CN102151181A - Decompression material box for neurosurgical microvascular decompression and preparation method thereof - Google Patents
Decompression material box for neurosurgical microvascular decompression and preparation method thereof Download PDFInfo
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- CN102151181A CN102151181A CN201110102263XA CN201110102263A CN102151181A CN 102151181 A CN102151181 A CN 102151181A CN 201110102263X A CN201110102263X A CN 201110102263XA CN 201110102263 A CN201110102263 A CN 201110102263A CN 102151181 A CN102151181 A CN 102151181A
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Abstract
The invention relates to a decompression material box for neurosurgical microvascular decompression, which comprises a base, a box cover and cotton fibers, wherein the base is provided with a base groove, and the cotton fibers are arranged in the base groove. The invention also provides a preparation method and application of the decompression material box. By using the invention, the size of the decompression material can be accurately controlled, and the process of tearing out floccules from the cardiac surgical dacron patch in the surgery is omitted, thereby ensuring the convenient and quick operating process and saving the surgery time and complicated operation steps. Besides, the decompression material can not be easily subjected to secondary pollution after being disinfected.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, specifically, is a kind of decompression material cartridge that is used for the neurosurgery MVD and preparation method thereof.
Background technology
Cranial nerve has 12 pairs, has charge of the critical functions such as activity of people's olfactory sensation, vision, the sense of taste, audition and eyeball, tongue and facial muscle.Yet intracranial tumor, inflammation, head wound or operation all can cause the generation of cranial nerve disease, are having a strong impact on people's Health and Living quality.Cranial nerve syndrome comprises one group of cranial nerve disease, modal have trigeminal neuralgia, facial spasm, glossopharyngeal neuralgia, masticatory spasm, blepharospasm, positional vertigo, a Meniere syndrome etc., though this type of disease does not directly threaten patient's life, patient's quality of life is brought have a strong impact on.Constitutional cranial nerve disease is the overwhelming majority caused by microvascular compression, is that cranial nerve goes out the brain stem district and oppressed by the long-term chronic stimulation of responsibility blood vessel, causes local demyelination, nerve fiber contact conduction, and neural impulse " short circuit " is due to cranial nerve is overexcited.According to the pathogeny of cranial nerve syndrome, (microvascular decompression MVD) is the generally acknowledged effective ways of current treatment intracranial vessel pressure symptom to MVD, can remove symptom, again can intact reservation cranial nerve function, satisfactory effect, complication is few.
One of key of MVD operation is in the art that the responsibility blood vessel of pressuring nerve root is free, pushes away the implantation pad of inserting shape and suitable size after the nerve root between responsibility blood vessel and nerve root and opens thing, prevents from that the responsibility blood vessel from resetting again nerve root to be caused compressing.The decompression material that generally adopts in the art is the dacron patch of department of cardiac surgery at present, and its tissue rejection property is little, is not absorbed by body, and is fixed.Need it be cut into the fritter that diameter is about 0.5cm by apparatus chamber nurse before the art, put into the oxirane disinfection bag and send to sterilization, a little is cotton-shaped to need the dacron patch of the department of cardiac surgery that will get ready to tear with curved tweezer edgewise in the art, make it fluffy flexible, soft, to tear, cotton-wool is passed and the patient, makes it across between nerve and the blood vessel, with its separation.The dacron patch of MVD cardiac surgery is the successful critical material of operation, when preparing the dacron patch of department of cardiac surgery, at first need the nurse accurately to grasp the cotton method of tearing, and will should not clog too much according to the strict size of controlling the floccule of tearing of patient.But when tearing floccule with curved tweezer, be difficult to the size and the shape of control floccule, especially in operation process, to in time get ready after separating nerve, to having relatively high expectations of operation, be not easy to grasp, and the process of preparation floccule is after the dacron patch sterilization of department of cardiac surgery secondary pollution easily.
Chinese patent literature CN:101803936A discloses a kind of decompression material that is used for the neurosurgery MVD and preparation method thereof, is made by following steps: A. is trimmed to dacron cotton piece width and the length that adapts to the parcel nerve root; B. put the terylene cotton-wool in order push open shape size to the blood vessel that is fit to contact with nerve; C. 1 of the dacron cotton piece for preparing and 4 of terylene cotton-wools are together packed into and sterilize in the sealing bag.Chinese patent literature CN:201342121Y discloses the netted the polyester surgical fabrics of a kind of bilayer, relates to medical treatment and goes up the surgical patching material of using, the netted the polyester surgical fabrics of especially a kind of bilayer.But yet there are no report about decompression material cartridge of being used for the neurosurgery MVD and preparation method thereof.
Summary of the invention
The objective of the invention is at deficiency of the prior art, a kind of decompression material cartridge that is used for the neurosurgery MVD is provided.
One purpose more of the present invention is that a kind of preparation method that is used for the decompression material cartridge of neurosurgery MVD is provided.
Another purpose of the present invention is that a kind of purposes that is used for the decompression material cartridge of neurosurgery MVD is provided.
For achieving the above object, the technical scheme that the present invention takes is: a kind of decompression material cartridge that is used for the neurosurgery MVD, described decompression material cartridge is made up of base, lid and cotton-wool, and base is provided with base groove, and cotton-wool is placed in the base groove.
Described base is provided with 18-48 base groove, and base groove is the hemispherical groove of diameter 4-11mm or the square groove of length 4.5-11.5mm, and the base groove of every kind of size has 3-8 on the described base.
Its diameter was than the big 1-3mm of cotton-wool diameter when described base groove was hemispherical groove, and its length was than the big 1.5-3.5mm of cotton-wool when described base groove was square groove.
The shape of described decompression material cartridge can be tetragon, circle or oval.
Described lid inwall is complete plane or has the lid groove that matches with base groove.
Described lid is provided with the lid projection, and correspondence position is provided with the base depression on the base, and the lid projection can be inserted in the corresponding base depression when lid was closed.
Described cotton-wool is the cotton-wool of being made by dacron thread, and maximum gauge is 3-8mm, is placed on respectively in the base groove of corresponding size.
For realizing above-mentioned second purpose, the technical scheme that the present invention takes is: a kind of preparation method that is used for the decompression material cartridge of neurosurgery MVD may further comprise the steps: the base and the lid of a, making decompression material cartridge; B, making cotton-wool; C, cotton-wool is put into corresponding base groove; D, cover lid.
Described preparation method also comprises step e, and the decompression material cartridge that steps d is prepared carries out oxirane disinfection.
For realizing above-mentioned the 3rd purpose, the technical scheme that the present invention takes is: the application of described decompression material cartridge in the neurosurgery MVD.
The invention has the advantages that:
1, can accurately control the size of decompression material, omit in the operation from the tear process of floccule of the dacron patch of department of cardiac surgery, convenient to operation, saved operating time and complicated operations step;
2, be not easy secondary pollution after the decompression materials disinfection.
Description of drawings
Accompanying drawing 1 is the structural representation that is used for the decompression material cartridge of neurosurgery MVD.
Accompanying drawing 2 is that diameter base groove number of the same race is 3 a decompression material cartridge.
Accompanying drawing 3 is that diameter base groove number of the same race is 4 a decompression material cartridge.
Accompanying drawing 4 is that diameter base groove number of the same race is 5 a decompression material cartridge.
Accompanying drawing 5 is orthogonal decompression material cartridges.
Accompanying drawing 6 is circular decompression material cartridges.
Accompanying drawing 7 is cutaway views (plane lid) of the A-A of accompanying drawing 3.
Accompanying drawing 8 is cutaway views (groove lid) of the A-A of accompanying drawing 3.
Accompanying drawing 9 is the decompression material cartridges that have lid projection and base depression.
Accompanying drawing 10 is that base groove is quadrate decompression material cartridge.
The specific embodiment
Below in conjunction with accompanying drawing the specific embodiment provided by the invention is elaborated.
The Reference numeral and the ingredient that relate in the accompanying drawing are as follows:
1. base 2. lids
3. cotton-wool 11. base grooves
21. lid groove 22. lid projectioies
12. base depression
Please refer to accompanying drawing 1, accompanying drawing 1 is the structural representation that is used for the decompression material cartridge of neurosurgery MVD.Described decompression material cartridge is made up of base 1, lid 2 and cotton-wool 3, and described base is provided with 18-48 base groove, and base groove is the hemispherical groove of diameter 4-11mm or the square groove of length 4.5-11.5mm.Please refer to accompanying drawing 10, accompanying drawing 10 is that base groove is quadrate decompression material cartridge.Its diameter was than the big 1-3mm of cotton-wool diameter when described base groove was hemispherical groove, and its length was than the big 1.5-3.5mm of cotton-wool when described base groove was square groove.Described cotton-wool 3 is fluffy flexible softish cotton-shaped cotton-wools of being made by dacron thread, and maximum gauge is 3-8mm, is placed on respectively in the corresponding base groove 11, can add normal saline in use in base groove 11 simultaneously, is used for soaking cotton-wool 3 wherein.The shape of lid 2 is identical with base 1, covers on base 1, prevents that cotton-wool 3 from skidding off from base groove 11.
The base groove 11 of every kind of size has 3-8 on the described base 1, please refer to accompanying drawing 2, Fig. 3, Fig. 4, accompanying drawing 2 is that diameter base groove number of the same race is 3 a decompression material cartridge, accompanying drawing 3 is that diameter base groove number of the same race is 4 a decompression material cartridge, and accompanying drawing 4 is that diameter base groove number of the same race is 5 a decompression material cartridge.Shown in Fig. 2,3,4, the base groove 11 of every kind of diameter can mark its diameter on base groove 11 next doors of corresponding size respectively for 3-8 on the base 1.The shape of described decompression material cartridge can be tetragon, circle or oval, please refer to accompanying drawing 5 and accompanying drawing 6, and accompanying drawing 5 is orthogonal decompression material cartridges, and accompanying drawing 6 is circular decompression material cartridges.
Need to prove that the inwall of lid 2 of decompression material cartridge can be planarly also can have groove.Please refer to accompanying drawing 7, accompanying drawing 7 is cutaway views (plane lid) of the A-A of accompanying drawing 3.As shown in Figure 7, lid 2 inwalls of described decompression material cartridge are complete planes, when it covers on base 1, cotton-wool 3 can be fixed in the base groove 11.Please refer to accompanying drawing 8, accompanying drawing 8 is cutaway views (groove lid) of the A-A of accompanying drawing 3.As shown in Figure 8, described lid 2 inwalls have the identical hemispherical lid groove 21 of diameter that matches with base groove 11, when it covers on base 1, lid groove 21 matches with base groove 11, form spherical hollow space, make cotton-wool 3 can only be in this spherical hollow space movable, can not slide everywhere.If base groove 11 is square, then Dui Ying lid groove 21 also is onesize square groove.In order to make better closure of lid groove 21 and base groove 11, can also on lid 2, make several lid projectioies 22, and make base depression 12 at the base correspondence position simultaneously, and please refer to accompanying drawing 9, accompanying drawing 9 is the decompression material cartridges that have lid projection and base depression.As shown in Figure 9, lid projection 22 can be inserted in the corresponding base depression 12 when lid 2 was closed, made lid groove 21 and the base groove 11 can be better corresponding.
Concrete operative process:
Before the operation: decompression material cartridge of the present invention is carried out oxirane disinfection;
Operation cooperates: get the headstock on the lateral position after patient's general anesthesia.
(1) otch is retread straight cut or transverse incision or a CPA otch of mastoid process.About the less about 4cm of otch.
(2) separate flap, open bone window 2-4cm, expose dura mater.
(3) behind the anatomical isolation petrosal vein, can expose the blood vessel that Roots of trigeminal nerve is sought pressuring neural root, modal is superior cerebellar artery, is posterior inferior cerebellar artery, vertebral artery and posterior inferior cerebellar artery secondly.Majority is single compressing, and the oppressor is also quite a lot simultaneously for many tremulous pulsies, and it is the vein compressing that minority is also arranged, normal is ectopic petrosal vein or its branch, cross over nerve root and with neural adhesion, peel off son with micro-round end and separate nerve root and oppress vascular space, particularly pon porch.Tremulous pulse often forms loop shape pressuring neural root, and the branch vessel of injured nerve and brain stem not during separation is also touched nerve root as far as possible less.
(4) rake about the compressing blood vessel, avoid omitting, in order to avoid postoperative recurrence.
(5) open decompression material cartridge lid 2 of the present invention, select the cotton-wool 3 of suitable size, in the base groove 11 of correspondence, splash into normal saline, cotton-wool is soaked, pass and the patient, make it across between nerve and the blood vessel, with its separation according to patient status.
(6) will guarantee neural especially is to separate in root canal with blood vessel, and cotton-wool wants fixation, fills in and will observe its stability, avoids postoperative recurrence.
(7) irrigate the conventional cranium that closes.
Before the operation: decompression material cartridge of the present invention is carried out oxirane disinfection; 5 * 10cm behind patient's art ear the previous day
2The place tonsures.
Operating procedure and cooperation: patient's general anesthesia, tracheal intubation, 90 ° of lateral positions, Ipsilateral upwards can be gone up the headstock in case of necessity.
(1) incision of scalp: behind Ipsilateral mastoid process internal ear, do the straight cut of 4-5cm, reach surface of bone deeply, the scalp clip hemostasis.Mastoid retractor expands to be opened, and exposes aquamous part of occipital bone lateral part and mastoid process rear portion.
(2) the bone window is opened cranium: pass periosteal elevator and peel off periosteum, be close to sigmoid sinus and hole on occipital bone, pass electric drill and bulb syringe.The skull back of getting into the cave enlarges the bone window with rongeur, bone outside window upper limb should expose lateral sinus and the sigmoid sinus beginning portion, diameter 3-4cm bone window.The open mastoid air cell of bone wax sealing.
(3) cut cerebral dura mater: cut cerebral dura mater, No. 0 line suspention of 4 * 10 meninges suture needles cerebral dura mater exposes back cranium nest and goes up angle and hemisphaerium cerebelli outward.Be equipped with the about 2 * 3cm of size
2Hemostatic gauze protection cerebellum.
(4) microscopically operation hemostasis: microscope is gone up in flushing hemostasis back, prepares microinstrument, exposes the rock upper vein, and electricity coagulates the back hemostasis.
(5) NE and blood vessel: open cerebellomedullary cistern (pons side pond), the sucking-off cerebrospinal fluid, the exposure nerve, open arachnoidea and observe peripheral vessels and neural relation, move towards sharp property along vein and blood vessel and separate arachnoidea, the responsibility blood vessel of free pressuring neural root, modal is superior cerebellar artery, secondly be posterior inferior cerebellar artery, majority is single compressing, and the oppressor is also quite a lot simultaneously for many tremulous pulsies.
(6) remove nerve compression: with the gap that microinstrument separates nerve root and compressing blood vessel, tremulous pulse often forms loop shape pressuring neural root, and the branch vessel of injured nerve and brain stem not during separation rakes about the compressing blood vessel simultaneously, avoids omitting, in order to avoid postoperative recurrence.
(7) open decompression material cartridge lid 2 of the present invention, select the cotton-wool 3 of suitable size according to patient status, in the base groove 11 of correspondence, splash into normal saline, cotton-wool is soaked, pass and the patient, make it across between nerve and the blood vessel, with its separation, cotton-wool is fixed, will observe its stability after filling in.
(8) close cranium: carefully check brain cotton, suture needle.After the flushing hemostasis, tightly sew up cerebral dura mater, reuse gelfoam and medical Ec glue cover on the cerebral dura mater, prevent cerebrospinal leak.Bone wax seals mastoid air cell once more, and routine is successively closed wound.
The preparation of embodiment 4 decompression material cartridges
The preparation method of decompression material cartridge may further comprise the steps:
A, the base of making the decompression material cartridge and corresponding lid;
B, making cotton-wool: make the cotton-shaped cotton-wool of required size with dacron thread, and make it fluffy, soft, flexible;
C, the cotton-wool that makes put into the base groove of correspondingly-sized;
D, cover lid;
E, the decompression material cartridge that steps d is prepared carry out oxirane disinfection.
The above only is a preferred implementation of the present invention; should be pointed out that for those skilled in the art, under the prerequisite that does not break away from the inventive method; can also make some improvement and replenish, these improvement and replenish and also should be considered as protection scope of the present invention.
Claims (10)
1. a decompression material cartridge that is used for the neurosurgery MVD is characterized in that, described decompression material cartridge is made up of base, lid and cotton-wool, and base is provided with base groove, and cotton-wool is placed in the base groove.
2. decompression material cartridge according to claim 1, it is characterized in that, described base is provided with 18-48 base groove, and base groove is the hemispherical groove of diameter 4-11mm or the square groove of length 4.5-11.5mm, and the base groove of every kind of size has 3-8 on the described base.
3. decompression material cartridge according to claim 2 is characterized in that, its diameter was than the big 1-3mm of cotton-wool diameter when described base groove was hemispherical groove, and its length was than the big 1.5-3.5mm of cotton-wool when described base groove was square groove.
4. decompression material cartridge according to claim 1 is characterized in that, the shape of described decompression material cartridge can be tetragon, circle or oval.
5. decompression material cartridge according to claim 1 is characterized in that, described lid inwall is complete plane or has the lid groove that matches with base groove.
6. decompression material cartridge according to claim 1 is characterized in that described lid is provided with the lid projection, and correspondence position is provided with the base depression on the base, and the lid projection can be inserted in the corresponding base depression when lid was closed.
7. decompression material cartridge according to claim 1 is characterized in that, described cotton-wool is the cotton-wool of being made by dacron thread, and maximum gauge is 3-8mm, is placed on respectively in the base groove of corresponding size.
8. a preparation method that is used for the decompression material cartridge of neurosurgery MVD may further comprise the steps: the base and the lid of a, making decompression material cartridge; B, making cotton-wool; C, cotton-wool is put into corresponding base groove; D, cover lid.
9. preparation method according to claim 8 is characterized in that described preparation method also comprises step e, and the decompression material cartridge that steps d is prepared carries out oxirane disinfection.
10. according to the arbitrary described decompression material cartridge of claim 1-7, it is characterized in that the application of described decompression material cartridge in the neurosurgery MVD.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201110102263XA CN102151181A (en) | 2011-04-22 | 2011-04-22 | Decompression material box for neurosurgical microvascular decompression and preparation method thereof |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201110102263XA CN102151181A (en) | 2011-04-22 | 2011-04-22 | Decompression material box for neurosurgical microvascular decompression and preparation method thereof |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111097094A (en) * | 2019-12-06 | 2020-05-05 | 泰升医疗有限公司 | Micro-catheter for microvascular nerve decompression |
| CN111569161A (en) * | 2020-05-27 | 2020-08-25 | 天新福（北京）医疗器材股份有限公司 | Decompression material for microvascular decompression and preparation method and application thereof |
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| US4190153A (en) * | 1978-10-23 | 1980-02-26 | California Medical Developments, Inc. | Sponge disposal tray |
| US4832198A (en) * | 1987-06-15 | 1989-05-23 | Raza Alikhan | Container for packaging and counting surgical sponges |
| EP0401744A2 (en) * | 1989-06-05 | 1990-12-12 | RAUSCHER & CO., VERBANDSTOFF- UND WATTEFABRIKEN GES.M.B.H. | Package for handy storage of swabs |
| EP0800797A1 (en) * | 1996-04-11 | 1997-10-15 | Gianfranco Dessi' Lai | Container made of sterile wadding |
| CN101803936A (en) * | 2010-03-05 | 2010-08-18 | 吕学明 | Decompression material for neurosurgical microvascular decompression and preparation method thereof |
| CN202060882U (en) * | 2011-04-22 | 2011-12-07 | 上海交通大学医学院附属新华医院 | Pressure reduction material box for treating various cranial nerve syndromes |
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2011
- 2011-04-22 CN CN201110102263XA patent/CN102151181A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4190153A (en) * | 1978-10-23 | 1980-02-26 | California Medical Developments, Inc. | Sponge disposal tray |
| US4832198A (en) * | 1987-06-15 | 1989-05-23 | Raza Alikhan | Container for packaging and counting surgical sponges |
| EP0401744A2 (en) * | 1989-06-05 | 1990-12-12 | RAUSCHER & CO., VERBANDSTOFF- UND WATTEFABRIKEN GES.M.B.H. | Package for handy storage of swabs |
| EP0800797A1 (en) * | 1996-04-11 | 1997-10-15 | Gianfranco Dessi' Lai | Container made of sterile wadding |
| CN101803936A (en) * | 2010-03-05 | 2010-08-18 | 吕学明 | Decompression material for neurosurgical microvascular decompression and preparation method thereof |
| CN202060882U (en) * | 2011-04-22 | 2011-12-07 | 上海交通大学医学院附属新华医院 | Pressure reduction material box for treating various cranial nerve syndromes |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111097094A (en) * | 2019-12-06 | 2020-05-05 | 泰升医疗有限公司 | Micro-catheter for microvascular nerve decompression |
| CN111569161A (en) * | 2020-05-27 | 2020-08-25 | 天新福（北京）医疗器材股份有限公司 | Decompression material for microvascular decompression and preparation method and application thereof |
| CN111569161B (en) * | 2020-05-27 | 2022-04-19 | 天新福（北京）医疗器材股份有限公司 | Decompression material for microvascular decompression and preparation method and application thereof |
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Application publication date: 20110817 |