Background technology
The related surgical such as uterine aspiration, the dilatation and curettage, hysteroscope diagnosis and treatment art clinically, before operation, all want the conventional degree of depth of understanding cavity of uterus, then cervical dilatation is arrived to the degree of uterine cavity to permission operating theater instruments by cervix uteri, recycle relevant operating theater instruments and carry out operation technique by cervix uteri.Detecting the uterine cavity degree of depth and cervix dilating, is the operant skill that gynaecologist must grasp.
Existing probe and expansion palace instrument are as follows:
Probe: once property plastics and steel are two kinds, and needle body is thinner, easily by cervix uteri, but tip is thinner, rely on feel to judge the degree of depth of uterine cavity, and, when carrying out palace transluminal operation, there is the risk that penetrates Uterus wall in the uterus thin and soft to some.
Uterine-expanding rod: once property plastics and steel are two kinds, and model is divided different brackets according to thickness, all will prepare the some uterine-expanding rod that model is connected in each sterile package, and sterile package is heavier, and is not that each model can be can use, just standby.In application process, generally from fine to coarse, expand gradually palace, until reach, meet the model that medical apparatus and instruments passes through; cervix uteri mouth is very tight sometimes, and expansion difficulty is often understood violence and expanded palace or coordinate Drug therapy; sometimes even can abandon operation, after healing with medicine, then row expands palace operation.No matter be that palace or Drug therapy are expanded in violence, all have certain drawback, all can form certain damage to human body.As skin mucosa damage, cervical stimulation is levied, vagus reflex etc.The uterine-expanding rod of Phthalates, expands in the process of palace in violence, even has fracture, remains in uterine cavity, affects conceived report.
Summary of the invention
According to above-mentioned weak point, the object of this invention is to provide a kind of safe soft expansion palace probe easy to use.
For achieving the above object, technical scheme of the present invention is: a kind of soft expansion palace probe, it comprises sizing conductor inner core, the outside of sizing conductor inner core is provided with soft overcoat, the end of sizing conductor inner core extends outside soft overcoat and is connected with handle, soft overcoat cover pars intramuralis and handle inside are equipped with conduit, described two parts conduit interconnects, the front end periphery of soft overcoat is provided with storage capsule, catheter proximal end in soft overcoat jacket wall is connected with storage capsule by the storage capsule opening on soft overcoat jacket wall, and the catheter tip of handle inside is provided with unidirectional inlet.
Preferably: the front end of described sizing conductor inner core is mushroom-shaped, the top central point of sizing conductor inner core flushes with soft overcoat front opening edge.
Preferably: described sizing conductor inner core end is also provided with safety indicating device.
Preferably: described safety indicating device is connected successively display lamp and battery.
Preferably: the conduit of described soft overcoat cover pars intramuralis and handle inside is for being fixedly connected with or removably connecting.
Preferably: described soft overcoat cover pars intramuralis and the conduit of handle inside are also connected with pressure tester.
Preferably: between described sizing conductor inner core and handle for being threaded or clamping.
Preferably: described sizing conductor inner core front end is provided with positioner.
Preferably: described positioner is locating ring or positioning tooth.
Preferably: described soft outer casing inner wall is provided with the locating slot matching with positioner.
Beneficial effect of the present invention is: by putting and be provided with storage capsule outside sizing conductor inner core outside soft, and by conduit toward storage capsule in injecting gas or liquid, realize the object that expands palace, coordinate in addition sizing conductor inner core and safety indicating device, realize the function that probe is indicated safely.In addition, 1, processing ease, as long as cervix uteri mouth can pass through probe, just can smooth complete operation, new hand is acted on particularly evident.2, soft expansion palace has alleviated cervical stimulation symptom and the mucosa injury that palace is expanded in original violence, has alleviated the impact of vagus reflex on whole body.Especially under the cooperation of lidocaine ointment, act on more obvious.3, avoided about disposable uterine-expanding rod breaks, falling to residuing in the generation of event in uterine cavity in the past.4, avoid conventional probe to rely on merely feel, at the bottom of thoughts and feelings palace, recorded the drawback of the uterine cavity degree of depth.For there being the patient of weak spot at the bottom of script palace, can effectively prevent the generation of the event of boring a hole.Because at the bottom of this probe only needs to contact palace, display lamp is luminous, just can record the uterine cavity degree of depth, without exerting oneself.5, the handle recycling of can sterilizing clinically, can sterilize the as one sees fit recycling or take the circumstances into consideration to change of sizing conductor inner core, must change parts only has soft overcoat, has obviously reduced cost.6, the flexible sizing of sizing conductor inner core, adapts to clinical manipulation.
The specific embodiment
Below in conjunction with specific embodiment, the present invention will be further described.
A kind of soft expansion palace probe as shown in Figure 1, it comprises sizing conductor inner core 1, sizing conductor inner core 1 can be provided with scale marker, is convenient to judge the degree of depth, and can, according to the practical situation bend fixing of palace mouth, be applicable to clinical practice applicable cases.Sizing conductor inner core 1 can conduct electricity.The outside of sizing conductor inner core 1 is provided with soft overcoat 2, and soft overcoat 2 is preferably transparent silica gel or rubber, is convenient to the scale marker on identification sizing conductor inner core 1, quality is soft in addition, be wrapped in outside sizing conductor inner core 1, avoided the damage of sizing Di Huo palace, 1 pair of palace of conductor inner core wall, safer.Certainly, scale marker also can be arranged on soft overcoat 2.It is outer and be connected with handle 3 that the end of sizing conductor inner core 1 extends soft overcoat 2, between shape conductor inner core 1 and handle 3 for being threaded or clamping.Sizing conductor inner core 1 end is also provided with safety indicating device 5, is connected successively display lamp 12 and battery 13, and the relevant position of handle 3 is provided with observation panel, can be for viewing lamp.Certainly, handle 3 also can be arranged to printing opacity.With time can judge whether to touch Di Huo palace, palace wall according to whether display lamp 12 bright, safer.Soft overcoat 2 cover pars intramuralis and handle 3 inside are equipped with conduit 9, this two parts conduit 9 is connected by connecting device 7, the front end periphery of soft overcoat 2 is provided with storage capsule 4, conduit 9 front ends in soft overcoat 2 jacket walls are connected with storage capsule 4 by the storage capsule opening 14 on soft overcoat 2 jacket walls, conduit 9 ends of handle 3 inside are provided with unidirectional inlet 6, can be by unidirectional inlet 6 injecting gas or liquid, and arrive storage capsule 4, make to store up capsule 4 and prop up palace mouth, reach the object that expands palace.The conduit 9 of soft overcoat 2 cover pars intramuralis and handle 3 inside is also connected with pressure tester 8.Described pressure tester 8 can be pressure chi, can be also Pressure gauge.According to pressure size, set four crucial force value: 1,0 force value, while filling with gas or liquid in storage capsule 4, keeps tension-free naturalness, the force value that pressure tester 8 is shown; 2, desired pressure value, while filling with gas or liquid in storage capsule 4, firmly appropriateness keeps enough surface tension, storage capsule 4 volumes no longer expand, and pressure rise reaches balance, stops gas injection or liquid, seal unidirectional gas injection port 6, now the shown force value of pressure tester 8, records the gas or the liquid capacity that under desired pressure value, altogether inject, is made as Xml; 3, artificial ultimate value, the maximum equalizing pressure that general normal person tries one's best and can reach, the shown force value of pressure tester 8 now, this value is only for reference, and the strength difference of different people is on being used formation to affect; 4, anti-explosion value, reaches this pressure in theory, and storage capsule 4 can explosion, because surpassing the artificial limit, so this value is theoretical untouchable safety value.The front end of sizing conductor inner core 1 is mushroom-shaped, middle high, low around, in the time of at the bottom of palace is touched on top, can damaged tissue, the top central point of sizing conductor inner core 1 flushes with soft overcoat 2 front opening edges, for fear of missing the situation at the bottom of Bi Dang palace, palace, its principle is when soft expansion palace probe is encountered palace wall, owing to being that palace wall is touched in the side of soft expansion palace probe front, so display lamp 12 can be sometimes bright sometimes dark; In the time of at the bottom of soft expansion palace probe is encountered palace, owing to being at the bottom of the positive front end of soft expansion palace probe touches palace, so display lamp 12 can be kept burning day and night, and at the bottom of judging with this whether soft expansion palace probe arrives palace.On the other hand, because the quality of soft overcoat 2 is softer, in order to make shape conductor inner core 1 and the better combination of soft overcoat 2, at sizing conductor inner core 1 front end, be provided with positioner 10, positioner 10 is locating ring or positioning tooth, positioner 11 is arc from front to back, is convenient to pull down after handle 3 sizing conductor inner core 1 front opening from soft overcoat 2 is released, and soft overcoat 2 inwalls are provided with the locating slot 11 matching with positioner 10.
Storage capsule 4 maximum volumes: according to clinical needs, set No. 12, storage capsule 4 maximum volumes and traditional uterine-expanding rod corresponding, the volume when realizing maximum volume and reaching desired pressure value is Yml.
Before dispatching from the factory, in the steel pipe of internal diameter and the equal thickness of corresponding uterine-expanding rod, in emptying air bag after gas or liquid, then fill with gas or liquid in storage capsule.Obtain the volume Xml while reaching desired pressure value.According to this method, measure storage capsule 4 while reaching traditional uterine-expanding rod N of different model, corresponding volume Xml, is recorded on shop instructions, and in clinical position, the tolerance that final goal is injected or liquid measure are that target expands the corresponding Xml value of palace model.
Operating procedure:
First emptying storage capsule 4, reads probe model corresponding X value in the soft expansion of target palace in description, utilizes syringe interior extraction Xml gas or liquid (geothermal liquid is better) standby.Soft expansion palace probe is bent to after suitable camber, lidocaine ointment is smeared on surface, play lubricated and anesthetic action, soft expansion palace probe is inserted to uterine cavity, when uterine cavity bottom touches sizing conductor inner core 1 most advanced and sophisticated, display lamp 12 is equivalent to ground connection, shows as display lamp 12 stable permanent bright (similar function of electroprobe), records the uterine cavity degree of depth.Soft expansion palace probe is withdrawn to uterine cavity, arrive storage capsule 4 position corresponding with cervix uteri mouth, with ready syringe to unidirectional inlet 6 injecting gas or liquid on handle 3, after reaching desired pressure value, suspend wait, when cervix uteri mouth is lax gradually, force value on pressure tester 8 can reduce, now continue to unidirectional inlet 6 injecting gas or liquid on handle 3, after again reaching desired pressure value, continue to wait for, so repeatedly, until after Xml gas or liquid injected completely, force value on pressure tester drops to while approaching 0 force value gradually, emptying storage capsule, extract soft expansion palace probe, carry out operation technique.
Example 1
Hysteroscope diagnosis and treatment art
It is No. 11 that target expands palace model
First emptying storage capsule 4, reads No. 11 corresponding X values of uterine-expanding rod in description, and by extracting in syringe, Xml gas or liquid (geothermal liquid is better) are standby.Soft expansion palace probe is bent to after suitable camber, and lidocaine ointment is smeared on surface, and soft expansion palace probe is inserted to uterine cavity, and when uterine cavity bottom touches the top of sizing conductor inner core 1, display lamp 12 is stable permanent bright, records the uterine cavity degree of depth.Probe is withdrawn to uterine cavity, arrive storage capsule 4 position corresponding with cervix uteri mouth, with ready syringe to unidirectional inlet 6 injecting gas or liquid on handle 3, after reaching desired pressure value, suspend wait, when cervix uteri mouth is lax gradually, force value on pressure tester 8 can reduce, now continue to unidirectional inlet 6 injecting gas or liquid on handle 3, after again reaching desired pressure value, continue to wait for, so repeatedly, until after Xml gas or liquid injected completely, force value on pressure tester 8 drops to while approaching 0 force value gradually, emptying storage capsule 4, extract soft expansion palace probe, put into hysteroscope, carry out operation technique.
Example 2
Uterine aspiration and the dilatation and curettage
It is No. 6 that target expands palace model
First emptying storage capsule 4, reads No. 6 corresponding X ' values of uterine-expanding rod in description, and by extracting in syringe, X ' ml gas or liquid (geothermal liquid is better) are standby.Soft expansion palace probe is bent to after suitable camber, and lidocaine ointment is smeared on surface, and soft expansion palace probe is inserted to uterine cavity, and when uterine cavity bottom touches the top of sizing conductor inner core, display lamp 12 is stable permanent bright, records the uterine cavity degree of depth.Probe is withdrawn to uterine cavity, arrive storage capsule 4 position corresponding with cervix uteri mouth, with ready syringe to unidirectional inlet 6 injecting gas or liquid on handle 3, after reaching desired pressure value, suspend wait, when cervix uteri mouth is lax gradually, force value on pressure tester 8 can reduce, now continue to unidirectional inlet 6 injecting gas or liquid on handle 3, after again reaching desired pressure value, continue to wait for, so repeatedly, until after X ' ml gas or liquid injected completely, force value on pressure tester 8 drops to while approaching 0 force value gradually, emptying storage capsule 4, extract soft expansion palace probe, carry out operation technique.