CN209315989U - Nasal cavity multifunctional support device - Google Patents
Nasal cavity multifunctional support device Download PDFInfo
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Abstract
Description
技术领域technical field
本实用新型涉及医疗器械技术领域,具体而言,涉及一种鼻腔多功能支撑装置。The utility model relates to the technical field of medical devices, in particular to a nasal cavity multifunctional support device.
背景技术Background technique
在医院的临床工作中,颅底是神经外科、耳鼻喉科、眼科、口腔科等多个学科的交叉点,在神经外科和耳鼻喉科,诊治该区域疾病数量占非常大的比例。而随着微创及内镜技术的发展,经鼻颅底手术因更容易到达病变所在地,对大脑等神经系统干扰小、无需头皮切口开颅、不影响美观等具有诸多优势,因此逐步成为诸多颅底手术的首选方式。In the clinical work of the hospital, the skull base is the intersection of neurosurgery, otolaryngology, ophthalmology, stomatology and other disciplines. In neurosurgery and otolaryngology, the number of diseases diagnosed and treated in this area accounts for a very large proportion. With the development of minimally invasive and endoscopic techniques, transnasal skull base surgery has many advantages, such as easier access to the location of the lesion, less interference with the brain and other nervous systems, no need for scalp incision, and no impact on the appearance. The preferred modality for skull base surgery.
在颅底手术后,因为经鼻腔缝合颅底结构难度极大,目前国内外通用的办法是采用鼻腔填塞的方式进行支撑切除病变后修补颅底缺损的材料,帮助术后伤口尽快愈合和康复。目前的鼻腔填充方式中,填充材料除缺乏弹性、难以有效支撑和贴合缺损边缘、容易移位之外等,还存在堵塞患者鼻腔呼吸通道的缺陷。After skull base surgery, it is extremely difficult to suture the skull base structure through the nasal cavity. At present, the common method at home and abroad is to use nasal packing to support the material for repairing the skull base defect after resection of the lesion, so as to help the postoperative wound heal and recover as soon as possible. In the current nasal cavity filling method, in addition to lack of elasticity, difficulty in effectively supporting and fitting the edge of the defect, and easy displacement, the filling material also has the defect of blocking the nasal breathing passage of the patient.
有鉴于此,设计制造出一种鼻腔多功能支撑装置,能够在颅底手术后,对鼻腔进行有效支撑,是目前鼻腔多功能支撑装置技术领域中急需改善的技术问题。In view of this, designing and manufacturing a nasal cavity multifunctional support device, which can effectively support the nasal cavity after skull base surgery, is a technical problem that urgently needs to be improved in the technical field of nasal cavity multifunctional support devices.
实用新型内容Utility model content
本实用新型的目的包括提供一种鼻腔多功能支撑装置,通过设置第一支撑部和第二支撑部,能够有效支撑颅底手术后的缺损周边,固定可靠,适应不同形状、不同程度的缺损支撑,有利于患者的术后恢复。该鼻腔多功能支撑装置还设有通气道,便于患者呼吸,提高病人的使用舒适度。The purpose of this utility model includes providing a multi-functional support device for the nasal cavity. By setting the first support part and the second support part, it can effectively support the periphery of the defect after skull base surgery, which is reliable and suitable for different shapes and degrees of defect support , which is conducive to the postoperative recovery of patients. The multifunctional support device for the nasal cavity is also provided with an airway, which is convenient for the patient to breathe and improves the comfort of the patient.
本实用新型的目的还包括提供一种鼻腔多功能支撑装置,在第二支撑部内设置空心气管,有利于患者呼吸更顺畅,便于安装和支撑,结构可靠,适形能力强。The purpose of the utility model also includes providing a multifunctional support device for the nasal cavity, in which a hollow trachea is provided in the second support part, which is beneficial for the patient to breathe more smoothly, is easy to install and support, has a reliable structure, and has strong conformability.
本实用新型改善其技术问题是采用以下的技术方案来实现的。The utility model improves its technical problem and adopts the following technical solutions to realize.
本实用新型提供的一种鼻腔多功能支撑装置,包括相互连接的第一支撑部和第二支撑部,所述第二支撑部开设有通气道。The utility model provides a multifunctional support device for the nasal cavity, which comprises a first support part and a second support part connected to each other, and the second support part is provided with an air passage.
所述第一支撑部包括第一外护层和第一内衬层,所述第一外护层和所述第一内衬层之间形成第一填充空间。所述第二支撑部包括第二外护层和第二内衬层,所述第二外护层和所述第二内衬层之间形成第二填充空间;所述第一填充空间与所述第二填充空间连通。The first supporting part includes a first outer sheath and a first inner lining, and a first filling space is formed between the first outer sheath and the first inner lining. The second supporting part includes a second outer sheath and a second inner lining, and a second filling space is formed between the second outer sheath and the second inner lining; the first filling space is connected to the second inner lining. The second filling space is connected.
所述第二支撑部上设有加注阀,所述加注阀与所述第二填充空间连通,向所述第一填充空间和所述第二填充空间加注填充介质。A filling valve is provided on the second supporting part, and the filling valve communicates with the second filling space to fill the first filling space and the second filling space with filling medium.
进一步地,所述第一支撑部包括第一分段,所述第一分段用于支撑鞍区。Further, the first support part includes a first segment, and the first segment is used to support the saddle area.
进一步地,所述第一支撑部包括第一分段和第二分段,所述第一分段和所述第二分段一体成型;所述第一分段用于支撑鞍区,所述第二分段用于支撑前颅底。Further, the first support part includes a first segment and a second segment, and the first segment and the second segment are integrally formed; the first segment is used to support the saddle area, and the The second segment is used to support the anterior skull base.
进一步地,所述第一支撑部包括第一分段、第二分段和第三分段,所述第一分段、所述第二分段和所述第三分段一体成型;所述第一分段用于支撑鞍区,所述第二分段用于支撑前颅底,所述第三分段用于支撑斜坡。Further, the first support part includes a first segment, a second segment and a third segment, and the first segment, the second segment and the third segment are integrally formed; the The first segment is used to support the saddle region, the second segment is used to support the anterior skull base, and the third segment is used to support the ramp.
进一步地,所述第二支撑部包括单侧承载部,所述单侧承载部用于填充单侧中鼻甲缺损空间。Further, the second supporting part includes a unilateral bearing part, and the unilateral bearing part is used to fill the space of unilateral middle turbinate defect.
进一步地,所述第二支撑部包括双侧承载部,所述双侧承载部用于填充双侧中鼻甲缺损空间。Further, the second supporting part includes a double-sided bearing part, and the double-sided bearing part is used to fill the bilateral middle turbinate defect space.
进一步地,所述通气道的数量为一个或两个。Further, the number of the air passage is one or two.
进一步地,所述第一支撑部、所述第二支撑部和所述加注阀一体成型。Further, the first supporting part, the second supporting part and the filling valve are integrally formed.
进一步地,所述第一外护层、所述第一内衬层、所述第二外护层和所述第二内衬层均采用硅胶制成;所述第一外护层、所述第一内衬层、所述第二外护层、所述第二内衬层和所述加注阀形成密封空间;所述填充介质为液体或气体。Further, the first outer sheath, the first inner lining, the second outer sheath and the second inner lining are all made of silica gel; the first outer sheath, the The first inner liner, the second outer sheath, the second inner liner and the filling valve form a sealed space; the filling medium is liquid or gas.
本实用新型提供的一种鼻腔多功能支撑装置,包括相互连接的第一支撑部、第二支撑部和空心气管。The utility model provides a multifunctional support device for the nasal cavity, which comprises a first support part, a second support part and a hollow air tube connected to each other.
所述第一支撑部包括第一外护层和第一内衬层,所述第一外护层和所述第一内衬层之间形成第一填充空间。所述第二支撑部包括第二外护层和第二内衬层,所述第二外护层和所述第二内衬层之间形成第二填充空间。所述第二内衬层贴附在所述空心气管的外壁;所述空心气管作为通气道。The first supporting part includes a first outer sheath and a first inner lining, and a first filling space is formed between the first outer sheath and the first inner lining. The second supporting part includes a second outer sheath and a second inner lining, and a second filling space is formed between the second outer sheath and the second inner lining. The second inner lining layer is attached to the outer wall of the hollow trachea; the hollow trachea serves as an airway.
所述第一填充空间与所述第二填充空间连通。所述第二支撑部上设有加注阀,所述加注阀与所述第二填充空间连通,向所述第一填充空间和所述第二填充空间加注填充介质。The first filling space communicates with the second filling space. A filling valve is provided on the second supporting part, and the filling valve communicates with the second filling space to fill the first filling space and the second filling space with filling medium.
本实用新型提供的鼻腔多功能支撑装置具有以下几个方面的有益效果:The nasal multifunctional support device provided by the utility model has the beneficial effects of the following aspects:
本实用新型提供的一种鼻腔多功能支撑装置,通过设置第一支撑部和第二支撑部,能够有效支撑颅底手术后的缺损周边,固定可靠,适应不同形状、不同程度的缺损支撑,有利于患者的术后伤口愈合,减少严重并发症的发生,如脑脊液漏、颅内感染等一系列颅鼻沟通相关并发症。该鼻腔多功能支撑装置还设有通气道,便于患者呼吸,提高病人的舒适度。The utility model provides a nasal cavity multifunctional support device, by setting the first support part and the second support part, it can effectively support the periphery of the defect after skull base surgery, it is fixed reliably, it is suitable for different shapes and different degrees of defect support, and it is effective It is beneficial to patients' postoperative wound healing and reduces the occurrence of serious complications, such as cerebrospinal fluid leakage, intracranial infection and a series of complications related to cranial-nasal communication. The nasal cavity multifunctional supporting device is also provided with an airway, which is convenient for the patient to breathe and improves the comfort of the patient.
本实用新型提供的另一种鼻腔多功能支撑装置,在第二支撑部内设置空心气管,有利于患者呼吸更顺畅,便于安装和支撑,结构可靠,适形能力强。Another nasal cavity multifunctional support device provided by the utility model has a hollow trachea in the second support part, which is beneficial for the patient to breathe more smoothly, is easy to install and support, has a reliable structure, and has strong conformability.
附图说明Description of drawings
为了更清楚地说明本实用新型实施例的技术方案,下面将对实施例中所需要使用的附图作简单地介绍,应当理解,以下附图仅示出了本实用新型的某些实施例,因此不应被看作是对范围的限定,对于本领域普通技术人员来讲,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相关的附图。In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the following drawings will be briefly introduced in the embodiments. It should be understood that the following drawings only show some embodiments of the present invention. Therefore, it should not be regarded as a limitation on the scope. For those skilled in the art, other related drawings can also be obtained according to these drawings without creative work.
图1为本实用新型具体实施例提供的鼻腔多功能支撑装置的第一种结构示意图;Fig. 1 is the first structural schematic diagram of the nasal cavity multifunctional support device provided by the specific embodiment of the present invention;
图2为本实用新型具体实施例提供的鼻腔多功能支撑装置的第一支撑部的第一类情形的结构示意图;Fig. 2 is a structural schematic diagram of the first type of situation of the first support part of the nasal cavity multifunctional support device provided by the specific embodiment of the present invention;
图3为本实用新型具体实施例提供的鼻腔多功能支撑装置的第一支撑部的第二类情形的结构示意图;Fig. 3 is a structural schematic diagram of the second type of situation of the first support part of the multifunctional nasal cavity support device provided by the specific embodiment of the present invention;
图4为本实用新型具体实施例提供的鼻腔多功能支撑装置的第一支撑部的第三类情形的结构示意图;Fig. 4 is a schematic structural view of the third type of situation of the first support part of the nasal cavity multifunctional support device provided by the specific embodiment of the present invention;
图5为本实用新型具体实施例提供的鼻腔多功能支撑装置的第二支撑部的第一类情形的结构示意图;Fig. 5 is a structural schematic diagram of the first type of situation of the second support part of the nasal cavity multifunctional support device provided by the specific embodiment of the present invention;
图6为本实用新型具体实施例提供的鼻腔多功能支撑装置的第二支撑部的第二类情形的结构示意图;Fig. 6 is a structural schematic diagram of the second type of situation of the second support part of the nasal cavity multifunctional support device provided by the specific embodiment of the present invention;
图7为本实用新型具体实施例提供的鼻腔多功能支撑装置的第一种组合方式的结构示意图;Fig. 7 is a structural schematic diagram of the first combination mode of the nasal cavity multifunctional support device provided by the specific embodiment of the present invention;
图8为本实用新型具体实施例提供的鼻腔多功能支撑装置的第二种组合方式的结构示意图;Fig. 8 is a structural schematic diagram of the second combination mode of the nasal cavity multifunctional support device provided by the specific embodiment of the present invention;
图9为本实用新型具体实施例提供的鼻腔多功能支撑装置的第三种组合方式的结构示意图;Fig. 9 is a schematic structural view of the third combination mode of the nasal cavity multifunctional support device provided by the specific embodiment of the present invention;
图10为本实用新型具体实施例提供的鼻腔多功能支撑装置的两个通气道的应用结构示意图。Fig. 10 is a schematic diagram of the application structure of the two air passages of the nasal cavity multifunctional support device provided by the specific embodiment of the present invention.
图标:100-鼻腔多功能支撑装置;110-第一支撑部;111-第一分段;113-第二分段;115-第三分段;130-第二支撑部;131-单侧承载部;133-双侧承载部;150-通气道;160-加注阀。Icons: 100-Multi-functional support device for nasal cavity; 110-First support part; 111-First segment; 113-Second segment; 115-Third segment; 130-Second support part; 131-Unilateral load 133-both sides bearing part; 150-air passage; 160-filling valve.
具体实施方式Detailed ways
为使本实用新型实施例的目的、技术方案和优点更加清楚,下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例是本实用新型一部分实施例,而不是全部的实施例。通常在此处附图中描述和示出的本实用新型实施例的组件可以以各种不同的配置来布置和设计。In order to make the purpose, technical solutions and advantages of the embodiments of the utility model more clear, the technical solutions in the embodiments of the utility model will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the utility model. Obviously, the described The embodiments are some embodiments of the present utility model, but not all embodiments. The components of the embodiments of the invention generally described and illustrated in the figures herein may be arranged and designed in a variety of different configurations.
因此,以下对在附图中提供的本实用新型的实施例的详细描述并非旨在限制要求保护的本实用新型的范围,而是仅仅表示本实用新型的选定实施例。基于本实用新型中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。Therefore, the following detailed description of the embodiments of the present invention provided in the accompanying drawings is not intended to limit the scope of the claimed invention, but merely represents selected embodiments of the present invention. Based on the embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of the present utility model.
在本实用新型的描述中,需要理解的是,术语“上”、“下”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,或者是本实用新型产品使用时惯常摆放的方位或位置关系,或者是本领域技术人员惯常理解的方位或位置关系,仅是为了便于描述本实用新型和简化描述,而不是指示或暗示所指的设备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实用新型的限制。In the description of the present utility model, it should be understood that the orientation or positional relationship indicated by the terms "up", "down", etc. is based on the orientation or positional relationship shown in the accompanying drawings, or the conventional orientation when the product of the utility model is used. The orientation or positional relationship, or the orientation or positional relationship commonly understood by those skilled in the art, is only for the convenience of describing the utility model and simplifying the description, rather than indicating or implying that the referred device or element must have a specific orientation, Constructed and operative in a particular orientation and therefore should not be construed as limiting the invention.
本实用新型的“第一”、“第二”等,仅仅用于在描述上加以区分,并没有特殊的含义。"First" and "second" in the present invention are only used to distinguish in description, and have no special meaning.
在本实用新型的描述中,还需要说明的是,除非另有明确的规定和限定,术语“设置”、“安装”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体化连接;可以是直接相连,也可以通过中间媒介间接相连。对于本领域的普通技术人员而言,可以具体情况理解上述术语在本实用新型中的具体含义。In the description of the present utility model, it should also be noted that, unless otherwise clearly stipulated and limited, the terms "setting" and "installation" should be understood in a broad sense, for example, it can be a fixed connection or a detachable connection, Or integrated connection; it can be directly connected or indirectly connected through an intermediary. Those of ordinary skill in the art can understand the specific meanings of the above terms in the present utility model in specific situations.
在医院的临床工作中,大多数颅底手术会从鼻腔进入颅底病变处,经鼻腔手术或者压迫治疗的关键点就是要做到有效压迫和支撑,现有的支撑技术因为形状单一,通常为球形,即便辅助膨胀海绵、液体明胶等材料,球形支撑也无法避免容易移动和周边支撑力度不够等缺点。本申请提供的鼻腔多功能支撑装置充分考虑到不同手术类型及范围,根据鼻腔三维空间结构及大小设计完全“适形”的可膨胀球囊,且充水或充气后因为形状贴合鼻腔的鼻甲、鼻道结构而嵌合在一起,不会出现移位的现象。而且,根据手术情况选择不同规格类型的塑形形状后,可使整个颅底缺损面和需要支撑区域得到均匀、完全、有效的支撑,为自体组织的生长愈合提供稳定条件。In the clinical work of the hospital, most skull base operations will enter the skull base lesion from the nasal cavity. The key point of transnasal surgery or compression therapy is to achieve effective compression and support. The existing support technology is usually single in shape. Spherical, even if it is assisted to expand materials such as sponge and liquid gelatin, the spherical support cannot avoid the disadvantages of easy movement and insufficient peripheral support. The nasal cavity multifunctional support device provided by this application fully takes into account different surgical types and scopes, and designs a fully "conforming" inflatable balloon according to the three-dimensional space structure and size of the nasal cavity, and after filling with water or air, the shape fits the turbinate of the nasal cavity , The structure of the nasal passages is fitted together, and there will be no displacement. Moreover, after choosing different specifications and types of plastic shapes according to the surgical situation, the entire skull base defect surface and the area requiring support can be uniformly, completely and effectively supported, providing stable conditions for the growth and healing of autologous tissue.
第一实施例first embodiment
图1为本实用新型具体实施例提供的鼻腔多功能支撑装置100的第一种结构示意图,请参照图1。FIG. 1 is a schematic diagram of the first structure of a multifunctional nasal cavity support device 100 provided by a specific embodiment of the present invention, please refer to FIG. 1 .
本实施例提供的一种鼻腔多功能支撑装置100,用于患者颅底手术后,对患者鼻腔、手术通道以及手术后颅底的缺损部位进行有效支撑,包括相互连接的第一支撑部110和第二支撑部130,第二支撑部130开设有通气道150,通气道150的设置有利于患者呼吸顺畅,提高用户使用舒适度。This embodiment provides a nasal cavity multifunctional support device 100, which is used to effectively support the patient's nasal cavity, surgical channel, and postoperative skull base defect after skull base surgery, and includes interconnected first support parts 110 and The second support part 130 is provided with an air passage 150, and the arrangement of the air passage 150 is conducive to the smooth breathing of the patient and improves the comfort of the user.
第一支撑部110包括第一外护层和第一内衬层,第一外护层和第一内衬层之间形成第一填充空间。第二支撑部130包括第二外护层和第二内衬层,第二外护层和第二内衬层之间形成第二填充空间。第一填充空间与第二填充空间连通。The first supporting part 110 includes a first outer sheath and a first inner lining, and a first filling space is formed between the first outer sheath and the first inner lining. The second supporting part 130 includes a second outer sheath and a second inner lining, and a second filling space is formed between the second outer sheath and the second inner lining. The first filling space communicates with the second filling space.
第二支撑部130上设有加注阀160,加注阀160与第二填充空间连通,加注阀160用于向第一填充空间和第二填充空间中加注填充介质。填充介质可以是气体或液体,对鼻腔内或颅底部分的缺损处进行有效支撑。由于气体或液体的流动性较强,形状适应能力强,对各种形状的缺损、各种不同程度的缺损均能起到有效支撑,有利于患者手术后的伤口愈合、恢复。A filling valve 160 is provided on the second supporting part 130, and the filling valve 160 communicates with the second filling space. The filling valve 160 is used for filling the filling medium into the first filling space and the second filling space. The filling medium can be gas or liquid, and can effectively support the defect in the nasal cavity or the skull base. Due to the strong fluidity of gas or liquid and strong shape adaptability, it can effectively support defects of various shapes and degrees, which is beneficial to wound healing and recovery of patients after surgery.
根据颅底手术的部位不同,第一支撑部110大致可以分为以下几类:第一支撑部110仅用于支撑鞍区,第一支撑部110用于支撑鞍区和前颅底,第一支撑部110用于支撑鞍区和斜坡。According to the different parts of the skull base operation, the first support part 110 can be roughly divided into the following categories: the first support part 110 is only used to support the saddle area, the first support part 110 is used to support the saddle area and the front skull base, the first support part 110 is used to support the saddle area and the front skull base, The support portion 110 is used to support the saddle area and the slope.
具体的,第一类情形:如图2所示,为一侧面结构示意图。第一支撑部110包括第一分段111,第一分段111用于支撑鞍区。当患者手术后,鞍区需要支撑时,采用仅有第一分段111的第一支撑部110类型,向第一分段111中加注液体或气体,使第一分段111涨起,涨起后的形状与鞍区处需要支撑的形状相适应,膨胀后通过多个接触面的嵌合提高支撑稳定性,对鞍区进行有效支撑。Specifically, the first type of situation: as shown in FIG. 2 , which is a schematic diagram of a side structure. The first support part 110 includes a first section 111 for supporting the saddle area. When the patient needs support after the operation, the first support part 110 type with only the first subsection 111 is used, and liquid or gas is added to the first subsection 111 to make the first subsection 111 rise up. The raised shape is adapted to the shape that needs to be supported at the saddle area. After expansion, the support stability is improved through the fitting of multiple contact surfaces, and the saddle area is effectively supported.
第二类情形:如图3所示,为一侧面结构示意图。第一支撑部110包括第一分段111和第二分段113,第一分段111和第二分段113一体成型;第一分段111用于支撑鞍区,第二分段113用于支撑前颅底。当患者手术后,鞍区和前颅底均需要支撑时,采用设置有第一分段111和第二分段113的第一支撑部110类型,向第一分段111和第二分段113中加注液体或气体,使第一分段111涨起,涨起后的形状与鞍区、前颅底处需要支撑的形状相适应,膨胀后通过多个接触面的嵌合提高支撑稳定性,对鞍区和前颅底进行有效支撑。The second type of situation: as shown in FIG. 3 , which is a schematic diagram of a side structure. The first support part 110 includes a first segment 111 and a second segment 113, the first segment 111 and the second segment 113 are integrally formed; the first segment 111 is used to support the saddle area, and the second segment 113 is used for Supports the anterior skull base. When after the patient's operation, both the saddle area and the front skull base need to be supported, the first support part 110 type provided with the first segment 111 and the second segment 113 is used, and the first segment 111 and the second segment 113 are supported. Add liquid or gas to make the first segment 111 swell up. The swelled shape adapts to the shape of the saddle area and the front skull base. After expansion, the support stability is improved through the fitting of multiple contact surfaces. , to effectively support the saddle area and the front skull base.
第三类情形:如图4所示,为一侧面结构示意图。第一支撑部110包括第一分段111、第二分段113和第三分段115,第一分段111、第二分段113和第三分段115一体成型。第一分段111用于支撑鞍区,第二分段113用于支撑前颅底,第三分段115用于支撑斜坡。当患者手术后,鞍区、前颅底和斜坡均需要支撑时,采用设置有第一分段111、第二分段113和第三分段115的第一支撑部110类型,向第一分段111、第二分段113和第三分段115中加注液体或气体,使第一分段111涨起,涨起后的形状与鞍区、前颅底、斜坡处需要支撑的形状相适应,膨胀后通过多个接触面的嵌合提高支撑稳定性,对鞍区、前颅底和斜坡进行有效支撑。The third type of situation: as shown in FIG. 4 , which is a schematic diagram of a side structure. The first supporting part 110 includes a first segment 111 , a second segment 113 and a third segment 115 , and the first segment 111 , the second segment 113 and the third segment 115 are integrally formed. The first section 111 is used to support the saddle region, the second section 113 is used to support the anterior skull base, and the third section 115 is used to support the ramp. When after the patient's operation, the saddle area, the front skull base and the slope all need to be supported, the first support part 110 type provided with the first subsection 111, the second subsection 113 and the third subsection 115 is used to support the first subsection. Add liquid or gas in the section 111, the second subsection 113 and the third subsection 115, so that the first subsection 111 rises, and the shape after the rise is consistent with the shape that needs to be supported at the saddle area, the front skull base, and the slope. Adaptation, after expansion, the support stability is improved through the fitting of multiple contact surfaces, and the saddle area, front skull base and slope are effectively supported.
需要说明的是,第一支撑部110的形状、支撑部位并不仅限于上述列举情形,还可以是其他形状,或用于支撑其他手术后的缺损部位,这里不再一一举例。It should be noted that the shape and supporting position of the first supporting part 110 are not limited to the above-mentioned cases, and may also be in other shapes, or be used to support other post-operative defect positions, which will not be listed one by one here.
第二支撑部130与第一支撑部110连接,第二支撑部130相对于第一支撑部110更靠近鼻腔的出口。容易理解的是,鼻腔内包括鼻中隔,鼻中隔的左右两侧从上往下依次为上鼻甲、中鼻甲和下鼻甲。The second support part 130 is connected with the first support part 110 , and the second support part 130 is closer to the outlet of the nasal cavity than the first support part 110 . It is easy to understand that the nasal cavity includes the nasal septum, and the left and right sides of the nasal septum are the superior turbinate, middle turbinate and inferior turbinate from top to bottom.
如图5所示,为一正面结构示意图。第二支撑部130包括单侧承载部131,单侧承载部131用于填充单侧中鼻甲切除后的缺损空间。若患者手术需要将单侧的中鼻甲切除,即手术后单侧中鼻甲缺损,此时中鼻甲缺损处需要支撑,可以采用设置有单侧承载部131的第二支撑部130类型,向第二填充空间内加注液体或气体,使单侧承载部131涨起,涨起后的单侧承载部131的形状与中鼻甲缺损处需要支撑的形状相适应,对单侧中鼻甲缺损空间进行有效填充、支撑。As shown in FIG. 5 , it is a schematic view of the front structure. The second support part 130 includes a unilateral bearing part 131, which is used to fill the defect space after unilateral middle turbinate resection. If the patient needs to remove the unilateral middle turbinate during the operation, that is, the unilateral middle turbinate defect after the operation. At this time, the middle turbinate defect needs to be supported, and the second supporting part 130 type provided with a unilateral bearing part 131 can be used. Fill the space with liquid or gas to make the unilateral bearing part 131 rise. The shape of the raised unilateral bearing part 131 is adapted to the shape of the middle turbinate defect that needs to be supported, and it is effective for the space of the unilateral middle turbinate defect. Fill, support.
可选地,如图6所示,为一正面结构示意图。第二支撑部130包括双侧承载部133,双侧承载部133用于填充双侧中鼻甲缺损空间。若患者手术需要将双侧的中鼻甲切除,即手术后双侧中鼻甲缺损,此时双侧的中鼻甲缺损处均需要支撑,可以采用设置有双侧承载部133的第二支撑部130类型,向第二填充空间内加注液体或气体,使双侧承载部133涨起,涨起后的双侧承载部133的形状与双侧中鼻甲缺损处需要支撑的形状相适应,对双侧中鼻甲缺损空间进行有效填充、支撑。Optionally, as shown in FIG. 6 , it is a schematic diagram of a front structure. The second supporting part 130 includes a double-side bearing part 133, and the double-side bearing part 133 is used to fill the bilateral middle turbinate defect space. If the patient needs to remove the bilateral middle turbinate during the operation, that is, the bilateral middle turbinate defect after the operation, at this time, both sides of the middle turbinate defect need to be supported, and the second supporting part 130 type with bilateral bearing parts 133 can be used. , add liquid or gas into the second filling space, so that the bearing parts 133 on both sides rise up, and the shape of the bearing parts 133 on both sides after rising is adapted to the shape that needs to be supported at the defect of the middle turbinate on both sides. The middle turbinate defect space is effectively filled and supported.
需要说明的是,第二支撑部130的形状并不仅限于此,前文中仅仅对切除单侧或双侧的中鼻甲为例进行说明,还有仅切除单侧上鼻甲、仅切除双侧上鼻甲、切除单侧上鼻甲和中鼻甲、切除双侧上鼻甲和中鼻甲等多种情形,根据实际患者缺损的部位,将第二支撑部130塑形、充涨成相应形状,使缺损部位得到有效、可靠地填充。如图7所示,为一侧面结构示意图,当手术切除中鼻甲后,鞍区支撑和中鼻甲缺损区域支撑的组合结构示意图。如图8所示,为一侧面结构示意图,当手术切除中鼻甲后,鞍区支撑、前颅底支撑和中鼻甲缺损区域支撑的组合结构示意图。如图9所示,为一侧面结构示意图,当手术切除中鼻甲后,鞍区支撑、前颅底支撑、斜坡支撑和中鼻甲缺损区域支撑的组合结构示意图。图1可看作鼻腔内未切除任何组织,即完整鼻腔情况下对颅底缺损面的支撑场景。It should be noted that the shape of the second supporting part 130 is not limited thereto. In the foregoing, only one or both sides of the middle turbinate were removed as an example, and only one side of the upper turbinate was removed, and only the bilateral upper turbinate was removed. , Removal of unilateral superior turbinate and middle turbinate, removal of bilateral superior turbinate and middle turbinate, etc., according to the actual defect site of the patient, the second support part 130 is shaped and inflated into a corresponding shape, so that the defect part can be effectively , Reliable filling. As shown in FIG. 7 , it is a schematic diagram of the side structure, and a schematic diagram of the combined structure of the support in the saddle area and the support in the defect area of the middle turbinate after surgical removal of the middle turbinate. As shown in FIG. 8 , it is a schematic diagram of a side structure. After surgical removal of the middle turbinate, a schematic diagram of the combined structure of the saddle area support, anterior skull base support, and middle turbinate defect area support. As shown in FIG. 9 , it is a schematic diagram of a side structure. After surgical removal of the middle turbinate, a schematic diagram of the combined structure of the saddle area support, anterior skull base support, slope support, and middle turbinate defect area support. Figure 1 can be regarded as a support scene for the skull base defect under the condition of complete nasal cavity without removing any tissue in the nasal cavity.
第二支撑部130的尺寸可以根据不同年龄的患者,设计小型、中型、大型等多个规格型号,以适应鼻孔大小不同的患者。将第一支撑部110和第二支撑部130进行不同尺寸、形状规格的组合搭配设计,可以实现对每个患者的精准支撑、精准医疗。The size of the second supporting part 130 can be designed according to patients of different ages, such as small, medium and large, so as to adapt to patients with different sizes of nostrils. Combining and matching the first support part 110 and the second support part 130 in different sizes and shapes can realize accurate support and precise medical treatment for each patient.
优选地,在本实施例中,如果加注的填充介质为液体,优选为生理盐水,将生理盐水加注到第一支撑部110、第二支撑部130内,对特定部位进行有效支撑。第一支撑部110、第二支撑部130和加注阀160一体成型,便于安装和拆卸。该鼻腔多功能支撑装置100与需要支撑的缺损周边具有较高的贴合度,能防止支撑移位,固定可靠,也不阻碍患者畅通的呼吸。Preferably, in this embodiment, if the filled filling medium is liquid, preferably physiological saline, the physiological saline is injected into the first support part 110 and the second support part 130 to effectively support specific parts. The first supporting part 110, the second supporting part 130 and the filling valve 160 are integrally formed, which is convenient for installation and disassembly. The nasal cavity multifunctional support device 100 has a high degree of fit to the periphery of the defect that needs to be supported, can prevent the support from shifting, is fixed reliably, and does not hinder the smooth breathing of the patient.
可选地,通气道150的数量为一个或两个,若通气道150的数量为一个,通气道150直接设置在第二支撑部130上。若通气道150的数量为两个,如图10所示,两个通气道150相互连通,两个通气道150的通气孔分别设于第二支撑部130的两侧。通气道150的设置可以确保患者使用鼻腔多功能支撑装置100后,能保持呼吸通畅。Optionally, the number of the air channel 150 is one or two, if the number of the air channel 150 is one, the air channel 150 is directly disposed on the second supporting part 130 . If there are two air passages 150 , as shown in FIG. 10 , the two air passages 150 communicate with each other, and the air holes of the two air passages 150 are respectively provided on both sides of the second support portion 130 . The setting of the airway 150 can ensure that the patient can keep breathing unobstructed after using the nasal cavity multifunctional support device 100 .
第一外护层、第一内衬层、第二外护层和第二内衬层均采用硅胶制成,可以起到柔性支撑,避免到手术缺损处产生二次伤害。当然,并不仅限于此,第一支撑部110和第二支撑部130的材质还可以是其他能起到柔性支撑的材料,既有一定的柔软度,不会损伤支撑部位,又有支撑功能,能贴合到缺损周边进行有效、充分地支撑。第一外护层、第一内衬层、第二外护层、第二内衬层和加注阀160形成密封空间,便于向密封空间内填充介质为液体或气体,起到充分支撑。The first outer protective layer, the first inner lining layer, the second outer protective layer and the second inner lining layer are all made of silica gel, which can provide flexible support and avoid secondary damage to surgical defects. Of course, it is not limited to this, the material of the first support part 110 and the second support part 130 can also be other materials that can play a role in flexible support, which not only has a certain degree of softness, does not damage the support part, but also has a support function. It can be attached to the periphery of the defect for effective and sufficient support. The first outer sheath, the first inner liner, the second outer sheath, the second inner liner and the filling valve 160 form a sealed space, which is convenient for filling the sealed space with liquid or gas as a medium for sufficient support.
第二实施例second embodiment
通气道150可以采用第二支撑部130膨胀后预留的中心通道,也可以单独设置空心气管作为通气道150。本实施例提供的一种鼻腔多功能支撑装置100,采用单独设置空心气管作为通气道150的方式。鼻腔多功能支撑装置100包括相互连接的第一支撑部110、第二支撑部130和空心气管。The air channel 150 may adopt the central channel reserved after the expansion of the second support part 130 , or a hollow air tube may be separately provided as the air channel 150 . The multifunctional support device 100 for the nasal cavity provided in this embodiment adopts the method of separately setting a hollow trachea as the airway 150 . The nasal cavity multifunctional supporting device 100 includes a first supporting part 110, a second supporting part 130 and a hollow air tube connected to each other.
第一支撑部110包括第一外护层和第一内衬层,第一外护层和第一内衬层之间形成第一填充空间。第二支撑部130包括第二外护层和第二内衬层,第二外护层和第二内衬层之间形成第二填充空间。第二内衬层贴附在空心气管的外壁;空心气管作为通气道150,空心气管可以采用硬质材料制成,如塑料等,确保通气道150的通畅。或者,空心气管采用橡胶制品等制成,这里不作具体限定。The first supporting part 110 includes a first outer sheath and a first inner lining, and a first filling space is formed between the first outer sheath and the first inner lining. The second supporting part 130 includes a second outer sheath and a second inner lining, and a second filling space is formed between the second outer sheath and the second inner lining. The second inner liner is attached to the outer wall of the hollow trachea; the hollow trachea serves as the airway 150, and the hollow trachea can be made of hard materials, such as plastic, to ensure the smoothness of the airway 150. Alternatively, the hollow trachea is made of rubber products, which is not specifically limited here.
第一填充空间与第二填充空间连通。第二支撑部130上设有加注阀160,加注阀160与第二填充空间连通,向第一填充空间和第二填充空间加注填充介质。优选地,第一支撑部110、第二支撑部130、加注阀160和空心气管采用一体成型方式,便于安装和拆卸。The first filling space communicates with the second filling space. The filling valve 160 is provided on the second supporting part 130, and the filling valve 160 communicates with the second filling space, and fills the filling medium into the first filling space and the second filling space. Preferably, the first supporting part 110, the second supporting part 130, the filling valve 160 and the hollow air pipe are integrally formed, which is convenient for installation and disassembly.
本实施例中未提及的其它部分内容,与第一实施例中描述的内容相似,这里不再赘述。Other parts not mentioned in this embodiment are similar to those described in the first embodiment, and will not be repeated here.
本实用新型提供的鼻腔多功能支撑装置100,其安装过程和使用原理如下:The installation process and usage principle of the nasal cavity multifunctional support device 100 provided by the utility model are as follows:
将第一支撑部110、第二支撑部130、加注阀160和空心气管采用一体成型方式生产,使用时在进行颅底重建后,最外层使用明胶海绵之类的人工材料,将鼻腔多功能支撑装置100放入鼻腔和手术通道相应位置,通过加注阀160向第一支撑部110和第二支撑部130内注射生理盐水,将鼻腔多功能支撑装置100填充、塑形,起到有效支撑。如果鼻腔多功能支撑装置100摆放位置不合适,可开启加注阀160,排出生理盐水后重新放置,重新加注生理盐水,膨胀后通过多个接触面的嵌合提高支撑稳定性,形成贴合度高的带有鼻腔通气道150的颅底支撑囊,为患者术后颅底缺损的修复生长提供可靠条件。The first supporting part 110, the second supporting part 130, the filling valve 160 and the hollow trachea are produced in one piece. After the reconstruction of the skull base, the outermost layer is made of artificial materials such as gelatin sponge to cover the nasal cavity. Put the functional support device 100 into the corresponding position of the nasal cavity and the surgical channel, inject physiological saline into the first support part 110 and the second support part 130 through the filling valve 160, fill and shape the nasal cavity multifunctional support device 100, and play an effective role. support. If the position of the nasal cavity multi-functional support device 100 is not suitable, the filling valve 160 can be opened, the normal saline is discharged and placed again, and the normal saline is refilled. The high-fit skull base support sac with nasal airway 150 provides reliable conditions for the repair and growth of postoperative skull base defects.
该鼻腔多功能支撑装置100通过加注生理盐水,使第一支撑部110和第二支撑部130膨胀,在鼻腔多功能支撑装置100下方也就是鼻孔位置形成周边密闭水囊、中心预设有通气道150,实现为鼻腔及经鼻腔颅底手术、鼻出血患者提供安全支撑的同时,还能使患者进行正常的经鼻腔呼吸,确保患者的舒适度以及氧供,减轻一直经口呼吸所带来的干燥不适感。The nasal cavity multifunctional support device 100 expands the first support part 110 and the second support part 130 by filling physiological saline, and forms a peripheral airtight water bag under the nasal cavity multifunctional support device 100, that is, at the position of the nostril, and the center is preset with a ventilator. Road 150, to provide safe support for patients with nasal and transnasal skull base operations and epistaxis, and at the same time enable patients to perform normal nasal breathing, ensure patient comfort and oxygen supply, and reduce the pain caused by continuous mouth breathing. dryness discomfort.
综上所述,本实用新型提供的鼻腔多功能支撑装置100具有以下几个方面的有益效果:To sum up, the nasal cavity multifunctional support device 100 provided by the utility model has the following beneficial effects:
本实用新型提供的鼻腔多功能支撑装置100,充分考虑鼻腔需要填塞时的鼻腔三维形状,并保留鼻孔通气功能,设计了上部贴合鼻腔三维空间结构,即第一支撑部110,下部留有通气通道的一体化支撑球囊,即第二支撑部130,实现有效填塞、支撑的同时,还考虑到保留患者鼻孔通气的功能,以最大限度的减少颅底修补材料的稳定性而正常快速愈合、不影响患者通气功能而改善患者舒适度和促进快速康复,最终减少并发症的发生,缩短住院时间,为自体组织的生长愈合提供稳定条件。该鼻腔多功能支撑装置100结构简单、操作方便,支撑可靠,适应各种缺损部位及缺损程度的支撑,贴合度高,不移位,保留患者鼻孔通气的功能,患者使用舒适度提高。The nasal cavity multifunctional support device 100 provided by the utility model fully considers the three-dimensional shape of the nasal cavity when the nasal cavity needs to be stuffed, and retains the nostril ventilation function. The upper part is designed to fit the three-dimensional space structure of the nasal cavity, that is, the first support part 110, and the lower part is left for ventilation. The integrated support balloon of the channel, that is, the second support part 130, realizes effective packing and support, and at the same time, it also takes into account the function of retaining the ventilation function of the patient's nostrils, so as to reduce the stability of the skull base repair material to the maximum extent and allow normal and rapid healing. Improve patient comfort and promote rapid recovery without affecting the patient's ventilation function, ultimately reduce the occurrence of complications, shorten the length of hospital stay, and provide stable conditions for the growth and healing of autologous tissue. The nasal cavity multifunctional support device 100 is simple in structure, easy to operate, reliable in support, suitable for supporting various defect parts and defect degrees, has a high degree of fit, does not shift, retains the function of ventilation of the patient's nostrils, and improves the comfort of the patient.
以上所述仅为本实用新型的优选实施例而已,并不用于限制本实用新型,对于本领域的技术人员来说,本实用新型可以有各种更改、组合和变化。凡在本实用新型的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本实用新型的保护范围之内。The above descriptions are only preferred embodiments of the present utility model, and are not intended to limit the present utility model. For those skilled in the art, the present utility model can have various modifications, combinations and changes. Any modification, equivalent replacement, improvement, etc. made within the spirit and principles of the present utility model shall be included in the protection scope of the present utility model.
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