A kind of bile duct dislodger
Technical field
The present invention relates to a kind of medical apparatus and instruments, be specifically related to a kind of bile duct dislodger.
Background technology
Cholelithiasis is a kind of common disease, and its sickness rate is directly proportional with patient age.Along with the aggravation of China's aging population ratio, cholelithiasis patient's quantity is also in continuous growth.For Symptomatic cholelithiasis patient, if severe complications possibly take place in untimely seeking medical advice, even threat to life.Drug therapy is invalid mostly at present, generally needs operative treatment, for example opens abdomen lithotomy, endoscopic stone extraction technique.Wherein endoscopic stone extraction technique since wound little, recover fast, and be applicable to and get stone in the hepatic duct, day by day show its advantage.
At present clinical dislodger commonly used is shown in the patent that the patent No. is 200820057990.2, and this dislodger is because stone basket only is made up of four one metal wires, and it is lower to get stone efficient, and when running into card and tying the calculus on bile duct wall, and it is bigger to get the stone difficulty.
Summary of the invention
Technical problem to be solved by this invention is that a kind of bile duct dislodger is provided.Use it to significantly improve and get stone efficient, with overcome existing dislodger get stone efficient low, get the big defective of stone difficulty.
In order to solve this technical problem, the present invention adopts following technical scheme:
A kind of bile duct dislodger is characterized in that: comprise outer tube, be enclosed within the inner air pumping pipe of outer tube, be enclosed within the inner airsac tube of air pumping pipe; Said outer tube is communicated with a liquid injection port near the rear end; Said airsac tube rear end is connected with aerating device, and front end is connected with one can be along the air bag of airsac tube radial dilatation; Said air pumping pipe rear end is connected with air pump, and front end is connected with sucker; Said sucker bottom has the suction hole that is communicated with air pumping pipe; Said sucker outside is through being connected with expandable stent around the fixed flexure strip of air pumping pipe.
Said expandable stent is the expansion bracket of the front opening that is connected to form by some rigidity bows.
Expandable stent comprises several front end jointed shafts of rounded arrangement, several rear end jointed shafts of rounded arrangement, and wherein the rear end jointed shaft is connected with said flexure strip outer respectively; Each rear end jointed shaft is connected with two rigidity bows, and each front end jointed shaft is connected with two rigidity bows, and the place, cross point of any two rigidity bows is provided with the middle part jointed shaft.
The front end that the rear end is connected two rigidity bows on the jointed shaft of same rear end is connected on the different front end jointed shafts, and the rear end that front end is connected two rigidity bows on the same front end jointed shaft is connected on the jointed shaft of different rear ends.
Good effect of the present invention is: when using the present invention to do the cholelithiasis operation; At first expandable stent is drawn in the outer tube through air pumping pipe; The expansion bile duct enters the mouth at the vater's papilla place to adopt duodenoscope then; Afterwards scope guiding down per os dislodger tail end of the present invention is inserted common bile duct, then under X line or B ultrasonic guide near stone location (can in bile duct, inject contrast agent through outer tube through liquid injection port in case of necessity).Earlier air pumping pipe is stretched out from outer tube during near calculus, through advancing airsac tube that air bag is reached in the expandable stent, air bag is inflated so that expandable stent opens, near the bile duct calculus under the combined effect of air bag and expandable stent is expanded.Can inject the biliary tract relaxant so that near the biliary tract of calculus keeps relaxed state this moment through liquid injection port.Make air bag deflation again, airsac tube is regained.Can expandable stent further be protracted this moment calculus is surrounded and the sucker hole is attached on the calculus; Even the card knot also comes off in expandable stent in the calculus on the bile duct wall easily like this; Re-using air pump aspirates through sucker; Treat that calculus sucks after on the sucker, can inject medicinal liquid (like antibiotic medicine, antimicrobial drug etc.) to former stone location, under the motionless situation of outer tube air pumping pipe is taken out backward keeping then through liquid injection port; Under the action of traction of the extruding of outer tube wall and flexure strip, expandable stent shrinks promptly calculus.Keep static relatively whole extraction external dislodger tail end of the present invention at last, promptly accomplish whole surgery.
It is high to use dislodger of the present invention to do cholelithiasis surgical calculus removing efficient, even the calculus of card knot on bile duct wall also is easy to be removed.Also less to patient's injury, and can inject contrast agent, relaxant, medicine etc. at any time according to the operation needs.
Description of drawings
Fig. 1 is a structural representation of the present invention.
Fig. 2 is an expandable stent deployed condition sketch map of the present invention.
The specific embodiment
Below in conjunction with accompanying drawing the present invention is further described:
Bile duct dislodger as shown in Figure 1 comprises that the rear end has the outer tube 1 of operating grip, is enclosed within the inner air pumping pipe 3 of outer tube 1, is enclosed within the inner airsac tube 4 of air pumping pipe 3.Said outer tube 1 is provided with a liquid injection port 2 that communicates with outer tube 1 inner chamber near the sidewall of operating grip one end.The rear end of said airsac tube 4 is connected with aerating device, front end be connected with one can radial dilatation air bag 5, said airsac tube 4 is a rigid pipe.Said air pumping pipe 3 rear ends are connected with air pump, and front end is connected with sucker 8.Said sucker 8 bottoms have the suction hole that is communicated with air pumping pipe 4.Said sucker 8 outsides are through being connected with expandable stent 9 around air pumping pipe 3 fixed flexure strips 7.
Like Fig. 1, shown in 2, said expandable stent 9 is the expansion bracket of the front opening that is connected to form by some rigidity bow 9-1.Expandable stent 9 comprises several front end jointed shafts 9-2 of rounded arrangement, several rear ends jointed shaft 9-4 of rounded arrangement, and wherein jointed shaft 9-4 in rear end is connected with said flexure strip 7 outers respectively.Each rear end jointed shaft 9-4 is connected with two rigidity bow 9-1; Each front end jointed shaft 9-2 is connected with two rigidity bow 9-1; The front end that the rear end is connected two rigidity bow 9-1 on the same rear end jointed shaft 9-4 is connected on the different front end jointed shaft 9-2, is separated with three front end jointed shaft 9-2 between between these two the different front end jointed shaft 9-2.The rear end that front end is connected two rigidity bow 9-1 on the same front end jointed shaft 9-2 is connected on the different rear end jointed shaft 9-4, is separated with three rear end jointed shaft 9-4 between between these two the different rear end jointed shaft 9-4.The place, cross point of any two rigidity bow 9-1 is provided with middle part jointed shaft 9-3.
When using the present invention to do the cholelithiasis operation, need earlier expandable stent 9 of the present invention to be packed up, draw in the outer tube 1 through air pumping pipe 3; The expansion bile duct enters the mouth at the vater's papilla place to adopt duodenoscope then; Afterwards scope guiding down per os dislodger tail end of the present invention is inserted common bile duct, then under X line or B ultrasonic guide near stone location (can in bile duct, inject contrast agent through outer tube 1 through liquid injection port 2 in case of necessity).Earlier air pumping pipe 3 is stretched out outer tube 1 during near calculus; Through pushing ahead airsac tube 4 air bag 5 is reached in the expandable stent 9 again; Air bag 5 is inflated so that expandable stent 9 opens, and near the bile duct calculus under the combined effect of air bag 5 and expandable stent 9 is expanded.This moment injects the biliary tract relaxant through liquid injection port 2 so that near the biliary tract of calculus keeps lax state.Make air bag 5 venting again, and airsac tube 4 is regained.Can expandable stent 9 further be protracted this moment the calculus encirclement is attached to the sucker hole on the calculus; Even the card knot also comes off in expandable stent in the calculus on the bile duct wall easily like this; Re-using air pump aspirates through sucker 8; Treat that calculus sucks after on the sucker 8, can inject medicinal liquid (like antibiotic medicine, antimicrobial drug etc.) to former stone location, under the motionless situation of outer tube 1 air pumping pipe 3 is outwards taken out keeping then through liquid injection port 2; Under the action of traction of the extruding of outer tube wall and flexure strip 7, expandable stent 9 shrinks promptly calculus.Keep static relatively whole extraction external dislodger tail end of the present invention at last, promptly accomplish and get the stone operation.
It is high to use dislodger of the present invention to do cholelithiasis surgical calculus removing efficient, even the calculus of card knot on bile duct wall also is easy to be removed.Also less to patient's injury, and can need inject contrast agent, relaxant, medicine etc. at any time with operation.