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CN101564340B - Hip joint replacement fixed bed - Google Patents

Hip joint replacement fixed bed Download PDF

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Publication number
CN101564340B
CN101564340B CN2009101039949A CN200910103994A CN101564340B CN 101564340 B CN101564340 B CN 101564340B CN 2009101039949 A CN2009101039949 A CN 2009101039949A CN 200910103994 A CN200910103994 A CN 200910103994A CN 101564340 B CN101564340 B CN 101564340B
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rod
fixed
bed
nut
sleeve
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CN101564340A (en
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陈光兴
彭旭
杨柳
古凌川
王文斌
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First Affiliated Hospital of TMMU
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First Affiliated Hospital of TMMU
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Abstract

本发明公开了一种髋关节置换固定床,包括床(1),该床(1)上铺设有床垫(2),其特征在于:所述床(1)两侧中部设置有伸缩旋转摇杆机构,所述两伸缩旋转摇杆机构的自由端分别连接有短挡板(3)和长挡板(4),所述两伸缩旋转摇杆机构固定于床(1)侧面的固定端之间连接有布带(5)。本发明在手术中患者前体位固定牢靠,利于手术的进行,同时对需要在术中进行患肢延长的患者,做牵引的时,进行牵引对抗能提供足够的牵引力量,不会挤压伤会阴,也不会压伤男性患者的阴茎及阴囊。不会给患者带来附加的痛苦。

The invention discloses a fixed bed for hip joint replacement, which comprises a bed (1), on which a mattress (2) is laid, and is characterized in that: telescopic rotating rockers are arranged in the middle of both sides of the bed (1). Rod mechanism, the free ends of the two telescopic rotating rocker mechanisms are respectively connected with a short baffle (3) and a long baffle (4), and the two telescopic rotating rocker mechanisms are fixed between the fixed ends on the side of the bed (1) A cloth belt (5) is connected between them. The invention fixes the patient's front position firmly during the operation, which is beneficial to the operation. At the same time, for the patient who needs to extend the affected limb during the operation, when doing traction, the traction resistance can provide sufficient traction force and will not squeeze the perineum , and will not crush the penis and scrotum of male patients. No additional pain will be brought to the patient.

Description

一种髋关节置换固定床Fixed bed for hip replacement

技术领域 technical field

本发明属于一种外科手术床,具体地说,是一种用于髋关节置换手术的固定用床。The invention belongs to a surgical operating bed, in particular to a fixed bed used for hip joint replacement surgery.

背景技术 Background technique

随着我国综合国力的不断提升,出现股骨头坏死及股骨颈骨折的患者更多的倾向于选择进行全髋关节置换术。而目前进行手术的方式多采用后外侧切口入路,因为其创伤相对较小,显露视野充分等优点,受到了广大手术医生的推崇。该手术需要患者健侧卧位,前方由一块挡板抵住患者耻骨联合,后方由另一块挡板抵住患者骶尾部,再加上体位胶布方能固定患者于健侧侧卧位。对于术前测量患肢短缩明显的患者,需要进行患肢延长,在术中需要强有力且稳定的牵引对抗。那么在术前放置患者体位的时候需要在患者会阴处加用牵引固定。With the continuous improvement of my country's comprehensive national strength, patients with femoral head necrosis and femoral neck fractures are more inclined to choose total hip replacement. Currently, the posterolateral approach is mostly used for surgery, because of its advantages of relatively small trauma and sufficient field of view, it is highly recommended by the majority of surgeons. The operation requires the patient to lie on the healthy side, with a baffle in front to support the patient's pubic symphysis, and another baffle to support the patient's sacral coccygeal area in the rear, and the positional tape can be used to fix the patient in the lateral recumbent position on the healthy side. For patients with obvious shortening of the affected limb measured before operation, the affected limb needs to be lengthened, and a strong and stable traction resistance is required during the operation. Then, when placing the patient's position before the operation, it is necessary to add traction and fixation to the patient's perineum.

1.现有方法的缺点:1. Disadvantages of existing methods:

对于需要在术中进行患肢延长的患者,在阴处加用牵引固定时,经常碰到的问题有:1.牵引松动;2.牵引力量不够;3.挤压伤会阴,或容易压伤男性患者的阴茎及阴囊。也有因为术前体位固定不牢靠,而给术中带来不必要的麻烦,给患者带来附加的痛苦。For patients who need to extend the affected limb during the operation, when traction is added to the genitals, the problems often encountered are: 1. The traction is loose; 2. The traction force is not enough; 3. The perineum is crushed or easily crushed Penis and scrotum of a male patient. There are also unnecessary troubles during the operation and additional pain to the patient because the preoperative body position is not fixed firmly.

发明内容 Contents of the invention

为解决以上技术问题,本发明的目的在于提供一种即可以将患者前体位固定牢靠,又能提供强有力且稳定的牵引对抗。In order to solve the above technical problems, the purpose of the present invention is to provide a device that can not only fix the patient's front position firmly, but also provide strong and stable traction resistance.

本发明的目的是这样实现的:一种髋关节置换固定床,包括床,该床上铺设有床垫,其关键在于:所述床两侧中部设置有伸缩旋转摇杆机构,该伸缩旋转摇杆机构由固定座、竖杆、横向伸缩杆、圆管和”L”形连杆组成,其中横向伸缩杆两端分别与上方的圆管和下方的竖杆垂直相连,圆管上端套装”L”形连杆,该圆管外壁径向固定有螺套,所述螺母与该螺套相配合伸入圆管内抵住”L”形连杆,所述竖杆上端与横向伸缩杆相连由螺母固定,该竖杆下端穿过床侧面固定的固定座,该固定座外侧固定有螺套,所述螺母与该螺套相配合伸入固定座内抵住竖杆;两个伸缩旋转摇杆机构的“L”形连杆外端分别固定连接有短挡板或长挡板;所述床两侧固定的竖杆之间连接有布带,所述布带端头连接在横向伸缩杆与固定座之间的竖杆上。调节伸缩旋转摇杆机构的长度和旋转角度,短挡板抵住患者耻骨联合,长挡板板抵住患者骶尾部。进行患肢延长时,因为人是侧卧,布带就套住患者靠床的大腿的根部,提供稳定的牵引对抗。不会挤压伤会阴,或容易压伤男性患者的阴茎及阴囊。便于手术正常进行,布带端头连接在横向伸缩杆与固定座之间的竖杆。布带端头栓在竖杆上或套在竖杆,在牵引对抗时,横向伸缩杆与固定座可以对布带的上下进行限位,保证稳定的牵引对抗。The object of the present invention is achieved in the following way: a fixed bed for hip joint replacement, comprising a bed, the bed is covered with a mattress, the key lies in: a telescopic rotating rocker mechanism is arranged in the middle of both sides of the bed, and the telescopic rotating rocker The mechanism is composed of a fixed seat, a vertical rod, a horizontal telescopic rod, a circular tube and an "L"-shaped connecting rod. The two ends of the horizontal telescopic rod are vertically connected with the upper circular tube and the lower vertical rod respectively, and the upper end of the circular tube is set with "L" The outer wall of the round tube is radially fixed with a screw sleeve, and the nut cooperates with the screw sleeve and extends into the round tube to resist the "L" shaped connecting rod. The upper end of the vertical rod is connected with the horizontal telescopic rod and fixed by the nut , the lower end of the vertical rod passes through the fixed seat fixed on the side of the bed, and a screw sleeve is fixed on the outside of the fixed seat, and the nut cooperates with the screw sleeve and extends into the fixed seat to resist the vertical rod; the two telescopic rotating rocker mechanisms The outer ends of the "L"-shaped connecting rods are respectively fixedly connected with short baffles or long baffles; cloth belts are connected between the fixed vertical bars on both sides of the bed, and the ends of the cloth belts are connected between the horizontal telescopic rod and the fixed seat on the vertical bars between them. The length and rotation angle of the telescopic rotating rocker mechanism are adjusted, the short baffle is against the patient's pubic symphysis, and the long baffle is against the patient's sacrum. When the affected limb is extended, because the person is lying on his side, the cloth belt wraps around the root of the patient's thigh on the bed to provide stable traction resistance. It will not crush the perineum, or easily crush the penis and scrotum of male patients. To facilitate the normal operation, the end of the cloth belt is connected to the vertical rod between the horizontal telescopic rod and the fixing seat. The end of the cloth belt is bolted on or sleeved on the vertical rod. During the traction resistance, the horizontal telescopic rod and the fixing seat can limit the up and down of the cloth belt to ensure stable traction resistance.

上述布带为弹性材料制得。在牵引对抗更加柔和,套住患者大腿根部逐渐加力,不会损伤患者大腿。Above-mentioned tape is made of elastic material. The traction resistance is more gentle, and the force is gradually increased when the root of the patient's thigh is encased, so that the patient's thigh will not be damaged.

上述横向伸缩杆由横向杆和横向杆套组成,所述横向杆一部分伸入横向杆套内,所述横向杆套套装横向杆的侧壁设有螺套,所述螺母插入该螺套对所述横向杆定位。横向伸缩杆可以通过横向杆伸入横向杆套多少,来调节横向伸缩杆的长度,同样通过螺母抵住横向杆将其卡死不会相对运动。进一步扩大了整个伸缩旋转摇杆机构的调整范围。The above-mentioned horizontal expansion rod is composed of a horizontal rod and a horizontal rod sleeve. A part of the horizontal rod extends into the horizontal rod sleeve. described transverse bar positioning. The horizontal telescopic rod can adjust the length of the horizontal telescopic rod by how much the horizontal rod stretches into the horizontal rod sleeve, and it will not move relative to each other by the nut against the horizontal rod. The adjustment range of the entire telescopic rotary rocker mechanism is further expanded.

上述螺母分为头部、颈部和尾部,其中头部头部为近似四边形的塑料盘头,尾部尾部开有外螺纹,颈部直径大于尾部直径。在拧螺母的时候近似的四边形用手直接旋转比较省力,颈部没有螺纹,使得拧紧螺母后头部盘头与拧紧的物体之间留有一定距离。便于拧螺母的进行,达到保护头部的塑料盘头。The above-mentioned nut is divided into a head, a neck and a tail, wherein the head is a nearly quadrangular plastic pan head, and the tail is provided with external threads, and the diameter of the neck is greater than the diameter of the tail. It is less labor-saving to rotate the approximate quadrilateral directly by hand when tightening the nut, and the neck has no thread, so that there is a certain distance between the head pan head and the tightened object after tightening the nut. It is convenient to screw the nut and reach the plastic pan head to protect the head.

有益效果:本发明在手术中患者前体位固定牢靠,利于手术的进行,同时对需要在术中进行患肢延长的患者,做牵引的时,进行牵引对抗能提供足够的牵引力量,不会挤压伤会阴,也不会压伤男性患者的阴茎及阴囊。不会给患者带来附加的痛苦。Beneficial effects: the present invention fixes the patient's front position firmly during the operation, which is beneficial to the operation. At the same time, for the patient who needs to extend the affected limb during the operation, when performing traction, the traction resistance can provide sufficient traction force and will not squeeze Crushing the perineum will not crush the penis and scrotum of male patients. No additional pain will be brought to the patient.

附图说明 Description of drawings

图1是本实用新型的结构示意图;Fig. 1 is the structural representation of the utility model;

图2是图1的右视图;Fig. 2 is the right view of Fig. 1;

图3是图1的左视图;Fig. 3 is the left view of Fig. 1;

图4是图2拆除布带的结构示意图;Fig. 4 is a schematic structural view of Fig. 2 removing the cloth tape;

图5是图3拆除布带的结构示意图;Fig. 5 is a structural schematic diagram of removing the cloth tape in Fig. 3;

图6是横向伸缩杆的结构示意图;Fig. 6 is a structural schematic diagram of a transverse telescopic rod;

图7是螺母的结构示意图。Fig. 7 is a structural schematic diagram of a nut.

具体实施方式 Detailed ways

实施例1Example 1

如图1、图2、图3、图4、图5所示,本实用新型一种髋关节置换固定床,由床1、床垫2,伸缩旋转摇杆机构、挡板等组成。所述床1两侧中部设置有伸缩旋转摇杆机构,该伸缩旋转摇杆机构由固定座6、竖杆7、横向伸缩杆8、圆管9和“L”形连杆10组成,其中横向伸缩杆8两端分别与上方的圆管9和下方的竖杆7垂直相连,圆管9上端套装“L”形连杆10,连接杆的横截面为圆形,松动螺母11可以左右任意转动调整“L”形连杆10。该圆管9外壁径向固定有螺套,所述螺母11与该螺套相配合伸入圆管9内抵住“L”形连杆10,所述竖杆7上端与横向伸缩杆8相连由螺母11固定,该竖杆7下端穿过床1侧面固定的固定座6,该固定座6外侧固定有螺套,所述螺母11与该螺套相配合伸入固定座6内抵住竖杆7;两个伸缩旋转摇杆机构的“L”形连杆10外端分别固定连接有短挡板3或长挡板4;所述床1两侧固定的竖杆7之间连接有布带5,所述布带5为弹性材料制得。所述布带5端头连接在横向伸缩杆8与固定座6之间的竖杆7上。As shown in Fig. 1, Fig. 2, Fig. 3, Fig. 4 and Fig. 5, a fixed bed for hip joint replacement of the utility model is composed of a bed 1, a mattress 2, a telescopic rotating rocker mechanism, a baffle plate and the like. The middle part of both sides of the bed 1 is provided with a telescopic rotating rocker mechanism. The telescopic rotating rocker mechanism is composed of a fixed seat 6, a vertical rod 7, a horizontal telescopic rod 8, a round pipe 9 and an "L"-shaped connecting rod 10, wherein the horizontal The two ends of the telescopic rod 8 are vertically connected with the upper round pipe 9 and the lower vertical rod 7 respectively. The upper end of the round pipe 9 is fitted with an "L"-shaped connecting rod 10. The cross section of the connecting rod is circular, and the loose nut 11 can be rotated arbitrarily left and right. Adjust the "L" shaped connecting rod 10. The outer wall of the round tube 9 is radially fixed with a screw sleeve, and the nut 11 cooperates with the screw sleeve and extends into the round tube 9 to resist the "L"-shaped connecting rod 10, and the upper end of the vertical rod 7 is connected with the horizontal telescopic rod 8 Fixed by a nut 11, the lower end of the vertical rod 7 passes through the fixed seat 6 fixed on the side of the bed 1, and a screw sleeve is fixed on the outside of the fixed seat 6, and the nut 11 cooperates with the screw sleeve and extends into the fixed seat 6 to resist the vertical bed. Rod 7; The outer ends of the "L" shaped connecting rods 10 of the two telescopic rotating rocker mechanisms are respectively fixedly connected with short baffles 3 or long baffles 4; fixed vertical bars 7 on both sides of the bed 1 are connected with cloth Belt 5, the cloth belt 5 is made of elastic material. The end of the cloth belt 5 is connected to the vertical rod 7 between the horizontal telescopic rod 8 and the fixed base 6 .

进一步由图6所示,横向伸缩杆8由横向杆8a和横向杆套8b组成,所述横向杆8a一部分伸入横向杆套8b内,所述横向杆套8b套装横向杆8a的侧壁设有螺套,所述螺母11插入该螺套对所述横向杆8a定位。Further as shown in Fig. 6, the horizontal telescopic rod 8 is made up of a horizontal rod 8a and a lateral rod sleeve 8b. A part of the lateral rod 8a extends into the lateral rod sleeve 8b, and the lateral rod sleeve 8b is set on the side wall of the lateral rod 8a. There is a threaded sleeve into which the nut 11 is inserted to position the transverse rod 8a.

进一步由图7所示,螺母11分为头部11a、颈部11b和尾部11c,其中头部头部11a为近似四边形的塑料盘头,尾部尾部11c开有外螺纹,颈部11b直径大于尾部直径。Further shown in Figure 7, the nut 11 is divided into a head 11a, a neck 11b and a tail 11c, wherein the head 11a is an approximately quadrangular plastic pan head, and the tail 11c is provided with external threads, and the diameter of the neck 11b is larger than that of the tail diameter.

Claims (4)

1.一种髋关节置换固定床,包括床(1),该床(1)上铺设有床垫(2),其特征在于:所述床(1)两侧中部设置有伸缩旋转摇杆机构,该伸缩旋转摇杆机构由固定座(6)、竖杆(7)、横向伸缩杆(8)、圆管(9)和“L”形连杆(10)组成,其中横向伸缩杆(8)两端分别与上方的圆管(9)和下方的竖杆(7)垂直相连,圆管(9)上端套装“L”形连杆(10),该圆管(9)外壁径向固定有螺套,第一螺母(11)与该螺套相配合伸入圆管(9)内抵住“L”形连杆(10),所述竖杆(7)上端与横向伸缩杆(8)相连由第二螺母(11)固定,该竖杆(7)下端穿过床(1)侧面固定的固定座(6),该固定座(6)外侧固定有螺套,第三螺母(11)与该螺套相配合伸入固定座(6)内抵住竖杆(7);两个伸缩旋转摇杆机构的“L”形连杆(10)外端分别固定连接有短挡板(3)或长挡板(4);所述床(1)两侧固定的竖杆(7)之间连接有布带(5),所述布带(5)端头连接在横向伸缩杆(8)与固定座(6)之间的竖杆(7)上。1. A fixed bed for hip joint replacement, comprising a bed (1), on which a mattress (2) is laid, characterized in that: the middle part of both sides of the bed (1) is provided with a telescopic rotating rocker mechanism , the telescopic rotary rocker mechanism is composed of a fixed seat (6), a vertical rod (7), a horizontal telescopic rod (8), a round tube (9) and an "L"-shaped connecting rod (10), wherein the lateral telescopic rod (8 ) are vertically connected with the upper round tube (9) and the lower vertical rod (7) respectively, the upper end of the round tube (9) is fitted with an "L" shaped connecting rod (10), and the outer wall of the round tube (9) is radially fixed There is a screw sleeve, and the first nut (11) cooperates with the screw sleeve and extends into the circular pipe (9) to resist the "L" shaped connecting rod (10). ) is connected and fixed by the second nut (11), the lower end of the vertical rod (7) passes through the fixed seat (6) fixed on the side of the bed (1), the outer side of the fixed seat (6) is fixed with a screw sleeve, the third nut (11 ) is matched with the screw sleeve and stretched into the fixed seat (6) to resist the vertical bar (7); the outer ends of the "L" shaped connecting rods (10) of the two telescopic rotating rocker mechanisms are respectively fixedly connected with short baffles ( 3) or a long baffle (4); a cloth belt (5) is connected between the fixed vertical rods (7) on both sides of the bed (1), and the end of the cloth belt (5) is connected to the horizontal telescopic rod ( 8) on the vertical bar (7) between the fixed seat (6). 2.根据权利要求1所述一种髋关节置换固定床,其特征在于:所述布带(5)为弹性材料制得。2. The fixed bed for hip joint replacement according to claim 1, characterized in that: the cloth belt (5) is made of elastic material. 3.根据权利要求1所述一种髋关节置换固定床,其特征在于:所述横向伸缩杆(8)由横向杆(8a)和横向杆套(8b)组成,所述横向杆(8a)一部分伸入横向杆套(8b)内,所述横向杆套(8b)套装横向杆(8a)的侧壁设有螺套,第四螺母(11)插入该螺套对所述横向杆(8a)定位。3. A fixed bed for hip joint replacement according to claim 1, characterized in that: the transverse telescopic rod (8) is composed of a transverse rod (8a) and a transverse rod sleeve (8b), and the transverse rod (8a) A part extends into the transverse rod sleeve (8b), and the side wall of the transverse rod sleeve (8b) is set with a threaded sleeve, and the fourth nut (11) is inserted into the threaded sleeve to align the transverse rod (8a) )position. 4.根据权利要求1所述一种髋关节置换固定床,其特征在于:所述螺母(11)分为头部(11a)、颈部(11b)和尾部(11c),其中头部(11a)为近似四边形的塑料盘头,尾部(11c)开有外螺纹,颈部(11b)直径大于尾部直径。4. A fixed bed for hip joint replacement according to claim 1, characterized in that: the nut (11) is divided into a head (11a), a neck (11b) and a tail (11c), wherein the head (11a ) is a nearly quadrangular plastic pan head, the tail (11c) has an external thread, and the diameter of the neck (11b) is greater than the diameter of the tail.
CN2009101039949A 2009-06-01 2009-06-01 Hip joint replacement fixed bed Expired - Fee Related CN101564340B (en)

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CN101564340B true CN101564340B (en) 2012-07-18

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CN106726311B (en) * 2017-02-17 2018-10-26 广州中医药大学第一附属医院 An angle-adjustable hip herringbone plaster orthopedic bed

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