A kind of balloon expandable device and using method thereof being used for the treatment of sinusitisTechnical field
The present invention relates to a kind of medical apparatus and instruments, particularly a kind of medical apparatus and instruments being used for the treatment of sinusitis.The invention still further relates to a kind of using method for the treatment of the medical apparatus and instruments of sinusitis.
Background technology
Chronic sinusitis sickness rate is very high, and number of the infected rises year by year.The patient that Drug therapy is undesirable, the most frequently used, the most effective treatment means is the open art of " functional " endoscopic sinus at present, and object is by salty ventilation and the drain of building nasal sinuses of nasal sinuses natural opening.But current modus operandi is difficult to " functional " nasal sinus opening art reached truly, the damage of art median sinus mouth drainage channel mucosa, the formation of post operative scar tissue, uppity hemorrhage in art, the iatrogenic injury etc. caused of performing the operation remains inevitable.Therefore, people wish that can have renewal, that wound is little operation tool helps treat chronic sinusitis.
Summary of the invention
The technical problem to be solved in the present invention is to provide a kind of medical apparatus and instruments being used for the treatment of sinusitis, makes operation wound less, to alleviate the discomfort of patient.In addition, the present invention also will provide a kind of using method for the treatment of the medical apparatus and instruments of sinusitis.
In order to solve the problems of the technologies described above, a kind of balloon expandable device being used for the treatment of sinusitis of the present invention, comprise guide pipe, foley's tube body and flexible guide ribs, the front end of described guide pipe is provided with elastic bending pipe, its rear end is provided with horn-like input port, described foley's tube body is by interior, outer tube forms, wherein inner tube two ends are respectively guide ribs import and guide ribs outlet, outer tube one end of guide ribs outlet is provided with sacculus, outer tube one end of guide ribs import is provided with pressurization mouth, described sacculus is communicated with pressurization mouth by outer tube, described guide ribs comprises outside stainless steel layer, optical fiber bar is provided with in stainless steel layer, the luminous end of described light line is stretched out from guide ribs front end and fixes, guide ribs rear end can be connected with light source, in use, described guide ribs is placed in foley's tube body, foley's tube body is placed in guide pipe, guide ribs front end is stretched out from guide pipe front end.
The stainless steel layer of described guide ribs is welded by front and rear sections stainless steel layer, and described front and rear sections stainless steel layer is formed by stainless steel silk compact winding respectively, and wherein the stainless steel silk diameter of front end stainless steel layer is less than rear end stainless steel layer.
The angle of bend of described elastic bending pipe is the one in 0 °, 30 °, 70 °, 90 ° or 110 °.
The external side of described foley's tube is provided with the first Marking ring.
Also include irrigating catheter, described irrigating catheter front end is provided with the nozzle that taper narrows, and rear end is provided with union joint, has some side direction spray orifices near the irrigating catheter side of described nozzle.
Described irrigating catheter side is also provided with the second Marking ring.
The using method being used for the treatment of the balloon expandable device of sinusitis of the present invention is as follows:
1) first according to the difference of nasal sinuses, the guide pipe 1 with applicable elastic bending pipe of selection, and under endoscope coordinates, guide pipe 1 is stretched into diseased region;
2) guide ribs 3 is passed foley's tube body 2, then guide ribs 3 penetrates nasal sinuses or sinus frontalis under the guiding of guide pipe 1, through the light that patient skin sends, the luminous end 33 according to guide ribs 3 judges whether guide ribs 3 arrives diseased region;
3) after luminous end 33 arrives diseased region, along guide ribs 3 driven forward foley's tube body 2, foley's tube body 2 just can be made through guide pipe 1 to reach the diseased region needing to carry out expanding;
4) mouth 26 that will pressurize is connected with pressure apparatus, carries out nasal sinuses expansion to sacculus 25 pressurization;
5), after nasal sinuses has been expanded, guide ribs 3 and foley's tube body 2 are taken out from guide pipe 1;
6) irrigating catheter 7 propelling movement is entered guide pipe 1 inner chamber, stop pushing after the second Marking ring 8 enters guide pipe 1 completely, now the nozzle of irrigating catheter front end has arrived the diseased region needing to rinse;
7) irrigating catheter 7 is connected with rinser, Post operation cleaning can be carried out to pathological changes, the secretions in disease sites is cleaned up.
The invention has the beneficial effects as follows: this balloon expandable device inserts sinus passages under guide pipe guides, utilize the expansion of sacculus to make to reduce because of inflammation when the sacculus of foley's tube body arrives affected part or obturation routing restoration to original size or slightly larger, air is made to enter nasal sinuses smoothly, and use normal saline flushing hole chamber, reach the object for the treatment of.The balloon expandable device of this structure successfully can expand the nasal sinuses opening of all patients and can not cause complication or untoward reaction, little to disorganization, greatly can alleviate the misery of patient.
Accompanying drawing explanation
Below in conjunction with the drawings and specific embodiments, the present invention is further detailed explanation.
Fig. 1 is the structural representation of guide pipe;
Fig. 2 is the structural representation of foley's tube body;
Fig. 3 is A place schematic enlarged-scale view in Fig. 2;
Fig. 4 is the structural representation of guide ribs;
Fig. 5 is the structural representation of irrigating catheter.
Detailed description of the invention
Referring to figs. 1 through Fig. 4, a kind of balloon expandable device being used for the treatment of sinusitis of the present invention, comprise guide pipe 1, foley's tube body 2 and flexible guide ribs 3, the front end of described guide pipe 1 is provided with elastic bending pipe 4, its rear end is provided with horn-like input port 5, described foley's tube body 2 is by interior, outer tube 21, 22 compositions, wherein inner tube 21 two ends are respectively guide ribs import 23 and guide ribs outlet 24, outer tube one end of guide ribs outlet 24 is provided with sacculus 25, pressurization mouth 26 is provided with near outer tube one end of guide ribs import 23, described sacculus 25 is communicated with pressurization mouth 26 by outer tube 22, described guide ribs 3 comprises outside stainless steel layer 31, optical fiber bar 32 is provided with in stainless steel layer 31, the luminous end 33 of described light line 32 is stretched out from guide ribs 3 front end and fixes, guide ribs 3 rear end can be connected with light source, in use, described guide ribs 3 is placed in foley's tube body 2, foley's tube body 2 is placed in guide pipe 1, guide ribs 3 front end is stretched out from guide pipe 1 front end.This balloon expandable device inserts sinus passages under guide pipe guides, utilize the expansion of sacculus to make to reduce because of inflammation when the sacculus of foley's tube body arrives affected part or obturation routing restoration to original size or slightly larger, air is made to enter nasal sinuses smoothly, and use normal saline flushing hole chamber, reach the object for the treatment of.The balloon expandable device of this structure successfully can expand the nasal sinuses opening of all patients and can not cause complication or untoward reaction, little to disorganization, greatly can alleviate the misery of patient.
Wherein, with reference to Fig. 1, the angle of bend of described elastic bending pipe 4 is the one in 0 °, 30 °, 70 °, 90 ° or 110 °, can according to the difference of nasal sinuses, and select different guide pipes, the scope of application is wider.
With reference to Fig. 4, the stainless steel layer 31 of described guide ribs 3 is welded by front and rear sections stainless steel layer 311,312, described front and rear sections stainless steel layer 311,312 is formed by stainless steel silk compact winding respectively, wherein the stainless steel silk diameter of front end stainless steel layer is less than rear end stainless steel layer, make gib block leading portion soft, various bending tract can be passed smoothly, avoid damaging the tissue in nasal sinuses; On the other hand, gib block back segment rigidity is relatively high, is convenient to gib block and carries forward.
Described foley's tube body 2 arranged outside has the first Marking ring 6, when foley's tube body is placed in guide pipe inside time, more easily locate its position, avoids position to cross dark or excessively shallow.
With reference to Fig. 5, this balloon expandable device also includes irrigating catheter 7, and described irrigating catheter 7 front end is provided with the nozzle 71 that taper narrows, and rear end is provided with union joint 72, has some side direction spray orifices 73 near the irrigating catheter side of described nozzle 71.
Described irrigating catheter 7 side is also provided with the second Marking ring 8, coordinates with the correspondence position on guide pipe 1, the nozzle of irrigating catheter front end can be indicated to have arrived the diseased region needing flushing, use more convenient.
The using method being used for the treatment of the balloon expandable device of sinusitis of the present invention is as follows:
1) first according to the difference of nasal sinuses, the guide pipe 1 with applicable elastic bending pipe of selection, and under endoscope coordinates, guide pipe 1 is stretched into diseased region;
2) guide ribs 3 is passed foley's tube body 2, then guide ribs 3 penetrates nasal sinuses or sinus frontalis under the guiding of guide pipe 1, through the light that patient skin sends, the luminous end 33 according to guide ribs 3 judges whether guide ribs 3 arrives diseased region;
3) after luminous end 33 arrives diseased region, along guide ribs 3 driven forward foley's tube body 2, foley's tube body 2 just can be made through guide pipe 1 to reach the diseased region needing to carry out expanding;
4) mouth 26 that will pressurize is connected with pressure apparatus, carries out nasal sinuses expansion to sacculus 25 pressurization;
5), after nasal sinuses has been expanded, guide ribs 3 and foley's tube body 2 are taken out from guide pipe 1;
6) irrigating catheter 7 propelling movement is entered guide pipe 1 inner chamber, stop pushing after the second Marking ring 8 enters guide pipe 1 completely, now the nozzle of irrigating catheter front end has arrived the diseased region needing to rinse;
7) irrigating catheter 7 is connected with rinser, Post operation cleaning can be carried out to pathological changes, the secretions in disease sites is cleaned up.
The foregoing is only preferred embodiments of the present invention, as long as the technical scheme realizing the object of the invention with basic same approach all belongs within protection scope of the present invention.