Background
Anal fistula refers to an abnormal channel formed by the communication of the rectum or anal canal and the skin around the anus, is also called anal canal rectal fistula, is called anal fistula for short, consists of an inner opening, a fistula and an outer opening, and is one of the common rectal and anal canal diseases.
Anal fistula can not self-heal and needs surgical treatment, and at present, the treatment of middle-high anal fistula mainly adopts a thread-hanging therapy. The traditional thread hanging therapy comprises the following operation steps: (1) the finger-assisted probe extends into the inner opening from the outer opening; (2) bending the front end of the probe and pulling the front end of the probe out of the anus; (3) a silk thread is tied at the front end of the probe, and a rubber band is connected in parallel; (4) the probe is withdrawn, the rubber band is pulled out from the fistula and ligated with silk thread. Therefore, the tissue hooped by the rubber band is subjected to ischemic necrosis, gradually becomes black and falls off, and meanwhile, the subsequent new tissue grows up while the original tissue falls off, so that the fistula is filled, and the anal fistula is cured.
However, the conventional thread-hanging operation has several disadvantages as follows: (1) when an internal fistula of the anal fistula is explored, a slender metal probe is needed, and when the probe is explored in the fistula, the surrounding tissues are easily damaged; (2) the metal needle is not easy to bend, and after the internal fistula is explored, a doctor is required to operate to probe fingers into the anus of the patient, and after the probe is explored, the finger is bent and then the anus is taken out, so that the pain experience of the patient is increased; (3) when a doctor searches for an inner opening, the inner opening is often closed, namely the inner opening is pseudohealed or the pipeline is not smooth, so that the correct inner opening is difficult to find, the thread can not be hung, and the operation is probably firstly cut, so that the pain of a patient is increased; (4) after the thread is hung, the anus of a patient is always in a contraction state due to pain, so that the wound surface outside the anus cannot be completely released, the wound surfaces which are already open are often quickly adhered together, and as a result, the drainage of the external orifice is not smooth, and the fistula is easy to relapse; (5) the rubber band connected with the probe is easy to fall off and break, the former increases the operation difficulty, and the latter requires 2 operations; (6) when a part of anal fistula is hung, the coil is required to be gradually tightened according to the tissue necrosis degree, finally, the tissue in the coil is completely necrotic, and the coil falls off along with the necrosis. However, the step of tightening the coil is complicated, which easily results in the breakage of the rubber band and the failure of the operation.
In addition, when the anal fistula is treated by adopting the seton therapy, a gap is always left between the internal fistula and the seton, and dirt enters the fistula through the gap when a patient defecates, so that healing is affected, even more serious inflammation and abscess are caused, and pain of the patient is increased.
Disclosure of Invention
In view of the above, the present invention is directed to a device for treating anal fistula, which solves the problems of the prior art.
According to the present invention there is provided a device for treating anal fistulas comprising:
a silk thread;
the magnetic beads are of spherical structures, the surfaces of the magnetic beads are plated with nano silver ions, the number of the magnetic beads is multiple, and the magnetic beads are connected to the silk thread;
the blocking structure is fixedly connected to the middle part of the silk thread and is used for blocking the inner opening of the anal fistula;
grooves are formed in the magnetic beads respectively, the grooves extend along the length direction of the silk thread, and a conduit is arranged in the grooves of the magnetic beads on one side of the blocking structure.
Preferably, each magnetic bead is provided with a flow guide hole, the flow guide hole penetrates through the bottom wall of the groove, and the conduit is provided with a first hole corresponding to the flow guide hole in the magnetic bead.
Preferably, an annular diversion trench is respectively arranged on the outer surface of each magnetic bead, the diversion trench penetrates through two side walls of the groove, and a second hole corresponding to the diversion trench on the magnetic bead is formed in the conduit.
Preferably, the wire is a titanium wire.
Preferably, the magnetic beads are made of neodymium magnets.
Preferably, the diameter of the magnetic beads is 2mm to 3 mm.
Preferably, be equipped with the barb on the silk thread, the barb is followed the length direction evenly distributed of silk thread.
Preferably, the blocking structure is an inflatable air bag, and one side of the air bag is provided with an inflation valve port.
Preferably, the end of the air bag away from the inflation valve port is in a conical structure.
Preferably, the plugging structure is a biological membrane, and the edge of the biological membrane is provided with barbs.
According to the device for treating anal fistula, the plurality of magnetic beads are arranged on the silk thread, so that the plurality of magnetic beads can be in a straight line when being tightened and can be freely bent when being loosened, the device can be used as a substitute for a probe, and tissues around the fistula cannot be damaged; for anal fistula with a part of internal anal fistula opening which is extremely small and difficult to probe, the opening can be conveniently indicated through the magnetism of the magnetic beads, after the magnetic beads at one end of the silk thread reach the internal anal fistula opening, the magnetic beads at the internal anal fistula opening can be sucked out from the anus through the magnetic beads at the other end of the silk thread, the situation that fingers are inserted into the anus for blind searching is not needed, and the operation is simple and convenient; for anal fistula with adhesive or pseudohealing inner orifice, magnetic beads are attracted to two sides of the adhesive or pseudohealing inner orifice, and the adhesive or pseudohealing point is perforated and then communicated naturally; after the device passes through the fistula, the magnetic beads at the two ends of the silk thread are attracted to form a closed loop structure, continuous compression force is generated on tissues in the closed loop through the magnetic attraction among the magnetic beads, so that the tissues in the closed loop are subjected to ischemic necrosis, the silk thread is not easy to break, the reliability in use is improved, the magnetic beads have certain diameters, wound surfaces which are pulled open cannot be adhered again, the drainage of an outer opening is smooth, and the fistula is not easy to recur; the plugging structure can reliably plug the inner opening of the anal fistula, prevent dirt from entering the fistula and facilitate healing. In addition, the catheter is arranged on the magnetic beads, so that the fistula can be irrigated, the pus can be discharged, the anesthetic can be injected and the like conveniently through the catheter.
Drawings
The above and other objects, features and advantages of the present invention will become more apparent from the following description of the embodiments of the present invention with reference to the accompanying drawings.
Fig. 1 shows a schematic structural view of a device for treating anal fistula according to an embodiment of the invention.
Fig. 2 is a cross-sectional view taken at a-a in fig. 1.
Fig. 3 shows a schematic view of a device for treating anal fistula according to an alternative embodiment of the invention.
Fig. 4 is a cross-sectional view at B-B in fig. 3.
Fig. 5 shows a schematic view of a device for treating anal fistula according to an alternative embodiment of the invention.
Fig. 6 is a structural view illustrating an opened state of a bio film of the device for treating anal fistula in fig. 5.
Fig. 7 is a cross-sectional view at C-C in fig. 6.
Fig. 8 is a schematic structural view of a barb on a biofilm of a device for treating anal fistula according to an embodiment of the present invention.
In the figure: the device comprises a silk thread 1, barbs 11, magnetic beads 2, a through hole 21, a groove 22, a flow guide hole 23, a flow guide groove 24, an air bag 3, an inflation valve port 31, a conduit 4, a first hole 41, a second hole 42, a biological membrane 5, a barb 51, a barb main body 511, a barb 512 and a support framework 52.
Detailed Description
Various embodiments of the present invention will be described in more detail below with reference to the accompanying drawings. Like elements in the various figures are denoted by the same or similar reference numerals. For purposes of clarity, the various features in the drawings are not necessarily drawn to scale.
Referring to fig. 1 and 2, the present invention provides a device for treating anal fistula, comprising a wire 1, magnetic beads 2 and a blocking structure. The silk thread 1 is of a flexible structure, can be freely bent, and is convenient to penetrate through the fistula. Magnetic bead 2 is spherical structure, and the quantity of magnetic bead 2 is a plurality of, and perforating hole 21 has been seted up at the middle part of magnetic bead 2, and the diameter of perforating hole 21 slightly is greater than the diameter of silk thread 1, and a plurality of magnetic beads 2 wear to establish on silk thread 1 through perforating hole 21 in proper order. The blocking structure is fixedly connected to the middle of the silk thread 1 and used for blocking the inner opening of the anal fistula after the device penetrates through the inner opening of the fistula, so that dirt is prevented from entering the fistula from a gap at the inner opening to affect healing.
When the device is used, the silk thread 1 and the magnetic beads 2 on the silk thread penetrate from the outer opening of the anal fistula and penetrate out from the inner opening of the anal fistula, the silk thread 1 at the outer opening of the anal fistula is properly cut, then the magnetic beads 2 at the two ends are sucked to form a closed loop structure, and the fact that continuous compression force is applied to the tissues in the closed loop is determined. If the adjustment is needed, the compression force can be increased by cutting the silk thread 1 at the external fistula and then attracting the magnetic beads 2 at the two ends, so that the tissue necrosis is accelerated.
The magnetic bead strings on the silk thread 1 can form a stable ring shape, the middle sections of the magnetic bead strings can not attract each other, and the magnetic bead strings have the characteristics that the magnetic force at the two ends of the magnetic bead strings is strong, and the middle magnetic force tends to zero. For a magnetic bead string, the attraction force generated by the newly added magnetic bead 2 and the two ends of the magnetic bead string is greater than the attraction force generated by the magnetic bead 2 and the middle section of the magnetic bead string, the magnetic bead 2 is inevitably connected to the ends of the magnetic bead string, and the two ends of the magnetic bead string tend to attract each other to form a ring.
And nano silver ions are plated on the surface of the magnetic bead 2. The nano silver ions have the effects of resisting bacteria and killing bacteria, can effectively activate and promote the growth of tissue cells, and accelerate the healing of wounds.
Grooves 22 are respectively formed in the magnetic beads 2, the grooves 22 extend along the length direction of the silk thread 1, a guide pipe 4 is arranged in the grooves 22 of the magnetic beads 2 on one side of the blocking structure, and the guide pipe 4 is bonded or clamped in the grooves 22 of the magnetic beads 2. The first end of the conduit 4 is located at the first end of the wire 1 and the second end of the conduit 4 is located at one side of the occluding structure. Through said conduit 4, can lavage the fistula, discharge the pus, can also reduce patient's agony through the injection anesthetic of conduit 4. In addition, a negative pressure suction ball or a negative pressure air bag can be connected to the first end of the catheter 4 to be used as a matched component, so that redundant gas in the fistula can be sucked out, negative pressure is formed in the fistula, and healing can be effectively promoted; the first end of the conduit 4 may also be externally connected to a barometer for measuring the negative suction pressure.
Further, in order to increase the effect of the catheter 4 for discharging the pus in the fistula, the pus exuded everywhere in the fistula can be discharged out of the body through the catheter 4, each magnetic bead 2 is provided with a flow guiding hole 23, the flow guiding holes 23 penetrate through the bottom wall of the groove 22, and the catheter 4 is provided with a first hole 41 corresponding to the flow guiding holes 23 on the magnetic beads 2. Pus generated in the fistula can be collected into the catheter 4 through the diversion holes 23 on the magnetic beads 2 through the first hole 41 on the catheter and discharged through the catheter 4. Meanwhile, the lavage effect can be improved when the fistula is irrigated.
Referring to fig. 3 and 4, in an alternative embodiment of the present invention, an annular guiding groove 24 is respectively disposed on an outer surface of each magnetic bead 2, the guiding groove 24 penetrates through two sidewalls of the groove 22, and the conduit 4 is provided with a second hole 42 corresponding to the guiding groove 24 on the magnetic bead 2. Similarly, the pus generated in the fistula can also be collected into the catheter 4 through the diversion trench 24 on the magnetic bead 2 via the second hole 42 on the catheter, and then discharged through the catheter 4.
In the embodiment, the diameter of the silk thread 1 is less than 0.5mm, the silk thread 1 is a titanium thread, the titanium thread is light in weight, high in strength, good in toughness and good in corrosion resistance, the silk thread 1 is not easy to break when the titanium thread is used for treating anal fistula, and the reliability is high. The diameter of the magnetic bead 2 is 2 mm-3 mm, and the magnetic bead 2 is made of neodymium magnet with stronger magnetism. It will be appreciated that in alternative embodiments, other metal wires of other materials may be used for the wire 1.
Furthermore, barbs 11 are arranged on the silk thread 1, and the barbs 11 are uniformly distributed along the length direction of the silk thread 1. Specifically, the end of the silk thread 1 opposite to the tip of the barb 11 is defined as the first end of the silk thread 1 (shown in fig. 1 a), and the other end of the silk thread 1 is defined as the second end of the silk thread 1 (shown in fig. 1 b), when the magnetic bead 2 is arranged on the silk thread 1 in a penetrating manner, the magnetic bead 2 is penetrated from the first end of the silk thread 1 and slides to the second end of the silk thread 1, and because the silk thread 1 is provided with the barb 11, the magnetic bead 2 can only slide from the first end of the silk thread 1 to the second end thereof, and is difficult to slide out in the. The magnetic bead 2 at the second end of the silk thread 1 can be fixedly connected to the silk thread 1 to prevent the magnetic bead from falling off from the silk thread 1, and can be fixedly connected to the second end of the silk thread 1 in an adhesion or welding mode, and can also be knotted at the second end of the silk thread 1 to prevent the magnetic bead 2 from falling off from the second end of the silk thread 1.
As shown in fig. 1, in the present embodiment, the blocking structure is an inflatable airbag 3, and an inflation valve port 31 for inflating the airbag 3 is provided at one side of the airbag 3. The device is before using, gasbag 3 is not the state of aerifing, conveniently pass the fistula, in the use, the second end with silk thread 1 in the outer mouthful department of anal fistula penetrates, penetrate the magnetic bead 2 fistula one by one, when the magnetic bead 2 of the second end of silk thread 1 reachs the inner opening of anal fistula, the magnetic bead 2 that uses the first end of silk thread 1 attracts out the magnetic bead 2 of inner opening department in anus department, avoid exploring the trouble of looking for, the second end of pulling silk thread 1, pull out the anus with gasbag 3 outside, peg graft inflation valve port 31 department at gasbag 3 with the gas tube, then pull the first end of silk thread 1, pull back gasbag 3 to anal fistula inner opening department, inflate, fill in anal fistula inner opening position after making gasbag 3 aerify, pull out the gas tube after the end of inflating. Wherein, the one end that the valve port 31 was inflated far away from to gasbag 3 is the toper structure, can effectively block up anal fistula internal orifice, prevents that the filth from getting into in the fistula from the gap.
Referring to fig. 5 to 7, in an alternative embodiment of the present invention, the blocking structure is a biofilm 5, and the edge of the biofilm 5 is provided with barbs 51. The biomembrane 5 is used for being attached to the internal opening of the anal fistula to block the internal opening and prevent dirt such as excrement and urine from entering the fistula from the internal opening.
Specifically, the biofilm 5 is circular, the center of the circular biofilm 5 is fixedly connected to the silk thread 1, the biofilm 5 is provided with a plurality of supporting frameworks 52, the supporting frameworks 52 are radially and uniformly distributed on the biofilm 5 by taking the silk thread 1 as the center, and the biofilm is umbrella-shaped. The device is before sending into the fistula, and 5 folding of biomembrane are the closure state, and its diameter is less than the diameter of magnetic bead 2 during 5 closure states of biomembrane, conveniently pass through the fistula, and when the device visited from the external orifice of anal fistula, the opening direction of 5 biomembranes of closure state was opposite with the direction of visiting to be convenient for exploring of anal fistula internal orifice. When the biomembrane 5 passes through the fistula and reaches the inner opening of the anal fistula, the biomembrane 5 is opened and is in an umbrella opening shape, the silk thread 1 is reversely drawn, so that the biomembrane 5 is attached to the intestinal wall and is hooked on the intestinal wall through the hook thorn 51 at the edge of the biomembrane 5, and the biomembrane 5 is fixed to plug the inner opening of the anal fistula and prevent the excrement pollution. As shown in fig. 8, the barb 51 includes a barb body 511 and a barb 512, the root of the barb body 511 is connected to the biofilm 5, the head of the barb body 511 is pointed to facilitate penetration of the colonic mucosa, and the barb 512 is provided at the head of the barb body 511 and is inclined toward the root of the barb body 511 for preventing the barb 51 from coming off after penetrating the colonic mucosa. The length of the barbs on the biological film 5 is 3-4 mm, and the biological film 5 can be automatically discharged in the later healing process. This is because the colonic mucosa is self-renewing, and the thickness of the colonic mucosa is generally 5 to 7mm, so that the 3 to 4mm barb 51 can be released with the detachment of the mucosal layer to expel the biofilm 5.
According to the device for treating anal fistula, the plurality of magnetic beads are arranged on the silk thread, so that the plurality of magnetic beads can be in a straight line when being tightened and can be freely bent when being loosened, the device can be used as a substitute for a probe, and tissues around the fistula cannot be damaged; for anal fistula with a part of internal anal fistula opening which is extremely small and difficult to probe, the opening can be conveniently indicated through the magnetism of the magnetic beads, after the magnetic beads at one end of the silk thread reach the internal anal fistula opening, the magnetic beads at the internal anal fistula opening can be sucked out from the anus through the magnetic beads at the other end of the silk thread, the situation that fingers are inserted into the anus for blind searching is not needed, and the operation is simple and convenient; for anal fistula with a pseudohealed inner opening, magnetic beads are attracted to the two sides of the pseudohealed inner opening, and a pseudohealing point is perforated and communicated naturally; after the device passed the fistula, silk thread both ends magnetic bead attracts and forms closed loop structure, through the magnetic attraction between the magnetic bead, produces the compressive force that lasts to the tissue in the closed loop, makes tissue avascular necrosis in the closed loop, and the silk thread is difficult for the fracture, has improved the reliability when using to the magnetic bead has the certain diameter, and the surface of a wound of reining in the opening can not the adhesion again, makes the outer orifice drainage unobstructed, and the fistula is difficult for relapseing. In addition, through setting up the block structure, can reliably block the internal orifice of anal fistula, prevent that filth from getting into the fistula, do benefit to the healing.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other identical elements in a process, method, article, or apparatus that comprises the element.
Finally, it should be noted that: it should be understood that the above examples are only for clearly illustrating the present invention and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications of the invention may be made without departing from the scope of the invention.