CN105126227A - Small intestine double-contrast angiographic catheter and using method thereof - Google Patents

Small intestine double-contrast angiographic catheter and using method thereof Download PDF

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Publication number
CN105126227A
CN105126227A CN201510550471.4A CN201510550471A CN105126227A CN 105126227 A CN105126227 A CN 105126227A CN 201510550471 A CN201510550471 A CN 201510550471A CN 105126227 A CN105126227 A CN 105126227A
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China
Prior art keywords
small intestinal
traction
flexible pipe
patient
pendant
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CN201510550471.4A
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Chinese (zh)
Inventor
王兆华
王晓晨
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Individual
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Individual
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Priority to CN201510550471.4A priority Critical patent/CN105126227A/en
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Abstract

Disclosed is a small intestine double-contrast angiographic catheter. A traction pendulum is fixedly connected to the near end of a hose. A rotating body with a threaded protruding strip is arranged outside the traction pendulum. The traction pendulum comprises a head, a waist and a tail. The outer diameter of any cross section of the waist is smaller than the maximum outer diameter of the cross section of the head and the cross section of the tail. The traction pendulum is a metal body in the shape of a dumbbell or a calabash. The hose is a thin, long and flexible micro catheter with the super-smooth surface. A using method of the small intestine double-contrast angiographic catheter comprises the steps that a patient is in the sitting posture, the traction pendulum is placed into the mouth of the patient, the patient swallows the traction pendulum with warm water, the hose is located out of the body, then, the patient is in the right arm recumbent position, the position of the traction pendulum is observed through X-ray perspective, a positive contrast agent is injected after the traction pendulum reaches the duodenal bulb, pressurization is performed, 500-1000 ml of air is injected, the full situation of the positive contrast agent inside the small intestine is observed under the X-ray perspective after the positive contrast agent is mixed with the air, and X-ray images are shot in good time to be diagnosed by a doctor; then, the hose is lifted slowly, and the traction pendulum is pulled out from the mouth cavity of the patient slowly.

Description

Small intestinal double contrast radiography conduit and using method thereof
Technical field
The present invention relates to a kind of medical apparatus and instruments and using method thereof, particularly relate to a kind of small intestinal double contrast radiography conduit and using method thereof.
Background technology
At present, the requirement of gastral Medical Imaging inspection to equipment and technology is higher and complicated, and especially the mammography of small intestinal double-contrast is difficult point wherein.Existing small intestinal double contrast radiography conduit is the materials such as glue is moulded, plastic cement and makes, there is certain hardness and elasticity, after nostril or oral cavity are inserted, duodenum is entered by esophagus, stomach during use, then by conduit, gas and positive contrast's agent are injected small intestinal, x-ray fluoroscopy, take the photograph sheet under show black-and-white image, medically be called small intestinal double-contrast X-ray radiography, be mainly used in the diagnosis of the diseases such as intestinal tumor, tuberculosis, inflammation.This operation belongs to passivity small intestinal cannula angiography, and when intubate, patient has certain misery and danger, is generally difficult to accept, therefore promotes the use of and be subject to certain restrictions.
Summary of the invention
The object of this invention is to provide a kind of no pain is easy to acceptance small intestinal double contrast radiography conduit and using method thereof without dangerous, patient.
For achieving the above object, the technical solution used in the present invention is:
A kind of small intestinal double contrast radiography conduit, comprises flexible pipe, it is characterized in that, flexible pipe near-end is fixedly connected with traction pendant, and traction pendant inside offers through hole, and through hole communicates with flexible pipe is airtight.
According to described small intestinal double contrast radiography conduit, it is characterized in that, described traction pendant is rotary body.
According to described small intestinal double contrast radiography conduit, it is characterized in that, described traction pendant outside is threaded the ridge of shape.
According to described small intestinal double contrast radiography conduit, it is characterized in that, described traction pendant comprises head, waist and afterbody, and the external diameter of any one cross section of waist is all less than the maximum outside diameter of head and afterbody cross section.
According to described small intestinal double contrast radiography conduit, it is characterized in that, described traction pendant is dumbbell or gourd shape.
According to described small intestinal double contrast radiography conduit, it is characterized in that, described traction pendant is metallic object.
According to described small intestinal double contrast radiography conduit, it is characterized in that, described flexible pipe is the microtubular of elongated flexible, surperficial superslide, and flexible pipe far-end is airtight is fixedly connected with tee T, the afterbody one of described traction pendant is fixedly communicated with connection tube, and connection tube fixedly communicates with flexible pipe is airtight.
A kind of using method of small intestinal double contrast radiography conduit, it is characterized in that, step is as follows: patient gets end sitting position, traction pendant is put into stomatosis people, warm water delivery service is swallowed, flexible pipe is positioned at external, after half a minute, patient drinks warm water 100-200ml again, and after 3-5 minute, patient gets right arm reclining, is observed the position at traction pendant place after 15 minutes by x-ray fluoroscopy, do not arrive in duodenal bulb as drawn pendant, then patient continues right arm reclining, is observed once by x-ray fluoroscopy every 15 minutes, until traction pendant arrives in duodenal bulb; Treat that traction pendant has arrived in duodenal bulb, then syringe is connected with the tee T being reserved in extrabuccal flexible pipe far-end, inject positive contrast's agent, then be connected with tee T with air bag, pressurization gas injection 500-1000ml, observes the full situation after little enteral positive contrast agent and gas and vapor permeation, as contrast medium under x-ray fluoroscopy fills defective under x-ray fluoroscopy, then repeatedly in tee T, inject positive contrast's agent and gas again, until meet the full requirement of small intestinal double contrast radiography; If reach requirement full, then taking x-rays is diagnosed disease of intestine for doctor in good time; As radiography is qualified, x-ray fluoroscopy and take the photograph sheet and can meet doctor to after the diagnosis needs of disease of intestine, slowly lifts flexible pipe, is slowly extracted out from patient's mouth by traction pendant.
According to the using method of described small intestinal double contrast radiography conduit, it is characterized in that, the temperature of described warm water is 30-50 DEG C.
According to the using method of described small intestinal double contrast radiography conduit, it is characterized in that, described positive contrast's agent is iohexol solution 50-100ml or barium sulfate weak solution 200-500ml.
Use of the present invention utilizes Human Physiology swallowing act and gastrointestinal emptying function preferentially to be entered in duodenum by the traction of flexible pipe front end pendant, changing passivity intubate is that initiative is swallowed, avoid troublesome operation and the misery of per os or nasal cavity insertion, then by conduit to little enteral injecting gas and positive contrast's agent, carry out x-ray fluoroscopy or take the photograph sheet, i.e. small intestinal double-contrast X-ray radiography, for the diagnosis of disease of intestine.Patient is easy to accept, and fast easy to use, no pain is without danger.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is the structural representation drawing pendant in the present invention.
In accompanying drawing:
1, tee T; 2, flexible pipe; 3, traction pendant; 4, connection tube; 5, ridge; 6, through hole; 7, head; 8, waist; 9, afterbody.
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, the invention will be further described:
A kind of small intestinal double contrast radiography conduit, as depicted in figs. 1 and 2, comprises flexible pipe 2, and flexible pipe 2 near-end is fixedly connected with traction pendant 3, and traction pendant 3 inside offers through hole 6, and through hole 6 communicates with flexible pipe 2 is airtight.Described traction pendant 3 is rotary body.The ridge 5 of shape is threaded outside described traction pendant 3.Described traction pendant 3 comprises head 7, waist 8 and afterbody 9, and the external diameter of any one cross section of waist 8 is all less than the maximum outside diameter of head 7 and afterbody 9 cross section.Described traction pendant 3 is dumbbell or gourd shape.Described traction pendant 3 is metallic object.Described flexible pipe 2 is the microtubular of elongated flexible, surperficial superslide, and flexible pipe 2 far-end is airtight is fixedly connected with tee T 1, and afterbody 9 one of described traction pendant 3 is fixedly communicated with connection tube 4, and connection tube 4 fixedly communicates with flexible pipe 2 is airtight.
A kind of using method of small intestinal double contrast radiography conduit, it is characterized in that, step is as follows: patient gets end sitting position, traction pendant 3 is put into stomatosis people, warm water delivery service is swallowed, flexible pipe 2 is positioned at external, after half a minute, patient drinks warm water 100-200ml again, and after 3-5 minute, patient gets right arm reclining, is observed the position at traction pendant place after 15 minutes by x-ray fluoroscopy, do not arrive in duodenal bulb as drawn pendant 3, then patient continues right arm reclining, is observed once by x-ray fluoroscopy every 15 minutes, until traction pendant 3 arrives in duodenal bulb; Treat that traction pendant 3 has arrived in duodenal bulb, then syringe is connected with the tee T being reserved in extrabuccal flexible pipe far-end, inject positive contrast's agent, then be connected with tee T with air bag, pressurization gas injection 500-1000ml, observes the full situation after little enteral positive contrast agent and gas and vapor permeation, as contrast medium under x-ray fluoroscopy fills defective under x-ray fluoroscopy, then repeatedly in tee T, inject positive contrast's agent and gas again, until meet the full requirement of small intestinal double contrast radiography; If reach requirement full, then taking x-rays is diagnosed disease of intestine for doctor in good time; As radiography is qualified, x-ray fluoroscopy and take the photograph sheet and can meet doctor to after the diagnosis needs of disease of intestine, slowly lifts flexible pipe 2, is slowly extracted out from patient's mouth by traction pendant 3.The temperature of described warm water is 30-50 DEG C.Described positive contrast's agent is iohexol solution 50-100ml or barium sulfate weak solution 200-500ml.
Flexible pipe in the present invention is the microtubular of an elongated flexible, surperficial superslide, flexible pipe front end connects dumbbell shape traction pendant with holes, the dumbbell shape traction pendant with holes made requires its smooth surface and is threaded shape ridge, is conducive under the wriggling of esophagus, stomach by cardia pipe, pyloric canal and enter duodenum.
The patient's direct oral cavity warm water checked is needed naturally to swallow the traction pendant of bottom hose front end, under the effect that traction falls self gravitation and Human Physiology wriggling function, traction pendant traction flexible pipe front end enters in duodenum in the lump, its flexible pipe far-end to be then reserved in outside oral cavity and connecting tee pipe, contrast examination can be carried out through tee T injection air and contrast medium with syringe, patient's no pain is without danger, and be easy to accept, result of use is good.
In the present invention, the perforated metal body of traction pendant dumbbell shape, the front projection of traction pendant is of a size of 0.5cm*2cm, hose length is about about 80cm, external diameter is 0.04mm, making material is the soft materials such as the polrvinyl chloride of medical poisonless, and its far-end connects a tee T, convenient and syringe or airbags during use.
It is to allow traction pendant under the peristaltic forces effect of self gravitation and esophagus, stomach that traction pendant is designed to dumbbell shape, when by cardia pipe and pyloric canal, its front end enters after in above-mentioned pipe, the eel-like figure part of dumbbell shaped is fixed under the effect of esophagus, gastric peristalsis contraction wave, can prevent traction pendant slippage and retrogressing.
The center of traction pendant, along its length with through hole, is the passage entering small intestinal after being connected with flexible pipe for gas during radiography and positive contrast's agent.
Traction pendant surface, in screw-like, being to increase certain frictional force, being easy to push ahead under the wriggling of esophagus, stomach and enter in duodenum.Because esophagus, gastric mucous layer have a large amount of mucus to adhere to, if traction pendant surface is too sliding, not easily push ahead.
The connection tube of traction pendant one end ledge is used for being connected with flexible pipe.
Flexible pipe is for connecting traction pendant and threeway, and its purposes is by sacculus or syringe pressurization gas injection and injects positive contrast agent, thus enters little enteral and carry out radiography, namely reaches the object of small intestinal double-end profiler.
Using method of the present invention is: patient gets end sitting position, traction pendant with holes for dumbbell shaped is put into mouth, warm water delivery service is swallowed, to swallow and under action of gravity, dumbbell shaped traction with holes pendant is very fast enters gastric by esophagus, then patient gets right arm reclining, under the effect of gravity and gastric peristalsis, draw pendant enters in duodenal bulb, now need patient under x-ray fluoroscopy, observe the position of dumbbell shaped traction pendant with holes, as arrived precalculated position, namely in duodenal bulb, then syringe is connected with the tee T being reserved in extrabuccal flexible pipe far-end, inject positive contrast's agent, as iohexol solution 50-100ml, or barium sulfate weak solution 200-500ml, be connected with tee T with air bag again, pressurization gas injection 500-1000ml, enough gas is by full for small intestinal expansion, by mucous membrane of small intestine uniform application after positive contrast's agent injection, the gas that little enteral fills be applied in the opaque contrast medium of intestinal mucosa at x-ray fluoroscopy, black-and-white image is shown under taking the photograph sheet, observe the full situation after little enteral positive contrast agent and gas and vapor permeation under x-ray fluoroscopy, in good time taking x-rays is diagnosed disease of intestine for doctor.As full in contrast medium under x-ray fluoroscopy dissatisfied, can repeatedly inject positive contrast's agent and gas, to meet the requirement of small intestinal double contrast radiography.As satisfied in radiography, x-ray fluoroscopy and take the photograph after sheet meets and need the diagnosis of disease of intestine, slowly extracts out flexible pipe and dumbbell shaped traction pendant from oral cavity.

Claims (10)

1. a small intestinal double contrast radiography conduit, comprises flexible pipe (2), it is characterized in that, flexible pipe (2) near-end is fixedly connected with traction pendant (3), and traction pendant (3) inside offers through hole (6), and through hole (6) communicates with flexible pipe (2) is airtight.
2. small intestinal double contrast radiography conduit according to claim 1, is characterized in that, described traction pendant (3) is rotary body.
3. small intestinal double contrast radiography conduit according to claim 2, is characterized in that, described traction pendant (3) outside is threaded the ridge (5) of shape.
4. small intestinal double contrast radiography conduit according to claim 3, it is characterized in that, described traction pendant (3) comprises head (7), waist (8) and afterbody (9), and the external diameter of waist (8) any one cross section is all less than the maximum outside diameter of head (7) and afterbody (9) cross section.
5. small intestinal double contrast radiography conduit according to claim 4, is characterized in that, described traction pendant (3) is dumbbell or gourd shape.
6. small intestinal double contrast radiography conduit according to claim 5, is characterized in that, described traction pendant (3) is metallic object.
7. small intestinal double contrast radiography conduit according to claim 6, it is characterized in that, described flexible pipe (2) is elongated flexible, the microtubular of surperficial superslide, flexible pipe (2) far-end is airtight is fixedly connected with tee T (1), afterbody (9) one of described traction pendant (3) is fixedly communicated with connection tube (4), and connection tube (4) fixedly communicates with flexible pipe (2) is airtight.
8. a using method for small intestinal double contrast radiography conduit according to any one of claim 1 to 7, it is characterized in that, step is as follows:
Patient gets end sitting position, stomatosis people is put in traction pendant (3), and warm water delivery service is swallowed, and makes flexible pipe (2) be positioned at external, after half a minute, patient drinks warm water 100-200ml again, and after 3-5 minute, patient gets right arm reclining, is observed the position at traction pendant place after 15 minutes by x-ray fluoroscopy, do not arrive in duodenal bulb as drawn pendant (3), then patient continues right arm reclining, is observed once by x-ray fluoroscopy every 15 minutes, until traction pendant (3) arrives in duodenal bulb; Treat that traction pendant (3) has arrived in duodenal bulb, then syringe is connected with the tee T being reserved in extrabuccal flexible pipe far-end, inject positive contrast's agent, then be connected with tee T with air bag, pressurization gas injection 500-1000ml, observes the full situation after little enteral positive contrast agent and gas and vapor permeation, as contrast medium under x-ray fluoroscopy fills defective under x-ray fluoroscopy, then repeatedly in tee T, inject positive contrast's agent and gas again, until meet the full requirement of small intestinal double contrast radiography; If reach requirement full, then taking x-rays is diagnosed disease of intestine for doctor in good time; As radiography is qualified, x-ray fluoroscopy and take the photograph sheet and can meet doctor to after the diagnosis needs of disease of intestine, slowly lifts flexible pipe (2), traction pendant (3) is slowly extracted out from patient's mouth.
9. the using method of small intestinal double contrast radiography conduit according to claim 8, is characterized in that, the temperature of described warm water is 30-50 DEG C.
10. the using method of small intestinal double contrast radiography conduit according to claim 8, is characterized in that, described positive contrast's agent is iohexol solution 50-100ml or barium sulfate weak solution 200-500ml.
CN201510550471.4A 2015-09-01 2015-09-01 Small intestine double-contrast angiographic catheter and using method thereof Pending CN105126227A (en)

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Citations (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3780740A (en) * 1972-11-01 1973-12-25 J Rhea Intubation device and method of advancing a tube past the pylorus
US4410320A (en) * 1981-08-28 1983-10-18 Ethox Corp. Weighted enteric feeding tube
US4516970A (en) * 1982-09-13 1985-05-14 Kaufman Jack W Medical device
US4778455A (en) * 1985-02-14 1988-10-18 Terumo Kabushiki Kaisha Catheter
US4781704A (en) * 1987-02-24 1988-11-01 Entech, Inc. Feeding tube assembly with collapsible outlet connector
DE3509067C2 (en) * 1984-03-16 1994-02-24 Sterimed Gmbh Enteral feeding tube
WO2000053146A1 (en) * 1999-03-05 2000-09-14 Steen Holding Bv Self-positioning catheter
CN2540954Y (en) * 2002-05-17 2003-03-26 徐州市第四人民医院 Nasal cavity intestinal tube
CN1142759C (en) * 1997-02-04 2004-03-24 斯蒂格·本格马克 Catheter for providing fluid connection with small intestine
CN2684768Y (en) * 2004-04-05 2005-03-16 高海涛 Gastric juice extractor
US20060079835A1 (en) * 1997-02-10 2006-04-13 Frassica James J Rotate to advance catheterization system
CN2827416Y (en) * 2005-09-05 2006-10-18 刘欣 Intestinum tenue low flatulence barium double opacification tube
CN2877746Y (en) * 2006-03-20 2007-03-14 许茂盛 Disposable medical small intestine contrast guiding duct
US20080004598A1 (en) * 2005-02-08 2008-01-03 Gilbert Paul J Insertion System and Methods for Nasogastric Tubes
CN103721336A (en) * 2013-11-26 2014-04-16 南京大学医学院附属鼓楼医院 Novel nasal jejunum feeding tube guiding wire
CN203647736U (en) * 2014-01-03 2014-06-18 中国人民解放军第四军医大学 Large-diameter gravity water sac duodenum nutrition pipe
CN104771129A (en) * 2015-02-16 2015-07-15 哈尔滨医科大学 Enteroscope guiding device capable of developing under radioactive rays
CN204910437U (en) * 2015-09-01 2015-12-30 王兆华 Small intestine biconjugate is than radiography pipe

Patent Citations (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3780740A (en) * 1972-11-01 1973-12-25 J Rhea Intubation device and method of advancing a tube past the pylorus
US4410320A (en) * 1981-08-28 1983-10-18 Ethox Corp. Weighted enteric feeding tube
US4516970A (en) * 1982-09-13 1985-05-14 Kaufman Jack W Medical device
DE3509067C2 (en) * 1984-03-16 1994-02-24 Sterimed Gmbh Enteral feeding tube
US4778455A (en) * 1985-02-14 1988-10-18 Terumo Kabushiki Kaisha Catheter
US4781704A (en) * 1987-02-24 1988-11-01 Entech, Inc. Feeding tube assembly with collapsible outlet connector
CN1142759C (en) * 1997-02-04 2004-03-24 斯蒂格·本格马克 Catheter for providing fluid connection with small intestine
US20060079835A1 (en) * 1997-02-10 2006-04-13 Frassica James J Rotate to advance catheterization system
WO2000053146A1 (en) * 1999-03-05 2000-09-14 Steen Holding Bv Self-positioning catheter
CN2540954Y (en) * 2002-05-17 2003-03-26 徐州市第四人民医院 Nasal cavity intestinal tube
CN2684768Y (en) * 2004-04-05 2005-03-16 高海涛 Gastric juice extractor
US20080004598A1 (en) * 2005-02-08 2008-01-03 Gilbert Paul J Insertion System and Methods for Nasogastric Tubes
CN2827416Y (en) * 2005-09-05 2006-10-18 刘欣 Intestinum tenue low flatulence barium double opacification tube
CN2877746Y (en) * 2006-03-20 2007-03-14 许茂盛 Disposable medical small intestine contrast guiding duct
CN103721336A (en) * 2013-11-26 2014-04-16 南京大学医学院附属鼓楼医院 Novel nasal jejunum feeding tube guiding wire
CN203647736U (en) * 2014-01-03 2014-06-18 中国人民解放军第四军医大学 Large-diameter gravity water sac duodenum nutrition pipe
CN104771129A (en) * 2015-02-16 2015-07-15 哈尔滨医科大学 Enteroscope guiding device capable of developing under radioactive rays
CN204910437U (en) * 2015-09-01 2015-12-30 王兆华 Small intestine biconjugate is than radiography pipe

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Application publication date: 20151209