基于磁压榨技术的先天性肛门闭锁再通吻合装置的设计
|
摘要
目的设计基于磁压榨技术的肛门闭锁再通吻合装置。方法分析先天性肛门闭锁疾病的特点,结合磁压榨技术的原理,设计微创下磁压榨肛门闭锁再通吻合装置。结果通过特殊形状设计的磁压榨吻合装置,借助穿刺技术在肛穴中心部位与直肠盲端建立穿刺道,纺锤状子磁体沿穿刺针置入直肠盲端,将与子磁体配套的带沉孔的圆柱状母磁体置于肛穴部位,子母磁体相吸并压榨可实现肛门闭锁的重建再通。结论该设计基于磁压榨吻合原理,设计巧妙、操作简便、创伤小、安全性高,具有很大的临床应用价值。
Objective To design a device for treating congenital anal atresia based on magnetic compression technology. Methods Firstly, the characteristics of congenital anorectal atresia were analyzed. Then, a minimally invasive magnetic compression device for anorectal atresia recanalization was designed by combining with the principle of magnetic compression techniques. Results A puncture path was established between the anal point and the blind end of the rectum by designing a special shape of magnetic compression anastomosis device. The spindle magnet was placed in the blind end of the rectum. The cylindrical parent magnet with sink hole matched with the daughter magnet was placed in the anal cavity. The parent magnet was sucked and compressed to achieve the anastomosis of anal atresia. Conclusion The design is performed based on the principle of magnetic compression anastomosis. It has the advantages of ingenious design, simple operation, small trauma and high safety. It has great clinical value.
Objective To design a device for treating congenital anal atresia based on magnetic compression technology. Methods Firstly, the characteristics of congenital anorectal atresia were analyzed. Then, a minimally invasive magnetic compression device for anorectal atresia recanalization was designed by combining with the principle of magnetic compression techniques. Results A puncture path was established between the anal point and the blind end of the rectum by designing a special shape of magnetic compression anastomosis device. The spindle magnet was placed in the blind end of the rectum. The cylindrical parent magnet with sink hole matched with the daughter magnet was placed in the anal cavity. The parent magnet was sucked and compressed to achieve the anastomosis of anal atresia. Conclusion The design is performed based on the principle of magnetic compression anastomosis. It has the advantages of ingenious design, simple operation, small trauma and high safety. It has great clinical value.
引文
[1]施诚仁,金先庆,李仲智.小儿外科学[M].4版.北京:人民卫生出版社,2010.
[2]龙雪峰,李强辉.先天性肛门闭锁的诊治进展[J].海南医学院学报,2013,19(6):861-864.
[3]高晓燕,高平民,吴时光,等.先天性肛门闭锁的影响因素分析[J].中国当代儿科杂志,2016,18(6):541-544.
[4]尹志业.先天性肛门闭锁[J].中国临床医生杂志,1986,5:5.
[5]王寿青,李炳,陈卫兵,等.腹腔镜技术在小儿肛门闭锁中的应用[J].中国微创外科杂志,2011,11(11):979-981.
[6]Pena A.Posterior sagittal anorectoplasty:results in the management of 332 cases of anorectal malformation[J].Pediatr Surg Int,1988,3(2-3):94-104.
[7]Georgeson KE,Inge TH,Albanese CT.Laparoscopically assisted anorectal pull-through for high imperforate anus-a new technique[J].J Pediatr Surg,2000,35(6):927-930.
[8]李龙,付竞波,余奇志,等.腹腔镜在高位肛门闭锁成形术中应用价值的探讨[J].中华小儿外科杂志,2004,25(5):420-422.
[9]田波彦,马佳,刘豪,等.磁控腹腔镜手术内置抓钳离合系统的设计[J].中国医疗设备,2018,33(8):70-73.
[10]严小鹏,商澎,史爱华,等.磁外科学体系的探索与建立[J].科学通报,2018.
[11]An Y,Zhang Y,Liu H,et al.Gastrojejunal anastomosis in rats using the magnetic compression technique[J].Sci Rep,2018,8(1):11620.
[12]Ma F,Ma J,Ma S,et al.A novel magnetic compression technique for small intestinal end-to-side anastomosis in rats[J].J Pediatr Surg,2018.
[13]Bai J,Huo X,Ma J,et al.Magnetic compression technique for colonic anastomosis in rats[J].J Surg Res,2018,231:24-29.
[14]严小鹏,任冯刚,杨桓,等.基于磁压榨技术的内镜下胃十二指肠旁路吻合装置[J].中华消化内镜杂志,2015,32(8):567-568.
[15]Ellebaek MBB,Qvist N,Rasmussen.Magnetic compression anastomosis in long-gap esophageal atresia gross type A:Acase report[J].European J Pediatr Surg Rep,2018,6(1):e37-e39.
[16]Fan C,Yan XP,Liu SQ,et al.Roux-en-Y choledochojejunostomy using novel magnetic compressive anastomats in canine model of obstructive jaundice[J].Hepatobiliary Pancreat Dis Int,2012,11(1):81-88.
[17]Parlak E,Koksal AS,Kucukay F,et al.A novel technique for the endoscopic treatment of complete biliary anastomosis obstructions after liver transplantation:Through-the-scope magnetic compression anastomosis[J].Gastrointest Endosc,2017,85:841-847.
[18]严小鹏,高燕凤,邹余粮,等.基于磁压榨技术的直肠阴道瘘一期修补装置[J].生物医学工程学杂志,2015,32(5):1096-1099.
[19]Yan XP,Zou YL,She ZF,et al.Magnet compression technique:Anovel method for rectovaginal fistula repair[J].Int J Colorectal Dis,2016,31(4):937-938.
[20]付珊,马佳,赵广宾,等.磁压榨直肠阴道瘘闭合修补装置的改良设计[J].中国医疗设备,2018,33(4):46-49.
[21]严小鹏,任冯刚,刘雯雁,等.磁压榨技术联合内镜实施犬胃造瘘术[J].中华胃肠外科杂志,2015,18(8):832-834.
[22]严小鹏,任冯刚,刘雯雁,等.磁锚定技术联合磁压榨技术实现超微创胃造瘘[J].中华实验外科杂志,2016,33(2):291-294.
[23]Yan X,Fan C,Ma J,et al.Portacaval shunt established in six dogs using magnetic compression technique[J].PLoSOne,2013,8(9):e76873.
[24]Yan XP,Liu WY,Ma J,et al.Extrahepatic portacaval shunt via a magnetic compression technique:A cadaveric feasibility study[J].World J Gastroenterol,2015,21(26):8073-8080.
[25]严小鹏,刘雯雁,李涤尘,等.消化外科手术的内镜化途径:磁吻合联合内镜[J].世界华人消化杂志,2014,22(19):2716-2721.
[26]Li J,Lv Y,Qu B,et al.Application of a new type of sutureless magnetic biliary-enteric anastomosis stent for one-stage reconstruction of the biliary-enteric continuity after acute bile duct injury:an experimental study[J].J Surg Res,2008,148:136-142
[27]马海军,王善佩,樊超,等.应用磁压榨吻合术行肠瘘一期修补的实验研究[J].中华消化外科杂志,2011,10(1):64-67.
[2]龙雪峰,李强辉.先天性肛门闭锁的诊治进展[J].海南医学院学报,2013,19(6):861-864.
[3]高晓燕,高平民,吴时光,等.先天性肛门闭锁的影响因素分析[J].中国当代儿科杂志,2016,18(6):541-544.
[4]尹志业.先天性肛门闭锁[J].中国临床医生杂志,1986,5:5.
[5]王寿青,李炳,陈卫兵,等.腹腔镜技术在小儿肛门闭锁中的应用[J].中国微创外科杂志,2011,11(11):979-981.
[6]Pena A.Posterior sagittal anorectoplasty:results in the management of 332 cases of anorectal malformation[J].Pediatr Surg Int,1988,3(2-3):94-104.
[7]Georgeson KE,Inge TH,Albanese CT.Laparoscopically assisted anorectal pull-through for high imperforate anus-a new technique[J].J Pediatr Surg,2000,35(6):927-930.
[8]李龙,付竞波,余奇志,等.腹腔镜在高位肛门闭锁成形术中应用价值的探讨[J].中华小儿外科杂志,2004,25(5):420-422.
[9]田波彦,马佳,刘豪,等.磁控腹腔镜手术内置抓钳离合系统的设计[J].中国医疗设备,2018,33(8):70-73.
[10]严小鹏,商澎,史爱华,等.磁外科学体系的探索与建立[J].科学通报,2018.
[11]An Y,Zhang Y,Liu H,et al.Gastrojejunal anastomosis in rats using the magnetic compression technique[J].Sci Rep,2018,8(1):11620.
[12]Ma F,Ma J,Ma S,et al.A novel magnetic compression technique for small intestinal end-to-side anastomosis in rats[J].J Pediatr Surg,2018.
[13]Bai J,Huo X,Ma J,et al.Magnetic compression technique for colonic anastomosis in rats[J].J Surg Res,2018,231:24-29.
[14]严小鹏,任冯刚,杨桓,等.基于磁压榨技术的内镜下胃十二指肠旁路吻合装置[J].中华消化内镜杂志,2015,32(8):567-568.
[15]Ellebaek MBB,Qvist N,Rasmussen.Magnetic compression anastomosis in long-gap esophageal atresia gross type A:Acase report[J].European J Pediatr Surg Rep,2018,6(1):e37-e39.
[16]Fan C,Yan XP,Liu SQ,et al.Roux-en-Y choledochojejunostomy using novel magnetic compressive anastomats in canine model of obstructive jaundice[J].Hepatobiliary Pancreat Dis Int,2012,11(1):81-88.
[17]Parlak E,Koksal AS,Kucukay F,et al.A novel technique for the endoscopic treatment of complete biliary anastomosis obstructions after liver transplantation:Through-the-scope magnetic compression anastomosis[J].Gastrointest Endosc,2017,85:841-847.
[18]严小鹏,高燕凤,邹余粮,等.基于磁压榨技术的直肠阴道瘘一期修补装置[J].生物医学工程学杂志,2015,32(5):1096-1099.
[19]Yan XP,Zou YL,She ZF,et al.Magnet compression technique:Anovel method for rectovaginal fistula repair[J].Int J Colorectal Dis,2016,31(4):937-938.
[20]付珊,马佳,赵广宾,等.磁压榨直肠阴道瘘闭合修补装置的改良设计[J].中国医疗设备,2018,33(4):46-49.
[21]严小鹏,任冯刚,刘雯雁,等.磁压榨技术联合内镜实施犬胃造瘘术[J].中华胃肠外科杂志,2015,18(8):832-834.
[22]严小鹏,任冯刚,刘雯雁,等.磁锚定技术联合磁压榨技术实现超微创胃造瘘[J].中华实验外科杂志,2016,33(2):291-294.
[23]Yan X,Fan C,Ma J,et al.Portacaval shunt established in six dogs using magnetic compression technique[J].PLoSOne,2013,8(9):e76873.
[24]Yan XP,Liu WY,Ma J,et al.Extrahepatic portacaval shunt via a magnetic compression technique:A cadaveric feasibility study[J].World J Gastroenterol,2015,21(26):8073-8080.
[25]严小鹏,刘雯雁,李涤尘,等.消化外科手术的内镜化途径:磁吻合联合内镜[J].世界华人消化杂志,2014,22(19):2716-2721.
[26]Li J,Lv Y,Qu B,et al.Application of a new type of sutureless magnetic biliary-enteric anastomosis stent for one-stage reconstruction of the biliary-enteric continuity after acute bile duct injury:an experimental study[J].J Surg Res,2008,148:136-142
[27]马海军,王善佩,樊超,等.应用磁压榨吻合术行肠瘘一期修补的实验研究[J].中华消化外科杂志,2011,10(1):64-67.