随时冲洗保持通畅,并随时造影,根据输尿管腔通畅情况调整扩张球囊的直径,或逐步增加扩张球囊的直径,具有较好的改善输尿管狭窄处的效果;(1) The present invention can be flushed at any time to keep it unobstructed, and can be contrasted at any time to adjust the diameter of the expansion balloon according to the patency of the ureteral lumen, or gradually increase the diameter of the expansion balloon, which has a better effect of improving the ureteral stricture;

(2)本发明在保证充分引流尿液的同时,持续扩张输尿管狭窄部并可在一定限度内不断增加球囊直径,有效解除输尿管梗阻,扩张输尿管狭窄处,保护肾脏功能;克服了传统球囊扩张术扩张输尿管狭窄处的过程中,若球囊直径过小疗效不佳,直径过大导致输尿管撕裂或缺血坏死,容易发生疤痕挛缩,导致输尿管管腔再度狭窄,常常需要反复多次实施球囊扩张术的缺点;(2) While ensuring sufficient drainage of urine, the present invention continuously expands the ureteral stenosis and continuously increases the diameter of the balloon within a certain limit, effectively relieves ureteral obstruction, expands the ureteral stenosis, and protects kidney function; overcomes the traditional balloon In the process of dilating the ureteral stricture, if the diameter of the balloon is too small, the curative effect is not good, and if the diameter is too large, the ureter will be torn or ischemic necrosis, scar contracture will easily occur, and the ureteral lumen will be narrowed again, which often needs to be repeated several times Disadvantages of balloon dilatation;

(3)本发明采用双球囊设计,两个球囊之间相距10cm,其中一个球囊置于输尿管狭窄处起扩张作用,另一个球囊置于输尿管内起到辅助固定作用,二个球囊之间的作用可以互换,可以同时扩张输尿管不同部位(上、中、下段)的狭窄处;(3) The present invention adopts a double-balloon design, and the distance between the two balloons is 10cm. One of the balloons is placed in the ureteral stenosis to expand, and the other balloon is placed in the ureter to assist fixation. The functions of the sacs can be interchanged, and the stenosis of different parts of the ureter (upper, middle and lower) can be expanded at the same time;

(4)操作简便,操作时长为1个小时左右,本发明通过单次操作,扩张球囊可较长时间放置于输尿管狭窄处,起到持续扩张作用,减少了患者总体费用;克服了传统球囊扩张术反复多次实施带给患者痛苦、且总体费用较高的缺点。(4) The operation is simple and the operation time is about 1 hour. Through a single operation of the present invention, the expansion balloon can be placed in the ureteral stenosis for a long time, which plays a role of continuous expansion and reduces the overall cost of the patient; Capsular dilatation has the disadvantages of repeated implementation that brings pain to the patient and high overall cost.

附图说明Description of drawings

图1为本发明结构示意图。Fig. 1 is a schematic diagram of the structure of the present invention.

图2为本发明工作结构示意图。Fig. 2 is a schematic diagram of the working structure of the present invention.

图3为本发明另一个工作结构示意图。Fig. 3 is a schematic diagram of another working structure of the present invention.

图中1-尿液引流腔,1.1-端孔,1.2-侧孔,2-球囊,2.1-第一球囊,2.2-第二球囊,3-叉形注射座,3.1-连接第一球囊的外接口,3.2- 连接第二球囊的外接口,3.3-连接尿液引流腔的外接口,4-不透X线金属标志,5-球囊连接腔,5.1-第一球囊连接腔,5.2-第二球囊连接腔,6-输尿管双球囊引流管,7-输尿管,8-输尿管狭窄处,9-肾盂。In the figure 1-urine drainage cavity, 1.1-end hole, 1.2-side hole, 2-balloon, 2.1-first balloon, 2.2-second balloon, 3-fork-shaped injection seat, 3.1-connection first The external interface of the balloon, 3.2- the external interface connected to the second balloon, 3.3- the external interface connected to the urine drainage cavity, 4- the radiopaque metal sign, 5- the balloon connection cavity, 5.1- the first balloon Connecting lumen, 5.2-Second balloon connecting lumen, 6-Ureter double balloon drainage tube, 7-Ureter, 8-Ureter stricture, 9-Renal pelvis.

具体实施方式detailed description

下面结合附图详细说明本发明的实施情况,但它们并不构成对本发明的限定,仅作举例而已。同时通过说明使本发明的优点更加清楚和容易理解。The implementation of the present invention will be described in detail below in conjunction with the accompanying drawings, but they do not constitute a limitation to the present invention, and are only examples. At the same time, the advantages of the present invention are clearer and easier to understand through the description.

参阅附图可知:输尿管双球囊引流管的使用方法,其特征在于:包括如下步骤:Referring to the accompanying drawings, it can be known that the method for using the ureteral double balloon drainage tube is characterized in that it comprises the following steps:

步骤1:常规经皮穿刺积水扩张肾盂9肾盏后,引入导丝通过输尿管狭窄处8,再经导丝引入输尿管双球囊引流管6;Step 1: after routine percutaneous puncture of hydrops to dilate the renal pelvis 9 calyces, introduce a guide wire through the ureteral stricture 8, and then introduce a ureteral double-balloon drainage tube 6 through the guide wire;

步骤2:通过叉形注射座3的连接尿液引流腔的外接口3.3注射造影剂,确定尿液引流腔1的近端侧孔1.2位于肾盂9或输尿管7内,用可反复穿刺注射的肝素帽封闭连接尿液引流腔的外接口3.3;造影剂经引流管进入膀胱后排出体外;Step 2: Inject contrast agent through the external port 3.3 of the fork-shaped injection seat 3 connected to the urine drainage cavity, make sure that the proximal side hole 1.2 of the urine drainage cavity 1 is located in the renal pelvis 9 or ureter 7, and inject heparin with repeated puncture The cap seals the external interface 3.3 connected to the urine drainage cavity; the contrast agent enters the bladder through the drainage tube and is discharged from the body;

步骤3:调整第一球囊2.1和第二球囊2.2的位置,当输尿管狭窄处8位于输尿管7上段时,第二球囊2.2位于输尿管狭窄处8,第一球囊2.1位于输尿管7内;当输尿管狭窄处8位于输尿管7下段时,第一球囊2.1位于输尿管狭窄处8,第二球囊2.2位于输尿管7内;通过叉形注射座3的连接第一球囊的外接口3.1和连接第二球囊的外接口3.2注射稀释后的造影剂充盈第一球囊2.1及第二球囊2.2,使位于输尿管狭窄处8的球囊2扩张至直径为4-6mm,正常的输尿管7内的球囊2扩张至3-4mm;用可反复穿刺注射的肝素帽封闭连接第一球囊的外接口3.1和连接第二球囊的外接口3.2;拔除双球囊引流管时,开启可反复穿刺注射的肝素帽,用注射器回抽,造影剂流出(如图2、图3所示);Step 3: Adjust the positions of the first balloon 2.1 and the second balloon 2.2. When the ureteral stricture 8 is located in the upper section of the ureter 7, the second balloon 2.2 is located at the ureteral stricture 8, and the first balloon 2.1 is located in the ureter 7; When the ureteral stricture 8 is located in the lower section of the ureter 7, the first balloon 2.1 is located in the ureteral stricture 8, and the second balloon 2.2 is located in the ureter 7; The external port 3.2 of the second balloon injects diluted contrast medium to fill the first balloon 2.1 and the second balloon 2.2, so that the balloon 2 located at the ureteral stricture 8 is expanded to a diameter of 4-6mm, and the normal ureter 7 The balloon 2 is expanded to 3-4mm; the external interface 3.1 connected to the first balloon and the external interface 3.2 connected to the second balloon are closed with a heparin cap that can be repeatedly punctured; when the double-balloon drainage tube is removed, it can be opened repeatedly Puncture the injected heparin cap, withdraw it with a syringe, and the contrast agent flows out (as shown in Figure 2 and Figure 3);

步骤4:体表固定输尿管双球囊引流管6;尿液经侧孔1.2进入尿液引流腔1进而通过输尿管7下段和膀胱排出,或通过连接尿液引 流腔的外接口3.3排出体外。Step 4: Fix the ureteral double-balloon drainage tube 6 on the body surface; the urine enters the urine drainage cavity 1 through the side hole 1.2 and then is discharged through the lower section of the ureter 7 and the bladder, or is discharged from the body through the external interface 3.3 connected to the urine drainage cavity.

参阅附图可知:所述的输尿管双球囊引流管的使用方法的双球囊引流管结构,包括尿液引流腔1、球囊2,球囊2包括第一球囊2.1和第二球囊2.2,其特征在于:球囊2分别位于输尿管狭窄处8和输尿管7内;输尿管双球囊引流管6为三腔结构;尿液引流腔1长度为15-30cm、外径为2-3mm,尿液引流腔1材质为聚氨酯;球囊2长度为5-10cm,外径为4-7mm,第一球囊2.1和第二球囊2.2相距10cm,球囊2材质为乳胶;叉型注射座3包括连接第一球囊的外接口3.1、连接第二球囊的外接口3.2、连接尿液引流腔的外接口3.3;球囊连接腔5包括第一球囊连接腔5.1、第二球囊连接腔5.2,第一球囊连接腔5.1与第一球囊2.1相连通,第二球囊连接腔5.2与第二球囊2.2相连通;第一球囊连接腔5.1无缝连接于第一球囊2.1、且一端无缝连接于连接第一球囊的外接口3.1,第二球囊连接腔5.2无缝连接于第二球囊2.2、且一端无缝连接于连接第二球囊的外接口3.2,尿液引流腔1右端与连接尿液引流腔的外接口3.3无缝连接;球囊2位于尿液引流腔1外侧;不透X线金属标志4设置于球囊2内侧、且位于尿液引流腔1外壁;侧孔1.2设置于尿液引流腔1外壁上、且位于球囊2左右两侧,侧孔1.2与尿液引流腔1相连通;端孔1.1分别设置于尿液引流腔1左右两端(如图1所示);连接第一球囊的外接口3.1为螺口结构,连接第二球囊的外接口3.2为螺口结构,连接尿液引流腔的外接口3.3为螺口结构,连接第一球囊的外接口3.1、连接第二球囊的外接口3.2及连接尿液引流腔的外接口3.3上分别连接可反复穿刺注射的肝素帽;输尿管双球囊引流管6的型号根据患者年龄和/或输尿管7长度选择。侧孔1.1有二个或多个。不透X线金属标志4有二个或多个。Referring to the accompanying drawings, it can be seen that the double-balloon drainage tube structure of the method of using the ureteral double-balloon drainage tube includes a urine drainage chamber 1 and a balloon 2, and the balloon 2 includes a first balloon 2.1 and a second balloon 2.2, characterized in that: the balloon 2 is respectively located in the ureteral stricture 8 and the ureter 7; the ureteral double-balloon drainage tube 6 has a three-chamber structure; the urine drainage chamber 1 has a length of 15-30 cm and an outer diameter of 2-3 mm, The urine drainage chamber 1 is made of polyurethane; the length of the balloon 2 is 5-10cm, the outer diameter is 4-7mm, the distance between the first balloon 2.1 and the second balloon 2.2 is 10cm, and the material of the balloon 2 is latex; fork-shaped injection seat 3 includes an external interface 3.1 connected to the first balloon, an external interface 3.2 connected to the second balloon, and an external interface 3.3 connected to the urine drainage chamber; the balloon connection cavity 5 includes the first balloon connection cavity 5.1, the second balloon connection cavity Connecting chamber 5.2, the first balloon connecting chamber 5.1 communicates with the first balloon 2.1, the second balloon connecting chamber 5.2 communicates with the second balloon 2.2; the first balloon connecting chamber 5.1 seamlessly connects with the first balloon Balloon 2.1, and one end is seamlessly connected to the external interface 3.1 connected to the first balloon, the second balloon connection cavity 5.2 is seamlessly connected to the second balloon 2.2, and one end is seamlessly connected to the external interface connected to the second balloon 3.2, the right end of the urine drainage chamber 1 is seamlessly connected with the external interface 3.3 connected to the urine drainage chamber; the balloon 2 is located outside the urine drainage chamber 1; the X-ray-opaque metal marker 4 is set on the inside of the balloon 2 and located on the urine drainage chamber. The outer wall of the urine drainage chamber 1; the side holes 1.2 are arranged on the outer wall of the urine drainage chamber 1 and are located on the left and right sides of the balloon 2, and the side holes 1.2 are connected with the urine drainage chamber 1; the end holes 1.1 are respectively arranged in the urine drainage chamber 1 left and right ends (as shown in Figure 1); the external interface 3.1 connected to the first balloon is a screw structure, the external interface 3.2 connected to the second balloon is a screw structure, and the external interface 3.3 connected to the urine drainage chamber is Screw structure, the external interface 3.1 connected to the first balloon, the external interface 3.2 connected to the second balloon, and the external interface 3.3 connected to the urine drainage cavity are respectively connected to heparin caps that can be repeatedly punctured and injected; ureteral double-balloon drainage tube 6 models are selected according to patient age and/or ureter 7 length. There are two or more side holes 1.1. There are two or more radiopaque metal signs 4 .

其它未说明的部分均属于现有技术。Other unspecified parts belong to the prior art.

Claims (5)

Step 3:The position of the first sacculus (2.1) and the second sacculus (2.2) is adjusted, (8) are located at ureter at ureterostenosis(7) during epimere, the second sacculus (2.2) is located at ureterostenosis (8), and the first sacculus (2.1) is located in ureter (7);When defeatedWhen urinary catheter stenosis (8) is located at ureter (7) hypomere, the first sacculus (2.1) is located at (8), the second sacculus at ureterostenosis(2.2) it is located in ureter (7);Pass through the second ball of external tapping (3.1) and connection of the sacculus of connection first of fork-shaped injection seat (3)Contrast agent after external tapping (3.2) the injection dilution of capsule fills the first sacculus (2.1) and the second sacculus (2.2), makes to be located at urine outputThe sacculus (2) that the sacculus (2) of pipe stenosis (8) is expanded in a diameter of 4-6mm, normal ureter (7) is expanded to 3-4mm;With can repeatedly puncture injection heparin cap closure connect the first sacculus external tapping (3.1) and connection the second sacculus external tapping(3.2);
3. double sacculus of the application method of the double balloon drainage tubes of ureter according to any claim in claim 1-2Drainage tubular construction, including urine drainage lumen (1), sacculus (2), sacculus (2) include the first sacculus (2.1) and the second sacculus (2.2),It is characterized in that:Sacculus (2) is located at ureterostenosis in (8) and ureter (7) respectively;The double balloon drainage tubes (6) of ureterFor three-cavity structure;Urine drainage lumen (1) length is that 15-30cm, external diameter are 2-3mm, and urine drainage lumen (1) material is polyurethane;Sacculus (2) length is 5-10cm, and external diameter is 4-7mm, and the first sacculus (2.1) and the second sacculus (2.2) are at a distance of 10cm, sacculus (2)Material is latex;Forked type injection seat (3) includes the external tapping (3.1) of the first sacculus of connection, connects the external tapping of the second sacculus(3.2) external tapping (3.3) of urine drainage lumen, is connected;Sacculus connecting cavity (5) includes the first sacculus connecting cavity (5.1), the second ballCapsule connecting cavity (5.2), the first sacculus connecting cavity (5.1) is connected with the first sacculus (2.1), the second sacculus connecting cavity (5.2) withSecond sacculus (2.2) is connected;First sacculus connecting cavity (5.1) is seamlessly connected in the first sacculus (2.1) and one end seamless connectionIn the external tapping (3.1) for connecting the first sacculus, the second sacculus connecting cavity (5.2) is seamlessly connected in the second sacculus (2.2) and one endIt is seamlessly connected in the external tapping (3.2) for connecting the second sacculus, external tapping of urine drainage lumen (1) right-hand member with being connected urine drainage lumen(3.3) it is seamlessly connected;Sacculus (2) is located on the outside of urine drainage lumen (1);Opacity metal flag (4) is arranged in sacculus (2)Side and positioned at urine drainage lumen (1) outer wall;Side opening (1.2) is arranged on urine drainage lumen (1) outer wall and left positioned at sacculus (2)Right both sides, side opening (1.2) is connected with urine drainage lumen (1);Stomidium (1.1) is respectively arranged at urine drainage lumen (1) left and right twoEnd;The external tapping (3.1) for connecting the first sacculus is screw socket structure, and the external tapping (3.2) of the second sacculus of connection is screw socket structure, evenThe external tapping (3.3) for connecing urine drainage lumen is screw socket structure, connects the external tapping (3.1) of the first sacculus, connects the second sacculusExternal tapping (3.2) and connect on the external tapping (3.3) of urine drainage lumen connection respectively can puncture injection repeatedly calparine cap;Urine outputThe model of the double balloon drainage tubes (6) of pipe is selected according to patient age and/or ureter (7) length.
CN201710532306.5A2017-07-032017-07-03 Method of using ureteral double-balloon drainage tube and the structure of the double-balloon drainage tubeExpired - Fee RelatedCN107233655B (en)

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CN108653901A (en)*2018-05-282018-10-16新疆维吾尔自治区人民医院A kind of renal plevis molding ball-bag dilation tube
CN113616148A (en)*2021-09-022021-11-09广州市番禺区中心医院(广州市番禺区人民医院、广州市番禺区心血管疾病研究所)Three-balloon ureteral liquid-gas expansion pipeline kit
CN115192870A (en)*2022-07-082022-10-18湖南依微迪医疗器械有限公司 a ureteral catheter

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US20050080313A1 (en)*2003-10-102005-04-14Stewart Daren L.Applicator for radiation treatment of a cavity
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CN106669015A (en)*2017-02-132017-05-17广西医科大学第附属医院Water-lubricating composite balloon ureteral dilator

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* Cited by examiner, † Cited by third party
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CN108653901A (en)*2018-05-282018-10-16新疆维吾尔自治区人民医院A kind of renal plevis molding ball-bag dilation tube
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