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CN109498970A - A kind of urethreurynter and its application method for ankylurethria - Google Patents

A kind of urethreurynter and its application method for ankylurethria Download PDF

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Publication number
CN109498970A
CN109498970A CN201811604703.XA CN201811604703A CN109498970A CN 109498970 A CN109498970 A CN 109498970A CN 201811604703 A CN201811604703 A CN 201811604703A CN 109498970 A CN109498970 A CN 109498970A
Authority
CN
China
Prior art keywords
thin skin
ankylurethria
skin sheath
urethral sound
fascia dilator
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201811604703.XA
Other languages
Chinese (zh)
Inventor
张正潮
谢永强
曾彤伟
刘伟
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
1ST PEOPLE'S HOSPITAL OF BAIYIN
Original Assignee
1ST PEOPLE'S HOSPITAL OF BAIYIN
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 1ST PEOPLE'S HOSPITAL OF BAIYIN filed Critical 1ST PEOPLE'S HOSPITAL OF BAIYIN
Priority to CN201811604703.XA priority Critical patent/CN109498970A/en
Publication of CN109498970A publication Critical patent/CN109498970A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1078Urinary tract
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1078Urinary tract
    • A61M2210/1089Urethra
    • A61M2210/1096Male

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

The invention discloses a kind of urethreurynters and its application method for ankylurethria, including a kind of urethreurynter for ankylurethria, including urethral sound, medical metal seal wire, fascia dilator, thin skin sheath and catheter, the urethral sound is hollow metal catheter, the inclined upward shape in one end of the urethral sound, and filament mouth is offered on the upside of the inclined one end of urethral sound, the thin skin sheath and the fascia dilator of respective model are socketed, one end of the thin skin sheath is provided with valgus, the valgus is set in the surface of thin skin sheath, and valgus is in tear shape from middle part to two sides, the outer diameter of the urethra tube is less than the internal diameter of thin skin sheath.The present invention solves in practical applications, and the period of operative treatment ankylurethria is longer, and patient will bear biggish pain, and the problem that health care costs are larger in for a period of time.

Description

A kind of urethreurynter and its application method for ankylurethria
Technical field
The present invention relates to the field of medical instrument technology, specially a kind of urethreurynter for ankylurethria.
Background technique
Serious urethral stricture after hypospadias is common complication, and ankylurethria mostly occurs in penis head section urethra and proximal end urine At road previous anastomotic, proximal urethra anastomotic stricture reason mainly shape urethra blood supply it is poor, previous anastomotic do not make inclined-plane coincide etc. originals Cause, hypospadias surgery 1 month or so is scar most serious period, can cause transient ankylurethria, can be secondary when serious Urethrocele, urethrocele often have the dirty calculus of urine to accumulate, easily cause urinary tract infections, for obvious ankylurethria person, postoperative 3 Early stage narrow available urethral dilatation in month, if invalid or several cases answer ankylurethria to cut or cut off narrow part branch urethra Fistulization, after the caused obstruction of ankylurethria releases 6 months, row urethrocele cuts urethra prosthesis.
Current most of hospitals are for the treatment method of ankylurethria: a phase row urethra changes its course art (cystostomy), Second phase anaesthetizes in downlink urethra intramedullary expansion joint in operating room and cuts treatment, although can be played by way of operative treatment Good therapeutic effect, but in practical applications, the period of operative treatment ankylurethria is longer, and patient will in for a period of time Biggish pain is born, and health care costs are larger.
Summary of the invention
The purpose of the present invention is to provide a kind of urethreurynters for ankylurethria, to solve in above-mentioned background technique It is proposed that the period of operative treatment ankylurethria is longer in practical applications, patient will bear biggish pain in for a period of time Hardship, and the problem that health care costs are larger.
In order to solve the above technical problems, the invention provides the following technical scheme: a kind of urethral dilatation for ankylurethria Device, including urethral sound, medical metal seal wire, fascia dilator, thin skin sheath and catheter, the thin skin sheath and respective model Fascia dilator socket.
Preferably, the urethral sound be hollow metal catheter, the inclined upward shape in one end of the urethral sound, and Urethral sound offers filament mouth on the upside of inclined one end.
Preferably, one end connection of the fascia dilator and casing, the other end of the fascia dilator are provided with point Head expands head, and the material of the fascia dilator is soft nonmetallic materials, and there are many models for fascia dilator.
Preferably, one end of the thin skin sheath is provided with valgus, and the valgus is set in the surface of thin skin sheath, and outer Portion is turned over from middle part to two sides in tearing shape.
Preferably, the surface of the thin skin sheath is smooth, and thin skin sheath is the big and soft non-metallic member of hardness.
Preferably, the outer diameter of the urethra tube is less than the internal diameter of thin skin sheath.
A kind of application method of the urethreurynter for ankylurethria, comprising the following steps:
S1: first taking urethral sound, is slowly inserted into urethral sound along urethra, then leads along urethral sound merging medical metal Silk is slowly withdrawn urethral sound after medical metal seal wire is along entering;
S2: one end of medical metal seal wire is inserted into fascia dilator, successively uses type instead along medical metal seal wire Fascia dilator number from small to large carrys out dilating urethra, removes fascia dilator after expansion;
S3: merging is cased with the fascia dilator of thin skin sheath, is inserted into urethra along medical metal seal wire, then extracts muscle Film expander and medical metal seal wire;
S4: it is inserted into catheter inside thin skin sheath, fixes catheter after insertion;
S5: thin skin sheath is slowly extracted, tears thin skin sheath along valgus during extraction.
Compared with prior art, the beneficial effects of the present invention are:
1. the present invention is first placed in hollow urethral sound when carrying out urethral dilatation by the way that urethral sound is arranged, along urine Road probe is placed in medical metal seal wire, takes out urethral sound, then along the medical metal seal wire successively fascia with model from small to large Then expander dilating urethra is inserted with the thin skin sheath of fascia dilator using inner wall, after being inserted into Posterior urethral, extract fascia dilator And medical metal seal wire, the in this way channel from orificium urethrae externum to bladder are just set up, and are finally inserted into urethral catheterization along thin skin sheath Guan Hou, fixed catheter, the expansion of urethra can be quickly finished by tearing thin skin sheath, and whole process only need to be anaesthetized once, patient Pain is small, and solves the problems, such as that health care costs are few by a small local anaesthesia operation compared with major operation twice in traditional treatment mode At least 60%, alleviate the economic pressures of patient;
2. by setting valgus, catheter install it is fixed after, when removing thin skin sheath, along valgus by thin skin Sheath is torn, and can quickly be removed thin skin sheath, is not in after catheter is fixed, thin skin sheath can not be removed on catheter The case where.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the embodiment of the present invention;
Fig. 2 is the structural schematic diagram of thin skin of embodiment of the present invention sheath;
Fig. 3 is the structural schematic diagram of catheter of the embodiment of the present invention;
Fig. 4 is the structural schematic diagram of urethral sound of the embodiment of the present invention.
In figure: 1, urethral sound;2, medical metal seal wire;3, fascia dilator;4, thin skin sheath;5, catheter;6, wire vent Mouthful;7, valgus.
Specific embodiment
In order to solve in practical applications, the period of operative treatment ankylurethria is longer, and patient will hold in for a period of time By biggish pain, and the problem that health care costs are larger, the embodiment of the invention provides a kind of urethra expansions for ankylurethria Prop.Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clearly and completely Description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.Based on this hair Embodiment in bright, every other implementation obtained by those of ordinary skill in the art without making creative efforts Example, shall fall within the protection scope of the present invention.
Embodiment 1
Fig. 1-3 is please referred to, present embodiments provides a kind of urethreurynter for ankylurethria, including urethral sound 1, 3 sets of fascia dilator of medical metal seal wire 2, fascia dilator 3, thin skin sheath 4 and catheter 5, thin skin sheath 4 and respective model It connects.
In the present embodiment, it is first placed in hollow urethral sound 1 when carrying out urethral dilatation by the way that urethral sound 1 is arranged, The model of urethral sound 1 is F8, since its hardness is big, inserts indicative good in the process, and relatively thin, can generally be easy to lead to Ankylurethria section is crossed, medical metal seal wire 2 is placed in along urethral sound 1, takes out urethral sound 1, then successively along medical metal seal wire 2 With 3 dilating urethra of fascia dilator of model from small to large, it is then inserted with the thin skin sheath 4 of fascia dilator 3 using inner wall, is inserted into After Posterior urethral, extracts fascia dilator 3 and medical metal seal wire 2, the in this way channel from urethra surgery to bladder are just set up , finally after the insertion catheter 5 of thin skin sheath 4, the thin skin sheath 4 of model F18 or F20 are commonly used, model F16 can be accordingly inserted into Or the catheter 5 of F18, fixed catheter 5, the expansion of urethra can be quickly finished by tearing thin skin sheath 4, and whole process only needs one Secondary anesthesia, patient suffering is small, and is solved the problems, such as compared with major operation twice in traditional treatment mode by a small local anaesthesia operation, Health care costs few at least 60%, alleviate the economic pressures of patient.
Embodiment 2
Please refer to Fig. 1 or Fig. 4, be further improved on the basis of embodiment 1: urethral sound 1 is hollow metal Filament mouth 6, wire vent are offered on the upside of conduit, the inclined upward shape in one end of urethral sound 1, and the inclined one end of urethral sound 1 Mouth 6 enables medical metal seal wire 2 to stretch out from filament mouth 6, and the inclined upward shape in one end of urethral sound 1, can pass through swing Adjustment direction is carried out with the most weakness at benefit searching atreturethria end and narrow duct in tail portion.
Wherein, one end connection of fascia dilator 3 and casing, the other end of fascia dilator 3 are provided with cusp-shaped expansion Head, the material of fascia dilator 3 is soft nonmetallic materials, and fascia dilator 3, there are many model, casing can limit The insertion position of fascia dilator 3, the soft of fascia dilator 3 prevent urethra right in the when fascia dilator 3 of expansion Curvatura infrapubica causes to damage.
Embodiment 3
Please refer to Fig. 2 or Fig. 3, be further improved on the basis of embodiment 1: one end of thin skin sheath 4 is provided with outer Portion 7 is turned over, valgus 7 is set in the surface of thin skin sheath 4, and valgus 7 is in tearing shape from middle part to two sides, is installed in catheter 5 It finishes after fixing, when removing thin skin sheath 4, thin skin sheath 4 is torn along valgus 7, can quickly be removed thin skin sheath 4, no After will appear the fixation of catheter 5,4 sets of thin skin sheath on catheter 5 the case where can not remove.
Wherein, the surface of thin skin sheath 4 is smooth, and thin skin sheath 4 is the big and soft non-metallic member of hardness, since urethra has Bending, furthermore to have compressing that pipe deforming can be made to squeeze the tube wall of thin skin sheath 4 flat for narrow urethra, and catheter 5 can be made to be inserted into difficulty, Therefore the hardness of thin skin sheath 4 can avoid greatly problem above, to make the easier for installation of catheter 5, the outer diameter of urethra tube 6 is small In the internal diameter of thin skin sheath 4, keep catheter 5 more smooth when being inserted into thin skin sheath 4.
Embodiment 4
Fig. 1-4 is please referred to, is further improved on the basis of embodiment 1: a kind of urethra expansion for ankylurethria The application method of prop, comprising the following steps:
S1: first taking urethral sound 1, and urethral sound 1 is slowly inserted into along urethra, is then placed in medical gold along urethral sound 1 Belong to seal wire 2 and is slowly withdrawn urethral sound 1 after medical metal seal wire 2 is along entering;
S2: one end of medical metal seal wire 2 is inserted into fascia dilator 3, is successively used instead along medical metal seal wire 2 The fascia dilator 3 of model from small to large carrys out dilating urethra, and fascia dilator 3 is removed after expansion;
S3: merging is cased with the fascia dilator 3 of thin skin sheath 4, is inserted into urethra along medical metal seal wire 2, then pulls out Fascia dilator 3 and medical metal seal wire 2 out;
S4: it is inserted into catheter 5 inside thin skin sheath 4, catheter 5 is fixed after insertion;
S5: thin skin sheath 4 is slowly extracted, tears thin skin sheath 4 along valgus 7 during extraction.
To sum up, which more convenient can treat ankylurethria, and whole process only needs only to need primary fiber crops Liquor-saturated, patient suffering is small, and is solved the problems, such as compared with major operation twice in traditional treatment mode by a small local anaesthesia operation, medical treatment Few at least 60% is spent, the economic pressures of patient are alleviated.
In description of the invention, it should be noted that the orientation of the instructions such as term "vertical", "upper", "lower", "horizontal" or Person's positional relationship is orientation based on the figure or positional relationship, is merely for convenience of description of the present invention and simplification of the description, Rather than the device or element of instruction or hint meaning must have a particular orientation, and are constructed and grasped with specific orientation Make, therefore is not considered as limiting the invention.
In description of the invention, it is also necessary to explanation, unless otherwise specific regulation and limitation, term " setting ", " peace Dress ", " connected ", " connection " shall be understood in a broad sense, for example, it may be being fixedly connected, may be a detachable connection, or integrally Connection, can be mechanical connection, is also possible to be electrically connected, can be and be directly connected to, and be also possible to be connected by intermediary, can To be the connection inside two elements.For the ordinary skill in the art, can understand as the case may be above-mentioned The concrete meaning of term in the present invention.
It although an embodiment of the present invention has been shown and described, for the ordinary skill in the art, can be with A variety of variations, modification, replacement can be carried out to these embodiments without departing from the principles and spirit of the present invention by understanding And modification, the scope of the present invention is defined by the appended.

Claims (7)

1. a kind of urethreurynter for ankylurethria, including urethral sound (1), medical metal seal wire (2), fascia dilator (3), thin skin sheath (4) and catheter (5), it is characterised in that: the fascia dilator (3) of the thin skin sheath (4) and respective model covers It connects.
2. the urethreurynter according to claim 1 for ankylurethria, it is characterised in that: the urethral sound (1) For hollow metal catheter, the inclined upward shape in one end of the urethral sound (1), and on urethral sound (1) inclined one end Side offers filament mouth (6).
3. the urethreurynter according to claim 1 for ankylurethria, it is characterised in that: the fascia dilator (3) one end connection and casing, the other end of the fascia dilator (3) are provided with cusp-shaped expansion head, the fascia expansion The material of device (3) is the flexible nonmetallic materials of quality, and there are many models for fascia dilator (3).
4. the urethreurynter according to claim 1 for ankylurethria, it is characterised in that: the thin skin sheath (4) One end is provided with valgus (7), and the valgus (7) is set in the surface of thin skin sheath (4), and valgus (7) is from middle part to two Side is in tearing shape.
5. the urethreurynter according to claim 1 for ankylurethria, it is characterised in that: the thin skin sheath (4) Surface is smooth, and thin skin sheath (4) is flexible non-metallic member.
6. the urethreurynter according to claim 1 for ankylurethria, it is characterised in that: the catheter (5) Outer diameter is less than the internal diameter of thin skin sheath (4).
7. a kind of application method of urethreurynter for ankylurethria according to claim 1 or 4, feature exist In: the following steps are included:
S1: first taking urethral sound (1), and urethral sound (1) is slowly inserted into along urethra, is then placed in along urethral sound (1) medical Wire guide (2) is slowly withdrawn urethral sound (1) after medical metal seal wire (2) is along entering;
S2: one end of medical metal seal wire (2) is inserted into fascia dilator (3), is successively changed along medical metal seal wire (2) With the fascia dilator (3) of model from small to large come dilating urethra, fascia dilator (3) are removed after expansion;
S3: merging is cased with the fascia dilator (3) of thin skin sheath (4), is inserted into urethra along medical metal seal wire (2), then Extract fascia dilator (3) and medical metal seal wire (2);
S4: catheter (5) are inserted into inside thin skin sheath (4), catheter (5) are fixed after insertion;
S5: thin skin sheath (4) slowly are extracted, tear thin skin sheath (4) along valgus (7) during extraction.
CN201811604703.XA 2018-12-26 2018-12-26 A kind of urethreurynter and its application method for ankylurethria Pending CN109498970A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811604703.XA CN109498970A (en) 2018-12-26 2018-12-26 A kind of urethreurynter and its application method for ankylurethria

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811604703.XA CN109498970A (en) 2018-12-26 2018-12-26 A kind of urethreurynter and its application method for ankylurethria

Publications (1)

Publication Number Publication Date
CN109498970A true CN109498970A (en) 2019-03-22

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110721392A (en) * 2019-09-29 2020-01-24 深圳泰睿仕医疗科技有限公司 Disposable ureter guide sheath

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201308707Y (en) * 2008-12-03 2009-09-16 中国人民解放军第三军医大学 Urethra dilator
US20110276073A1 (en) * 2003-05-01 2011-11-10 Swan Valley Medical Incorporated Cystotomy Catheter Capture Device
CN203029804U (en) * 2012-10-31 2013-07-03 左步清 Novel urethral dilator
CN204092819U (en) * 2014-09-30 2015-01-14 蓝勇基 Disposable urethra not damaged dilator
CN105194792A (en) * 2015-10-10 2015-12-30 江苏耀华医疗器械科技有限公司 Olecranon type urethral dilator with openable sheath
CN205095234U (en) * 2015-09-25 2016-03-23 李和程 Urethral dilator
CN105854160A (en) * 2016-05-13 2016-08-17 余月 Visual urethra expansion bougic with epitheca capable of being torn open
CN205612860U (en) * 2015-12-25 2016-10-05 中国人民解放军第二军医大学 Multi -functional urethra bougic
CN206228755U (en) * 2016-08-29 2017-06-09 文卫 For the dilatable bougie of PTCD tube placing operations
CN206730261U (en) * 2017-01-20 2017-12-12 广西医科大学第一附属医院 A kind of disposable urethral sound component for children

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110276073A1 (en) * 2003-05-01 2011-11-10 Swan Valley Medical Incorporated Cystotomy Catheter Capture Device
CN201308707Y (en) * 2008-12-03 2009-09-16 中国人民解放军第三军医大学 Urethra dilator
CN203029804U (en) * 2012-10-31 2013-07-03 左步清 Novel urethral dilator
CN204092819U (en) * 2014-09-30 2015-01-14 蓝勇基 Disposable urethra not damaged dilator
CN205095234U (en) * 2015-09-25 2016-03-23 李和程 Urethral dilator
CN105194792A (en) * 2015-10-10 2015-12-30 江苏耀华医疗器械科技有限公司 Olecranon type urethral dilator with openable sheath
CN205612860U (en) * 2015-12-25 2016-10-05 中国人民解放军第二军医大学 Multi -functional urethra bougic
CN105854160A (en) * 2016-05-13 2016-08-17 余月 Visual urethra expansion bougic with epitheca capable of being torn open
CN206228755U (en) * 2016-08-29 2017-06-09 文卫 For the dilatable bougie of PTCD tube placing operations
CN206730261U (en) * 2017-01-20 2017-12-12 广西医科大学第一附属医院 A kind of disposable urethral sound component for children

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110721392A (en) * 2019-09-29 2020-01-24 深圳泰睿仕医疗科技有限公司 Disposable ureter guide sheath

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Application publication date: 20190322