CN111494784B - Postoperative anastomotic fistula drainage device and negative pressure drainage device - Google Patents

Postoperative anastomotic fistula drainage device and negative pressure drainage device Download PDF

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Publication number
CN111494784B
CN111494784B CN202010211295.2A CN202010211295A CN111494784B CN 111494784 B CN111494784 B CN 111494784B CN 202010211295 A CN202010211295 A CN 202010211295A CN 111494784 B CN111494784 B CN 111494784B
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China
Prior art keywords
drainage tube
drainage
negative pressure
dressing
anastomotic
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CN202010211295.2A
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Chinese (zh)
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CN111494784A (en
Inventor
滑峰
刘曙光
杨文锋
王振丹
董印军
赵晓明
赵东波
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Shandong Cancer Hospital & Institute (shandong Cancer Hospital)
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Shandong Cancer Hospital & Institute (shandong Cancer Hospital)
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Publication of CN111494784A publication Critical patent/CN111494784A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M27/00Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • A61F13/05
    • A61M1/0023
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84Drainage tubes; Aspiration tips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/007Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests for contrast media

Abstract

The invention discloses a postoperative anastomotic fistula drainage device and a negative pressure drainage device, and relates to the technical field of medical instruments. According to the invention, the cavity drainage tube can guide the radiography drainage tube, so that the radiography drainage tube can extend into the outer opening of the sinus of the anastomotic stoma, the sinus structure can be conveniently confirmed by performing radiography on the sinus of the anastomotic stoma, and when the radiography drainage tube extends into the sinus inner opening of the anastomotic stoma, the contrast medium is pushed again and performs radiography to confirm whether the radiography drainage tube extends in place or not, so that accurate drainage can be performed on the anastomotic fistula, and the anastomotic fistula can be quickly cured.

Description

Postoperative anastomotic fistula drainage device and negative pressure drainage device
Technical Field
The invention relates to the technical field of medical instruments, in particular to a postoperative anastomotic fistula drainage device and a negative pressure drainage device.
Background
The postoperative anastomotic fistula is an important problem which troubles the current surgical treatment, for example, the esophageal cancer postoperative anastomotic fistula solves the problem that the rapid healing of the cervical anastomotic fistula has important significance for esophageal surgical work under the condition that the neck anastomosis becomes an esophageal cancer standard excision surgery, the traditional dressing change treatment of the cervical anastomotic fistula generally needs more than one month, and part of patients do not heal after dressing change for a long time, so that serious complications such as the anastomotic tracheal fistula can occur.
Among the prior art, treatment neck anastomotic fistula generally does, at the neck opening, puts into two-chamber silica gel drainage tube through the neck incision, and a lumen connects negative pressure drainage ware and lasts the negative pressure and attracts, and another lumen is used for washing the incision, and such mode can't accurately find anastomotic fistula, can not accurate drainage, and the drainage effect is not good enough to there is the drainage not smooth or insufficient shortcoming, makes anastomotic fistula be difficult for the healing.
Disclosure of Invention
The invention aims to provide a postoperative anastomotic fistula drainage device and a negative pressure drainage device, which are used for solving the problems in the prior art and quickly curing anastomotic fistula.
In order to achieve the purpose, the invention provides the following scheme:
The invention provides a postoperative anastomotic fistula drainage device which comprises a dressing, a cavity drainage tube and a radiography drainage tube, wherein the dressing is used for being filled in an incision of a patient, the dressing can absorb body fluid of the patient, the cavity drainage tube penetrates through the dressing along the thickness direction of the dressing, the cavity drainage tube points to an anastomotic sinus, the radiography drainage tube penetrates through the cavity drainage tube along the length direction of the cavity drainage tube, the radiography drainage tube is used for pushing a contrast agent and draining the body fluid into the anastomotic sinus, and one ends of the radiography drainage tube and the cavity drainage tube, which extend out of the body of the patient, are both used for being communicated with a negative pressure device.
Preferably, a guide wire is arranged in the radiography drainage tube, and the end face of one end of the guide wire extending into the incision of the patient is an arc surface.
Preferably, the dressing is a polyvinyl alcohol hydrated seaweed salt foam dressing.
Preferably, a sealing membrane is included that is capable of covering the dressing and the incision of the patient.
Preferably, the sealing membrane is a medical semipermeable membrane.
Preferably, the radiography drainage tube and the cavity drainage tube are medical silicone tubes.
The invention also provides a negative pressure drainage device, which comprises a negative pressure drainage tube, a negative pressure device and any one of the postoperative anastomotic fistula drainage devices, wherein the negative pressure drainage tube is inserted into the dressing along the thickness direction of the dressing, and the ends of the radiography drainage tube, the cavity drainage tube and the negative pressure drainage tube, which extend out of the body of a patient, are all communicated with the inlet of the negative pressure device.
Compared with the prior art, the invention has the following technical effects:
the invention provides a postoperative anastomotic fistula drainage device and a negative pressure drainage device, wherein a cavity drainage tube points to an anastomotic fistula orifice, a contrast drainage tube penetrates through the cavity drainage tube along the length direction of the cavity drainage tube, so that the cavity drainage tube can guide the contrast drainage tube, the contrast drainage tube can extend into an outer opening of the anastomotic sinus, a contrast agent is conveniently pushed into the sinus through the contrast drainage tube and the anastomotic sinus is contrasted, the contrast drainage tube can accurately extend into an inner opening of the anastomotic fistula orifice through the sinus, when the contrast drainage tube extends into the inner opening of the anastomotic sinus, the contrast drainage tube is pushed into the contrast agent through the contrast drainage tube again and contrasts to confirm whether the contrast drainage tube extends in place, the contrast drainage tube, the cavity drainage tube and the negative pressure drainage tube are communicated with a negative pressure device to perform negative pressure drainage, so that the anastomotic fistula can be accurately drained, the anastomotic fistula can be cured quickly.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings needed in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without creative efforts.
FIG. 1 is a schematic structural view of a negative pressure flow diverter provided by the present invention.
In the figure: 1-dressing; 2-a cavity drainage tube; 3-a contrast drainage tube; 4-negative pressure drainage tube.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
The invention aims to provide a postoperative anastomotic fistula drainage device and a negative pressure drainage device, which are used for solving the problems in the prior art and quickly curing anastomotic fistula.
In order to make the aforementioned objects, features and advantages of the present invention comprehensible, embodiments accompanied with figures are described in further detail below.
Example one
The invention provides a postoperative anastomotic fistula drainage device, as shown in figure 1, in the embodiment, the postoperative anastomotic fistula drainage device comprises a dressing 1, a cavity drainage tube 2 and a contrast drainage tube 3, the dressing is used for filling in an incision of a patient, the dressing 1 can absorb body fluid of the patient, the cavity drainage tube 2 passes through the dressing 1 along the thickness direction of the dressing 1, the cavity drainage tube 2 points to an anastomotic sinus, the contrast drainage tube 3 passes through the cavity drainage tube 2 along the length direction of the cavity drainage tube 2, the contrast drainage tube 3 is used for pushing contrast agent and drainage body fluid into the anastomotic sinus, one ends of the contrast drainage tube 3 and the cavity drainage tube 2 extending out of the body of the patient are both used for being communicated with a negative pressure device, the dressing 1 is adjusted to be matched with the incision of the patient in size and shape and then is filled in the incision of the patient, the auxiliary material 1 can absorb body fluid of the patient, the cavity drainage tube 2 points to the anastomotic sinus, the contrast drainage tube 3 penetrates through the cavity drainage tube 2 along the length direction of the cavity drainage tube 2, so that the cavity drainage tube 2 can guide the contrast drainage tube 3, the contrast drainage tube 3 can extend into an outer opening of a sinus of an anastomotic stoma, a contrast agent is conveniently pushed in through the contrast drainage tube 3 to carry out contrast on a passageway of the sinus of the anastomotic stoma, the internal structure of the sinus passageway is conveniently known, the contrast drainage tube 3 can penetrate through the sinus of the anastomotic stoma to extend into an inner opening of the sinus of the anastomotic stoma according to the display of the contrast result of the sinus passageway, when the contrast drainage tube 3 extends into the inner opening of the sinus of the anastomotic stoma, the contrast drainage tube 3 is pushed in by the contrast drainage tube 3 again and carries out contrast to confirm whether the contrast drainage tube 3 extends in place or not, after the contrast drainage tube 3 extends into the anastomotic stoma, one end of the contrast drainage tube 3 and one end of the cavity drainage tube 2 extending out of a patient body are communicated with a fistula, make radiography drainage tube 3 can carry out accurate drainage to anastomotic stoma fistula department, cavity drainage tube 2 carries out the drainage to the space around the affected part simultaneously, makes anastomotic stoma fistula heal fast.
Furthermore, a guide wire is arranged in the radiography drainage tube 2, the end face of one end of the guide wire extending into the incision of the patient is an arc surface, and the guide wire is arranged in the radiography drainage tube 3, so that when the radiography drainage tube extends into the sinus of the anastomotic stoma, the guide wire extends into the sinus of the anastomotic stoma along the guide wire after extending into the sinus of the anastomotic stoma, the radiography drainage tube 3 can rapidly and accurately extend into the sinus of the anastomotic stoma, the surrounding tissues are not easy to be damaged due to repeated probing and insertion of the radiography drainage tube, and the end face of the guide wire is an arc surface, so that the surrounding tissues are not easy to be damaged when the guide wire extends into the sinus of the anastomotic stoma.
Furthermore, dressing 1 is polyvinyl alcohol hydration seaweed salt foam dressing, and polyvinyl alcohol hydration seaweed salt foam has extremely strong adsorptivity, and adsorption effect is good, and corrosion-resistant, soft texture, tensile strength are strong not fragile moreover, and in addition, polyvinyl alcohol hydration seaweed salt foam does not contain the fibre for there is not the solid dropout, can not exert an influence to the healing of patient's incision.
Further, including the seal membrane, the seal membrane can cover dressing and patient's incision, and the seal membrane not only can seal patient's incision, makes the drainage be closed drainage, prevents to take place the infection, but also can fix radiography drainage tube 3 and cavity drainage tube 2 at patient's body surface for be difficult for shifting or drop and influence the treatment because of radiography drainage tube 3 or cavity drainage tube 2.
Further, the seal membrane is medical pellicle, and medical pellicle has the selective permeability, can be waterproof, fungi-proofing, ventilative and have elasticity, not only makes the incision be difficult for infecting, and the skin that is covered by medical pellicle can be ventilative, and is difficult for impairedly, and medical pellicle is difficult for moreover tearing the damage because of pulling.
Furthermore, the radiography drainage tube 3 and the cavity drainage tube 2 are medical silicone tubes, the medical silicone tubes have good compatibility with the human body, and are not easy to cause abnormal reaction and discomfort of patients after being implanted into the human body.
Example two
The invention also provides a negative pressure drainage device, which comprises a negative pressure drainage tube 4, a negative pressure device and the postoperative anastomotic fistula drainage device of the first embodiment, wherein the negative pressure drainage tube 4 is inserted into the dressing 1 along the thickness direction of the dressing 1, one ends of the radiography drainage tube 3, the cavity drainage tube 2 and the negative pressure drainage tube 4, which extend out of the body of a patient, are communicated with an inlet of the negative pressure device, the radiography drainage tube 3 can accurately drain the anastomotic fistula, the cavity drainage tube 2 can drain the space around the affected part, so that the anastomotic fistula can be rapidly healed, the negative pressure drainage tube 4 is arranged, so that the body fluid of the patient absorbed by the dressing 1 can be sucked and transferred through the negative pressure drainage tube 4, the replacement times of the dressing 1 are reduced, the cut of the patient and the disturbance of the anastomotic fistula are reduced, and the healing of the anastomotic fistula is facilitated.
The principle and the implementation mode of the invention are explained by applying a specific example, and the description of the embodiment is only used for helping to understand the method and the core idea of the invention; meanwhile, for a person skilled in the art, according to the idea of the present invention, the specific embodiments and the application range may be changed. In view of the above, the present disclosure should not be construed as limiting the invention.

Claims (6)

1. The utility model provides a postoperative anastomotic fistula drainage device which characterized in that: the dressing is used for being filled in an incision of a patient, the dressing can absorb body fluid of the patient, the cavity drainage tube penetrates through the dressing along the thickness direction of the dressing, the cavity drainage tube points to an anastomotic sinus, the contrast drainage tube penetrates through the cavity drainage tube along the length direction of the cavity drainage tube, the contrast drainage tube is used for pushing a contrast agent and draining the body fluid into the anastomotic sinus, and the contrast drainage tube and one end, extending out of the body of the patient, of the cavity drainage tube are both used for being communicated with a negative pressure device; a guide wire is arranged in the radiography drainage tube, the end surface of one end of the guide wire extending into the incision of the patient is an arc surface, and the guide wire and the cavity drainage tube are used for providing guidance for the radiography drainage tube; the cavity drainage tube and the radiography drainage tube can be used for conducting drainage on body fluid outside the fistulae and in the fistulae.
2. The post-operative anastomotic fistula drainage device of claim 1, wherein: the dressing is a polyvinyl alcohol hydrated seaweed salt foam dressing.
3. The post-operative anastomotic fistula drainage device of claim 1, wherein: including a sealing membrane capable of covering the dressing and an incision in a patient.
4. The post-operative anastomotic fistula drainage device of claim 3, wherein: the sealing membrane is a medical semipermeable membrane.
5. The post-operative anastomotic fistula drainage device of claim 1, wherein: the radiography drainage tube and the cavity drainage tube are medical silicone tubes.
6. The utility model provides a negative pressure drainage device which characterized in that: the postoperative anastomotic fistula drainage device comprises a negative pressure drainage tube, a negative pressure device and the postoperative anastomotic fistula drainage device according to any one of claims 1 to 5, wherein the negative pressure drainage tube is inserted into the dressing along the thickness direction of the dressing, and one ends of the radiography drainage tube, the cavity drainage tube and the negative pressure drainage tube, which extend out of the body of a patient, are communicated with an inlet of the negative pressure device.
CN202010211295.2A 2020-03-24 2020-03-24 Postoperative anastomotic fistula drainage device and negative pressure drainage device Active CN111494784B (en)

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CN202010211295.2A CN111494784B (en) 2020-03-24 2020-03-24 Postoperative anastomotic fistula drainage device and negative pressure drainage device

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Application Number Priority Date Filing Date Title
CN202010211295.2A CN111494784B (en) 2020-03-24 2020-03-24 Postoperative anastomotic fistula drainage device and negative pressure drainage device

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CN111494784B true CN111494784B (en) 2022-07-29

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Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201735053U (en) * 2010-07-22 2011-02-09 姚万钧 Hysterosalpingography recanalization device
PL2567682T5 (en) * 2011-09-09 2018-06-29 Paul Hartmann Ag Abdominal wound dressing with application aid
CN203389201U (en) * 2013-06-09 2014-01-15 康慧鑫 Negative pressure dressing device for wound surface of wound
CN103706021A (en) * 2013-11-21 2014-04-09 张金科 Expansible gastrointestinal drainage tube
CN205055157U (en) * 2015-10-13 2016-03-02 杨超 Formula deep surface of a wound negative pressure can be extracted and drainage device is sealed

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