技术领域Technical field
本发明涉及医疗器械的技术领域，尤其涉及一种引流装置。The present invention relates to the technical field of medical devices, and in particular, to a drainage device.
背景技术Background technique
造口旁疝(Parastomal hernia，PSH)作为肠造口术后最常见的并发症，随着病情的进展，可引起慢性疼痛、周围皮肤撕裂、造口脱垂等并发症。此外，进一步加重的PSH容易导致造口坏死、肠梗阻、吻合口瘘等严重后果，因而造口旁疝需要进行行手术治疗。Parastomal hernia (PSH) is the most common complication after enterostomy surgery. As the condition progresses, it can cause chronic pain, surrounding skin tears, stoma prolapse and other complications. In addition, further aggravation of PSH can easily lead to serious consequences such as stoma necrosis, intestinal obstruction, anastomotic leakage, etc. Therefore, parastomal hernia requires surgical treatment.
目前，造口旁疝修复术式包括腹腔镜修补及开腹修补，以及二者结合的杂交术式。造口旁疝手术复杂性远超首次手术，主要存在以下多方面问题：第一，小肠肠管经造口旁疝出，肠管间相互粘连，分离过程中医生难以区分造口肠管和疝出肠管，易造成副损伤发生；第二，以目前术后复发率最低的腹腔镜Sugarbaker术式为例，由于造口肠管要在补片和腹壁之间有一段潜行距离，补片钉合的松紧难以控制，过松会导致肠管再次疝出，过紧会导致肠管狭窄，形成机械性梗阻；第三，由于前次手术导致腹壁组织的瘢痕增生，腹壁顺应性下降，而补片的挛缩也会加重这种情况的发生，最终导致肠梗阻；第四，术后人工扩肛难，术后患者体位改变，以及造口旁疝患者大都属于肥胖人群，会出现肠管方向变化，造口处肠道弯曲，绝大多数人手指难以触及狭窄处，扩肛困难；第五，如果行造口重塑，会再次面临造口相关并发症，如粪便造成造口感染等，造口愈合困难；第六：如行造口重塑，通常情况下，需切除多余赘皮，造口旁会有切口，也同样面临粪便污染的风险，第七：术后刚开始更换造口袋，因为手术创伤未育，会给患者造成额外痛苦。综上，目前，造口旁疝修复术存在易造成副损伤，发生造口相关并发症，补片钉合的松紧难以控制的技术问题。Currently, parastomal hernia repair procedures include laparoscopic repair, open repair, and hybrid procedures that combine the two. Parastomal hernia surgery is far more complicated than the first surgery, and there are many main problems: First, the small intestine herniates through the parastomal tube, and the intestinal tubes adhere to each other. During the separation process, it is difficult for doctors to distinguish between the stoma intestinal tube and the herniated intestinal tube. It is easy to cause side injuries; secondly, taking the laparoscopic Sugarbaker surgery, which currently has the lowest postoperative recurrence rate, as an example, since the stoma intestine needs to have a sneaking distance between the patch and the abdominal wall, the tightness of the patch stapling is difficult to control. , too loose will cause intestinal herniation again, and too tight will cause intestinal stenosis and form mechanical obstruction; thirdly, due to the scar hyperplasia of abdominal wall tissue caused by the previous operation, the compliance of the abdominal wall decreases, and the contracture of the patch will also aggravate this. The occurrence of this situation will eventually lead to intestinal obstruction; fourth, it is difficult to artificially dilate the anus after surgery, the patient's position changes after surgery, and patients with parastomal hernia are mostly obese people, and the direction of the intestine will change, and the intestine will bend at the stoma. Most people find it difficult to reach the narrow area with their fingers, making it difficult to expand the anus; fifth, if you undergo stoma remodeling, you will again face stoma-related complications, such as stoma infection caused by feces, etc., making stoma healing difficult; sixth: if When reshaping the stoma, usually the excess skin needs to be removed, and there will be an incision next to the stoma, which also faces the risk of fecal contamination. Seventh: Just start changing the ostomy bag after the operation, because the surgical trauma is not fertile, which will cause causing additional pain to the patient. In summary, at present, parastomal hernia repair has technical problems such as easy to cause side injuries, stoma-related complications, and difficult to control the tightness of patch stapling.
发明内容Contents of the invention
本发明的目的是提供一种引流装置，以解决造口旁疝修复术所存在的易造成副损伤，发生造口相关并发症，补片钉合的松紧难以控制的技术问题。The purpose of the present invention is to provide a drainage device to solve the technical problems of parastomal hernia repair, such as easy side injuries, stoma-related complications, and difficulty in controlling the tightness of patch stapling.
本发明的上述目的可采用下列技术方案来实现：The above objects of the present invention can be achieved by adopting the following technical solutions:
本发明提供一种引流装置，包括：引流管、造口袋和气囊机构；所述气囊机构包括气囊和进出气装置，所述气囊设置于引流管的头端，所述进出气装置与所述气囊连接，用于给所述气囊充气或放气；所述造口袋与所述引流管可拆卸地连接。The invention provides a drainage device, which includes: a drainage tube, an ostomy bag and an airbag mechanism; the airbag mechanism includes an airbag and an air inlet and outlet device, the airbag is arranged at the head end of the drainage tube, and the air inlet and outlet device is connected to the airbag connection, used to inflate or deflate the air bag; the ostomy bag is detachably connected to the drainage tube.
在优选的实施方式中，所述气囊机构的数量为多个，多个所述气囊沿所述引流管的纵向间隔分布。In a preferred embodiment, the number of the air bag mechanisms is multiple, and the plurality of air bags are distributed at longitudinal intervals along the drainage tube.
在优选的实施方式中，至少一个所述气囊为柱状气囊，所述柱状气囊沿所述引流管的纵向延伸。In a preferred embodiment, at least one of the air bags is a cylindrical air bag, and the cylindrical air bag extends along the longitudinal direction of the drainage tube.
在优选的实施方式中，至少一个所述气囊为内撑气囊，所述内撑气囊沿所述引流管的尾端向头端的方向向外侧弯曲。In a preferred embodiment, at least one of the air bags is an inner supporting air bag, and the inner supporting air bags are bent outward along the direction from the tail end to the head end of the drainage tube.
在优选的实施方式中，所述气囊套设于所述引流管外。In a preferred embodiment, the air bag is sleeved outside the drainage tube.
在优选的实施方式中，多个所述气囊包括内撑气囊和多个柱状气囊，所述柱状气囊沿所述引流管的纵向延伸，所述内撑气囊沿所述引流管的尾端向头端的方向向外侧弯曲；至少一个所述内撑气囊与至少两个所述柱状气囊沿所述引流管的头端向尾端的方向分布。In a preferred embodiment, the plurality of air bags include inner support air bags and a plurality of cylindrical air bags. The cylindrical air bags extend along the longitudinal direction of the drainage tube. The inner support air bags extend from the tail end of the drainage tube to the head. The direction of the end is bent outward; at least one inner supporting air bag and at least two cylindrical air bags are distributed along the direction from the head end to the tail end of the drainage tube.
在优选的实施方式中，所述进出气装置包括进出气管道和缓存气囊，所述缓存气囊通过所述进出气管道与所述气囊连接，所述缓存气囊设置有进出气口。In a preferred embodiment, the air inlet and outlet device includes an air inlet and outlet duct and a buffer air bag, the buffer air bag is connected to the air bag through the air inlet and outlet duct, and the buffer air bag is provided with an air inlet and outlet port.
在优选的实施方式中，所述造口袋包括袋体，所述袋体连接有出入通道和出口通道，所述引流管与所述出入通道可拆卸地连接，所述出口通道可拆卸地连接有封闭塞。In a preferred embodiment, the ostomy bag includes a bag body, the bag body is connected with an access channel and an outlet channel, the drainage tube is detachably connected with the access channel, and the outlet channel is detachably connected with Closing plug.
在优选的实施方式中，所述封闭塞包括锥形塞体和设置于所述锥形塞体的注射通道。In a preferred embodiment, the closing plug includes a tapered plug body and an injection channel provided in the tapered plug body.
在优选的实施方式中，所述引流装置包括弹簧通条，所述弹簧通条包括通条头端、通条尾端和通条主体，所述弹簧通条能够插设于所述引流管中。In a preferred embodiment, the drainage device includes a spring bar, the spring bar includes a head end of the bar, a tail end of the bar and a main body of the bar, and the spring bar can be inserted into the drainage tube. .
本发明的特点及优点是：The characteristics and advantages of the present invention are:
引流管经人工造口插入肠腔内，将粪便引流至体外，引流管上的气囊起固定引流管、封闭肠腔、支撑肠壁、扩张造口的功能。考虑到造口旁疝内会有很多肠管，相互粘连，有时候难以区分，进出气装置可反复地给气囊充气和放气，术中指引造口肠管的位置；考虑到如果肠管褶皱，分离过程中容易打破肠管，气囊可以撑起肠管，使其呈圆柱体，保证分离时肠管表面呈面状，减少肠管损伤；并且，在钉合补片时，通过气囊撑起肠管，可以使补片更好的贴合肠管，避免过松或者过紧。该引流装置可以减少造口旁疝术后并发症，避免造口狭窄造成的肠梗阻以及造口污染的问题，解决了造口旁疝修复术所存在的易造成副损伤，发生造口相关并发症，补片钉合的松紧难以控制的技术问题。The drainage tube is inserted into the intestinal cavity through the artificial stoma to drain feces outside the body. The air bag on the drainage tube plays the role of fixing the drainage tube, sealing the intestinal cavity, supporting the intestinal wall, and expanding the stoma. Considering that there are many intestinal tubes in the parastomal hernia, which are mutually adherent and sometimes difficult to distinguish, the air inlet and outlet device can repeatedly inflate and deflate the air bag to guide the position of the stoma intestinal tube during the operation; considering that if the intestinal tube is folded, the separation process It is easy to break the intestinal tube, and the air bag can hold up the intestinal tube and make it cylindrical, ensuring that the surface of the intestinal tube is planar during separation, reducing intestinal damage; and when the patch is stapled, the intestinal tube is held up by the air bag, which can make the patch more durable. Fit the intestine well and avoid being too loose or too tight. The drainage device can reduce complications after parastomal hernia surgery, avoid intestinal obstruction caused by stoma stenosis and stoma contamination, and solve the problems of parastomal hernia repair that easily cause side injuries and stoma-related complications. Symptoms, technical problems that make it difficult to control the tightness of patch stitching.
附图说明Description of the drawings
为了更清楚地说明本发明实施例中的技术方案，下面将对实施例描述中所需要使用的附图作简单地介绍，显而易见地，下面描述中的附图仅仅是本发明的一些实施例，对于本领域普通技术人员来讲，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的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the drawings needed to be used in the description of the embodiments will be briefly introduced below. Obviously, the drawings in the following description are only some embodiments of the present invention. For those of ordinary skill in the art, other drawings can also be obtained based on these drawings without exerting creative efforts.
图1为本发明提供的引流装置的结构示意图；Figure 1 is a schematic structural diagram of the drainage device provided by the present invention;
图2为本发明提供的引流装置中引流管与气囊机构的结构示意图；Figure 2 is a schematic structural diagram of the drainage tube and air bag mechanism in the drainage device provided by the present invention;
图3为图2中A处的局部放大图；Figure 3 is a partial enlarged view of point A in Figure 2;
图4为本发明提供的引流装置中引流管与弹簧通条的结构示意图；Figure 4 is a schematic structural diagram of the drainage tube and spring bar in the drainage device provided by the present invention;
图5为本发明提供的引流装置中弹簧通条的结构示意图；Figure 5 is a schematic structural diagram of the spring bar in the drainage device provided by the present invention;
图6-图7为本发明提供的引流装置中造口袋的结构示意图；Figures 6-7 are schematic structural views of the ostomy bag in the drainage device provided by the present invention;
图8为图6所示的造口袋中底盘的结构示意图；Figure 8 is a schematic structural diagram of the chassis in the ostomy bag shown in Figure 6;
图9为本发明提供的引流装置中封闭塞的结构示意图。Figure 9 is a schematic structural diagram of the closing plug in the drainage device provided by the present invention.
附图标号说明：Explanation of reference numbers:
100、引流管的纵向方向；100. The longitudinal direction of the drainage tube;
20、引流管；21、侧孔；20. Drainage tube; 21. Side hole;
30、气囊机构；30. Air bag mechanism;
40、气囊；41、柱状气囊；42、内撑气囊；40. Air bag; 41. Cylindrical air bag; 42. Internally supported air bag;
50、进出气装置；51、缓存气囊；511、进出气口；52、进出气管道；50. Air inlet and outlet device; 51. Cache air bag; 511. Air inlet and outlet; 52. Air inlet and outlet pipes;
60、造口袋；61、袋体；611、出入通道；612、出口通道；60. Ostomy bag; 61. Bag body; 611. Access channel; 612. Exit channel;
62、底盘； 621、底盘孔；62. Chassis; 621. Chassis hole;
70、封闭塞； 71、锥形塞体； 72、注射通道；70. Closing plug; 71. Tapered plug body; 72. Injection channel;
80、弹簧通条；81、通条主体；821、通条头端；822、通条尾端。80. Spring bar; 81. Main body of the bar; 821. Head end of the bar; 822. End of the bar.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图，对本发明实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅仅是本发明一部分实施例，而不是全部的实施例。基于本发明中的实施例，本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例，都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts fall within the scope of protection of the present invention.
本发明提供了一种引流装置，如图1-图2所示，该引流装置包括：引流管20、造口袋60和气囊机构30；气囊机构30包括气囊40和进出气装置50，气囊40设置于引流管20的头端，进出气装置50与气囊40连接，用于给气囊40充气或放气；造口袋60与引流管20可拆卸地连接。The present invention provides a drainage device, as shown in Figures 1 and 2. The drainage device includes: a drainage tube 20, an ostomy bag 60 and an air bag mechanism 30; the air bag mechanism 30 includes an air bag 40 and an air inlet and outlet device 50. The air bag 40 is provided with At the head end of the drainage tube 20, the air inlet and outlet device 50 is connected to the air bag 40 for inflating or deflating the air bag 40; the ostomy bag 60 is detachably connected to the drainage tube 20.
引流管20经人工造口插入肠腔内，将粪便引流至体外，引流管20上的气囊40起固定引流管20、封闭肠腔、支撑肠壁、扩张造口的功能。考虑到造口旁疝内会有很多肠管，相互粘连，有时候难以区分，进出气装置50可反复地给气囊40充气和放气，术中指引造口肠管的位置；考虑到如果肠管褶皱，分离过程中容易打破肠管，气囊40可以撑起肠管，使其呈圆柱体，保证分离时肠管表面呈面状，减少肠管损伤；并且，在钉合补片时，通过气囊40撑起肠管，可以使补片更好的贴合肠管，避免过松或者过紧。该引流装置可以减少造口旁疝术后并发症，避免造口狭窄造成的肠梗阻以及造口污染的问题，解决了造口旁疝修复术所存在的易造成副损伤，发生造口相关并发症，补片钉合的松紧难以控制的技术问题。The drainage tube 20 is inserted into the intestinal cavity through the artificial stoma to drain feces outside the body. The air bag 40 on the drainage tube 20 functions to fix the drainage tube 20, seal the intestinal cavity, support the intestinal wall, and expand the stoma. Considering that there are many intestinal tubes in the parastomal hernia, which are mutually adherent and sometimes difficult to distinguish, the air inlet and outlet device 50 can repeatedly inflate and deflate the air bag 40 to guide the position of the stoma intestinal tube during the operation; considering that if the intestinal tube is folded, It is easy to break the intestinal tube during the separation process. The air bag 40 can prop up the intestinal tube and make it cylindrical, ensuring that the surface of the intestinal tube is planar during separation and reducing intestinal damage; and when the patch is stapled, the intestinal tube can be propped up by the air bag 40, so that the intestinal tube can be Make the patch fit the intestine better and avoid being too loose or too tight. The drainage device can reduce complications after parastomal hernia surgery, avoid intestinal obstruction caused by stoma stenosis and stoma contamination, and solve the problems of parastomal hernia repair that easily cause side injuries and stoma-related complications. Symptoms, technical problems that make it difficult to control the tightness of patch stitching.
引流管20的尾部可以接体外引流袋，以将粪便引流至体外引流袋，以顺利地通过引流管20对粪便进行引流和存放，尽量减少粪水进入造口袋60。The tail of the drainage tube 20 can be connected to the external drainage bag to drain the feces to the external drainage bag, so that the feces can be smoothly drained and stored through the drainage tube 20, and the feces can be minimized from entering the ostomy bag 60.
引流管20的头端设有侧孔21，以供肠内容物进入到引流管20内。进一步地，气囊机构30的数量为多个，多个气囊40沿引流管的纵向间隔分布，各个气囊40分别撑起肠管的不同位置。优选地，各个气囊40可以通过各自的进出气装置50独立地充气或放气。更进一步地，气囊40呈完整的环形，即如图1和图2所示，气囊40套设于引流管20外。The head end of the drainage tube 20 is provided with a side hole 21 to allow intestinal contents to enter the drainage tube 20 . Furthermore, the number of the air bag mechanisms 30 is multiple, and the plurality of air bags 40 are distributed along the longitudinal direction of the drainage tube, and each air bag 40 supports different positions of the intestinal tube. Preferably, each air bag 40 can be independently inflated or deflated through its respective air inlet and outlet devices 50 . Furthermore, the air bag 40 is in a complete ring shape, that is, as shown in FIGS. 1 and 2 , the air bag 40 is set outside the drainage tube 20 .
在一实施方式中，至少一个气囊40为柱状气囊41，柱状气囊41沿引流管的纵向延伸。柱状气囊41完全充起时呈1字型，在术中使用时，充起的柱状气囊41可以密闭肠管，防止肠内容物从造口流出；可以固定引流管20，防止引流管20脱落；在钉合补片时，充起的柱状气囊41可以预防补片钉合过紧而造成狭窄，可以预防补片钉合过松而造成疝复发；在术后使用时，可起人工扩肛作用，便于灵活地进行扩肛，使用方便，操作简单。In one embodiment, at least one air bag 40 is a cylindrical air bag 41, and the cylindrical air bag 41 extends along the longitudinal direction of the drainage tube. When fully inflated, the cylindrical air bag 41 forms a 1-shape. When used during surgery, the inflated cylindrical air bag 41 can seal the intestinal tube and prevent intestinal contents from flowing out from the stoma; it can fix the drainage tube 20 and prevent the drainage tube 20 from falling off; When the patch is stapled, the inflated cylindrical air bag 41 can prevent the patch from being too tight and causing stenosis, and can prevent the patch from being too loosely stapled to cause hernia recurrence. When used after surgery, it can artificially expand the anus. It is convenient for flexible anal expansion, easy to use and simple to operate.
在一实施方式中，至少一个气囊40为内撑气囊42，如图2和图3所示，内撑气囊42沿引流管20的尾端向头端的方向向外侧弯曲，在受到较大的压力时，内撑气囊42可以内扣变形，更贴合肠道；在不慎拽出引流管20时，内撑气囊42内扣变形，可以防止肠道撕裂。内撑气囊42可以为完整的环形，内撑气囊42充气时呈碗型，保证了在封闭肠腔的过程中，使粪水最大程度通过引流管20引出。内撑气囊42具有可塑性强的特点。进一步地，如图3所示，碗型的内撑气囊42包围的区域内，引流管20的侧壁上设有侧孔21，以防止粪水在该区域积存。In one embodiment, at least one air bag 40 is an inner support air bag 42. As shown in Figures 2 and 3, the inner support air bag 42 bends outward along the direction from the tail end to the head end of the drainage tube 20, and when subjected to greater pressure When the drainage tube 20 is accidentally pulled out, the inner supporting air bag 42 can be buckled and deformed to prevent intestinal tearing. The inner supporting air bag 42 can be a complete ring shape, and when inflated, the inner supporting air bag 42 is bowl-shaped, ensuring that during the process of sealing the intestinal cavity, fecal water can be guided out through the drainage tube 20 to the maximum extent. The inner supporting air bag 42 has the characteristics of strong plasticity. Further, as shown in FIG. 3 , in the area surrounded by the bowl-shaped inner supporting air bag 42 , side holes 21 are provided on the side walls of the drainage tube 20 to prevent waste water from accumulating in this area.
为了更好地发挥气囊40的作用，发明人对气囊40的布置方式作了进一步的改进：多个气囊40包括内撑气囊42和多个柱状气囊41，至少一个内撑气囊42与至少两个柱状气囊41沿引流管20的头端向尾端的方向分布。例如：如图1和图2所示，1个内撑气囊42和2个柱状气囊41依次分布，位于中间位置的柱状气囊41完全充起时呈1字型，可以辅助拦截粪水，辅助封闭肠道，撑起肠管以防止术中副损伤发生，防止钉合补片过松或过窄，防止补片过分挛缩导致肠管狭窄。In order to better play the role of the airbag 40, the inventor has further improved the arrangement of the airbag 40: the plurality of airbags 40 include inner support airbags 42 and multiple columnar airbags 41, at least one inner support airbag 42 and at least two inner support airbags 42. The columnar airbags 41 are distributed from the head end to the tail end of the drainage tube 20 . For example: as shown in Figures 1 and 2, one inner supporting air bag 42 and two cylindrical air bags 41 are distributed in sequence. The cylindrical air bag 41 in the middle is in a 1-shape when fully inflated, which can assist in intercepting fecal water and assisting in sealing. Intestine, prop up the intestine to prevent intraoperative side injuries, prevent the stapled patch from being too loose or too narrow, and prevent excessive contracture of the patch causing intestinal stenosis.
进一步地，气囊40均使用微弹材料，未充气时，囊壁皱缩，可以保证在充气过程中，压力小的地方首先充起，肠道受力均匀，狭窄段压力不会过高；气囊40在不充气的时候为瘪的形态，而不贴在管壁上。Furthermore, the air bags 40 are all made of micro-elastic material. When not inflated, the bag wall shrinks, which can ensure that during the inflation process, the areas with low pressure are inflated first, the intestinal force is evenly stressed, and the pressure in the narrow section will not be too high; the air bag 40 is in a flat shape when not inflated and does not stick to the wall of the tube.
优选地，引流管20连接有1个内撑气囊42和2个柱状气囊41，引流管20总长度40cm，内径8mm，可以保证在穿过肥胖患者的腹壁，并在肠道内留有足够长度的引流管20；可以保证肠内容物的顺利引出。引流管20的头端设有开口，并设有4个侧孔21，沿引流管的纵向方向100，头端的长度记为L1，L1＝4cm，可以保证粪便进入引流管20。在被完全充起时，内撑气囊42的直径为4cm，沿引流管的纵向方向100的长度为2cm；在被完全充起时，位于中间位置的柱状气囊41最大直径为2.5cm，沿引流管的纵向方向100的长度为4cm；在被完全充起时，最靠近尾端的柱状气囊41最大直径为2.5cm，沿引流管的纵向方向100的长度为10cm。进一步地，引流管20每1cm标记刻度，可供记录。Preferably, the drainage tube 20 is connected with one inner supporting balloon 42 and two cylindrical balloons 41. The drainage tube 20 has a total length of 40cm and an inner diameter of 8mm, which can ensure that it passes through the abdominal wall of the obese patient and leaves a sufficient length in the intestine. The drainage tube 20 can ensure smooth drainage of intestinal contents. The head end of the drainage tube 20 is provided with an opening and four side holes 21 . Along the longitudinal direction 100 of the drainage tube, the length of the head end is recorded as L1, and L1=4cm, which can ensure that feces enters the drainage tube 20. When fully inflated, the diameter of the inner supporting air bag 42 is 4cm, and the length along the longitudinal direction 100 of the drainage tube is 2cm; when fully inflated, the maximum diameter of the cylindrical airbag 41 located in the middle is 2.5cm, and the length along the longitudinal direction 100 of the drainage tube is 2.5cm. The length of the tube in the longitudinal direction 100 is 4cm; when fully inflated, the maximum diameter of the cylindrical airbag 41 closest to the tail end is 2.5cm, and the length of the drainage tube in the longitudinal direction 100 is 10cm. Further, the drainage tube 20 is marked with a scale every 1 cm for recording.
在一实施方式中，进出气装置50包括进出气管道52和缓存气囊51，缓存气囊51通过进出气管道52来与气囊40连接，缓存气囊51设置有进出气口511，气体经进出气口511进入缓存气囊51，经缓存气囊51进入气囊40，缓存气囊51与气囊40保证压力相同，防止盲充时气囊40压力过大而造成气囊40破裂，防止气囊40过度充起而造成腹腔内肠管撕裂或造成腹壁内狭窄段肠管缺血坏死。优选地，缓存气囊51与气囊40一一对应。In one embodiment, the air inlet and outlet device 50 includes an air inlet and outlet duct 52 and a buffer airbag 51 . The cache airbag 51 is connected to the airbag 40 through the air inlet and outlet duct 52 . The cache airbag 51 is provided with an air inlet and outlet 511 , and gas enters the buffer through the air inlet and outlet 511 . The air bag 51 enters the air bag 40 through the buffer air bag 51. The buffer air bag 51 and the air bag 40 ensure the same pressure to prevent the air bag 40 from being ruptured due to excessive pressure during blind inflation, and to prevent the air bag 40 from being over-inflated and causing intra-abdominal intestinal tract tears or Causes ischemic necrosis of the narrow intestinal segment in the abdominal wall. Preferably, the cache airbag 51 corresponds to the airbag 40 one-to-one.
在一实施方式中，造口袋60包括袋体61，袋体61连接有出入通道611和出口通道612，引流管20与出入通道611可拆卸地连接，出口通道612可拆卸地连接有封闭塞70。在少量粪水时，出口通道612接封闭塞70以封闭，需要时可随时排出粪水；拆卸封闭塞70后，出口通道612可接引流袋，粪水多时使用，防止粪水积蓄，应对引流管20封堵不住肠道，大量粪水进入造口袋60里的情况。进一步地，如图6和图7所示，袋体61的底面呈平面状，出口通道612位于下方且靠近袋体61的底面，方便粪水引出。出入通道611包括硅胶软管，出入通道611设在上方，方便硅胶软管引出。引流管20可以插接到出入通道611内，出入通道611与引流管20可以橡皮筋封闭。如图1、图6和图8所示，袋体61的底面连接有底盘62，底盘62呈圆环形，底盘62上设有底盘孔621，引流管20可以依次穿过底盘孔621、袋体61和出入通道611。In one embodiment, the ostomy bag 60 includes a bag body 61, the bag body 61 is connected to an access channel 611 and an outlet channel 612, the drainage tube 20 is detachably connected to the access channel 611, and the outlet channel 612 is detachably connected to a closing plug 70 . When there is a small amount of excrement, the exit channel 612 is connected to the closing plug 70 to close it, and the excrement can be discharged at any time when needed; after the closing plug 70 is removed, the exit channel 612 can be connected to a drainage bag, which can be used when there is a lot of excrement to prevent accumulation of excrement and deal with drainage. The tube 20 cannot seal the intestines and a large amount of feces enters 60 miles of the ostomy bag. Further, as shown in FIGS. 6 and 7 , the bottom surface of the bag body 61 is flat, and the outlet channel 612 is located below and close to the bottom surface of the bag body 61 to facilitate the drainage of waste water. The access channel 611 includes a silicone hose, and the access channel 611 is located above to facilitate the introduction of the silicone hose. The drainage tube 20 can be inserted into the access channel 611, and the access channel 611 and the drainage tube 20 can be sealed with a rubber band. As shown in Figures 1, 6 and 8, the bottom surface of the bag 61 is connected to a chassis 62. The chassis 62 is annular. The chassis 62 is provided with a chassis hole 621. The drainage tube 20 can pass through the chassis hole 621 and the bag in sequence. Body 61 and access channel 611.
进一步地，如图9所示，封闭塞70包括锥形塞体71和设置于锥形塞体71的注射通道72。封闭塞70可封闭造口袋60的出口通道612，封闭塞70还可以连接到引流管20的尾端以封闭引流管20。通过注射通道72，可以进行引流管20、造口袋60的冲洗，预防引流管20堵塞及冲洗肠道。封闭塞70可接去掉针头的注射器，在需要冲洗时，注射器可插入注射通道72，注入生理盐水冲洗，便于冲洗造口袋60。具体地，在术中使用封闭塞70以封闭引流管20；在术后，封闭塞70防止造口袋内粪水积蓄而污染造口和切口，还可以通过封闭塞70冲洗肠道，防止肠腔内粪便聚集成块。Further, as shown in FIG. 9 , the closing plug 70 includes a tapered plug body 71 and an injection channel 72 provided in the tapered plug body 71 . The closing plug 70 can close the outlet channel 612 of the ostomy bag 60 , and the closing plug 70 can also be connected to the rear end of the drainage tube 20 to close the drainage tube 20 . Through the injection channel 72, the drainage tube 20 and the ostomy bag 60 can be flushed to prevent the drainage tube 20 from being blocked and to flush the intestinal tract. The closing plug 70 can be connected to a syringe with the needle removed. When flushing is required, the syringe can be inserted into the injection channel 72 and injected with physiological saline for flushing, so as to facilitate flushing the ostomy bag 60 . Specifically, the closing plug 70 is used to close the drainage tube 20 during the operation; after the operation, the closing plug 70 prevents the accumulation of fecal water in the stoma bag and contaminates the stoma and the incision. The closing plug 70 can also be used to flush the intestinal tract and prevent the intestinal cavity from being contaminated. Fecal matter collects in clumps.
在一实施方式中，该引流装置包括弹簧通条80，弹簧通条80包括通条头端821、通条尾端822和通条主体81，弹簧通条80能够插设于引流管20中。如图4和图5所示，通条头端821可到达引流管20的头端，通条主体81可支撑引流管20，使其更具弹性，并在引流管20堵塞时，可予以通畅管道。通条尾端822供手持。通条头端821设有圆头，防止进入肠管时损伤肠管。In one embodiment, the drainage device includes a spring bar 80 . The spring bar 80 includes a head end 821 , a tail end 822 and a main body 81 . The spring bar 80 can be inserted into the drainage tube 20 . As shown in Figures 4 and 5, the head end 821 of the purge bar can reach the head end of the drainage tube 20, and the main body 81 of the purge bar can support the drainage tube 20 to make it more elastic, and can unblock the drainage tube 20 when it is blocked. pipeline. The tail end 822 of the pass bar is for hand holding. The head end 821 of the purge bar is provided with a round head to prevent damage to the intestine when entering the intestine.
该引流装置的合理使用可以实现减少造口旁疝术后相关并发症；并且使用方法简单，实用功能多，医护人员易上手，且经过简单培训的家属也可以使用。Reasonable use of this drainage device can reduce complications related to parastomal hernia surgery; it is simple to use, has many practical functions, is easy for medical staff to use, and can also be used by family members with simple training.
该引流装置可以应用于腹腔镜手术使用，以Sugarbaker术式为例进行说明：This drainage device can be used in laparoscopic surgery, taking the Sugarbaker procedure as an example:
(1)进行造口旁疝手术前，患者麻醉后，移除原有造口袋60后，将引流管20尾端用封闭塞70塞住，然后尽可能深的插入肠道，最靠近尾端的柱状气囊41充气，予以固定，防止引流管20脱出；(1) Before performing parastomal hernia surgery, the patient is anesthetized, removes the original stoma bag 60, plugs the tail end of the drainage tube 20 with a sealing plug 70, and then inserts it into the intestine as deep as possible, closest to the tail end The cylindrical air bag 41 is inflated and fixed to prevent the drainage tube 20 from protruding;
(2)如进入困难，可以将弹簧通条80插入引流管20，使引流管20更具弹性；(2) If it is difficult to enter, you can insert the spring bar 80 into the drainage tube 20 to make the drainage tube 20 more elastic;
(3)常规消毒，引流管20也要消毒，密封造口，密封帖再次固定引流管20；(3) Routine disinfection, the drainage tube 20 should also be disinfected, the stoma should be sealed, and the sealing post should be used to fix the drainage tube 20 again;
(4)术中可以根据情况对气囊40进行充气放气，如果造口肠管不明确，可以予以充气，明确肠管位置；(4) During the operation, the balloon 40 can be inflated and deflated according to the situation. If the stoma intestine is unclear, it can be inflated to clarify the position of the intestine;
(5)肠道内充气的气囊40，可以将肠壁撑起，在分离粘连过程中，使肠壁不再皱缩，减少肠壁损伤风险；(5) The inflated air bag 40 in the intestine can prop up the intestinal wall, preventing the intestinal wall from shrinking during the process of adhesion separation, and reducing the risk of intestinal wall damage;
(6)在钉枪固定补片时，可使位于中间位置的柱状气囊41、最靠近尾端的柱状气囊41充气，在气囊40的指引下，钉枪紧贴充起的肠壁进行固定，可以预防补片钉合过紧和过松；(6) When fixing the patch with a nail gun, the cylindrical air bag 41 located in the middle and the cylindrical air bag 41 closest to the tail end can be inflated. Under the guidance of the air bag 40, the nail gun can be fixed close to the inflated intestinal wall. Prevent the patch from being too tight or too loose;
(7)同时通过气囊40的反复充放气，可以明确各个气囊40的位置；(7) At the same time, by repeatedly inflating and deflating the air bags 40, the position of each air bag 40 can be clarified;
(8)手术完成后，对内撑气囊42充气，放掉位于中间位置的柱状气囊41、最靠近尾端的柱状气囊41的部分气，腔镜直视下使内撑气囊42放置于腹腔内补片边缘，再次充起最靠近尾端的柱状气囊41，封闭腹壁造口出口；(8) After the operation is completed, inflate the internal support balloon 42, deflate part of the cylindrical balloon 41 located in the middle and the columnar balloon 41 closest to the tail end, and place the internal support balloon 42 in the abdominal cavity under direct vision. The edge of the film is inflated again to inflate the cylindrical air bag 41 closest to the tail end to seal the abdominal wall stoma outlet;
(9)手术结束后先在造口边缘覆盖造口袋60的底盘62，将引流管20穿过底盘62上的底盘孔621并穿出出入通道611，引流管20的尾部接上体外引流袋，引流肠腔内粪水；(9) After the operation, first cover the chassis 62 of the ostomy bag 60 on the edge of the stoma, pass the drainage tube 20 through the chassis hole 621 on the chassis 62 and out of the access channel 611, and connect the tail of the drainage tube 20 to the external drainage bag. Drain fecal fluid from the intestinal cavity;
(10)将造口袋60的袋体61接上底盘62，用封闭塞70封闭出口通道612。(10) Connect the bag body 61 of the ostomy bag 60 to the chassis 62 and seal the outlet channel 612 with the closing plug 70 .
除腔镜手术术中使用外，腔镜和开刀的造口旁疝修补术后也可以使用该引流装置：In addition to its use during laparoscopic surgery, this drainage device can also be used after laparoscopic and open parastomal hernia repair:
(1)将弹簧通条80插入引流管20内；(1) Insert the spring bar 80 into the drainage tube 20;
(2)经造口将引流管20插入肠管，评估各个气囊40的位置；(2) Insert the drainage tube 20 into the intestine through the stoma and evaluate the position of each balloon 40;
(3)如手术是腹腔镜手术，且肠管与补片有潜行距离，难以评估内撑气囊42位置，则尽可能插入，最终单纯使用腔内最靠近尾端的柱状气囊41即可；(3) If the operation is laparoscopic, and there is a sneaking distance between the intestinal tube and the patch, and it is difficult to evaluate the position of the internal support balloon 42, insert it as much as possible, and finally simply use the cylindrical balloon 41 closest to the tail end in the cavity;
(4)如开刀手术或无明显长段的潜行肠管，可以先充起内撑气囊42，轻提引流管20，到达合适位置；(4) If there is an operation or there is no obvious long hidden intestinal tube, you can first inflate the internal support air bag 42 and gently lift the drainage tube 20 to reach the appropriate position;
(5)再将位于中间位置的柱状气囊41或最靠近尾端的柱状气囊41充起，密封剩余腹壁段的肠管；(5) Then inflate the cylindrical air bag 41 located in the middle or the cylindrical air bag 41 closest to the tail end to seal the intestinal tube of the remaining abdominal wall segment;
(6)通过进出气装置50上的缓存气囊51，评估各个气囊40的所受压力，避免压力过大，使造口缺血坏死。(6) Use the buffer air bags 51 on the air inlet and outlet device 50 to evaluate the pressure on each air bag 40 to avoid excessive pressure that may cause ischemia and necrosis of the stoma.
以上所述仅为本发明的几个实施例，本领域的技术人员依据申请文件公开的内容可以对本发明实施例进行各种改动或变型而不脱离本发明的精神和范围。The above are only a few embodiments of the present invention. Those skilled in the art can make various changes or modifications to the embodiments of the present invention based on the disclosure of the application documents without departing from the spirit and scope of the present invention.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202310996819.7ACN116899036A (en) | 2023-08-08 | 2023-08-08 | Drainage device |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202310996819.7ACN116899036A (en) | 2023-08-08 | 2023-08-08 | Drainage device |
| Publication Number | Publication Date |
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| CN116899036Atrue CN116899036A (en) | 2023-10-20 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202310996819.7APendingCN116899036A (en) | 2023-08-08 | 2023-08-08 | Drainage device |
| Country | Link |
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| CN (1) | CN116899036A (en) |
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