技术领域technical field
本实用新型涉及医疗器械技术领域，具体地说，是一种可调勒割力式紧线器。The utility model relates to the technical field of medical instruments, in particular to an adjustable cutting force type wire tensioner.
背景技术Background technique
肛瘘是常见肛肠病，中医学在明代就有关于挂线疗法的记载，治疗肛瘘国内外均以手术为主。虽然高位复杂性肛瘘发生率仅占肛瘘病例的5％～10％。手术难度大、复发率高、并发症多，也被称为难治性肛肠病。为最大限度保护肛门内外括约肌，减少肛管缺损，常采用挂线疗法。Anal fistula is a common anorectal disease. In the Ming Dynasty, traditional Chinese medicine has records about hanging thread therapy. The treatment of anal fistula is mainly based on surgery at home and abroad. Although the incidence of high complex anal fistula accounts for only 5% to 10% of anal fistula cases. The operation is difficult, the recurrence rate is high, and there are many complications. It is also called refractory anorectal disease. In order to maximize the protection of the internal and external anal sphincters and reduce the defect of the anal canal, hanging thread therapy is often used.
传统挂线术治疗机理已被现代研究揭示，挂线具有慢性勒割、异物刺激、引流和标志四大作用，避免了一次切开、肛门括约肌受损所致的肛门失禁等后遗症。挂线的方法多样，挂线的力度有实挂、虚挂。实挂线以往多凭临床经验调节线的松紧程度，线的勒割力无度量标准。The treatment mechanism of traditional hanging thread has been revealed by modern research. Hanging thread has four major functions of chronic strangulation, foreign body stimulation, drainage and marking, and avoids sequelae such as anal incontinence caused by one-time incision and damaged anal sphincter. There are various ways to hang the thread, and the strength of the thread can be real or virtual. In the past, the tightness of the thread was adjusted based on clinical experience, and there was no standard for measuring the cutting force of the thread.
在“基于括约肌功能保护的高位肛瘘分次虚实高挂术”临床操作过程中，实挂线勒割力的度量标准对临床疗效有很大影响。因此，可调勒割力式紧线器便应运而生。In the clinical operation of "high anal fistula high-hanging surgery based on the protection of sphincter function", the measurement standard of the cutting force of the real-hanging thread has a great influence on the clinical efficacy. Therefore, the adjustable cutting force type wire tensioner has emerged as the times require.
中国专利文献：CN108852430A，公开日：2018.11.23，公开了一种肛瘘挂线手术用紧线器，包括底座、紧线套、齿轮和棘爪，所述底座上开有一使弹性挂线通过的第一通孔，所述紧线套与所述底座转动连接，所述紧线套的内壁固定有一内齿圈和一棘齿圈，所述齿轮通过转轴与所述底座转动连接，所述弹性挂线的端部穿过所述第一通孔后与所述转轴连接，所述齿轮的数量至少为两个，所述齿轮与所述内齿圈啮合，所述棘爪通过一铰轴与所述底座转动连接，所述棘爪与所述棘齿圈保持配合，所述铰轴上套设有一扭簧，所述扭簧的两端分别与所述铰轴和所述底座连接。Chinese patent document: CN108852430A, publication date: 2018.11.23, discloses a thread tightener for anal fistula thread-hanging surgery, including a base, a thread-tightening sleeve, a gear and a pawl. The first through hole, the tightening sleeve is rotatably connected with the base, the inner wall of the tightening sleeve is fixed with an inner gear ring and a ratchet gear, the gear is rotatably connected with the base through a rotating shaft, and the elastic The end of the hanging wire passes through the first through hole and is connected to the rotating shaft. The number of the gears is at least two, and the gears are meshed with the inner ring gear. The base is rotatably connected, the pawl is kept in cooperation with the ratchet ring, a torsion spring is sheathed on the hinge shaft, and two ends of the torsion spring are respectively connected to the hinge shaft and the base.
中国专利文献：CN206390957U，公开日：2017.08.11，公开了一种肛瘘切开挂线张力调节器，包括橡皮筋、固定套管、牵引钩和调节器，所述橡皮筋设置在固定套管中，所述固定套管穿过调节器设置在张力调节器的两侧；所述橡皮筋的一端设置在固定套管外，且橡皮筋连接有杆体。Chinese patent document: CN206390957U, publication date: 2017.08.11, discloses a tension regulator for anal fistula incision and hanging thread, including a rubber band, a fixed sleeve, a traction hook and a regulator, and the rubber band is arranged in the fixed sleeve , the fixed sleeve passes through the regulator and is arranged on both sides of the tension adjuster; one end of the rubber band is arranged outside the fixed sleeve, and the rubber band is connected with a rod.
但是关于本实用新型的可调勒割力式紧线器目前还未见报道。But there is no report about the adjustable strangling force type wire tensioner of the present utility model.
发明内容Contents of the invention
本实用新型的目的是，提供一种可调勒割力式紧线器。The purpose of the utility model is to provide an adjustable cutting force type wire tensioner.
为实现上述目的，本实用新型采取的技术方案是：In order to achieve the above object, the technical scheme that the utility model takes is:
一种可调勒割力式紧线器，所述的可调勒割力式紧线器包括外套(1)、内栓(2)、固定按钮(3)；所述的外套(1)包括连接环(11)、显示器凹槽(12)、按钮孔(13)、挂线口(14)；所述的外套(1)主体呈圆管状，所述外套(1) 的前端呈圆锥状，圆锥尖端球面处理，在所述外套(1)的前端设有挂线口(14)；所述的外套(1)后端开口、侧面设有显示器凹槽(12)和按钮孔(13)；所述外套(1)的尾部固定连接有二个连接环(11)；所述的内栓(2)包括固定槽(23)、拉力显示器(22)、锯齿槽(21)、勾线器(24)、拉环(25)；所述的内栓(2)为圆柱体,所述内栓(2)的侧面设有固定槽(23)，所述的固定槽(23)中嵌有锯齿槽(21)；所述的内栓(2)前端固定连接有勾线器(24)、后端固定连接有拉环(25)；所述内栓(2)的侧面安装有拉力显示器(22)；所述的固定按钮(3)上部为粗圆柱，中部为细圆柱，下部为锯齿销(31)。An adjustable cut force type wire tightener, the adjustable cut force type wire tightener includes a jacket (1), an inner bolt (2), and a fixing button (3); the jacket (1) includes The connection ring (11), the display groove (12), the button hole (13), the hanging port (14); the main body of the jacket (1) is in the shape of a tube, and the front end of the jacket (1) is conical. The conical tip is spherically processed, and the front end of the jacket (1) is provided with a hanging port (14); the rear end of the jacket (1) is open, and the side is provided with a display groove (12) and a button hole (13); The tail of the overcoat (1) is fixedly connected with two connecting rings (11); the inner bolt (2) includes a fixing groove (23), a tension indicator (22), a sawtooth groove (21), a hook ( 24), pull ring (25); the inner bolt (2) is a cylinder, the side of the inner bolt (2) is provided with a fixing groove (23), and the fixing groove (23) is embedded with sawtooth slot (21); the front end of the inner bolt (2) is fixedly connected with a hook (24), and the rear end is fixedly connected with a pull ring (25); the side of the inner bolt (2) is equipped with a tension indicator (22 ); the upper part of the fixed button (3) is a thick cylinder, the middle part is a thin cylinder, and the bottom is a serrated pin (31).
所述的内栓(2)插在外套(1)的管内，勾线器(24)从挂线口(14)中穿出，所述的固定按钮(3)安装于按钮孔(13)中，所述的拉力显示器(22) 嵌合在所述的显示器凹槽(12)中。The inner bolt (2) is inserted into the tube of the jacket (1), the hooker (24) passes through the thread opening (14), and the fixed button (3) is installed in the button hole (13) , the tension display (22) is embedded in the display groove (12).
所述的拉力显示器(22)可以在显示器凹槽(12)中左右滑动。The tension display (22) can slide left and right in the display groove (12).
所述的固定按钮(3)的外径和按钮孔(13)的孔径大小吻合。The outer diameter of the fixing button (3) matches the diameter of the button hole (13).
所述的锯齿销(31)和所述的锯齿槽(23)相吻合。The sawtooth pin (31) coincides with the sawtooth groove (23).
所述的挂线口(14)开口处光滑无棱角。The opening of the thread hanging port (14) is smooth and has no edges and corners.
所述拉环(25)的直径为2cm。The diameter of the pull ring (25) is 2cm.
所述的外套(1)的内径为2cm、整体长度为10cm，所述的连接环(11)的直径为2cm，所述的挂线口(14)的口径为0.5cm。The inner diameter of the outer jacket (1) is 2cm, the overall length is 10cm, the diameter of the connecting ring (11) is 2cm, and the diameter of the hanging thread opening (14) is 0.5cm.
本实用新型优点在于：The utility model has the advantages that:
1、本实用新型的可调勒割力式紧线器的就可以调节勒割力的大小来达到理想的临床疗效。1. The adjustable cutting force type wire tensioner of the utility model can adjust the size of the cutting force to achieve ideal clinical curative effect.
2、本实用新型的可调勒割力式紧线器的使用便捷，无需经验。2. The adjustable cutting force type wire tensioner of the utility model is easy to use and requires no experience.
附图说明Description of drawings
附图1是一种可调勒割力式紧线器的外套、内栓、固定按钮的结合示意图。Accompanying drawing 1 is a combination schematic diagram of an outer cover, an inner bolt, and a fixed button of an adjustable cutting force type wire tightener.
附图2是一种可调勒割力式紧线器的外套、内栓、固定按钮的结合示意图。Accompanying drawing 2 is a combination schematic diagram of an outer jacket, an inner bolt, and a fixed button of an adjustable cutting force type wire tightener.
附图3是一种可调勒割力式紧线器的外套的结构示意图。Accompanying drawing 3 is a structural schematic diagram of an outer casing of an adjustable cutting force type wire tightener.
附图4是一种可调勒割力式紧线器的内栓的结构示意图。Accompanying drawing 4 is a structural schematic diagram of an inner bolt of an adjustable cutting force type wire tightener.
附图5是一种可调勒割力式紧线器的固定按钮的结构示意图。Accompanying drawing 5 is a structural schematic diagram of a fixed button of an adjustable cutting force type wire tightener.
具体实施方式Detailed ways
下面结合实施例并参照附图对本实用新型作进一步描述。Below in conjunction with embodiment and with reference to accompanying drawing, the utility model is further described.
附图中涉及的附图标记和组成部分如下所示：The reference signs and components involved in the accompanying drawings are as follows:
1、外套1. Jacket
11、连接环11. Connecting ring
12、显示器凹槽12. Display groove
13、按钮孔13. Button hole
14、挂线口14. Hanging port
2、内栓2. Internal plug
23、固定槽23. Fixed groove
22、拉力显示器22. Rally display
21、锯齿槽21. Serrated groove
24、勾线器24. Hooker
25、拉环25. Pull ring
3、固定按钮3. Fixed button
31、锯齿销31. Serrated pin
实施例1Example 1
请参照附图1、附图2，附图1是本实施例的一种可调勒割力式紧线器的外套、内栓、固定按钮的结合示意图；附图2是本实施例的一种可调勒割力式紧线器的外套、内栓、固定按钮的结合示意图。所述的可调勒割力式紧线器包括外套(1)、内栓(2)、固定按钮(3)；Please refer to accompanying drawing 1, accompanying drawing 2, accompanying drawing 1 is the combination schematic diagram of a kind of adjustable cutting force type wire tensioner of the present embodiment, inner bolt, fixed button; A schematic diagram of the combination of the outer cover, the inner bolt, and the fixed button of the adjustable cutting force type wire tensioner. The adjustable cutting force type wire tightener includes a jacket (1), an inner bolt (2), and a fixed button (3);
请参照附图3，附图3是本实施例的一种可调勒割力式紧线器的外套的结构示意图。所述的外套(1)包括连接环(11)、显示器凹槽(12)、按钮孔(13)、挂线口(14)；所述的外套(1)主体呈圆管状，所述外套(1)的前端呈圆锥状，圆锥尖端球面处理，在所述外套(1)的前端设有挂线口(14)；所述的外套(1) 后端开口、侧面设有显示器凹槽(12)和按钮孔(13)；所述外套(1)的尾部固定连接有二个连接环(11)；Please refer to accompanying drawing 3, which is a structural schematic diagram of an outer casing of an adjustable cutting force type wire tensioner in this embodiment. The overcoat (1) includes a connecting ring (11), a display groove (12), a button hole (13), and a wire hanging port (14); the main body of the overcoat (1) is in the shape of a circular tube, and the overcoat ( The front end of 1) is conical, and the conical tip is spherically treated, and the front end of the jacket (1) is provided with a hanging port (14); the rear end of the jacket (1) is open, and the side is provided with a display groove (12 ) and button holes (13); the tail of the overcoat (1) is fixedly connected with two connecting rings (11);
请参照附图4，附图4是本实施例的一种可调勒割力式紧线器的内栓的结构示意图。所述的内栓(2)包括固定槽(23)、拉力显示器(22)、锯齿槽(21)、勾线器(24)、拉环(25)；所述的内栓(2)为圆柱体,所述内栓(2)的侧面设有固定槽(23)，所述的固定槽(23)中嵌有锯齿槽(21)；所述的内栓(2)前端固定连接有勾线器(24)、后端固定连接有拉环(25)；所述内栓(2)的侧面安装有拉力显示器(22)；Please refer to accompanying drawing 4, which is a structural schematic diagram of an inner plug of an adjustable cutting force type wire tensioner in this embodiment. The inner bolt (2) includes a fixing groove (23), a tension indicator (22), a sawtooth groove (21), a hook (24), and a pull ring (25); the inner bolt (2) is a cylinder body, the side of the inner bolt (2) is provided with a fixing groove (23), and a sawtooth groove (21) is embedded in the fixing groove (23); the front end of the inner bolt (2) is fixedly connected with a hook line The device (24), the rear end are fixedly connected with a pull ring (25); the side of the inner bolt (2) is equipped with a tension indicator (22);
请参照附图5，图5是本实施例的一种可调勒割力式紧线器的固定按钮的结构示意图。所述的固定按钮(3)上部为粗圆柱，中部为细圆柱，下部为锯齿销 (31)。Please refer to accompanying drawing 5, which is a structural schematic diagram of a fixing button of an adjustable cutting force type wire tensioner in this embodiment. The upper part of the fixed button (3) is a thick cylinder, the middle part is a thin cylinder, and the bottom is a serrated pin (31).
所述的内栓(2)插在外套(1)的管内，勾线器(24)从挂线口(14)中穿出，所述的固定按钮(3)安装于按钮孔(13)中，所述的拉力显示器(22) 嵌合在所述的显示器凹槽(12)中。The inner bolt (2) is inserted into the tube of the jacket (1), the hooker (24) passes through the thread opening (14), and the fixed button (3) is installed in the button hole (13) , the tension display (22) is embedded in the display groove (12).
所述的拉力显示器(22)可以在显示器凹槽(12)中左右滑动。The tension display (22) can slide left and right in the display groove (12).
所述的固定按钮(3)的外径和按钮孔(13)的孔径大小吻合。The outer diameter of the fixing button (3) matches the diameter of the button hole (13).
所述的锯齿销(31)和所述的锯齿槽(21)相吻合。The sawtooth pin (31) coincides with the sawtooth groove (21).
所述的挂线口(14)开口处光滑无棱角。The opening of the thread hanging port (14) is smooth and has no edges and corners.
所述拉环(25)的直径为2cm。The diameter of the pull ring (25) is 2cm.
所述的外套(1)的内径为2cm、整体长度为10cm，所述的连接环(11)的直径为2cm，所述的挂线口(14)的口径为0.5cm。The inner diameter of the outer jacket (1) is 2cm, the overall length is 10cm, the diameter of the connecting ring (11) is 2cm, and the diameter of the hanging thread opening (14) is 0.5cm.
实施例2Example 2
参照附图1、附图2，附图1是本实施例的一种可调勒割力式紧线器的外套、内栓、固定按钮的结合示意图；附图2是本实施例的一种可调勒割力式紧线器的外套、内栓、固定按钮的结合示意图。With reference to accompanying drawing 1, accompanying drawing 2, accompanying drawing 1 is the combination schematic diagram of a kind of adjustable cutting force type wire tensioner of the present embodiment, inner bolt, fixed button; Accompanying drawing 2 is a kind of present embodiment Schematic diagram of the combination of the outer cover, inner bolt, and fixed button of the adjustable reeling force type tensioner.
所述可调勒割力式紧线器的使用过程及方法：The use process and method of the adjustable cutting force type wire tensioner:
使用时先在探针尾端缚一橡皮筋，再将探针头自瘘管外口轻轻向内探入，将探针头从瘘管内口完全拉出，使橡皮筋经过瘘管外口进入瘘管。提起橡皮筋，切开瘘管内外口之间的皮肤层，轻轻拉紧橡皮筋，紧贴皮下组织用粗丝线结扎皮筋并预留出丝线套圈；用粗丝线套圈挂在勾线器(24)上当调节到适合的拉力时，操作内栓固定按钮，固定内栓(2)丝线在挂线口(14)处打结下滑至皮筋并收紧结扎牢固，拉力显示器(22)所示即为皮筋的勒割力。操作内栓固定按钮，收回可调勒割力式紧线器，切口敷以凡士林纱布。随病程进展，由于皮筋的慢性切割作用，组织慢慢离断，皮筋静态收缩勒割力逐渐降低，换药过程中可再次用紧线器重复操作，使皮筋勒割力始终处于最佳状态，利于疾病的速愈。When using, first tie a rubber band on the end of the probe, then gently insert the probe head inward from the outer opening of the fistula, and pull the probe head out completely from the inner opening of the fistula, so that the rubber band enters the fistula through the outer opening of the fistula . Lift the rubber band, incise the skin layer between the inner and outer openings of the fistula, gently tighten the rubber band, and use thick silk thread to ligate the rubber band close to the subcutaneous tissue and reserve a silk loop; use the thick silk loop to hang on the thread hook ( 24) When the tension is adjusted to a suitable level, operate the fixing button of the inner bolt, and the silk thread of the fixing inner bolt (2) is knotted at the thread hanging port (14) and slides down to the rubber band and tightened to tie it firmly, as shown in the tension indicator (22). is the cutting force of the rubber band. Operate the inner bolt fixing button, withdraw the adjustable cutting force type thread tensioner, and apply Vaseline gauze to the incision. With the progress of the disease, due to the chronic cutting effect of the rubber band, the tissue is gradually severed, and the static contraction of the rubber band gradually reduces the cutting force. During the dressing change process, the tensioner can be used again to repeat the operation, so that the cutting force of the rubber band is always in the best state. Conducive to the quick recovery of the disease.
以上所述仅是本实用新型的优选实施方式，应当指出，对于本技术领域的普通技术人员，在不脱离本实用新型原理的前提下，还可以做出若干改进和补充，这些改进和补充也应视为本实用新型的保护范围。The above is only a preferred embodiment of the utility model, it should be pointed out that for those of ordinary skill in the art, without departing from the principle of the utility model, some improvements and supplements can also be made, and these improvements and supplements are also It should be regarded as the protection scope of the present utility model.
| Application Number | Priority Date | Filing Date | Title |
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| CN201920019687.1UCN209529275U (en) | 2019-01-07 | 2019-01-07 | Adjustable Le cuts power formula cord holder |
| Application Number | Priority Date | Filing Date | Title |
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| CN201920019687.1UCN209529275U (en) | 2019-01-07 | 2019-01-07 | Adjustable Le cuts power formula cord holder |
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| CN209529275Utrue CN209529275U (en) | 2019-10-25 |
| Application Number | Title | Priority Date | Filing Date |
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| CN201920019687.1UActiveCN209529275U (en) | 2019-01-07 | 2019-01-07 | Adjustable Le cuts power formula cord holder |
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