CN216719323U - Thoracic surgery esophageal cancer operation teaching device - Google Patents
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Abstract
Description
技术领域technical field
本实用新型属于手术护理的教学模型领域,具体涉及一种胸外科食管癌手术示教装置。The utility model belongs to the field of teaching models for surgical nursing, in particular to a teaching device for esophageal cancer surgery in thoracic surgery.
背景技术Background technique
食管癌切除术为外科四级手术,手术复杂,难度大,术后生理结构重建,手术范围涉及胸腔腹腔,尤其是胸腔内心肺重要器官集中,术式及术后结构重建及术后并发症相对复杂及抽象,是胸外科护理带教工作中的难点及重点。Esophageal cancer resection is a fourth-level surgical operation, which is complicated and difficult, and requires reconstruction of the physiological structure after surgery. Complexity and abstraction are the difficulties and the key points in the nursing teaching work of thoracic surgery.
主动脉弓是升主动脉的延续,位于胸骨柄后方的上纵隔内。从右侧第2胸肋关节高度,呈弓形转向左后方,达第4胸椎左侧下缘处,再转向下移行为降主动脉。主动脉弓全长约5~6厘米,其下壁与肺动脉分叉部之间有动脉韧带相连(为动脉导管闭锁后的遗迹),并与左支气管相邻。在主动脉弓的凸侧(上壁),从右至左分别向上发出头臂干(无名动脉)、左颈总动脉和左锁骨下动脉三大分支。它们是向头颈和上肢供血的动脉主干。The aortic arch is a continuation of the ascending aorta and is located in the superior mediastinum behind the manubrium. From the height of the second sternocostal joint on the right side, it turns to the left rear in an arcuate shape, reaching the lower edge of the left side of the fourth thoracic vertebra, and then turns downward to become the descending aorta. The total length of the aortic arch is about 5 to 6 cm. The inferior wall of the aortic arch is connected with the pulmonary artery bifurcation by the ligamentum arteriosus (the remains of the ductus arteriosus after atresia), and it is adjacent to the left bronchus. On the convex side (upper wall) of the aortic arch, three branches of the brachiocephalic trunk (innominate artery), left common carotid artery and left subclavian artery arise from right to left, respectively. They are the main arteries that supply blood to the head, neck and upper extremities.
从气管至肺泡的呼吸器官,最先是从前肠(后来发展为食管部)腹侧壁呈沟状凹陷(肺沟lung gro-ove)开始发生。稍后一些时期,以食管-气管间的开口被从后方延伸来的食管气管中隔全部闭锁,仅保留有喉头部分。如果这种闭锁不完全,在喉头以外的部位便留下气管食管间的通口,此为食管气管瘘。The respiratory organ from the trachea to the alveoli first begins with a groove-like depression (lung gro-ove) in the ventral wall of the foregut (later developed into the esophagus). In later periods, the esophagus-tracheal opening was completely closed by the esophagotracheal septum extending from the rear, leaving only the larynx. If this atresia is not complete, the opening between the trachea and esophagus is left outside the larynx, which is an esophagotracheal fistula.
另外,食管癌手术切除范围是将部分食管和部分胃切除,然后将食管与胃进行吻合。食管癌切除术包括两切口术和三切口术,其中两切口、三切口主要指皮肤表面的切口位置,通常两切口对应弓下吻合,即食管与胃的吻合处位于主动脉弓的下方,三切口对应弓上吻合,即食管与胃的吻合处位于主动脉弓的上方。In addition, the scope of surgical resection of esophageal cancer is to remove part of the esophagus and part of the stomach, and then the esophagus and stomach are anastomosed. Esophageal cancer resection includes two incisions and three incisions. Two incisions and three incisions mainly refer to the incision positions on the skin surface. Usually, the two incisions correspond to the subarch anastomosis, that is, the anastomosis between the esophagus and the stomach is located below the aortic arch, and the three incisions correspond to the subarch anastomosis. Supraarch anastomosis, that is, the anastomosis of the esophagus and stomach is located above the aortic arch.
而且,如果术后缝合的位置没有长好,裂开了就会出现吻合瘘,胃和食管连接的位置处裂开就是胃食管吻合口瘘,胃和胃吻合的地方缝合后裂开就是胃的吻合口瘘。Moreover, if the position of the suture after surgery does not grow well, an anastomotic fistula will occur if it is split, and the split where the stomach and esophagus are connected is gastroesophageal anastomotic fistula. Anastomotic fistula.
但是,现有的教学模式集中为图片展示及老师讲解,只有平面示意图,缺乏立体的示教工具,导致学生们对术式的不理解以及对消化道重建的认知不到位,从而影响对术后并发症发生的原理的理解,不利于胸外科食管癌术后护理中的病情观察及术后指导。However, the existing teaching mode focuses on the picture display and the teacher's explanation, only the plane schematic diagram and the lack of three-dimensional teaching tools, which leads to the students' lack of understanding of the surgery and the lack of understanding of the reconstruction of the digestive tract, which affects the understanding of the surgery. The understanding of the principle of postoperative complications is not conducive to the observation and postoperative guidance of the postoperative nursing of esophageal cancer in thoracic surgery.
而且,现有的示教工具无法同时完成以下功能:Moreover, existing teaching tools cannot perform the following functions at the same time:
1、演示食管癌两切口及三切口手术切除范围及术后吻合情况;1. Demonstrate the scope of two-incision and three-incision surgical resection and postoperative anastomosis for esophageal cancer;
2、分别演示食管气管瘘及吻合瘘;2. Demonstrate esophagotracheal fistula and anastomotic fistula respectively;
3、演示食管癌术后胃内容物反流发生原因。3. Demonstrate the cause of gastric content reflux after esophageal cancer surgery.
实用新型内容Utility model content
本实用新型的目的在于解决上述现有技术中存在的难题,提供一种胸外科食管癌手术示教装置,能够演示食管癌两切口及三切口手术中关于胃的切除部分及术后吻合情况;同时能够演示食管气管瘘及吻合瘘,并能够协助演示食管癌术后反流发生原因。The purpose of this utility model is to solve the above-mentioned problems in the prior art, and to provide a teaching device for esophageal cancer surgery in thoracic surgery, which can demonstrate the resection part of the stomach and the postoperative anastomosis in the two-incision and three-incision operations for esophageal cancer; At the same time, it can demonstrate esophagotracheal fistula and anastomotic fistula, and can help demonstrate the cause of postoperative reflux after esophageal cancer.
本实用新型是通过以下技术方案实现的:The utility model is achieved through the following technical solutions:
本实用新型提供了一种胸外科食管癌手术示教装置,其特征在于:所述示教装置包括:支撑架,以及安装在其上的气管模型、食管模型、主动脉弓模型、胃模型;The utility model provides a teaching device for esophageal cancer surgery in thoracic surgery, which is characterized in that: the teaching device comprises: a support frame, and a trachea model, an esophagus model, a aortic arch model, and a stomach model installed on it;
所述气管模型包括:主气管、左主支气管、右主支气管;The trachea model includes: main trachea, left main bronchus, and right main bronchus;
所述主动脉弓为弧形管;The aortic arch is an arc-shaped tube;
所述气管模型位于食管模型的前方,所述主动脉弓模型位于气管模型中主气管的前方;The trachea model is located in front of the esophagus model, and the aortic arch model is located in front of the main trachea in the trachea model;
所述食管模型为管状结构,其上端与气管模型中的主气管的上端平齐,并位于主动脉弓模型的上方,其下端一直向下延伸,与胃模型连接;The esophagus model is a tubular structure, the upper end of which is flush with the upper end of the main trachea in the trachea model, and is located above the aortic arch model, and the lower end of the esophagus model has been extended downwards and is connected with the stomach model;
所述食管由多个部分插接而成,所述胃分为两个部分;The esophagus is formed by inserting a plurality of parts, and the stomach is divided into two parts;
在所述食管上端设置有挂钩;A hook is provided on the upper end of the esophagus;
所述气管模型的前侧与主动脉弓模型的后侧固定连接,气管模型的一侧与食管模型的一侧铰接。The front side of the trachea model is fixedly connected with the rear side of the aortic arch model, and one side of the trachea model is hinged with one side of the esophagus model.
本实用新型的进一步改进在于:A further improvement of the present utility model is:
所述食管模型为中空管状结构;The esophagus model is a hollow tubular structure;
所述食管模型从上至下包括三段管,分别为:第一段管、第二段管和第三段管,三者依次连接;The esophagus model includes three sections of tubes from top to bottom, which are: a first section of tube, a second section of tube and a third section of tube, and the three are connected in sequence;
其中第一段管与第二段管的连接位置位于主动脉弓模型的上方,第二段管与第三段管的连接位置位于主动脉弓模型的下方;The connection position of the first section of tube and the second section of tube is located above the aortic arch model, and the connection position of the second section of tube and the third section of the tube is located below the aortic arch model;
所述第二段管、第三段管的上端分别设置有环形凸起。The upper ends of the second-section pipe and the third-section pipe are respectively provided with annular protrusions.
本实用新型的进一步改进在于:The further improvement of the present utility model is:
所述食管模型的第一段管与主气管之间通过合页连接;The first section of the tube of the esophagus model is connected with the main trachea through a hinge;
所述合页的一边的侧面与食管模型的上部侧壁连接,另一边的侧面与主气管的侧壁相连。One side of the hinge is connected with the upper side wall of the esophagus model, and the other side is connected with the side wall of the main trachea.
本实用新型的进一步改进在于:A further improvement of the present utility model is:
所述食管模型的第一段管的上部开有孔作为食管模拟瘘口,在所述食管模拟瘘口内安装有硅胶塞;The upper part of the first section of the tube of the esophagus model is provided with a hole as an esophagus simulated fistula, and a silicone plug is installed in the esophagus simulated fistula;
所述主气管上开有孔作为气管模拟瘘口,在气管模拟瘘口内安装有硅胶塞;The main trachea is provided with a hole as a trachea simulated fistula, and a silicone plug is installed in the tracheal simulated fistula;
所述食管模拟瘘口、气管模拟瘘口相对设置。The esophagus simulated fistula and the tracheal simulated fistula are arranged oppositely.
本实用新型的进一步改进在于:A further improvement of the present utility model is:
所述胃模型包括软管和与其连接的囊状结构;the stomach model includes a flexible tube and a bladder-like structure connected thereto;
所述软管采用具有弹性的硅胶制成,软管的内径小于食管模型的第三段管的下端的外径;The hose is made of elastic silica gel, and the inner diameter of the hose is smaller than the outer diameter of the lower end of the third section of the tube of the esophagus model;
所述软管内侧设置有防滑颗粒。The inside of the hose is provided with anti-skid particles.
本实用新型的进一步改进在于:The further improvement of the present utility model is:
所述囊状结构包括上部囊和下部囊,所述上部囊连接在下部囊的上方;the bladder-like structure includes an upper bladder and a lower bladder, the upper bladder being connected above the lower bladder;
所述上部囊采用硬质透明塑料制成,下部囊采用软质透明硅胶制成;The upper bag is made of hard transparent plastic, and the lower bag is made of soft transparent silica gel;
所述上部囊的顶端为封闭端,在封闭端的顶部设置有顶部开口,所述上部囊的下端为开口端,在开口端的外壁上设置有环形的魔术贴;The top of the upper bag is a closed end, the top of the closed end is provided with a top opening, the lower end of the upper bag is an open end, and a ring-shaped Velcro is arranged on the outer wall of the open end;
所述下部囊的上端为开口端,下端为封闭端,在封闭端的底部设置有底部开口,在所述开口端的内壁上设置有环形的魔术贴;The upper end of the lower bag is an open end, the lower end is a closed end, a bottom opening is arranged at the bottom of the closed end, and a ring-shaped Velcro is arranged on the inner wall of the open end;
所述魔术贴包括半个环形的魔术贴的毛面和半个环形的魔术贴的勾面,魔术贴的毛面和勾面围合形成环形的魔术贴;The velcro comprises a half-ring-shaped velcro surface and a half-ring velcro hook surface, and the velcro's velcro surface and the hook surface are enclosed to form a ring-shaped velcro;
在所述下部囊的内腔中放置有多个颗粒物和滤网,所述滤网设置在底部开口处。A plurality of particulate matter and a screen are placed in the inner cavity of the lower bladder, the screen being positioned at the bottom opening.
本实用新型的进一步改进在于:A further improvement of the present utility model is:
所述囊状结构包括左部囊和右部囊,左部囊连接在右部囊的左侧;The capsule structure includes a left capsule and a right capsule, and the left capsule is connected to the left side of the right capsule;
所述左部囊采用硬质透明塑料制成,右部囊采用软质透明硅胶制成;The left bag is made of hard transparent plastic, and the right bag is made of soft transparent silicone;
所述左部囊的左侧为封闭端,在封闭端的顶部设置有顶部开口,所述左部囊的右侧为开口端;The left side of the left bag is a closed end, a top opening is provided on the top of the closed end, and the right side of the left bag is an open end;
在所述左部囊的开口端的外壁上设置有环形的魔术贴;A ring-shaped Velcro is arranged on the outer wall of the open end of the left bag;
所述右部囊的左侧为开口端,右侧为封闭端,在封闭端的底部设置有底部开口,在所述开口端的内壁上设置有环形的魔术贴;The left side of the right bag is an open end, the right side is a closed end, a bottom opening is arranged at the bottom of the closed end, and an annular Velcro is arranged on the inner wall of the open end;
所述魔术贴包括半个环形的魔术贴的毛面和半个环形的魔术贴的勾面,魔术贴的毛面和勾面围合形成环形的魔术贴;The velcro comprises a half-ring-shaped velcro surface and a half-ring velcro hook surface, and the velcro's velcro surface and the hook surface are enclosed to form a ring-shaped velcro;
在所述右部囊的内腔中放置有多个颗粒物和滤网,所述滤网设置在底部开口处。A plurality of particulate matter and a filter screen are placed in the inner cavity of the right bag, and the filter screen is arranged at the bottom opening.
本实用新型的进一步改进在于:The further improvement of the present utility model is:
所述支撑架包括:底座和面板;The support frame includes: a base and a panel;
所述底座与面板的底部连接,并与面板垂直;The base is connected to the bottom of the panel and is perpendicular to the panel;
所述面板的面积大于食管模型、胃模型、气管模型、主动脉弓模型连接后的面积;The area of the panel is larger than the area after the esophagus model, the stomach model, the trachea model, and the aortic arch model are connected;
所述面板的正面开有横截面形状为半圆型的凹槽,凹槽的形状与食管模型、胃模型的形状相匹配。The front face of the panel is provided with a semicircular groove in cross-section, and the shape of the groove matches the shape of the esophagus model and the stomach model.
本实用新型的进一步改进在于:A further improvement of the present utility model is:
所述主气管、左主支气管、右主支气管均为中空管状结构;The main trachea, the left main bronchus and the right main bronchus are all hollow tubular structures;
所述右主支气管的上端与主气管的底端连通,下端分成两个分支管;The upper end of the right main bronchus is communicated with the bottom end of the main trachea, and the lower end is divided into two branch pipes;
所述左主支气管的上端与主气管的底端连通。The upper end of the left main bronchus is communicated with the bottom end of the main trachea.
本实用新型的进一步改进在于:The further improvement of the present utility model is:
所述食管模型、气管模型、主动脉弓模型均采用硬质塑料制成。The esophagus model, trachea model, and aortic arch model are all made of hard plastic.
与现有技术相比,本实用新型的有益效果是:利用本实用新型能够演示食管癌两切口及三切口手术中关于胃的切除部分及术后吻合情况,展示消化道重建过程及最终效果,有利于对食管癌术后护理的难点及重点的掌握及理解;能够演示食管气管瘘及吻合瘘;能够协助演示食管癌术后反流发生原因。通过使用本实用新型进行带教演示,能够为学生提供立体、直观及生动的食管癌手术相关知识的讲解,以更好的掌握相关知识,服务临床,为患者提供更优质的服务。Compared with the prior art, the beneficial effects of the present utility model are: the utility model can demonstrate the gastric resection and postoperative anastomosis in the two-incision and three-incision operations for esophageal cancer, and demonstrate the reconstruction process and final effect of the digestive tract. It is beneficial to grasp and understand the difficulties and key points of postoperative care for esophageal cancer; to demonstrate esophagotracheal fistula and anastomotic fistula; to assist in demonstrating the causes of postoperative reflux after esophageal cancer. By using the utility model to teach and demonstrate, students can be provided with a three-dimensional, intuitive and vivid explanation of the relevant knowledge of esophageal cancer surgery, so as to better grasp the relevant knowledge, serve clinical services, and provide patients with better services.
附图说明Description of drawings
图1——本实用新型所述胸外科食管癌手术示教装置的结构示意图;Fig. 1---the structural representation of the teaching device of thoracic surgery esophageal cancer operation teaching device according to the present utility model;
图2——本实用新型所述胸外科食管癌手术示教装置中的气管模型与食管模型之间的结构示意图;Fig. 2---the structural representation between the trachea model and the esophagus model in the thoracic surgery esophagus cancer operation teaching device of the present utility model;
图3——本实用新型所述胸外科食管癌手术示教装置演示两切口手术切除后结构示意图;Fig. 3---the thoracic surgery esophagus cancer operation teaching device of the present utility model demonstrates the structural schematic diagram after the two incisions are surgically removed;
图4——本实用新型所述胸外科食管癌手术示教装置演示三切口手术切除后结构示意图;Fig. 4---the thoracic surgery esophagus cancer operation teaching device of the present utility model demonstrates the structural schematic diagram after the three-incision surgical resection;
图5——本实用新型所述胸外科食管癌手术示教装置中的食管模型的结构示意图;Fig. 5---the structural representation of the esophagus model in the thoracic surgery esophagus cancer operation teaching device of the present utility model;
图6——本实用新型所述胸外科食管癌手术示教装置实施例三中的胃模型结构示意图;Fig. 6---the stomach model structural representation in the third embodiment of the teaching device for esophageal cancer surgery in thoracic surgery according to the present utility model;
图7——本实用新型所述胸外科食管癌手术示教装置实施例四中的胃模型结构示意图;Fig. 7--the stomach model structure schematic diagram in the fourth embodiment of the teaching device for esophageal cancer operation in thoracic surgery according to the present utility model;
其中:1——主动脉弓模型、2——气管模型、3——食管模型;4——滤网、5——止水夹、6——胃模型、7——合页。Among them: 1 - aortic arch model, 2 - trachea model, 3 - esophagus model; 4 - filter screen, 5 - water stop clip, 6 - stomach model, 7 - hinge.
具体实施方式Detailed ways
下面结合附图对本实用新型作进一步详细描述:Below in conjunction with accompanying drawing, the utility model is described in further detail:
如图1所示,本实用新型提供了一种胸外科食管癌手术示教装置,所述示教装置包括:支撑架,以及安装在其上的气管模型2、食管模型3、主动脉弓模型1、胃模型6。As shown in Figure 1, the present invention provides a teaching device for esophageal cancer surgery in thoracic surgery, the teaching device includes: a support frame, and a
所述气管模型2、主动脉弓模型1是用于演示人体中的食管与气管、主动脉弓三者的位置关系,因此,气管模型2、主动脉弓模型1均采用示意的结构即可,具体的,所述气管模型2包括:主气管、左主支气管、右主支气管,所述主动脉弓为中空管状结构,所述主动脉弓模型1采用一个弧形管;所述气管模型2位于食管模型3的前方,所述主动脉弓模型1位于气管模型2中的主气管的前方。The
所述食管模型3为管状结构,其上端与气管模型2中的主气管的上端平齐,并位于主动脉弓模型1的上方,其下端一直向下延伸,与胃模型6连接。The
在所述食管上端设置有挂钩,使用时挂在支撑架上,能够悬挂示教装置。The upper end of the esophagus is provided with a hook, which is hung on a support frame during use, and the teaching device can be hung.
为了方便展示,将气管模型2、主动脉弓模型1设计成一体的结构,即气管模型2的前侧与主动脉弓模型1的后侧固定连接,气管模型2的一侧与食管模型3的一侧铰接,不展示时,气管模型2、主动脉弓模型1位于食管的前侧,将气管模型2、主动脉弓模型1打开后,能够展示出食管。For the convenience of display, the
所述食管由多个部分插接而成,所述胃分为两个部分,通过拆卸食管和胃中的部分结构,然后将剩余结构连接在一起,能够演示食管癌两切口及三切口手术切除范围及术后吻合情况。The esophagus is formed by inserting multiple parts, and the stomach is divided into two parts. By disassembling part of the structure in the esophagus and the stomach, and then connecting the remaining structures together, it is possible to demonstrate the two-incision and three-incision surgical resection of esophageal cancer. range and postoperative anastomosis.
本实用新型的实施例如下:Embodiments of the present utility model are as follows:
【实施例一】[Example 1]
所述食管模型3为中空管状结构。The
如图5所示,所述食管模型3从上至下包括三段管,分别为:第一段管、第二段管和第三段管,三者依次连接,其中第一段管与第二段管的连接位置位于主动脉弓的上方,第二段管与第三段管的连接位置位于主动脉弓的下方。As shown in FIG. 5 , the
具体的,所述第二段管、第三段管的上端分别设置有环形凸起,将第二段管上端的环形凸起插入到第一段管的下端内腔中实现第一段管与第二段管的连接,将第三段管上端的环形凸起插入到第二段管的下端内腔中实现第二段管与第三段管的连接。Specifically, the upper ends of the second and third tubes are respectively provided with annular protrusions. For the connection of the second pipe, the annular protrusion on the upper end of the third pipe is inserted into the inner cavity of the lower end of the second pipe to realize the connection between the second pipe and the third pipe.
如图2、图5所示,为了清晰的体现食管模型3的结构,图2中没有画出主动脉弓模型1和气管模型2的结构。由于气管模型2、主动脉弓模型位于食管的前侧,为了更好地展示食管,如图2所示,所述食管模型3的上部与主气管2之间通过合页7连接。所述合页7优选为阻尼合页,所述合页7的一边的侧面与食管模型3上部侧壁连接,另一边的侧面与主气管的侧壁相连。所述阻尼合页与食管模型3、主气管之间通过粘接等现有方式连接。As shown in FIGS. 2 and 5 , in order to clearly reflect the structure of the
使用时,通过调整阻尼合页的旋转角度,实现气管模型2、主动脉弓模型1与食管模型3在0-180度的范围内以任意角度分离,即将气管模型2、主动脉弓模型1从食管模型3的前侧旋转到食管模型3的旁边,这样能够更加直观的展示食管模型3的结构。During use, by adjusting the rotation angle of the damping hinge, the
如果为了效果更逼真,可以按照人体食管上的三个生理性狭窄的位置在食管模型3上设置缩颈段,本实用新型在图中未画出三个生理性狭窄。If the effect is more realistic, the necked section can be set on the
进一步的,为了展示食管气管瘘,在食管模型3的第一段管的上部开有孔作为食管模拟瘘口,在食管模拟瘘口内安装有硅胶塞,在主气管上对应食管模拟瘘口处开有孔作为气管模拟瘘口,在气管模拟瘘口内安装有硅胶塞。食管模拟瘘口、气管模拟瘘口相对设置,当气管模拟瘘口、食管模拟瘘口上的的硅胶塞未打开时,食管模型3和气管模型2不能连通,当气管模拟瘘口、食管模拟瘘口上的硅胶塞均打开时,食管模拟瘘口、气管模拟瘘口相连通,进而食管模型3、气管模型2相连通,能够用于模拟食管气管瘘。Further, in order to demonstrate esophagotracheal fistula, a hole is opened in the upper part of the first section of the
【实施例二】[Example 2]
所述胃模型6包括软管和与其连接的囊状结构,所述囊状结构的整体形状与人体的胃的形状相似;The
如图6所示,所述囊状结构包括上部囊和下部囊,所述上部囊连接在下部囊的上方;所述上部囊采用硬质透明塑料制成,下部囊采用软质透明硅胶制成;所述上部囊的顶端为封闭端,在封闭端的顶部设置有顶部开口,所述上部囊的下端为开口端,在开口端的外壁上设置有环形的魔术贴,具体包括半个环形的魔术贴的毛面,半个环形的魔术贴的勾面,魔术贴的毛面和勾面围合成整个环形。As shown in FIG. 6 , the capsule structure includes an upper capsule and a lower capsule, the upper capsule is connected above the lower capsule; the upper capsule is made of hard transparent plastic, and the lower capsule is made of soft transparent silicone The top of the upper bag is a closed end, and the top of the closed end is provided with a top opening, and the lower end of the upper bag is an open end, and the outer wall of the open end is provided with an annular Velcro, specifically a half-ring Velcro The rough surface of the hook, the hook surface of the half-ring Velcro, the hook surface and the hook surface of the Velcro are enclosed into a whole ring.
所述下部囊的上端为开口端,下端为封闭端,在封闭端的底部设置有底部开口,在所述开口端的内壁上设置有环形的魔术贴,具体包括半个环形的魔术贴的毛面和半个环形的魔术贴的勾面,魔术贴的毛面和勾面围合成整个环形。The upper end of the lower bag is an open end, the lower end is a closed end, a bottom opening is provided at the bottom of the closed end, and a ring-shaped Velcro is provided on the inner wall of the open end, which specifically includes the rough surface of the half-annular Velcro and The hook surface of the half-ring velcro, the rough surface and the hook surface of the velcro are enclosed into a whole ring.
在所述下部囊的内腔中放置有多个颗粒物和滤网4,所述滤网4设置在底部开口处,能够防止颗粒物从底部开口漏出。A plurality of particles and a
安装时,将下部囊的开口端与上部囊的开口端对齐,并将下部囊开口端的魔术贴的勾面与上部囊开口端的魔术贴的毛面粘贴、将下部囊开口端的魔术贴的毛面与上部囊开口端的魔术贴的勾面粘贴,这样上部囊、下部囊连接成一个整体的囊状结构,在图5中用多个短线段示意出了上部囊、下部囊结合的位置。When installing, align the open end of the lower bag with the open end of the upper bag, and paste the hook surface of the Velcro on the open end of the lower bag with the hair surface of the Velcro It is pasted with the hook surface of the Velcro on the open end of the upper bag, so that the upper bag and the lower bag are connected to form a whole bag-like structure. In FIG.
所述软管采用具有弹性的硅胶制成,软管的内径小于食管模型3的第三段管的下端的外径,所述软管内侧设置有若干防滑颗粒。安装时,利用硅胶的弹性将所述软管的上端套在食管模型3的第三段管的下端,实现食管模型3与胃模型6的连接,利用防滑颗粒与食管模型3之间的摩擦力,保证胃模型6不会因为重力从食管模型3下端脱落。所述软管的下端与上部囊的顶部开口连通,在所述软管的外部未套在食管模型3下端的部分上设置有可拆卸的止水夹5,用于模拟人体胃部的贲门,当止水夹5闭合时,能够模拟贲门的闭合,胃中的物体无法向上进入到食管内,当止水夹5打开时,能够模拟食物从食管穿过贲门进入胃中。The hose is made of elastic silica gel, the inner diameter of the hose is smaller than the outer diameter of the lower end of the third tube of the
在需要演示二切口形成弓下吻合时,将食管模型3的第二段管与第三段管分离,同时将上部囊、下部囊分离,并将第三段管和与其连接的软管、上部囊一起移开,最后将下部囊开口端的魔术贴的毛面、魔术贴的勾面相互粘接,并留出一小部分不粘接,不粘接的部分形成一个开口,将该开口套在第二段管的下端,并用一个卡箍将开口与第二段管的下端固定住,如图3所示,这样,通过魔术贴的毛面、魔术贴的勾面相互粘接的部分模拟了胃上的缝合,通过卡箍将未粘接部分与第二段管连接模拟了切除后剩余的胃与食管的缝合,进而展示了消化道重建过程及最终结果,有利于对食管癌术后护理的难点及重点的掌握及理解。而且由于第三段管、软管、上部囊均移除了,此时剩下的部分不再有止水夹5了,也就无法模拟贲门了,因此下部囊中的物体能够通过开口进入到食管中,这样就能够协助演示食管癌术后反流发生的原因。图3中未画出卡箍,而是用多个短线段示意了胃的缝合以及胃与食管的缝合位置。When it is necessary to demonstrate the formation of subarch anastomosis by two incisions, separate the second tube and the third tube of the
进一步的,在展示时,完成弓下吻合的模拟后,可以将下部囊上已经相互粘贴的魔术贴撕开一部分,这样能够模拟胃的吻合口瘘,还可以将下部囊与食管连接处的卡箍松开一些,使得下部囊与食管不完全连接,这样能够模拟胃食管吻合口瘘。Further, during the presentation, after the simulation of the subarch anastomosis is completed, the Velcro that has been pasted on the lower capsule can be torn apart, so as to simulate the anastomotic fistula of the stomach, and the clip at the connection between the lower capsule and the esophagus can be removed. The cuff is loosened so that the lower pouch is not fully connected to the esophagus, which can simulate a gastroesophageal anastomotic leak.
【实施例三】[Example 3]
所述胃模型6包括软管和与其连接的囊状结构,所述囊状结构的整体形状与人体的胃的形状相似;The
如图7所示,所述囊状结构包括左部囊和右部囊,左部囊连接在右部囊的左侧。所述左部囊采用硬质透明塑料制成,右部囊采用软质透明硅胶制成;所述左部囊的左侧为封闭端,在封闭端的顶部设置有顶部开口,所述左部囊的右侧为开口端;在所述左部囊的开口端的外壁上设置有环形的魔术贴,具体包括半个环形的魔术贴的毛面,半个环形的魔术贴的勾面,魔术贴的毛面和勾面围合成整个环形。As shown in FIG. 7 , the bladder-like structure includes a left bladder and a right bladder, and the left bladder is connected to the left side of the right bladder. The left bag is made of hard transparent plastic, and the right bag is made of soft transparent silica gel; the left side of the left bag is a closed end, and a top opening is provided on the top of the closed end, and the left bag is The right side of the bag is the open end; the outer wall of the open end of the left bag is provided with a looped Velcro, specifically including the rough surface of the half-ring Velcro, the hook surface of the half-ring Velcro, the The rough surface and the hook surface enclose the whole ring.
所述右部囊的左侧为开口端,右侧为封闭端,在封闭端的底部设置有底部开口,在所述开口端的内壁上设置有环形的魔术贴,具体包括半个环形的魔术贴的毛面和半个环形的魔术贴的勾面,魔术贴的毛面和勾面围合成整个环形。The left side of the right bag is the open end, the right side is the closed end, the bottom of the closed end is provided with a bottom opening, and the inner wall of the open end is provided with an annular velcro, specifically including a half-ring velcro. The rough surface and the hook surface of the half-ring Velcro, the rough surface and the hook surface of the Velcro are enclosed into a whole ring.
在所述右部囊的内腔中放置有多个颗粒物和滤网4,所述滤网4设置在底部开口处,能够防止颗粒物从底部开口漏出。A plurality of particles and a
安装时,将左部囊的开口端与右部囊的开口端对齐,并将右部囊开口端的魔术贴的勾面与左部囊开口端的魔术贴的毛面粘贴、将右部囊开口端的魔术贴的毛面与左部囊开口端的魔术贴的勾面粘贴,这样左部囊、右部囊连接成一个整体的囊状结构。When installing, align the open end of the left bag with the open end of the right bag, paste the hook surface of the Velcro on the open end of the right bag with the hair surface of the Velcro The hair surface of the Velcro is pasted with the hook surface of the Velcro at the open end of the left sac, so that the left sac and the right sac are connected to form a whole sac-like structure.
所述软管采用具有弹性的硅胶制成,软管的内径小于食管模型3的第三段管的下端的外径,所述软管内侧设置有若干防滑颗粒。安装时,利用硅胶的弹性将所述软管的上端套在食管模型3的第三段管的下端,实现食管模型3与胃模型6的连接,利用防滑颗粒与食管模型3之间的摩擦力,保证胃模型6不会因为重力从食管模型3下端脱落。所述软管的下端与囊状结构的顶部开口连通,在所述软管的外部未套在食管模型3底部的部分上设置有可拆卸的止水夹5,用于模拟人体胃部的贲门,当止水夹5闭合时,能够模拟贲门的闭合,胃中的物体无法向上进入到食管内,当止水夹5打开时,能够模拟食物从食管穿过贲门进入胃中。The hose is made of elastic silica gel, the inner diameter of the hose is smaller than the outer diameter of the lower end of the third tube of the
如图4所示,为了清晰的展示三切口形成弓上吻合的结构,图4中没有画出主动脉弓模型1和气管模型2的结构,仅仅画出了食管模型3的第一段管和剩余的胃模型6。在需要演示三切口形成弓上吻合时,将食管模型3的第二段管与第一段管分离,同时将左部囊、右部囊分离,并将食管模型3的第二段管、第三段管以及与其连接的软管、左部囊一起移开,最后将右部囊开口端的魔术贴的毛面、魔术贴的勾面相互粘接,并留出一小部分不粘接,不粘接的部分形成一个开口,将该开口套在第一段管的下端,并用一个卡箍将开口与第一段管的下端固定住,这样,通过魔术贴的毛面、魔术贴的勾面相互粘接的部分模拟了胃上的缝合,通过卡箍将未粘接部分与第一段管连接模拟了切除后剩余的胃与食管的缝合,进而展示了消化道重建过程及最终结果,有利于对食管癌术后护理的难点及重点的掌握及理解。而且由于第二段管、第三段管、软管、左部囊均被移除了,此时剩下的部分不再有止水夹5了,也就无法模拟贲门了,因此右部囊中的物体能够通过开口进入到食管中,这样就能够协助演示食管癌术后反流发生的原因。图4中未画出卡箍,而是用多个短线段示意了胃的缝合以及胃与食管的缝合位置。As shown in Figure 4, in order to clearly show the structure of the three incisions to form an anastomosis on the arch, the structures of the aortic
进一步的,在展示时,完成弓上吻合的模拟后,可以将右部囊上已经相互粘贴的魔术贴撕开一部分,这样能够模拟胃的吻合口瘘,还可以将右部囊与食管连接处的卡箍松开一些,使得右部囊与食管不完全连接,这样能够模拟胃食管吻合口瘘。Further, during the demonstration, after the simulation of the anastomosis on the arch, the Velcro that has been pasted on the right capsule can be torn apart, so as to simulate the anastomotic leakage of the stomach, and the connection between the right capsule and the esophagus can be made. The clamp of the esophagus is loosened so that the right pouch is not completely connected to the esophagus, which can simulate a gastroesophageal anastomotic leakage.
本实用新型可以配备两种胃模型6,分别为实施例二、三所示,在演示弓上吻合、弓下吻合时采用不同的胃模型6即可。The utility model can be equipped with two
【实施例四】[Example 4]
所述支撑架包括:底座和面板。The support frame includes: a base and a panel.
所述底座与面板的底部连接,并与面板垂直,起到支撑面板的作用。所述面板的面积大于食管模型3、胃模型6、气管模型2、主动脉弓模型1连接后的面积。The base is connected to the bottom of the panel and is perpendicular to the panel, and plays the role of supporting the panel. The area of the panel is larger than the area of the
使用时,将食管模型3上端的挂钩挂在面板的顶部即可,由于主动脉弓模型1、气管模型2通过合页7与食管模型3连接,胃模型6通过软管与食管模型3连接,因此所有部件均展示在面板上了。When in use, hang the hook on the upper end of the
进一步的,为了防止食管模型3、气管模型2、胃模型6、主动脉弓模型1发生滚动,可以在所述面板的正面开有横截面形状为半圆型的凹槽,凹槽的形状与食管模型3、胃模型6的形状相匹配,将食管模型3顶部的挂钩挂在面板的顶部后,食管模型3的后部、胃模型6的后部能够放置在凹槽内,进而避免了食管模型3、气管模型2、胃模型6、主动脉弓模型1发生滚动。Further, in order to prevent the
【实施例五】[Example 5]
所述主气管、左主支气管、右主支气管均为中空管状结构。The main trachea, the left main bronchus and the right main bronchus are all hollow tubular structures.
所述右主支气管的上端与主气管的底端连通,下端分成两个分支管,用于展示与右肺的两个肺叶连接,所述左主支气管的上端与主气管的底端连通。主气管与左主支气管、右主支气管之间可以通过熔融的方式连接。The upper end of the right main bronchus communicates with the bottom end of the main trachea, the lower end is divided into two branch pipes for showing connection with the two lobes of the right lung, and the upper end of the left main bronchus communicates with the bottom end of the main trachea. The main trachea, the left main bronchus and the right main bronchus can be connected by fusion.
【实施例六】[Example 6]
所述食管模型3、气管模型2、主动脉弓模型1均采用硬质塑料制成,可以采用现有的3D打印技术来实现。The
在本实用新型的描述中,需要说明的是,除非另有明确的规定和限定,术语“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本发明中的具体含义。In the description of the present invention, it should be noted that, unless otherwise expressly specified and limited, the terms "connected" and "connected" should be understood in a broad sense, for example, it may be a fixed connection or a detachable connection, or It can be connected integrally; it can be a mechanical connection or an electrical connection; it can be directly connected or indirectly connected through an intermediate medium. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood according to specific situations.
在本实用新型的描述中,除非另有说明,术语“上”、“下”、“左”、“右”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。In the description of the present invention, unless otherwise specified, the orientations or positional relationships indicated by the terms "upper", "lower", "left", "right", "inner", "outer", etc. are based on those shown in the accompanying drawings. The orientation or positional relationship is only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the indicated device or element must have a specific orientation, be constructed and operated in a specific orientation, and therefore should not be construed as a limitation of the present invention .
最后要说明的是,上述技术方案只是本实用新型的一种实施方式,对于本领域内的技术人员而言,在本实用新型公开了原理的基础上,很容易做出各种类型的改进或变形,而不仅限于本实用新型上述具体实施例所描述的结构,因此前面描述的只是优选的,而并不具有限制性的意义。Finally, it should be noted that the above technical solution is only an embodiment of the present invention. For those skilled in the art, on the basis of the principles disclosed in the present invention, it is easy to make various types of improvements or modifications. Variations are not limited to the structures described in the above-mentioned specific embodiments of the present invention, so the foregoing descriptions are only preferred and have no limiting meaning.
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