Background
At present, a colostomy of a patient is generally a permanent stoma, and the patient needs to use a stoma bag for the whole life due to the defect of anal sphincter, so that the emptying, cleaning and replacing frequency is high, and the difficulty is high; the long-term stoma can also cause complications such as peristoma skin inflammation, parastoma hernia and the like, and the life quality of a patient is seriously affected.
With the improvement of the operation skill and the postoperative adjuvant therapy in recent years, the patients have better long-term prognosis and longer life cycle, if the problems can be improved or solved, the life quality and the life happiness of the patients can be greatly improved, and the patients can better recover from the diseases to be integrated into the society and enjoy the life.
Disclosure of Invention
The main object of the present invention is to solve the above problems, and to provide a convenient colostomy blocking device, which simulates the effect of the anal sphincter muscle and reduces the physical and psychological stress on the patient.
In order to achieve the purpose, the technical scheme of the colostomy plugging device adopted by the invention is as follows:
including sacculus, control valve and pressure bag, the sacculus through first pipeline with the control valve be connected, the control valve pass through the second pipeline with the pressure bag be connected, the pressure bag include first side pressure portion and with the relative second side pressure portion that sets up of first side pressure portion, the tip of first side pressure portion and second side pressure portion all with the second pipeline be linked together, first side pressure portion set to have the arch when fluid is full of first side pressure portion, second side pressure portion set to have the concavity when fluid is full of second side pressure portion, through control the control valve, the fluid is full of the pressure bag, arch and concavity cooperate with the colon in the middle of the extrusion.
Preferably, the first side pressure part has a single-layer cavity, and the second side pressure part has a double-layer cavity to form a matched protrusion and a matched depression.
Preferably, the pressure bladder is provided with a plurality of sewing points.
Preferably, the control valve comprises a check valve body, a pump and a pressure relief button, wherein a first end of the check valve body is connected with the balloon, a second end of the check valve body is connected with the pressure bag, a third end of the check valve body is connected with the pump, and the pressure relief button is arranged on the check valve body, so that when the pump is pressed, fluid in the balloon enters the pressure bag through the check valve body; by pressing the pressure relief button, the fluid in the pressure bag reversely flows back to the balloon.
Preferably, the pressure bladder has a C-shaped, O-shaped or U-shaped profile.
Preferably, the bulges and the depressions have a clearance of 1-3 mm when the bulges and the depressions are matched to extrude the middle colon.
By adopting the colostomy plugging device, a patient with the colostomy can arrange defecation by himself, and the effect of the anal sphincter muscle is simulated, so that the physiological and psychological pressure of the patient is relieved.
Detailed Description
In order to clearly understand the technical contents of the present invention, the following examples are given in detail.
As shown in fig. 1 to 5, the colostomy occlusion device provided by the present invention comprises a balloon 1, a control valve 2, and a pressure bag 3, wherein the balloon 1 has a balloon 101 and a first pipe 102, the balloon 101 is connected with the control valve 2 through the first pipe 102, the control valve 2 has a pump 201, a pressure relief button 202 and a one-way valve body 203, the control valve 2 is connected with the pressure bag 3 through a second pipe 303, the pressure bag 3 comprises a first side pressure part 301 and a second side pressure part 302 arranged opposite to the first side pressure part 301, the ends of the first side pressure part 301 and the second side pressure part 302 are communicated with the second pipe 303, the first side pressure part 301 is arranged to have a bulge when fluid fills the first side pressure part, the second side pressure part 302 is arranged to have a depression when fluid fills the second side pressure part 302, by controlling the control valve 2, the fluid fills the pressure bladder and the protrusions and depressions cooperate to squeeze the middle colon.
Based on the above-described structural arrangement, the colostomy closure device of the present invention is applicable to patients with a caudal colostomy, and after completion of the colostomy, the first lateral pressure portion 301 and the second lateral pressure portion 302 of the present invention are again surgically implanted in the adipose layer below the colostomy. When a patient does not need to defecate, the pump 201 is pressed, fluid enters the first side pressure part 301 and the second side pressure part 302 from the bag body 101 through the first pipeline 102 and the second pipeline 303 under the action of pressing force, and the two walls of the colon are squeezed to prevent solid excrement from leaking through repeated pressing until the bulges and the depressions are matched (as shown in figures 2 to 3), and the intestinal tract clamped by the hydraulic bag (3) after complete expansion usually has a certain gap (1-3 mm different), so that the gas in the intestinal tract can be naturally discharged, and the colon can be clamped according to the condition of the patient (such as preventing liquid excrement from flowing); when the patient needs to defecate, the pressure relief button 202 is pressed to return the fluid in the first and second lateral pressure portions 301 and 302 to the bladder 101. The patient does not need to additionally carry medical instruments for collecting excrement outside the body, such as an ostomy bag and the like, can automatically arrange defecation time, and improves the life quality of the patient.
The first lateral pressure part 301 and the second lateral pressure part 302 are usually selected to be implanted in the fat layer of the abdominal wall under the colostomy, since there are few blood supply and nerves in the fat layer, the complications caused by the squeezing of the pressure bag are reduced to the greatest extent, and a certain amount of fat is usually reserved between the pressure bag and the colon wall, so that a certain buffering effect is achieved, and the influence on the blood supply of the intestinal wall is reduced. Alternatively, it may be fixed under the colostomy or in the region of the abdominal surface or under the muscular layer of the abdominal wall.
As shown in fig. 4, the first side pressure part 301 has a single-layer cavity, and the second side pressure part 302 has a double-layer cavity to form a mating protrusion and depression. Alternatively, as shown in fig. 3, the first lateral pressure portion 301 is provided with a protrusion toward the side of the colon, and the second lateral pressure portion 302 is provided with a recess toward the side of the colon, so that the fitting compression is realized. Because the lateral pressure parts are spaced at a certain distance (1-3 mm), the pressure point of the colon is relatively far, and the insufficient blood supply of the colon caused by over-compression of the colon is not easy to generate.
As shown in FIGS. 1-2, the bladder is provided with a plurality of stitching points 304. The fixation of the first and second lateral pressure portions 301 and 302 around the colostomy by means of the suture points 304, or other suturing means, prevents the occurrence of undesired displacements after implantation in the body and achieves a certain fulcrum effect, so that the first and second lateral pressure portions 301 and 302 are brought closer to each other towards the centre when inflated. The number of the stitching points 304 can be 2-6, and the stitching points can be added near the balloon and the control valve for fixation.
As shown in fig. 1 and 5, the control valve 2 includes a one-way valve body 203, a pump 201 and a pressure relief button 202, and the control valve disclosed in CN00125090.6 can be selected.
Specifically, the check valve body 203 is provided with a check valve 210 and a two-way valve 211, a first end of the check valve body 203 is connected with the balloon, a second end of the check valve body is connected with the pressure bag, a third end of the check valve body is connected with the pump, and the pressure relief button is arranged on the check valve body, so that when the pump is pressed, fluid in the balloon enters the pressure bag through the check valve body; by pressing the pressure relief button, the fluid in the pressure bag reversely flows back to the balloon.
When the pump 201 is pressed, the fluid enters the one-way valve 210, pushes the one-way valve plug 222, and thus presses the spring 221, so that the fluid can enter the second pipe 303 through the one-way valve 210, and finally enters the first side pressure portion 301 and the second side pressure portion 302. The valve plug 223 in the two-way valve 211 cannot completely close the two-way valve 211, and only has a flow-limiting effect.
Optionally, the pressure bladder has a C-shape, and retains a certain open position, so that the mesentery can maintain the blood supply of the colon, and can also be U-shaped, O-shaped or other shapes to surround the colon.
In the colostomy plugging device of the present invention, the balloon can be made of flexible medical polymer materials conforming to biocompatibility, such as silica gel, PE, etc. The pump can be made of flexible medical high polymer materials which accord with biocompatibility, such as silica gel, PE and the like. The pressure relief button and the one-way valve body can be made of high-strength medical high polymer materials or metal materials such as PEEK or stainless steel which meet the biocompatibility. The pressure bag can be made of flexible medical high polymer materials which accord with biocompatibility, such as silica gel, PE and the like, and the thickness is generally 3-8 mm.
In the colostomy plugging device of the present invention, liquid may be used for pressure conduction, and air pressure may also be used as a pressure conduction mechanism.
By adopting the colostomy plugging device, the adjustable pressure bag can be arranged in the subcutaneous fat layer near the terminal end of the colostomy of the patient to rebuild the defecation control function for the patient, so that the occurrence of peristomal inflammation and periincision hernia is fundamentally solved, the colostomy plugging device has the advantages and the characteristics of safe and simple operation, long service life of instruments and the like, and can ensure that the colostomy patient can arrange defecation by oneself to simulate the effect of anal sphincter so as to relieve the physiological and psychological pressure of the patient.
In this specification, the invention has been described with reference to specific embodiments thereof. It will, however, be evident that various modifications and changes may be made thereto without departing from the broader spirit and scope of the invention. The specification and drawings are, accordingly, to be regarded in an illustrative rather than a restrictive sense.