CN104800960B - Band water-bag type bile pancreatic juice drainage pipe - Google Patents
Band water-bag type bile pancreatic juice drainage pipe Download PDFInfo
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- CN104800960B CN104800960B CN201510236020.3A CN201510236020A CN104800960B CN 104800960 B CN104800960 B CN 104800960B CN 201510236020 A CN201510236020 A CN 201510236020A CN 104800960 B CN104800960 B CN 104800960B
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- drainage
- drainage tube
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- pancreatic juice
- pipe
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Abstract
The invention discloses a kind of band water-bag type bile pancreatic juice drainage pipe, including water-bag type bile drainage tube and pancreatic juice inner drainage tube, the water-bag type bile drainage tube includes the drainage pipeline section I being sequentially communicated, drainage pipeline section II and drainage pipeline section III, the outer wall of the drainage pipeline section II is socketed with sacculus film, the pancreatic juice inner drainage tube includes drainage tube body, pipe cap I, drainage tube afterbody and line, one end of the line is connected with the bottom side of the wall of the drainage tube body, the other end of the line is connected through the drainage tube afterbody with coil or becket, the coil or the becket are socketed with the outer wall of the drainage pipeline section I.The present invention, which has, prevents water-bag type bile drainage tube from deviating from, while preventing water-bag type bile drainage tube from shifting, obstruction of biliary tract will not be caused, with preventing the effect of pancreatic juice inner drainage tube internal shift or abjection, while water-bag type bile drainage tube is taken out, pancreatic juice inner drainage tube can simultaneously be 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, with endoscopic technic continue to develop and its annex constantly improve, ERCP technology (ERCP) is
So turn into the important measures for the treatment of hepatobiliary and pancreatic diseases, including choledocholithiasis, bile duct injury, stenosis of bile duct, after liver transplantation courage
Road complication etc..The technology has the advantages that wound is small, safety coefficient is high, recovery is fast compared with Tradtional laparotomy.It is looked at straight
Lower observation, can realize that conventional liver and gall spleen pancreas CT, ultrasound and magnetic resonance etc. check the not detectable hepatobiliary and pancreatic diseases of institute, enter simultaneously
Row treatment, such as duodenal papillitis, nipple are narrow, diverticulum, duodenofiberscope be long by nipple, courage pancreas interflow is abnormal.
Although ERCP treatment hepatobiliary and pancreatic diseases have above-mentioned advantage, there is also certain complication, wherein pancreatitis,
Cholangitis and bleeding are the big complication of ERCP postoperative three.The complication usually dramatically increases medical expense, extends the hospital stays, gives
Patient brings great pain, and there is certain death rate.Clinically, in order to reduce the generation of ERCP postoperative complications
Rate, it is postoperative to be usually built into pancreatic juice inner drainage tube or nose pancreas drainage tube in ductus pancreaticus, it is built into bile duct inner drainage tube or nose in bile duct
Courage drainage tube, wherein most commonly seen with the use of pancreatic juice inner drainage tube and nose bile drainage tube.
The pancreatic juice inner drainage tube of current clinical practice is generally straight tube or single pig drainage tube, and two kinds of drainage tubes are by shifting in occurring
Position, the possibility voluntarily deviate from, and need to go the drainage tube that secondary ERCP operations put into and take out.
The head end of the nose bile drainage tube of current Clinical practice can be illegally occupied voluntarily in bile duct, but the head end of drainage tube is to courage
The stimulation of pipe mucous membrane can cause local mucous membrane reactive hyperplasia;During tube drawing, drainage tube head end can cause bile duct and enteron aisle viscous
The damage of film, or even the complication such as acute cholangitis, acute pancreatitis, UGB can be induced;Drainage tube is to bottleneck throat
Stimulation, often lead to the serious nausea of patient, or even symptoms of emesis.Because nose bile duct relies on own tension, illegally occupy in drainage
In pipe, due to lacking support force, flow tube can voluntarily deviate from.
The content of the invention
According to technical problem set forth above, and provide a kind of band water-bag type bile pancreatic juice drainage pipe.
The technological means that the present invention is used is as follows:
A kind of band water-bag type bile pancreatic juice drainage pipe, including water-bag type bile drainage tube and pancreatic juice inner drainage tube,
The water-bag type bile drainage tube includes the drainage pipeline section I being sequentially communicated, drainage pipeline section II and drainage pipeline section III,
The outer wall of the drainage pipeline section II is socketed with sacculus film, and the cross section of the sacculus film is in quincunx, the drainage pipeline section I
It is interior provided with the pipeline I connected with the drainage pipeline section II and the pipeline II connected with the sacculus film, the pipeline II it is another
One end is connected by cap with pipe, and the other end of the pipe is connected with triple valve, and the cap has cylindrical head and truncated cone-shaped tail
Portion, the small end of the truncated cone-shaped afterbody is fixedly connected with the cylindrical head, and the cylindrical head is provided with and the pipe
The through hole I that the external diameter in road II matches, the pipe has truncated cone-shaped head, and the outer surface on the truncated cone-shaped head is provided with outer spiral shell
Line, the truncated cone-shaped afterbody has the through hole II with the truncated cone-shaped fit heads, and the through hole II is away from the cylinder
The one end on head is provided with the internal thread matched with the external screw thread, the through hole II and is additionally provided with smooth department, the smooth department
Between the internal thread and the cylindrical head, the internal diameter phase of the small end and the pipeline II on the truncated cone-shaped head
Match somebody with somebody, the through hole I is connected with the through hole II,
The pancreatic juice inner drainage tube includes drainage tube body, pipe cap I, drainage tube afterbody and line,
The upper end of the drainage tube body is provided with the pipe cap I, and the lower end of the drainage tube body is provided with the drainage tube
Afterbody, one end of the line is connected with the bottom side of the wall of the drainage tube body, and the other end of the line passes through the drainage tube
Afterbody is connected with coil or becket, and the coil or the becket, the line are socketed with the outer wall of the drainage pipeline section I
The internal diameter size of circle is more than the size of the sacculus film under unexpanded mode, less than the chi of the sacculus film under expansion state
It is very little, i.e., the coil can be passed freely through when the sacculus film is under unexpanded mode, when the sacculus film is in
The coil is cannot pass through when under expansion state,
The outer wall of the outer wall of the drainage pipeline section III and the drainage tube body is equipped with side opening.
One end of the remote drainage pipeline section II of the drainage pipeline section III is provided with pipe cap II, and the pipe cap II has circular arc
Face II, the arc surface II is provided with through hole III.
The two ends of the sacculus film are connected by becket with the outer wall of the drainage pipeline section II respectively.
The becket is made up of impermeable X-ray material.
The pipe is threadedly coupled with the triple valve.
By snapping connection between the pipe and the triple valve.
The pipe cap I is round table-like pipe cap, and the upper end of the round table-like pipe cap has to be set on arc surface I, the arc surface I
There is through hole IV.
The drainage tube afterbody is rounding mesa-shaped afterbody, and the small end of the rounding mesa-shaped afterbody is provided with through hole V.
The epimere of the drainage tube body is provided with least two hangnail.
The present invention has advantages below:
1st, water-bag type bile drainage tube has stronger by full water pocket to duodenofiberscope and bile duct wall
Power, can play the purpose for preventing that water-bag type bile drainage tube from deviating from;
2nd, the water pocket size of water-bag type bile drainage tube is variable (1.0cm, 1.5cm, 2.0cm), is suitable for various diameters
Bile duct;
3rd, water-bag type bile drainage tube head end is straight tube (drainage pipeline section III), viscous to bile duct during inserting and taking out
Film, duodenofiberscope and upper gastrointestinal mucosa not damaged, it is to avoid numerous complication caused by conventional drainage tube bending head end and
The uncomfortable reaction of patient;
4th, the water pocket of water-bag type bile drainage tube is in plum blossom-shaped, and bile can be passed through, prevented outside water-bag type bile
While drainage tube is shifted, obstruction of biliary tract will not be caused;
5th, pancreatic juice inner drainage tube is connected by coil or becket with water-bag type bile drainage tube, with preventing in pancreatic juice
Drainage tube internal shift or the effect of abjection;
6th, pancreatic juice inner drainage tube is connected by coil or becket with water-bag type bile drainage tube, is taking out water-bag type courage
While juice drainage tube, by drawing of the water pocket to coil or becket, pancreatic juice inner drainage tube can simultaneously be taken out, it is to avoid two
Secondary ERCP operations, reduction medical expense and operation risk;
7th, water-bag type bile drainage tube substitutes traditional pancreatic juice inner drainage tube during pancreatic juice inner drainage tube is inserted and pushed away
Enter the effect of device, pancreatic juice inner drainage tube propeller is used without extra.
The present invention can be widely popularized in fields such as drain age-tube devices for the foregoing reasons.
Brief description of the drawings
The present invention is further detailed explanation with reference to the accompanying drawings and detailed description.
Fig. 1 is the structural representation with water-bag type bile pancreatic juice drainage pipe in embodiment of the invention.
Fig. 2 is A portions mplifying structure schematic diagram in Fig. 1.
Fig. 3 is the structural representation of cap in embodiment of the invention.
Fig. 4 is the structural representation on truncated cone-shaped head in embodiment of the invention.
Fig. 5 is that the sacculus film of water-bag type bile drainage tube in embodiment of the invention is under expansion state
Structural representation.
Fig. 6 is the structural representation of pancreatic juice inner drainage tube.
Fig. 7 is C portions mplifying structure schematic diagram in Fig. 6.
Fig. 8 is D portions mplifying structure schematic diagram in Fig. 6.
Fig. 9 be the present invention embodiment in band water-bag type bile pancreatic juice drainage pipe be placed to operating position (bile duct,
Main pancreatic duct etc.) in structural representation.
Embodiment
As shown in Fig. 1-Fig. 9, a kind of band water-bag type bile pancreatic juice drainage pipe, including water-bag type bile drainage tube 1 and pancreas
Liquid inner drainage tube 2,
The water-bag type bile drainage tube 1 includes the drainage pipeline section I 11 being sequentially communicated, drainage pipeline section II 12 and drainage tube
Section III 13, the outer wall of the drainage pipeline section II 12 is socketed with sacculus film 14, the cross section of the sacculus film 14 in quincunx,
Connect provided with the pipeline I 111 connected with the drainage pipeline section II 12 and with the sacculus film 14 in the drainage pipeline section I 11
Pipeline II 112, the other end of the pipeline II 112 is connected by cap 3 with pipe 4, and the other end of the pipe 4 is connected with triple valve,
The cap 3 has cylindrical head 31 and truncated cone-shaped afterbody 32, small end and the cylindrical head of the truncated cone-shaped afterbody 32
31 are fixedly connected, and the cylindrical head 31 is provided with the through hole I 33 matched with the external diameter of the pipeline II 112, the pipe 4
With truncated cone-shaped head 41, the outer surface on the truncated cone-shaped head 41 is provided with external screw thread, and the truncated cone-shaped afterbody 32 has and institute
The through hole II 34 that truncated cone-shaped head 41 matches is stated, the described one end of through hole II 34 away from the cylindrical head 31 is provided with and institute
State and smooth department 35 is additionally provided with the internal thread that external screw thread matches, the through hole II 34, the smooth department 35 is located at the interior spiral shell
Between line and the cylindrical head 31, the internal diameter of the small end on the truncated cone-shaped head 41 and the pipeline II 112 matches, institute
Through hole I 33 is stated to connect with the through hole II 34,
The pancreatic juice inner drainage tube 2 includes drainage tube body 21, pipe cap I 22, drainage tube afterbody 23 and line 24,
The upper end of the drainage tube body 21 is provided with the pipe cap I 22, and the lower end of the drainage tube body 21 is provided with described
Drainage tube afterbody 23, one end of the line 24 is connected with the bottom side of the wall of the drainage tube body 21, the other end of the line 24
It is connected through the drainage tube afterbody 23 with coil 25, the coil 25 is socketed on the outer wall of the drainage pipeline section I 11,
The outer wall of the outer wall of the drainage pipeline section III 13 and the drainage tube body 21 is equipped with side opening 5.
One end of the remote drainage pipeline section II 12 of the drainage pipeline section III 13 is provided with pipe cap II 15, the pipe cap II 15
With arc surface II 16, the arc surface II 16 is provided with through hole III 17, and the through hole III 17 is passed through for seal wire.
The two ends of the sacculus film 14 are connected by becket 18 with the outer wall of the drainage pipeline section II 12 respectively.
The becket 18 is made up of impermeable X-ray material.
The pipe 4 is threadedly coupled with the triple valve.
The pipe cap I 22 is round table-like pipe cap, and the upper end of the round table-like pipe cap has arc surface I 26, the arc surface I
26 are provided with through hole IV 27, and the through hole IV 27 is passed through for the seal wire.
The drainage tube afterbody 23 is rounding mesa-shaped afterbody, and the small end of the rounding mesa-shaped afterbody is provided with through hole V 28.
The epimere of the drainage tube body 21 is provided with 2 hangnails 29.
Under working condition, the pipeline II 112 passes through the through hole I 33, and the truncated cone-shaped head 41 enters described logical
In hole II 34, the small end on the truncated cone-shaped head 41 is inserted into the pipeline II 112, now, positioned at the truncated cone-shaped head
The part of the pipeline II 112 between 41 and the smooth department 35 is squeezed and deformed so that itself and the truncated cone-shaped
Head 41 and the smooth department 35 are brought into close contact, and are coordinated afterwards by the internal thread and the external screw thread by the cap 3 and institute
Truncated cone-shaped head 41 is stated to tighten,
The seal wire is inserted into main pancreatic duct 6, the pancreatic juice inner drainage tube 2 is socketed on the seal wire, afterwards will
The water-bag type bile drainage tube 1 is socketed on the seal wire, and the seal wire sequentially passes through the drainage pipeline section III 13, described
Drainage pipeline section II 12 and the pipeline I 111, the pancreatic juice inner drainage tube 2 is under the promotion of the water-bag type bile drainage tube 1
And pushed under the guiding of the seal wire in main pancreatic duct 6, the pancreatic juice inner drainage tube 2 is predominantly located in main pancreatic duct 6, institute
Drainage tube afterbody 23 is stated in the duodenal lumen 7, the one end of the drainage tube afterbody 23 away from the drainage tube body 21 away from
From duodenofiberscope about 1cm.
The seal wire is extracted out of main pancreatic duct 6 afterwards, meanwhile, the water-bag type bile drainage tube 1 of pulling back realizes institute
Water-bag type bile drainage tube 1 and the pancreatic juice inner drainage tube 2 is stated to separate.
The seal wire is passed through into the coil 25 again and is inserted into bile duct 8, the water-bag type bile drainage tube 1 is in institute
State under the guiding of seal wire and to be placed into through the coil 25 in bile duct 8, afterwards draw the seal wire outside the water-bag type bile
Flow tube 1 is recalled, and opens the triple valve,
Water sequentially passes through the triple valve, the pipe 4 and the pipeline II 112 enter the sacculus film 14 and by its
It is full of, now, the sacculus film 14 expands outwardly to form water pocket in the presence of water, afterwards closes the triple valve.
When taking out the band water-bag type bile pancreatic juice drainage pipe, the triple valve is again turned on, the institute of water pocket will be turned into
State the water discharge part in sacculus film 14 so that the sacculus film 14 and bile duct 8 are separated, outer afterwards to draw the water-bag type
Bile drainage tube 1 is untill the sacculus film 14 reaches the coil 25, now, again toward filling in the sacculus film 14
Enter water until the size of the sacculus film 14 is more than the internal diameter of the coil 25, continuation is outer to draw the water-bag type bile external drainage
Pipe 1, meanwhile, the pancreatic juice inner drainage tube 2 is also pulled out from main pancreatic duct 6.
The straight tube 11 and it is described elasticity button loop pipe 12 material be polyethylene, a diameter of 7Fr of the straight tube 11 or
8.5Fr。
The foregoing is only a preferred embodiment of the present invention, but protection scope of the present invention be not limited thereto,
Any one skilled in the art the invention discloses technical scope in, technique according to the invention scheme and its
Inventive concept is subject to equivalent substitution or change, should all be included within the scope of the present invention.
Claims (9)
1. a kind of band water-bag type bile pancreatic juice drainage pipe, including water-bag type bile drainage tube, in addition to pancreatic juice inner drainage tube, its
It is characterised by:
The water-bag type bile drainage tube includes the drainage pipeline section I being sequentially communicated, drainage pipeline section II and drainage pipeline section III, described
The outer wall of drainage pipeline section II is socketed with sacculus film, and the cross section of the sacculus film is set in quincunx in the drainage pipeline section I
There are the pipeline I connected with the drainage pipeline section II and the pipeline II connected with the sacculus film, the other end of the pipeline II
It is connected by cap with pipe, the other end of the pipe is connected with triple valve, the cap has cylindrical head and truncated cone-shaped afterbody, institute
The small end for stating truncated cone-shaped afterbody is fixedly connected with the cylindrical head, and the cylindrical head is provided with and the pipeline II
The through hole I that external diameter matches, the pipe has truncated cone-shaped head, and the outer surface on the truncated cone-shaped head is provided with external screw thread, described
Truncated cone-shaped afterbody has a through hole II with the truncated cone-shaped fit heads, the through hole II away from the cylindrical head one
End, which is provided with the internal thread matched with the external screw thread, the through hole II, is additionally provided with smooth department, and the smooth department is located at described
Between internal thread and the cylindrical head, the internal diameter of the small end on the truncated cone-shaped head and the pipeline II matches, described
Through hole I is connected with the through hole II,
The pancreatic juice inner drainage tube includes drainage tube body, pipe cap I, drainage tube afterbody and line,
The upper end of the drainage tube body is provided with the pipe cap I, and the lower end of the drainage tube body is provided with the drainage tube afterbody,
One end of the line is connected with the bottom side of the wall of the drainage tube body, the other end of the line through the drainage tube afterbody with
The coil or the becket are socketed with coil or becket connection, the outer wall of the drainage pipeline section I,
The outer wall of the outer wall of the drainage pipeline section III and the drainage tube body is equipped with side opening.
2. band water-bag type bile pancreatic juice drainage pipe according to claim 1, it is characterised in that:The drainage pipeline section III it is remote
One end from the drainage pipeline section II is provided with pipe cap II, and the pipe cap II has arc surface II, and the arc surface II is provided with logical
Hole III.
3. band water-bag type bile pancreatic juice drainage pipe according to claim 1, it is characterised in that:The two ends of the sacculus film
It is connected respectively by becket with the outer wall of the drainage pipeline section II.
4. band water-bag type bile pancreatic juice drainage pipe according to claim 3, it is characterised in that:The becket is impermeable X
Ray material is made.
5. band water-bag type bile pancreatic juice drainage pipe according to claim 1, it is characterised in that:The pipe and the triple valve
Threaded connection.
6. band water-bag type bile pancreatic juice drainage pipe according to claim 1, it is characterised in that:The pipe and the triple valve
Between by snapping connection.
7. band water-bag type bile pancreatic juice drainage pipe according to claim 1, it is characterised in that:The pipe cap I is round table-like
Pipe cap, the upper end of the round table-like pipe cap has arc surface I, and the 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 characterised in that:The drainage tube afterbody is
Round table-like afterbody, the small end of the rounding mesa-shaped afterbody is provided with through hole V.
9. band water-bag type bile pancreatic juice drainage pipe according to claim 1, it is characterised in that:The drainage tube body it is upper
Section is provided with least two hangnail.
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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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CN201510236020.3A CN104800960B (en) | 2015-05-11 | 2015-05-11 | Band water-bag type bile pancreatic juice drainage pipe |
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CN104800960A CN104800960A (en) | 2015-07-29 |
CN104800960B true CN104800960B (en) | 2017-08-08 |
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CN201510236020.3A Active CN104800960B (en) | 2015-05-11 | 2015-05-11 | Band water-bag type bile pancreatic juice drainage pipe |
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Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
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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 |
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CN2322639Y (en) * | 1998-04-09 | 1999-06-09 | 刘广庆 | Pancreas gallbladder Y-drainage-tube |
CN103495256A (en) * | 2013-09-18 | 2014-01-08 | 中国人民解放军第二军医大学 | Three-cavity stomach tube used for Whipple operation |
CN203634625U (en) * | 2013-10-31 | 2014-06-11 | 川北医学院附属医院 | Dilating balloon catheter for narrow biliary tract and biliary-intestinal anastomotic stoma |
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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US5876450A (en) * | 1997-05-09 | 1999-03-02 | Johlin, Jr.; Frederick C. | Stent for draining the pancreatic and biliary ducts and instrumentation for the placement thereof |
JP2002200163A (en) * | 2000-12-28 | 2002-07-16 | Nippon Zeon Co Ltd | Drainage tube |
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Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
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US5052998A (en) * | 1990-04-04 | 1991-10-01 | Zimmon David S | Indwelling stent and method of use |
CN2322639Y (en) * | 1998-04-09 | 1999-06-09 | 刘广庆 | Pancreas gallbladder Y-drainage-tube |
CN103495256A (en) * | 2013-09-18 | 2014-01-08 | 中国人民解放军第二军医大学 | Three-cavity stomach tube used for Whipple operation |
CN203634625U (en) * | 2013-10-31 | 2014-06-11 | 川北医学院附属医院 | Dilating balloon catheter for narrow biliary tract and biliary-intestinal anastomotic stoma |
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 |
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