CN104586539A - Tectorial membrane bracket in medical care surgery and use method of tectorial membrane bracket - Google Patents
Tectorial membrane bracket in medical care surgery and use method of tectorial membrane bracket Download PDFInfo
- Publication number
- CN104586539A CN104586539A CN201510027877.4A CN201510027877A CN104586539A CN 104586539 A CN104586539 A CN 104586539A CN 201510027877 A CN201510027877 A CN 201510027877A CN 104586539 A CN104586539 A CN 104586539A
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- CN
- China
- Prior art keywords
- overlay film
- film frame
- main body
- tectorial membrane
- aortic arch
- 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
Links
- 238000000034 method Methods 0.000 title claims abstract description 14
- 210000002489 tectorial membrane Anatomy 0.000 title abstract 16
- 238000001356 surgical procedure Methods 0.000 title abstract 3
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 21
- 239000002473 artificial blood Substances 0.000 claims abstract description 19
- 210000000709 aorta Anatomy 0.000 claims abstract description 10
- 210000002376 aorta thoracic Anatomy 0.000 claims description 45
- 230000003014 reinforcing effect Effects 0.000 claims description 15
- 210000003270 subclavian artery Anatomy 0.000 claims description 10
- 210000001168 carotid artery common Anatomy 0.000 claims description 9
- 230000035876 healing Effects 0.000 claims description 9
- 239000000463 material Substances 0.000 claims description 6
- 239000002184 metal Substances 0.000 claims description 4
- 239000000956 alloy Substances 0.000 claims description 3
- 229910045601 alloy Inorganic materials 0.000 claims description 3
- 239000000835 fiber Substances 0.000 claims description 3
- 239000004753 textile Substances 0.000 claims description 3
- 208000010496 Heart Arrest Diseases 0.000 abstract description 4
- 230000002787 reinforcement Effects 0.000 abstract 2
- 210000000278 spinal cord Anatomy 0.000 abstract 1
- 210000002168 brachiocephalic trunk Anatomy 0.000 description 6
- 230000000694 effects Effects 0.000 description 6
- 230000002631 hypothermal effect Effects 0.000 description 4
- 231100000915 pathological change Toxicity 0.000 description 4
- 230000036285 pathological change Effects 0.000 description 4
- 230000002792 vascular Effects 0.000 description 4
- 208000032843 Hemorrhage Diseases 0.000 description 3
- 206010002895 aortic dissection Diseases 0.000 description 3
- 230000002980 postoperative effect Effects 0.000 description 3
- 208000002251 Dissecting Aneurysm Diseases 0.000 description 2
- 208000007536 Thrombosis Diseases 0.000 description 2
- 230000001464 adherent effect Effects 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 230000010354 integration Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 208000037803 restenosis Diseases 0.000 description 2
- 238000009958 sewing Methods 0.000 description 2
- 210000000115 thoracic cavity Anatomy 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 208000020431 spinal cord injury Diseases 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
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- Prostheses (AREA)
Abstract
The invention discloses a tectorial membrane bracket in medical care surgery and a use method of the tectorial membrane bracket. The bracket comprises reinforcement sutural margins, an artificial blood vessel tectorial membrane, a metallic framework, a tectorial membrane bracket main body, a roundabout involution opening, tectorial membrane bracket aorta arch sections and tectorial membrane bracket aorta lowering sections, wherein both ends of the tectorial membrane bracket main body are connected with the reinforcement sutural margins; the metallic framework is fixed on the tectorial membrane bracket main body; the artificial blood vessel tectorial membrane is attached to the metallic framework and the tectorial membrane bracket main body; the tectorial membrane bracket main body consists of the tectorial membrane bracket aorta arch sections and the tectorial membrane bracket aorta lowering sections; the roundabout involution opening is formed in the edge of the upper end of the middle of the tectorial membrane bracket main body. According to the invention, the time of a low temperature and circulatory arrest in the surgery is shortened, the possibility that spinal cords are damaged is reduced, and the restore of patients is facilitated.
Description
Technical field
The present invention relates to medical instruments field, be specifically related to overlay film frame and using method thereof in a kind of medical operating.
Background technology
For the situation that three branch vessel are intact, current employing be overlay film frame in aortic arch artificial blood vessel art, utilize the aortic arch of artificial vessel replacement's pathological changes, wherein artificial blood vessel is done rotary island cutting and three branch vessel carry out island stitching, and at near-end, artificial blood vessel and ascending aorta are sewed up, then overlay film frame is implanted descending aorta, finally by overlay film frame.But, because in operation process, need to carry out overlay film frame end and be provided with exposed metal rack section and the stitching of artificial blood vessel, the problem that the stitch points of three branch artificial blood vessels and artificial blood vessel is hemorrhage under long Deep Hypothermia Circulatory Arrest, this is one of reason causing patient's postoperative death.And this method exist following shortcoming support under blood flow impacts easily displacement aortic arch and branch vessel again pathological changes time treatment difficulty.
Summary of the invention
For solving the problem, the invention provides overlay film frame and using method thereof in a kind of medical operating, for the surgical operation therapy of dissecting aneurysm of aorta, shorten hands hypothermia, stop circulate time, reduce the probability of spinal cord injury, be conducive to the recovery of patient.
For achieving the above object, the technical scheme that the present invention takes is:
Overlay film frame in a kind of medical operating, comprise reinforcing sutural margin, artificial blood vessel's overlay film, metallic framework, overlay film frame main body, rotary island is to healing up, overlay film frame aortic arch section and overlay film frame descending aorta section, institute's overlay film frame main body two ends are connected with reinforcing sutural margin, described metallic framework is fixed in overlay film frame main body, described artificial blood vessel's overlay film is attached in described metallic framework and overlay film frame main body, described overlay film frame main body is made up of overlay film frame aortic arch section and overlay film frame descending aorta section, described rotary island is arranged on the middle upper end-face edge place of overlay film frame main body to healing up.
As preferably, the terminal part of described overlay film frame main body is provided with exposed metal rack section, the effect that can play overlay film frame in fixation better, prevent it to be shifted.
As preferably, described reinforcing sutural margin adopts pre-solidifying or solidifying in advance poly-cruel fiber textile to make.Described artificial blood vessel's overlay film is adopted as pre-solidifying medical macromolecular materials and makes.
As preferably, described metallic framework is made up of the multiple waveform annulus in " Z " font axially arranged, and the material of making of metallic framework is medical alloy.
As preferably, described overlay film frame aortic arch section and overlay film frame descending aorta section one-body molded.
For solving the problem, the embodiment of the present invention additionally provides the using method of overlay film frame in a kind of medical operating, comprises the steps:
S1, operation consent, first fetter overlay film frame;
S2, start operation, overlay film frame is transported in aortic arch, after conveying puts in place, unmuzzle, cradle support Self-bouncing, wherein, overlay film frame aortic arch section is positioned at aortic arch, overlay film frame descending aorta section is positioned at descending aorta, and rotary island is to healing up facing to the left common carotid artery being positioned at aortic arch, left subclavian artery, left subclavian artery three branches;
S3, stitching ascending aorta and aortic arch and reinforcing sutural margin, complete operation.
The present invention has following beneficial effect:
Have employed the support be made into integration through cut, reduce the thickness of support to greatest extent, increasing rotary island to healing up and the adherent performance of blood vessel wall, cause vascular restenosis after reducing stenter to implant and produce the risk of thrombosis.Vascular suture mouth is reduced to 1, not only remain brachiocephalic trunk blood vessel, left common carotid artery, the left subclavian artery of patient, also avoid the sewing process with brachiocephalic trunk blood vessel, left common carotid artery, left subclavian artery, this sews up mouth owing to reinforcing the effect of sutural margin, whole operation process is greatly simplified, reduce hemorrhage probability, substantially reduce the time of Deep Hypothermia Circulatory Arrest in whole operation, eliminate the stitching of the branch vessel of artificial blood vessel and aortic arch, thus reduce the risk of operation.In addition, for later brachiocephalic trunk blood vessel, left common carotid artery again pathological changes reserved treatment space.And this overlay film frame has another one reinforcing sutural margin to play for subsequent use, because aorta clamp layer segment postoperative patient, As time goes on, inevitably form Thoracic Aortic Dissection, reinforce sutural margin be after operation stitching or intracavity reparation play important effect.
Accompanying drawing explanation
Fig. 1 is the structural representation of overlay film frame in a kind of medical operating of the embodiment of the present invention.
Fig. 2 is that in a kind of medical operating of the embodiment of the present invention, overlay film frame reinforces design sketch when sutural margin uses.
Fig. 3 is the state diagram of overlay film frame in operation during Self-bouncing in a kind of medical operating of the embodiment of the present invention.
Detailed description of the invention
In order to make objects and advantages of the present invention clearly understand, below in conjunction with embodiment, the present invention is further elaborated.Should be appreciated that specific embodiment described herein only in order to explain the present invention, be not intended to limit the present invention.
As Figure 1-3, embodiments provide overlay film frame in a kind of medical operating, comprise and reinforce sutural margin 1, artificial blood vessel's overlay film 2, metallic framework 3, overlay film frame main body 4, rotary island is to healing up 5, overlay film frame aortic arch section 6 and overlay film frame descending aorta section 7, institute's overlay film frame main body 4 two ends are connected with and reinforce sutural margin 1, described metallic framework 3 is fixed in overlay film frame main body 4, described artificial blood vessel's overlay film 2 is attached in described metallic framework 3 and overlay film frame main body 4, described overlay film frame main body 4 is made up of overlay film frame aortic arch section 6 and overlay film frame descending aorta section 7, described rotary island is to the 5 middle upper end-face edge places being arranged on overlay film frame main body 4 that heal up.
The terminal part of described overlay film frame main body 4 is provided with exposed metal rack section, the effect that can play overlay film frame in fixation better, prevent it to be shifted.
Described reinforcing sutural margin 1 adopts pre-solidifying poly-cruel fiber textile to make.Described artificial blood vessel's overlay film 2 is adopted as pre-solidifying medical macromolecular materials and makes.
Described metallic framework 3 is made up of the multiple waveform annulus in " Z " font axially arranged, and the material of making of metallic framework 3 is medical alloy.
Described overlay film frame aortic arch section 6 and overlay film frame descending aorta section 7 one-body molded.
The embodiment of the present invention additionally provides the using method of overlay film frame in a kind of medical operating, comprises the steps:
S1, operation consent, first fetter overlay film frame;
S2, start operation, overlay film frame is transported in aortic arch, after conveying puts in place, unmuzzle, cradle support Self-bouncing, wherein, overlay film frame aortic arch section 6 is positioned at aortic arch, overlay film frame descending aorta section 7 is positioned at descending aorta, and rotary island is to healing up 5 facing to being positioned at the left common carotid artery of aortic arch, left subclavian artery, left subclavian artery three branches;
S3, stitching ascending aorta and aortic arch and reinforcing sutural margin 1, complete operation.
This specifically implements to have employed the support be made into integration through cut, reduces the thickness of support to greatest extent, increases rotary island to the adherent performance of heal up 5 and blood vessel wall, causes the risk of vascular restenosis and generation thrombosis after reducing stenter to implant.Vascular suture mouth is reduced to 1, not only remain brachiocephalic trunk blood vessel, left common carotid artery, the left subclavian artery of patient, also avoid the sewing process with brachiocephalic trunk blood vessel, left common carotid artery, left subclavian artery, this sews up mouth owing to reinforcing the effect of sutural margin 1, whole operation process is greatly simplified, reduce hemorrhage probability, substantially reduce the time of Deep Hypothermia Circulatory Arrest in whole operation, eliminate the stitching of the branch vessel of artificial blood vessel and aortic arch, thus reduce the risk of operation.In addition, for later brachiocephalic trunk blood vessel, left common carotid artery again pathological changes reserved treatment space.And this overlay film frame has another one reinforcing sutural margin 1 to play for subsequent use, because aorta clamp layer segment postoperative patient, As time goes on, inevitably form Thoracic Aortic Dissection, reinforcing sutural margin 1 is that important effect is played in later operation stitching or intracavity reparation.
The above is only the preferred embodiment of the present invention; it should be pointed out that for those skilled in the art, under the premise without departing from the principles of the invention; can also make some improvements and modifications, these improvements and modifications also should be considered as protection scope of the present invention.
Claims (6)
1. overlay film frame in a medical operating, it is characterized in that, comprise reinforcing sutural margin, artificial blood vessel's overlay film, metallic framework, overlay film frame main body, rotary island is to healing up, overlay film frame aortic arch section and overlay film frame descending aorta section, institute's overlay film frame main body two ends are connected with reinforcing sutural margin, described metallic framework is fixed in overlay film frame main body, described artificial blood vessel's overlay film is attached in described metallic framework and overlay film frame main body, described overlay film frame main body is made up of overlay film frame aortic arch section and overlay film frame descending aorta section, described rotary island is arranged on the middle upper end-face edge place of overlay film frame main body to healing up.
2. overlay film frame in a kind of medical operating as claimed in claim 1, is characterized in that, the terminal part of described overlay film frame main body is provided with exposed metal rack section.
3. overlay film frame in a kind of medical operating as claimed in claim 1, is characterized in that, described reinforcing sutural margin adopts pre-solidifying poly-cruel fiber textile to make; Described artificial blood vessel's overlay film is adopted as pre-solidifying medical macromolecular materials and makes.
4. overlay film frame in a kind of medical operating as claimed in claim 1, is characterized in that, described metallic framework is made up of the multiple waveform annulus in " Z " font axially arranged, and the material of making of metallic framework is medical alloy.
5. overlay film frame in a kind of medical operating as claimed in claim 1, is characterized in that, described overlay film frame aortic arch section and overlay film frame descending aorta section one-body molded.
6. in a kind of medical operating as described in any one of claim 1-5, the using method of overlay film frame, is characterized in that, comprise the steps:
S1, operation consent, first fetter overlay film frame;
S2, start operation, overlay film frame is transported in aortic arch, after conveying puts in place, unmuzzle, cradle support Self-bouncing, wherein, overlay film frame aortic arch section is positioned at aortic arch, overlay film frame descending aorta section is positioned at descending aorta, and rotary island is to healing up facing to the left common carotid artery being positioned at aortic arch, left subclavian artery, left subclavian artery three branches;
S3, stitching ascending aorta and aortic arch and reinforcing sutural margin, complete operation.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510027877.4A CN104586539A (en) | 2015-01-17 | 2015-01-17 | Tectorial membrane bracket in medical care surgery and use method of tectorial membrane bracket |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510027877.4A CN104586539A (en) | 2015-01-17 | 2015-01-17 | Tectorial membrane bracket in medical care surgery and use method of tectorial membrane bracket |
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| Publication Number | Publication Date |
|---|---|
| CN104586539A true CN104586539A (en) | 2015-05-06 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510027877.4A Pending CN104586539A (en) | 2015-01-17 | 2015-01-17 | Tectorial membrane bracket in medical care surgery and use method of tectorial membrane bracket |
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| CN (1) | CN104586539A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110652377A (en) * | 2018-06-29 | 2020-01-07 | 上海微创心脉医疗科技股份有限公司 | Covered stent and manufacturing method thereof |
| WO2020140839A1 (en) * | 2019-01-02 | 2020-07-09 | 杭州嘉和众邦生物科技有限公司 | Intraoperative stent and use method therefor |
-
2015
- 2015-01-17 CN CN201510027877.4A patent/CN104586539A/en active Pending
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110652377A (en) * | 2018-06-29 | 2020-01-07 | 上海微创心脉医疗科技股份有限公司 | Covered stent and manufacturing method thereof |
| WO2020140839A1 (en) * | 2019-01-02 | 2020-07-09 | 杭州嘉和众邦生物科技有限公司 | Intraoperative stent and use method therefor |
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Application publication date: 20150506 |
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