CN104800960A - Bile and pancreatic juice drainage tube with water sac - Google Patents
Bile and pancreatic juice drainage tube with water sac Download PDFInfo
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- CN104800960A CN104800960A CN201510236020.3A CN201510236020A CN104800960A CN 104800960 A CN104800960 A CN 104800960A CN 201510236020 A CN201510236020 A CN 201510236020A CN 104800960 A CN104800960 A CN 104800960A
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- drainage tube
- pancreatic juice
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- water
- pipe
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Abstract
The invention discloses a bile and pancreatic juice drainage tube with a water sac. The bile and pancreatic juice drainage tube comprises a water-sac bile outer drainage tube and a pancreatic juice inner drainage tube, wherein the water-sac bile outer drainage tube comprises a drainage tube segment I, a drainage tube segment II and a drainage tube segment III which are communicated in sequence; the outer wall of the drainage tube segment II is in sleeve connection with a balloon membrane; the pancreatic juice inner drainage tube comprises a drainage tube body, a tube cap I, a drainage tube tail part and a thread; one end of the thread is connected with the lower-end side wall of the drainage tube body; the other end of the thread passes through the drainage tube tail part to be connected with a coil or a metal ring; the outer wall of the drainage tube segment I is in sleeve connection with the coil or the metal ring. By adopting the bile and pancreatic juice drainage tube, the water-sac bile outer drainage tube can be prevented from being separated out, biliary obstruction is not caused while displacement of the water-sac bile outer drainage tube is prevented, the effect of preventing displacement or separation of the pancreatic juice inner drainage tube is achieved, and the pancreatic juice inner drainage tube can be taken out while the water-sac bile outer drainage tube is taken out.
Description
Technical field
The present invention relates to a kind of drain age-tube device, specifically a kind of band water-bag type bile pancreatic juice drainage pipe.
Background technology
At present, along with the development of endoscopic technic and the constantly perfect of adnexa thereof, duodenoscope technology (ERCP) becomes the important measures for the treatment of hepatobiliary and pancreatic diseases already, comprises choledocholithiasis, bile duct injury, stenosis of bile duct, biliary complications after orthotopic liver transplantation etc.This technology, compared with Tradtional laparotomy, has that wound is little, safety coefficient is high, recovers the advantage such as fast.Its direct-view is lower to be observed, can realize that conventional liver and gall spleen pancreas CT, ultrasonic and magnetic resonance etc. check not detectable hepatobiliary and pancreatic diseases, treat, as duodenal papillitis, nipple is narrow, the other diverticulum of nipple, vater's papilla are long, gallbladder pancreas interflow is abnormal simultaneously.
ERCP treat hepatobiliary and pancreatic diseases although there is above-mentioned advantage, also there is certain complication, wherein pancreatitis, cholangitis and hemorrhage be the large complication of ERCP postoperative three.This complication usually significantly increases medical expense, extends the hospital stays, brings great misery, and there is certain mortality rate to patient.Clinically, in order to reduce the incidence rate of ERCP post-operative complication, postoperatively in ductus pancreaticus, usually insert pancreatic juice inner drainage tube or nose pancreas drainage tube, in bile duct, insert bile duct inner drainage tube or nose bile drainage tube, wherein common with the use of pancreatic juice inner drainage tube and nose bile drainage tube.
The pancreatic juice inner drainage tube of current clinical practice mostly is straight tube or single pig drainage tube, and two kinds of drainage tubes are by possibility internal shift occurring, deviate from voluntarily, and the drainage tube needing row secondary ERCP operation to insert takes out.
The head end of the nose bile drainage tube of current Clinical practice can be illegally occupied in bile duct voluntarily, but the head end of drainage tube can cause local mucous membrane reactive hyperplasia to the stimulation of bile duct mucous membrane; In tube drawing process, drainage tube head end can cause the damage of bile duct and intestinal mucosa, even can bring out the complication such as acute cholangitis, acute pancreatitis, upper gastrointestinal hemorrhage; Drainage tube, to the stimulation of bottleneck throat, often causes serious the feeling sick of patient, even symptoms of emesis.Because nose bile duct relies on own tension, illegally occupy in drainage tube, owing to lacking support force, stream pipe can be deviate from voluntarily.
Summary of the invention
According to the technical problem of above-mentioned proposition, and provide a kind of band water-bag type bile pancreatic juice drainage pipe.
The technological means that the present invention adopts is as follows:
A kind of band water-bag type bile pancreatic juice drainage pipe, comprises water-bag type bile drainage tube and pancreatic juice inner drainage tube,
Described water-bag type bile drainage tube comprises the drain pipeline section I be communicated with successively, drain pipeline section II and drain pipeline section III, the outer wall of described drain pipeline section II is socketed with sacculus thin film, the cross section of described sacculus thin film is quincunx, the pipeline I be communicated with described drain pipeline section II and the pipeline II be communicated with described sacculus thin film is provided with in described drain pipeline section I, the other end of described pipeline II is connected with pipe by cap, the other end of described pipe is connected with three-way valve, described cap has cylindrical head and truncated cone-shaped afterbody, the small end of described truncated cone-shaped afterbody is fixedly connected with described cylindrical head, described cylindrical head is provided with the through hole I matched with the external diameter of described pipeline II, described pipe has truncated cone-shaped head, the outer surface of described truncated cone-shaped head is provided with external screw thread, described truncated cone-shaped afterbody has the through hole II with described truncated cone-shaped fit heads, described through hole II is provided with away from one end of described cylindrical head the female thread matched with described external screw thread, described through hole II is also provided with smooth department, described smooth department is between described female thread and described cylindrical head, the small end of described truncated cone-shaped head and the internal diameter of described pipeline II match, described through hole I is communicated with described through hole II,
Described pancreatic juice inner drainage tube comprises drainage tube body, pipe cap I, drainage tube afterbody and line,
The upper end of described drainage tube body is provided with described pipe cap I, the lower end of described drainage tube body is provided with described drainage tube afterbody, one end of described line is connected with the lower end sidewall of described drainage tube body, the other end of described line is connected with coil or becket through described drainage tube afterbody, the outer wall of described drain pipeline section I is socketed with described coil or described becket, the size of described sacculus thin film under the internal diameter size of described coil is greater than unexpanded mode, the size of described sacculus thin film under being less than expansion state, namely described coil can be passed freely through when described sacculus thin film is under unexpanded mode, described coil can not be passed when described sacculus thin film is under expansion state,
The outer wall of described drain pipeline section III and the outer wall of described drainage tube body are equipped with side opening.
One end away from described drain pipeline section II of described drain pipeline section III is provided with pipe cap II, and described pipe cap II has arc surface II, and described arc surface II is provided with through hole III.
The two ends of described sacculus thin film are connected respectively by the outer wall of becket with described drain pipeline section II.
Described becket is that X-ray material is made thoroughly.
Described pipe is threaded with described three-way valve.
Come through buckle between described pipe with described three-way valve to be connected.
Described pipe cap I is round table-like pipe cap, and the upper end of described round table-like pipe cap has arc surface I, and described arc surface I is provided with through hole IV.
Described drainage tube afterbody is rounding mesa-shaped afterbody, and the small end of described rounding mesa-shaped afterbody is provided with through hole V.
The epimere of described drainage tube body is provided with at least 2 agnails.
The present invention has the following advantages:
1, water-bag type bile drainage tube relies on full water pocket to have stronger tension force to vater's papilla and bile duct wall, can play the object preventing water-bag type bile drainage tube from deviating from;
2, the water pocket size of water-bag type bile drainage tube variable (1.0cm, 1.5cm, 2.0cm), is suitable for the gallbladder pipe of various diameter;
3, water-bag type bile drainage tube head end is straight tube (drain pipeline section III), insert and in taking-up process to bile duct mucous membrane, vater's papilla and upper gastrointestinal mucosa not damaged, the discomfort reaction of avoid conventional drainage tube to bend numerous complication that head end causes and patient;
4, the water pocket of water-bag type bile drainage tube is plum blossom-shaped, and bile can pass through smoothly, while preventing water-bag type bile drainage tube to be shifted, can not cause obstruction of biliary tract;
5, pancreatic juice inner drainage tube is connected with water-bag type bile drainage tube by coil or becket, has the effect preventing pancreatic juice inner drainage tube internal shift or deviate from;
6, pancreatic juice inner drainage tube is connected with water-bag type bile drainage tube by coil or becket, while taking-up water-bag type bile drainage tube, by the tractive of water pocket to coil or becket, pancreatic juice inner drainage tube can be taken out simultaneously, avoid secondary ERCP to perform the operation, reduce medical expense and operation risk;
7, water-bag type bile drainage tube is inserted in process at pancreatic juice inner drainage tube and is substituted traditional angle of rake effect of pancreatic juice inner drainage tube, without the need to additionally using pancreatic juice inner drainage tube propeller.
The present invention extensively can promote in fields such as drain age-tube devices for the foregoing reasons.
Accompanying drawing explanation
Below in conjunction with the drawings and specific embodiments, the present invention is further detailed explanation.
Fig. 1 is the structural representation with water-bag type bile pancreatic juice drainage pipe in the specific embodiment of the present invention.
Fig. 2 is A portion structure for amplifying schematic diagram in Fig. 1.
Fig. 3 is the structural representation of cap in the specific embodiment of the present invention.
Fig. 4 is the structural representation of truncated cone-shaped head in the specific embodiment of the present invention.
Fig. 5 is the structural representation under the sacculus thin film of water-bag type bile drainage tube in the specific embodiment of the present invention is in expansion state.
Fig. 6 is the structural representation of pancreatic juice inner drainage tube.
Fig. 7 is C portion structure for amplifying schematic diagram in Fig. 6.
Fig. 8 is D portion structure for amplifying schematic diagram in Fig. 6.
Fig. 9 is the structural representation be placed to water-bag type bile pancreatic juice drainage pipe in the specific embodiment of the present invention in operating position (bile duct, main pancreatic duct etc.).
Detailed description of the invention
As shown in Fig. 1-Fig. 9, a kind of band water-bag type bile pancreatic juice drainage pipe, comprises water-bag type bile drainage tube 1 and pancreatic juice inner drainage tube 2,
Described water-bag type bile drainage tube 1 comprises the drain pipeline section I 11 be communicated with successively, drain pipeline section II 12 and drain pipeline section III 13, the outer wall of described drain pipeline section II 12 is socketed with sacculus thin film 14, the cross section of described sacculus thin film 14 is quincunx, the pipeline I 111 be communicated with described drain pipeline section II 12 and the pipeline II 112 be communicated with described sacculus thin film 14 is provided with in described drain pipeline section I 11, the other end of described pipeline II 112 is connected with pipe 4 by cap 3, the other end of described pipe 4 is connected with three-way valve, described cap 3 has cylindrical head 31 and truncated cone-shaped afterbody 32, the small end of described truncated cone-shaped afterbody 32 is fixedly connected with described cylindrical head 31, described cylindrical head 31 is provided with the through hole I 33 matched with the external diameter of described pipeline II 112, described pipe 4 has truncated cone-shaped head 41, the outer surface of described truncated cone-shaped head 41 is provided with external screw thread, described truncated cone-shaped afterbody 32 has the through hole II 34 matched with described truncated cone-shaped head 41, described through hole II 34 is provided with away from one end of described cylindrical head 31 female thread matched with described external screw thread, described through hole II 34 is also provided with smooth department 35, described smooth department 35 is between described female thread and described cylindrical head 31, the small end of described truncated cone-shaped head 41 and the internal diameter of described pipeline II 112 match, described through hole I 33 is communicated with described through hole II 34,
Described pancreatic juice inner drainage tube 2 comprises drainage tube body 21, pipe cap I 22, drainage tube afterbody 23 and line 24,
The upper end of described drainage tube body 21 is provided with described pipe cap I 22, the lower end of described drainage tube body 21 is provided with described drainage tube afterbody 23, one end of described line 24 is connected with the lower end sidewall of described drainage tube body 21, the other end of described line 24 is connected with coil 25 through described drainage tube afterbody 23, described coil 25 is socketed on the outer wall of described drain pipeline section I 11
The outer wall of described drain pipeline section III 13 and the outer wall of described drainage tube body 21 are equipped with side opening 5.
One end away from described drain pipeline section II 12 of described drain pipeline section III 13 is provided with pipe cap II 15, and described pipe cap II 15 has arc surface II 16, and described arc surface II 16 is provided with through hole III 17, and described through hole III 17 passes for seal wire.
The two ends of described sacculus thin film 14 are connected respectively by the outer wall of becket 18 with described drain pipeline section II 12.
Described becket 18 is that X-ray material is made thoroughly.
Described pipe 4 is threaded with described three-way valve.
Described pipe cap I 22 is round table-like pipe cap, and the upper end of described round table-like pipe cap has arc surface I 26, and described arc surface I 26 is provided with through hole IV 27, and described through hole IV 27 passes for described seal wire.
Described drainage tube afterbody 23 is rounding mesa-shaped afterbody, and the small end of described rounding mesa-shaped afterbody is provided with through hole V 28.
The epimere of described drainage tube body 21 is provided with 2 agnails 29.
Under duty, described pipeline II 112 is through described through hole I 33, described truncated cone-shaped head 41 enters in described through hole II 34, the small end of described truncated cone-shaped head 41 is inserted in described pipeline II 112, now, described pipeline II 112 part between described truncated cone-shaped head 41 and described smooth department 35 is squeezed and deforms, itself and described truncated cone-shaped head 41 and described smooth department 35 are fitted tightly, coordinated by described female thread and described external screw thread afterwards and described cap 3 is tightened with described truncated cone-shaped head 41
Described seal wire is inserted in main pancreatic duct 6, described pancreatic juice inner drainage tube 2 is socketed on described seal wire, afterwards described water-bag type bile drainage tube 1 is socketed on described seal wire, described seal wire is successively through described drain pipeline section III 13, described drain pipeline section II 12 and described pipeline I 111, described pancreatic juice inner drainage tube 2 is under the promotion of described water-bag type bile drainage tube 1 and push in main pancreatic duct 6 under the guiding of described seal wire, the major part of described pancreatic juice inner drainage tube 2 is positioned at main pancreatic duct 6, described drainage tube afterbody 23 is positioned at duodenal lumen 7, described drainage tube afterbody 23 is about 1cm away from one end distance vater's papilla of described drainage tube body 21.
Extracted in main pancreatic duct 6 by described seal wire afterwards, meanwhile, described water-bag type bile drainage tube 1 of pulling back, realizes described water-bag type bile drainage tube 1 and separates with described pancreatic juice inner drainage tube 2.
Again described seal wire passed described coil 25 and be inserted in bile duct 8, described water-bag type bile drainage tube 1 passes described coil 25 and inserts in bile duct 8 under the guiding of described seal wire, afterwards described seal wire is recalled from described water-bag type bile drainage tube 1, open described three-way valve
Water is successively through described three-way valve, and described pipe 4 and described pipeline II 112 enter into described sacculus thin film 14 and be full of, and now, described sacculus thin film 14 expands outwardly formation water pocket under the effect of water, is closed by described three-way valve afterwards.
When taking out described band water-bag type bile pancreatic juice drainage pipe, again open described three-way valve, the water become in the described sacculus thin film 14 of water pocket is discharged a part, described sacculus thin film 14 is separated with bile duct 8, draw described water-bag type bile drainage tube 1 to described sacculus thin film 14 arrives described coil 25 afterwards, now, again in described sacculus thin film 14, be filled with water until the size of described sacculus thin film 14 is greater than the internal diameter of described coil 25, described water-bag type bile drainage tube 1 is drawn outside continuing, simultaneously, described pancreatic juice inner drainage tube 2 is also pulled out by from main pancreatic duct 6.
The material of described straight tube 11 and described elasticity button loop pipe 12 is polyethylene, and the diameter of described straight tube 11 is 7Fr or 8.5Fr.
The above; be only the present invention's preferably detailed description of the invention; but protection scope of the present invention is not limited thereto; anyly be familiar with those skilled in the art in the technical scope that the present invention discloses; be equal to according to technical scheme of the present invention and inventive concept thereof and replace or change, all should be encompassed within protection scope of the present invention.
Claims (9)
1. be with a water-bag type bile pancreatic juice drainage pipe, comprise water-bag type bile drainage tube and pancreatic juice inner drainage tube, it is characterized in that:
Described water-bag type bile drainage tube comprises the drain pipeline section I be communicated with successively, drain pipeline section II and drain pipeline section III, the outer wall of described drain pipeline section II is socketed with sacculus thin film, the cross section of described sacculus thin film is quincunx, the pipeline I be communicated with described drain pipeline section II and the pipeline II be communicated with described sacculus thin film is provided with in described drain pipeline section I, the other end of described pipeline II is connected with pipe by cap, the other end of described pipe is connected with three-way valve, described cap has cylindrical head and truncated cone-shaped afterbody, the small end of described truncated cone-shaped afterbody is fixedly connected with described cylindrical head, described cylindrical head is provided with the through hole I matched with the external diameter of described pipeline II, described pipe has truncated cone-shaped head, the outer surface of described truncated cone-shaped head is provided with external screw thread, described truncated cone-shaped afterbody has the through hole II with described truncated cone-shaped fit heads, described through hole II is provided with away from one end of described cylindrical head the female thread matched with described external screw thread, described through hole II is also provided with smooth department, described smooth department is between described female thread and described cylindrical head, the small end of described truncated cone-shaped head and the internal diameter of described pipeline II match, described through hole I is communicated with described through hole II,
Described pancreatic juice inner drainage tube comprises drainage tube body, pipe cap I, drainage tube afterbody and line,
The upper end of described drainage tube body is provided with described pipe cap I, the lower end of described drainage tube body is provided with described drainage tube afterbody, one end of described line is connected with the lower end sidewall of described drainage tube body, the other end of described line is connected with coil or becket through described drainage tube afterbody, the outer wall of described drain pipeline section I is socketed with described coil or described becket
The outer wall of described drain pipeline section III and the outer wall of described drainage tube body are equipped with side opening.
2. band water-bag type bile pancreatic juice drainage pipe according to claim 1, is characterized in that: one end away from described drain pipeline section II of described drain pipeline section III is provided with pipe cap II, and described pipe cap II has arc surface II, and described arc surface II is provided with through hole III.
3. band water-bag type bile pancreatic juice drainage pipe according to claim 1, is characterized in that: the two ends of described sacculus thin film are connected respectively by the outer wall of becket with described drain pipeline section II.
4. band water-bag type bile pancreatic juice drainage pipe according to claim 3, is characterized in that: described becket is that X-ray material is made thoroughly.
5. band water-bag type bile pancreatic juice drainage pipe according to claim 1, is characterized in that: described pipe is threaded with described three-way valve.
6. band water-bag type bile pancreatic juice drainage pipe according to claim 1, is characterized in that: come through buckle between described pipe with described three-way valve and be connected.
7. band water-bag type bile pancreatic juice drainage pipe according to claim 1, is characterized in that: described pipe cap I is round table-like pipe cap, and the upper end of described round table-like pipe cap has arc surface I, and described arc surface I is provided with through hole IV.
8. band water-bag type bile pancreatic juice drainage pipe according to claim 1, it is characterized in that: described drainage tube afterbody is rounding mesa-shaped afterbody, the small end of described rounding mesa-shaped afterbody is provided with through hole V.
9. band water-bag type bile pancreatic juice drainage pipe according to claim 1, is characterized in that: the epimere of described drainage tube body is provided with at least 2 agnails.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201510236020.3A CN104800960B (en) | 2015-05-11 | 2015-05-11 | Band water-bag type bile pancreatic juice drainage pipe |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201510236020.3A CN104800960B (en) | 2015-05-11 | 2015-05-11 | Band water-bag type bile pancreatic juice drainage pipe |
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| CN104800960A true CN104800960A (en) | 2015-07-29 |
| CN104800960B CN104800960B (en) | 2017-08-08 |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105148380A (en) * | 2015-10-19 | 2015-12-16 | 大连大学 | Water-bag type nose-bile flushing drainage tube |
| CN107583174A (en) * | 2017-01-21 | 2018-01-16 | 新疆医科大学附属肿瘤医院 | A kind of biliary extra-drainage and feedback integral tube |
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| CN203989423U (en) * | 2014-07-29 | 2014-12-10 | 中国人民解放军第一一七医院 | The multi-functional inner support pipe of biliary tract |
| CN104353178A (en) * | 2014-12-10 | 2015-02-18 | 大连大学 | Bidirectional-drainage columnar biliary tract inflating balloon |
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2015
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| US5052998A (en) * | 1990-04-04 | 1991-10-01 | Zimmon David S | Indwelling stent and method of use |
| WO1998049971A1 (en) * | 1997-05-09 | 1998-11-12 | Advanced Medical Concepts, Inc. | Pancreatic stent and instrumentation thereof |
| CN2322639Y (en) * | 1998-04-09 | 1999-06-09 | 刘广庆 | Pancreas gallbladder Y-drainage-tube |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105148380A (en) * | 2015-10-19 | 2015-12-16 | 大连大学 | Water-bag type nose-bile flushing drainage tube |
| CN105148380B (en) * | 2015-10-19 | 2019-01-01 | 大连大学 | Water-bag type nose gallbladder irrigation drainage tube |
| CN107583174A (en) * | 2017-01-21 | 2018-01-16 | 新疆医科大学附属肿瘤医院 | A kind of biliary extra-drainage and feedback integral tube |
Also Published As
| Publication number | Publication date |
|---|---|
| CN104800960B (en) | 2017-08-08 |
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