Eustachian tube check and treatment deviceTechnical field
The invention belongs to a kind of instrument for human body Eustachian tube medical diagnosis on disease, controls more particularly, to a kind of Eustachian tube inspectionTreat device.
Background technology
It is well known that total length of eustachian tube is about 3.1～3.8mm, it is divided into three parts：Outer 1/3 is osseous part, and interior 2/3 is cartilagePortion, osseous part are dissection isthmus with cartilaginous part intersection；Cartilaginous part is divided into pharynx section, valve functional section, anatomical gorge leading portion again.The segmentationIt, based on dissection, is not the segmentation under Eustachian tube physiological status to be all, now to Eustachian tube physiological function and physiology shapeThe inspection being segmented under state is essentially all to infer indirectly.Having both at home and abroad carries out physiology to Eustachian tube using nasal endoscopes, salpingoscopeInspection under state, but all there is disadvantages associated, such as nasal endoscopy can not be checked to eustachian tube lumen, it is impossible to complete rightEustachian tube physiological function and physiological status are analyzed；Then shank is too soft for salpingoscope, and operation difficulty is higher, and cannot carry outThe treatment of ETF exception relevant disease.
Include traditional pharyngeal opening of auditory tube operative treatment and emerging in the abnormal methods of surgical for the treatment of ETFBalloon operation, the sacculus for now using both at home and abroad are required to use under external application video equipment, in tube chamber cannot confirm walking for sacculusTo and tissue around relation, and the curative effect after balloon expandable can not be checked, causes the blindness on clinical manipulation.
The content of the invention
It is an object of the invention to provide a kind of Eustachian tube check and treatment device, at least in the problems referred to above is can solve the problem thatIt is individual.
According to an aspect of the invention, there is provided a kind of Eustachian tube check and treatment device, including endoscopy of eustachian tube and ballCapsule support, endoscopy of eustachian tube include hard endoscopic segment and soft endoscope segment, and one end of hard endoscopic segment is connected with soft endoscope segment, sacculusFrame is connected with soft endoscope segment, and balloon-stent is provided with sacculus.
The invention has the beneficial effects as follows：Endoscopy of eustachian tube includes hard endoscopic segment and soft endoscope segment, hard scope during convenient inspectionSection can reach the position checked needed for Eustachian tube, complete to check；When in need for the treatment of, hard endoscopic segment can be promoted in softMirror section reach needed for treatment position, it is to avoid soft endoscope segment is excessively soft and the phenomenon that cannot reach, soft endoscope segment reach after to ballCapsule is expanded or is shunk, and realizes treatment.Thus, this Eustachian tube check and treatment device can realize simultaneously checking and treat, rightPosition in need for the treatment of can accurately judge that realization accurately learns patient part and accurately treatment.
In some embodiments, Eustachian tube inspection treatment dress can also include conduit, and conduit is set in outside hard endoscopic segmentSide, one end of soft endoscope segment are located in conduit.Thus, being provided with conduit can preferably drive endoscopy of eustachian tube to check needed for reachingPosition.
In some embodiments, balloon-stent includes sacculu hollow tube, the first connecting tube and the second connecting tube, and first connectsAdapter and the second connecting tube are set in the outside of sacculu hollow tube, and the first connecting tube and the second connecting tube are connected with sacculusIt is logical.Thus, it is provided with the first connecting tube and the second connecting tube can facilitates and be connected with extraneous attraction system and water supply system, justIn by the liquid obstruction in Eustachian tube is passed through sacculus and the sucking-off of the first connecting tube, while being easy to medicine by the second connectionPipe and sacculus are injected into and need treatment position.
In some embodiments, sacculu hollow tube can be set in the outside of soft endoscope segment.Thus, both companies convenientConnect, and the position for the treatment of needed for alloing balloon-stent together to reach with soft endoscope segment.
In some embodiments, the other end of hard endoscopic segment is provided with refractive section, and refractive section is provided with light source and multiple convex lensMirror, multiple convex lens are used to adjust dioptric, and light source is corresponding with endoscopy of eustachian tube, and the length of refractive section is 30～35mm.Thus,Being provided with refractive section can be such that the light that endoscopy of eustachian tube is reflected amplifies with planoconvex lens, convenient to observe；Being provided with light source can be withLasting light source is provided for endoscopy of eustachian tube, it is ensured that Eustachian tube inspection and treatment are normally carried out.
In some embodiments, soft endoscope segment can include shell and optical fiber, and shell is set in outer fiber, and shell isMemorial alloy, optical fiber are soft fiber, and the length of soft endoscope segment is 48～52mm.Thus, shell is memorial alloy, and optical fiber is soft lightIt is fine so that soft endoscope segment can overturn arbitrarily angled, the position of inspection treatment needed for being conducive to soft endoscope segment to reach, and prevent pharynx drumManage other positions to be damaged.
In some embodiments, Eustachian tube check and treatment device can also include handle, and handle is provided with the first tooth, conduitThe second tooth being meshed with the first tooth is provided with, handle is connected by the first tooth and the second tooth with conduit.Thus, it is provided with the first toothWith the second tooth, the regulation of handle and conduit relative angle can be facilitated, it is convenient to operate.
In some embodiments, handle is provided with through hole, and through hole is three, and hard endoscopic segment, the first connecting tube and second connectAdapter extends through one of them in three through holes.Thus, three through holes are provided with and can improve the Eustachian tube inspection treatment dressThe globality put, reduces its overall volume.
In some embodiments, conduit includes that the angle of flat segments and bending segment, flat segments and bending segment is 45 °, firmlyScope section is located in flat segments, and one end of soft endoscope segment is located at bending segment, and the length of bending segment is 3～5mm.Thus, it is provided with flatStraight section and bending segment can facilitate delivers to soft endoscope segment after specified location, then by promoting endoscopy of eustachian tube, makes soft endoscope segmentArrival needs treatment position, is provided with bending segment and has guide effect, improves the degree of accuracy for checking treatment.
Description of the drawings
Fig. 1 is a kind of structural representation of embodiment of the Eustachian tube check and treatment device of the present invention；
Fig. 2 is the structural representation of the Eustachian tube check and treatment device in inspection state of the present invention；
Fig. 3 is the structural representation of the Eustachian tube check and treatment device in therapeutic state of the present invention；
Fig. 4 be the present invention Eustachian tube check and treatment device in the structural representation that is engaged with sacculus of balloon-stent；
Fig. 5 is the structural representation of conduit in Eustachian tube check and treatment device of the invention；
Fig. 6 is the structural representation of handle in Eustachian tube check and treatment device of the invention；
Fig. 7 is the structural representation of endoscopy of eustachian tube in Eustachian tube check and treatment device of the invention.
Specific embodiment
The present invention is further detailed explanation below in conjunction with the accompanying drawings.
With reference to Fig. 1, Fig. 2 and Fig. 7, Eustachian tube check and treatment device, including endoscopy of eustachian tube 1 and balloon-stent 2, Eustachian tubeScope 1 includes hard endoscopic segment 11 and soft endoscope segment 12, and one end of hard endoscopic segment 11 is connected with soft endoscope segment 12, balloon-stent 2It is connected with soft endoscope segment 12, balloon-stent 2 is provided with sacculus 3.
Hard endoscopic segment 11 is medically conventional rigid endoscope, and the outside of hard endoscopic segment 11 is arranged with metal shell 7, goldThe external diameter of category shell 7 is 2mm, and length is 150mm.One end of soft endoscope segment 12 is embedded in one end of hard endoscopic segment 11 so that softScope section 12 is with hard endoscopic segment 11 without refractive change, it is to avoid distortion occurs in observed object.
Eustachian tube check and treatment device also includes conduit 4, and conduit 4 is set on the outside of hard endoscopic segment 11, soft endoscope segment 12One end is located in conduit 4, and wherein conduit 4 is made up of transparent material, is easy to endoscopy of eustachian tube 1 be irradiated to patient when in useEustachian tube at.
As shown in Fig. 5 and Fig. 1, conduit 4 includes that the angle of flat segments 42 and bending segment 43, flat segments 42 and bending segment 43 is45 °, flat segments 42 and bending segment 43 are formed in one structure, convenient to process, while avoiding connecting in flat segments 42 and bending segment 43There is burr in the place of connecing, it is to avoid damage tissue.Conduit 4 can extend into for convenience, and ensure the installation of hard endoscopic segment 11, leadThe internal diameter of pipe 4 is 2mm.Hard endoscopic segment 11 is located in flat segments 42, and metal shell 7 is set in flat segments 42, soft endoscope segment 12One end be located at bending segment 43, the length of bending segment 43 is 3～5mm.
As shown in Figure 2 and Figure 4, balloon-stent 2 includes sacculu hollow tube 21, the first connecting tube 22 and the second connecting tube 23,First connecting tube 22 and the second connecting tube 23 are set in the outside of sacculu hollow tube 21, and sacculus 3 is set in the first connecting tube 22With the outside of the second connecting tube 23, the first connecting tube 22 and the second connecting tube 23 be connected with sacculus 3,22 He of the first connecting tubeSecond connecting tube 23 is located at the part inside sacculus 3 and offers intercommunicating pore so that the first connecting tube 22 and the second connecting tube 23 canTo be connected with sacculus 3；The attraction of sacculus 3 for convenience, offers suction hole in the front end of sacculus 3, and liquid can be attracted with JingHole is attracted.First connecting tube 22 is engaged with the attraction system in the external world, and the second connecting tube 23 is engaged with the water supply system in the external world.After balloon-stent 2 is sent to position in need for the treatment of, when needing the liquid obstruction cleared up in Eustachian tube, by sacculus 3Expansion and contraction the first connecting tubes of liquid Jing 22 are suctioned out, complete treatment；When needing to inject parenteral solution in Eustachian tube, fetch waterThe second connecting tubes of parenteral solution Jing 23 in system are reached at sacculus 3, complete drug therapy.In order to ensure that sacculus 3 can be normalExpansion, the pressure that sacculus 3 can bear are more than 10Pa；Meanwhile, the internal diameter of the first connecting tube 22 and the second connecting tube 23 is1mm, it is ensured that the normal conveying of liquid, while it is excessive to be unlikely to volume.
Soft endoscope segment 12 includes shell 121 and optical fiber 122, and shell 121 is set on the outside of optical fiber 122, and shell 121 is memoryAlloy, optical fiber 122 are soft fiber, and the length of soft endoscope segment 12 is 48～52mm, a diameter of 0.8～1mm of optical fiber 122 so thatIt is easily bent during 12 longitudinal direction of soft endoscope segment (direction of i.e. vertical soft endoscope segment 12) stress, is easy to along conduit 4 to Eustachian tube pipeChamber conveys and is lost minimum.
Sacculu hollow tube 21 is set in the shell 121 in the outside of soft endoscope segment 12, sacculu hollow tube 21 and soft endoscope segment 12By screw or the connection that is screwed.Screw thread is offered on the outside of shell 121, sacculus 3 is mutually fixed by screw thread with shell 121, spiral shellLine is 5mm or so in the length of shell 121, and preventing sacculus 3 from rested in Eustachian tube when in use cannot extract, it is ensured that usedSecurity.
The other end of hard endoscopic segment 11 is provided with refractive section 5, and refractive section 5 is provided with light source 51 and multiple convex lens 52, convex lens52 be three, multiple convex lens 52 be used for adjust dioptric, while so that by 1 visual field of endoscopy of eustachian tube observe amplification threeTimes.Light source 51 is corresponding with endoscopy of eustachian tube 1, i.e., light source 51 can provide illumination for the work of endoscopy of eustachian tube 1；Refractive section 5Length is 30～35mm, and convex lens 52 are distributed in refractive section 5.
As shown in Figure 5 and Figure 6, Eustachian tube check and treatment device also includes handle 6, and handle 6 is provided with the first tooth 61, conduit 4The second tooth 41 being meshed with the first tooth 61 is provided with, handle 6 is connected with the second tooth 41 by the first tooth 61 with conduit 4.Thus,By the engagement system for being similar to gear, can be that handle 6 can be fixed on the transformation of 4 relative angle of conduit, handle 6 and conduit 4Operator is accustomed to or performs the operation the angle of needs, facilitates angular adjustment.
Handle 6 is provided with through hole 62, and through hole 62 is three, 23 points of hard endoscopic segment 11, the first connecting tube 22 and the second connecting tubeGuan Chuan be in three through holes 62 one of them.Meanwhile, fixing groove 63 is additionally provided with handle 6, fixing groove 63 is used to place light source51, the concentration that fixing groove 63 is conducive to 51 light of light source is provided with, wherein light source 51 is cold light source, it is ensured that the brightness of illumination.
As shown in Figures 2 and 3, Eustachian tube check and treatment device of the invention, when Eustachian tube inspection is carried out merely, is roused by pharynxPipe scope 1 finds pharyngeal opening of auditory tube by the promotion of handle 6 and conduit 4, is further continued for pushing into Eustachian tube, is checked；WhenWhen needing to perform the operation using sacculus 3,2 phase secure bond of endoscopy of eustachian tube 1 and balloon-stent, using handle 6 and conduit 4 by soft scopeSection 12 is delivered in Eustachian tube, is carried out sacculus 3 and is expanded, realizes corresponding treatment.
Above-described is only the preferred embodiment of the present invention, it is noted that for one of ordinary skill in the artFor, without departing from the concept of the premise of the invention, some deformations and improvement can also be made, these belong to the present inventionProtection domain.