




技术领域technical field
本实用新型涉及医疗器材领域,特别是涉及膀胱造瘘管。The utility model relates to the field of medical equipment, in particular to a bladder fistula tube.
背景技术Background technique
在泌尿外科的实际临床工作中,各种原因导致的膀胱永久造瘘情况非常常见。目前,对于膀胱造瘘,一般都使用专用的膀胱造瘘管。现有技术中的膀胱造瘘管,一般包括造瘘管,在造瘘管上设置一水囊,所述造瘘管的管头设有进尿口,造瘘管的尾端设有出尿口和充水口,在造瘘管上还会设置一个挡片或者固定片用以将造瘘管固定。使用时,将造瘘管的管头伸入膀胱合适位置,对水囊进行充水,轻拉造瘘管,使得水囊与膀胱内壁贴合,然后用挡片或者固定片贴在身体表面加以固定,一般采用缠绕医用胶带进行固定。In the actual clinical work of urology, permanent bladder fistula caused by various reasons is very common. Currently, for cystostomy, a dedicated cystostomy tube is generally used. The bladder fistula tube in the prior art generally includes a fistula tube, a water bladder is arranged on the fistula tube, the tube head of the fistula tube is provided with a urine inlet, and the tail end of the fistula tube is provided with a urine outlet and a water filling port, A blocking piece or a fixing piece is also arranged on the fistula tube to fix the fistula tube. When in use, insert the tube head of the fistula tube into the proper position of the bladder, fill the water bag with water, gently pull the fistula tube to make the water bag fit the inner wall of the bladder, and then stick it on the body surface with a baffle or a fixing sheet to fix it. Generally, it is fixed by wrapping medical tape.
但是,现有的膀胱造瘘管还存在以下问题:1、漏尿:造瘘管和腹壁瘘口之间不能完全封闭,尿液从造瘘管和造瘘口之间的缝隙流出,使患者全是尿骚味,影响生活质量和环境。不仅如此,尿液会产生细菌,导致造瘘口感染,更甚者细菌会通过造瘘管进入膀胱,一起泌尿系统感染,进而继发结石、肾盂肾炎等,危及患者生命。2、引流不完全,腹壁的膀胱造瘘管由于重力原因无法完全将尿液从膀胱内引出,每次只是将膀胱内部分尿液引出,膀胱内残余尿液,长时间会引起感染及膀胱结石。3、造瘘管无法弯曲,造瘘口在下腹部正中位置,现在的造瘘管就是尿管,无法弯曲,影响穿衣及生活质量。4、压力不可控:现在的膀胱造瘘管压力不可控,如果造瘘管堵塞或者受压,膀胱内压力超过安全压力可以引起肾积水及上尿路功能损害。尤其对于神经源性膀胱患者,其感觉神经不敏感,容易引起上尿路损伤。However, the existing cystostomy tube still has the following problems: 1. Urine leakage: the gap between the fistula tube and the abdominal wall fistula cannot be completely closed, and urine flows out from the gap between the fistula tube and the fistula opening, so that the patient is full of urine Smell, affect the quality of life and the environment. Not only that, the urine will produce bacteria, leading to infection of the ostomy opening. What’s more, the bacteria will enter the bladder through the ostomy tube, together with urinary system infection, and then secondary stones, pyelonephritis, etc., endangering the patient’s life. 2. The drainage is incomplete. The cystostomy tube in the abdominal wall cannot completely drain the urine from the bladder due to gravity. Each time, only part of the urine is drawn out of the bladder. The residual urine in the bladder will cause infection and bladder stones for a long time. 3. The ostomy tube cannot be bent, and the ostomy opening is in the middle of the lower abdomen. The current ostomy tube is the urinary catheter, which cannot be bent, which affects dressing and quality of life. 4. Uncontrollable pressure: The current pressure of the cystostomy tube is uncontrollable. If the fistula tube is blocked or compressed, the pressure in the bladder exceeds the safe pressure, which can cause hydronephrosis and damage to the upper urinary tract function. Especially for patients with neurogenic bladder, their sensory nerves are not sensitive, which can easily cause upper urinary tract injury.
实用新型内容Utility model content
基于此,本实用新型的目的在于,提供一种膀胱造瘘管,以有效解决现有技术的不足之处。Based on this, the purpose of the present invention is to provide a cystostomy tube to effectively solve the deficiencies of the prior art.
为达到上述目的,本实用新型采用如下技术方案:To achieve the above object, the utility model adopts the following technical solutions:
膀胱造瘘管,包括:导管,所述导管内设有导尿通道和水囊通道,并在所述导管后部对应所述导尿通道设有导尿出口和对应所述水囊通道设有注水口;水囊,所述水囊设置在所述导管上并与所述水囊通道连通;所述导尿通道内设有弹性压力活瓣;还包括:一延长软管,所述延长软管的管径小于所述导尿通道的内径,及所述延长软管的一端与所述导尿通道的入口连通,所述延长软管的另一端侧壁上设有若干第一进尿口;一防渗漏组件,所述防渗漏组件包括:一挡片,所述挡片具有一个中心通孔,所述挡片通过该中心通孔活动穿设在所述导管的管体上;一抗菌粘附结构,所述抗菌粘附结构由凝胶层和抗菌层组成,所述抗菌粘附结构设置在所述挡片的一个侧面上,用于粘附皮肤;和一密封组件,所述密封组件,对应所述中心通孔设置在挡片上。The bladder fistula tube includes: a catheter, a catheterization channel and a water bladder channel are provided in the catheter, and a catheterization outlet is provided at the rear of the catheter corresponding to the catheterization channel and an injection port is provided corresponding to the water bladder channel. a water outlet; a water bag, the water bag is arranged on the catheter and communicated with the water bag channel; the urinary catheter channel is provided with an elastic pressure valve; it also includes: an extension hose, the extension hose The diameter of the pipe is smaller than the inner diameter of the catheterization channel, and one end of the extension hose is communicated with the inlet of the catheterization channel, and the other end sidewall of the extension hose is provided with a number of first urine inlets; An anti-leakage assembly, the anti-leakage assembly includes: a blocking piece, the blocking piece has a central through hole, the blocking piece is movably penetrated on the pipe body of the conduit through the central through hole; a an antibacterial adhesion structure, the antibacterial adhesion structure is composed of a gel layer and an antibacterial layer, the antibacterial adhesion structure is arranged on one side of the baffle, and is used for adhering to the skin; and a sealing assembly, the The sealing assembly is arranged on the blocking plate corresponding to the central through hole.
与现有技术相比,本实用新型所述的膀胱造瘘管具有以下优点:1、引流完全,通过在原导尿管的前端设置一延长软管,该延长软管可深入膀胱最低处,使得残余尿液全部引出。2、能有效的放置漏尿,本实用新型在挡片上设置有抗菌粘附结构,凝胶层可以舒适稳固的贴到皮肤上,抗菌层能有效的抑制细菌,防止造瘘口的感染,密封组件可以压闭造瘘管,起到封闭尿液渗出的功能。3、能实现尿液单向流动,使得造瘘管压力可控,导管内部设有弹性压力活瓣,可以使得膀胱充盈,激发逼尿肌收缩后保证尿液全部引出,使得膀胱处于生物功能状态,弹性活瓣还能使得尿液单向流动,有效的防止尿液返流。Compared with the prior art, the bladder fistula tube of the present invention has the following advantages: 1. The drainage is complete, and an extension tube is arranged at the front end of the original urinary catheter. All urine was excreted. 2. Urine leakage can be effectively placed, the utility model is provided with an antibacterial adhesion structure on the baffle, the gel layer can be comfortably and stably attached to the skin, the antibacterial layer can effectively inhibit bacteria, prevent the infection of the ostomy opening, and seal The component can compress the fistula tube, and play the function of sealing urine leakage. 3. It can realize the one-way flow of urine, so that the pressure of the fistula can be controlled. There is an elastic pressure valve inside the catheter, which can fill the bladder and stimulate the detrusor muscle to contract to ensure that all the urine is drawn out, so that the bladder is in a state of biological function. The elastic valve can also make the urine flow in one direction, effectively preventing the backflow of urine.
进一步地,所述挡片的另一侧面上设置有至少一个与导管外径匹配的条形凹槽,所述条形凹槽沿所述中心通孔径向延伸至盖板的边缘。如此设置,导管可以弯曲放置在条形凹槽内,使得造瘘管贴近皮肤,方便使用者穿衣固定,减少和衣物的摩擦。Further, at least one strip-shaped groove matching the outer diameter of the conduit is provided on the other side of the blocking piece, and the strip-shaped groove extends along the direction of the central through hole to the edge of the cover plate. In this way, the catheter can be bent and placed in the strip-shaped groove, so that the ostomy tube is close to the skin, which is convenient for the user to wear and fix, and reduces friction with the clothes.
进一步地,所述导管的外壁设有一段便于弯折的褶皱部。将造瘘管放入膀胱,对水囊进行充水,调整导管的位置,导管的褶皱部靠近防渗漏组件设置,褶皱部可以折叠和弯曲,同样也能方便使用者穿衣固定、减少导管和衣物的摩擦。Further, the outer wall of the conduit is provided with a folded portion which is convenient for bending. Put the fistula tube into the bladder, fill the water bladder with water, and adjust the position of the catheter. The folded part of the catheter is set close to the anti-leakage component. Friction of clothing.
进一步地,所述弹性压力活瓣至少为两片且所述弹性压力活瓣使得膀胱内压不高于40cmH2O。如此设置,弹性压力活瓣采用韧性良好的软体材质,能保证膀胱具有一定的内压,可以使膀胱充盈,激发逼尿肌收缩后保证尿液全部引出,使膀胱处于生物功能状态,确保上尿路不损伤。Further, the elastic pressure valve is at least two pieces, and the elastic pressure valve makes the intravesical pressure not higher than 40 cmH2 O. In this way, the elastic pressure valve is made of soft material with good toughness, which can ensure that the bladder has a certain internal pressure, which can fill the bladder, stimulate the detrusor muscle to contract, and ensure that all the urine is drawn out, so that the bladder is in a state of biological function and ensures that the urine is filled. The road is not damaged.
进一步地,所述密封组件为一弹性密封圈,所述弹性密封圈的中间设置有通孔,所述弹性密封圈通过该通孔与所述导管的外壁过盈配合。弹性密封圈具有弹性,其中间通孔与导管过盈配合可以起到压闭导管的作用,能有效的防止尿液向外渗出。Further, the sealing assembly is an elastic sealing ring, a through hole is provided in the middle of the elastic sealing ring, and the elastic sealing ring is in interference fit with the outer wall of the conduit through the through hole. The elastic sealing ring has elasticity, and the interference fit between the middle through hole and the catheter can play the role of pressing and closing the catheter, and can effectively prevent the urine from leaking out.
进一步地,所述密封组件为至少两片密封瓣膜以环形装配的方式构成。密封瓣膜采用韧性良好的软体材质,以环形装配方式结构装配,可以对不同形状的导管进行有效的密封包围,防止尿液向外渗出。Further, the sealing assembly is composed of at least two sealing valves in an annular assembly manner. The sealing valve is made of soft material with good toughness, and is assembled in a ring-shaped assembly structure, which can effectively seal and surround catheters of different shapes and prevent urine from leaking out.
进一步地,当所述水囊充盈后,所述水囊呈径向尺寸大于轴向尺寸的扁球形状。如此设置,水囊能最大程度的同膀胱内壁接触,使得患者更加舒适,同时也便于造瘘管的固定。Further, when the water bladder is inflated, the water bladder is in the shape of an oblate spheroid with a radial dimension larger than an axial dimension. With this arrangement, the water bladder can be in contact with the inner wall of the bladder to the greatest extent, which makes the patient more comfortable, and also facilitates the fixation of the ostomy tube.
进一步地,所述凝胶层、抗菌层、密封组件以及挡片均通过胶粘剂进行粘接。采用合适的胶黏剂,将各层黏贴起来,内部可以使用生物凝胶密封,防止尿液渗漏。Further, the gel layer, the antibacterial layer, the sealing component and the baffle are all bonded by an adhesive. The layers are glued together with a suitable adhesive, and the interior can be sealed with biogel to prevent urine leakage.
进一步地,所述导管的前端部侧壁设有若干第二导尿口。如此设置,使得导尿更加快速,更加通畅。Further, the side wall of the front end of the catheter is provided with a plurality of second urination openings. This setting makes the catheterization faster and smoother.
进一步地,所述挡片的另一侧面上对应每个条形凹槽设有卡盖。卡盖与条形卡槽匹配设置,导管放入条形凹槽内后,合上卡盖,可以有效的固定导管,使其不会松动。Further, a card cover is provided on the other side of the blocking piece corresponding to each strip-shaped groove. The card cover is matched with the strip-shaped card slot. After the conduit is placed in the strip-shaped slot, the card cover is closed to effectively fix the conduit so that it will not loosen.
为了更好地理解和实施,下面结合附图详细说明本实用新型。For better understanding and implementation, the present utility model is described in detail below with reference to the accompanying drawings.
附图说明Description of drawings
图1为本实用新型实施例1的膀胱造瘘管的结构示意图;Fig. 1 is the structural representation of the cystostomy tube of the
图2为本实用新型实施例1的造瘘管使用过程的结构示意图;2 is a schematic structural diagram of the use process of the fistula tube in Example 1 of the present utility model;
图3为图1中A的局部放大图;Fig. 3 is a partial enlarged view of A in Fig. 1;
图4为本实用新型实施例1中防渗漏组件的结构示意图;Fig. 4 is the structural schematic diagram of the anti-leakage assembly in
图5为本实用新型实施例1的密封组件的结构示意图。FIG. 5 is a schematic structural diagram of the sealing assembly according to
图中:1、导管;11、弹性压力活瓣;12、第二进尿口;2、防渗漏组件;21、凝胶层;22、抗菌层;23、密封组件;231、密封瓣膜;24、挡片;241、条形凹槽;242、卡盖;3、水囊;4、延长软管;41、第一进尿口;5、出尿口;6、注水口;7、膀胱;8、腹壁。In the figure: 1, catheter; 11, elastic pressure valve; 12, second urine inlet; 2, anti-leakage component; 21, gel layer; 22, antibacterial layer; 23, sealing component; 231, sealing valve; 24, baffle; 241, strip groove; 242, card cover; 3, water bladder; 4, extension hose; 41, the first urine inlet; 5, urine outlet; 6, water injection port; 7,
具体实施方式Detailed ways
为了更好地理解和实施,下面结合附图详细说明本实用新型。For better understanding and implementation, the present utility model is described in detail below with reference to the accompanying drawings.
实施例1Example 1
如图1所示,图1为本实施例的膀胱造瘘管的结构示意图,本实用新型的膀胱造瘘管,包括导管1、水囊3、延长软管4和防渗漏组件2,所述导管1内设有导尿通道和水囊通道(图中未示出),并在所述导管1后部对应所述导尿通道设有导尿出口和对应所述水囊通道设有注水口6。所述水囊3设置在所述导管1上并与所述水囊通道连通。所述延长软管4的一端与所述导尿通道的入口连通,所述延长软管的另一端侧壁上设有若干第一进尿口41。所述防渗漏组件2可自由活动的穿设于导管1上。As shown in FIG. 1, FIG. 1 is a schematic structural diagram of the cystostomy tube of the present embodiment. The bladder fistula tube of the present invention includes a
所述导尿通道内还设有弹性压力活瓣11。所述弹性压力活瓣11设置在导管1靠近尾端一侧位置。所述弹性压力活瓣类似于单向阀结构,其设置方向为尿液流出方向。所述弹性压力活瓣至少由两片组成且所述弹性压力活瓣11使得膀胱7内压不高于40cmH2O,常态下弹性压力活瓣呈闭合状态将导管1封闭,当膀胱7内压达到一定程度的时候,尿液从导管1向外流出。弹性压力活瓣能最大程度模拟膀胱7收缩舒张运动,保证压力20cmH2O~30cmH2O,使膀胱7处于生物功能状态。An
所述延长软管4的管径小于所述导尿通道的内径,所述延长软管4为超细软管,其长度可设置为6-8cm,保证软管能达到膀胱7的最底处。且软管材质为软质材料制成,不会对膀胱7内壁有任何伤害。The diameter of the
如图4所示,图4为本实用新型实施例1中防渗漏组件的结构示意图。本实用新型所述防渗漏组件2的中心具有通孔,可活动穿设在导管1上。所述防渗漏组件2包括:挡片24、抗菌粘附结构和密封组件23。所述挡片24、密封组件23和抗菌粘附结构依次通过胶黏剂进行粘结固定,也可以选用其他方式固定,在此本实用新型不做限定。本实施例中优选使用凝胶进行封口贴合。所述抗菌粘附结构设置在所述挡片24的一侧,用于粘附皮肤。所述抗菌粘附结构由凝胶层21和抗菌层22组成,所述凝胶层21为生物胶,可以黏贴在腹部的皮肤上,固定防渗漏组件2,外部可贴一层保护纸,使用时揭开贴合即可。所述抗菌层22内采用银离子涂层抑菌,并与凝胶层21贴合,使用凝胶封口。所述挡片24具有一个中心通孔,所述挡片24通过该中心通孔活动穿设在所述导管1的管体上。所述密封组件23,对应所述中心通孔设置在挡片24上,其位于抗菌粘附结构与挡片24之间,起到对导管1的压闭作用,防止尿液流出。As shown in FIG. 4 , FIG. 4 is a schematic structural diagram of the anti-leakage component in
优选的,当所述水囊3充盈后,所述水囊3呈径向尺寸大于轴向尺寸的扁球形状。如此设置,水囊3能最大程度的同膀胱7内壁接触,使得患者更加舒适,同时也便于造瘘管的固定。Preferably, when the
优选的,所述导管1的前端部侧壁设有若干第二导尿口12。Preferably, the side wall of the front end of the
优选的,在本实施例中,所述密封组件23为至少两片密封瓣膜231以环形装配的方式构成。如图5所示,密封瓣膜231采用韧性良好的软体材质,以环形装配方式结构装配,可以对不同形状的导管1进行有效的密封包围,防止尿液向外渗出。Preferably, in this embodiment, the sealing
优选的,如图3所示,图3为图1中A的局部放大图。为了使得导管1可以弯曲,在本实施例中,在所述挡片24的另一侧面上设置有至少一个与导管1外径匹配的条形凹槽241,所述条形凹槽241沿所述中心通孔径向延伸至盖板的边缘。并对应每个条形凹槽241设置有卡盖242。卡盖242设置在条形凹槽241的一侧,在另一侧对应设置有卡孔,卡盖242可以扣合在卡孔中,将条形槽盖上。条形凹槽241的设置,导管1可以弯曲放置在条形凹槽241内,合上卡盖242,可以有效的固定导管1,使其不会松动,使得造瘘管贴近皮肤,方便使用者穿衣固定,减少和衣物的摩擦。Preferably, as shown in FIG. 3 , FIG. 3 is a partial enlarged view of A in FIG. 1 . In order to make the
本实用新型的膀胱7造瘘管,在患者使用时,如图2所示,当造瘘管插入到患者膀胱7内合适位置时,从注水口6通过水囊3通道对水囊3进行充水,使水囊3充盈,轻拉造瘘管,使得水囊3与膀胱7内壁贴合,然后调节导管1上的防渗漏组件2,使之贴在患者的腹壁9外表面,然后揭开凝胶层21的保护贴纸(图中未示出),将凝胶层21贴合到皮肤上,由此来固定造瘘管,然后将导管1弯曲放置在条形凹槽241内,盖合卡盖242,即可。本实用新型的膀胱7造瘘管可以有效解决现有技术中造瘘管的不足,可以使得膀胱7内尿液引流完全;还能有效的防止漏尿感染的问题;另外,能实现尿液单向流动,使得造瘘管压力可控,使得膀胱7处于生物功能状态确保上尿路不损伤;本实用新型的造瘘管还可以弯曲,方便患者使用固定。导管1采用特殊医用材质制成,即使弯曲90度也不会影响液体流动情况When the
实施例2Example 2
本实施例的膀胱造瘘管中所用防渗漏组件2以及导管1的设置与实施例1不同,其余均采用实施例1方案。The settings of the
所述防渗漏组件2的中心具有通孔,可活动穿设在导管1上。所述防渗漏组件2同样包括挡片24、抗菌粘附结构和密封组件,本实施例中的密封组件23为弹性密封圈(图中未示出),所述弹性密封圈的中间设置有通孔,所述弹性密封圈通过该通孔与所述导管1的外壁过盈配合。弹性密封圈具有弹性,其中间通孔与导管1过盈配合可以起到压闭导管1的作用,能有效的放置尿液向外渗出。The center of the
为使得导管1可以弯曲,本实施例中,不再将挡片24上设置条形凹槽241,而是在导管1的外壁上设置一段便于弯曲的褶皱部(图中未示出)。该褶皱部类似于吸管上的褶皱,可以弯曲定型。褶皱部的设置根据人体膀胱7距离腹部皮肤表面进行合理设置。将造瘘管放置到膀胱7内,使水囊3充盈,固定好造瘘管,贴合上防渗漏组件2后,褶皱部紧挨挡片24即可,或者部分伸进防渗漏组件2的中心通孔中也可以实现弯曲定型。In order to make the
以上所述实施例仅表达了本实用新型的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对实用新型专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本实用新型构思的前提下,还可以做出若干变形和改进,这些都属于本实用新型的保护范围。The above-mentioned embodiments only represent several embodiments of the present utility model, and the descriptions thereof are specific and detailed, but should not be construed as a limitation on the scope of the utility model patent. It should be pointed out that for those of ordinary skill in the art, some modifications and improvements can be made without departing from the concept of the present invention, which all belong to the protection scope of the present invention.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201921060708.0UCN211382094U (en) | 2019-07-08 | 2019-07-08 | cystostomy tube |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201921060708.0UCN211382094U (en) | 2019-07-08 | 2019-07-08 | cystostomy tube |
| Publication Number | Publication Date |
|---|---|
| CN211382094Utrue CN211382094U (en) | 2020-09-01 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201921060708.0UActiveCN211382094U (en) | 2019-07-08 | 2019-07-08 | cystostomy tube |
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| CN (1) | CN211382094U (en) |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110403746A (en)* | 2019-07-08 | 2019-11-05 | 中山大学孙逸仙纪念医院 | cystostomy tube |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110403746A (en)* | 2019-07-08 | 2019-11-05 | 中山大学孙逸仙纪念医院 | cystostomy tube |
| CN110403746B (en)* | 2019-07-08 | 2024-09-24 | 中山大学孙逸仙纪念医院 | Bladder fistulization tube |
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