CN204260779U - A kind of per nasal-operation of sphenoid sinus wound road closes guider - Google Patents

A kind of per nasal-operation of sphenoid sinus wound road closes guider Download PDF

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Publication number
CN204260779U
CN204260779U CN201420617335.3U CN201420617335U CN204260779U CN 204260779 U CN204260779 U CN 204260779U CN 201420617335 U CN201420617335 U CN 201420617335U CN 204260779 U CN204260779 U CN 204260779U
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nasal
guider
pipe
sphenoid sinus
per nasal
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章翔
章薇
毛星刚
李剑
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Air Force Medical University
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Fourth Military Medical University FMMU
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Abstract

本实用新型涉及一种经鼻-蝶窦手术创道闭合导向器,通过在管身的一端开设有并行的排液管道和充气管道;管身的另一端开设有两路并行的入鼻导管,且入鼻导管上均设置有可膨胀的球囊,其管身和入鼻导管的侧壁上开设有侧壁通道,侧壁通道连接充气管道和球囊,从而能够通过调节充气管道的进气或进液量来调节球囊的大小。通过使用该装置的患者能够恢复鼻腔、鼻窦的生理功能,避免了手术后脑脊液鼻漏及鼻中隔偏曲的并发症发生。由于充气管道的管道口处设置有单向阀,从而防止了球囊的漏气或漏液现象;加之入鼻导管的导头处均开设有用于患者呼吸或排液的侧孔,这样更符合患者的生理功能,有利于该装置在临床的推广应用。

The utility model relates to a closure guide for transnasal-sphenoidal surgery wounds. One end of the tube body is provided with a parallel drainage pipeline and an inflation pipeline; the other end of the tube body is provided with two parallel nasal catheters. In addition, inflatable balloons are arranged on the nasal catheter, and side wall channels are provided on the tube body and the side wall of the nasal catheter. Or the amount of liquid to adjust the size of the balloon. By using the device, patients can restore the physiological functions of the nasal cavity and sinuses, and avoid complications of postoperative cerebrospinal fluid rhinorrhea and nasal septum deviation. A one-way valve is installed at the mouth of the inflatable tube, which prevents the balloon from leaking or leaking; in addition, the guide head of the nasal catheter is provided with a side hole for the patient to breathe or drain, which is more suitable The physiological function of the patient is conducive to the popularization and application of the device in clinic.

Description

一种经鼻-蝶窦手术创道闭合导向器A closure guide for transnasal-sphenoidal wound

技术领域technical field

本实用新型涉及一种闭合导向器,具体涉及一种经鼻-蝶窦手术创道闭合导向器。The utility model relates to a closure guide, in particular to a closure guide for transnasal-sphenoid sinus surgery wounds.

背景技术Background technique

鼻腔手术后的止血亦是用传统的方法:油纱条填塞或自制水囊、气囊压迫止血,以及烧灼后喷涂药物等。以上方法只能起到止血作用,但同时造成了患者在填塞期间的多种不适,如:头痛,口干,鼻塞,颜面肿胀,严重者甚至发生进食或呼吸困难。以上方法不论是纱条填塞,还是烧灼后喷涂药物,均能获得一定的治疗效果,但对术后鼻道处止血效果不佳,尚需行后鼻孔填塞。后鼻孔填塞操作需要由有一定临床经验的医师实施,使临床应用受到一定限制。同时易加重患者心理负担,并降低了患者的生活质量。Hemostasis after nasal cavity surgery is also done using traditional methods: oil gauze stuffing or self-made water bags, air bag compression to stop bleeding, and spraying drugs after cauterization. The above methods can only stop the bleeding, but at the same time cause the patient a variety of discomforts during the packing period, such as: headache, dry mouth, nasal congestion, swelling of the face, and even difficulty in eating or breathing in severe cases. Whether it is gauze packing or spraying drugs after cauterization, the above methods can obtain a certain therapeutic effect, but the effect on hemostasis in the nasal passage after operation is not good, and posterior nostril packing is still needed. Posterior nostril packing operation needs to be performed by physicians with certain clinical experience, which limits the clinical application to a certain extent. At the same time, it is easy to increase the psychological burden of patients and reduce the quality of life of patients.

目前所用到的止血气囊的通气为单一的直管通气,会造成患者鼻腔愈合偏差,导致鼻中隔移位,不利于患者恢复,严重影响了患者术后的工作与生活,还可能产生术后脑脊液鼻漏及鼻中隔偏曲的并发症。The ventilation of the hemostatic airbag currently used is a single straight tube ventilation, which will cause the patient's nasal cavity to heal deviation, lead to the displacement of the nasal septum, which is not conducive to the patient's recovery, seriously affects the postoperative work and life of the patient, and may also produce postoperative cerebrospinal fluid. Complications of leakage and septal deviation.

实用新型内容Utility model content

本实用新型的目的在于克服上述现有技术中存在的缺点,提供一种经鼻-蝶窦手术创道闭合导向器,具备有利于患者迅速康复的作用,避免了手术后脑脊液鼻漏与鼻中隔偏曲的不良影响。The purpose of the utility model is to overcome the above-mentioned shortcomings in the prior art, to provide a transnasal-sphenoidal surgical wound closure guide, which is beneficial to the rapid recovery of patients, and avoids postoperative cerebrospinal fluid rhinorrhea and nasal septum deviation. adverse effects of music.

为实现上述目的,本实用新型采用以下技术方案:包括管身,管身的一端开设有并行的排液管道和充气管道;管身的另一端开设有两路并行的入鼻导管,且入鼻导管上均设置有可膨胀的球囊;In order to achieve the above purpose, the utility model adopts the following technical solutions: it includes a tube body, one end of the tube body is provided with a parallel drainage pipeline and an inflation pipeline; the other end of the tube body is provided with two parallel nasal catheters, and the nasal Inflatable balloons are arranged on the catheter;

所述的管身和入鼻导管的侧壁上开设有侧壁通道,侧壁通道连接充气管道和球囊;A side wall channel is opened on the side wall of the tube body and the nasal catheter, and the side wall channel is connected with the inflation tube and the balloon;

所述的充气管道的管道口处设置有单向阀;A one-way valve is provided at the mouth of the inflation pipeline;

所述的入鼻导管的导头处均开设有用于患者呼吸或排液的侧孔。The guide head of the nasal catheter is provided with a side hole for the patient to breathe or drain.

所述的球囊呈椭球形,长度为0.5~1.0cm,内部容积为3~6mL。The balloon is in the shape of an ellipsoid, with a length of 0.5-1.0 cm and an internal volume of 3-6 mL.

所述的入鼻导管的长度为5~8cm。The length of the nasal catheter is 5-8cm.

所述的管身的长度为10~20cm。The length of the tube body is 10-20cm.

所述的球囊位于入鼻导管头端1/3处。The balloon is located at 1/3 of the head end of the nasal catheter.

所述的管身、排液管道、充气管道和入鼻导管的材料均为硅胶。The materials of the tube body, the drainage pipe, the inflation pipe and the nasal catheter are all silica gel.

本实用新型具有以下的有益效果:相比较现有技术,本实用新型通过在管身的一端开设有并行的排液管道和充气管道;管身的另一端开设有两路并行的入鼻导管,且入鼻导管上均设置有可膨胀的球囊;其管身和入鼻导管的侧壁上开设有侧壁通道,侧壁通道连接充气管道和球囊;从而能够通过调节充气管道的进气或进液量来调节球囊的大小。使用时将两路入鼻导管均同时插入患者鼻腔中,并将未膨胀状态的球囊放置至创道部位,之后通过向充气管道内注入空气或液体,使球囊逐渐膨胀,使其逐渐扩张而对创道实行加压,让创道的切口缘闭合。创道愈合后,将球囊内的液体或气体排放,并将该装置取出。通过使用该装置患者可迅速恢复鼻腔、鼻窦的生理功能,避免了手术后脑脊液鼻漏与鼻中隔偏曲的并发症。由于充气管道的管道口处设置有单向阀,从而避免了球囊的漏气或漏液现象的发生;加之入鼻导管的导头处均开设有用于患者呼吸或排液的侧孔,这样促进了患者的恢复,提高了装置的实用性。本装置能够极大地改善现有手术后患者恢复的状况,减轻了患者的痛苦,且适用于临床大范围推广应用。The utility model has the following beneficial effects: compared with the prior art, the utility model is provided with a parallel drainage pipeline and an inflation pipeline at one end of the tube body; two parallel nasal catheters are provided at the other end of the tube body, And the nasal catheter is provided with inflatable balloons; the tube body and the side wall of the nasal catheter are provided with side wall passages, and the side wall passages are connected to the inflation pipeline and the balloon; thus the air intake of the inflation pipeline can be adjusted Or the amount of liquid to adjust the size of the balloon. When in use, both nasal catheters are inserted into the nasal cavity of the patient at the same time, and the uninflated balloon is placed on the wound site, and then the balloon is gradually inflated by injecting air or liquid into the inflatable tube to make it expand gradually And apply pressure to the wound, so that the incision edge of the wound is closed. After the wound has healed, the balloon is drained of fluid or air and the device is removed. By using the device, patients can quickly restore the physiological functions of the nasal cavity and sinuses, and avoid complications of cerebrospinal fluid rhinorrhea and nasal septum deviation after surgery. Since the mouth of the inflatable pipeline is provided with a one-way valve, thereby avoiding the occurrence of air leakage or liquid leakage of the balloon; in addition, the guide head of the nasal catheter is provided with a side hole for the patient to breathe or drain, so that Patient recovery is facilitated and the utility of the device is enhanced. The device can greatly improve the recovery status of patients after existing operations, relieve the pain of patients, and is suitable for wide-scale popularization and application in clinical practice.

进一步地,由于管身、排液管道、充气管道和入鼻导管的材料均为硅胶,从而使得装置能够任意弯曲,提高了装置的实用性。Further, since the materials of the tube body, the drainage pipe, the inflation pipe and the nasal catheter are all silica gel, the device can be bent arbitrarily, which improves the practicability of the device.

附图说明Description of drawings

图1是本实用新型结构示意图;Fig. 1 is a structural representation of the utility model;

图中:1:管身;2:排液管道;3:充气管道;4:单向阀;5:入鼻导管;6:球囊;7:导头;8:侧孔;9:侧壁通道。In the figure: 1: tube body; 2: drainage pipe; 3: inflation pipe; 4: one-way valve; 5: nasal catheter; 6: balloon; 7: guide head; 8: side hole; 9: side wall aisle.

具体实施方式Detailed ways

下面结合附图,对本实用新型作进一步详细说明。Below in conjunction with accompanying drawing, the utility model is described in further detail.

参见图1,本实用新型包括管身1,管身1的一端开设有并行的排液管道2和充气管道3;管身1的另一端开设有两路并行的入鼻导管5,且入鼻导管5上均设置有可膨胀的球囊6;管身1和入鼻导管5的侧壁上开设有侧壁通道9,侧壁通道9连接充气管道3和球囊6;充气管道3的管道口处设置有单向阀4;入鼻导管5的导头7处均开设有用于患者呼吸或排液的侧孔8。球囊6呈椭球形,长度为0.5~1.0cm,内部容积为3~6mL。入鼻导管5的长度为5~8cm。管身1的长度为10~20cm。球囊6位于入鼻导管5头端1/3处。管身1、排液管道2、充气管道3和入鼻导管5的材料均为硅胶。Referring to Fig. 1, the utility model comprises a tube body 1, and one end of the tube body 1 is provided with a parallel drainage pipeline 2 and an inflation pipeline 3; the other end of the tube body 1 is provided with two parallel nasal catheters 5, and the nasal The catheter 5 is provided with an inflatable balloon 6; the side wall of the tube body 1 and the nasal catheter 5 is provided with a side wall channel 9, and the side wall channel 9 is connected to the inflation pipeline 3 and the balloon 6; the pipeline of the inflation pipeline 3 A one-way valve 4 is provided at the mouth; side holes 8 for the patient to breathe or drain are opened at the guide head 7 of the nasal catheter 5 . The balloon 6 is in the shape of an ellipsoid, with a length of 0.5-1.0 cm and an internal volume of 3-6 mL. The length of the nasal catheter 5 is 5-8 cm. The length of the tube body 1 is 10-20 cm. The balloon 6 is located at 1/3 of the head end of the nasal catheter 5 . The materials of the tube body 1, the liquid discharge pipe 2, the inflation pipe 3 and the nasal catheter 5 are all silica gel.

本装置通过在管身1的一端开设有并行的排液管道2和充气管道3;管身1的另一端开设有两路并行的入鼻导管5,且入鼻导管5上均设置有可膨胀的球囊6;且管身1和入鼻导管5的侧壁上开设有侧壁通道9,侧壁通道9连接充气管道3和球囊6;从而能够通过调节充气管道3的进气或进液量来调节球囊6的大小。The device is provided with a parallel drainage pipeline 2 and an inflation pipeline 3 at one end of the tube body 1; the other end of the tube body 1 is provided with two parallel nasal catheters 5, and the nasal catheters 5 are provided with expandable and the side wall of the tube body 1 and the nasal catheter 5 is provided with a side wall channel 9, the side wall channel 9 is connected to the inflation pipeline 3 and the balloon 6; The liquid volume is adjusted the size of balloon 6.

本装置使用方法:使用时将两路入鼻导管5均同时插入患者鼻腔中,并将未膨胀状态的球囊6放置至鼻腔的创道部位,之后通过向充气管道3内注入空气或液体,使球囊6逐渐膨胀,使其逐渐扩张而对创道实行加压,让创道的切口缘闭合。创道愈合后,将球囊6内的液体或气体排放,并将该装置取出。The method of use of the device: when in use, insert two nasal catheters 5 into the nasal cavity of the patient at the same time, place the balloon 6 in the uninflated state on the wound site of the nasal cavity, and then inject air or liquid into the inflatable tube 3, The balloon 6 is gradually inflated to expand gradually to pressurize the wound, so that the edge of the wound is closed. After the wound is healed, the liquid or gas in the balloon 6 is discharged, and the device is taken out.

通过使用该装置的患者,可迅速恢复鼻腔、鼻窦之生理功能,避免了手术后脑脊液鼻漏与鼻中隔偏曲的不良反应。由于充气管道3的管道口处设置有单向阀4,从而避免了球囊6的漏气或漏液现象的发生;加之入鼻导管5的导头7处均开设有用于患者呼吸或排液的侧孔8,故可促进患者迅速恢复,提高了装置的实用性。本装置能够极大地改善现有手术后患者的恢复状况,减轻了患者的痛苦,且适用于临床大范围推广应用。由于管身1、排液管道2、充气管道3和入鼻导管5的材料均为硅胶,因而使得装置能够任意弯曲,提高了装置的实用性。By using the device, patients can quickly restore the physiological functions of the nasal cavity and sinuses, and avoid the adverse reactions of cerebrospinal fluid rhinorrhea and nasal septum deviation after surgery. Since the pipeline opening of the inflation pipeline 3 is provided with a one-way valve 4, the occurrence of air leakage or liquid leakage of the balloon 6 is avoided; The side hole 8 can promote the rapid recovery of the patient and improve the practicability of the device. The device can greatly improve the recovery status of patients after existing operations, relieve the pain of patients, and is suitable for wide-scale clinical promotion and application. Since the material of the tube body 1, the drainage pipe 2, the inflation pipe 3 and the nasal catheter 5 are all silica gel, the device can be bent arbitrarily, and the practicability of the device is improved.

本装置中的球囊6均为能够双向充放气体或者液体的球囊。The balloons 6 in the device are all balloons capable of bidirectionally filling and discharging gas or liquid.

本装置能够在鼻中隔和鼻甲之间的间歇中光滑地进出,并且利用其软质、球囊6可扩张的特点,对其内充盈空气或生理盐水,使其逐渐扩张而对创道实行加压,让创道的切口缘闭合。创道愈合后,此时将球囊6内的液体或气体排放,并拔出创道闭合导向器。患者恢复鼻腔、鼻窦的生理功能,避免了手术后脑脊液鼻漏与鼻中隔偏曲的不良反应。The device can smoothly enter and exit between the nasal septum and the turbinate, and utilize its softness and expandable characteristics of the balloon 6 to fill it with air or saline to gradually expand it to pressurize the wound , allowing the incision edge of the wound to close. After the wound is healed, the liquid or gas in the balloon 6 is discharged at this time, and the wound closure guide is pulled out. The patient recovered the physiological functions of the nasal cavity and sinuses, and avoided the adverse reactions of cerebrospinal fluid rhinorrhea and nasal septum deviation after surgery.

Claims (6)

1. per nasal-operation of sphenoid sinus wound road closes a guider, and it is characterized in that: comprise pipe shaft (1), one end of pipe shaft (1) offers parallel Drainage pipe (2) and aerating pipe (3); The other end of pipe shaft (1) offer two-way parallel enter nose conduit (5), and enter on nose conduit (5) to be provided with expandable sacculus (6);
Described pipe shaft (1) and enter nose conduit (5) sidewall on offer side wall channels (9), side wall channels (9) connects aerating pipe (3) and sacculus (6);
The pipeline opening place of described aerating pipe (3) is provided with check valve (4);
Described top guide (7) place entering nose conduit (5) all offers the side opening (8) for patient respiratory or discharge opeing.
2. a kind of per nasal according to claim 1-operation of sphenoid sinus wound road closes guider, it is characterized in that: described sacculus (6) is in elliposoidal, and length is 0.5 ~ 1.0cm, and internal capacity is 3 ~ 6mL.
3. a kind of per nasal according to claim 1-operation of sphenoid sinus wound road closes guider, it is characterized in that: the described length entering nose conduit (5) is 5 ~ 8cm.
4. a kind of per nasal according to claim 1-operation of sphenoid sinus wound road closes guider, it is characterized in that: the length of described pipe shaft (1) is 10 ~ 20cm.
5. a kind of per nasal according to claim 1-operation of sphenoid sinus wound road closes guider, it is characterized in that: described sacculus (6) is positioned at into nose conduit (5) head end 1/3 place.
6. a kind of per nasal according to claim 1-operation of sphenoid sinus wound road closes guider, it is characterized in that: described pipe shaft (1), Drainage pipe (2), aerating pipe (3) and the material entering nose conduit (5) are silica gel.
CN201420617335.3U 2014-10-23 2014-10-23 A kind of per nasal-operation of sphenoid sinus wound road closes guider Expired - Fee Related CN204260779U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104306041A (en) * 2014-10-23 2015-01-28 中国人民解放军第四军医大学 Endonasal-transsphenoidal surgical wound closure guide
CN109171866A (en) * 2018-10-23 2019-01-11 王浩 A kind of pharyngeal cavity pipe

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104306041A (en) * 2014-10-23 2015-01-28 中国人民解放军第四军医大学 Endonasal-transsphenoidal surgical wound closure guide
CN109171866A (en) * 2018-10-23 2019-01-11 王浩 A kind of pharyngeal cavity pipe

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