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CN107281630B - A Balloon Particle Cannula System for Treating Esophageal Cancer - Google Patents

A Balloon Particle Cannula System for Treating Esophageal Cancer Download PDF

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CN107281630B
CN107281630B CN201710445326.9A CN201710445326A CN107281630B CN 107281630 B CN107281630 B CN 107281630B CN 201710445326 A CN201710445326 A CN 201710445326A CN 107281630 B CN107281630 B CN 107281630B
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nutrient solution
balloon
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nutrition
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CN107281630A (en
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焦德超
韩新巍
王艳丽
周朋利
马骥
水少锋
吴刚
任建庄
李臻
马波
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First Affiliated Hospital of Zhengzhou University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1002Intraluminal radiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1002Intraluminal radiation therapy
    • A61N2005/1003Intraluminal radiation therapy having means for centering a radioactive source within the lumen, e.g. balloons

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Abstract

本发明涉及一种治疗食道癌的气囊粒子套管系统,营养液注入连接头和营养管内设置有与营养管内孔相连通的营养液注入通道,营养液注入连接头的外侧端部设置有营养液注入加强口,营养液注入连接头通过旋转台与加强连接台相连接,加强连接台与营养管相连接,在营养管的外壁上设置有气囊粒子套管装置;避免皮肤内壁组织之间的粘连,有效的保持了放射粒子的高效作用,实现旋转和伸缩,集中程度高,提高了整体给药和针对病灶直达的药效。

Figure 201710445326

The invention relates to a balloon particle casing system for treating esophageal cancer. A nutrient solution injection connector and a nutrient tube are provided with a nutrient solution injection channel that communicates with an inner hole of the nutrient tube, and the outer end of the nutrient solution injection connector is provided with a nutrient solution. The nutrient solution injection joint is connected with the reinforced connection table through the rotating table, the reinforcement connection table is connected with the nutrition tube, and a balloon particle sleeve device is arranged on the outer wall of the nutrition tube; the adhesion between the inner wall tissues of the skin is avoided. , effectively maintaining the high-efficiency effect of radioactive particles, realizing rotation and expansion, high concentration, and improving the overall drug delivery and the efficacy of direct targeting of the lesions.

Figure 201710445326

Description

一种治疗食道癌的球囊粒子套管系统A Balloon Particle Cannula System for Treating Esophageal Cancer

技术领域technical field

本发明涉及一种医用设备,具体涉及一种治疗食道癌的球囊粒子套管系统。The invention relates to a medical device, in particular to a balloon particle cannula system for treating esophageal cancer.

背景技术Background technique

食管癌是常见的消化道肿瘤,食管癌典型的症状为进行性吞咽困难,早期症状常不明显,但在吞咽粗硬食物时可能有不同程度的不适感,包括咽下食物哽咽感,胸骨后烧灼样、针刺样或牵拉摩擦样疼痛,症状时轻时重,患者生活质量下降。伴随着肿癌的增大,先是难咽干的食物,继而是半流质食物,最后水和唾液也不能咽下,其食管癌治疗方法有手术治疗、放射疗法和化学治疗。若全身情况良好、有较好的心肺功能储备、无明显远处转移征象者,可考虑根治性手术治疗。然而中国有大部分或者就诊时,肿瘤往往局部侵犯多个脏器而失去根治性手术机会,进而只能选择姑息性的放化疗。传统放料周期长,而且易发生食管穿孔、瘘、放射性肺炎,食管狭窄等并发症。对于合并无法进食的患者往往只能选择姑息性的食管支架植入治疗,但食管支架只能够开通食管狭窄段而对肿瘤无任何治疗作用。Esophageal cancer is a common digestive tract tumor. The typical symptom of esophageal cancer is progressive dysphagia. The early symptoms are often not obvious, but there may be different degrees of discomfort when swallowing hard food, including choking feeling after swallowing food, retrosternum. Burning, acupuncture, or pulling and friction-like pain, the symptoms range from mild to severe, and the patient's quality of life decreases. With the increase of tumor cancer, the first is difficult to swallow dry food, then semi-liquid food, and finally water and saliva cannot be swallowed. The treatment methods for esophageal cancer include surgery, radiotherapy and chemotherapy. If the general condition is good, there is good cardiopulmonary function reserve, and there is no obvious sign of distant metastasis, radical surgery can be considered. However, in most cases in China, or when visiting a doctor, the tumor often invades multiple organs locally and loses the opportunity for radical surgery, and can only choose palliative radiotherapy and chemotherapy. The traditional discharge cycle is long, and complications such as esophageal perforation, fistula, radiation pneumonitis, and esophageal stricture are prone to occur. For patients with inability to eat, palliative esophageal stent implantation is often the only option, but esophageal stents can only open esophageal strictures and have no therapeutic effect on tumors.

放射性125I粒子是一种用于治疗恶性肿瘤的近距离核素,目前在临床上广泛使用。目前出现一种的全新的治疗方法,即将放射性粒子使用特殊的方法被覆于食管支架外,从而形成近距离放疗支架。采用此种支架植入后,不但能够开通食管狭窄段,而且能够发挥125I放射性粒子的持续低剂量照射功能,从而治疗食管恶性肿瘤。这种方法大大提高了治疗的效果,起到了一举两得的作用。但是,这种治疗方法在临床上出现一些缺陷,具体表现为:首先,网格结构,并且其框架式结构纵横交错后主干支撑体较细,多为菱形孔或者长方形孔网状结构,在作用于病灶后,长时间支撑膨胀作用下,网孔容易与皮肤组织结合,肉芽组织增生,导致支架再发狭窄。其次若是肿瘤对近距离放疗非常敏感,肿瘤在短时间内明显缩小,那么残留的粒子放疗剂量将对正常组织产生损伤,导致相关并发症发生可能。第三,食管肿瘤往往在管腔内不均匀性生长,但食管粒子支架的剂量覆盖为圆柱状,肿瘤所接受的剂量不均匀。第四,食管粒子支架植入术也只是姑息性治疗,且支架植入后,支架无法再取出。第五,食管粒子植入后若发生移位就意味着粒子剂量的移位,不但治疗核素无法精确对食管肿瘤进行近距离放疗,移位后也易对正常食管管壁发生放射性损伤。第六,受到其覆膜工艺的限制,放射粒子多为分散性不规则分布传统覆膜支架上,在支架植入过程中,由于病灶病变位置为不规则形状,即使在同一切割层环线内,也分不同形状,有的地方严重,有的地方较轻,严重部位需要较多的放射粒子,传统的粒子支架很难做到对症分布,并且根据其分布部位施加不同密度的粒子布局,造成了整体治疗不稳定,同时较为严重的部位得不到有效的治疗。Radioactive 125 I particles are a short-range nuclide used for the treatment of malignant tumors and are currently widely used in clinical practice. At present, a new treatment method has emerged, that is, using a special method to coat radioactive particles on the esophageal stent to form a brachytherapy stent. After the stent is implanted, not only can the esophageal stricture be opened, but also the continuous low-dose irradiation function of 125I radioactive particles can be exerted, thereby treating malignant tumors of the esophagus. This method has greatly improved the effect of treatment, and played a role of killing two birds with one stone. However, this treatment method has some clinical defects, which are manifested as follows: first, the grid structure, and its frame structure criss-crosses the trunk support body is thin, mostly diamond-shaped holes or rectangular hole mesh structure, in the role of After the lesion, under the action of long-term support and expansion, the mesh is easily combined with the skin tissue, and the granulation tissue proliferates, resulting in the stent re-stenosis. Secondly, if the tumor is very sensitive to brachytherapy, and the tumor shrinks significantly in a short period of time, the residual particle radiotherapy dose will damage normal tissues, leading to the possibility of related complications. Third, esophageal tumors tend to grow heterogeneously within the lumen, but the dose coverage of esophageal particle stents is cylindrical, and the dose received by the tumor is not uniform. Fourth, esophageal seed stent implantation is only palliative treatment, and after stent implantation, the stent cannot be removed. Fifth, if the esophageal seeds are displaced after implantation, it means the displacement of the particle dose. Not only the radionuclide cannot accurately perform brachytherapy on esophageal tumors, but also radiation damage to the normal esophageal wall is easy to occur after the displacement. Sixth, due to the limitation of the coating process, the radiation particles are mostly scattered and irregularly distributed on the traditional stent-graft. During the stent implantation process, due to the irregular shape of the lesion location, even within the same cutting layer loop, It is also divided into different shapes. Some places are serious, some are lighter, and serious parts require more radiation particles. It is difficult for traditional particle stents to achieve symptomatic distribution, and different densities of particles are applied according to their distribution parts. The overall treatment is unstable, and more serious parts cannot be effectively treated.

因此,提供一种结构简单,操作方便,工作和运行效率高,运行稳定,利于普及和推广,有效减轻病患痛苦,安装和拆卸方便,作用效果明显,区分治疗,整体稳定针对性强的治疗食道癌的球囊粒子套管系统,具有广泛的市场前景。Therefore, to provide a treatment with simple structure, convenient operation, high work and operation efficiency, stable operation, favorable for popularization and promotion, effectively alleviating the pain of patients, convenient installation and disassembly, obvious effect, differentiated treatment, and overall stable and targeted treatment Balloon particle cannula system for esophageal cancer has broad market prospects.

发明内容SUMMARY OF THE INVENTION

针对现有技术的不足,本发明提供一种结构简单,操作方便,工作和运行效率高,运行稳定,利于普及和推广,有效减轻病患痛苦,安装和拆卸方便,作用效果明显,区分治疗,整体稳定针对性强的治疗食道癌的球囊粒子套管系统,用于解决现有技术的不足。Aiming at the deficiencies of the prior art, the present invention provides a simple structure, convenient operation, high work and operation efficiency, stable operation, favorable for popularization and promotion, effectively alleviating the pain of patients, convenient installation and disassembly, obvious effect, differentiated treatment, The balloon particle cannula system for treating esophageal cancer with overall stability and strong targeting is used to solve the deficiencies of the prior art.

本发明的技术方案是这样实现的:一种治疗食道癌的球囊粒子套管系统,包括营养管、设置在营养管一侧的营养管内孔、设置在营养管一侧端部的第一标记层、设置在营养管另一侧的营养液注入连接头、安装在营养液注入连接头内的注入推杆,所述的营养液注入连接头和营养管内设置有与营养管内孔相连通的营养液注入通道,营养液注入连接头的外侧端部设置有营养液注入加强口,营养液注入连接头通过旋转台与加强连接台相连接,加强连接台与营养管相连接,在营养管的外壁上设置有球囊粒子套管装置。The technical solution of the present invention is achieved as follows: a balloon particle cannula system for treating esophageal cancer, comprising a nutrition tube, an inner hole of the nutrition tube arranged on one side of the nutrition tube, and a first marker arranged at one end of the nutrition tube layer, a nutrient solution injection connector arranged on the other side of the nutrient tube, an injection push rod installed in the nutrient solution injection connector, the nutrient solution injection connector and the nutrient tube are provided with a nutrient solution that communicates with the inner hole of the nutrient tube The liquid injection channel, the outer end of the nutrient liquid injection connection head is provided with a nutrient liquid injection reinforcement port, the nutrient liquid injection connection head is connected with the reinforcement connection table through the rotary table, and the reinforcement connection table is connected with the nutrition tube. A balloon particle cannula device is arranged thereon.

所述的球囊粒子套管装置包括套装在营养管外壁上的内气囊,在内气囊的外侧套装有外囊膜,在外囊膜和内气囊之间安装有放射性粒子限位管,放射性粒子限位管内填充有放射性粒子,内气囊通过充气管道与气囊充气口相连接,在内气囊内侧的营养管上设置有第二标记层。The balloon particle casing device comprises an inner air bag sleeved on the outer wall of the nutrient tube, an outer capsule film is sleeved on the outer side of the inner air bag, and a radioactive particle limiting tube is installed between the outer capsule film and the inner air bag, and the radioactive particle restricting tube is installed. The position tube is filled with radioactive particles, the inner airbag is connected with the airbag inflation port through an inflation pipeline, and a second marking layer is arranged on the nutrition tube inside the inner airbag.

所述的球囊粒子套管装置设置在加强连接台和营养管内孔之间的营养管上,所述的加强连接台为圆柱形空心套管结构,加强连接台的内壁与营养管的外壁采用粘贴的方式固定连接,加强连接台的外侧通过粘贴的方式与旋转台的内侧固定连接,旋转台的内侧设置有通孔,该通孔与营养液注入通道相连通,旋转台的外侧与营养液注入连接头的内侧采用粘贴的方式相连接,营养液注入加强口粘贴在营养液注入连接头的外侧。The balloon particle casing device is arranged on the nutrition tube between the strengthening connection platform and the inner hole of the nutrition tube, the strengthening connection platform is a cylindrical hollow casing structure, and the inner wall of the strengthening connection platform and the outer wall of the nutrition tube are The way of pasting is fixedly connected, and the outer side of the strengthening connection table is fixedly connected to the inner side of the rotary table through the method of pasting. The inner side of the injection connector is connected by sticking, and the nutrient solution injection reinforcement port is pasted on the outer side of the nutrient solution injection connector.

所述的加强连接台、旋转台、营养液注入加强口和营养液注入连接头为一体结构,在旋转台的外壁上均匀设置有防滑槽,加强连接台的直径不小于营养管的直径,旋转台的直径不小于加强连接台的直径,营养液注入连接头的直径不大于营养管的直径,营养液注入加强口的直径与营养管的直径相等。The strengthening connection table, the rotating table, the nutrient solution injection strengthening port and the nutrient solution injection connecting head are integrated into one structure, and anti-skid grooves are evenly arranged on the outer wall of the rotating table. The diameter of the platform is not less than the diameter of the strengthening connection platform, the diameter of the nutrient solution injection connector is not larger than the diameter of the nutrient tube, and the diameter of the nutrient solution injection strengthening port is equal to the diameter of the nutrient tube.

所述的内气囊通过充气口与充气管道相连接,充气管道设置在营养管的内侧,充气口开设在内营养管的外壁上,充气口的一端与内气囊的内侧相连通,充气口的另一端与气囊充气口相连通,内气囊通过粘贴的方式套装在营养管外壁上,外囊膜通过粘贴的方式设置在内气囊外侧的营养管的管壁上。The inner air bag is connected with the inflation pipe through the inflation port, the inflation pipe is arranged on the inner side of the nutrient tube, the inflation port is opened on the outer wall of the inner nutrient tube, one end of the inflation port is communicated with the inner side of the inner air bag, and the other side of the inflation port is connected with the inner side of the inner air bag. One end is communicated with the inflation port of the air bag, the inner air bag is sheathed on the outer wall of the nutrition tube by means of pasting, and the outer bag membrane is arranged on the tube wall of the nutrition tube outside the inner air bag by means of pasting.

所述的气囊充气口安装在营养液注入连接头的外侧,气囊充气口与充气管道相连通,营养液注入连接头的外壁与气囊充气口的外壁采用粘贴的方式固定连接。The airbag inflation port is installed on the outside of the nutrient solution injection connector, the airbag inflation port is communicated with the inflation pipeline, and the outer wall of the nutrient solution injection connector and the outer wall of the airbag inflation port are fixedly connected by sticking.

所述的第二标记层为两个,两个第二标记层设置在内气囊内侧的营养管的两端,在放射性粒子限位管的两端设置有边缘放射性粒子管,边缘放射性粒子管内填充有边缘位置放射性粒子。There are two second marking layers, the two second marking layers are arranged at both ends of the nutrition tube inside the inner airbag, and edge radioactive particle tubes are arranged at both ends of the radioactive particle limiting tube, and the edge radioactive particle tubes are filled with There are radioactive particles in edge locations.

所述的外囊膜的截面为波浪环形结构,外囊膜的外侧设置有波浪形的限位凹槽。The cross section of the outer capsule is a wavy annular structure, and the outer side of the outer capsule is provided with a wave-shaped limiting groove.

本发明具有如下的积极效果:本产品结构简单,操作方便,首先,采用本产品,可以避免传统网格结构的支架在下架后与皮肤内壁组织之间的粘连,避免了长期停放造成的二次拉扯作业造成的伤害,减轻了患者的痛苦,并且采用外囊膜结构设置,使用寿命长,没变了覆膜在长时间的作用下消失,有效的保持了放射粒子的高效作用,方便治疗的后续医疗工作;其次,本产品实现了随着病灶位置的变化变动实时移动定位,产品设置多个标记层,定位后可以通过旋转台实现旋转和伸缩,在相对位置实现转动、横向移动以及纵向移动,并且高效的结合,大大提高了治疗效果;再次,本产品放射粒子结构采用套装式,并高效的集合和规整统一规划固定,集中程度高,放射粒子分散规则规律,并可操作移动,实现了严重和轻症状的区分对待出路,在同一切割层环线内,或者在纵向深度不同作业面上,有效的针对不同轻缓程度的症状进行作业,根据其分布部位施加不同密度的粒子布局,大大提高了稳定性和高效作用行,提高了整体给药和针对病灶直达的药效。The present invention has the following positive effects: the product has a simple structure and is easy to operate. First, by using this product, it is possible to avoid the adhesion between the traditional grid-structured stent and the inner wall of the skin after being removed from the shelf, and to avoid secondary problems caused by long-term parking. The injury caused by the pulling operation reduces the pain of the patient, and the outer capsule structure is used, which has a long service life and has not changed. Follow-up medical work; secondly, this product realizes real-time mobile positioning with the change of the position of the lesion. The product is set with multiple marking layers. After positioning, it can rotate and expand through the rotary table, and realize rotation, lateral movement and vertical movement in relative positions. , and the efficient combination greatly improves the treatment effect; thirdly, the radiation particle structure of this product adopts a suit type, and the efficient collection and regular planning are fixed. Distinguish between severe and mild symptoms and treat the way out. Within the same cutting layer loop line, or on different working surfaces of longitudinal depths, it is effective to work on symptoms of different mild degrees, and apply particle layouts of different densities according to their distribution positions, which greatly improves the It improves the stability and high-efficiency effect, and improves the overall drug delivery and the drug effect directly targeting the lesions.

附图说明Description of drawings

图1为本发明一个实施例的结构示意图。FIG. 1 is a schematic structural diagram of an embodiment of the present invention.

图2为本发明另外一个实施例的结构示意图。FIG. 2 is a schematic structural diagram of another embodiment of the present invention.

图3为本发明的内部结构示意图。FIG. 3 is a schematic diagram of the internal structure of the present invention.

图4为本发明图1的局部截面结构示意图。FIG. 4 is a schematic diagram of a partial cross-sectional structure of FIG. 1 of the present invention.

图5为本发明图2的局部截面结构示意图。FIG. 5 is a schematic diagram of a partial cross-sectional structure of FIG. 2 of the present invention.

具体实施方式Detailed ways

如图1、2、3、4、5所示,一种治疗食道癌的球囊粒子套管系统,包括营养管1、设置在营养管1一侧的营养管内孔3、设置在营养管1一侧端部的第一标记层2、设置在营养管1另一侧的营养液注入连接头13、安装在营养液注入连接头13内的注入推杆15,所述的营养液注入连接头13和营养管1内设置有与营养管内孔3相连通的营养液注入通道18,营养液注入连接头13的外侧端部设置有营养液注入加强口14,营养液注入连接头13通过旋转台10与加强连接台9相连接,加强连接台9与营养管1相连接,在营养管1的外壁上设置有球囊粒子套管装置。As shown in Figures 1, 2, 3, 4, and 5, a balloon particle cannula system for the treatment of esophageal cancer includes a feeding tube 1, a feeding tube inner hole 3 disposed on one side of the feeding tube 1, and a feeding tube 3 disposed on the feeding tube 1 The first marking layer 2 at one end, the nutrient solution injection connector 13 arranged on the other side of the nutrient tube 1, the injection push rod 15 installed in the nutrient solution injection connector 13, the nutrient solution injection connector 13 and the nutrient tube 1 are provided with a nutrient solution injection channel 18 that communicates with the inner hole 3 of the nutrient solution tube. 10 is connected with the strengthening connection platform 9, the strengthening connection platform 9 is connected with the nutrition tube 1, and a balloon particle casing device is arranged on the outer wall of the nutrition tube 1.

所述的球囊粒子套管装置包括套装在营养管1外壁上的内气囊5,在内气囊5的外侧套装有外囊膜4,在外囊膜4和内气囊5之间安装有放射性粒子限位管6,放射性粒子限位管6内填充有放射性粒子7,内气囊5通过充气管道16与气囊充气口12相连接,在内气囊5内侧的营养管1上设置有第二标记层8。所述的球囊粒子套管装置设置在加强连接台9和营养管内孔3之间的营养管1上,所述的加强连接台9为圆柱形空心套管结构,加强连接台9的内壁与营养管1的外壁采用粘贴的方式固定连接,加强连接台9的外侧通过粘贴的方式与旋转台10的内侧固定连接,旋转台10的内侧设置有通孔,该通孔与营养液注入通道18相连通,旋转台10的外侧与营养液注入连接头13的内侧采用粘贴的方式相连接,营养液注入加强口14粘贴在营养液注入连接头13的外侧。所述的加强连接台9、旋转台10、营养液注入加强口14和营养液注入连接头13为一体结构,在旋转台10的外壁上均匀设置有防滑槽11,加强连接台9的直径不小于营养管1的直径,旋转台10的直径不小于加强连接台9的直径,营养液注入连接头13的直径不大于营养管1的直径,营养液注入加强口14的直径与营养管1的直径相等。The described balloon particle cannula device comprises an inner air bag 5 sleeved on the outer wall of the nutrient tube 1, an outer bag membrane 4 is sleeved on the outer side of the inner air bag 5, and a radioactive particle limiter is installed between the outer capsule film 4 and the inner air bag 5. The position tube 6, the radioactive particle limiting tube 6 is filled with radioactive particles 7, the inner air bag 5 is connected with the air bag inflation port 12 through the inflation pipe 16, and the nutrition tube 1 inside the inner air bag 5 is provided with a second marking layer 8. The balloon particle casing device is arranged on the nutrition tube 1 between the strengthening connection platform 9 and the inner hole 3 of the nutrition tube. The strengthening connection platform 9 is a cylindrical hollow casing structure. The outer wall of the nutrition tube 1 is fixedly connected by means of sticking, and the outside of the strengthening connection table 9 is fixedly connected with the inside of the rotary table 10 by means of sticking. The outer side of the rotary table 10 is connected with the inner side of the nutrient solution injection connector 13 by sticking, and the nutrient solution injection reinforcement port 14 is attached to the outer side of the nutrient solution injection connector 13 . The reinforced connection table 9, the rotary table 10, the nutrient solution injection reinforcement port 14 and the nutrient solution injection connection head 13 are integrated into one structure, and the outer wall of the rotary table 10 is evenly provided with anti-skid grooves 11, and the diameter of the reinforcement connection table 9 is different. Smaller than the diameter of the nutrient tube 1, the diameter of the rotary table 10 is not less than the diameter of the strengthening connection table 9, the diameter of the nutrient solution injection connector 13 is not larger than the diameter of the nutrient tube 1, and the diameter of the nutrient solution injection reinforcement port 14 is the same as the diameter of the nutrient solution injection tube 1. diameters are equal.

所述的内气囊5通过充气口17与充气管道16相连接,充气管道16设置在营养管1的内侧,充气口17开设在内营养管1的外壁上,充气口17的一端与内气囊5的内侧相连通,充气口17的另一端与气囊充气口12相连通,内气囊5通过粘贴的方式套装在营养管1外壁上,外囊膜4通过粘贴的方式设置在内气囊5外侧的营养管1的管壁上。所述的气囊充气口12安装在营养液注入连接头13的外侧,气囊充气口12与充气管道16相连通,营养液注入连接头13的外壁与气囊充气口12的外壁采用粘贴的方式固定连接。所述的第二标记层8为两个,两个第二标记层8设置在内气囊5内侧的营养管1的两端,在放射性粒子限位管6的两端设置有边缘放射性粒子管19,边缘放射性粒子管19内填充有边缘位置放射性粒子20。所述的外囊膜4的截面为波浪环形结构,外囊膜4的外侧设置有波浪形的限位凹槽。The inner air bag 5 is connected with the inflation pipe 16 through the inflation port 17. The inflation pipe 16 is arranged on the inner side of the nutrition tube 1. The inner side of the nutrient tube 1 is connected to each other, the other end of the inflation port 17 is communicated with the air bag inflation port 12, the inner air bag 5 is set on the outer wall of the nutrition tube 1 by pasting, and the outer bag membrane 4 is installed by pasting the nutrition outside the air bag 5. on the wall of tube 1. The airbag inflation port 12 is installed on the outside of the nutrient solution injection connector 13, the airbag inflation port 12 is communicated with the inflation pipeline 16, and the outer wall of the nutrient solution injection connector 13 and the outer wall of the airbag inflation port 12 are fixedly connected by sticking. . The number of the second marking layers 8 is two, the two second marking layers 8 are arranged at both ends of the nutrition tube 1 inside the inner balloon 5 , and edge radioactive particle tubes 19 are arranged at both ends of the radioactive particle limiting tube 6 . , the edge radioactive particle tube 19 is filled with radioactive particles 20 at the edge position. The cross section of the outer capsule 4 is a wavy annular structure, and the outer side of the outer capsule 4 is provided with a wave-shaped limiting groove.

本产品在使用时,针对食道癌患者,首先将营养管1底端采用导入式深入到患者的食道内,保证底部营养管内孔3畅通,并下放至癌细胞肿瘤下侧位置,保持持续畅通供液。下放时通过第一标记层2标记,第一标记层2为不透X线物质,起到很好的标识作用。同时第二标记层8也为不透X线物质,在下放的同时,保证外囊膜4的下放位置正好对准癌细胞囊肿位置,并采用双第二标记层8进行定位,准确度高。作用放射性粒子时可以由高至低,分段作用,癌细胞囊肿内壁为不规则形状,利用内气囊填充气体后撑开饱和状态,保证外囊膜4与肿瘤内壁紧密结合,同时外囊膜4的截面为波浪环形结构,外囊膜4的外侧设置有波浪形的限位凹槽,有助于帮助外囊膜4与肿瘤内壁之间高度契合,保证放射性粒子7药效的发挥。When using this product, for patients with esophageal cancer, firstly, the bottom end of the feeding tube 1 is introduced into the patient's esophagus to ensure that the inner hole 3 of the feeding tube at the bottom is unobstructed, and is lowered to the lower side of the cancer cell tumor to maintain a continuous unobstructed supply. liquid. When it is lowered, it is marked by the first marking layer 2, which is an X-ray opaque substance, which plays a very good role in marking. At the same time, the second marker layer 8 is also an X-ray opaque material. When the outer capsule 4 is lowered, it is ensured that the lower position of the outer capsule 4 is exactly aligned with the position of the cancer cell cyst, and the double second marker layers 8 are used for positioning with high accuracy. When the radioactive particles are applied, they can act in stages from high to low. The inner wall of the cancer cell cyst is irregular in shape. The inner balloon is used to fill the gas and then the saturated state is stretched to ensure that the outer capsule 4 is tightly combined with the inner wall of the tumor, and at the same time, the outer capsule 4 The cross section of the outer capsule 4 is a wave-shaped annular structure, and the outer side of the outer capsule 4 is provided with a wave-shaped limiting groove, which helps to help the outer capsule 4 and the inner wall of the tumor to be highly fitted, and ensures the efficacy of the radioactive particles 7 to play.

陈品设计两种实施方式,另外一种实施方式可在放射性粒子限位管6的两端设置有边缘放射性粒子管19,边缘放射性粒子管19内填充有边缘位置放射性粒子20。在具体操作使用时会发现,产品外囊膜4纵向长度如果小于肿瘤纵向长度,就会在充气后挤压肿瘤内壁,肿瘤将外囊膜4整体包裹,设计边缘放射性粒子管19有助于全面的实施治疗。Chen Pin designs two implementations. In another implementation, edge radioactive particle tubes 19 are provided at both ends of the radioactive particle limiting tube 6 , and the edge radioactive particle tubes 19 are filled with edge radioactive particles 20 . During the specific operation, it will be found that if the longitudinal length of the outer capsule 4 of the product is smaller than the longitudinal length of the tumor, the inner wall of the tumor will be squeezed after inflation, and the tumor will wrap the outer capsule 4 as a whole. implementation of treatment.

在整体的治疗期间,完成一个周期的治疗,可以通过移动或者转动旋转台10来完成相对位置的移动,实现上下移动,同位置旋转移动等作业,保证其与肿瘤内壁结合面实现高效的契合,同时可以根据肿瘤内壁的严重程度进行针对性治疗,大大提高了治疗的效果。During the overall treatment period, to complete a cycle of treatment, the relative position movement can be completed by moving or rotating the rotary table 10, so as to realize the up and down movement, the rotation movement at the same position, etc. At the same time, targeted treatment can be carried out according to the severity of the tumor inner wall, which greatly improves the treatment effect.

Claims (6)

1. The utility model provides a sacculus particle bushing system of treatment esophagus cancer, includes nutrition tube (1), sets up at nutrition tube inner hole (3) of nutrition tube (1) one side, sets up at first mark layer (2) of nutrition tube (1) one side tip, sets up at nutrition liquid injection connector (13) of nutrition tube (1) opposite side, installs injection push rod (15) in nutrition liquid injection connector (13), its characterized in that: nutrient solution injection channels (18) communicated with the inner hole (3) of the nutrient tube are arranged in the nutrient solution injection connector (13) and the nutrient tube (1), a nutrient solution injection reinforcing port (14) is arranged at the outer side end of the nutrient solution injection connector (13), the nutrient solution injection connector (13) is connected with a reinforcing connection table (9) through a rotary table (10), the reinforcing connection table (9) is connected with the nutrient tube (1), and a balloon particle sleeve device is arranged on the outer wall of the nutrient tube (1); the balloon particle sleeve device comprises an inner balloon (5) sleeved on the outer wall of a nutrition tube (1), an outer balloon membrane (4) is sleeved on the outer side of the inner balloon (5), a radioactive particle limiting tube (6) is installed between the outer balloon membrane (4) and the inner balloon (5), radioactive particles (7) are filled in the radioactive particle limiting tube (6), the inner balloon (5) is connected with a balloon inflation opening (12) through an inflation pipeline (16), and a second marking layer (8) is arranged on the nutrition tube (1) on the inner side of the inner balloon (5); the section of the outer sac membrane (4) is of a wave annular structure, and the outer side of the outer sac membrane (4) is provided with a wave-shaped limiting groove.
2. A balloon particle cannula system for treating esophageal cancer according to claim 1, wherein: sacculus particle bushing apparatus set up in nutrition pipe (1) between enhancement connection platform (9) and nutrition pipe inner bore (3), enhancement connection platform (9) be cylindrical hollow sleeve structure, the inner wall of enhancement connection platform (9) adopts the mode fixed connection of pasting with the outer wall of nutrition pipe (1), the inboard fixed connection of mode and revolving stage (10) through pasting in the outside of enhancement connection platform (9), the inboard of revolving stage (10) is provided with the through-hole, this through-hole is linked together with nutrient solution injection channel (18), the inboard of revolving stage (10) and nutrient solution injection connector (13) adopts the mode of pasting to be connected, nutrient solution injection enhancement mouth (14) are pasted in the outside of nutrient solution injection connector (13).
3. A balloon particle cannula system for treating esophageal cancer according to claim 1, wherein: strengthen connecting platform (9), revolving stage (10), nutrient solution pours into and strengthens mouth (14) and nutrient solution injection connector (13) structure as an organic whole, evenly be provided with antiskid groove (11) on the outer wall of revolving stage (10), strengthen the diameter of connecting platform (9) and be not less than the diameter of nutrient canal (1), the diameter of revolving stage (10) is not less than the diameter of strengthening connecting platform (9), the diameter of connector (13) is not more than the diameter of nutrient canal (1) is poured into to the nutrient solution, the diameter of strengthening mouth (14) is poured into to the nutrient solution and is equal with the diameter of nutrient canal (1).
4. A balloon particle cannula system for treating esophageal cancer according to claim 1, wherein: the inner air bag (5) is connected with an air charging pipeline (16) through an air charging port (17), the air charging pipeline (16) is arranged on the inner side of the nutrition tube (1), the air charging port (17) is arranged on the outer wall of the inner nutrition tube (1), one end of the air charging port (17) is communicated with the inner side of the inner air bag (5), the other end of the air charging port (17) is communicated with an air bag air charging port (12), the inner air bag (5) is sleeved on the outer wall of the nutrition tube (1) in a sticking mode, and an outer air bag film (4) is arranged on the tube wall of the nutrition tube (1) on the outer side of the inner air bag (5) in a sticking mode.
5. A balloon particle cannula system for treating esophageal cancer according to claim 1, wherein: the outer wall of the nutrient solution injection connector (13) is fixedly connected with the outer wall of the air bag inflation port (12) in a sticking mode.
6. A balloon particle cannula system for treating esophageal cancer according to claim 1, wherein: the number of the second marking layers (8) is two, the two second marking layers (8) are arranged at two ends of the nutrition tube (1) on the inner side of the inner air bag (5), edge radioactive particle tubes (19) are arranged at two ends of the radioactive particle limiting tube (6), and radioactive particles (20) at edge positions are filled in the edge radioactive particle tubes (19).
CN201710445326.9A 2017-06-14 2017-06-14 A Balloon Particle Cannula System for Treating Esophageal Cancer Expired - Fee Related CN107281630B (en)

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CN111686364B (en) * 2020-06-29 2022-02-11 河南省肿瘤医院 Colorectal cancer anastomosis supporting treatment device and using method thereof
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CN113198115B (en) * 2021-05-19 2023-04-11 郑州大学第一附属医院 Feeding type esophageal balloon particle sleeve

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