A kind of anal-surgery auxiliary device
Technical field
This utility model relates to technical field of medical instruments, particularly a kind of purse-string suture device.
Background technology
PPH operation is also called " in hemorrhoid mucosa procedure ", and this is a kind of to cause to anus pad pathological changes the new technique that this pathogenetic new knowledge of hemorrhoid is rationale.PPH operation is the special instrument being called " PPH anastomat " by one, and the prolapse of rectal mucosa band above hemorrhoid is done circular resection.First anus is expanded during operation, in pectinate line (boundary line of rectum and anal canal) top about 4 centimeters mucous membrane of rectum annulus unified and enclose, be commonly called as " playing pocket ", then PPH anastomat is inserted anus, the mucosa band of prolapsus can excise by anastomat, and whole process only needed about half an hour.Because mucous membrane of rectum more than pectinate line is by Visceral innervation, postoperative patients does not almost have the sensation of pain; Again because prolapse of rectal mucosa band had both been excised in operation, block again rectum end ramus anastomoticus of arteriovenous end last, eliminate the root that hemorrhoid occur, have ideal therapeutic effect to internal hemorrhoid, external hemorrhoid, mixed hemorrhoid, ring-type hemorrhoid, serious prolapse of hemorrhoid, proctoptosis etc.There is postoperative instant effect, recover fast, painless and wait bitterly for feature.
In PPH operation, playing pocket is a crucial step, the bad success or failure being related to whole operation deserved the beating by pocket, generally use when playing pocket at present and tie device cooperation suture needle and manually carry out, when performing the operation, first utilize conductor to insert affected part to guide anus-expanding unit, then will tie device insertion anus-expanding unit and carry out playing pocket.
Patent CN201310752926.1 discloses a kind of for the operating assistive device of non-annular cutting hemorrhoid, this apparatus will tie device, anus-expanding unit, conductor are made of one formula structure, this assistive device sidewall has one or more openings, in operation, according to the size of different patient's hemorrhoid, need the openings of sizes on apparatus also different, organize too lax when opening is too large, cannot suture tissue completely when opening is too little, purse string suture effect is bad
Therefore, how improving the quality of playing pocket when anal-surgery is the problem that those skilled in the art need to solve.
Utility model content
The purpose of this utility model is to provide a kind ofly makes the higher anal-surgery auxiliary device of pocket quality when anal-surgery.
To achieve these goals, this utility model provides a kind of anal-surgery auxiliary device, comprise: anus-expanding unit, described anus-expanding unit comprise hollow expansion anus body, be positioned at the guidance part of described expansion anus body far-end, be positioned at the broadside of described expansion anus body near-end, the sidewall of described expansion anus body is provided with the first opening; Actuator, described actuator comprise hollow control agent, be positioned at the introduction part of described control agent far-end, be positioned at the handle of described control agent near-end, described actuator can insert described anus-expanding unit inside and can rotate relative to described anus-expanding unit, and the sidewall of described control agent is provided with the second opening that can be corresponding with described first opening.
Preferably, described control agent and described expansion anus body are cylindrical shape, and the external diameter of described control agent equals the internal diameter of described expansion anus body substantially.
Preferably, the side wall inner surfaces of described expansion anus body is provided with projection, the wall outer surface of described control agent is provided with protuberance, when described actuator inserts described anus-expanding unit inside completely and described control agent can not continue to advance in described expansion anus body, the upper edge of described protuberance contacts with the lower edge of described projection just.
Preferably, whole inner surfacies of the sidewall projected between described guidance part described in described expansion anus body are the first inclined-plane.
Preferably, the portion inner surface projecting into the sidewall between described guidance part described in described expansion anus body is the first inclined-plane.
Preferably, the described protuberance of described control agent is the second inclined-plane to whole outer surfaces of the sidewall between described introduction part.
Preferably, the described protuberance of described control agent is the second inclined-plane to the partial outer face of the sidewall between described introduction part.
Preferably, the length on described first inclined-plane and described second inclined-plane is unanimous on the whole, the angle of inclination on described first inclined-plane and described second inclined-plane is unanimous on the whole, and when described control agent to insert completely in described expansion anus body and can not continue to advance, described first inclined-plane and described second inclined-plane close contact.
Preferably, the sidewall of described expansion anus body is provided with multiple first opening, and the sidewall of described control agent is provided with multiple second opening, and described multiple first opening can with described multiple second opening one_to_one corresponding.
Preferably, also comprise disengagement device, described disengagement device comprises flange and contact part, and the far-end of the described guidance part of described anus-expanding unit is provided with circular hole, and the described contact part of described disengagement device can be stretched in described circular hole and the distal contact of described introduction part with described actuator.
The anal-surgery auxiliary device that this utility model provides, comprise: anus-expanding unit, described anus-expanding unit comprise hollow expansion anus body, be positioned at the guidance part of described expansion anus body far-end, be positioned at the broadside of described expansion anus body near-end, the sidewall of described expansion anus body is provided with the first opening; Actuator, described actuator comprise hollow control agent, be positioned at the introduction part of described control agent far-end, be positioned at the handle of described control agent near-end, described actuator can insert described anus-expanding unit inside and can rotate relative to described anus-expanding unit, and the sidewall of described control agent is provided with the second opening that can be corresponding with described first opening.When performing the operation, first anus-expanding unit is inserted affected part, when observing sensation first opening and being excessive, insert actuator, make corresponding first opening of the second opening of actuator, now rotary actuator, when the control agent of actuator shelters from part the first opening, then reaches suitable position, can stop the rotation, now the openings of sizes of anal-surgery auxiliary device and the in the same size of hemorrhoid, complete adjustment, and then doctor can perform the operation further.Due to the openings of sizes of anal-surgery auxiliary device and the in the same size of hemorrhoid, tissue is in tight state, and needs suture site to be all exposed to opening part, and therefore to make doctor beat the quality of pocket higher for this anal-surgery auxiliary device.
Accompanying drawing explanation
Fig. 1 is the structural representation according to the anus-expanding unit in the anal-surgery auxiliary device of an embodiment of the present utility model;
Fig. 2 is the structural representation according to the actuator in the anal-surgery auxiliary device of an embodiment of the present utility model;
The structural representation of the anal-surgery auxiliary device that Fig. 3 coordinates for actuator shown in anus-expanding unit with Fig. 2 shown in Fig. 1;
Fig. 4 is the front view of the anal-surgery auxiliary device shown in Fig. 3;
Fig. 5 is the partial enlarged drawing at the anal-surgery auxiliary device A place shown in Fig. 4;
Fig. 6 is the auxiliary device of anal-surgery shown in Fig. 3 and the structural representation of throwing off device;
Fig. 7 is structural representation when throwing off the anus-expanding unit in device insertion anal-surgery auxiliary device shown in Fig. 6.
Detailed description of the invention
Core of the present utility model is to provide a kind of anal-surgery auxiliary device getting better quality pocket used in anal-surgery.
In order to make those skilled in the art understand the technical solution of the utility model better, below in conjunction with the drawings and specific embodiments, the utility model is described in further detail.
See Fig. 1-Fig. 7, the anal-surgery auxiliary device that an embodiment of the present utility model provides, comprise: anus-expanding unit 1, anus-expanding unit 1 comprise hollow expansion anus body 12, be positioned at expand anus body 12 far-end guidance part 13, be positioned at the broadside 11 expanding anus body 12 near-end, the sidewall expanding anus body 12 is provided with the first opening 14; Actuator 2, actuator 2 comprise hollow control agent 22, be positioned at the introduction part 23 of control agent 22 far-end, be positioned at the handle 21 of control agent 22 near-end, actuator 2 can insert anus-expanding unit 1 inside and can rotate relative to anus-expanding unit 1, and the sidewall of control agent 22 is provided with the second opening 24 that can be corresponding with the first opening 14.When performing the operation, first anus-expanding unit 1 is inserted affected part, when observing sensation first opening 14 and being excessive, insert actuator 2, make the second opening 24 of actuator 2 corresponding with the first opening 14, now rotate this actuator 2, when the control agent 22 of actuator 2 shelters from part the first opening 14, then reach correct position, can stop the rotation, now the openings of sizes of anal-surgery auxiliary device and the in the same size of hemorrhoid, complete adjustment, and then doctor can perform the operation further.Due to the openings of sizes of anal-surgery auxiliary device and the in the same size of hemorrhoid, tissue is in tight state, and needs suture site to be all exposed to opening part, and it is more abundant that this anal-surgery auxiliary device makes doctor play pocket, and quality is higher.
Further, for ease of inserting affected part, control agent and expansion anus body are cylindrical shape, or other streamlined in shape, and the external diameter of described control agent equals the internal diameter of described expansion anus body substantially.
On the basis of above-described embodiment, further, the side wall inner surfaces expanding anus body 12 is provided with projection 121, the wall outer surface of control agent 22 is provided with protuberance 221, when actuator 2 inserts anus-expanding unit 1 inside completely and control agent 22 can not continue to advance in expansion anus body 12, protuberance 221 contacts along 1211 with the lower of projection 121 just along 2211.Now anus-expanding unit 1 and actuator 2 axial restraint, ensures that doctor makes apparatus can not axially-movable playing pocket.
Further, the surface of the sidewall between the projection 121 expanding anus body 12 to guidance part 13 is inclined-plane, the protuberance 221 of control agent 22 is also inclined-plane to the sidewall between introduction part 23, the surface of the sidewall between the setting projection 121 that expands anus body 12 to guidance part 13 is the first inclined-plane 122, the protuberance 221 of setting control agent 22 is the second inclined-plane 222 to the sidewall between introduction part 23, when actuator 2 is inserted into anus-expanding unit 1, first inclined-plane 122 and the second inclined-plane 222 form inclined-plane self-locking, actuator 2 cannot move relative to anus-expanding unit 1, ensure that the stability of apparatus in operation.
In addition, the first inclined-plane 122 can arrive whole inner surfacies of the sidewall between guidance part 13 for the projection 121 expanding anus body 12.Further, the first inclined-plane 122 also can arrive the portion inner surface of the sidewall between guidance part 13 for the projection 121 expanding anus body 12.Second inclined-plane 222 can be the protuberance 221 whole outer surfaces to the sidewall between introduction part 23 of control agent 22.Further, the second inclined-plane 222 also can be protuberance 221 partial outer face to the sidewall between introduction part 23 of control agent 22.
Further, the length on the first inclined-plane 122 and the second inclined-plane 222 is unanimous on the whole, the angle of inclination on the first inclined-plane 122 and the second inclined-plane 222 is unanimous on the whole, and when control agent 22 insert completely expand in anus body 12 and propelling can not be continued time, first inclined-plane 122 and the second inclined-plane 222 close contact, now apparatus is more excellent state.
Further, the sidewall expanding anus body 12 is provided with multiple first opening 14, and the sidewall of control agent 22 is provided with multiple second opening 24, and multiple first opening 14 can with multiple second opening 24 one_to_one corresponding.Thus, the patient of multiple hemorrhoid can be had to use for anal canal inwall, and the corresponding multiple hemorrhoid of multiple opening are performed the operation.
Further, anal-surgery auxiliary device also comprises and throws off device 3.This disengagement device 3 comprises flange 32 and contact part 31, and the far-end of the guidance part 13 of anus-expanding unit 1 is provided with circular hole, throws off the contact part 31 of device 3 and can to stretch in circular hole and the distal contact of introduction part 23 with actuator 2.When performing the operation, after finishing the purse string suture of hemorrhoid, anal-surgery auxiliary device being extracted, then with throwing off device 3, anus-expanding unit 1 and actuator 2 can be separated, this anal-surgery auxiliary device can be reused thus.
Near-end herein, far-end limited according to industry practice, and be namely near-end from person close to doctor during operation, opposite end is far-end.
Above anal-surgery auxiliary device provided by the utility model is described in detail.Apply concrete example herein to set forth principle of the present utility model and embodiment, but the explanation of above embodiment just understands principle of the present utility model and core concept thereof for helping, the restriction not to this utility model protection domain.Should be understood that; for those skilled in the art; under the prerequisite not departing from this utility model principle, can also carry out some improvement and modification to this utility model, these improve and modify and also fall in the protection domain of this utility model claim.