技术领域technical field
本实用新型涉及一种一次性肠道造瘘口还纳术保护器，特别是用于外科肠道造瘘口还纳术中避免手术野的污染，属于医疗器械领域。The utility model relates to a disposable enterostomy stoma restoration protector, in particular used for avoiding operation field pollution during surgical enterostomy restoration, and belongs to the field of medical equipment.
背景技术Background technique
由于近年来肠道肿瘤疾病、炎症性肠病等的发病率越来越高，对肠道行造瘘口手术后二期再还纳如入腹腔的手术操作越来越多，而肠道造瘘口由于是改道以后大便流出的部位，在造瘘口还纳手术时导致腹腔、伤口感染率高，常常会影响患者的预后、延长患者住院时间和费用，同时降低医院的床位周转率，影响医疗资源的合理分配。Due to the increasing incidence of intestinal tumor diseases and inflammatory bowel diseases in recent years, there are more and more surgical operations for intestinal stoma surgery and then into the abdominal cavity in the second stage. Because it is the part where the stool flows out after the diversion, the abdominal cavity and wound infection rate is high when the stoma is returned to the operation, which often affects the prognosis of the patient, prolongs the patient's hospital stay and cost, and reduces the hospital bed turnover rate, affecting medical resources. reasonable distribution.
目前临床上行造瘘口还纳术时增加感染几率和操作不方便的地方主要是在术前消毒和术中对污染造瘘口的封闭上，具体如下：At present, the increase in the chance of infection and the inconvenient operation during the stoma restoration operation are mainly in the preoperative disinfection and the sealing of the contaminated stoma during the operation. The details are as follows:
常用的消毒方法有两种；第一种在手术开始前将造瘘袋取下，为了防止瘘口处有大便流出，用器械护士递给术者的针线将造瘘口处行八字缝合，关闭瘘口，这样做在消毒前就能防止大便流出污染手术野，但是缝合的是肠粘膜和周围组织由于长期暴露在外且持续性受大便的刺激，常常处于充血水肿的状态，缝合时常常被缝线切割导致瘘口封闭不全大便流出，或者会出现持续性的出血，带有大便的血液流到手术野同样会影响术前消毒的效果，污染术野，增加感染的几率，同时，在术前就污染了一把持针器和一颗缝针，不利于手术器械的合理利用；第二种在手术开始前将造瘘袋取下，暂时用一个无菌棉球或者纱条堵住造瘘口，常规消毒铺巾后再用针线将瘘口关闭，这种方法在消毒铺巾时很有可能在肠道的蠕动下、或者术者消毒铺巾的操作的影响下，棉球或者纱条从造瘘口掉出，污染手术野，同时，消毒完以后戴上手套用针线封闭瘘口，也是有菌操作，术者操作完就要换手套，并将污染的持针器和缝针交给巡回护士，一样不利于手术器械的使用，还增加了医院的一次性用品的消耗，增加术者工作量。There are two commonly used disinfection methods; the first one is to remove the ostomy bag before the operation. In order to prevent stool from leaking out of the ostomy, the ostomy is sutured with a needle and thread handed to the surgeon by the equipment nurse, and the ostomy is closed. Fistula, this can prevent feces from polluting the surgical field before disinfection, but the intestinal mucosa and surrounding tissues are often in a state of congestion and edema due to long-term exposure and continuous stimulation by feces, and are often sutured. Wire cutting leads to incomplete sealing of the fistula, or continuous bleeding. The blood with stool flowing into the surgical field will also affect the effect of preoperative disinfection, pollute the surgical field, and increase the chance of infection. At the same time, preoperative Contaminate a needle holder and a suture needle, which is not conducive to the rational use of surgical instruments; the second is to remove the ostomy bag before the operation, and temporarily use a sterile cotton ball or gauze to block the ostomy opening , and then use a needle thread to close the fistula after routine disinfection of the drape. This method is likely to cause the peristalsis of the intestinal tract or the operation of the surgeon to sterilize the drape. The stoma falls out, polluting the surgical field. At the same time, after disinfection, put on gloves and use needles and threads to seal the fistula, which is also an aseptic operation. The operator must change gloves after the operation, and hand over the contaminated needle holder and suture needle to the patrol Nurses are also not conducive to the use of surgical instruments, and also increase the consumption of disposable supplies in the hospital and increase the workload of operators.
术中对污染造瘘口的封闭，防止其污染术野同时存在较大的问题。即使用针线封闭了造瘘口，造瘘端仍是一个污染的环境，因此在整个手术过程中术者常常会选用无菌手套套住造瘘端，防止肠液和粪便流出污染术野。但是由于无菌手套口太大且肠壁浆膜层较滑，无菌手套不能稳定的固定在造瘘端，在手术时常常滑脱增加了术野污染的风险。同时，由于无菌手套太大，其拇指端会挡住术者的视线，影响术者操作，延长手术时间。During the operation, there is a big problem in the sealing of the polluted stoma and preventing it from polluting the operative field. Even if the stoma is closed with a needle and thread, the stoma is still a polluted environment. Therefore, during the entire operation, the surgeon often uses sterile gloves to cover the stoma to prevent intestinal juice and feces from polluting the operative field. However, due to the large mouth of the sterile glove and the slippery serosa layer of the intestinal wall, the sterile glove cannot be stably fixed on the ostomy end, and often slips off during the operation, increasing the risk of contamination of the operative field. Simultaneously, because the sterile glove is too big, its thumb end can block the operator's line of sight, affects the operator's operation, and prolongs the operation time.
因此，为了克服上述不足，急需一种一次性肠道造瘘口还纳术保护器解决手术时的污染和操作不便问题。Therefore, in order to overcome the above-mentioned deficiencies, there is an urgent need for a disposable enterostomy stoma return operation protector to solve the problems of pollution and inconvenient operation during operation.
实用新型内容Utility model content
为克服上述现有技术的不足，本实用新型提供了一种一次性肠道造瘘口还纳术保护器，包括保护套Ⅰ、缝合线、保护套Ⅱ，缝合线设置在保护套Ⅰ的开口处，保护套Ⅱ套装在保护套Ⅰ外侧，缝合线端部连接有缝合针。In order to overcome the deficiencies of the above-mentioned prior art, the utility model provides a disposable enterostomy opening protector, including a protective cover I, a suture, and a protective cover II, and the suture is arranged at the opening of the protective cover I , the protective cover II is set on the outside of the protective cover I, and the end of the suture thread is connected with a suture needle.
所述保护套Ⅰ为中空圆柱形套子，缝合线为一根或两根，缝合线设置于保护套Ⅰ的开口处用于收紧保护套Ⅰ开口，防止肠液和粪便流出；保护套Ⅱ套装在保护套Ⅰ外侧，用于保持保护套Ⅰ的无菌状态，当保护器固定完毕后，撕下保护套Ⅱ，即可保持无菌环境，开始术前消毒。The protective cover I is a hollow cylindrical cover with one or two sutures. The sutures are set at the opening of the protective cover I to tighten the opening of the protective cover I to prevent intestinal juice and feces from flowing out; the protective cover II is set on the The outer side of the protective cover I is used to maintain the sterile state of the protective cover I. After the protector is fixed, tear off the protective cover II to maintain a sterile environment and start preoperative disinfection.
本实用新型所述一次性肠道造瘘口还纳术保护器用橡胶材质做成，具有伸缩性，能与肠壁紧密贴合。The disposable enterostomy stoma return surgery protector described in the utility model is made of rubber material, has stretchability, and can be closely attached to the intestinal wall.
本实用新型缝合针为大弯针，防止操作时术者被针刺伤。The suturing needle of the utility model is a large curved needle, which prevents the operator from being stabbed by the needle during operation.
本实用新型装置还包括缝合线固定切割装置，缝合线固定切割装置包括固定件、切割件，缝合线一端与固定件连接，固定件上开有固定孔，固定孔内设置有单向斜齿，缝合线另一端穿过固定孔，单向斜齿的倾斜方向与缝合线拉伸方向一致，限制缝合线单向移动；切割件设置在固定孔外侧用于切断多余的缝合线。The utility model device also includes a suture fixed cutting device, the suture fixed cutting device includes a fixing part and a cutting part, one end of the suture is connected to the fixing part, a fixing hole is opened on the fixing part, and a one-way helical tooth is arranged in the fixing hole, The other end of the suture thread passes through the fixing hole, and the inclination direction of the one-way helical teeth is consistent with the stretching direction of the suture thread, limiting the one-way movement of the suture thread; the cutting piece is arranged outside the fixing hole to cut off excess suture thread.
所述切割件包括2个滑槽、2个切片，2个滑槽相对设置在固定孔两侧，切片一端设置在滑槽中并与滑槽相配合，切片另一端为切刀，两个切片的切刀相配合用于切断多余的缝合线。The cutting part includes 2 chutes and 2 slices, and the 2 chutes are arranged oppositely on both sides of the fixing hole. The cutting knife is used to cut off the excess suture.
使用时，在消毒前将保护器套于造瘘口端，将造瘘口完全包裹住，将缝合线上的缝合针对穿过肠壁，拉紧缝合线后，缝合线两端在保护套外侧打结固定或者用缝合线固定切割装置将缝合线两端固定，并切掉多余的线，将保护器稳定的与肠壁固定在一起，然后将保护套Ⅱ从保护套Ⅰ外侧剥离，常规消毒铺巾，使用方便，能有效避免、减少感染的发生。When in use, put the protector on the end of the stoma before disinfection, completely wrap the stoma, pass the suture on the suture through the intestinal wall, and tighten the suture so that the two ends of the suture are outside the protective cover Tie a knot or use a suture thread fixing and cutting device to fix both ends of the suture thread, cut off the excess thread, and fix the protector to the intestinal wall stably, then peel off the protective cover II from the outside of the protective cover I, and perform routine disinfection Drapes are easy to use and can effectively avoid and reduce the occurrence of infection.
与现有技术相比，本实用新型的有益效果是：Compared with the prior art, the beneficial effects of the utility model are:
1、可与肠壁紧密贴合，不会从造瘘口端掉下，防止大便和肠液流出污染术野；1. It can be closely attached to the intestinal wall, and will not fall from the end of the stoma, preventing stool and intestinal fluid from polluting the operation field;
2、可在消毒前不用手术器械就将造瘘口端完全封闭，有效利用手术器械的同时保证了消毒的效果，防止消毒时出现再污染的情况；2. The stoma port can be completely closed without surgical instruments before disinfection, effectively using surgical instruments while ensuring the disinfection effect and preventing re-pollution during disinfection;
3. 由于保护器具有弹性，并为上大下小的圆柱型，保证下口紧闭的同时能满足上端造瘘口完全包裹，适用于各种大小的造瘘端；3. Since the protector is elastic and has a cylindrical shape with a large top and a small bottom, it can ensure that the lower opening is tightly closed and can fully wrap the upper stoma opening, and is suitable for various sizes of stoma ends;
4. 本装置结构简单，使用方便，经济实用，可有效防止肠液和大便流出污染术野，防止术区感染，促进患者恢复，有效减少患者的住院费用和住院时间。4. The device is simple in structure, easy to use, economical and practical, can effectively prevent intestinal fluid and stool from polluting the operation field, prevent infection in the operation area, promote recovery of patients, and effectively reduce hospitalization expenses and hospitalization time of patients.
5. 临床适用范围如下：用于肠道造瘘口还纳术。5. The scope of clinical application is as follows: It is used for the restoration of enterostomy stoma.
附图说明Description of drawings
图1为本实用新型装置结构示意图；Fig. 1 is the utility model device structure schematic diagram;
图2为带有缝合线固定切割装置的保护器结构示意图；Fig. 2 is a structural schematic diagram of a protector with a suture thread fixing and cutting device;
图3为缝合线固定切割装置的结构示意图；Fig. 3 is a schematic structural view of a suture thread fixing and cutting device;
图4为缝合线固定切割装置的部分结构示意图；Fig. 4 is a partial structural schematic diagram of the suture thread fixing and cutting device;
图中：1-保护套Ⅰ；2-缝合线；3-保护套Ⅱ；4-缝合针；5- 固定件；6-切割件；7-滑槽；8-切片；9-切刀；10-单向斜齿；11-固定孔。In the figure: 1-protective cover Ⅰ; 2-suture thread; 3-protective cover Ⅱ; 4-suture needle; 5-fixing piece; 6-cutting piece; 7-chute; 8-section; -unidirectional helical teeth; 11-fixing hole.
具体实施方式Detailed ways
下面结合附图和实施例对本实用新型作进一步详细说明，但实用新型的保护范围不局限于所述内容。The utility model will be described in further detail below in conjunction with the accompanying drawings and embodiments, but the protection scope of the utility model is not limited to the content described.
实施例1：如图1所示，本肠道造瘘口还纳术保护器包括保护套Ⅰ1、缝合线2、保护套Ⅱ3，缝合线设置在保护套Ⅰ的开口处，保护套Ⅱ套装在保护套Ⅰ外侧，缝合线端部连接有缝合针4；保护套Ⅰ1为中空圆柱形橡胶套，具有较强的伸缩性，能满足不同大小的造瘘口的需要，其中保护套Ⅰ直径8±3 cm，长5±3 cm，缝合线15 cm，缝合针8 cm。Example 1: As shown in Figure 1, this enterostomy stoma return operation protector includes protective cover I1, suture thread 2, and protective cover II3. The suture thread is set at the opening of protective cover I, and protective cover II is set on the protective cover On the outside of the sleeve I, the end of the suture thread is connected with a suture needle 4; the protective sleeve I1 is a hollow cylindrical rubber sleeve, which has strong flexibility and can meet the needs of stoma openings of different sizes, and the diameter of the protective sleeve I is 8±3 cm, length 5±3 cm, suture thread 15 cm, suture needle 8 cm.
使用时，在消毒前将保护器套于造瘘口端，由保护套Ⅰ1将造瘘口完全包裹住，将缝合线2上的缝合针4对穿过肠壁，拉紧缝合线后，缝合线两端在保护套外侧打结固定，将保护器稳定的与肠壁固定在一起，多余的缝合线用剪刀剪除，然后将保护套Ⅱ从保护套Ⅰ外侧剥离，就能创造术前造瘘口的无菌环境，即可消毒铺巾进行手术。When in use, put the protector on the end of the stoma before disinfection, completely wrap the stoma with the protective sleeve I1, pass the 4 pairs of suture needles on the suture 2 through the intestinal wall, tighten the suture, and suture The two ends of the thread are knotted and fixed on the outside of the protective sheath, and the protector is stably fixed to the intestinal wall. The excess suture is cut off with scissors, and then the protective sheath II is peeled off from the outer side of the protective sheath I to create a preoperative ostomy The aseptic environment of the mouth can be sterilized and the drape can be used for surgery.
实施例2：本实施例装置同实施例1，不同在于2条缝合线对称设置在保护套Ⅰ的开口处，使用中拉紧缝合线后，2条缝合线的两个端部交替在保护套外侧打结固定。Embodiment 2: The device in this embodiment is the same as that in Embodiment 1, the difference is that the two sutures are arranged symmetrically at the opening of the protective cover I. After the sutures are tightened during use, the two ends of the two sutures are alternately placed on the protective cover. Knotted outside for fastening.
实施例3，如图2、3、4所示，本实施例装置同实施例1，不同在于还包括缝合线固定切割装置，缝合线固定切割装置包括固定件5、切割件6，缝合线一端与固定件5连接，固定件上开有固定孔11，固定孔11内设置有单向斜齿10，缝合线另一端穿过固定孔，单向斜齿的倾斜方向与缝合线拉伸方向一致，单向斜齿限制缝合线后退；切割件包括2个滑槽7、2个切片8，2个滑槽相对设置在固定孔两侧，切片一端设置在滑槽中并与滑槽相配合，切片另一端为切刀9，2个切片9的切刀相配合用于切断多余的缝合线。Embodiment 3, as shown in Figures 2, 3, and 4, the device of this embodiment is the same as that of Embodiment 1, except that it also includes a suture thread fixing and cutting device. The suture thread fixing and cutting device includes a fixing member 5, a cutting member 6, and one end of the suture thread Connected with the fixing part 5, the fixing part is provided with a fixing hole 11, and the fixing hole 11 is provided with a one-way helical tooth 10, and the other end of the suture thread passes through the fixing hole, and the inclination direction of the one-way helical tooth is consistent with the stretching direction of the suture thread , the one-way helical teeth limit the retreat of the suture; the cutting piece includes 2 chute 7 and 2 slices 8, the 2 chute are arranged on both sides of the fixing hole oppositely, one end of the slice is arranged in the chute and matched with the chute, The other end of the slice is a cutting knife 9, and the cutting knives of the two slices 9 cooperate to cut off redundant sutures.
使用时，在消毒前将保护器套于造瘘口端，由保护套Ⅰ1将造瘘口完全包裹住，将缝合线2上的缝合针4对穿过肠壁，拉紧缝合线后，将带有缝合针的缝合线的一端穿过固定件5上的固定孔11，在单向斜齿10的作用下缝合线固定在孔中且不会往回移动，多余的缝合线通过按压2个切片8，在2个切刀9的配合下切断多余的缝合线，最后保护器稳定的与肠壁固定在一起，然后将保护套Ⅱ从保护套Ⅰ外侧剥离，就能创造术前造瘘口的无菌环境，即可消毒铺巾进行手术。When in use, put the protector on the end of the ostomy before disinfection, completely wrap the ostomy with the protective sleeve I1, pass the 4 pairs of suture needles on the suture 2 through the intestinal wall, and tighten the suture. One end of the suture thread with a suture needle passes through the fixing hole 11 on the fixing member 5, and the suture thread is fixed in the hole under the action of the one-way helical tooth 10 and will not move back, and the excess suture thread is passed by pressing 2 Slice 8, cut off the excess suture with the cooperation of two cutters 9, and finally the protector is stably fixed with the intestinal wall, and then the protective cover II is peeled off from the outside of the protective cover I to create a preoperative stoma Aseptic environment, you can sterilize the drape for surgery.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721297696.4UCN207886292U (en) | 2017-10-10 | 2017-10-10 | A kind of enteron aisle fistulization oral also receives art protector |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721297696.4UCN207886292U (en) | 2017-10-10 | 2017-10-10 | A kind of enteron aisle fistulization oral also receives art protector |
| Publication Number | Publication Date |
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| CN207886292Utrue CN207886292U (en) | 2018-09-21 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201721297696.4UExpired - Fee RelatedCN207886292U (en) | 2017-10-10 | 2017-10-10 | A kind of enteron aisle fistulization oral also receives art protector |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN107582182A (en)* | 2017-10-10 | 2018-01-16 | 昆明医科大学第附属医院 | A kind of enteron aisle fistulization oral also receives art protector |
| WO2022105853A1 (en)* | 2020-11-20 | 2022-05-27 | 天臣国际医疗科技股份有限公司 | Anastomosis protection device |
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN107582182A (en)* | 2017-10-10 | 2018-01-16 | 昆明医科大学第附属医院 | A kind of enteron aisle fistulization oral also receives art protector |
| CN107582182B (en)* | 2017-10-10 | 2024-04-12 | 昆明医科大学第一附属医院 | Intestinal fistulization mouth still receives art protector |
| WO2022105853A1 (en)* | 2020-11-20 | 2022-05-27 | 天臣国际医疗科技股份有限公司 | Anastomosis protection device |
| US12433594B2 (en) | 2020-11-20 | 2025-10-07 | Touchstone International Medical Science Co., Ltd. | Anastomosis protection device |
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