CN217091711U - A kind of semipermeable membrane T-tube special for laryngotracheal stenosis - Google Patents
A kind of semipermeable membrane T-tube special for laryngotracheal stenosis Download PDFInfo
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- CN217091711U CN217091711U CN202120796373.XU CN202120796373U CN217091711U CN 217091711 U CN217091711 U CN 217091711U CN 202120796373 U CN202120796373 U CN 202120796373U CN 217091711 U CN217091711 U CN 217091711U
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- tube
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- semipermeable membrane
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- 239000012528 membrane Substances 0.000 title claims abstract description 39
- 208000031481 Pathologic Constriction Diseases 0.000 title claims description 16
- 208000037804 stenosis Diseases 0.000 title claims description 16
- 230000036262 stenosis Effects 0.000 title claims description 16
- 239000003814 drug Substances 0.000 claims abstract description 40
- 238000002347 injection Methods 0.000 claims abstract description 35
- 239000007924 injection Substances 0.000 claims abstract description 35
- 229940079593 drug Drugs 0.000 claims description 11
- 231100000241 scar Toxicity 0.000 abstract description 7
- 230000035876 healing Effects 0.000 abstract description 3
- 206010020718 hyperplasia Diseases 0.000 abstract description 3
- 210000003437 trachea Anatomy 0.000 abstract description 3
- 210000005239 tubule Anatomy 0.000 abstract 4
- 206010062717 Increased upper airway secretion Diseases 0.000 abstract 2
- 210000000867 larynx Anatomy 0.000 abstract 2
- 208000026435 phlegm Diseases 0.000 abstract 2
- 206010044302 Tracheitis Diseases 0.000 abstract 1
- 230000008595 infiltration Effects 0.000 abstract 1
- 238000001764 infiltration Methods 0.000 abstract 1
- 201000009837 laryngotracheitis Diseases 0.000 abstract 1
- 208000027418 Wounds and injury Diseases 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 230000003204 osmotic effect Effects 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 208000037803 restenosis Diseases 0.000 description 2
- 208000000884 Airway Obstruction Diseases 0.000 description 1
- 208000028399 Critical Illness Diseases 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- 206010059639 Laryngeal obstruction Diseases 0.000 description 1
- 206010036790 Productive cough Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000003110 anti-inflammatory effect Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000000857 drug effect Effects 0.000 description 1
- 210000000981 epithelium Anatomy 0.000 description 1
- 208000014829 head and neck neoplasm Diseases 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 210000004877 mucosa Anatomy 0.000 description 1
- 230000035755 proliferation Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 230000037390 scarring Effects 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 210000003802 sputum Anatomy 0.000 description 1
- 208000024794 sputum Diseases 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 239000010902 straw Substances 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 238000002627 tracheal intubation Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型涉及一种医疗器械技术领域,尤其涉及一种喉气管狭窄专用的半透膜T型管。The utility model relates to the technical field of medical devices, in particular to a semipermeable membrane T-shaped tube specially used for laryngotracheal stenosis.
背景技术Background technique
喉气管狭窄是耳鼻咽喉科及呼吸科较常见急重症之一,病情凶险,严重者可危及患者生命。常因头颈部肿瘤,或各种危重症需行气管切开、插管或喉气管创伤等导致的纤维瘢痕形成,并引起呼吸道阻塞、喉气管狭窄,最终导致患者严重喉梗阻及呼吸困难。为保障患者通气功能恢复与气道通畅,需行喉气管狭窄瘢痕切除,重建喉气管结构,并需要气道修复腔内放置T型管扩张,以免气道软组织塌陷及瘢痕复发导致气道再次狭窄。目前T型管存在以下问题:T型管仅支架作用,后期依赖瘢痕塑形,拔除T型管后较高的再狭窄复发率,而且T型管扩张期间无法局部给药,抑制瘢痕增生,促进上皮愈合;T型管取出时阻力较大,体积不能进一步缩小,且有断裂风险。Laryngotracheal stenosis is one of the most common acute and severe cases in otorhinolaryngology and respiratory departments. Often due to head and neck tumors, or various critical illnesses requiring tracheotomy, intubation, or laryngotracheal trauma, fibrous scarring may lead to airway obstruction and laryngotracheal stenosis, eventually leading to severe laryngeal obstruction and difficulty breathing. In order to ensure the recovery of the patient's ventilation function and airway patency, the laryngotracheal stenosis scar should be excised, the laryngotracheal structure should be reconstructed, and a T-tube should be placed in the airway repair cavity to dilate the airway to avoid airway restenosis due to airway soft tissue collapse and scar recurrence. . At present, T-tubes have the following problems: T-tubes only act as stents, relying on scar shaping in the later stage, high recurrence rate of restenosis after removal of T-tubes, and inability of local administration during T-tube expansion, inhibiting scar hyperplasia and promoting The epithelium heals; when the T-tube is taken out, the resistance is large, the volume cannot be further reduced, and there is a risk of rupture.
实用新型内容Utility model content
为解决上述问题,本实用新型提出一种喉气管狭窄专用的半透膜T型管,具体技术方案为:In order to solve the above-mentioned problems, the utility model proposes a special semipermeable membrane T-shaped tube for laryngotracheal stenosis, and the specific technical scheme is:
一种喉气管狭窄专用的半透膜T型管,包括T型管本体和半透膜管,所述T型管本体包括固定段和同轴设置的扩张段与吸痰段,所述扩张段的长度大于吸痰段,所述半透膜管可拆卸地紧套于扩张段的外表面,半透膜管靠近固定段的一端可拆卸地连接有注药细管,所述注药细管的端部设置注药球囊,所述注药球囊靠近注药细管的一端设置单向阀,其另一端设置注药口,所述注药细管上设置带有橡胶软塞的抽吸管。A semipermeable membrane T-shaped tube for laryngotracheal stenosis, comprising a T-shaped tube body and a semipermeable membrane tube, the T-shaped tube body includes a fixed section, an expansion section and a sputum suction section arranged coaxially, and the expansion section The length of the semi-permeable membrane tube is longer than the suction section, the semi-permeable membrane tube is detachably tightly sleeved on the outer surface of the expansion section, and the end of the semi-permeable membrane tube close to the fixed section is detachably connected with a thin drug injection tube, and the thin drug injection tube is detachably connected. A medicine injection balloon is set at the end of the medicine injection balloon, one end of the medicine injection balloon close to the medicine injection thin tube is set with a one-way valve, and the other end is set with a medicine injection port, and a pump with a rubber soft plug is set on the medicine injection thin tube. straw.
进一步地,所述半透膜管的外壁沿轴设置有多条细引流槽。Further, the outer wall of the semi-permeable membrane tube is provided with a plurality of thin drainage grooves along the axis.
进一步地,所述细引流槽的数量为4~6条,细引流槽的深度不超过半透膜管厚度的三分之一。Further, the number of the thin drainage grooves is 4-6, and the depth of the thin drainage grooves does not exceed one third of the thickness of the semipermeable membrane tube.
进一步地,所述固定管的中上部设置有可弯折的膨胀节。Further, a bendable expansion joint is provided in the upper middle portion of the fixing tube.
有益效果:Beneficial effects:
本实用新型在扩张喉气管狭窄创腔时,可向半透膜管内注入药物,药物通过半透膜管的渗透作用于喉气管狭窄修复创面,提供扩张支架的同时可持续发挥药物作用,抑制瘢痕增生,促进上皮愈合,提高治愈率。The utility model can inject medicine into the semipermeable membrane tube when the laryngotracheal stenosis wound cavity is expanded, and the medicine penetrates the semipermeable membrane tube and acts on the laryngotracheal stenosis to repair the wound surface. Proliferation, promote epithelial healing, and improve the cure rate.
附图说明Description of drawings
图1为本实用新型的整体示意图。Fig. 1 is the overall schematic diagram of the utility model.
图2为本实用新型的细引流槽示意图。FIG. 2 is a schematic diagram of the fine drainage groove of the present invention.
图中:1固定段,2扩张段,3吸痰段,4半透膜管,5注药细管,6注药球囊,7注药口,8单向阀,9抽吸管,10细引流槽,11膨胀节。In the picture: 1 fixed section, 2 expansion section, 3 suction section, 4 semipermeable membrane tube, 5 small medicine injection tube, 6 medicine injection balloon, 7 medicine injection port, 8 one-way valve, 9 suction tube, 10 Thin drainage groove, 11 expansion joints.
具体实施方式Detailed ways
下面结合附图和具体实施例对本实用新型做进一步描述:The utility model will be further described below in conjunction with the accompanying drawings and specific embodiments:
如图1所示,一种喉气管狭窄专用的半透膜T型管,包括T型管本体和半透膜管4,所述T型管本体包括固定段1和同轴设置的扩张段2与吸痰段3,所述扩张段2的长度大于吸痰段3,扩张段2可根据患者重建喉气管腔的情况来设置不同的规格;所述半透膜管4可拆卸地紧套于扩张段2的外表面,半透膜管4靠近固定段1的一端可拆卸地连接有注药细管5,所述注药细管5的端部设置注药球囊6,所述注药球囊6靠近注药细管5的一端设置单向阀8,其另一端设置注药口7,所述注药细管5上设置带有橡胶软塞的抽吸管9。As shown in FIG. 1, a semipermeable membrane T-shaped tube specially used for laryngotracheal stenosis includes a T-shaped tube body and a semipermeable membrane tube 4, and the T-shaped tube body includes a fixed section 1 and a coaxially arranged
具体地,T型管本体的扩张段2与吸痰段3设置成圆弧形,降低对气道粘膜产生的机械刺激;扩张段2越过喉气管狭窄段的上端,吸痰段3固定于气管腔内,固定段1暴露于颈部外,且可连接负压机,清理呼吸道内的分泌物。药物可通过注药口7注射至注药球囊6内,按压注药球囊6,带压的药物推开单向阀8,从而使药液进入半透膜管4内,利用半透膜管4的渗透作用,药物通过渗透压缓慢渗透至气道内壁。同时,当需要清洗半透膜管4的内腔或抽出其内的剩余药液时,可从抽吸管9处进行操作。Specifically, the
如图2所示,所述半透膜管4的外壁沿轴设置有多条细引流槽10,以增加药物通过半透膜管4与狭窄创面的接触面积,更加有效地发挥药物作用。As shown in FIG. 2 , the outer wall of the semi-permeable membrane tube 4 is provided with a plurality of
优选地,所述细引流槽10的数量为4~6条,细引流槽10的深度不超过半透膜管4厚度的三分之一。根据临床使用情况,细引流槽10深度宜设置成0.2~0.5mm。Preferably, the number of the
在另一个实施例中,所述固定管的中上部设置有可弯折的膨胀节11,便于固定管弯折,防止患者触碰固定管。In another embodiment, a
使用时,切开喉气管,切除瘢痕组织重建喉气管腔后,将扩张段2越过喉气管狭窄段的上端,吸痰段3固定于气管腔内,固定段1暴露于颈部外,并固定本半透膜T型管,避免移位;定期经注药口7向半透膜管4内注射药物,药物利用渗透压作用渗透至气道内壁,进行局部消炎,促进上皮愈合及抑制瘢痕增生作用,亦可通过抽吸管9将半透膜管4内剩余药液抽出或对半透膜管4内腔进行冲洗。When in use, the laryngotrachea is incised, the scar tissue is removed to reconstruct the laryngotracheal cavity, the dilated
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Granted publication date: 20220802 |