CN111803036A - Method, system and computer equipment for dressing change after abdominal surgery - Google Patents
Method, system and computer equipment for dressing change after abdominal surgery Download PDFInfo
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Abstract
本发明属于伤口换药技术领域,公开了一种腹部外科手术后伤口换药方法、系统及计算机设备,腹部外科手术后伤口换药系统包括:患者信息采集模块、伤口图像采集模块、药敷时间采集模块、主控模块、伤口面积估算模块、清洗模块、消毒模块、敷药模块、伤口出血监测模块、药效评估模块、显示模块。本发明通过伤口面积估算模块能够准确、稳定、高效地对复杂伤口的面积进行自动测量;同时,通过伤口出血监测模块可以对患者伤口出血情况进行实时监控,便于尽早发现患者失血,降低了患者因失血发生危险的几率;减低了医护人员对患者伤口监控的工作量,提高了医护人员利用率。
The invention belongs to the technical field of wound dressing change, and discloses a wound dressing change method, system and computer equipment after abdominal surgery. The wound dressing change system after abdominal surgery comprises: a patient information collection module, a wound image collection module, a medicine application time Collection module, main control module, wound area estimation module, cleaning module, disinfection module, dressing module, wound bleeding monitoring module, drug efficacy evaluation module, display module. The invention can automatically measure the area of complex wounds accurately, stably and efficiently through the wound area estimation module; at the same time, through the wound bleeding monitoring module, real-time monitoring of the bleeding situation of the patient's wound can be carried out, which is convenient for early detection of blood loss of the patient and reduces the risk of the patient's Reduce the risk of blood loss; reduce the workload of medical staff to monitor patient wounds, and improve the utilization rate of medical staff.
Description
技术领域technical field
本发明属于伤口换药技术领域,尤其涉及一种腹部外科手术后伤口换药方法、系统及计算机设备。The invention belongs to the technical field of wound dressing change, and in particular relates to a wound dressing change method, system and computer equipment after abdominal surgery.
背景技术Background technique
换药就是已经进行外敷的药品,在达到规定的使用时间后,将旧的药物撤下,将新的药物敷上,以保证药物的有效性。一般旧的药物和新的药物是同种药物。或使用一种或几种药物,因医学上的需要(如已经达到疗效,或发现有更好治疗方案),更换为其他一种或几种药物。医学上通常把伤口分为3类,即清洁伤口、污染伤口和感染伤口。清洁伤口和经过及时处理的污染伤口,一般都能很快愈合。感染伤口指下降已经繁殖并引起组织急性炎症、坏死、化脓的伤口,其中疖、痈等化脓性感染切开引流后的伤口,以及清洁伤口、污染伤口缝合后继发感染的手术切口。家里换药主要是这类伤口。常见的有中风后瘫痪卧床引起的褥疮感染、分娩时会阴部切口继发性感染、哺乳期妇女急性乳腺炎、胆道和泌尿道手术后各种人造成瘘口、慢性下肢溃疡等;然而,现有腹部外科手术后伤口换药方法不能准确的对腹部外科手术后伤口面积进行估算;同时,不能及时对伤口出血进行监测。Dressing is the medicine that has been applied externally. After the prescribed time of use, the old medicine is removed and the new medicine is applied to ensure the effectiveness of the medicine. Usually the old medicine and the new medicine are the same medicine. Or use one or more drugs, and replace them with one or more other drugs due to medical needs (such as having achieved curative effects, or finding a better treatment plan). In medicine, wounds are usually divided into three categories, namely clean wounds, contaminated wounds and infected wounds. Clean wounds and promptly treated contaminated wounds generally heal quickly. Infected wounds refer to wounds that have proliferated and caused acute tissue inflammation, necrosis, and purulence, including boils, carbuncles and other purulent infections after incision and drainage, and surgical incisions that are infected after cleaning and suturing of contaminated wounds. The dressing change at home is mainly for such wounds. Common ones include bed sore infection caused by paralysis after stroke, secondary infection of perineal incision during childbirth, acute mastitis in lactating women, fistulas caused by various people after biliary and urinary tract operations, chronic lower extremity ulcers, etc. The wound dressing method after abdominal surgery cannot accurately estimate the wound area after abdominal surgery; at the same time, the wound bleeding cannot be monitored in time.
综上所述,现有技术存在的问题是:现有腹部外科手术后伤口换药方法不能准确的对腹部外科手术后伤口面积进行估算;同时,不能及时对伤口出血进行监测。To sum up, the existing problems in the prior art are: the existing wound dressing method after abdominal surgery cannot accurately estimate the wound area after abdominal surgery; at the same time, the wound bleeding cannot be monitored in time.
发明内容SUMMARY OF THE INVENTION
针对现有技术存在的问题,本发明提供了一种腹部外科手术后伤口换药方法、系统及计算机设备。Aiming at the problems existing in the prior art, the present invention provides a dressing change method, system and computer equipment for wounds after abdominal surgery.
本发明是这样实现的,一种腹部外科手术后伤口换药方法,包括:The present invention is achieved in this way, a method for dressing change of wounds after abdominal surgery, comprising:
步骤一,采集姓名、性别、工作、住址、腹部症状信息;通过伤口图像采集模块利用医疗影像设备采集腹部外科手术后伤口图像;通过药敷时间采集模块采集腹部外科手术后伤口敷药时长;Step 1: Collect name, gender, work, address, and abdominal symptom information; use medical imaging equipment to collect wound images after abdominal surgery through the wound image collection module; collect the duration of wound dressing after abdominal surgery through the medicine application time collection module;
步骤二,对步骤一采集的图像信息构建特征辨识矩阵,利用腹部外科手术后伤口图像的特征与目前腹部外科手术后伤口图像所处的区域特点构建新矩阵,利用矩形跟踪法判别腹部外科手术后伤口图像是否产生、是否消失;并分析腹部外科手术后伤口图像特征,预判腹部外科手术后伤口图像状态空间,判断腹部外科手术后伤口图像的所处感染状态;In
步骤三,定义腹部外科手术后伤口图像物像素值为255,背景像素值为0,进行图像搜索,计算矩形左上与右上像素灰度值的差,正前与正后的像素灰度值差,左下与右下的像素灰度值差,并将它们之差的绝对值求和;Step 3: Define the pixel value of the wound image after abdominal surgery as 255 and the background pixel value as 0, perform image search, calculate the difference between the gray values of the upper left and upper right pixels of the rectangle, and the difference between the gray values of the pixels in the front and the rear, Calculate the difference between the pixel gray values of the lower left and the lower right, and sum the absolute values of their differences;
步骤四,当求得的和大于所设定阈值时,认为这一点在腹部外科手术后伤口图像物的边界上;
步骤五,对步骤四如图6所述的点计算它的左上与左下的像素灰度值差,正上与正下的像素灰度值差,右上与右下的像素灰度值差,并将它们之差的绝对值求和;Step 5: Calculate the pixel gray value difference between the upper left and lower left, the pixel gray value difference between the upper left and the lower right, and the pixel gray value difference between the upper right and lower right for the point shown in Figure 6 in
步骤六,求得的和大于所设定阈值时,认为这一点是腹部外科手术后伤口图像物的特征点;否者不是腹部外科手术后伤口图像物的特征点。
其中M,N为图像子块矩形的长和宽,K,L为搜索范围矩形的长和宽,根据构建过程及实际匹配情况,找到与当前帧当前块相似度最高的子块当做匹配块,由上一帧或者下一帧得到的匹配块和当前块的相对位置,得到这两帧的腹部外科手术后伤口图像物感染状态位移,当做当前块感染状态矢量D;Among them, M, N are the length and width of the image sub-block rectangle, K, L are the length and width of the search range rectangle. According to the construction process and the actual matching situation, find the sub-block with the highest similarity with the current block of the current frame as the matching block, From the relative position of the matching block and the current block obtained from the previous frame or the next frame, the infection status displacement of the wound image after abdominal surgery in these two frames is obtained, which is regarded as the infection status vector D of the current block;
对于当前帧当前块,设可能的感染状态位移最大矢量为D(dx,dy),则下一帧的块的搜索窗口的相应大小用(M+2dx)*(N+2dy)来表示,判断新腹部外科手术后伤口图像、腹部外科手术后伤口图像的融合与腹部外科手术后伤口图像的消失时,当前匹配块与搜索窗口间的关系如图7所示。For the current block of the current frame, let the maximum vector of possible infection state displacement be D(dx,dy), then the corresponding size of the search window of the block of the next frame is represented by (M+2dx)*(N+2dy), and the judgment When the new post-abdominal surgery wound image, the fusion of post-abdominal surgery wound images, and the disappearance of post-abdominal surgery wound images, the relationship between the current matching block and the search window is shown in Figure 7.
步骤七,对步骤六获得图像进行n次小波变换并保留小波变换后低频部分的子图像,则子图像的宽度与高度均为原图像的子图像面积为原图像面积的在子图像内进行匹配;采用改进搜索方法,在子图像上遍历搜索,搜索过程中保留几个相似度较高的匹配点;搜索结束后,将相似度较高的匹配点映射到腹部外科手术后伤口待匹配图像的搜索子区域中;Step 7: Perform n times of wavelet transform on the image obtained in
步骤八,分别在每个搜索子区域内采用遗传方法,对每个种群进行初始化,选择合适的变异因子与交叉因子,经过变异操作、交叉操作以及选择操作,完成一次迭代处理;迭代过程中,逐渐舍弃相似性较差的搜索子区域;迭代结束时,仅保留一个子区域,找到最佳匹配点,完成匹配过程;Step 8: Use the genetic method in each search sub-region to initialize each population, select the appropriate mutation factor and crossover factor, and complete an iterative process through mutation operation, crossover operation and selection operation; in the iterative process, Gradually discard the search sub-regions with poor similarity; at the end of the iteration, only one sub-region is retained, the best matching point is found, and the matching process is completed;
步骤九,对步骤八获取的图像信息利用估算程序估算腹部外科手术后伤口面积;获取含有比例尺的原始腹部手术伤口图像;对原始腹部手术伤口图像的各个像素值进行灰度变换得到原始腹部手术伤口图像的各个腹部外科手术后伤口图像像素值;并且利用经预先训练的第一图像生成器对原始腹部手术伤口图像的各个腹部外科手术后伤口图像像素值进行增强以得到增强后的腹部手术伤口图像;
步骤十,对含有比例尺的增强后的腹部手术伤口图像进行图像识别,从所述含有比例尺的腹部手术伤口拍摄图像中识别出二维比例尺图像;利用所识别出的二维比例尺图像,确定图像与实际尺寸的比例;对所述腹部手术伤口拍摄图像按照颜色进行聚类处理,将所述腹部手术伤口拍摄图像聚类为分别对应于不同类型组织成分的多类腹部手术伤口图像;Step 10: Perform image recognition on the enhanced abdominal surgical wound image containing a scale, and identify a two-dimensional scale image from the photographed image of the abdominal surgical wound containing a scale; use the identified two-dimensional scale image to determine the image and the scale. The ratio of the actual size; performing clustering processing on the photographed images of the abdominal surgical wound according to color, and clustering the photographed images of the abdominal surgical wound into multiple types of abdominal surgical wound images corresponding to different types of tissue components respectively;
步骤十一,利用所述图像与实际尺寸的比例和所述对应于不同类型组织成分的多类腹部手术伤口图像,分别估算不同组织成分的腹部手术伤口面积。Step eleven, using the ratio of the image to the actual size and the multiple types of abdominal surgical wound images corresponding to different types of tissue components, respectively estimate the abdominal surgical wound area of different tissue components.
进一步,步骤六判断腹部外科手术后伤口图像所处感染状态方法为:Further, the method for judging the infection state of the wound image after abdominal surgery in
将腹部外科手术后伤口图像分为新腹部外科手术后伤口图像、腹部外科手术后伤口图像的融合与腹部外科手术后伤口图像的消失,当新腹部外科手术后伤口图像出现时,立刻构建新腹部外科手术后伤口图像的信息;当腹部外科手术后伤口图像出现分裂时,分析产生分裂的原因,跟踪分裂;当不同腹部外科手术后伤口图像出现相互融合时,对融合后的腹部外科手术后伤口图像进行融合处理;当跟踪的腹部外科手术后伤口图像消失时,首先判断是否真消失,如果真消失,再删除原有的数据信息。The post-abdominal surgery wound images are divided into the new post-abdominal surgery wound images, the fusion of post-abdominal surgery wound images, and the disappearance of post-abdominal surgery wound images. When the post-abdominal surgery wound images appear, the new abdomen is constructed immediately. Information of wound images after surgery; when the wound images after abdominal surgery are split, analyze the reasons for the splits and track the splits; when different images of wounds after abdominal surgery appear to be fused with each other, analyze the fused wound images after abdominal surgery. Image fusion processing; when the tracked wound image disappears after abdominal surgery, first determine whether it really disappears, and if it does disappear, then delete the original data information.
进一步,对不同状态实施相应的多视角的监控跟踪的方法为:Further, the method for implementing corresponding multi-view monitoring and tracking for different states is:
首先,对感染状态腹部外科手术后伤口图像的阴影光照和颜色特征进行分析,即在前述方法基础上,定义腹部外科手术后伤口图像物像素值为255,背景像素值为0,进行图像搜索,计算矩形左上与右上像素灰度值的差,正前与正后的像素灰度值差,左下与右下的像素灰度值差,并将它们之差的绝对值求和,然后外加对感染状态腹部外科手术后伤口图像的阴影光照和颜色特征的考虑,进行微调,使得阈值在原来基础上上下浮动10%,通过实际实验效果改进原有的检测方法;First, analyze the shadow illumination and color features of the wound image after abdominal surgery in an infected state, that is, on the basis of the aforementioned method, define the pixel value of the wound image after abdominal surgery to be 255, and the background pixel value to be 0, and perform image search. Calculate the difference between the gray values of the upper left and upper right pixels of the rectangle, the difference between the gray values of the pixels in the front and the rear, and the difference between the gray values of the pixels in the lower left and the lower right, and sum the absolute values of their differences, and then add the Considering the shadow illumination and color characteristics of the wound image after abdominal surgery, fine-tune the threshold to make the threshold fluctuate by 10% on the original basis, and improve the original detection method through the actual experimental effect;
其次,在针对不同的腹部外科手术后伤口图像物分别进行检测识别的基础上,其感染状态也不相同,构建的特征辨识矩阵也不相同,此时分别在不同的特征辨识矩阵的基础上,假设任一特征辨识矩阵为当前状态,对其它辨识矩阵做相对感染状态,即利用矩阵的加减运算,达到多个腹部外科手术后伤口图像之间的跟踪;Secondly, based on the detection and identification of different wound images after abdominal surgery, their infection status is also different, and the constructed feature identification matrix is also different. At this time, on the basis of different feature identification matrices, Assuming that any feature identification matrix is the current state, the relative infection status of other identification matrices is performed, that is, the addition and subtraction of matrices are used to achieve tracking between multiple wound images after abdominal surgery;
再次,构建符合腹部外科手术后伤口图像颜色的模型,这里用y,Cb,Cr分量彩色来表示,与常见的R,G,B三原色的关系如下:Third, build a model that conforms to the color of the wound image after abdominal surgery, which is represented by the color of the y, C b , and C r components here, and the relationship with the common three primary colors of R, G, and B is as follows:
其中y,Cb,Cr分别表示流明,蓝色浓度偏移量红色浓度偏移量,R,G,B分别表示红,绿、蓝三个颜色浓度。运用颜色的特点克服对腹部外科手术后伤口图像的遮挡;最后,分析多视角的监控系统应用需求,实现不同视角的信息传递,一边利用矩阵的空间转换实现。Where y, C b , C r represent lumen, blue density offset, red density offset, R, G, B represent red, green, and blue color densities, respectively. The characteristics of color are used to overcome the occlusion of wound images after abdominal surgery. Finally, the application requirements of multi-view monitoring system are analyzed to realize the information transmission of different views, and the space conversion of the matrix is used to realize it.
进一步,所述改进搜索方法的公式如下:Further, the formula of the improved search method is as follows:
S(x,y)表示腹部外科手术后伤口待匹配图像中坐标位置为(x,y)处像素点的灰度值,T(u,v)表示模板图像中坐标位置为(u,v)处像素点的灰度值,模板图像大小为m×n。S(x,y) represents the gray value of the pixel at the coordinate position (x,y) in the wound image to be matched after abdominal surgery, and T(u,v) represents the coordinate position in the template image is (u,v) The gray value of the pixel at the location, and the size of the template image is m×n.
进一步,所述步骤十对含有比例尺的增强后的腹部手术伤口图像进行图像识别,从所述含有比例尺的腹部手术伤口拍摄图像中识别出二维比例尺图像的步骤包括:Further, the
(2.1)对所述拍摄图像进行二值化处理,得到白色连通域,并计算每个白色连通域的像素数量;(2.1) Binarization is performed on the captured image to obtain a white connected domain, and the number of pixels in each white connected domain is calculated;
(2.2)对于每个白色连通域,构建一个与其像素数量相同且与二维比例尺图形形状相同的模拟比例尺区域,并计算所述模拟比例尺区域与所述白色连通域之间的相似系数;将所得到的相似系数进行排序,并将最大相似系数对应的白色连通域识别为二维比例尺图像;(2.2) For each white connected domain, construct a simulated scale area with the same number of pixels and the same shape as the two-dimensional scale graph, and calculate the similarity coefficient between the simulated scale area and the white connected domain; The obtained similarity coefficients are sorted, and the white connected domain corresponding to the largest similarity coefficient is identified as a two-dimensional scale image;
所述利用所识别出的二维比例尺图像,确定图像与实际尺寸的比例的步骤包括:The step of determining the ratio of the image to the actual size using the identified two-dimensional scale image includes:
对所述二维比例尺图像的像素数量进行计算;calculating the number of pixels of the two-dimensional scale image;
根据所述二维比例尺图像的像素数量和二维比例尺图形的实际面积,确定图像与实际尺寸的比例;Determine the ratio of the image to the actual size according to the number of pixels of the two-dimensional scale image and the actual area of the two-dimensional scale graphic;
所述对所述拍摄的腹部手术伤口图像按照颜色进行聚类处理,得到对应于不同类型组织成分的多类腹部手术伤口图像的步骤包括:The steps of performing clustering processing on the photographed abdominal surgical wound images according to color, and obtaining multiple types of abdominal surgical wound images corresponding to different types of tissue components include:
从所述腹部手术伤口拍摄图像中提取Lab色彩空间的a空间信息和b空间信息;Extract the a-space information and b-space information of the Lab color space from the photographed image of the abdominal surgical wound;
根据所述腹部手术伤口拍摄图像的a空间信息和b空间信息,将所述腹部手术伤口拍摄图像聚类为分别对应于不同类型组织成分的腹部手术伤口图像;According to the a-space information and b-space information of the photographed image of the abdominal surgical wound, clustering the photographed image of the abdominal surgical wound into abdominal surgical wound images corresponding to different types of tissue components respectively;
所述步骤十一利用所述图像与实际尺寸的比例和所述对应于不同类型组织成分的多类腹部手术伤口图像,分别估算不同组织成分的腹部手术伤口面积的步骤包括:The
对每类腹部手术伤口图像的像素数量进行计算;Calculate the number of pixels of each type of abdominal surgical wound image;
利用所述图像与实际尺寸的比例和所述每类腹部手术伤口图像的像素数量,计算每类组织成分的腹部手术伤口面积。Using the ratio of the image to the actual size and the number of pixels of the abdominal surgical wound image for each type, the abdominal surgical wound area for each type of tissue component is calculated.
进一步,所述腹部外科手术后伤口换药方法进一步包括:Further, the wound dressing method after abdominal surgery further comprises:
通过清洗模块利用清洗设备对腹部外科手术后伤口进行清洗;通过消毒模块利用消毒设备对腹部外科手术后伤口进行消毒;通过敷药模块利用敷药机构将药物敷在腹部外科手术后伤口上并进行包扎;Use the cleaning module to clean the wound after abdominal surgery; use the disinfection module to sterilize the wound after abdominal surgery; use the dressing mechanism to apply the medicine on the wound after abdominal surgery through the dressing module and carry out bandage;
通过伤口出血监测模块监测腹部伤口出血状态;通过药效评估模块利用评估程序对腹部伤口敷药药效进行评估;Monitor the bleeding status of abdominal wounds through the wound bleeding monitoring module; use the evaluation program to evaluate the efficacy of abdominal wound dressings through the drug efficacy evaluation module;
通过显示模块利用显示器显示采集的患者信息、伤口图像、敷药时长、伤口面积、出血监测结果、评估结果。The collected patient information, wound images, dressing duration, wound area, bleeding monitoring results, and evaluation results are displayed on the display module through the display.
进一步,所述伤口出血监测模块监测方法如下:Further, the monitoring method of the wound bleeding monitoring module is as follows:
1)配置智能纱布的蓝牙、压力传感器工作参数;通过所述智能纱布的蓝牙端口从智能纱布中的第一压力传感器获取患者腹部手术伤口周围位置处的第一压力值,从所述智能纱布中的第二压力传感器获取患者腹部手术伤口出血位置处的第二压力值,以及判断所述第一压力值与第二压力值的压力差是否发生变化来监测腹部手术伤口是否流血;1) Configure the bluetooth and pressure sensor working parameters of the smart gauze; obtain the first pressure value at the position around the abdominal surgical wound of the patient from the first pressure sensor in the smart gauze through the Bluetooth port of the smart gauze, and obtain the first pressure value from the smart gauze from the first pressure sensor in the smart gauze. The second pressure sensor obtains the second pressure value at the bleeding position of the patient's abdominal surgical wound, and determines whether the pressure difference between the first pressure value and the second pressure value changes to monitor whether the abdominal surgical wound bleeds;
2)当所述腹部手术伤口流血时通过所述蓝牙端口从所述智能纱布中的颜色传感器获取所述智能纱布的颜色值,以及根据所述智能纱布的颜色值判断所述智能纱布是否浸满血;2) Obtaining the color value of the smart gauze from the color sensor in the smart gauze through the bluetooth port when the abdominal surgical wound bleeds, and judging whether the smart gauze is full according to the color value of the smart gauze Blood;
3)当所述智能纱布浸满血时从所述智能监测终端中的脉搏传感器获取患者的脉搏值,并从所述智能监测终端中的血压传感器获取患者的血压值,以及判断所述患者的脉搏值与血压值是否正常;3) When the smart gauze is soaked with blood, the patient's pulse value is obtained from the pulse sensor in the smart monitoring terminal, and the patient's blood pressure value is obtained from the blood pressure sensor in the smart monitoring terminal, and the patient's blood pressure is determined. Whether the pulse value and blood pressure value are normal;
4)通过警报程序根据当所述患者的脉搏值与血压值均正常时产生一条提示患者轻度失血的第一报警信息,当患者的脉搏值介于第一脉搏范围且患者的收缩压介于第一收缩压范围时产生一条提示患者中度失血的第二报警信息,当患者的脉搏值大于第二脉搏范围且患者的收缩压小于第二收缩压范围时产生一条提示患者重度失血的第三报警信息,或者当患者的脉搏值为零且患者的收缩压介于第三收缩压范围时产生一条提示患者失血危急的第四报警信息;4) Generate a first alarm message indicating mild blood loss in the patient through the alarm program according to when the patient's pulse value and blood pressure value are normal, when the patient's pulse value is between the first pulse range and the patient's systolic blood pressure is between When the first systolic blood pressure range is in the first range, a second alarm message is generated indicating that the patient has moderate blood loss. When the patient's pulse value is greater than the second pulse range and the patient's systolic blood pressure is less than the second systolic blood pressure range, a third alarm message indicating the patient's severe blood loss is generated. Alarm information, or when the patient's pulse value is zero and the patient's systolic blood pressure is within the third systolic blood pressure range, a fourth alarm message is generated indicating that the patient is in critical blood loss;
所述警报程序还用于当所述压力差未发生变化、所述智能纱布未浸满血且所述患者的脉搏值与血压值均发生异常时,所述腹部手术伤口出血报警模块还用于产生一条提示患者出现内出血的第五报警信息。The alarm program is also used for when the pressure difference does not change, the smart gauze is not soaked with blood, and the patient's pulse value and blood pressure value are abnormal, the abdominal surgical wound bleeding alarm module is also used for A fifth alarm message is generated indicating that the patient has internal bleeding.
本发明另一目的在于提供一种腹部外科手术后伤口换药系统,所述腹部外科手术后伤口换药系统包括:Another object of the present invention is to provide a wound dressing system after abdominal surgery, which comprises:
患者信息采集模块,与主控模块连接,用于采集患者姓名、性别、工作、住址、腹部症状信息;The patient information collection module, which is connected to the main control module, is used to collect the patient's name, gender, work, address, and abdominal symptom information;
伤口图像采集模块,与主控模块连接,用于通过医疗影像设备采集患者腹部外科手术后伤口图像;The wound image acquisition module is connected with the main control module, and is used to collect the wound image of the patient after abdominal surgery through medical imaging equipment;
药敷时间采集模块,与主控模块连接,用于采集腹部外科手术后伤口敷药时长;The medicine application time collection module is connected with the main control module, and is used to collect the wound medicine application time after abdominal surgery;
主控模块,与患者信息采集模块、伤口图像采集模块、药敷时间采集模块、伤口面积估算模块、清洗模块、消毒模块、敷药模块、伤口出血监测模块、药效评估模块、显示模块连接,用于通过主机控制各个模块正常工作;The main control module is connected with the patient information collection module, the wound image collection module, the drug application time collection module, the wound area estimation module, the cleaning module, the disinfection module, the medicine application module, the wound bleeding monitoring module, the drug effect evaluation module, and the display module, It is used to control the normal operation of each module through the host;
伤口面积估算模块,与主控模块连接,用于通过估算程序估算腹部外科手术后伤口面积;The wound area estimation module, connected with the main control module, is used to estimate the wound area after abdominal surgery through the estimation program;
清洗模块,与主控模块连接,用于通过清洗设备对腹部外科手术后伤口进行清洗;The cleaning module, connected with the main control module, is used for cleaning the wound after abdominal surgery through the cleaning equipment;
消毒模块,与主控模块连接,用于通过消毒设备对腹部外科手术后伤口进行消毒;The disinfection module, connected with the main control module, is used to disinfect the wound after abdominal surgery through the disinfection equipment;
敷药模块,与主控模块连接,用于通过敷药机构将药物敷在腹部外科手术后伤口上并进行包扎;The medicine application module is connected with the main control module, and is used for applying medicine on the wound after abdominal surgery and bandaging through the medicine application mechanism;
伤口出血监测模块,与主控模块连接,用于监测腹部伤口出血状态;The wound bleeding monitoring module, connected with the main control module, is used to monitor the bleeding status of abdominal wounds;
药效评估模块,与主控模块连接,用于通过评估程序对腹部伤口敷药药效进行评估;The drug efficacy evaluation module, which is connected with the main control module, is used to evaluate the drug efficacy of abdominal wound dressing through the evaluation program;
显示模块,与主控模块连接,用于通过显示器显示采集的患者信息、伤口图像、敷药时长、伤口面积、出血监测结果、评估结果。The display module, connected with the main control module, is used to display the collected patient information, wound images, duration of dressing, wound area, bleeding monitoring results, and evaluation results through the display.
本发明另一目的在于提供一种计算机设备,所述计算机设备包括存储器和处理器,所述存储器存储有计算机程序,所述计算机程序被所述处理器执行时,使得所述处理器执行如下步骤:Another object of the present invention is to provide a computer device, the computer device includes a memory and a processor, the memory stores a computer program, and when the computer program is executed by the processor, the processor executes the following steps :
通过患者信息采集模块采集患者姓名、性别、工作、住址、腹部症状信息;通过伤口图像采集模块利用医疗影像设备采集患者腹部外科手术后伤口图像;通过药敷时间采集模块采集腹部外科手术后伤口敷药时长;The patient's name, gender, work, address, and abdominal symptom information are collected through the patient information collection module; the patient's wound images after abdominal surgery are collected through the wound image collection module using medical imaging equipment; the wound dressing after abdominal surgery is collected through the drug application time collection module. drug duration;
主控模块通过伤口面积估算模块利用估算程序估算腹部外科手术后伤口面积;The main control module uses the estimation program to estimate the wound area after abdominal surgery through the wound area estimation module;
通过清洗模块利用清洗设备对腹部外科手术后伤口进行清洗;通过消毒模块利用消毒设备对腹部外科手术后伤口进行消毒;通过敷药模块利用敷药机构将药物敷在腹部外科手术后伤口上并进行包扎;Use the cleaning module to clean the wound after abdominal surgery; use the disinfection module to sterilize the wound after abdominal surgery; use the dressing mechanism to apply the medicine on the wound after abdominal surgery through the dressing module and carry out bandage;
通过伤口出血监测模块监测腹部伤口出血状态;通过药效评估模块利用评估程序对腹部伤口敷药药效进行评估;Monitor the bleeding status of abdominal wounds through the wound bleeding monitoring module; use the evaluation program to evaluate the efficacy of abdominal wound dressings through the drug efficacy evaluation module;
通过显示模块利用显示器显示采集的患者信息、伤口图像、敷药时长、伤口面积、出血监测结果、评估结果。The collected patient information, wound images, dressing duration, wound area, bleeding monitoring results, and evaluation results are displayed on the display module through the display.
本发明另一目的在于提供一种计算机可读存储介质,存储有计算机程序,所述计算机程序被处理器执行时,使得所述处理器执行如下步骤:Another object of the present invention is to provide a computer-readable storage medium, which stores a computer program, and when the computer program is executed by a processor, causes the processor to perform the following steps:
通过患者信息采集模块采集患者姓名、性别、工作、住址、腹部症状信息;通过伤口图像采集模块利用医疗影像设备采集患者腹部外科手术后伤口图像;通过药敷时间采集模块采集腹部外科手术后伤口敷药时长;The patient's name, gender, work, address, and abdominal symptom information are collected through the patient information collection module; the patient's wound images after abdominal surgery are collected through the wound image collection module using medical imaging equipment; the wound dressing after abdominal surgery is collected through the drug application time collection module. drug duration;
主控模块通过伤口面积估算模块利用估算程序估算腹部外科手术后伤口面积;The main control module uses the estimation program to estimate the wound area after abdominal surgery through the wound area estimation module;
通过清洗模块利用清洗设备对腹部外科手术后伤口进行清洗;通过消毒模块利用消毒设备对腹部外科手术后伤口进行消毒;通过敷药模块利用敷药机构将药物敷在腹部外科手术后伤口上并进行包扎;Use the cleaning module to clean the wound after abdominal surgery; use the disinfection module to sterilize the wound after abdominal surgery; use the dressing mechanism to apply the medicine on the wound after abdominal surgery through the dressing module and carry out bandage;
通过伤口出血监测模块监测腹部伤口出血状态;通过药效评估模块利用评估程序对腹部伤口敷药药效进行评估;Monitor the bleeding status of abdominal wounds through the wound bleeding monitoring module; use the evaluation program to evaluate the efficacy of abdominal wound dressings through the drug efficacy evaluation module;
通过显示模块利用显示器显示采集的患者信息、伤口图像、敷药时长、伤口面积、出血监测结果、评估结果。The collected patient information, wound images, dressing duration, wound area, bleeding monitoring results, and evaluation results are displayed on the display module through the display.
本发明的优点及积极效果为:本发明通过伤口面积估算模块根据图像与实际尺寸的比例,能够准确、稳定、高效地对伤口面积进行自动测量;按照颜色对不同类型组织成分的伤口进行聚类处理,能够准确、稳定、高效地对复杂伤口的面积进行自动测量,特别是能够对不同组织成分的伤口面积进行测量;同时,通过伤口出血监测模块可以对患者伤口出血情况进行实时监控,便于尽早发现患者失血,降低了患者因失血发生危险的几率;减低了医护人员对患者伤口监控的工作量,提高了医护人员利用率。The advantages and positive effects of the present invention are as follows: the present invention can automatically measure the wound area accurately, stably and efficiently according to the ratio of the image to the actual size through the wound area estimation module; cluster wounds with different types of tissue components according to color It can automatically measure the area of complex wounds accurately, stably and efficiently, especially the wound area of different tissue components; at the same time, the wound bleeding monitoring module can monitor the bleeding situation of the patient's wound in real time, which is convenient for early Detecting blood loss in patients reduces the risk of risk of patients due to blood loss; reduces the workload of medical staff to monitor patient wounds, and improves the utilization rate of medical staff.
本发明对采集的图像信息构建特征辨识矩阵,利用腹部外科手术后伤口图像的特征与目前腹部外科手术后伤口图像所处的区域特点构建新矩阵,利用矩形跟踪法判别腹部外科手术后伤口图像是否产生、是否消失;并分析腹部外科手术后伤口图像特征,预判腹部外科手术后伤口图像状态空间,判断腹部外科手术后伤口图像的所处感染状态;具有实用性。The invention constructs a feature identification matrix for the collected image information, constructs a new matrix by using the characteristics of the wound image after abdominal surgery and the characteristics of the current region where the wound image after abdominal surgery is located, and uses the rectangle tracking method to determine whether the wound image after abdominal surgery is It generates and disappears; and analyzes the characteristics of the wound image after abdominal surgery, predicts the state space of the wound image after abdominal surgery, and judges the infection state of the wound image after abdominal surgery; it is practical.
图8为改进搜索方法的度量曲面图,从图8中可以看出,整幅图像存在多个波峰位置,在全图范围内采用遗传方法,极易陷入局部最优点,造成早熟收敛,无法得出正确匹配结果。与之相比,本发明保留四个种群,在各种群内采用遗传方法,且各种群范围较小,在每个小范围内容易收敛,找到最佳匹配点。因此,本发明具有优势。Figure 8 is the metric surface graph of the improved search method. It can be seen from Figure 8 that there are multiple peak positions in the whole image. If the genetic method is used in the whole image, it is easy to fall into the local optimum point, resulting in premature convergence, and it is impossible to obtain get the correct match. In contrast, the present invention retains four populations, adopts genetic methods in various populations, and the range of various populations is small, and it is easy to converge within each small range to find the best matching point. Therefore, the present invention has advantages.
附图说明Description of drawings
图1是本发明实施例提供的腹部外科手术后伤口换药方法流程图。FIG. 1 is a flow chart of a method for dressing change in a wound after abdominal surgery provided by an embodiment of the present invention.
图2是本发明实施例提供的腹部外科手术后伤口换药系统结构框图。FIG. 2 is a structural block diagram of a dressing change system for a wound after abdominal surgery provided by an embodiment of the present invention.
图3是本发明实施例提供的伤口面积估算模块估算方法流程图。FIG. 3 is a flowchart of an estimation method for a wound area estimation module provided by an embodiment of the present invention.
图4是本发明实施例提供的对含有比例尺的增强后的腹部手术伤口图像进行图像识别,从所述含有比例尺的腹部手术伤口拍摄图像中识别出二维比例尺图像的方法流程图。4 is a flowchart of a method for performing image recognition on an enhanced abdominal surgical wound image containing a scale, and recognizing a two-dimensional scale image from the photographed image of an abdominal surgical wound containing a scale provided by an embodiment of the present invention.
图5是本发明实施例提供的伤口出血监测模块监测方法流程图。FIG. 5 is a flowchart of a monitoring method for a wound bleeding monitoring module provided by an embodiment of the present invention.
图2中:1、患者信息采集模块;2、伤口图像采集模块;3、药敷时间采集模块;4、主控模块;5、伤口面积估算模块;6、清洗模块;7、消毒模块;8、敷药模块;9、伤口出血监测模块;10、药效评估模块;11、显示模块。In Figure 2: 1. Patient information collection module; 2. Wound image collection module; 3. Drug application time collection module; 4. Main control module; 5. Wound area estimation module; 6. Cleaning module; 7. Disinfection module; 8 , dressing module; 9, wound bleeding monitoring module; 10, drug efficacy evaluation module; 11, display module.
图6是本发明实施例提供的点计算它的左上与左下的像素灰度值差,正上与正下的像素灰度值差,右上与右下的像素灰度值差,并将它们之差的绝对值求和图。Fig. 6 is the pixel gray value difference between the upper left and the lower left, the pixel gray value difference between the upper left and the lower right, the pixel gray value difference between the upper right and the lower right, and the pixel gray value difference between the upper left and lower left, and the pixel gray value difference between the upper right and the lower right provided by the embodiment of the present invention. Absolute summation plot of differences.
图7是本发明实施例提供的当前匹配块与搜索窗口间的关系图。FIG. 7 is a relationship diagram between a current matching block and a search window provided by an embodiment of the present invention.
图8是本发明实施例提供的改进搜索方法的度量曲面图。FIG. 8 is a metric surface graph of the improved search method provided by an embodiment of the present invention.
具体实施方式Detailed ways
为能进一步了解本发明的发明内容、特点及功效,兹例举以下实施例,并配合附图详细说明如下。In order to further understand the content, characteristics and effects of the present invention, the following embodiments are exemplified and described in detail below with the accompanying drawings.
下面结合附图对本发明的结构作详细的描述。The structure of the present invention will be described in detail below with reference to the accompanying drawings.
如图1所示,本发明提供的腹部外科手术后伤口换药方法包括以下步骤:As shown in Figure 1, the method for changing dressings after abdominal surgery provided by the present invention comprises the following steps:
S101,通过患者信息采集模块采集患者姓名、性别、工作、住址、腹部症状信息;通过伤口图像采集模块利用医疗影像设备采集患者腹部外科手术后伤口图像;通过药敷时间采集模块采集腹部外科手术后伤口敷药时长;S101, the patient's name, gender, work, address, and abdominal symptom information are collected through the patient information collection module; the patient's wound image after abdominal surgery is collected through the wound image collection module using medical imaging equipment; the post-abdominal surgery wound image is collected through the drug application time collection module The duration of the wound dressing;
S102,主控模块通过伤口面积估算模块利用估算程序估算腹部外科手术后伤口面积;S102, the main control module uses an estimation program to estimate the wound area after abdominal surgery through the wound area estimation module;
S103,通过清洗模块利用清洗设备对腹部外科手术后伤口进行清洗;通过消毒模块利用消毒设备对腹部外科手术后伤口进行消毒;通过敷药模块利用敷药机构将药物敷在腹部外科手术后伤口上并进行包扎;S103, using the cleaning module to clean the wound after abdominal surgery with the cleaning equipment; using the disinfection module to sterilize the wound after the abdominal surgery; using the dressing mechanism to apply the medicine on the wound after the abdominal surgery through the dressing module and bandaging;
S104,通过伤口出血监测模块监测腹部伤口出血状态;通过药效评估模块利用评估程序对腹部伤口敷药药效进行评估;S104, monitoring the bleeding state of the abdominal wound through the wound bleeding monitoring module; using the evaluation program to evaluate the efficacy of the abdominal wound dressing through the drug efficacy evaluation module;
S105,通过显示模块利用显示器显示采集的患者信息、伤口图像、敷药时长、伤口面积、出血监测结果、评估结果。S105 , using the display module to display the collected patient information, wound images, duration of drug application, wound area, bleeding monitoring results, and evaluation results through the display module.
如图2所示,本发明实施例提供的腹部外科手术后伤口换药系统包括:患者信息采集模块1、伤口图像采集模块2、药敷时间采集模块3、主控模块4、伤口面积估算模块5、清洗模块6、消毒模块7、敷药模块8、伤口出血监测模块9、药效评估模块10、显示模块11。As shown in FIG. 2 , the dressing change system for abdominal surgery wounds provided by the embodiment of the present invention includes: a patient
患者信息采集模块1,与主控模块4连接,用于采集患者姓名、性别、工作、住址、腹部症状信息;The patient
伤口图像采集模块2,与主控模块4连接,用于通过医疗影像设备采集患者腹部外科手术后伤口图像;The wound
药敷时间采集模块3,与主控模块4连接,用于采集腹部外科手术后伤口敷药时长;The medicine application
主控模块4,与患者信息采集模块1、伤口图像采集模块2、药敷时间采集模块3、伤口面积估算模块5、清洗模块6、消毒模块7、敷药模块8、伤口出血监测模块9、药效评估模块10、显示模块11连接,用于通过主机控制各个模块正常工作;The
伤口面积估算模块5,与主控模块4连接,用于通过估算程序估算腹部外科手术后伤口面积;The wound area estimation module 5, connected with the
清洗模块6,与主控模块4连接,用于通过清洗设备对腹部外科手术后伤口进行清洗;The
消毒模块7,与主控模块4连接,用于通过消毒设备对腹部外科手术后伤口进行消毒;The
敷药模块8,与主控模块4连接,用于通过敷药机构将药物敷在腹部外科手术后伤口上并进行包扎;The
伤口出血监测模块9,与主控模块4连接,用于监测腹部伤口出血状态;The wound bleeding
药效评估模块10,与主控模块4连接,用于通过评估程序对腹部伤口敷药药效进行评估;The drug
显示模块11,与主控模块4连接,用于通过显示器显示采集的患者信息、伤口图像、敷药时长、伤口面积、出血监测结果、评估结果。The
下面结合具体实施例对本发明作进一步描述。The present invention will be further described below in conjunction with specific embodiments.
实施例1Example 1
本发明提供的腹部外科手术后伤口换药方法包括附图1实施方案,不同之处在于:The wound dressing method for abdominal surgery provided by the present invention includes the embodiment of accompanying drawing 1, and the difference is:
如图3所示,本发明提供的伤口面积估算模块5估算方法如下:As shown in Figure 3, the wound area estimation module 5 estimation method provided by the present invention is as follows:
S201,获取含有比例尺的原始腹部手术伤口图像;对原始腹部手术伤口图像的各个像素值进行灰度变换得到原始腹部手术伤口图像的各个腹部外科手术后伤口图像像素值;并且利用经预先训练的第一图像生成器对原始腹部手术伤口图像的各个腹部外科手术后伤口图像像素值进行增强以得到增强后的腹部手术伤口图像;S201, obtaining an original abdominal surgical wound image containing a scale; performing grayscale transformation on each pixel value of the original abdominal surgical wound image to obtain each post-abdominal surgical wound image pixel value of the original abdominal surgical wound image; and using the pre-trained An image generator enhances each post-abdominal surgical wound image pixel value of the original abdominal surgical wound image to obtain an enhanced abdominal surgical wound image;
S202,对含有比例尺的增强后的腹部手术伤口图像进行图像识别,从所述含有比例尺的腹部手术伤口拍摄图像中识别出二维比例尺图像;利用所识别出的二维比例尺图像,确定图像与实际尺寸的比例;对所述腹部手术伤口拍摄图像按照颜色进行聚类处理,将所述腹部手术伤口拍摄图像聚类为分别对应于不同类型组织成分的多类腹部手术伤口图像;S202, perform image recognition on the enhanced abdominal surgical wound image containing a scale, and identify a two-dimensional scale image from the photographed image of the abdominal surgical wound containing a scale; use the identified two-dimensional scale image to determine the image and the actual scale The scale of the size; performing clustering processing on the photographed images of the abdominal surgical wound according to color, and clustering the photographed images of the abdominal surgical wound into multiple types of abdominal surgical wound images corresponding to different types of tissue components;
S203,利用所述图像与实际尺寸的比例和所述对应于不同类型组织成分的多类腹部手术伤口图像,分别估算不同组织成分的腹部手术伤口面积。S203, using the ratio of the image to the actual size and the multiple types of abdominal surgical wound images corresponding to different types of tissue components, respectively estimate the abdominal surgical wound area of different tissue components.
实施例2Example 2
本发明提供的腹部外科手术后伤口换药方法包括附图1实施方案,不同之处在于:The wound dressing method for abdominal surgery provided by the present invention includes the embodiment of accompanying drawing 1, and the difference is:
如图4所示,本发明提供的对含有比例尺的增强后的腹部手术伤口图像进行图像识别,从所述含有比例尺的腹部手术伤口拍摄图像中识别出二维比例尺图像的步骤包括:As shown in FIG. 4 , the present invention provides image recognition for an enhanced abdominal surgical wound image containing a scale bar, and the step of identifying a two-dimensional scale image from the photographed image of the abdominal surgical wound containing a scale bar includes:
S301,对所述拍摄图像进行二值化处理,得到白色连通域,并计算每个白色连通域的像素数量;S301, performing binarization processing on the captured image to obtain a white connected domain, and calculating the number of pixels in each white connected domain;
S302,对于每个白色连通域,构建一个与其像素数量相同且与二维比例尺图形形状相同的模拟比例尺区域,并计算所述模拟比例尺区域与所述白色连通域之间的相似系数;将所得到的相似系数进行排序,并将最大相似系数对应的白色连通域识别为二维比例尺图像。S302, for each white connected domain, construct a simulated scale area with the same number of pixels and the same shape as the two-dimensional scale graph, and calculate the similarity coefficient between the simulated scale area and the white connected domain; The similarity coefficients are sorted, and the white connected domain corresponding to the largest similarity coefficient is identified as a two-dimensional scale image.
本发明提供的利用所识别出的二维比例尺图像,确定图像与实际尺寸的比例的步骤包括:Using the identified two-dimensional scale image provided by the present invention, the steps of determining the ratio of the image to the actual size include:
对所述二维比例尺图像的像素数量进行计算;calculating the number of pixels of the two-dimensional scale image;
根据所述二维比例尺图像的像素数量和二维比例尺图形的实际面积,确定图像与实际尺寸的比例。The ratio of the image to the actual size is determined according to the number of pixels of the two-dimensional scale image and the actual area of the two-dimensional scale image.
本发明提供的对所述拍摄的腹部手术伤口图像按照颜色进行聚类处理,得到对应于不同类型组织成分的多类腹部手术伤口图像的步骤包括:The steps provided by the present invention to perform clustering processing on the captured abdominal surgical wound images according to color, and obtain multiple types of abdominal surgical wound images corresponding to different types of tissue components include:
从所述腹部手术伤口拍摄图像中提取Lab色彩空间的a空间信息和b空间信息;Extract the a-space information and b-space information of the Lab color space from the photographed image of the abdominal surgical wound;
根据所述腹部手术伤口拍摄图像的a空间信息和b空间信息,将所述腹部手术伤口拍摄图像聚类为分别对应于不同类型组织成分的腹部手术伤口图像。According to the a-space information and b-space information of the captured images of the abdominal surgical wound, the captured images of the abdominal surgical wound are clustered into abdominal surgical wound images corresponding to different types of tissue components respectively.
本发明提供的利用所述图像与实际尺寸的比例和所述对应于不同类型组织成分的多类腹部手术伤口图像,分别估算不同组织成分的腹部手术伤口面积的步骤包括:The steps of estimating the abdominal surgical wound area of different tissue components by using the ratio of the image to the actual size and the multiple types of abdominal surgical wound images corresponding to different types of tissue components provided by the present invention include:
对每类腹部手术伤口图像的像素数量进行计算;Calculate the number of pixels of each type of abdominal surgical wound image;
利用所述图像与实际尺寸的比例和所述每类腹部手术伤口图像的像素数量,计算每类组织成分的腹部手术伤口面积。Using the ratio of the image to the actual size and the number of pixels of the abdominal surgical wound image for each type, the abdominal surgical wound area for each type of tissue component is calculated.
实施例3Example 3
本发明提供的腹部外科手术后伤口换药方法包括附图1实施方案,不同之处在于:The wound dressing method for abdominal surgery provided by the present invention includes the embodiment of accompanying drawing 1, and the difference is:
如图5所示,本发明提供的伤口出血监测模块9监测方法如下:As shown in Figure 5, the monitoring method of the wound bleeding
S401,配置智能纱布的蓝牙、压力传感器工作参数;通过所述智能纱布的蓝牙端口从智能纱布中的第一压力传感器获取患者腹部手术伤口周围位置处的第一压力值,从所述智能纱布中的第二压力传感器获取患者腹部手术伤口出血位置处的第二压力值,以及判断所述第一压力值与第二压力值的压力差是否发生变化来监测腹部手术伤口是否流血;S401, configure the Bluetooth and pressure sensor working parameters of the smart gauze; obtain the first pressure value at the position around the abdominal surgical wound of the patient from the first pressure sensor in the smart gauze through the Bluetooth port of the smart gauze, and obtain the first pressure value from the smart gauze The second pressure sensor obtains the second pressure value at the bleeding position of the patient's abdominal surgical wound, and determines whether the pressure difference between the first pressure value and the second pressure value changes to monitor whether the abdominal surgical wound bleeds;
S402,当所述腹部手术伤口流血时通过所述蓝牙端口从所述智能纱布中的颜色传感器获取所述智能纱布的颜色值,以及根据所述智能纱布的颜色值判断所述智能纱布是否浸满血;S402, when the abdominal surgical wound bleeds, obtain the color value of the smart gauze from the color sensor in the smart gauze through the Bluetooth port, and determine whether the smart gauze is full according to the color value of the smart gauze Blood;
S403,当所述智能纱布浸满血时从所述智能监测终端中的脉搏传感器获取患者的脉搏值,并从所述智能监测终端中的血压传感器获取患者的血压值,以及判断所述患者的脉搏值与血压值是否正常;S403, when the smart gauze is soaked with blood, obtain the patient's pulse value from the pulse sensor in the smart monitoring terminal, obtain the patient's blood pressure value from the blood pressure sensor in the smart monitoring terminal, and determine the patient's blood pressure Whether the pulse value and blood pressure value are normal;
S404,通过警报程序根据当所述患者的脉搏值与血压值均正常时产生一条提示患者轻度失血的第一报警信息,当患者的脉搏值介于第一脉搏范围且患者的收缩压介于第一收缩压范围时产生一条提示患者中度失血的第二报警信息,当患者的脉搏值大于第二脉搏范围且患者的收缩压小于第二收缩压范围时产生一条提示患者重度失血的第三报警信息,或者当患者的脉搏值为零且患者的收缩压介于第三收缩压范围时产生一条提示患者失血危急的第四报警信息。S404, according to when the pulse value and blood pressure value of the patient are normal, a first alarm message is generated to remind the patient of mild blood loss, when the pulse value of the patient is within the first pulse range and the systolic blood pressure of the patient is within the range of S404. When the first systolic blood pressure range is in the first range, a second alarm message is generated indicating that the patient has moderate blood loss. When the patient's pulse value is greater than the second pulse range and the patient's systolic blood pressure is less than the second systolic blood pressure range, a third alarm message indicating the patient's severe blood loss is generated. alarm information, or when the patient's pulse value is zero and the patient's systolic blood pressure is within the third systolic blood pressure range, a fourth alarm message indicating that the patient is in danger of blood loss is generated.
本发明提供的警报程序还用于当所述压力差未发生变化、所述智能纱布未浸满血且所述患者的脉搏值与血压值均发生异常时,所述腹部手术伤口出血报警模块还用于产生一条提示患者出现内出血的第五报警信息。The alarm program provided by the present invention is also used for the abdominal surgical wound bleeding alarm module when the pressure difference does not change, the smart gauze is not soaked with blood, and the patient's pulse value and blood pressure value are abnormal. Used to generate a fifth alarm message that alerts the patient to internal bleeding.
实施例4Example 4
本发明提供的腹部外科手术后伤口换药方法包括附图1实施方案,不同之处在于:The wound dressing method for abdominal surgery provided by the present invention includes the embodiment of accompanying drawing 1, and the difference is:
对采集的图像信息构建特征辨识矩阵,利用腹部外科手术后伤口图像的特征与目前腹部外科手术后伤口图像所处的区域特点构建新矩阵,利用矩形跟踪法判别腹部外科手术后伤口图像是否产生、是否消失;并分析腹部外科手术后伤口图像特征,预判腹部外科手术后伤口图像状态空间,判断腹部外科手术后伤口图像的所处感染状态;A feature identification matrix is constructed for the collected image information, and a new matrix is constructed by using the characteristics of the wound image after abdominal surgery and the characteristics of the current region of the wound image after abdominal surgery. Whether it disappears; and analyze the characteristics of the wound image after abdominal surgery, predict the state space of the wound image after abdominal surgery, and judge the infection state of the wound image after abdominal surgery;
定义腹部外科手术后伤口图像物像素值为255,背景像素值为0,进行图像搜索,计算矩形左上与右上像素灰度值的差,正前与正后的像素灰度值差,左下与右下的像素灰度值差,并将它们之差的绝对值求和;Define the pixel value of the wound image after abdominal surgery as 255 and the background pixel value as 0, perform image search, and calculate the difference between the gray values of the upper left and upper right pixels of the rectangle, the difference between the gray values of the pixels in the front and the rear, the difference between the lower left and the right and sum the absolute value of their differences;
当求得的和大于所设定阈值时,认为这一点在腹部外科手术后伤口图像物的边界上;When the obtained sum is greater than the set threshold, it is considered that this point is on the boundary of the wound image object after abdominal surgery;
对如图6所述的点计算它的左上与左下的像素灰度值差,正上与正下的像素灰度值差,右上与右下的像素灰度值差,并将它们之差的绝对值求和;For the point as shown in Figure 6, calculate the difference of the pixel gray value between the upper left and the lower left, the pixel gray value difference between the upper and lower pixels, and the pixel gray value difference between the upper right and the lower right, and calculate the difference between them. Absolute value summation;
步骤六,求得的和大于所设定阈值时,认为这一点是腹部外科手术后伤口图像物的特征点;否者不是腹部外科手术后伤口图像物的特征点。
其中M,N为图像子块矩形的长和宽,K,L为搜索范围矩形的长和宽,根据构建过程及实际匹配情况,找到与当前帧当前块相似度最高的子块当做匹配块,由上一帧或者下一帧得到的匹配块和当前块的相对位置,得到这两帧的腹部外科手术后伤口图像物感染状态位移,当做当前块感染状态矢量D;Among them, M, N are the length and width of the image sub-block rectangle, K, L are the length and width of the search range rectangle. According to the construction process and the actual matching situation, find the sub-block with the highest similarity with the current block of the current frame as the matching block, From the relative position of the matching block and the current block obtained from the previous frame or the next frame, the infection status displacement of the wound image after abdominal surgery in these two frames is obtained, which is regarded as the infection status vector D of the current block;
对于当前帧当前块,设可能的感染状态位移最大矢量为D(dx,dy),则下一帧的块的搜索窗口的相应大小用(M+2dx)*(N+2dy)来表示,判断新腹部外科手术后伤口图像、腹部外科手术后伤口图像的融合与腹部外科手术后伤口图像的消失时,当前匹配块与搜索窗口间的关系如图7所示。For the current block of the current frame, let the maximum vector of possible infection state displacement be D(dx,dy), then the corresponding size of the search window of the block of the next frame is represented by (M+2dx)*(N+2dy), and the judgment When the new post-abdominal surgery wound image, the fusion of post-abdominal surgery wound images, and the disappearance of post-abdominal surgery wound images, the relationship between the current matching block and the search window is shown in Figure 7.
对获得图像进行n次小波变换并保留小波变换后低频部分的子图像,则子图像的宽度与高度均为原图像的子图像面积为原图像面积的在子图像内进行匹配;采用改进搜索方法,在子图像上遍历搜索,搜索过程中保留几个相似度较高的匹配点;搜索结束后,将相似度较高的匹配点映射到腹部外科手术后伤口待匹配图像的搜索子区域中;Perform n wavelet transform on the obtained image and retain the sub-image of the low-frequency part after wavelet transform, then the width and height of the sub-image are the same as the original image. The sub-image area is the area of the original image Match within the sub-images; use the improved search method to traverse the sub-images to search, and retain several matching points with high similarity during the search process; after the search, map the matching points with high similarity to abdominal surgery In the search sub-region of the post-wound image to be matched;
分别在每个搜索子区域内采用遗传方法,对每个种群进行初始化,选择合适的变异因子与交叉因子,经过变异操作、交叉操作以及选择操作,完成一次迭代处理;迭代过程中,逐渐舍弃相似性较差的搜索子区域;迭代结束时,仅保留一个子区域,找到最佳匹配点,完成匹配过程。The genetic method is used in each search sub-region to initialize each population, select the appropriate mutation factor and crossover factor, and complete an iterative process through mutation operation, crossover operation and selection operation; in the iterative process, the similarities are gradually discarded. Search sub-regions with poor performance; at the end of the iteration, only one sub-region is retained, the best matching point is found, and the matching process is completed.
判断腹部外科手术后伤口图像所处感染状态方法为:The method for judging the infection status of wound images after abdominal surgery is as follows:
将腹部外科手术后伤口图像分为新腹部外科手术后伤口图像、腹部外科手术后伤口图像的融合与腹部外科手术后伤口图像的消失,当新腹部外科手术后伤口图像出现时,立刻构建新腹部外科手术后伤口图像的信息;当腹部外科手术后伤口图像出现分裂时,分析产生分裂的原因,跟踪分裂;当不同腹部外科手术后伤口图像出现相互融合时,对融合后的腹部外科手术后伤口图像进行融合处理;当跟踪的腹部外科手术后伤口图像消失时,首先判断是否真消失,如果真消失,再删除原有的数据信息。The post-abdominal surgery wound images are divided into the new post-abdominal surgery wound images, the fusion of post-abdominal surgery wound images, and the disappearance of post-abdominal surgery wound images. When the post-abdominal surgery wound images appear, the new abdomen is constructed immediately. Information of wound images after surgery; when the wound images after abdominal surgery are split, analyze the reasons for the splits and track the splits; when different images of wounds after abdominal surgery appear to be fused with each other, analyze the fused wound images after abdominal surgery. Image fusion processing; when the tracked wound image disappears after abdominal surgery, first determine whether it really disappears, and if it does disappear, then delete the original data information.
对不同状态实施相应的多视角的监控跟踪的方法为:The method for implementing corresponding multi-view monitoring and tracking for different states is as follows:
首先,对感染状态腹部外科手术后伤口图像的阴影光照和颜色特征进行分析,即在前述方法基础上,定义腹部外科手术后伤口图像物像素值为255,背景像素值为0,进行图像搜索,计算矩形左上与右上像素灰度值的差,正前与正后的像素灰度值差,左下与右下的像素灰度值差,并将它们之差的绝对值求和,然后外加对感染状态腹部外科手术后伤口图像的阴影光照和颜色特征的考虑,进行微调,使得阈值在原来基础上上下浮动10%,通过实际实验效果改进原有的检测方法;First, analyze the shadow illumination and color features of the wound image after abdominal surgery in an infected state, that is, on the basis of the aforementioned method, define the pixel value of the wound image after abdominal surgery to be 255, and the background pixel value to be 0, and perform image search. Calculate the difference between the gray values of the upper left and upper right pixels of the rectangle, the difference between the gray values of the pixels in the front and the rear, and the difference between the gray values of the pixels in the lower left and the lower right, and sum the absolute values of their differences, and then add the Considering the shadow illumination and color characteristics of the wound image after abdominal surgery, fine-tune the threshold to make the threshold fluctuate by 10% on the original basis, and improve the original detection method through the actual experimental effect;
其次,在针对不同的腹部外科手术后伤口图像物分别进行检测识别的基础上,其感染状态也不相同,构建的特征辨识矩阵也不相同,此时分别在不同的特征辨识矩阵的基础上,假设任一特征辨识矩阵为当前状态,对其它辨识矩阵做相对感染状态,即利用矩阵的加减运算,达到多个腹部外科手术后伤口图像之间的跟踪;Secondly, based on the detection and identification of different wound images after abdominal surgery, their infection status is also different, and the constructed feature identification matrix is also different. At this time, on the basis of different feature identification matrices, Assuming that any feature identification matrix is the current state, the relative infection status of other identification matrices is performed, that is, the addition and subtraction of matrices are used to achieve tracking between multiple wound images after abdominal surgery;
再次,构建符合腹部外科手术后伤口图像颜色的模型,这里用y,Cb,Cr分量彩色来表示,与常见的R,G,B三原色的关系如下:Third, build a model that conforms to the color of the wound image after abdominal surgery, which is represented by the color of the y, C b , and C r components here, and the relationship with the common three primary colors of R, G, and B is as follows:
其中y,Cb,Cr分别表示流明,蓝色浓度偏移量红色浓度偏移量,R,G,B分别表示红,绿、蓝三个颜色浓度。运用颜色的特点克服对腹部外科手术后伤口图像的遮挡;最后,分析多视角的监控系统应用需求,实现不同视角的信息传递,一边利用矩阵的空间转换实现。Where y, C b , C r represent lumen, blue density offset, red density offset, R, G, B represent red, green, and blue color densities, respectively. The characteristics of color are used to overcome the occlusion of wound images after abdominal surgery. Finally, the application requirements of multi-view monitoring system are analyzed to realize the information transmission of different views, and the space conversion of the matrix is used to realize it.
所述改进搜索方法的公式如下:The formula for the improved search method is as follows:
S(x,y)表示腹部外科手术后伤口待匹配图像中坐标位置为(x,y)处像素点的灰度值,T(u,v)表示模板图像中坐标位置为(u,v)处像素点的灰度值,模板图像大小为m×n。S(x,y) represents the gray value of the pixel at the coordinate position (x,y) in the wound image to be matched after abdominal surgery, and T(u,v) represents the coordinate position in the template image is (u,v) The gray value of the pixel at the location, and the size of the template image is m×n.
下面结合仿真实验验证本发明。The present invention is verified below in conjunction with simulation experiments.
图8为改进搜索方法的度量曲面图,从图8中可以看出,整幅图像存在多个波峰位置,在全图范围内采用遗传方法,极易陷入局部最优点,造成早熟收敛,无法得出正确匹配结果。与之相比,本发明保留四个种群,在各种群内采用遗传方法,且各种群范围较小,在每个小范围内容易收敛,找到最佳匹配点。因此,本发明具有优势。Figure 8 is the metric surface graph of the improved search method. It can be seen from Figure 8 that there are multiple peak positions in the whole image. If the genetic method is used in the whole image, it is easy to fall into the local optimum point, resulting in premature convergence, and it is impossible to obtain get the correct match. In contrast, the present invention retains four populations, adopts genetic methods in various populations, and the range of various populations is small, and it is easy to converge within each small range to find the best matching point. Therefore, the present invention has advantages.
以上所述仅是对本发明的较佳实施例而已,并非对本发明作任何形式上的限制,凡是依据本发明的技术实质对以上实施例所做的任何简单修改,等同变化与修饰,均属于本发明技术方案的范围内。The above is only the preferred embodiment of the present invention, and does not limit the present invention in any form. Any simple modifications, equivalent changes and modifications made to the above embodiments according to the technical essence of the present invention belong to the present invention. within the scope of the technical solution of the invention.
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