CN104323829A - Cervical canal hole anti-sticking device and application thereof - Google Patents
Cervical canal hole anti-sticking device and application thereof Download PDFInfo
- Publication number
- CN104323829A CN104323829A CN201410621094.4A CN201410621094A CN104323829A CN 104323829 A CN104323829 A CN 104323829A CN 201410621094 A CN201410621094 A CN 201410621094A CN 104323829 A CN104323829 A CN 104323829A
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- China
- Prior art keywords
- cervix uteri
- transverse arm
- frame member
- tailfiber
- shaped frame
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B2017/4216—Operations on uterus, e.g. endometrium
- A61B2017/4225—Cervix uteri
Abstract
The invention belongs to the field of medical instruments, and discloses a cervical canal hole anti-sticking device and application thereof. The cervical canal hole anti-sticking device comprises a T-shaped bracket part and a tail screw, wherein the T-shaped bracket part comprises a transverse arm and a longitudinal arm; the transverse arm is made of a material capable of being deformed in an elastic bending way; the longitudinal arm is vertically connected to the middle part of the transverse arm; one end, which is far away from the transverse arm, of the longitudinal arm is provided with an insertion hole; the tail screw passes through the insertion hole to be fixed. The cervical canal hole anti-sticking device provided by the invention is placed into the uterus of a patient before sewing of residual uterus body and vagina in trachelectomy; adhesion of an endometrium and a cervical canal hole after surgery can be prevented through the tail screw and the T-shaped bracket, and the tail screw can be towed after surgery, so that an anti-adhesion apparatus is conveniently prevented from being taken out of the body patient without anesthesia. By adopting the cervical canal hole anti-sticking device disclosed by the invention, the occurrence of stenosis and adhesion of the cervical canal hole after trachelectomy can be prevented, postoperative complications can be effectively reduced, and the postoperative living quality of the patient is enhanced.
Description
Technical field
The invention belongs to technical field of medical instruments, particularly a kind of implantable equipment for using in amputation of cervix.
Background technology
At present, cervical cancer is still the underlying cause of death of global patients with gynecologic malignancies, and on the one hand, cervical carcinoma screening makes the ratio of making a definite diagnosis of early cervical carcinoma rise; On the other hand, along with the cervical cancer pathogenesis age presents rejuvenation trend and the postponement of modern society's childbearing age, in human invasive cervix neoplasms patient, the Proportion of patients of not giving birth to rises year by year.The traditional treatment mode of human invasive cervix neoplasms is excision uterus and regional lymph nodes, or kills primary tumor and lymphatic drainage district tumor by radiotherapy, but operation or radiotherapy all will cause patient to lose reproductive function while treatment tumor.Above factor makes the reproductive function retaining patient more and more important in the treatment of cervical cancer.Charles Robert Richet Daniel Dargent has carried out Radical trachelectomy (radical trachelectomy, RT) first in 1987.The excision extension changing art formula is similar to classical female radical hysterectomy, and only the cervix uteri of excision pathological changes, coincide isthmus uteri and vagina upper end, makes patient remain reproductive function while healing tumor.Current RT operation mainly contains female Radical trachelectomy (vaginal radical trachelectomy, VRT) and abdomen formula Radical trachelectomy (abdominal radical trachelectomy, ART) two kinds.
The narrow adhesion of cervix uteri pore is post-operative complication the most typical and common after abdomen formula Radical trachelectomy, not only can affect the normal morphology and function in uterus and then affect human endocrine, and can cause infertile, this is obviously that perform the operation with the ART original intention that retains patient's reproductive function is contrary.The patient accepting the narrow adhesion of ART postoperative generation cervix uteri pore often has to again to accept cervical canal bore expansion operation more than once, this undoubtedly to the health of sufferer, at heart and economy bear and all create new pressure.Therefore, we are attempting to find the method that can prevent the narrow adhesion of postoperative cervix uteri pore in ART operation always.
Summary of the invention
One object of the present invention is to provide a kind of cervix uteri pore anti device, to be applicable in amputation of cervix process in patients with implantation body.
Another object of the present invention is to provide this kind of cervix uteri pore anti device after amputation of cervix, prevent the application of the narrow adhesion in cervical canal hole.
For solving the problems of the technologies described above, embodiments of the present invention provide a kind of cervix uteri pore anti device, comprise T-shaped frame member and tailfiber, T-shaped frame member comprises transverse arm and trailing arm, transverse arm is made up of the material that elastic bending deformation can occur, trailing arm is vertically connected at the middle part of transverse arm, and trailing arm one end away from transverse arm is provided with perforation, and tailfiber is bored a hole and fixed.
The cervix uteri pore anti device that embodiments of the present invention provide, for in amputation of cervix process, before sewing up stump palace body and vagina, after implementer utilizes operating theater instruments to adopt operating theater instruments firmly to clamp to the trailing arm of T-shaped frame member and transverse arm, under the state that transverse arm is in elastic bending deformation, it is deeply placed in patient uterine; Then operating theater instruments removes clamping, and the original state before the transverse arm recovery elastic deformation of T-shaped frame member, namely trails and support and be fixed on bottom body of uterus.Perforation is provided with away from one end of transverse arm at the trailing arm of T-shaped frame member, be installed with tailfiber in perforation and fix, this cervix uteri pore anti device patients with implantation intrauterine, after patient sews up stump palace body and vagina, a part for tailfiber will be stayed external: on the one hand, tailfiber is together with the trailing arm of T-shaped support, and the cervix uteri pore caused the adhesion of postoperative neck tube mucosa is narrow preventive effect; On the other hand, the patient accepting amputation of cervix, after adhesion acute stage in the past, by this tailfiber of tractive, when being taken out in patient body by antiseized connected device without the need to when anesthesia, avoids the generation of second operation.
Relative to prior art, cervix uteri pore anti device of the present invention effectively prevent the complication that the narrow adhesion of cervix uteri pore occurs patient after surgery, remain the reproductive function of patient, raising cervical cancer patient postoperative quality of life and mental emotion state are all had very great help.
Further, in the cervix uteri pore anti device that embodiments of the present invention provide, the trailing arm of T-shaped frame member away from transverse arm one end overstriking and form chondritic, perforation runs through and is arranged in this chondritic.This kind of overstriking also forms the trailing arm end of chondritic, the firm power of trailing arm end can be increased, reduce thus and take out in the process of this Anti-adhering device at tractive tailfiber, the perforation being located at the trailing arm end of T-shaped frame member is broken because of insufficient strength and then is caused tailfiber to come off and situation that Anti-adhering device is still detained in body occurs.
Further, in the cervix uteri pore anti device that embodiments of the present invention provide, tailfiber is wound around N circle in perforation, by increasing the lifting surface area between tailfiber and perforation, reach reduce in tractive tailfiber process, tailfiber perforation in fracture and occur tailfiber come off and Anti-adhering device be still detained in body situation generation.
Preferably, in the cervix uteri pore anti device that embodiments of the present invention provide, the material of T-shaped frame member is plastics, silica gel or rubber.All can there is elastic bending deformation under external force in these materials, and all have safety, firmly, feature that plasticity is good, wherein plastics especially possess good economy performance, plasticity is strong and quality is light advantage.
Preferably, in the cervix uteri pore anti device that embodiments of the present invention provide, the material of tailfiber is nylon yarn or plastic wire.These materials all have safety, firmly feature, and wherein nylon yarn especially has economy, thickness selects wide feature.
Preferably, in the cervix uteri pore anti device that embodiments of the present invention provide, the length of the transverse arm of T-shaped frame member is 1.5 ~ 4.5cm, to adapt to the cervix uteri pore internal diameter of Most patients, the expansion to cervix uteri pore, anti effect can be reached, larger physical stimulation can not be produced to cervix uteri pore again, cause patient uncomfortable.
Preferably, in the cervix uteri pore anti device that embodiments of the present invention provide, the length of the trailing arm of T-shaped frame member is 1.5 ~ 5cm, with the length making the overall length of tailfiber and trailing arm enough cover cervical canal, to reach the effect effectively preventing tissue adhesion.
Further, in the cervix uteri pore anti device that embodiments of the present invention provide, the two ends of the transverse arm of T-shaped frame member form round and smooth sphere.Form round and smooth sphere at the transverse arm two ends of T-shaped frame member, can make transverse arm two ends when with cervical canal contact internal walls, reduce the physical stimulation to cervical canal inwall and damage, reduce the sense of discomfort of patient and the generation of m.
Finally, embodiments of the present invention prevent the application of the narrow adhesion in cervical canal hole after also providing above-mentioned cervix uteri pore anti device to retain the abdomen formula Radical trachelectomy of reproductive function in cervical cancer.
Accompanying drawing explanation
Fig. 1 is the structural representation of the cervix uteri pore anti device that first embodiment of the invention provides;
Fig. 2 is that the cervix uteri pore anti device in first embodiment of the invention is placed in the process in patient uterine, and the schematic diagram of elastic bending deformation occurs under operating theater instruments clamping;
Fig. 3 is the structural representation of the cervix uteri pore anti device that second embodiment of the invention provides;
Fig. 4 is the structural representation of the cervix uteri pore anti device that four embodiment of the invention provides.
Detailed description of the invention
For making the object, technical solutions and advantages of the present invention clearly, below in conjunction with accompanying drawing, the embodiments of the present invention are explained in detail.But, persons of ordinary skill in the art may appreciate that in each embodiment of the present invention, proposing many ins and outs to make reader understand the application better.But, even without these ins and outs with based on the many variations of following embodiment and amendment, each claim of the application technical scheme required for protection also can be realized.
Embodiment 1
First embodiment of the present invention relates to a kind of cervix uteri pore anti device, and its structure as shown in Figure 1.Specifically, this cervix uteri pore Anti-adhering device comprises a T-shaped frame member and tailfiber 4, and this T-shaped frame member comprises transverse arm 1 and trailing arm 2, and T-shaped frame member is made up of plastic material, and the length of transverse arm 1 is 2.5cm, and the length of trailing arm is 3cm; Trailing arm 2 is vertically connected at the middle part of transverse arm 1, and one end away from transverse arm 1 of trailing arm 2 is provided with perforation 3, and be installed with tailfiber 4 in this perforation 3, the material of tailfiber is nylon yarn, and tailfiber 4 is through after perforation 3 and fixing perforation 3.
In clinical abdomen formula radical-ability cervix uteri inadvertent closure, the cervix uteri of excision pathological changes, then will remain palace body and vagina is sewed up.And insert anti device in art and just occur in before vagina and residual palace body sew up this step: after implementer utilizes operating theater instruments to adopt operating theater instruments firmly to clamp to the trailing arm of T-shaped frame member and transverse arm, make the transverse arm of plastic material under chucking power effect, be in the state (schematic diagram as shown in Figure 2) of elastic bending deformation, it is deeply placed in patient uterine; Then operating theater instruments removes clamping, and the original state before the transverse arm recovery elastic deformation of T-shaped frame member, namely trails and support and be fixed on bottom body of uterus.Perforation is provided with away from one end of transverse arm at the trailing arm of T-shaped frame member, be installed with tailfiber in perforation and fix, this cervix uteri pore anti device patients with implantation intrauterine, after patient sews up stump palace body and vagina, a part for tailfiber will be stayed external: on the one hand, tailfiber is together with the trailing arm of T-shaped support, and the cervix uteri pore caused the adhesion of postoperative neck tube mucosa is narrow preventive effect; On the other hand, the patient accepting amputation of cervix, after adhesion acute stage in the past, by this tailfiber of tractive, when being taken out in patient body by antiseized connected device without the need to when anesthesia, avoids the generation of second operation.This cervix uteri pore anti device can effectively prevent patient from the complication of the narrow adhesion of cervix uteri pore occurring after surgery, retains the reproductive function of patient, all has very great help for raising cervical cancer patient postoperative quality of life and mental emotion state.After advising the acute adhesion phase clinically, according to patient's concrete condition, this cervix uteri pore anti device can be taken out in body, the method of taking out is: patient's calculi position lies low in gynecological examining table, doctor uses vaginal dilator vaginal dilation, abundant exposure cervix uteri pore and emerge in the antiseized connected device tailfiber of vagina, slowly firmly takes out the antiseized chain of rings after adopting vascular forceps clamp tailfiber.Said process, without the need to anesthesia, only needs the simplest gynecological examination facility, can implement in outpatient service.
Through to experimenter's statistics, use the ART postoperative patient of this cervix uteri pore anti device, the probability of the narrow adhesion of cervix uteri pore occurs between Anti-adhering device resting period lower than 3%.
Embodiment 2
Cervix uteri pore anti device involved by second embodiment of the present invention, its structure as shown in Figure 3.The basic structure of the cervix uteri pore anti device of present embodiment is identical with the first embodiment, on the basis of the first embodiment, the material of T-shaped support adopts silica gel, and the material of tailfiber adopts plastic wire, can ensure safety, the fastness of T-shaped support and tailfiber equally; And the trailing arm 2 of T-shaped frame member is formed chondritic 5 away from one end overstriking of transverse arm 1, and perforation 3 runs through and to be arranged in this chondritic 5.
In present embodiment, this kind of overstriking also forms the trailing arm end of chondritic, the firm power of trailing arm end can be increased, reduce thus and take out in the process of this Anti-adhering device at tractive tailfiber, the perforation being located at the trailing arm end of T-shaped frame member is broken because of insufficient strength and then is caused tailfiber to come off and situation that Anti-adhering device is still detained in body occurs.
Embodiment 3
Cervix uteri pore anti device involved by 3rd embodiment of the present invention, its structure is substantially identical with the second embodiment, and on the basis of the second embodiment, the material of T-shaped support adopts rubber, and makes tailfiber 4 in perforation 3, be wound around N circle.
Present embodiment by make tailfiber perforation in be wound around N circle, increase tailfiber and perforation between lifting surface area, reach reduce in tractive tailfiber process, tailfiber perforation in rupture and occur tailfiber come off and Anti-adhering device be still detained in body situation generation.
Embodiment 4
Cervix uteri pore anti device involved by 4th embodiment of the present invention, its structure as shown in Figure 4.The two ends of the transverse arm 1 of T-shaped frame member, on the basis of the 3rd embodiment, are formed round and smooth sphere 6 by the cervix uteri pore anti device of present embodiment.
In present embodiment, form round and smooth sphere at the transverse arm two ends of T-shaped frame member, can make transverse arm two ends when with cervical canal contact internal walls, reduce the physical stimulation to cervical canal inwall and damage, reduce the sense of discomfort of patient and the generation of m.
Persons of ordinary skill in the art may appreciate that the respective embodiments described above realize specific embodiments of the invention, and in actual applications, various change can be done to it in the form and details, and without departing from the spirit and scope of the present invention.
Claims (9)
1. a cervix uteri pore anti device, it is characterized in that, comprise T-shaped frame member and tailfiber (4), described T-shaped frame member comprises transverse arm (1) and trailing arm (2), described transverse arm (1) is made up of the material that elastic bending deformation can occur, described trailing arm (2) is vertically connected at the middle part of transverse arm (1), be provided with perforation (3) at described trailing arm (2) away from one end of transverse arm (1), described tailfiber (4) is fixing through perforation (3).
2. cervix uteri pore anti device according to claim 1, it is characterized in that, the trailing arm (2) of described T-shaped frame member away from transverse arm (1) one end overstriking and form chondritic (5), described perforation (3) runs through and is arranged in described chondritic (5).
3. cervix uteri pore anti device according to claim 1, is characterized in that, described tailfiber (4) is wound around N circle in described perforation (3).
4. cervix uteri pore anti device according to claim 1, is characterized in that, the material of described T-shaped frame member is plastics, silica gel or rubber.
5. cervix uteri pore anti device according to claim 1, is characterized in that, the material of described tailfiber (4) is nylon yarn or plastic wire.
6. cervix uteri pore anti device according to claim 1, is characterized in that, the length of the transverse arm (1) of described T-shaped frame member is 1.5 ~ 4.5cm.
7. cervix uteri pore anti device according to claim 1, is characterized in that, the length of the trailing arm (2) of described T-shaped frame member is 1.5 ~ 5cm.
8. cervix uteri pore anti device according to claim 1, is characterized in that, the two ends of the transverse arm (1) of described T-shaped frame member form round and smooth sphere (6).
9. the cervix uteri pore anti device according to any one of claim 1 to 8 prevents the application of the narrow adhesion in cervical canal hole after amputation of cervix.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410621094.4A CN104323829B (en) | 2014-11-06 | 2014-11-06 | Uterine neck pore prevents adhesion device and its application |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410621094.4A CN104323829B (en) | 2014-11-06 | 2014-11-06 | Uterine neck pore prevents adhesion device and its application |
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| Publication Number | Publication Date |
|---|---|
| CN104323829A true CN104323829A (en) | 2015-02-04 |
| CN104323829B CN104323829B (en) | 2017-09-22 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201410621094.4A Active CN104323829B (en) | 2014-11-06 | 2014-11-06 | Uterine neck pore prevents adhesion device and its application |
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| CN (1) | CN104323829B (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105726103A (en) * | 2016-02-05 | 2016-07-06 | 复旦大学附属肿瘤医院 | Cervical canal hole adhesion prevention device |
| WO2017184669A1 (en) * | 2016-04-20 | 2017-10-26 | Duke University | Intrauterine adhesion barrier device and method of use |
| CN110604627A (en) * | 2019-10-17 | 2019-12-24 | 储萍 | Cervical canal hole anti-adhesion device |
| CN109157274B (en) * | 2018-10-24 | 2023-10-20 | 蔡华蕾 | Anti-adhesion uterine cavity bracket and application method thereof |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2166781Y (en) * | 1993-05-30 | 1994-06-01 | 李明州 | Uterus air pocket |
| CN1168626A (en) * | 1994-12-15 | 1997-12-24 | 莱拉斯股份公司 | Inserter for the positioning of an intrauterine device |
| CN203354626U (en) * | 2013-07-18 | 2013-12-25 | 东南大学 | Novel minimally invasive treatment device for preventing intrauterine adhesion |
| WO2014121332A1 (en) * | 2013-02-06 | 2014-08-14 | Sillender Mark | Therapeutic substance transfer catheter and method |
| CN204218998U (en) * | 2014-11-06 | 2015-03-25 | 复旦大学附属肿瘤医院 | A kind of cervix uteri pore anti device |
-
2014
- 2014-11-06 CN CN201410621094.4A patent/CN104323829B/en active Active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2166781Y (en) * | 1993-05-30 | 1994-06-01 | 李明州 | Uterus air pocket |
| CN1168626A (en) * | 1994-12-15 | 1997-12-24 | 莱拉斯股份公司 | Inserter for the positioning of an intrauterine device |
| WO2014121332A1 (en) * | 2013-02-06 | 2014-08-14 | Sillender Mark | Therapeutic substance transfer catheter and method |
| CN203354626U (en) * | 2013-07-18 | 2013-12-25 | 东南大学 | Novel minimally invasive treatment device for preventing intrauterine adhesion |
| CN204218998U (en) * | 2014-11-06 | 2015-03-25 | 复旦大学附属肿瘤医院 | A kind of cervix uteri pore anti device |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105726103A (en) * | 2016-02-05 | 2016-07-06 | 复旦大学附属肿瘤医院 | Cervical canal hole adhesion prevention device |
| CN105726103B (en) * | 2016-02-05 | 2018-08-10 | 复旦大学附属肿瘤医院 | A kind of uterine neck pore prevents adhesion device |
| WO2017184669A1 (en) * | 2016-04-20 | 2017-10-26 | Duke University | Intrauterine adhesion barrier device and method of use |
| CN109157274B (en) * | 2018-10-24 | 2023-10-20 | 蔡华蕾 | Anti-adhesion uterine cavity bracket and application method thereof |
| CN110604627A (en) * | 2019-10-17 | 2019-12-24 | 储萍 | Cervical canal hole anti-adhesion device |
| CN110604627B (en) * | 2019-10-17 | 2022-08-12 | 储萍 | Cervical canal hole anti-adhesion device |
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| Publication number | Publication date |
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| CN104323829B (en) | 2017-09-22 |
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