CN106473816A - A patch for lesion localization - Google Patents
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- CN106473816A CN106473816A CN201510546917.6A CN201510546917A CN106473816A CN 106473816 A CN106473816 A CN 106473816A CN 201510546917 A CN201510546917 A CN 201510546917A CN 106473816 A CN106473816 A CN 106473816A
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- 230000003902 lesion Effects 0.000 title claims description 31
- 230000004807 localization Effects 0.000 title claims description 7
- 239000010410 layer Substances 0.000 claims abstract description 48
- 239000011241 protective layer Substances 0.000 claims abstract description 17
- 239000000853 adhesive Substances 0.000 claims abstract description 6
- 230000001070 adhesive effect Effects 0.000 claims abstract description 6
- 239000000463 material Substances 0.000 claims description 7
- 239000004745 nonwoven fabric Substances 0.000 claims description 4
- 239000003522 acrylic cement Substances 0.000 claims description 3
- 238000003325 tomography Methods 0.000 abstract description 4
- 230000000694 effects Effects 0.000 abstract description 2
- 208000002847 Surgical Wound Diseases 0.000 description 5
- TZCXTZWJZNENPQ-UHFFFAOYSA-L barium sulfate Chemical compound [Ba+2].[O-]S([O-])(=O)=O TZCXTZWJZNENPQ-UHFFFAOYSA-L 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 208000014674 injury Diseases 0.000 description 2
- 238000007689 inspection Methods 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- MIKKOBKEXMRYFQ-WZTVWXICSA-N meglumine amidotrizoate Chemical compound C[NH2+]C[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO.CC(=O)NC1=C(I)C(NC(C)=O)=C(I)C(C([O-])=O)=C1I MIKKOBKEXMRYFQ-WZTVWXICSA-N 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 229960005133 diatrizoate meglumine Drugs 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 238000002372 labelling Methods 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 210000004761 scalp Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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- Apparatus For Radiation Diagnosis (AREA)
Abstract
Description
技术领域technical field
本发明涉及一种手术切口人体组织体表定位工具,广泛应用于外科手术前切口定位,如颅脑病变、躯干部(胸部,腹部)以及四肢手术切口定位、含肾脏,肝脏等体内实质性脏器活检,体内异物取出等。The invention relates to a positioning tool for human body tissue surface for surgical incisions, which is widely used in the positioning of incisions before surgical operations, such as craniocerebral lesions, torso (chest, abdomen) and extremities surgical incision positioning, including kidneys, livers and other substantive organs in the body. Organ biopsy, removal of foreign bodies in the body, etc.
背景技术Background technique
在患者临床手术中,由于病灶多数处于皮肤下方人体内,肉眼无法直接确定具体位置,依靠术前X线或者CT检查定位,故目前的处理方法是在手术前对病灶部位进行X光照片,在手术时参考所拍的X光片来确定病灶位置确定切口进行手术。但这种方法的问题在于,由于医生需要通过X光片来找病灶位置,而X光片上和病人体表上并没有相应的定位参照物来给医生进行准确定位,故医生只能通过目测X光片来在病人身上大致预估定位,同时由于X光片在拍摄时,由于病人拍摄时的体位、病人与机器的距离等因素,导致每张X光片的放大倍率都有区别,这就让医生更加难以做到对病灶的精确定位,误差较大,医生在手术中可能需要开出更大的切口才能找到病灶位置,或者手术中开出了比实际需要更小的切口而需重新加大切口,往往造成手术时加大了病人手术创伤,同时也极易增加手术中病人的出血量,这样不仅导致手术时间延长,同时更增加了病人的痛苦,不利于患者的预后恢复。In the clinical operation of patients, since most of the lesions are located in the human body under the skin, the specific location cannot be directly determined by the naked eye, and the location depends on preoperative X-ray or CT examination. Therefore, the current treatment method is to take X-ray photos of the lesions before the operation. During the operation, refer to the X-rays taken to determine the location of the lesion and determine the incision for the operation. But the problem with this method is that since the doctor needs to find the location of the lesion through X-rays, and there is no corresponding positioning reference on the X-rays and the patient's body surface to accurately locate the doctor, the doctor can only use visual X-rays. X-rays are used to roughly estimate the positioning on the patient. At the same time, due to factors such as the position of the patient when shooting the X-rays, the distance between the patient and the machine, and other factors, the magnification of each X-ray is different. It makes it more difficult for the doctor to accurately locate the lesion, and the error is large. The doctor may need to make a larger incision to find the location of the lesion during the operation, or make a smaller incision than the actual need during the operation and need to re-open. A large incision often increases the patient's surgical trauma during the operation, and also easily increases the patient's bleeding during the operation, which not only leads to prolonged operation time, but also increases the patient's pain, which is not conducive to the patient's prognosis and recovery.
发明内容Contents of the invention
为了解决现有手术中病灶难以准确定位的技术问题,本发明提供一种能够准确定位病人病灶位置的用于病灶定位的贴膜。In order to solve the technical problem that it is difficult to accurately locate the lesion in the existing operation, the present invention provides a film for lesion location that can accurately locate the position of the lesion in a patient.
为了实现上述技术目的,本发明的技术方案是,一种用于病灶定位的贴膜,其特征在于包括一套球面贴膜组合,包括自下而上依次层叠的保护层、贴膜层,所述的保护层覆盖于贴膜层表面并用于在使用前保护贴膜层粘性面,所述的贴膜层与保护层接触的一面为粘性面,所述球面贴膜层上设置平行显影线,所述平行显影线是由含有对X射线显影的材料制备成。优选的,所述平行显影线为一系列长度依次等差缩短的线段组成。In order to achieve the above technical purpose, the technical solution of the present invention is a film for lesion positioning, which is characterized in that it includes a set of spherical film combination, including a protective layer and a film layer stacked sequentially from bottom to top. layer covering the surface of the film layer and used to protect the sticky surface of the film layer before use, the side of the film layer in contact with the protective layer is the sticky surface, and parallel developing lines are set on the spherical film layer, and the parallel developing lines are formed by Prepared with materials that can be visualized by X-rays. Preferably, the parallel developing lines are composed of a series of line segments whose lengths are successively shortened by equal differences.
优选的,所述的一种用于病灶定位的贴膜,其特征在于在所述球面贴膜上设置若干标志孔,所述标志孔设置在每条显影线的顶端。标志孔设置在顶端,标志孔的下缘与显影线顶端在同一水平,其目的是定位更准确,与此同时,由于显影线部分的无纺布由于显影线的存在,显影线顶端设孔使贴膜整体简洁美观,贴膜整体有一定硬挺感以及良好的把持度,更易于临床使用。Preferably, the aforementioned film for focus location is characterized in that several marking holes are set on the spherical film, and the marking holes are set at the top of each developing line. The mark hole is set at the top, and the lower edge of the mark hole is at the same level as the top of the developing line, the purpose of which is to locate more accurately. The whole film is simple and beautiful, and the whole film has a certain stiffness and good grip, which is easier for clinical use.
优选的,一种用于病灶定位的贴膜,其特征在于保护层是由纸质制成,厚度为0.05-0.4mm。Preferably, a patch for lesion localization is characterized in that the protective layer is made of paper with a thickness of 0.05-0.4mm.
优选的,一种用于病灶定位的贴膜,其特征在于贴膜层是由无纺布制成,厚度为0.05-0.4mm。无纺布是临床大量使用的一种材料,取材方便,成本低廉且有一定厚度,操作性好,贴附性好,更容易贴附在不平整的人体表面,另外无纺布还有透气性好的特点,增加患者的舒适感。Preferably, a patch for lesion localization is characterized in that the patch layer is made of non-woven fabric with a thickness of 0.05-0.4mm. Non-woven fabric is a material widely used in clinical practice. It is easy to obtain materials, low in cost and has a certain thickness. It has good operability and good adhesion. Good features for increased patient comfort.
所述平行显影线是由含有对X射线显影的材料制备成。显影线材料可以选用硫酸钡,泛影葡胺,金属线,医用纱布显影线等。所述平行显影线为一系列长度依次等差缩短的线段组成。The parallel development lines are made of materials containing X-ray development. The developing thread material can be barium sulfate, diatrizoate meglumine, metal thread, medical gauze developing thread, etc. The parallel developing lines are composed of a series of line segments whose lengths are successively shortened in equal differences.
显影线为间距一致的平行等差数列的显影线段,在一个水平面基础上,由长到短依次排列。优选的,所述贴膜上有一组或者多组显影坐标,提供更为清晰的定位。The development lines are development line segments of parallel arithmetic progressions with consistent spacing, and are arranged in order from long to short on the basis of a horizontal plane. Preferably, one or more sets of development coordinates are provided on the film to provide clearer positioning.
球面贴膜组合,包括自下而上依次层叠的保护层、无纺布贴膜层,两层结构使操作更简单,节省操作时间,更有利于医生的使用。The combination of spherical surface film includes a protective layer and a non-woven film layer stacked in sequence from bottom to top. The two-layer structure makes the operation easier, saves operation time, and is more conducive to the use of doctors.
优选的,一种用于病灶定位的贴膜,其特征是粘性面所使用的粘合剂为丙烯酸粘合剂。Preferably, a patch for lesion positioning is characterized in that the adhesive used on the sticky surface is an acrylic adhesive.
优选的,一种用于病灶定位的贴膜,所述球面贴膜为两个或两个以上贴膜的组合,例如包括第一球面贴膜、第二球面贴膜、第三球面贴膜……第N球面贴膜,第一球面贴膜、第二球面贴膜、第三球面贴膜……第N球面贴膜可一体设置或分开设置。Preferably, a patch for lesion positioning, the spherical patch is a combination of two or more patches, for example, including the first spherical patch, the second spherical patch, the third spherical patch...the Nth spherical patch, The first spherical film, the second spherical film, the third spherical film...the Nth spherical film can be set integrally or separately.
本发明使用时,先粗略估计病变位置,然后将球面贴膜组合贴在头皮或皮肤上,使病变在球面贴膜的包围中;之后进行CT的X线扫描检查,由于扫描层与贴膜垂直,因此贴膜上的可显影线段在扫描层上面显示为信号显影点的存在,不同的扫描层由于经过不同数量的显影线段,因此在病灶最大的扫描层,可以看到若干个信号显影点,检查完毕后,医生可以根据显影点的数量在对应贴膜上根据贴膜放置位置,由高到低找到对应的显影线,并在显影线上的标志孔内进行标记,确定病灶所在最大显影层在体表的投影点,以此类推,可以通过第二贴膜确定第二个病灶最大截面在体表的显影点。基于3点决定一个平面的原理,最少通过三个体表显影点最终可以确定病灶最大截面在人体体表的截面层,这样帮助医生确定下一步的手术切口位置,以便通过更短的手术入路来减少患者的损伤,缩短手术时间,提高手术治疗效果。本快速立体定位固定系统,标注可视化,省去了测量,没有了测量误差,可靠性强。,定位快速省时、简便省力、精确可靠,实用性强,便于学习推广,易于广泛应用。When the present invention is used, first roughly estimate the location of the lesion, and then stick the spherical film on the scalp or skin, so that the lesion is surrounded by the spherical film; and then carry out CT X-ray scanning inspection, because the scanning layer is perpendicular to the film, so the film The developable line segment on the scan layer is displayed as the existence of signal development points. Different scan layers pass through different numbers of development line segments. Therefore, on the scan layer with the largest lesion, several signal development points can be seen. After the inspection, The doctor can find the corresponding developing line from high to low on the corresponding film according to the number of developing points according to the position of the film, and mark in the mark hole on the developing line to determine the projection point of the largest developing layer on the body surface where the lesion is located , and so on, the developing point of the largest section of the second lesion on the body surface can be determined by the second film. Based on the principle of determining a plane at three points, at least three body surface development points can finally determine the section layer of the maximum section of the lesion on the human body surface, which helps doctors determine the next surgical incision position, so as to use a shorter surgical approach. Reduce patient injury, shorten operation time, and improve surgical treatment effect. The rapid stereotaxic fixation system has visual labeling, saves measurement, eliminates measurement errors, and has high reliability. , fast and time-saving positioning, simple and labor-saving, accurate and reliable, strong practicability, easy to learn and popularize, and easy to be widely used.
为了更直观体现本申请的发明点,讲本申请与现有技比较如下:In order to reflect the invention point of the present application more intuitively, the comparison between the present application and the prior art is as follows:
下面结合附图对本发明作进一步说明。The present invention will be further described below in conjunction with accompanying drawing.
附图说明Description of drawings
图1为本发明的剖视图;Fig. 1 is a sectional view of the present invention;
图2为本发明示意图;Fig. 2 is a schematic diagram of the present invention;
其中1为保护层,2为贴膜层,3为平行显影线,4为标志孔,5为第一球面贴膜,6为第二球面贴膜。Wherein 1 is the protective layer, 2 is the film layer, 3 is the parallel developing line, 4 is the mark hole, 5 is the first spherical film, and 6 is the second spherical film.
具体实施方式detailed description
如图1所示,本发明包括自下而上依次层叠的保护层1、贴膜层2,保护层1覆盖于贴膜层2表面并用于在使用前保护贴膜层2,贴膜层2与保护层1接触的一面为粘性面,贴膜层2上设置平行显影线3,所述平行显影线3为一系列长度依次等差缩短的线段组成,具体密度可以根据具体临床条件进行设置,平行显影线3是由含有对X射线显影的材料制备成,例如硫酸钡,泛影葡胺,金属线或者其他X光可以显影材料。在所述贴膜层上设置若干标志孔4,所述标志孔4的下缘设置在每条显影线3的顶端。贴膜层2是由无纺布制成,厚度为0.05-0.4毫米。保护层1是由纸质制成,厚度为0.05-0.4mm。贴膜层2的粘性面所使用的粘合剂为丙烯酸粘合剂。As shown in Figure 1, the present invention includes a protective layer 1 and a film layer 2 stacked sequentially from bottom to top. The protective layer 1 covers the surface of the film layer 2 and is used to protect the film layer 2 before use. The film layer 2 and the protective layer 1 The side in contact is the viscous surface. Parallel developing lines 3 are set on the film layer 2. The parallel developing lines 3 are composed of a series of line segments whose lengths are successively shortened by equal differences. The specific density can be set according to specific clinical conditions. The parallel developing lines 3 are Manufactured from materials containing X-rays, such as barium sulfate, meglumine diatrizoate, metal wire, or other X-rays. A number of mark holes 4 are set on the sticking film layer, and the lower edges of the mark holes 4 are set at the top of each developing line 3 . The film layer 2 is made of non-woven fabric with a thickness of 0.05-0.4 mm. The protective layer 1 is made of paper with a thickness of 0.05-0.4mm. The adhesive used for the sticky side of the film layer 2 is an acrylic adhesive.
在使用时,首先将保护层1撕去以露出贴膜层2,然后将有粘性的贴膜层2覆盖在患者病灶在体表投影预估位置上,贴膜层2就留在了患者皮肤上,同时贴膜层2的粘性面保证贴膜平整粘贴在皮肤上,之后在对侧再粘贴2组或2组以上贴膜。然后再让患者进行病灶位置的CT的X射线断层扫描检查,在断层扫描影像中,由于扫描层垂直于贴膜,因此不同的扫描层所显示的显影点数量不同,根据病灶最大占位层显影点的数量,找到贴膜对应点并通过在显影线段顶端的标志孔4进行标记,这样可以确定病灶最大占位层在体表贴膜上面的位置点,根据三点决定一个平面的方法原理,确定病灶在体表的最大投影平面位置。之后去掉贴膜层2,医生根据手术平面确定手术入路以及手术切口位置并根据对应标记进行手术切口操作。When in use, the protective layer 1 is first torn off to expose the sticking film layer 2, and then the sticky sticking film layer 2 is covered on the predicted position of the patient's focus on the body surface projection, and the sticking film layer 2 is left on the patient's skin. The sticky side of the film layer 2 ensures that the film is smoothly pasted on the skin, and then 2 or more groups of films are pasted on the opposite side. Then let the patient undergo CT X-ray tomography of the lesion position. In the tomography image, because the scanning layer is perpendicular to the film, the number of development points displayed by different scanning layers is different. According to the development point of the largest occupying layer of the lesion Find the corresponding point of the film and mark it through the mark hole 4 at the top of the development line segment, so that the position of the largest occupancy layer of the lesion on the body surface film can be determined. According to the method principle of three points to determine a plane, determine the lesion in The maximum projection plane position of the body surface. Afterwards, the film layer 2 is removed, and the doctor determines the surgical approach and the position of the surgical incision according to the surgical plane, and performs the surgical incision operation according to the corresponding marks.
实施例2Example 2
其他内容与实施例1相同,所不同的仅是平行显影线在贴膜的中央部位分布较密,在靠边缘的部位分布较疏。The other contents are the same as those in Example 1, except that the parallel developing lines are densely distributed in the central part of the film, and sparsely distributed in the edge parts.
本发明的具体实施方式不限于上述实施例所描述的形式,根据其所揭示的思想,本领域的一般技术人员在不付出创造性的劳动条件下,还可以以其他具体方式进行实施,但这不应影响本发明的保护范围。The specific embodiments of the present invention are not limited to the forms described in the above examples. According to the ideas revealed by them, those skilled in the art can implement them in other specific ways without any creative work. Should affect the protection scope of the present invention.
Claims (6)
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| CN112438809A (en) * | 2019-08-27 | 2021-03-05 | 增鸿科技国际股份有限公司 | Positioning patch |
| CN113491584A (en) * | 2020-03-20 | 2021-10-12 | 北京梦之墨科技有限公司 | Liquid metal flexible patch for CT positioning and preparation method thereof |
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| CN205073038U (en) * | 2015-09-01 | 2016-03-09 | 广东体达康医疗科技有限公司 | A patch for lesion localization |
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| CN107693133A (en) * | 2017-11-13 | 2018-02-16 | 山东朱氏堂医疗器械有限公司 | A kind of brainpan location of operation method based on Image-aided |
| CN112438809A (en) * | 2019-08-27 | 2021-03-05 | 增鸿科技国际股份有限公司 | Positioning patch |
| CN113491584A (en) * | 2020-03-20 | 2021-10-12 | 北京梦之墨科技有限公司 | Liquid metal flexible patch for CT positioning and preparation method thereof |
| CN113491584B (en) * | 2020-03-20 | 2022-08-02 | 北京梦之墨科技有限公司 | Liquid metal flexible patch for CT positioning and preparation method thereof |
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