Background technology
The related surgical such as uterine aspiration, the dilatation and curettage, hysteroscope diagnosis and treatment art clinically, operation consent all wants the conventional degree of depth understanding cavity of uterus, then cervical dilatation is arrived the degree of uterine cavity to allowing operating theater instruments by cervix uteri, the operating theater instruments that recycling is relevant performs 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 is as follows with expansion palace instrument:
Probe: once property plastics and steel two kinds, needle body is comparatively thin, and easily by cervix uteri, but tip is comparatively thin, feel being relied on to judge the degree of depth of uterine cavity, the uterus thin and soft to some, when carrying out palace transluminal operation, there is the risk penetrating Uterus wall.
Uterine-expanding rod: once property plastics and steel two kinds, model divides different brackets according to thickness, and all will prepare some root type number connected uterine-expanding rod in each sterile package, sterile package is heavier, and is not that each model can be can use, just for subsequent use.In application process, generally from fine to coarse, expand palace gradually, until reach the model meeting medical apparatus and instruments and pass through; cervix uteri mouth is very tight sometimes, expansion difficulty, often violence can expand palace or coordinate Drug therapy; sometimes even can abandon operation, after good by Drug therapy, then row expands palace operation.No matter be that palace or Drug therapy are expanded in violence, all there is 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, remain in uterine cavity, the report that impact is conceived.
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, it is outer and be connected with handle that the end of sizing conductor inner core extends soft overcoat, soft overcoat cover pars intramuralis and handle inner are equipped with conduit, described two parts conduit is interconnected, the periphery, front end 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 inner 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 the display lamp and battery that are connected successively.
Preferably: the conduit of described soft overcoat cover pars intramuralis and handle inner is for being fixedly connected with or removably connecting.
Preferably: described soft overcoat cover pars intramuralis and the conduit of handle inner are also connected with pressure tester.
Preferably: described sizing conductor inner core with between 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 matched with positioner.
Beneficial effect of the present invention is: by being provided with storage capsule on the soft outer cover of sizing conductor inner core outside, and by conduit toward injecting gas or liquid in storage capsule, realize the object expanding palace, coordinate sizing conductor inner core and safety indicating device in addition, realize the function that probe indicates safely.In addition, 1, processing ease, as long as cervix uteri mouth can pass through probe, just can complete operation smoothly, new hand is acted on particularly evident.2, soft expansion palace alleviates cervical stimulation symptom and the mucosa injury that palace is expanded in original violence, alleviates the impact of vagus reflex on whole body.Especially, under the cooperation of lidocaine ointment, act on more obvious.3, avoid and fell to residuing in the generation of event in uterine cavity about disposable uterine-expanding rod breaks in the past.4, avoid conventional probe and rely on feel merely, at the bottom of thoughts and feelings palace, the drawback of the record uterine cavity degree of depth.For the patient that there is weak spot at the bottom of script palace, the generation of perforation event effectively can be prevented.Because this probe only needs at the bottom of contact palace, display lamp is luminous, just can record the uterine cavity degree of depth, without the need to exerting oneself.5, handle can be sterilized recycling clinically, and sizing conductor inner core can be sterilized recycling or take the circumstances into consideration to change as one sees fit, and must change parts only has soft overcoat, significantly reduces cost.6, the flexible sizing of sizing conductor inner core, adapts to clinical manipulation.
Detailed description of the invention
Below in conjunction with specific embodiment, the present invention will be further described.
The soft expansion palace of one as shown in Figure 1 probe, it comprises sizing conductor inner core 1, and sizing conductor inner core 1 can be provided with scale marker, is convenient to judge the degree of depth, and according to the practical situation bend fixing of palace mouth, can 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 identify the scale marker on sizing conductor inner core 1, quality is soft in addition, be wrapped in outside sizing conductor inner core 1, avoid at the bottom of sizing conductor inner core 1 pair of palace or the damage of palace 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, shape conductor inner core 1 with between handle 3 for being threaded or clamping.Sizing conductor inner core 1 end is also provided with safety indicating device 5, and be the display lamp 12 and battery 13 that are connected successively, the relevant position of handle 3 is provided with observation panel, may be used for viewing lamp.Certainly, handle 3 also can be arranged to printing opacity.Can judge whether to touch at the bottom of palace or palace wall according to whether display lamp 12 is bright during use, safer.Soft overcoat 2 overlaps pars intramuralis and handle 3 inside is equipped with conduit 9, this two parts conduit 9 is connected by connecting device 7, the periphery, front end of soft overcoat 2 is provided with storage capsule 4, conduit 9 front end in soft overcoat 2 jacket wall is connected with storage capsule 4 by the storage capsule opening 14 on soft overcoat 2 jacket wall, conduit 9 end of handle 3 inside is provided with unidirectional inlet 6, by unidirectional inlet 6 injecting gas or liquid, and can arrive storage capsule 4, make storage capsule 4 prop up palace mouth, reach the object expanding palace.The conduit 9 that soft overcoat 2 overlaps pars intramuralis and handle 3 inside is also connected with pressure tester 8.Described pressure tester 8 can be pressure chi, also can be Pressure gauge.Set four key pressure values according to pressure size: 1,0 force value, when filling gas or liquid in storage capsule 4, keep tension-free naturalness, the force value shown by pressure tester 8; 2, desired pressure value, when filling gas or liquid in storage capsule 4, firmly appropriateness keeps enough surface tension, storage capsule 4 volume no longer expands, and pressure increase reaches balance, stops gas injection or liquid, close unidirectional gas injection port 6, force value now shown by pressure tester 8, the gas altogether injected under record desired pressure value or liquid capacity, be set to Xml; 3, artificial ultimate value, normally people tries one's best the maximum equalizing pressure that can reach, the force value now shown by pressure tester 8, and this value is only for reference, and the strength difference of different people is not formed use to be affected; 4, anti-explosion value, reaches this pressure in theory, and storage capsule 4 can explosion, because exceeding 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, when top is touched at the bottom of palace, can not damaged tissue, the top central point of sizing conductor inner core 1 flushes with soft overcoat 2 front opening edge, in order to avoid palace wall being worked as the situation at the bottom of palace by mistake, its principle is when palace wall encountered by soft expansion palace probe, 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; When soft expansion palace probe is encountered at the bottom of palace, owing to being that the positive front end of soft expansion palace probe is touched at the bottom of palace, so display lamp 12 can be kept burning day and night, and judge whether soft expansion palace probe arrives at the bottom of palace with this.On the other hand, because the quality of soft overcoat 2 is softer, better combine to make sizing conductor inner core 1 and soft overcoat 2, positioner 10 is provided with in sizing conductor inner core 1 front end, positioner 10 is locating ring or positioning tooth, positioner 11 is arc from front to back, and released from the front opening of soft overcoat 2 by sizing conductor inner core 1 after being convenient to pull down handle 3, soft overcoat 2 inwall is provided with the locating slot 11 matched with positioner 10.
Storage capsule 4 maximum volume: according to clinical needs, setting storage capsule 4 maximum volume is corresponding with No. 12, traditional uterine-expanding rod, and volume when realizing maximum volume and reach desired pressure value is Yml.
Before dispatching from the factory, in the steel pipe of internal diameter with the equal thickness of corresponding uterine-expanding rod, in emptying air bag after gas or liquid, then fill gas or liquid in storage capsule.Obtain volume Xml when reaching desired pressure value.According to this method, measure storage capsule 4 when 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 expand the Xml value corresponding to the model of palace for target.
Operating procedure:
First emptying storage capsule 4, reads the X value corresponding to the probe model of target soft expansion palace in description, to utilize in syringe extraction Xml gas or liquid (geothermal liquid is better) for subsequent use.After soft expansion palace probe is bent to suitable camber, surface smear lidocaine ointment, play lubrication and anesthetic action, soft expansion palace probe is inserted uterine cavity, when touching sizing conductor inner core 1 most advanced and sophisticated bottom uterine cavity, display lamp 12 is equivalent to ground connection, shows as display lamp 12 stable permanent bright (similar function of electroprobe), the record uterine cavity degree of depth.Soft expansion palace probe is withdrawn from uterine cavity, arrive the position that storage capsule 4 is corresponding with cervix uteri mouth, with ready syringe to unidirectional inlet 6 injecting gas on handle 3 or liquid, suspend after reaching desired pressure value and wait for, when cervix uteri mouth is lax gradually, force value on pressure tester 8 can reduce, now continue to unidirectional inlet 6 injecting gas on handle 3 or liquid, continue to wait for after again reaching desired pressure value, so repeatedly, until after Xml gas or liquid injected completely, when force value on pressure tester drops to gradually close to 0 force value, 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 the X value corresponding to No. 11 uterine-expanding rod in description, will extract Xml gas or liquid (geothermal liquid is better) is for subsequent use in syringe.After soft expansion palace probe is bent to suitable camber, surface smear lidocaine ointment, inserts uterine cavity by soft expansion palace probe, and when touching the top of sizing conductor inner core 1 bottom uterine cavity, display lamp 12 is stable permanent bright, the record uterine cavity degree of depth.Probe is withdrawn from uterine cavity, arrive the position that storage capsule 4 is corresponding with cervix uteri mouth, with ready syringe to unidirectional inlet 6 injecting gas on handle 3 or liquid, suspend after reaching desired pressure value and wait for, when cervix uteri mouth is lax gradually, force value on pressure tester 8 can reduce, now continue to unidirectional inlet 6 injecting gas on handle 3 or liquid, continue to wait for after again reaching desired pressure value, so repeatedly, until after Xml gas or liquid injected completely, when force value on pressure tester 8 drops to gradually close to 0 force value, 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 the X ' value corresponding to No. 6 uterine-expanding rod in description, will extract X ' ml gas or liquid (geothermal liquid is better) is for subsequent use in syringe.After soft expansion palace probe is bent to suitable camber, surface smear lidocaine ointment, inserts uterine cavity by soft expansion palace probe, and when touching the top of sizing conductor inner core bottom uterine cavity, display lamp 12 is stable permanent bright, the record uterine cavity degree of depth.Probe is withdrawn from uterine cavity, arrive the position that storage capsule 4 is corresponding with cervix uteri mouth, with ready syringe to unidirectional inlet 6 injecting gas on handle 3 or liquid, suspend after reaching desired pressure value and wait for, when cervix uteri mouth is lax gradually, force value on pressure tester 8 can reduce, now continue to unidirectional inlet 6 injecting gas on handle 3 or liquid, continue to wait for after again reaching desired pressure value, so repeatedly, until after X ' ml gas or liquid injected completely, when force value on pressure tester 8 drops to gradually close to 0 force value, emptying storage capsule 4, extract soft expansion palace probe, carry out operation technique.