技术领域Technical Field
本发明涉及医疗技术领域，尤其是内镜下治疗胃溃疡的敷料装置。The invention relates to the technical field of medical treatment, in particular to a dressing device for treating gastric ulcer under endoscopy.
背景技术Background Art
胃溃疡常用内科药物标准化治疗，但易被胃酸、胃蛋白酶侵蚀；药物与病灶直接接触时间短、药物种类多、治疗周期长，导致反复用药，影响生活质量，部分患者使用质子泵抑制剂依从性较差，影响治疗效果。Gastric ulcers are often treated with standardized medical drugs, but they are easily eroded by gastric acid and pepsin. The direct contact time between drugs and lesions is short, there are many types of drugs, and the treatment cycle is long, resulting in repeated medication and affecting the quality of life. Some patients have poor compliance with the use of proton pump inhibitors, which affects the treatment effect.
为解决上述问题，本发明公开了内镜下治疗胃溃疡的敷料装置，将多种生物材料组合后贴于消化壁，物理阻挡胃酸与胃蛋白酶的侵蚀，吸收渗液和渗血，并利用药仓局部缓释用药增加药物与病灶直接接触时间，提高治疗效果，且实现了胃溃疡内镜诊断与治疗一体化。To solve the above problems, the present invention discloses a dressing device for endoscopic treatment of gastric ulcer, which combines multiple biological materials and sticks them to the digestive wall to physically block the erosion of gastric acid and pepsin, absorb exudate and blood, and use a drug reservoir for local sustained release of drugs to increase the direct contact time between the drug and the lesion, thereby improving the treatment effect and realizing the integration of endoscopic diagnosis and treatment of gastric ulcer.
发明内容Summary of the invention
针对上述问题，本发明的目的在于提供内镜下治疗胃溃疡的敷料装置，本发明采用的技术方案如下：In view of the above problems, the object of the present invention is to provide a dressing device for endoscopic treatment of gastric ulcer. The technical solution adopted by the present invention is as follows:
内镜下治疗胃溃疡的敷料装置，包括内镜，与内镜连接的放置伞，通过连接绳固定在放置伞底部、用于存储敷料的本体，粘合在本体底部、用于保护本体密封性的保护膜，顶部连接在放置伞左侧、底部包覆在保护膜外围、且与保护膜右侧固定连接的拉扯绳；A dressing device for treating gastric ulcer under endoscopy, comprising an endoscope, a placement umbrella connected to the endoscope, a body fixed to the bottom of the placement umbrella by a connecting rope and used to store dressings, a protective film bonded to the bottom of the body and used to protect the sealing of the body, and a pulling rope connected to the left side of the placement umbrella at the top, wrapped around the outer periphery of the protective film at the bottom, and fixedly connected to the right side of the protective film;
所述本体的内部左右两侧均开设有用于放置止血绫的渗液吸收仓，本体的内部、渗液吸收仓的中间设置有用于添置药物的药物释放仓；所述本体的底部、渗液吸收仓的仓口的外侧设置有用于与溃疡四周的正常消化壁贴合的粘合膜；The left and right sides of the body are provided with exudate absorption chambers for placing hemostatic silk, and the inside of the body and the middle of the exudate absorption chamber are provided with a drug release chamber for adding drugs; the bottom of the body and the outside of the chamber opening of the exudate absorption chamber are provided with an adhesive film for bonding with the normal digestive wall around the ulcer;
所述放置伞采用橡胶材质，且放置伞的伞柄内部设置有用于调整本体的角度的铁丝。The placement umbrella is made of rubber material, and an iron wire for adjusting the angle of the main body is arranged inside the umbrella handle of the placement umbrella.
进一步地，所述药物释放仓的仓口设置有缓透膜。Furthermore, a slow permeation membrane is provided at the port of the drug release chamber.
进一步地，所述本体的顶部及左右两侧包覆有一层用于抗酸抗水的致密膜。Furthermore, the top and left and right sides of the body are covered with a dense film for acid and water resistance.
进一步地，所述连接绳呈圆台状等间距连接在放置伞和本体之间，所述连接绳为可吸收缝线。Furthermore, the connecting rope is truncated cone-shaped and connected between the placement umbrella and the main body at equal intervals, and the connecting rope is an absorbable suture.
进一步地，所述放置伞的伞柄的中部设置有角度可调节的翻折角。Furthermore, a folding angle with an adjustable angle is arranged in the middle of the umbrella handle where the umbrella is placed.
进一步地，所述本体采用聚乳酸聚乙二醇材质；所述粘合膜与溃疡四周的正常消化壁贴合的表面涂覆有一层仿贻贝生物粘合剂；所述缓透膜为乙基纤维素薄膜；所述保护膜采用有机硅离型纸；所述拉扯绳为细尼龙绳。Furthermore, the main body is made of polylactic acid polyethylene glycol; the surface of the adhesive film that adheres to the normal digestive wall around the ulcer is coated with a layer of mussel-like bioadhesive; the slow-permeable membrane is an ethyl cellulose film; the protective film is made of silicone release paper; and the pull rope is a thin nylon rope.
更进一步地，所述设置在渗液吸收仓内的止血绫采用的是型号为S-100的可吸收性止血绫。Furthermore, the hemostatic silk arranged in the exudate absorption chamber is absorbable hemostatic silk of model S-100.
与现有技术相比，本发明具有以下有益效果：Compared with the prior art, the present invention has the following beneficial effects:
(1)本发明所述本体的顶部及左右两侧包覆有一层用于抗酸抗水的致密膜，使得溃疡部位在治疗过程中不受侵蚀，加快溃疡愈合的速度，减轻患者的疼痛不适感，并且采用此种材质对人体不存在伤害，可以长期存在于人的体内，而不被机体代谢、吸收、降解和排出，具有较好的组织相容性。(1) The top and left and right sides of the main body of the present invention are covered with a dense film for acid and water resistance, so that the ulcer site is not eroded during the treatment process, the speed of ulcer healing is accelerated, and the patient's pain and discomfort are relieved. In addition, the use of this material does not cause harm to the human body and can exist in the human body for a long time without being metabolized, absorbed, degraded or excreted by the body, and has good tissue compatibility.
(2)本发明中所述本体采用聚乳酸聚乙二醇材质，此种材质具有安全无毒、生物相容性、可生物降解、亲水性及弹性等多种有益效果。(2) The main body of the present invention is made of polylactic acid polyethylene glycol, which has many beneficial effects such as safety, non-toxicity, biocompatibility, biodegradability, hydrophilicity and elasticity.
(3)本发明中所述粘合膜与溃疡四周的正常消化壁贴合的表面涂覆有一层材质为仿贻贝生物粘合剂，其分泌的足丝蛋白具有优良的防水性能，无毒、可降解、生物相容性好，能够促进细胞的粘附和增殖的有益效果，且在湿润条件下高效粘合，符合组织粘合剂粘合和密封的要求。(3) The surface of the adhesive film of the present invention that adheres to the normal digestive wall around the ulcer is coated with a layer of a mussel-like bioadhesive, the secreted byssus protein of which has excellent waterproof properties, is non-toxic, degradable, and has good biocompatibility. It can promote the beneficial effects of cell adhesion and proliferation, and has efficient adhesion under wet conditions, meeting the requirements of tissue adhesive bonding and sealing.
(4)本发明巧妙地在本体的内部、渗液吸收仓的中间设置有用于添置药物的药物释放仓，在实际治疗过程中，医生可以根据病灶部位、病情等对加入到药物释放仓内的药物进行自由组合。(4) The present invention ingeniously provides a drug release chamber for adding drugs inside the main body and in the middle of the exudate absorption chamber. During the actual treatment process, the doctor can freely combine the drugs added to the drug release chamber according to the location of the lesion, the condition of the disease, etc.
(5)本发明巧妙地在药物释放仓的仓口设置有缓透膜，有效地增加了药物的缓释特性，增加了药物的作用时长，稳定了局部药物浓度。并且所述缓透膜采用乙基纤维素薄膜，乙基纤维素作为一种常用的不溶性高分子材料，具有良好的成膜性能和机械性能，其在实际的使用过程中可以形成凝胶屏障而控制药物的释放。(5) The present invention ingeniously provides a slow-release membrane at the port of the drug release chamber, which effectively increases the sustained-release properties of the drug, increases the duration of drug action, and stabilizes the local drug concentration. In addition, the slow-release membrane is made of ethyl cellulose film. Ethyl cellulose is a commonly used insoluble polymer material with good film-forming properties and mechanical properties. It can form a gel barrier to control the release of the drug during actual use.
(6)本发明巧妙地采用直接使用敷料物理阻挡的方法，有效地解决了患者溃疡处在愈合过程中的存在干扰因素的问题，缩短了溃疡愈合的时间、减轻了患者的疼痛感，并且在一定程度上减少了疤痕增生的可能性。(6) The present invention ingeniously adopts the method of direct use of dressings for physical blocking, which effectively solves the problem of interference factors in the healing process of patients' ulcers, shortens the time of ulcer healing, alleviates the pain of patients, and reduces the possibility of scar hyperplasia to a certain extent.
(7)本发明公开的敷料装置，当内镜诊断患者病灶愈合之后，内镜可以将残余敷料及本体一同带出，可以有效缩短患者的诊断治疗时间。(7) The dressing device disclosed in the present invention can remove the remaining dressing and the main body together after the endoscope diagnoses that the patient's lesion has healed, which can effectively shorten the patient's diagnosis and treatment time.
本发明内镜下治疗胃溃疡的敷料装置在医疗技术领域具有很高的实用价值、经济价值和推广价值。The dressing device for treating gastric ulcer under endoscopy of the present invention has high practical value, economic value and promotion value in the field of medical technology.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
为了更清楚地说明本发明实施例的技术方案，下面将对实施例中所需使用的附图作简单介绍，应当理解，以下附图仅示出了本发明的某些实施例，因此不应被看作是对保护范围的限定，对于本领域技术人员来说，在不付出创造性劳动的前提下，还可以根据这些附图获得其他相关的附图。In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for use in the embodiments are briefly introduced below. It should be understood that the following drawings only show certain embodiments of the present invention and therefore should not be regarded as limiting the scope of protection. For those skilled in the art, other related drawings can be obtained based on these drawings without creative work.
图1为本发明内镜下治疗胃溃疡的敷料装置的正视图。FIG. 1 is a front view of a dressing device for endoscopic treatment of gastric ulcer according to the present invention.
图2为本发明内镜下治疗胃溃疡的敷料装置的放置伞的结构示意图。FIG. 2 is a schematic structural diagram of a placement umbrella of a dressing device for endoscopic treatment of gastric ulcers according to the present invention.
图3为本发明内镜下治疗胃溃疡的敷料装置的放置伞的俯示图。FIG. 3 is a top view of the placement umbrella of the dressing device for endoscopic treatment of gastric ulcer of the present invention.
上述附图中，附图标记对应的部件名称如下：In the above drawings, the component names corresponding to the reference numerals are as follows:
1、致密膜；2、本体；3、粘合膜；4、药物释放仓；5、缓透膜；6、渗液吸收仓；7、保护膜；8、拉扯绳；9、放置伞；10、铁丝；11、连接绳。1. Dense film; 2. Main body; 3. Adhesive film; 4. Drug release chamber; 5. Slow permeable membrane; 6. Exudate absorption chamber; 7. Protective film; 8. Pull rope; 9. Place umbrella; 10. Iron wire; 11. Connecting rope.
具体实施方式DETAILED DESCRIPTION
为使本申请的目的、技术方案和优点更为清楚，下面结合附图和实施例对本发明作进一步说明，本发明的实施方式包括但不限于下列实施例。基于本申请中的实施例，本领域普通技术人员在没有做出创造性劳动的前提下所获得的所有其他实施例，都属于本申请保护的范围。In order to make the purpose, technical scheme and advantages of this application clearer, the present invention is further described below in conjunction with the accompanying drawings and embodiments, and the embodiments of the present invention include but are not limited to the following embodiments. Based on the embodiments in this application, all other embodiments obtained by ordinary technicians in this field without making creative work are within the scope of protection of this application.
实施例Example
如图1至图3所示，具体说明了内镜下治疗胃溃疡的敷料装置，包括内镜，与内镜连接的放置伞9，通过连接绳11固定在放置伞9底部、用于存储敷料的本体2，粘合在本体2底部、用于保护本体2密封性的保护膜7，顶部连接在放置伞9左侧、底部包覆在保护膜7外围、且与保护膜7右侧固定连接的拉扯绳8；As shown in FIGS. 1 to 3 , a dressing device for treating gastric ulcer under endoscopy is specifically described, comprising an endoscope, a placement umbrella 9 connected to the endoscope, a body 2 fixed to the bottom of the placement umbrella 9 by a connection rope 11 and used to store dressings, a protective film 7 bonded to the bottom of the body 2 and used to protect the sealing of the body 2, and a pulling rope 8 connected to the left side of the placement umbrella 9 at the top, covered at the periphery of the protective film 7 at the bottom, and fixedly connected to the right side of the protective film 7;
所述本体2的内部左右两侧均开设有用于放置止血绫的渗液吸收仓6，本体2的内部、渗液吸收仓6的中间设置有用于添置药物的药物释放仓4；所述本体2的底部、渗液吸收仓6的仓口的外侧设置有用于与溃疡四周的正常消化壁贴合的粘合膜3；The left and right sides of the body 2 are provided with exudate absorption chambers 6 for placing hemostatic silk, and the inside of the body 2 and the middle of the exudate absorption chamber 6 are provided with a drug release chamber 4 for adding drugs; the bottom of the body 2 and the outside of the chamber opening of the exudate absorption chamber 6 are provided with an adhesive film 3 for bonding with the normal digestive wall around the ulcer;
所述放置伞9采用橡胶材质，且放置伞9的伞柄内部设置有用于调整本体2的角度的铁丝10。The placing umbrella 9 is made of rubber material, and a wire 10 for adjusting the angle of the main body 2 is arranged inside the umbrella handle of the placing umbrella 9 .
本实施例中，所述药物释放仓4的仓口设置有缓透膜5。In this embodiment, a slow permeable membrane 5 is provided at the port of the drug release chamber 4 .
本实施例中，所述本体2的顶部及左右两侧包覆有一层用于抗酸抗水的致密膜1。In this embodiment, the top and left and right sides of the body 2 are covered with a dense film 1 for acid and water resistance.
本实施例中，所述连接绳11呈圆台状等间距连接在放置伞9和本体2之间，所述连接绳11为可吸收缝线。In this embodiment, the connecting rope 11 is truncated cone-shaped and connected between the placement umbrella 9 and the main body 2 at equal intervals. The connecting rope 11 is an absorbable suture.
本实施例中，所述放置伞9的伞柄的中部设置有角度可调节的翻折角。In this embodiment, the middle part of the umbrella handle on which the umbrella 9 is placed is provided with an adjustable folding angle.
本实施例中，所述本体2采用聚乳酸聚乙二醇材质；所述粘合膜3与溃疡四周的正常消化壁贴合的表面涂覆有一层仿贻贝生物粘合剂；所述缓透膜5为乙基纤维素薄膜；所述保护膜7采用有机硅离型纸；所述拉扯绳8为细尼龙绳。In this embodiment, the main body 2 is made of polylactic acid polyethylene glycol; the surface of the adhesive film 3 that adheres to the normal digestive wall around the ulcer is coated with a layer of mussel-like bioadhesive; the slow-permeable membrane 5 is an ethyl cellulose film; the protective film 7 is made of silicone release paper; and the pull rope 8 is a thin nylon rope.
本实施例中，所述设置在渗液吸收仓6内的止血绫采用的是型号为S-100的可吸收性止血绫。In this embodiment, the hemostatic silk disposed in the exudate absorption chamber 6 is absorbable hemostatic silk of model S-100.
工作原理说明：Working principle description:
步骤S01、将整个敷料装置通过拉扯绳8连接在内镜上，通过正常的操作手法将内镜连同整个敷料装置插入患者的胃部；Step S01, connecting the entire dressing device to the endoscope via the pull rope 8, and inserting the endoscope together with the entire dressing device into the patient's stomach through normal operation techniques;
步骤S02、在内镜的辅助下，观察胃部溃疡的位置、大小及形状，通过内镜操作改变铁丝10的折向使得整个敷料装置对准胃部溃疡的位置；Step S02: With the assistance of an endoscope, the position, size and shape of the gastric ulcer are observed, and the bending direction of the iron wire 10 is changed by endoscopic operation so that the entire dressing device is aligned with the position of the gastric ulcer;
步骤S03、牵扯连接在内镜上的拉扯绳8，使得与拉扯绳8相连接的保护膜7从本体2底部完全撕除，然后在内镜的辅助作用下，确保药物释放仓4及渗液吸收仓6对准病灶处，粘合膜3与溃疡四周的正常消化壁紧密贴合；Step S03, pulling the pull rope 8 connected to the endoscope, so that the protective film 7 connected to the pull rope 8 is completely torn off from the bottom of the body 2, and then, with the assistance of the endoscope, ensure that the drug release chamber 4 and the exudate absorption chamber 6 are aligned with the lesion, and the adhesive film 3 is closely attached to the normal digestive wall around the ulcer;
步骤S04、确保步骤S03顺利完成之后，剪断连接绳11，使得放置伞9与本体2分离，移除内镜，并将与内镜连接的放置伞9一并带出患者体外；Step S04: After ensuring that step S03 is successfully completed, the connecting rope 11 is cut to separate the placement umbrella 9 from the body 2, and the endoscope is removed, and the placement umbrella 9 connected to the endoscope is taken out of the patient's body;
步骤S05、经过一段时间的治疗，通过内镜或其他影像学检查确定胃部溃疡处达到愈合标准之后，再次通过内镜将贴合在胃部消化壁上的本体2取出体外。Step S05: After a period of treatment, after it is determined through endoscopy or other imaging examinations that the gastric ulcer has reached the healing standard, the body 2 attached to the gastric digestive wall is taken out of the body through endoscopy again.
上述施例仅为本发明的优选实施例，并非对本发明保护范围的限制，但凡采用本发明的设计原理，以及在此基础上进行非创造性劳动而作出的变化，均应属于本发明的保护范围之内。The above-mentioned embodiments are only preferred embodiments of the present invention and are not intended to limit the protection scope of the present invention. Any changes made by adopting the design principles of the present invention and performing non-creative work on this basis shall fall within the protection scope of the present invention.
| Application Number | Priority Date | Filing Date | Title |
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| CN202010797834.5ACN111789711B (en) | 2020-08-10 | 2020-08-10 | Dressing device for treating gastric ulcer under endoscope |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010797834.5ACN111789711B (en) | 2020-08-10 | 2020-08-10 | Dressing device for treating gastric ulcer under endoscope |
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| CN111789711A CN111789711A (en) | 2020-10-20 |
| CN111789711Btrue CN111789711B (en) | 2024-10-29 |
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| CN202010797834.5AActiveCN111789711B (en) | 2020-08-10 | 2020-08-10 | Dressing device for treating gastric ulcer under endoscope |
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