CN113267389B - Lung tissue specimen fixing device and method - Google Patents
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Abstract
本发明公开了一种肺组织标本固定装置及方法,肺组织标本固定装置包括固定容器、密封盖和注液器,固定容器的顶部设有开口,固定容器还连接有压力调节器,压力调节器与固定容器的容腔连通;密封盖包括盖体和连通管,连通管的第一端位于盖体下方,连通管的第二端贯穿盖体或位于盖体上。将连通管的第一端插入肺组织的气管中固定,盖体密封固定容器的开口,通过压力调节器增大固定容器内压力后,再将注液器与连通管的第二端连接,然后降低固定容器内压力,肺组织在压差作用下吸取固定液。本发明应用仿生学模拟正常呼吸状态下,通过胸廓和膈肌的运动改变胸膜腔的压力来使气体排出,同时也能让固定液均匀地注入肺组织内,达到较好的扩张和固定效果。
The invention discloses a lung tissue sample fixing device and method. The lung tissue sample fixing device includes a fixed container, a sealing cover and a liquid injector. The top of the fixed container is provided with an opening, and the fixed container is also connected with a pressure regulator. The pressure regulator It communicates with the cavity of the fixed container; the sealing cover includes a cover body and a communication tube, the first end of the communication tube is located under the cover body, and the second end of the communication tube runs through the cover body or is located on the cover body. Insert the first end of the connecting tube into the trachea of the lung tissue and fix it. The cover seals the opening of the fixed container. After increasing the pressure in the fixed container through the pressure regulator, connect the liquid injector to the second end of the connecting tube, and then The pressure in the fixation container is reduced, and the lung tissue absorbs the fixation solution under the action of the pressure difference. The present invention uses bionics to simulate normal breathing state, changes the pressure of the pleural cavity through the movement of the thorax and the diaphragm to discharge the gas, and at the same time allows the fixative to be evenly injected into the lung tissue to achieve better expansion and fixation effects.
Description
技术领域technical field
本发明涉及生物实验技术领域中的一种肺组织标本固定装置及方法。The invention relates to a lung tissue sample fixing device and method in the technical field of biological experiments.
背景技术Background technique
肺组织取下后通常由于从受到胸腔内的负压转为正压及自身弹力的原因呈现萎缩状态,同时内部仍然含有大量气体,导致其在固定液中呈现漂浮状态,固定液渗透慢,固定效果差,且后期切片过程中由于肺部一直处于萎缩状态,导致切片后显微结构不够清晰,影响后期临床病理的判断以及医学教学效果。早期为了解决这一问题,通常是对肺组织施加重力使其完全浸泡入液体中,但是仍然无法解决肺组织萎缩的情况。后来有研究人员采用直接加压灌注固定液的方式将肺充填至正常扩张状态,固定后发现组织结构较为清晰,但是这一方法在实践中仍存在一些缺陷。首先加压灌注并不能完全排出肺内的气体,仍然有部分组织被气体隔离而接触不到固定液;另外加压灌注液体会优先流向较大的支气管,这部分支气管扩张后会进一步挤压其他组织,导致部分组织没有完全扩张,同时部分大支气管连接的组织由于过度扩张而使得肺泡破裂。After the lung tissue is removed, it is usually shrunken due to the negative pressure in the chest cavity to positive pressure and its own elasticity. At the same time, it still contains a lot of gas inside, causing it to float in the fixative solution. The effect is poor, and the lungs are always in atrophy state during the later slicing process, resulting in unclear microstructure after slicing, which affects the later clinical and pathological judgment and the effect of medical teaching. Early efforts to solve this problem, usually by applying gravity to the lung tissue so that it is completely immersed in the fluid, still cannot solve the situation of lung tissue shrinkage. Later, some researchers used the method of directly pressurizing and perfusing the fixative solution to fill the lungs to a normal expansion state. After fixation, the tissue structure was found to be relatively clear, but this method still has some defects in practice. First of all, pressurized perfusion cannot completely discharge the air in the lungs, and some tissues are still isolated by the gas and cannot touch the fixative fluid; in addition, the pressurized perfusion liquid will flow preferentially to the larger bronchi, which will further squeeze other bronchi after dilation. tissue, resulting in partial tissue incomplete expansion, and at the same time some large bronchus-connected tissue ruptured the alveoli due to over-expansion.
发明内容Contents of the invention
本发明的目的在于至少解决现有技术中存在的技术问题之一,提供一种肺组织标本固定装置及方法,更好地固定肺组织以形成标本。The purpose of the present invention is to at least solve one of the technical problems existing in the prior art, and provide a lung tissue specimen fixation device and method to better fix the lung tissue to form a specimen.
根据本发明的第一方面实施例,提供一种肺组织标本固定装置,包括固定容器,所述固定容器的顶部设有开口,所述固定容器还连接有压力调节器,所述压力调节器与所述固定容器的容腔连通;密封盖,所述密封盖包括盖体和连通管,所述盖体可拆卸连接在开口上,所述连通管的第一端位于盖体下方,所述连通管的第二端贯穿所述盖体或位于所述盖体上,所述连通管的第一端用于与肺组织连接;注液器,所述注液器用于与所述连通管的第二端连接。According to the embodiment of the first aspect of the present invention, a lung tissue specimen fixing device is provided, which includes a fixing container, an opening is arranged on the top of the fixing container, and a pressure regulator is connected to the fixing container, and the pressure regulator is connected with the The cavity of the fixed container is connected; a sealing cover, the sealing cover includes a cover body and a communication pipe, the cover body is detachably connected to the opening, the first end of the communication pipe is located under the cover body, and the communication pipe The second end of the tube passes through the cover or is located on the cover, the first end of the communication tube is used to connect with the lung tissue; the injector is used to connect with the second end of the communication tube Two-terminal connection.
根据本发明第一方面实施例,进一步地,所述注液器包括第一储液筒和第一活塞推杆,所述第一活塞推杆滑动安装在所述第一储液筒内,所述第一储液筒的端部设有第一凸起,所述第一凸起上设有第一通液孔,所述第一凸起能与所述连通管的第二端过盈配合。According to the embodiment of the first aspect of the present invention, further, the liquid injector includes a first liquid storage cylinder and a first piston push rod, and the first piston push rod is slidably installed in the first liquid storage cylinder, so The end of the first liquid storage cylinder is provided with a first protrusion, the first protrusion is provided with a first liquid hole, and the first protrusion can be interference fit with the second end of the communication pipe .
根据本发明第一方面实施例,进一步地,所述第一储液筒沿长度方向设有刻度。According to the embodiment of the first aspect of the present invention, further, the first liquid storage cylinder is provided with scales along the length direction.
根据本发明第一方面实施例,进一步地,所述固定容器上设有压力调节口,所述压力调节器包括第二储液筒和第二活塞推杆,所述第二活塞推杆滑动安装在所述第二储液筒内,所述第二储液筒的端部设有第二通液孔,所述第二通液孔能与所述压力调节口连接。According to the embodiment of the first aspect of the present invention, further, the fixed container is provided with a pressure regulating port, the pressure regulator includes a second liquid storage cylinder and a second piston push rod, and the second piston push rod is slidably installed In the second liquid storage cylinder, the end of the second liquid storage cylinder is provided with a second liquid through hole, and the second liquid through hole can be connected with the pressure regulating port.
根据本发明第一方面实施例,进一步地,所述压力调节口的外侧设有压力调节管,所述第二储液筒的端部设有第二凸起,所述第二通液孔位于所述第二凸起上,所述第二凸起与所述压力调节管过盈配合。According to the embodiment of the first aspect of the present invention, further, a pressure regulating tube is provided on the outside of the pressure regulating port, a second protrusion is provided at the end of the second liquid storage cylinder, and the second liquid hole is located at On the second protrusion, the second protrusion is in interference fit with the pressure regulating tube.
根据本发明第一方面实施例,进一步地,所述开口的顶面上设有开口连接管,所述盖体与所述开口连接管可拆卸连接。According to the embodiment of the first aspect of the present invention, further, an opening connecting pipe is provided on the top surface of the opening, and the cover is detachably connected to the opening connecting pipe.
根据本发明的第二方面实施例,提供一种肺组织标本固定方法,包括以下步骤:S10.将肺组织固定在密封盖下方,使肺气管与连通管的第一端连通;S20.将肺组织通过开口伸入已装有固定液的固定容器中,使盖体与开口密封连接;S30.提高固定容器内压力,直至肺组织萎缩;S40.连接注液器与连通管的第二端,再降低固定容器内压力。According to the embodiment of the second aspect of the present invention, there is provided a method for fixing lung tissue specimens, comprising the following steps: S10. Fix the lung tissue under the sealing cap so that the lung trachea communicates with the first end of the connecting tube; S20. Stretch the tissue into the fixed container filled with fixative through the opening, so that the cover is sealed with the opening; S30. Increase the pressure in the fixed container until the lung tissue shrinks; S40. Connect the liquid injector with the second end of the connecting tube, Then reduce the pressure in the fixed container.
根据本发明第二方面实施例,进一步地,在步骤S40中,当注液器向肺组织通入固定液的体积等于肺容积时,停止调节固定容器内压力。According to the embodiment of the second aspect of the present invention, further, in step S40, when the volume of the fixative liquid injected by the injector into the lung tissue is equal to the lung volume, the adjustment of the pressure in the fixation container is stopped.
本发明的有益效果是:将连通管的第一端插入肺组织的气管中固定,盖体密封固定容器的开口,通过压力调节器增大固定容器内压力后,再将注液器与连通管的第二端连接,然后降低固定容器内压力,肺组织在压差作用下吸取固定液。本发明应用仿生学模拟正常呼吸状态下,通过胸廓和膈肌的运动改变胸膜腔的压力来使气体排出,同时也能让固定液均匀地注入肺组织内,达到较好的扩张和固定效果。The beneficial effect of the present invention is: insert the first end of the connecting tube into the trachea of the lung tissue and fix it, the cover body seals the opening of the fixed container, and after increasing the pressure inside the fixed container through the pressure regulator, then connect the liquid injector and the connecting tube The second end is connected, and then the pressure in the fixed container is reduced, and the lung tissue absorbs the fixative solution under the action of the pressure difference. The present invention applies bionics to simulate normal breathing state, changes the pressure of the pleural cavity through the movement of the thorax and the diaphragm to discharge the gas, and at the same time allows the fixative to be evenly injected into the lung tissue to achieve better expansion and fixation effects.
附图说明Description of drawings
为了更清楚地说明本发明实施例中的技术方案,下面将对实施例描述中所需要使用的附图作简单说明。显然,所描述的附图只是本发明的一部分实施例,而不是全部实施例,本领域的技术人员在不付出创造性劳动的前提下,还可以根据这些附图获得其他设计方案和附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the following will briefly describe the drawings that need to be used in the description of the embodiments. Apparently, the described drawings are only some embodiments of the present invention, not all embodiments, and those skilled in the art can obtain other designs and drawings based on these drawings without creative work.
图1是本发明实施例中固定容器的示意图;Fig. 1 is the schematic diagram of fixed container in the embodiment of the present invention;
图2是本发明实施例中密封盖的示意图;Fig. 2 is the schematic diagram of sealing cap in the embodiment of the present invention;
图3是本发明实施例中注液器的示意图;Fig. 3 is the schematic diagram of the injector in the embodiment of the present invention;
图4是本发明实施例中压力调节器的示意图。Fig. 4 is a schematic diagram of a pressure regulator in an embodiment of the present invention.
具体实施方式Detailed ways
本部分将详细描述本发明的具体实施例,本发明之较佳实施例在附图中示出,附图的作用在于用图形补充说明书文字部分的描述,使人能够直观地、形象地理解本发明的每个技术特征和整体技术方案,但其不能理解为对本发明保护范围的限制。This part will describe the specific embodiment of the present invention in detail, and the preferred embodiment of the present invention is shown in the accompanying drawings. Each technical feature and overall technical solution of the invention, but it should not be understood as a limitation on the protection scope of the present invention.
在本发明的描述中,需要理解的是,涉及到方位描述,例如上、下、前、后、左、右等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。In the description of the present invention, it should be understood that the orientation descriptions, such as up, down, front, back, left, right, etc. indicated orientations or positional relationships are based on the orientations or positional relationships shown in the drawings, and are only In order to facilitate the description of the present invention and simplify the description, it does not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and thus should not be construed as limiting the present invention.
在本发明的描述中,若干的含义是一个或者多个,多个的含义是两个以上,大于、小于、超过等理解为不包括本数,以上、以下、以内等理解为包括本数。如果有描述到第一、第二只是用于区分技术特征为目的,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量或者隐含指明所指示的技术特征的先后关系。In the description of the present invention, several means one or more, and multiple means two or more. Greater than, less than, exceeding, etc. are understood as not including the original number, and above, below, within, etc. are understood as including the original number. If the description of the first and second is only for the purpose of distinguishing the technical features, it cannot be understood as indicating or implying the relative importance or implicitly indicating the number of the indicated technical features or implicitly indicating the order of the indicated technical features relation.
本发明的描述中,除非另有明确的限定,设置、安装、连接等词语应做广义理解,所属技术领域技术人员可以结合技术方案的具体内容合理确定上述词语在本发明中的具体含义。In the description of the present invention, unless otherwise clearly defined, words such as setting, installation, and connection should be understood in a broad sense, and those skilled in the art can reasonably determine the specific meanings of the above words in the present invention in combination with the specific content of the technical solution.
本发明第一方面实施例中的肺组织标本固定装置,包括固定容器10、密封盖20和注液器30,密封盖20包括盖体21和连通管22。固定容器10的顶部设有开口,固定容器10还连接有压力调节器40,肺组织固定在连通管22后,盖体21封闭开口,从而肺组织被放入固定容器10中,注液器30与连通管22连接,通过控制压力调节器40使固定容器10内压力发生变化,注液器30内的固定液充入肺组织中。The lung tissue sample fixing device in the embodiment of the first aspect of the present invention includes a
参照图1,固定液通过开口被装入或倒出固定容器10,肺组织也能通过开口被放入固定容器10中。可选地,固定容器10为透明构件,以便于观察肺组织的固定情况及固定后的肺组织。压力调节器40与固定容器10的容腔连通,以调节固定容器10内的压力。可以理解地,开口的顶面上设有开口连接管11,盖体21与开口连接管11可拆卸连接。可选地,盖体21与开口连接管11螺纹连接,盖体21与开口连接管11之间设有弹性密封件,如硅胶圈等。盖体21与开口连接管11的密封,有利于对固定容器10内的压力控制,从而保证肺组织的固定效果。Referring to FIG. 1 , the fixative solution is loaded into or poured out of the
在一些实施例中,固定容器10上设有压力调节口,参照图4,压力调节器40包括第二储液筒41和第二活塞推杆42,第二活塞推杆42滑动安装在第二储液筒41内,第二储液筒41的端部设有第二通液孔,第二通液孔能与压力调节口连接。随着第二活塞推杆42的在第二储液筒41中的活动,固定液通过第二通液孔流出或流入第二储液筒41,从而改变固定容器10的容腔压力。可选地,第二储液筒41上沿长度方向设有刻度,从而便于操作人员直观地观察固定容器10容腔内的压力变化情况,并达到定量精确控制的效果。In some embodiments, the
进一步地,压力调节口的外侧设有压力调节管12,第二储液筒41的端部设有第二凸起43,第二通液孔位于第二凸起43上,第二凸起43与压力调节管12过盈配合。由于第二凸起43与压力调节管12过盈配合,因此能确保第二储液筒41与固定容器10之间的密封连接,更准确地控制固定容器10容腔内压力。Further, the outside of the pressure regulating port is provided with a
参照图2,盖体21可拆卸连接在开口上,密封盖20在封盖开口的同时,也能固定肺组织。具体地,连通管22的第一端位于盖体21下方,连通管22的第二端贯穿盖体21或位于盖体21上,从而连通管22可连通盖体21内外的空间。连通管22的第一端用于与肺组织连接,连通管22的第二端与注液器30连接。本实施例中,连通管22的第一端穿入肺组织的气管并连接,注液器30内的固定液通过连通管22流入肺组织中,使肺组织充分扩张和固定。Referring to FIG. 2 , the
在一些实施例中,参照图3,注液器30包括第一储液筒31和第一活塞推杆32,第一活塞推杆32滑动安装在第一储液筒31内,第一储液筒31的端部设有第一凸起33,第一凸起33上设有第一通液孔,第一凸起33能与连通管22的第二端过盈配合。通过推拉第一活塞推杆32,第一活塞推杆32在第一储液筒31内运动,固定液通过第一通液孔流入连通管22中,继而固定液进入肺组织中。由于第一凸起33与连通管22过盈配合,因此能确保固定液不会从注液器30与连通管22之间的间隙漏出,也保证了第一储液筒31不会降气体充入肺组织中。In some embodiments, referring to FIG. 3 , the
进一步地,第一储液筒31沿长度方向设有刻度,根据刻度可判断充入肺组织内的固定液体积,从而判断是否需要继续灌注或停止灌注,保证肺组织得到充分扩张之余,避免了部分支气管过分膨胀而挤压其他组织,甚至导致肺泡破裂,影响肺组织标本的制作效果。Further, the first
以对200g的SD大鼠为例,本发明第二方面实施例中的肺组织标本固定方法,包括以下步骤:Taking SD rats of 200g as an example, the lung tissue sample fixing method in the second aspect embodiment of the present invention comprises the following steps:
S10.将肺组织固定在密封盖20下方,具体地,将肺组织绑定在连通管22的第一端,使肺气管与连通管22的第一端连通。S10 . Fix the lung tissue under the sealing
S20.将肺组织通过开口伸入已装有固定液的固定容器10中,使盖体21与开口密封连接。S20. Extending the lung tissue through the opening into the
S30.通过气压调节器提高固定容器10内压力,直至肺组织萎缩。具体地,在向固定容器10装入固定液前,先将第二凸起43连接至压力调节管12。当要提高固定容器10内压力时,推动第二活塞推杆42,使第二储液筒41中的固定液通过第二通液孔流入固定容器10内,从而固定容器10内的压力提高。由于固定容器10内压力提升,肺组织内的其他在压力作用下通过连通管22排出固定容器10,从而肺组织逐渐缩小直至呈现萎缩状。S30. Increase the pressure in the fixed
S40.当肺组织萎缩后,连接注液器30与连通管22的第二端,再降低固定容器10内压力。具体地,拉动第二活塞推杆42,使固定容器10内的固定液通过第二通液孔流入第二储液筒41中,固定容器10内的压力减小。通过负压作用可使肺组织均匀地扩张,与此同时,第一储液筒31内的液体在压差作用下,通过连通管22流入肺组织中,固定液从气管流向各支气管,模拟了动物呼吸时气体在肺部的流通,使肺组织内的各种结构均能保持正常良好形态。由于肺组织是在压差作用下主动“吸取”第一储液筒31中的固定液的,因此避免了注液器30向肺组织注液时,肺组织被动接收固定液,固定液在液压作用下可能破坏肺组织结构;另外,肺组织的内外均浸泡于固定液中,从而可以达到较好的固定效果,同时切片后的显微结构也更加接近生理状态。S40. After the lung tissue shrinks, connect the
可选地,当注液器30向肺组织通入固定液的体积等于肺容积时,停止调节固定容器10内压力,避免肺组织过度扩张导致组织被破坏。本实施例中,根据实验动物的体重计算得到肺容积,公式为:肺容积(ml)=0.981+0.038×体重(g),可得到注液器30所需向肺组织注入的固定液量。Optionally, when the volume of the fixative fluid injected into the lung tissue by the
本固定方法中,采用先正压排出肺组织内残余气体,然后再负压吸入固定液的方式,应用仿生学模拟正常呼吸状态下通过胸廓和膈肌的运动,改变胸膜腔的压力来使气体排出,同时让固定液均匀地注入肺组织内,达到较好的扩张和固定效果。与仅进行常规灌注的对照组相比,经本固定方法固定的肺组织结构正常,肺组织疏松囊泡状结构清晰,肺泡间隔较薄,各种结构均保持正常良好形态,未见明显萎陷、皱缩或肺组织结构实变破坏的失真改变。In this fixation method, positive pressure is used to discharge the residual gas in the lung tissue first, and then negative pressure is used to inhale the fixative solution. Bionics is used to simulate the movement of the thorax and diaphragm under normal breathing conditions, and the pressure of the pleural cavity is changed to make the gas discharge. At the same time, the fixative is evenly injected into the lung tissue to achieve a better expansion and fixation effect. Compared with the control group that only underwent conventional perfusion, the structure of the lung tissue fixed by this fixation method was normal, the loose vesicular structure of the lung tissue was clear, the alveolar septum was thinner, and all structures maintained normal and good shape without obvious collapse , Shrinkage or distortion of lung tissue structure destruction.
以上是对本发明的较佳实施方式进行了具体说明,但本发明创造并不限于实施例,熟悉本领域的技术人员在不违背本发明精神的前提下还可作出种种的等同变型或替换,这些等同的变型或替换均包含在本申请权利要求所限定的范围内。The above is a specific description of the preferred embodiments of the present invention, but the invention is not limited to the embodiments, and those skilled in the art can also make various equivalent modifications or replacements without violating the spirit of the present invention. Equivalent modifications or replacements are all included within the scope defined by the claims of the present application.
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