CN108553136A - Outer side drag hook for cervical vertebra operation - Google Patents
Outer side drag hook for cervical vertebra operation Download PDFInfo
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- CN108553136A CN108553136A CN201810324835.0A CN201810324835A CN108553136A CN 108553136 A CN108553136 A CN 108553136A CN 201810324835 A CN201810324835 A CN 201810324835A CN 108553136 A CN108553136 A CN 108553136A
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- 238000001356 surgical procedure Methods 0.000 claims abstract description 13
- 241001646071 Prioneris Species 0.000 claims description 4
- 238000000034 method Methods 0.000 description 6
- 210000001715 carotid artery Anatomy 0.000 description 5
- 206010061213 Iatrogenic injury Diseases 0.000 description 3
- 230000006378 damage Effects 0.000 description 3
- 208000006687 Esophageal Fistula Diseases 0.000 description 2
- 206010065835 Oesophageal fistula Diseases 0.000 description 2
- 206010065787 Tracheal fistula Diseases 0.000 description 2
- 210000001367 artery Anatomy 0.000 description 2
- 230000000903 blocking effect Effects 0.000 description 2
- 210000003238 esophagus Anatomy 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000003437 trachea Anatomy 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000004731 jugular vein Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
本发明公开了一种颈椎手术用外侧拉钩,包括布置于颈椎待手术区域的牵拉主体,所述牵拉主体的一端端部设置有与置入颈椎椎体的椎体撑开螺钉相匹配的咬合口,该咬合口咬合在所述椎体撑开螺钉的露出端上,所述牵拉主体围绕咬合点转动,拨开待手术区域的组织,暴露手术野。采用牵拉主体与置入颈椎椎体的椎体撑开螺钉可转动的连接方式,可以给牵拉主体一个旋转的支撑点,使得辅助人员操作更加方便、省力、安全、有效;此外,仅需一个辅助人员既可将待手术区域的组织拨开,节省人力。
The invention discloses a lateral drag hook for cervical spine surgery, which comprises a pulling main body arranged in the region of the cervical spine to be operated, and one end of the pulling main body is provided with a vertebral body expansion screw that matches the cervical vertebral body. An occlusal opening, the occlusal opening is engaged on the exposed end of the vertebral body distraction screw, and the pulling body rotates around the occlusal point to push aside the tissues in the area to be operated and expose the operation field. The rotatable connection between the stretching body and the vertebral body distraction screws inserted into the cervical vertebral body can provide a rotating support point for the stretching body, making the operation of the auxiliary personnel more convenient, labor-saving, safe and effective; in addition, only An auxiliary person can remove the tissue in the area to be operated, saving manpower.
Description
技术领域technical field
本发明涉及颈椎手术辅助用具,具体涉及一种颈椎手术用外侧拉钩。The invention relates to an auxiliary appliance for cervical spine surgery, in particular to a lateral drag hook for cervical spine surgery.
背景技术Background technique
在颈椎手术中,为了暴露患部并进行局部治疗,常采用拉钩牵拉颈椎前部的组织,例如:食管、气管、颈动脉等。现有的拉钩常采用板片弯曲制成,在牵拉颈椎前部组织的过程中,需要多人合作并向多个方向同时牵拉。现有拉钩在使用过程中,具有以下缺点:1)整个手术中,需配置较多的辅助医护人员;2)医护人员牵拉颈椎前部组织的时候,用力大小不一,容易用力过度造成撕扯组织(损伤食管、气管造成食管瘘、气管瘘,损伤颈动脉造成大出血危及生命);3)现有拉钩宽度较窄,重要组织、动脉、静脉等易从拉钩两侧膨出,造成医源性损伤,如导致食管瘘、气管瘘及颈动脉、颈静脉损伤,将大幅增加住院周期和住院医疗费用;4)拉钩在术中易滑入重要手术区域,阻挡手术者的视野,影响手术进程。In cervical spine surgery, retractors are often used to pull the tissues in the front of the cervical spine, such as esophagus, trachea, and carotid artery, in order to expose the affected area and perform local treatment. Existing retractors are often made by bending plates, and in the process of pulling the front tissue of the cervical spine, it requires the cooperation of multiple people to pull in multiple directions simultaneously. The existing retractors have the following disadvantages during use: 1) During the entire operation, more auxiliary medical personnel are required; 2) When the medical personnel pull the anterior tissue of the cervical spine, the force varies, and it is easy to cause tearing due to excessive force tissue (damage to the esophagus and trachea cause esophageal fistula and tracheal fistula, and damage to the carotid artery causes massive hemorrhage that is life-threatening); 3) The width of the existing retractor is narrow, and important tissues, arteries, and veins are easy to bulge from both sides of the retractor, resulting in iatrogenic Injury, such as esophageal fistula, tracheal fistula, carotid artery and jugular vein injury, will greatly increase the hospitalization period and hospitalization medical expenses; 4) The retractor is easy to slip into the important surgical area during the operation, blocking the operator's field of vision and affecting the operation process.
发明内容Contents of the invention
本发明的目的在于提供一种颈椎手术用外侧拉钩,以解决上述背景技术中提及的使用现有拉钩牵拉颈椎前部组织的时候,需要配置较多的辅助医护人员,造成人力浪费的问题;现有拉钩不固定及宽度较窄,造成过度撕扯组织、医源性损伤及阻挡手术者视野影响手术进程的问题。The purpose of the present invention is to provide a lateral retractor for cervical spine surgery to solve the problem of wasting manpower due to the need to deploy more auxiliary medical personnel when using the existing retractor to pull the front tissue of the cervical spine mentioned in the background technology ; The existing retractor is not fixed and the width is narrow, causing excessive tissue tearing, iatrogenic injury and blocking the operator's field of vision to affect the operation process.
为实现上述目的,本发明提供如下技术方案:一种颈椎手术用外侧拉钩,包括布置于颈椎待手术区域的牵拉主体,所述牵拉主体的一端端部设置有与置入颈椎椎体的椎体撑开螺钉相匹配的咬合口,该咬合口咬合在所述椎体撑开螺钉的露出端上,所述牵拉主体围绕咬合点转动,拨开待手术区域的组织,暴露手术野。In order to achieve the above object, the present invention provides the following technical solution: a lateral retractor for cervical spine surgery, including a pulling body arranged in the area of the cervical spine to be operated, one end of the pulling body is provided with a hook that is inserted into the cervical vertebral body The occlusal mouth of the vertebral body distraction screw is matched, and the occlusal mouth is engaged with the exposed end of the vertebral body distraction screw, and the pulling body rotates around the occlusal point to push away the tissue in the area to be operated and expose the surgical field.
进一步地,所述牵拉主体上还设置有手柄,所述手柄一端固定在所述牵拉主体上,另一端伸出待手术区域;所述牵拉主体由所述手柄带动围绕咬合点转动。Further, the pulling body is also provided with a handle, one end of the handle is fixed on the pulling body, and the other end extends out of the area to be operated; the pulling body is driven by the handle to rotate around the occlusal point.
进一步地,所述手柄与咬合口位于所述牵拉主体上的同侧。Further, the handle and the bite opening are located on the same side of the pulling body.
进一步地,所述手柄通过连接板固定在所述牵拉主体上,且所述手柄所在平面与所述牵拉主体所在平面垂直。Further, the handle is fixed on the pulling body through a connecting plate, and the plane where the handle is located is perpendicular to the plane where the pulling body is located.
进一步地,所述牵拉主体为表面光滑的板状结构,所述牵拉主体的长度由待手术区域的颈椎椎体高度确定。Further, the pulling body is a plate-like structure with a smooth surface, and the length of the pulling body is determined by the height of the cervical vertebral body in the area to be operated.
进一步地,所述牵拉主体靠近颈椎椎体的长边上还设有一排波浪形的锯齿。Further, a row of wavy sawtooth is also provided on the long side of the pulling body close to the cervical vertebral body.
进一步地,所述手柄和牵拉主体均采用硬质材料制作。Further, both the handle and the pulling body are made of hard materials.
与现有技术相比,本发明的有益效果是:Compared with prior art, the beneficial effect of the present invention is:
(1)采用牵拉主体与置入颈椎椎体的椎体撑开螺钉可转动的连接方式,可以给牵拉主体一个旋转的支撑点,使得辅助人员操作更加的方便、省力、安全、有效;此外,仅需一个辅助人员既可将待手术区域的组织拨开,节省人力;牵拉主体与置入颈椎椎体的椎体撑开螺钉相互咬合,不易滑入重要手术区域,影响手术者视野;牵拉主体的宽度宽,重要组织及颈动脉不易膨出外在导致医源性损伤;(1) The rotatable connection between the pulling body and the vertebral body distraction screws inserted into the cervical vertebral body can provide a rotating support point for the pulling body, making the operation of the auxiliary personnel more convenient, labor-saving, safe and effective; In addition, only one assistant is needed to push aside the tissue in the area to be operated, saving manpower; the pulling body and the vertebral body distraction screw placed in the cervical vertebral body engage with each other, making it difficult to slide into the important operation area and affect the operator's field of vision ;The width of the stretching body is wide, and important tissues and carotid arteries are not easy to bulge and cause iatrogenic injury;
(2)所述手柄转动并带动所述牵拉主体牵拉组织到一定位置时,操作人员仅需观察手柄是否发生转动,以此来调节牵拉主体对组织的牵拉力度,可有效的减少人为过度牵拉的问题;(2) When the handle rotates and drives the pulling body to pull the tissue to a certain position, the operator only needs to observe whether the handle rotates to adjust the pulling force of the pulling body on the tissue, which can effectively reduce the The problem of artificial overstretching;
(3)所述牵拉主体上的波浪形锯齿,可把紧靠于颈椎上的组织一同拨开,可将手术野处理的更加干净,便于后续手术的操作。(3) The wave-shaped sawtooth on the pulling body can push away the tissues close to the cervical vertebrae together, and can clean the surgical field, which is convenient for subsequent operations.
附图说明Description of drawings
图1为本发明的结构示意图;Fig. 1 is a structural representation of the present invention;
图中:1-颈动脉,2-牵拉主体,3-锯齿,4-连接板,5-手柄,6-咬合口,7-椎体撑开螺钉。In the figure: 1-carotid artery, 2-pulling main body, 3-sawtooth, 4-connecting plate, 5-handle, 6-occlusal opening, 7-vertebral body expansion screw.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述。显然,所描述的实施例仅仅是本发明的一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the drawings in the embodiments of the present invention. Apparently, the described embodiments are only some of the embodiments of the present invention, not all of them. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.
实施例1:请参阅图1,本发明提供一种技术方案:一种颈椎手术用外侧拉钩,包括布置于颈椎待手术区域的牵拉主体2,所述牵拉主体2的一端端部设置有与置入颈椎椎体的椎体撑开螺钉7相匹配的咬合口6,该咬合口6咬合在所述椎体撑开螺钉7的露出端上,所述牵拉主体2围绕咬合点转动,拨开待手术区域的组织,暴露手术野。Embodiment 1: Please refer to FIG. 1 , the present invention provides a technical solution: a kind of external retractor for cervical spine surgery, including a pulling main body 2 arranged in the area of the cervical spine to be operated, and one end of the pulling main body 2 is provided with The occlusal opening 6 matched with the vertebral body expansion screw 7 inserted into the cervical vertebral body, the occlusal opening 6 is engaged on the exposed end of the vertebral body expansion screw 7, and the pulling main body 2 rotates around the occlusal point, Remove the tissue in the area to be operated to expose the operating field.
为了较为方便的操控所述牵拉主体2,所述牵拉主体2上还设置有手柄5,所述手柄5一端固定在所述牵拉主体2上,另一端伸出待手术区域;所述牵拉主体2由所述手柄5带动围绕咬合点转动,且所述手柄5与咬合口6位于手柄5所述牵拉主体2上的同侧。In order to manipulate the pulling body 2 more conveniently, a handle 5 is also provided on the pulling body 2, one end of the handle 5 is fixed on the pulling body 2, and the other end extends out of the area to be operated; The pulling body 2 is driven by the handle 5 to rotate around the occlusal point, and the handle 5 and the occlusal opening 6 are located on the same side of the pulling body 2 on the handle 5 .
进一步的,为了提高所述手柄5和牵拉主体2的连接强度,所述手柄5通过连接板4固定在所述牵拉主体2上,且所述手柄5所在平面与所述牵拉主体2所在平面垂直。Further, in order to improve the connection strength between the handle 5 and the pulling body 2, the handle 5 is fixed on the pulling body 2 through the connecting plate 4, and the plane where the handle 5 is located is in line with the pulling body 2. The plane is vertical.
所述牵拉主体2为表面光滑的板状结构,所述牵拉主体2的长度由待手术区域的颈椎体的高度确定。The pulling body 2 is a plate-like structure with a smooth surface, and the length of the pulling body 2 is determined by the height of the cervical vertebral body in the area to be operated.
为了把紧靠于颈椎上的组织一同拨开,所述牵拉主体2靠近颈椎的长边上还设有一排波浪形的锯齿3。In order to push away the tissues close to the cervical vertebrae, a row of wavy sawtooths 3 is provided on the long side of the pulling body 2 close to the cervical vertebrae.
所述手柄5和牵拉主体2均采用硬质材料制作。Both the handle 5 and the pulling body 2 are made of hard materials.
使用方式:所述椎体撑开螺钉7从颈椎前端置入相邻椎体内;通过操控所述手柄5,带动与其连接的连接板4和牵拉主体2做绕所述椎体撑开螺钉7的中心轴线转动,由于所述牵拉主体2的板面与待牵拉组织贴合,例如:与颈动脉1贴合,既:所述牵拉主体2在转动的过程中,可给待牵拉组织一个作用力,实现牵拉待牵拉组织。Method of use: the vertebral body distraction screw 7 is placed into the adjacent vertebral body from the front end of the cervical spine; by manipulating the handle 5, the connecting plate 4 and the pulling body 2 connected to it are driven to act as distraction screws around the vertebral body The central axis of 7 rotates, because the plate surface of the pulling body 2 fits with the tissue to be stretched, for example: fits with the carotid artery 1, that is, the pulling body 2 can give the tissue to be stretched during the rotation process. An active force is used to pull the tissue to pull the tissue to be pulled.
尽管已经示出和描述了本发明的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本发明的原理和精神的情况下,可对这些实施例进行多种变化、修改、替换和变型,本发明的范围由所附权利要求及其等同物限定。Although the embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, Alternatives and modifications, the scope of the present invention is defined by the appended claims and their equivalents.
Claims (7)
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CN201167988Y (en) * | 2008-03-31 | 2008-12-24 | 泰安市中心医院 | Adjustable retractor for operation |
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CN202843672U (en) * | 2012-10-08 | 2013-04-03 | 南京医科大学第一附属医院 | Novel anterior cervical composite retractor |
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Application publication date: 20180921 |