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WO2017000582A1 - Paranasal sinus dilatation flusher and usage thereof - Google Patents

Paranasal sinus dilatation flusher and usage thereof Download PDF

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Publication number
WO2017000582A1
WO2017000582A1 PCT/CN2016/075716 CN2016075716W WO2017000582A1 WO 2017000582 A1 WO2017000582 A1 WO 2017000582A1 CN 2016075716 W CN2016075716 W CN 2016075716W WO 2017000582 A1 WO2017000582 A1 WO 2017000582A1
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tube
sinus
nasal
plug
balloon
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French (fr)
Chinese (zh)
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林基祯
赵玉祥
林树春
胡晓华
付晓敏
熊佳妮
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H35/00—Baths for specific parts of the body
    • A61H35/04—Baths for specific parts of the body for the nose
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies

Definitions

  • the invention relates to the technical field of medical equipment, in particular to the expansion treatment of the maxillary sinus ostium, which is a sinus expansion irrigator and a method of using the same.
  • Chronic maxillary sinusitis is a common and frequently-occurring disease.
  • the pathophysiology is based on the occlusion of the sinus and nasal passage complex.
  • the core of the treatment is to reconstruct the nasal cavity and sinus ventilation drainage structure and function.
  • the current treatment method is open sinus by endoscopic surgery, and the sinus is opened while the sinus is opened. This destroys the original drainage structure and function of the sinus, especially the maxillary sinus drainage function. ideal.
  • the body tissue will have a retreat after a slow compression.
  • the maxillary sinus of the patient with a posterior sinus polyp is enlarged after being compressed by the polyp.
  • a device capable of slowly compressing the maxillary sinus ostium can be placed at the maxillary sinus ostium to reopen the sinus ostium without destroying the structure around the sinus ostium, especially the mucociliary drainage system, retaining the drainage structure and function is the most maxillary sinusitis The ideal treatment.
  • the object of the present invention is to provide a balloon expansion tube at the sinus ostium without destroying the structure around the sinus ostium, and to use the inflation expansion of the balloon to press the sinus ostium to reopen the sinus ostium.
  • the sinus expansion irrigator and its use method which retain its drainage structure and function, simple structure and low cost.
  • the solution adopted by the present invention solves the technical problem is a sinus expansion irrigation device, including a balloon expansion tube, an inflation tube, and an irrigation tube.
  • the balloon expansion tube includes a tube body, and the middle portion of the tube body is an air passage communicating with the air.
  • a dumbbell-shaped air bag is attached to the outer wall of the tube.
  • one end of the inflation tube communicates with the inner cavity of the air bag, and the longitudinal direction of the irrigation tube passes through the body wall of the air bag expansion tube.
  • the method further includes a nasal vestibular plug, wherein the nasal vestibular plug is a hollow olive plug, and the outer side wall of the nasal vestibule plug is provided with a recess for fixing the irrigation tube and the inflation tube, and the middle portion of the nasal vestibule A channel for nasal ventilation is provided.
  • the nasal vestibular plug is a hollow olive plug
  • the outer side wall of the nasal vestibule plug is provided with a recess for fixing the irrigation tube and the inflation tube, and the middle portion of the nasal vestibule A channel for nasal ventilation is provided.
  • the inflation tube is an enlarged tubular head at the nasal vestibular plug end, and the tube head is embedded in the concave portion of the nasal vestibular plug.
  • one end of the irrigation tube is embedded in the concave portion of the nasal vestibular plug, and the other end is in a free state after passing through the tubular body wall of the balloon expansion tube.
  • the inflatable tube is further fixed with a rubber block for sealing on the tube head at the nasal vestibule plug for sealing Inflatable tube, convenient for the syringe to puncture the rubber block multiple times to inject gas into the inflation tube to prevent air leakage.
  • a method of using a sinus expansion irrigator includes the following steps:
  • the air is gradually injected into the airbag through the inflation tube, forming a chronic compression of the maxillary sinus ostium, and expanding the sinus ostium;
  • the dumbbell-shaped balloon dilatation tube can be effectively fixed at the maxillary sinus ostium, does not slip, and is convenient for treatment; and is slowly injected into the balloon of the balloon dilatation tube through the inflation tube.
  • the air expands the balloon dilatation tube, compresses the maxillary sinus ostium, and enlarges the maxillary sinus ostium, so that the narrow or locked maxillary sinus ostium is reopened without destroying the structure and function of the sinus ostium; the maxillary sinus can be washed or injected into the sinus through the irrigation tube
  • the medicine is applied locally; the nasal vestibular plug is hidden in the nasal vestibule, which is convenient for fixation and convenient for the patient to breathe; the device has a simple structure and low cost.
  • Figure 1 is a schematic view showing the structure of the invention
  • Figure 2 is a schematic view showing the structure of a nasal vestibular plug
  • Figure 3 is a B-direction view of Figure 1;
  • Figure 4 is a cross-sectional view taken along line A-A of Figure 1;
  • a sinus expansion irrigator includes a balloon dilation tube 2, an inflation tube 4, and an irrigation tube 3.
  • the balloon expansion tube 2 includes a tube body 12, and the tube body 12 is in communication with the air in the middle.
  • the air passage 10 has a dumbbell-shaped air bag 11 attached to the outer side wall of the tube body 12.
  • the dumbbell-shaped structure of the air bag 11 can effectively fix the air bag dilatation tube 2 at the maxillary sinus ostium. It will not slip down and facilitate treatment.
  • the balloon 11 can be inflated multiple times to form a chronic compression of the maxillary sinus ostium, which enlarges the sinus ostium.
  • one end of the inflation tube 4 communicates with the inner cavity of the air bag 11, and the air bag 11 is inflated, and the longitudinal direction of the flushing tube 3 passes through the wall of the tube body 12 of the air bag dilation tube 2.
  • a nasal vestibule plug 1 is also included.
  • the nasal vestibule plug 1 is a hollow olive plug.
  • the outer side wall of the nasal vestibule plug 1 is provided with a recess for fixing the irrigation tube 3 and the inflation tube 4. 5.
  • the middle portion of the nasal vestibular plug 1 is provided with a passage 6 for nasal ventilation for facilitating fixation and patient breathing when the nasal vestibular plug 1 is hidden in the nasal vestibule.
  • the inflation tube 4 has an enlarged tubular head 8 at the end of the nasal vestibule plug 1 and a rubber block 7 is embedded in the tube for sealing the inflation tube 4, so that the rubber block can be easily penetrated by the syringe. 7 Injecting air into the inflation tube 4 to prevent air leakage, the tube head 8 being stuck in the recess 5 of the nasal vestibule plug 1.
  • one end of the irrigation tube 3 is embedded in the concave portion 5 of the nasal vestibular plug 1, and the other end is in the free state of the maxillary sinus after passing through the wall of the tubular body 12 of the balloon dilation tube 2, and is flushed.
  • the tube 3 can wash the maxillary sinus or inject into the sinus for local treatment, and one end of the irrigation tube 3 is embedded in the concave portion 5 of the nasal vestibule plug 1 for the placement and fixation of the irrigation tube 3, which is convenient for the narrow nasal cavity.
  • the irrigation tube 3 is connected and managed to avoid discomfort to the patient or the irrigation tube 3 is detached.
  • a method of using a sinus expansion irrigator includes the following steps:
  • the balloon dilation tube 2 is placed at the maxillary sinus ostium, and the ends of the irrigation tube 3 and the inflation tube 4 are respectively inserted into the concave portion 5 of the nasal vestibular plug 1, and the other end of the irrigation tube 3 is freed in the maxillary sinus cavity. And then fix the nasal vestibular plug 1 in the nasal vestibule;
  • the sinus cavity is flushed through the irrigation tube 3 or the drug is injected into the sinus for local treatment.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Biomedical Technology (AREA)
  • Anesthesiology (AREA)
  • Engineering & Computer Science (AREA)
  • Otolaryngology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

Disclosed is a paranasal sinus dilatation flusher which comprises a bladder dilatation tube (2), an inflating tube (4) and a flushing tube (3). The bladder dilatation tube (2) comprises a tube body (12), and the middle part of the tube body (12) is an air passage (10) which communicates with air. A dumbbell-like air bladder (11) is attached to the outer side wall of the tube body (12). One end of the inflating tube (4) communicates with the cavity of the bladder (11), and the port of the other end is enlarged, and is plugged by a rubber block (7). The flushing tube (3) runs through the wall of the tube body (12) of the bladder dilatation tube (2) along the longitudinal axis, with one end being fixed on a nasal vestibule plug (1), and the other end being free. The bladder dilatation tube (2) of the paranasal sinus dilatation flusher can be placed in the natural ostium of the maxillary sinus, and the maxillary ostium can be forced to be enlarged by the bladder dilatation tube (2), so that the maxillary ostium can be treated by means of dilatation, the structure is simple, and the cost is low.

Description

鼻窦扩张冲洗器及其使用方法Sinus expansion irrigator and method of use thereof 技术领域Technical field

本发明涉及医疗设备技术领域，特别针对于对上颌窦口进行扩张治疗，是一种鼻窦扩张冲洗器及其使用方法。The invention relates to the technical field of medical equipment, in particular to the expansion treatment of the maxillary sinus ostium, which is a sinus expansion irrigator and a method of using the same.

背景技术Background technique

慢性上颌窦炎为临床常见多发病。其病理生理学基础是窦口鼻道复合体的阻塞，治疗核心为重建鼻腔、鼻窦通气引流结构与功能。现治疗方法为经鼻内镜手术开放鼻窦，手术开放鼻窦的同时切除窦口周围结构，这样就破坏了鼻窦原有的引流结构与功能，尤其对上颌窦引流功能的影响最大，手术后恢复不理想。人体组织在缓慢受压后形态上会有一个退缩，如上颌窦后鼻孔息肉患者的上颌窦口受息肉压迫后出现扩大。如果能在上颌窦口处放置一个能对上颌窦口实施缓慢压迫的器械使窦口重新开放，不破坏窦口周围结构，尤其是黏液纤毛引流系统，保留引流结构与功能则是上颌窦炎最理想的治疗方法。Chronic maxillary sinusitis is a common and frequently-occurring disease. The pathophysiology is based on the occlusion of the sinus and nasal passage complex. The core of the treatment is to reconstruct the nasal cavity and sinus ventilation drainage structure and function. The current treatment method is open sinus by endoscopic surgery, and the sinus is opened while the sinus is opened. This destroys the original drainage structure and function of the sinus, especially the maxillary sinus drainage function. ideal. The body tissue will have a retreat after a slow compression. The maxillary sinus of the patient with a posterior sinus polyp is enlarged after being compressed by the polyp. If a device capable of slowly compressing the maxillary sinus ostium can be placed at the maxillary sinus ostium to reopen the sinus ostium without destroying the structure around the sinus ostium, especially the mucociliary drainage system, retaining the drainage structure and function is the most maxillary sinusitis The ideal treatment.

发明内容Summary of the invention

本发明的目的是针对以上不足之处，提供了一种可在不破坏窦口周围结构的基础上在窦口处放置气囊扩张管,利用气囊的充气扩张压迫窦口,使窦口重新开放，保留其引流结构与功能，结构简单、成本低的鼻窦扩张冲洗器及其使用方法。The object of the present invention is to provide a balloon expansion tube at the sinus ostium without destroying the structure around the sinus ostium, and to use the inflation expansion of the balloon to press the sinus ostium to reopen the sinus ostium. The sinus expansion irrigator and its use method which retain its drainage structure and function, simple structure and low cost.

本发明解决技术问题所采用的方案是一种鼻窦扩张冲洗器，包括气囊扩张管、充气管、冲洗管，所述气囊扩张管包括管体，所述管体中部为与空气相通的通气道,所述管体外侧壁附着有哑铃状的气囊。The solution adopted by the present invention solves the technical problem is a sinus expansion irrigation device, including a balloon expansion tube, an inflation tube, and an irrigation tube. The balloon expansion tube includes a tube body, and the middle portion of the tube body is an air passage communicating with the air. A dumbbell-shaped air bag is attached to the outer wall of the tube.

进一步的，所述充气管的一端与气囊的内腔相通，所述冲洗管纵轴向从气囊扩张管的管体壁内穿出。Further, one end of the inflation tube communicates with the inner cavity of the air bag, and the longitudinal direction of the irrigation tube passes through the body wall of the air bag expansion tube.

进一步的，还包括鼻前庭塞,所述鼻前庭塞为中空的橄榄状塞体，所述鼻前庭塞的外侧壁上开设有用于固定冲洗管、充气管的凹部，所述鼻前庭塞的中部开设有用于鼻腔通气的通道。Further, the method further includes a nasal vestibular plug, wherein the nasal vestibular plug is a hollow olive plug, and the outer side wall of the nasal vestibule plug is provided with a recess for fixing the irrigation tube and the inflation tube, and the middle portion of the nasal vestibule A channel for nasal ventilation is provided.

进一步的，所述充气管在鼻前庭塞端为膨大状的管头，所述管头卡嵌在鼻前庭塞的凹部中。Further, the inflation tube is an enlarged tubular head at the nasal vestibular plug end, and the tube head is embedded in the concave portion of the nasal vestibular plug.

进一步的，所述冲洗管的一端卡嵌在鼻前庭塞的凹部中，另一端从气囊扩张管的管体壁内穿过后呈游离状态。Further, one end of the irrigation tube is embedded in the concave portion of the nasal vestibular plug, and the other end is in a free state after passing through the tubular body wall of the balloon expansion tube.

进一步的，所述充气管在鼻前庭塞处的管头上还固连有用于封堵的橡胶块,用于封堵 充气管，方便供注射器多次穿刺橡胶块向充气管内注气，防止漏气。Further, the inflatable tube is further fixed with a rubber block for sealing on the tube head at the nasal vestibule plug for sealing Inflatable tube, convenient for the syringe to puncture the rubber block multiple times to inject gas into the inflation tube to prevent air leakage.

一种鼻窦扩张冲洗器的使用方法，包括以下步骤：A method of using a sinus expansion irrigator includes the following steps:

(1)患者仰卧，在鼻内镜引导下进行鼻腔局部麻醉，切除钩突部分或将钩突内移，在70°鼻内镜下显露上颌窦自然窦口；(1) The patient is supine, under the nose endoscope, local nasal anesthesia is performed, the uncinate part is removed or the necroposis is moved inward, and the natural sinus of the maxillary sinus is exposed under the endoscope of 70°;

(2)将气囊扩张管放置于上颌窦口处,将冲洗管和充气管的端部分别卡嵌入鼻前庭塞的凹部中,冲洗管的另一端游离于上颌窦腔内,然后将鼻前庭塞固定于鼻前庭内；(2) Place the balloon dilatation tube at the maxillary sinus ostium, and insert the end of the irrigation tube and the inflation tube into the concave portion of the nasal vestibular plug, the other end of the irrigation tube is free in the maxillary sinus cavity, and then the nasal vestibule is inserted. Fixed in the nasal vestibule;

(3)在鼻内镜监视下，经充气管向气囊扩张管的气囊内充气使气囊扩张固定于上颌窦口处；(3) under nasal endoscopy, inflating the balloon into the balloon of the balloon dilatation tube to expand and fix the balloon to the maxillary sinus;

(4)根据患者病情经充气管分次逐渐向气囊内注入空气,形成对上颌窦口的慢性压迫，使窦口扩大；(4) According to the patient's condition, the air is gradually injected into the airbag through the inflation tube, forming a chronic compression of the maxillary sinus ostium, and expanding the sinus ostium;

(5)经冲洗管冲洗窦腔或向窦内注入药物进行局部治疗。(5) Washing the sinus cavity through the irrigation tube or injecting drugs into the sinus for local treatment.

与现有技术相比，本发明具有以下有益效果：哑铃状的气囊扩张管可有效固定于上颌窦口处,不会滑落,方便治疗；经充气管向气囊扩张管的气囊内分次缓慢注入空气使气囊扩张管膨胀，压迫上颌窦口，致上颌窦口扩大，使狭小或闭锁的上颌窦口重新开放，不破坏窦口区结构与功能；经冲洗管可冲洗上颌窦或向窦内注药进行局部治疗；鼻前庭塞隐藏放置于鼻前庭内，方便固定,便于患者呼吸；该装置结构简单、成本低。Compared with the prior art, the invention has the following beneficial effects: the dumbbell-shaped balloon dilatation tube can be effectively fixed at the maxillary sinus ostium, does not slip, and is convenient for treatment; and is slowly injected into the balloon of the balloon dilatation tube through the inflation tube. The air expands the balloon dilatation tube, compresses the maxillary sinus ostium, and enlarges the maxillary sinus ostium, so that the narrow or locked maxillary sinus ostium is reopened without destroying the structure and function of the sinus ostium; the maxillary sinus can be washed or injected into the sinus through the irrigation tube The medicine is applied locally; the nasal vestibular plug is hidden in the nasal vestibule, which is convenient for fixation and convenient for the patient to breathe; the device has a simple structure and low cost.

附图说明DRAWINGS

下面结合附图对本发明专利进一步说明。The invention will be further described below in conjunction with the accompanying drawings.

图1为该发明的结构示意图；Figure 1 is a schematic view showing the structure of the invention;

图2为鼻前庭塞的结构示意图；Figure 2 is a schematic view showing the structure of a nasal vestibular plug;

图3为图1的B向视图；Figure 3 is a B-direction view of Figure 1;

图4为图1的A-A剖视图；Figure 4 is a cross-sectional view taken along line A-A of Figure 1;

图中：In the picture:

1-鼻前庭塞；2-气囊扩张管；3-冲洗管；4-充气管；5-凹部；6-通道；7-橡胶块；8-管头；9-内腔；10-通气道；11-气囊；12-管体。1- nasal vestibular plug; 2-balloon dilatation tube; 3-flushing tube; 4-inflatable tube; 5-recessed; 6-channel; 7-rubber block; 8-tube head; 9-inner cavity; 10- airway; 11-balloon; 12-tube.

具体实施方式detailed description

下面结合附图和具体实施方式对本发明进一步说明。The invention is further described below in conjunction with the drawings and specific embodiments.

如图1～4所示，一种鼻窦扩张冲洗器，包括气囊扩张管2、充气管4、冲洗管3，所述气囊扩张管2包括管体12，所述管体12中部为与空气相通的通气道10,所述管体12外侧壁附着有哑铃状的气囊11，气囊11的哑铃状结构可使气囊扩张管2有效固定于上颌窦口处, 不会滑落,方便治疗，气囊11能够多次充气扩张形成对上颌窦口的慢性压迫，使窦口扩大。As shown in FIGS. 1 to 4, a sinus expansion irrigator includes a balloon dilation tube 2, an inflation tube 4, and an irrigation tube 3. The balloon expansion tube 2 includes a tube body 12, and the tube body 12 is in communication with the air in the middle. The air passage 10 has a dumbbell-shaped air bag 11 attached to the outer side wall of the tube body 12. The dumbbell-shaped structure of the air bag 11 can effectively fix the air bag dilatation tube 2 at the maxillary sinus ostium. It will not slip down and facilitate treatment. The balloon 11 can be inflated multiple times to form a chronic compression of the maxillary sinus ostium, which enlarges the sinus ostium.

在本实施例中，所述充气管4的一端与气囊11的内腔相通，对气囊11进行充气,所述冲洗管3纵轴向从气囊扩张管2的管体12壁内穿出。In the present embodiment, one end of the inflation tube 4 communicates with the inner cavity of the air bag 11, and the air bag 11 is inflated, and the longitudinal direction of the flushing tube 3 passes through the wall of the tube body 12 of the air bag dilation tube 2.

在本实施例中，还包括鼻前庭塞1,所述鼻前庭塞1为中空的橄榄状塞体，所述鼻前庭塞1的外侧壁上开设有用于固定冲洗管3、充气管4的凹部5，所述鼻前庭塞1的中部开设有用于鼻腔通气的通道6，用于实现将鼻前庭塞1隐藏放置于鼻前庭内的时候方便固定与患者呼吸。In this embodiment, a nasal vestibule plug 1 is also included. The nasal vestibule plug 1 is a hollow olive plug. The outer side wall of the nasal vestibule plug 1 is provided with a recess for fixing the irrigation tube 3 and the inflation tube 4. 5. The middle portion of the nasal vestibular plug 1 is provided with a passage 6 for nasal ventilation for facilitating fixation and patient breathing when the nasal vestibular plug 1 is hidden in the nasal vestibule.

在本实施例中，所述充气管4在鼻前庭塞1端为膨大状的管头8，管内嵌塞有橡胶块7，用于封堵充气管4，方便供注射器多次穿刺橡胶块7向充气管4内注气，防止漏气，所述管头8卡嵌在鼻前庭塞1的凹部5中。In the present embodiment, the inflation tube 4 has an enlarged tubular head 8 at the end of the nasal vestibule plug 1 and a rubber block 7 is embedded in the tube for sealing the inflation tube 4, so that the rubber block can be easily penetrated by the syringe. 7 Injecting air into the inflation tube 4 to prevent air leakage, the tube head 8 being stuck in the recess 5 of the nasal vestibule plug 1.

在本实施例中，所述冲洗管3的一端卡嵌在鼻前庭塞1的凹部5中，另一端从气囊扩张管2的管体12壁内穿过后位于上颌窦内呈游离状态，经冲洗管3可冲洗上颌窦或向窦内注药进行局部治疗，冲洗管3的一端卡嵌在鼻前庭塞1的凹部5中用于实现冲洗管3的安放与固定，便于在狭小的鼻腔内对冲洗管3进行连接与管理，以免造成患者不适或冲洗管3脱落。In this embodiment, one end of the irrigation tube 3 is embedded in the concave portion 5 of the nasal vestibular plug 1, and the other end is in the free state of the maxillary sinus after passing through the wall of the tubular body 12 of the balloon dilation tube 2, and is flushed. The tube 3 can wash the maxillary sinus or inject into the sinus for local treatment, and one end of the irrigation tube 3 is embedded in the concave portion 5 of the nasal vestibule plug 1 for the placement and fixation of the irrigation tube 3, which is convenient for the narrow nasal cavity. The irrigation tube 3 is connected and managed to avoid discomfort to the patient or the irrigation tube 3 is detached.

一种鼻窦扩张冲洗器的使用方法，包括以下步骤：A method of using a sinus expansion irrigator includes the following steps:

(1)患者仰卧，在鼻内镜引导下进行鼻腔局部麻醉，切除钩突部分或将钩突内移，在70°鼻内镜下显露上颌窦自然窦口；(1) The patient is supine, under the nose endoscope, local nasal anesthesia is performed, the uncinate part is removed or the necroposis is moved inward, and the natural sinus of the maxillary sinus is exposed under the endoscope of 70°;

(2)将气囊扩张管2放置于上颌窦口处,将冲洗管3和充气管4的端部分别卡嵌入鼻前庭塞1的凹部5中,冲洗管3的另一端游离于上颌窦腔内,然后将鼻前庭塞1固定于鼻前庭内；(2) The balloon dilation tube 2 is placed at the maxillary sinus ostium, and the ends of the irrigation tube 3 and the inflation tube 4 are respectively inserted into the concave portion 5 of the nasal vestibular plug 1, and the other end of the irrigation tube 3 is freed in the maxillary sinus cavity. And then fix the nasal vestibular plug 1 in the nasal vestibule;

(3)在鼻内镜监视下，经充气管4向气囊扩张管2的气囊11内充气使气囊11扩张固定于上颌窦口处；(3) under nasal endoscopy, inflating the balloon 11 into the balloon 11 of the balloon dilatation tube 2 to expand and fix the balloon 11 at the mouth of the maxillary sinus;

(4)根据患者病情经充气管4分次逐渐向气囊11内注入空气，使气囊扩张管2形成对上颌窦口的慢性压迫，使窦口扩大；(4) gradually injecting air into the balloon 11 through the inflation tube 4 according to the patient's condition, so that the balloon dilation tube 2 forms a chronic compression of the maxillary sinus ostium, and the sinus opening is enlarged;

(5)经冲洗管3冲洗窦腔或向窦内注入药物进行局部治疗。(5) The sinus cavity is flushed through the irrigation tube 3 or the drug is injected into the sinus for local treatment.

上列较佳实施例，对本发明的目的、技术方案和优点进行了进一步详细说明，所应理解的是，以上所述仅为本发明的较佳实施例而已，并不用以限制本发明，凡在本发明的精神和原则之内，所作的任何修改、等同替换、改进等，均应包含在本发明的保护范围之内。 The present invention has been described in detail with reference to the preferred embodiments of the present invention. All modifications, equivalent substitutions, improvements, etc., made within the spirit and scope of the invention are intended to be included within the scope of the invention.

Claims (7)

一种鼻窦扩张冲洗器，其特征在于：包括气囊扩张管、充气管、冲洗管，所述气囊扩张管包括管体，所述管体中部为与空气相通的通气道,所述管体外侧壁附着有哑铃状的气囊。A sinus expansion irrigator, comprising: a balloon dilation tube, an inflation tube, an irrigation tube, the balloon expansion tube comprising a tube body, the middle portion of the tube body is an air passage communicating with air, and the outer wall of the tube body A dumbbell-shaped airbag is attached. 根据权利要求1所述的鼻窦扩张冲洗器，其特征在于：所述充气管的一端与气囊的内腔相通，所述冲洗管纵轴向从气囊扩张管的管体壁内穿出。The sinus expander irrigator according to claim 1, wherein one end of the inflation tube communicates with the lumen of the balloon, and the longitudinal direction of the irrigation tube passes through the body wall of the balloon expansion tube. 根据权利要求1所述的鼻窦扩张冲洗器，其特征在于：还包括鼻前庭塞,所述鼻前庭塞为中空的橄榄状塞体，所述鼻前庭塞的外侧壁上开设有用于固定冲洗管、充气管的凹部，所述鼻前庭塞的中部开设有用于鼻腔通气的通道。The sinus expander irrigator according to claim 1, further comprising a nasal vestibular plug, the nasal vestibule plug being a hollow olive plug, the outer side wall of the nasal vestibule plug being provided with a fixing irrigation tube a recess of the inflation tube, the middle portion of the nasal vestibule plug being provided with a passage for nasal ventilation. 根据权利要求3所述的鼻窦扩张冲洗器，其特征在于：所述充气管在鼻前庭塞端为膨大状的管头，所述管头卡嵌在鼻前庭塞的凹部中。The sinus expander irrigator according to claim 3, wherein the inflation tube is an enlarged tubular head at the nasal vestibular plug end, and the tube head is embedded in the recess of the nasal vestibular plug. 根据权利要求3所述的鼻窦扩张冲洗器，其特征在于：所述冲洗管的一端卡嵌在鼻前庭塞的凹部中，另一端从气囊扩张管的管体壁内穿过后呈游离状态。The sinus expander irrigator according to claim 3, wherein one end of the irrigation tube is engaged in the recess of the nasal vestibule plug, and the other end is in a free state after passing through the wall of the balloon dilation tube. 根据权利要求4所述的鼻窦扩张冲洗器，其特征在于：所述充气管在鼻前庭塞处的管头上还固连有用于封堵的橡胶块。The sinus expansion irrigator according to claim 4, wherein the inflation tube is further attached with a rubber block for sealing at the tube head at the nasal vestibule plug. 一种鼻窦扩张冲洗器的使用方法，其特征在于，包括以下步骤：A method of using a sinus expansion irrigator, comprising the steps of: (1)患者仰卧，在鼻内镜引导下进行鼻腔局部麻醉，切除钩突部分或将钩突内移，在70°鼻内镜下显露上颌窦自然窦口；(1) The patient is supine, under the nose endoscope, local nasal anesthesia is performed, the uncinate part is removed or the necroposis is moved inward, and the natural sinus of the maxillary sinus is exposed under the endoscope of 70°; (2)将气囊扩张管放置于上颌窦口处,将冲洗管和充气管的端部分别卡嵌入鼻前庭塞的凹部中,冲洗管的另一端游离于上颌窦腔内,然后将鼻前庭塞固定于鼻前庭内；(2) Place the balloon dilatation tube at the maxillary sinus ostium, and insert the end of the irrigation tube and the inflation tube into the concave portion of the nasal vestibular plug, the other end of the irrigation tube is free in the maxillary sinus cavity, and then the nasal vestibule is inserted. Fixed in the nasal vestibule; (3)在鼻内镜监视下，经充气管向气囊扩张管的气囊内充气使气囊扩张固定于上颌窦口处；(3) under nasal endoscopy, inflating the balloon into the balloon of the balloon dilatation tube to expand and fix the balloon to the maxillary sinus; (4)根据患者病情经充气管分次逐渐向气囊内注入空气,形成对上颌窦口的慢性压迫，使窦口扩大；(4) According to the patient's condition, the air is gradually injected into the airbag through the inflation tube, forming a chronic compression of the maxillary sinus ostium, and expanding the sinus ostium; (5)经冲洗管冲洗窦腔或向窦内注入药物进行局部治疗。 (5) Washing the sinus cavity through the irrigation tube or injecting drugs into the sinus for local treatment.
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