CN101655890B - Bone external fixation analogue orthopedic analyzer - Google Patents
Bone external fixation analogue orthopedic analyzer Download PDFInfo
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- CN101655890B CN101655890B CN200910307851XA CN200910307851A CN101655890B CN 101655890 B CN101655890 B CN 101655890B CN 200910307851X A CN200910307851X A CN 200910307851XA CN 200910307851 A CN200910307851 A CN 200910307851A CN 101655890 B CN101655890 B CN 101655890B
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Abstract
The invention relates to a bone external fixation analogue orthopedic analyzer. An I/O circuit interface of a central processing unit is connected with an acquiring card for converting an acquired sickened part analog signal into a digital signal; an I/O circuit interface of the central processing unit is connected with a printer of patient information, treating surgeon information and analogue orthopedic data; an I/O circuit interface of the central processing unit is connected with a display screen of the patient information, the treating surgeon information and the analogue orthopedic data; and an I/O circuit interface of the central processing unit is connected with a storing unit for inquiring and reading the stored information at any time. The invention can realize the functions of pre-operation analogue diagnosis and postoperation analogue evaluation of an orthopedic surgical operation, can be used as references of operation scheme selection and a postoperation adjusting scheme of a surgeon, provides a plurality of pre-operation and postoperation information for the surgeon and can obviously reduce the risk of the operation, improve the success rate of the operation and be suitable for the bone limb external fixation orthopedic auxiliary reference.
Description
Technical field
The invention belongs to a kind of sunykatuib analysis instrument, particularly a kind of computer simulation analysis instrument that is used for the limbs orthopedic.
Background technology
Perfect along with the continuous development of bone external fixation technology and apparatus used the bone external fixator and the osteotomy end is fixed and regulated and control, and become a new technology in modern orthopaedics field.In the last few years, through a lot of experts' lucubrate, the bone external fixation technology of China had been in the leading level in the world in some aspects.Yet, because there is tangible individual difference in the situation of patient's deformity, the choosing of osteotomy point, orthopedic Scheme Selection, and the operation of operation, so that the success or not of operation is depended on surgeon's clinical experience, to a great extent for a large amount of preoperative and postoperative information is provided to the surgeon, to the orthopedic auxiliary reference that provides of orthopaedics limbs external fixation, be badly in need of a kind of sunykatuib analysis instrument.
Summary of the invention
In order to satisfy the doctor's of Clinical Surgery operation demand, the invention provides a kind of bone external fixation analogue orthopedic analyzer, it is simple to operate, only need provide the X-ray sheet of patient's osteotomy site normotopia and side position to be input to native system, with regard to enriching accurately preoperative diagnosis information, simulation and functions such as postoperative adjustment simulation can undergo surgery, can for the surgeon a large amount of art is provided before, postoperative information, can be used as simulation system and POE system before the art of orthopedic.
The technical solution adopted for the present invention to solve the technical problems is:
A kind of bone external fixation analogue orthopedic analyzer comprises disease sites information acquisition equipment, central processing unit and output device, it is characterized in that:
Central processing unit comprises ALU, totalizer and general purpose register set, programmable counter, sequential and control logic unit, data and address latch, impact damper, I/O interface circuit and the internal bus that can simulate orthopedic data processing to sick bone; I/O circuit interface of central processing unit and the disease sites analog-signal transitions that is used for gathering are that the capture card of digital signal is connected; I/O circuit interface of central processing unit with one with patient information, diagnosis and treatment doctor information with simulate orthopedic printer and be connected; An I/O circuit interface of central processing unit is connected patient information, diagnosis and treatment doctor information with one with the display screen of simulating orthopedic data; I/O circuit interface of central processing unit be used for inquiring about, read stored storage unit at any time and be connected;
Comprise following modules in the storage unit: the picture load module; Be used to measure disease sites related angle and measurement of length module; Can delineate the bone profile of the bone outer wheels profile of the simulation that undergos surgery and delineate module; Can obtain the three-dimensional bone model generation module of bone three-dimensional information according to the appearance profile information of positive bit slice and lateral projection record; The three-dimensional apparatus that drafting three-dimensional apparatus model well can be imported to native system imports module; Can to three-dimensional bone model generation module and three-dimensional apparatus import that module is carried out all around, upper and lower translation and around all around, the three-dimensional simulation analysis modules of three coordinate axis rotations up and down; Orthopedic digital simulation processing module; Can be continuously and single frames play the animation generation module of orthopedic simulation process; With the relevant database module of the orthopedic information of simulation.
Described disease sites information acquisition equipment comprises X-ray sheet scanner, ct fluoroscopy instrument, spiral CT instrument and the nuclear magnetic resonance analyser that can import patient's disease sites normotopia X-ray sheet and side position X-ray sheet.
Described picture load module is to load two width of cloth pictures simultaneously in a form, can replace the picture of input; The below of picture shows disease sites and positional information, and the roll mouse roller can carry out the module of zoom operations to picture.
The measurement data of described measurement module comprises direction of travel angle, joint, the wide information of bone long bone of disease sites normotopia and side position.
It is to obtain the module of bone normotopia and side position profile information by the appearance profile line that sketches the contours ill bone normotopia and side position that described bone profile is sketched the contours module.
Described three-dimensional bone model generation module is to adopt the module of the method for the stacked reconstruction of tomography according to the outline data generation bone stereoscopic model of bone normotopia and side position.
It is the model that adopts CAD or 3DMax 3 d modeling software to set up that described three-dimensional apparatus imports module.
Described three-dimensional simulation analysis module be can be in the three-dimensional viewfinder environment to the apparatus of the model that generates and importing carry out the top to bottom, left and right, front and rear move operation and around top to bottom, left and right, front and rear 3 coordinate axis rotary manipulations, model carried out the module of facing drawing and the operation of left view face of zoom operations and definite model.
Described orthopedic digital simulation processing module is the anatomical axis of mechanical axis, bone or the bone section that can define joint direction of travel line, bone; Can determine the lopsided point of ill bone, can simulate 4 kinds of bone-culting operation modes such as open wedge osteotomy, neutral wedge osteotomy, closed wedge osteotomy, circular osteotomy, apparatus can be fixed on the bone, simulate orthopedic process, and can draw the initial length of 6 connecting rods of external fixator and the length after the orthopedic end, and can draw the module of the variation length of 6 connecting rods of external fixator every days according to the orthopedic time of setting.
Described be record patient medical record number, patient's name, sex, age, disease sites, preoperative diagnosis information with the relevant database module of the orthopedic information of simulation, simulate the module of orthopedic data, consulting staff's name, consultation of doctors date and the information for hospital of holding a consultation.
Beneficial effect of the present invention is as follows:
The present invention is in order to remedy the world, domestic orthopedic market in the deficiency aspect the surgery orthoplastic casts plan, realizes that computing machine simulates the purpose of orthomorphia automatically.The bone external fixation analogue orthopedic analyzer of designing and developing, preliminary patient's patient's condition information is provided for the orthopedic doctor by preoperative diagnosis, simulation is orthopedic before the art, can provide reference for orthopedic doctor selects straightening method and rectification device, can greatly increase the success ratio of orthomorphia, reduce patient's slight illness.Truths such as the orthopedic simulation reproduction operation end future trouble person's of postoperative orthopedic position, utensil installation both can have been predicted orthopedic result, also can finely tune orthopedic in real time, improved orthopedic effect, even can estimate final orthopedic effect.Can be widely used in all kinds of orthopedic operations.
The present invention adopts the C Plus Plus exploitation to finish on Windows XP Professional operating system and Visual Studio 2005 development platforms, have advantages such as function expansibility, portability and code robustness are good, the resource that system takies computing machine is few, performance requirement to computing machine is low, simple installation has general usability.The present invention can with two X-ray sheets of normotopia and side position be input information, also can spiral CT scan-data be input information, or the model of setting up with other three-dimensional models generation softwares is an input information, the input mode variation can be satisfied the demand of different levels orthopedic hospital.For orthopaedic surgery, determine best osteotomy point and osteotomy mode, to orthopedic effect decisive role.Native system is determined osteotomy site according to orthopaedic srugery's principle by the anatomical axis of measuring the bone section, and calculates the best rotation center that blocks the back bone automatically, is that standard is passed judgment on orthopedic effect with the orthopedic physiology load-bearing line that whether can recover the bone section.The interface of native system has hommization, and the quantity of information that needs input seldom, and is simple to operation, the operating process that the user that computation is not familiar with also can very fast grasp native system.The major part of native system operates in the three-dimensional viewfinder to be finished, operating effect meets the visual thinking of human body with 3-D display, and its operating effect can be discerned at a glance, the result that the user can operate by the differentiation of observing the three-dimensional model perception is bad, meets clinician's thinking habit.Native system has been contained all osteotomy types basically, matches with true orthopedic situation to the full extent.The apparatus selectivity of being added is big, diameter, arbitrarily conversion of position, but real simulation surgery situation.Orthopedic result can the animated repeat playing, as not too satisfied to orthopedic result, can be with the position and the direction of hour corrector tool, and can watch orthopedic process and orthopedic result immediately.All data can be kept in the database, so that later calling at any time and checking.Orthopedic data and patient information, diagnosis and treatment doctor information can literal, the mode printout of figure, can preserve as case history, reference when also can be used as operation, more can be used as patient's expected results, show whole orthopedic process and result to the patient, improve the confidence that the patient cures sufferer, the enhancing patient cooperates with the doctor's.
Description of drawings
The present invention is further described below in conjunction with drawings and Examples.
Fig. 1 is a structural representation of the present invention.
Fig. 2 is a detailed structure synoptic diagram of the present invention.
Fig. 3 is the composition configuration diagram of storage unit.
Fig. 4 is the synoptic diagram of database module stores content.
Fig. 5 is a running program synoptic diagram of the present invention.
Fig. 6 is the synoptic diagram of input essential information.
Fig. 7 is the synoptic diagram that carries out preoperative diagnosis.
Fig. 8 is the synoptic diagram that sketches the contours frontal plane and sagittal facial bone outer contour.
Fig. 9 is the synoptic diagram that generates 3D periosteum type.
Figure 10 is the synoptic diagram that adds anatomical axis on positive plane.
Figure 11 is the synoptic diagram that imports external fixator.
Figure 12 is the orthopedic result's of simulation a synoptic diagram.
Embodiment
Embodiment is referring to shown in Fig. 1-5, this bone external fixation analogue orthopedic analyzer, comprise disease sites information acquisition equipment, central processing unit and output device, central processing unit comprises ALU, totalizer and general purpose register set, programmable counter, sequential and control logic unit, data and address latch, impact damper, I/O interface circuit and the internal bus that can simulate orthopedic data processing to sick bone; I/O circuit interface of central processing unit and the disease sites analog-signal transitions that is used for gathering are that the capture card of digital signal is connected; I/O circuit interface of central processing unit with one with patient information, diagnosis and treatment doctor information with simulate orthopedic printer and be connected; An I/O circuit interface of central processing unit is connected patient information, diagnosis and treatment doctor information with one with the display screen of simulating orthopedic data; I/O circuit interface of central processing unit be used for inquiring about, read stored storage unit at any time and be connected;
Referring to Fig. 2, comprise following modules in the storage unit: the picture load module; Be used to measure disease sites related angle and measurement of length module; Can delineate the bone profile of the bone outer wheels profile of the simulation that undergos surgery and delineate module; Can obtain the three-dimensional bone model generation module of bone three-dimensional information according to the appearance profile information of positive bit slice and lateral projection record; The three-dimensional apparatus that drafting three-dimensional apparatus model well can be imported to native system imports module; Can to three-dimensional bone model generation module and three-dimensional apparatus import that module is carried out all around, upper and lower translation and around all around, the three-dimensional simulation analysis modules of three coordinate axis rotations up and down; Orthopedic digital simulation processing module; Can be continuously and single frames play the animation generation module of orthopedic simulation process; With the relevant database module of the orthopedic information of simulation.
Referring to Fig. 1, Fig. 2, described disease sites information acquisition equipment comprises X-ray sheet scanner, ct fluoroscopy instrument, spiral CT instrument and the nuclear magnetic resonance analyser that can import patient's disease sites normotopia X-ray sheet and side position X-ray sheet.
Described picture load module is to load two width of cloth pictures simultaneously in a form, can replace the picture of input; The below of picture shows disease sites and positional information, and the roll mouse roller can carry out the module of zoom operations to picture.
The measurement data of described measurement module comprises direction of travel angle, joint, the wide information of bone long bone of disease sites normotopia and side position.
It is to obtain the module of bone normotopia and side position profile information by the appearance profile line that sketches the contours ill bone normotopia and side position that described bone profile is sketched the contours module.
Described three-dimensional bone model generation module is to adopt the module of the method for the stacked reconstruction of tomography according to the outline data generation bone stereoscopic model of bone normotopia and side position.
It is the model that adopts CAD or 3DMax 3 d modeling software to set up that described three-dimensional apparatus imports module.
Described three-dimensional simulation analysis module be can be in the three-dimensional viewfinder environment to the apparatus of the model that generates and importing carry out the top to bottom, left and right, front and rear move operation and around top to bottom, left and right, front and rear 3 coordinate axis rotary manipulations, model carried out the module of facing drawing and the operation of left view face of zoom operations and definite model.
Described orthopedic digital simulation processing module is the anatomical axis of mechanical axis, bone or the bone section that can define joint direction of travel line, bone; Can determine the lopsided point of ill bone, can simulate 4 kinds of bone-culting operation modes such as open wedge osteotomy, neutral wedge osteotomy, closed wedge osteotomy, circular osteotomy, apparatus can be fixed on the bone, simulate orthopedic process, and can draw the initial length of 6 connecting rods of external fixator and the length after the orthopedic end, and can draw the module of the variation length of 6 connecting rods of external fixator every days according to the orthopedic time of setting.
Described be record patient medical record number, patient's name, sex, age, disease sites, preoperative diagnosis information with the relevant database module of the orthopedic information of simulation, simulate the module of orthopedic data, consulting staff's name, consultation of doctors date and the information for hospital of holding a consultation.
Referring to Figure 61 2, use the normotopia and the side position X-ray sheet of device scan patient disease sites such as X-ray sheet scanner, ct fluoroscopy instrument, spiral CT instrument and nuclear magnetic resonance analyser, and be saved in the computer hard disc with the picture form.
Start software systems, the main interface of software for display system is as Fig. 6.Input patient's ID, name, sex, age in patient information module.Select patient's disease sites.Input doctor name, consultation of doctors date and consultation of doctors hospital name in the information about doctor module.Click confirming button, these information are saved in the database module.
The navigation button on positive bit slice right side is opened in click, imports the positive bit slice of patient's disease sites, imports the lateral projection of patient's disease sites similarly.After picture imports, the position shown in will Showing Picture in the upper left corner of picture, and be normotopia or side position.
The X-ray sheet is carried out the preoperative diagnosis operation.Demarcate and to measure that bone is long, the wide equidimension of bone behind the engineer's scale; Definable joint direction of travel line and deflection, the mechanical axis of definable bone and anatomical axis.After preoperative diagnosis is finished, click to preserve and diagnose the picture menu item diagnostic result can be preserved to scheme sheet mode.
Click the confirming button that imports picture module below, enter the bone profile and sketch the contours the interface.Positive bit slice profile button is sketched the contours in click, and mouse pointer becomes brush pattern, and can draw the appearance profile line of the orthopedic bone of required simulation in the picture form.As dissatisfied can the deletion again of the outline line of delineating delineated, also can adjust the size of outline line, it is more clear bright that outline line is shown.
Click the three-dimensional button of generation of lower-left view, system will be according to the outer contour data of positive bit slice and lateral projection, adopt B-spline curves to generate a transversal section of bone, adopt stacked extended algorithm that each transversal section is interpolated to the three-dimensional bone section that a height is two distances between the transversal section, these bone sections are connected into an integral body, generate the 3 D stereo bone model.
3 D stereo bone model in the form can be rotated by rotation, the Pan and Zoom function of OPENGL, the Pan and Zoom operation.
The 3 D stereo bone is navigated to front view (positive bit slice), add anatomical axis, if there is deformity in bone, then need to add a plurality of anatomical axis, the intersection point of anatomical axis is deformity point and the rotation center when orthopedic just.Select one or more combination in straight line osteotomy, wedge osteotomy and the circular osteotomy according to the characteristics of deformity, lopsided bone is carried out the osteotomy simulated operation.
By importing instrumentation, can import a kind of external fixator lopsided bone section is fixed.To import six connecting rod external fixators is example, import upper and lower ring after, the six roots of sensation bar of upper and lower ring is from being dynamically connected.Determine after the orthopedic reference rings, click orthopedic menu and can simulate orthotic procedure lopsided bone.The initial length data of six roots of sensation bar and orthopedic after the termination length data be saved in database module automatically.
Show input bone length in the dialog box, draw the corresponding physical length of six roots of sensation bar in the result.But and the orthopedic result of flash demo.Import the orthopedic time, it is orthopedic to carry out single step, draws the length variations of six roots of sensation bar every day, instructs actual orthomorphia operation.The variable quantity of the six roots of sensation bar after single step is orthopedic is saved in the database automatically.
Clicking the report output menu just can print patient information, preoperative diagnosis information (if having carried out diagnostic operation) and orthopedic information.
Claims (9)
1. bone external fixation analogue orthopedic analyzer is characterized in that:
Comprise following modules:
The picture load module; Described picture is the positive bit slice and the lateral projection of patient's disease sites;
Be used to measure disease sites related angle and measurement of length module on the picture;
Can delineate the bone profile of the bone outer wheels profile of the simulation that undergos surgery and delineate module;
Can obtain the three-dimensional bone model generation module of bone three-dimensional information according to the appearance profile information of positive bit slice and lateral projection record;
The three-dimensional apparatus that drafting three-dimensional apparatus model well can be imported to native system imports module;
Can to three-dimensional bone model generation module and three-dimensional apparatus import that module is carried out all around, upper and lower translation and around all around, the three-dimensional simulation analysis modules of three coordinate axis rotations up and down;
Orthopedic digital simulation processing module;
Can be continuously and single frames play the animation generation module of orthopedic simulation process;
With the relevant database module of the orthopedic information of simulation.
2. bone external fixation analogue orthopedic analyzer according to claim 1 is characterized in that: described picture load module is to load two width of cloth pictures simultaneously in a form, can replace the picture of input; The below of picture shows disease sites and positional information, and the roll mouse roller can carry out the module of zoom operations to picture.
3. bone external fixation analogue orthopedic analyzer according to claim 1 is characterized in that: the measurement data of described measurement module comprises direction of travel angle, joint, the wide information of bone long bone of disease sites normotopia and side position.
4. bone external fixation analogue orthopedic analyzer according to claim 1 is characterized in that: it is to obtain the module of bone normotopia and side position profile information by the appearance profile line that sketches the contours ill bone normotopia and side position that described bone profile is delineated module.
5. bone external fixation analogue orthopedic analyzer according to claim 1 is characterized in that: described three-dimensional bone model generation module is to adopt the module of the method for the stacked reconstruction of tomography according to the outline data generation bone stereoscopic model of bone normotopia and side position.
6. bone external fixation analogue orthopedic analyzer according to claim 1 is characterized in that: it is the model that adopts CAD or 3DMax 3 d modeling software to set up that described three-dimensional apparatus imports module.
7. bone external fixation analogue orthopedic analyzer according to claim 1 is characterized in that: described three-dimensional simulation analysis module be can be in the three-dimensional viewfinder environment to the apparatus of the model that generates and importing carry out the top to bottom, left and right, front and rear move operation and around top to bottom, left and right, front and rear 3 coordinate axis rotary manipulations, model carried out the module of facing drawing and the operation of left view face of zoom operations and definite model.
8. bone external fixation analogue orthopedic analyzer according to claim 1 is characterized in that: described orthopedic digital simulation processing module is the anatomical axis of mechanical axis, bone or the bone section that can define joint direction of travel line, bone; Can determine the lopsided point of ill bone, can simulate 4 kinds of bone-culting operation modes such as open wedge osteotomy, neutral wedge osteotomy, closed wedge osteotomy, circular osteotomy, apparatus can be fixed on the bone, simulate orthopedic process, and can draw the initial length of 6 connecting rods of external fixator and the length after the orthopedic end, and can draw the module of the variation length of 6 connecting rods of external fixator every days according to the orthopedic time of setting.
9. bone external fixation analogue orthopedic analyzer according to claim 1 is characterized in that: described be record patient medical record number, patient's name, sex, age, disease sites, preoperative diagnosis information with the relevant database module of the orthopedic information of simulation, simulate the module of orthopedic data, consulting staff's name, consultation of doctors date and the information for hospital of holding a consultation.
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| CN101847182B (en) * | 2010-05-05 | 2012-06-27 | 唐佩福 | Virtual and real resetting registration method of long bone based on six-degree-of-freedom parallel connection mechanism |
| CN102871714B (en) * | 2012-10-26 | 2014-09-17 | 杜大江 | Surgical device for exclusive use of orthopedics department |
| CN111341450B (en) * | 2020-03-01 | 2024-03-05 | 海军军医大学第一附属医院第二军医大学第一附属医院上海长海医院 | Artificial intelligence-based spine deformity correction prediction method, device and terminal |
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