CN102764148A - Guiding device for pelvic tumor osteotomy and application thereof - Google Patents
Guiding device for pelvic tumor osteotomy and application thereof Download PDFInfo
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- CN102764148A CN102764148A CN2012102776925A CN201210277692A CN102764148A CN 102764148 A CN102764148 A CN 102764148A CN 2012102776925 A CN2012102776925 A CN 2012102776925A CN 201210277692 A CN201210277692 A CN 201210277692A CN 102764148 A CN102764148 A CN 102764148A
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Abstract
The invention provides a guiding device for the pelvic tumor osteotomy, which comprises a handle and a guiding part. The guiding part is divided into a front part and a rear part which are connected; the front part is of a hook shape; the rear part is of a straight line shape; one end of the rear part is connected with the front part; the other end of the rear part is connected with the handle; a cavity running through the front part is arranged in the front part of the guiding part; the front part is provided with an inlet hole and an outlet hole which are communicated with the cavity; the inlet hole is arranged at the end of the front part, which is connected with the rear part, or is arranged on the rear part; and the outlet hole is arranged at the end of the front part, which is far away from the front part. According to the guiding device for the pelvic tumor osteotomy, which is provided by the invention, aiming at the complex anatomical features of the pelvis, the problem of difficulty in reasonably cutting bones totally according to a pre-operation plan is solved, the problem of insufficient cutting of the tumor or excessive cutting of the normal bone tissues in the operating process can also be solved, the possibility of damage to adjacent organs can also be reduced, and the unnecessary operation complications are reduced.
Description
Technical field
The present invention relates to the medical instruments technical field, relate in particular to a kind of pelvic tumor and cut guide that bone uses and the tool kit that comprises this guide.
Background technology
The bone tumor that occurs in pelvic area mainly comprises: osteosarcoma, chondrosarcoma, ewing's sarcoma, lymphoma, myeloma, metastatic carcinoma etc.Because the pelvic region anatomical structure is complicated, guarantor's limb operation of pelvis malignant bone tumor has challenge.The lethal complication of earlier report is up to 10%, and overall complication more is about 25% ~ 35% up to 75%, 5 year survival rate.Along with the raising of technology, postoperative complication descends gradually.Overall complication is reduced to 33% (wherein 23% is wound complication), and local relapse is 17%, and survival rate was about 37% in overall 5 years, and the peri-operation period mortality rate is near zero.
Pelvic tumor surgical operation difficulty is big at present, and the hospital that carries out is less, and its main cause is that the position of pelvis exists deeply, and it is many to close on internal organs, is prone to cause corresponding secondary damage.
Clinical employing osteotome cuts the resected bone pelvic tumor, is difficult to control and possibly cause the damage that closes on organ but cut bony site, causes unnecessary postoperative complication.Simultaneously, be difficult to rationally cut bone according to plan before the art fully, cause the excision amputation not enough or normal bone tissues of tumor too much for the anatomical features of the complicacy of pelvis.
Summary of the invention
The present invention is directed to and have weak point in the prior art, provide the pelvic tumor of novel structure to cut bone and use guide.This guide is directed to the anatomical features of the complicacy of pelvis; Be difficult to rationally cut the bone problem according to plan before the art fully; Can solve the not enough or too much problem of normal bone tissues amputation of excision of tumor in the operation process; Simultaneously also can reduce probability, reduce unnecessary postoperative complication the damage that closes on organ.
To achieve these goals, the present invention carries a kind of pelvic tumor and cuts bone and use guide, comprises handle and guide member; Guide member is divided into continuous front and rear, and said front portion is hook-shaped, and the rear portion is type linearly; Rear portion one end connects anterior; The other end connects handle, is provided with one in the said guide member front portion and connects forward cavity, and the inlet hole and the outlet opening that are communicated with cavity are arranged on the said front portion; Inlet hole is arranged on an end that is connected with the rear portion or is arranged on the rear portion, and outlet opening is arranged on away from a forward end.
In a preferred embodiment provided by the invention, wherein said guide member front portion is most advanced and sophisticated away from the top at rear portion.
Guide according to the invention, anterior and rear portion can be in the same plane.Perhaps in a preferred embodiment provided by the invention, the angle between wherein said front portion and the plane, place, rear portion is 20 ° ~ 40 °.
In a preferred embodiment provided by the invention, wherein said guide member front portion is circular arc or U-shaped.Further preferred, said circular arc front portion be 90 ° ~ 270 ° circular-arc.Further preferred, the forward diameter of said circular arc is 4 ~ 6 cm, for example 4.4cm, 4.8cm, 5cm, 5.6cm.Further preferred, the spacing of said U-shaped front part sides is 5 ~ 8 cm, for example 5.4cm, 6cm, 6.4cm, 6.6cm, 7.4cm.
Guide according to the invention, the tangent line of the anterior end of forward one of them side of U type or circular arc is in same straight line with the rear portion.Perhaps in a preferred embodiment provided by the invention, wherein said front and rear junction forms 120 ° ~ 180 ° angles.
In a preferred embodiment provided by the invention, adopt between wherein said handle and the guide member to be threaded.
Another one purpose of the present invention is to provide the pelvic tumor that comprises three kinds of above-mentioned guides to cut bone and uses tool kit, comprises first guide, second guide and the 3rd guide, wherein:
First guide is made up of handle and guide member; Said guide member is divided into continuous 270 ° of circular-arc front portions and linear type rear portion, and rear portion one end connects anterior, and the other end connects handle; Be provided with one in the said guide member front portion and connect forward cavity; The inlet hole and the outlet opening that are communicated with cavity are arranged on the said front portion, and inlet hole is arranged on an end that is connected with the rear portion, and outlet opening is arranged on away from a forward end; The front and rear junction forms 120 ° ~ 180 ° angles, and angle anterior and that the rear portion belongs between the plane is 20 ° ~ 40 °.
Second guide is made up of handle and guide member, and said guide member is divided into the anterior and linear type rear portion of continuous U-shaped, and rear portion one end connects anterior; The other end connects handle; Be provided with one in the said guide member front portion and connect forward cavity, the inlet hole and the outlet opening that are communicated with cavity are arranged on the said front portion, inlet hole is arranged on an end that is connected with the rear portion; Outlet opening is arranged on away from a forward end, and the spacing of U-shaped front part sides is 5 ~ 8 cm; Forward one of them side of U type and rear portion are on the same straight line, and anterior and rear portion is in the same plane.
The 3rd guide is made up of handle and guide member, and said guide member is divided into continuous 90 ° of circular-arc front portions and linear type rear portion, and rear portion one end connects anterior; The other end connects handle; Be provided with one in the said guide member front portion and connect forward cavity, the inlet hole and the outlet opening that are communicated with cavity are arranged on the said front portion, inlet hole is arranged on an end that is connected with the rear portion; Outlet opening is arranged on away from a forward end, and anterior and rear portion is in the same plane.
Pelvic tumor provided by the invention cuts bone with the anatomical features of guide to the complicacy of pelvis; Be difficult to rationally cut the bone problem according to plan before the art fully; Can solve the not enough or too much problem of normal bone tissues amputation of excision of tumor in the operation process; Simultaneously also can reduce probability, reduce unnecessary postoperative complication the damage that closes on organ.
Description of drawings
Fig. 1 is that the pelvic tumor that provides in the embodiment of the invention 1 cuts bone and uses the guide sketch map.
Fig. 2 is that pelvic tumor described in the embodiment 1 cuts the vertical view of bone with guide.
Fig. 3 is that the pelvic tumor that provides in the embodiment of the invention 2 cuts bone and uses the guide sketch map.
Fig. 4 is that pelvic tumor described in the embodiment 2 cuts the vertical view of bone with guide.
Fig. 5 is that the pelvic tumor that provides in the embodiment of the invention 3 cuts bone and uses the guide sketch map.
Fig. 6 is that pelvic tumor described in the embodiment 3 cuts the vertical view of bone with guide.
The specific embodiment
The present invention provides a kind of pelvic tumor to cut bone with guide and the tool kit that comprises this guide; This guide can solve the not enough or too much problem of normal bone tissues amputation of excision of tumor in the operation process; Simultaneously also can reduce probability, reduce unnecessary postoperative complication the damage that closes on organ.
Below through embodiment pelvic tumor provided by the invention is cut bone and does further explain with guide so that better understand the content of the invention, but the content of embodiment does not limit the protection domain of the invention.
As depicted in figs. 1 and 2, pelvic tumor provided by the invention cuts bone to be made up of handle 2 and guide member 1 with guide, and guide member 1 is divided into continuous front portion 11 and rear portion 12, and guide member 1 rear portion 12 is fixedly connected with handle 2.In guide member 1 anterior 11, be provided with one and connect forward cavity.The inlet hole 14 and outlet opening 13 that are communicated with cavity are arranged on anterior 11, and inlet hole 14 is arranged on an end that is connected with rear portion 11, and outlet opening 13 is arranged on the end away from anterior 11.Materials 15 such as the scroll saw that uses in the operation process, metal wire get in the guide member 1 anterior 11 from inlet hole 14, pass cavity and from outlet opening 13, stretch out.Guide member 1 anterior 11 tops are sharp mouth shape, are convenient to guide and place in the body.Guide member 1 anterior 11 is 270 ° of circular arcs, and the diameter of circular arc anterior 11 is 4.5 cm.Circular arc anterior 11 is non-linear the connection with rear portion 12, forms 150 ° of angles between front portion 11 and the rear portion 12, and the angle between front portion and the plane, place, rear portion is 30 °.
On handle 2, be provided with fixing hole 21, fixing hole 21 prevents that as the fixing point in the guide operation guide is shifted.In fixing hole 21, be provided with sleeve pipe 22, static line passes sleeve pipe 22 guide is fixed.
The guide that present embodiment is described is used for the bone that cuts of ramus of ischium.
Like Fig. 3 and shown in Figure 4, pelvic tumor provided by the invention cuts bone to be made up of handle 2 and guide member 1 with guide, and guide member 1 is divided into continuous front portion 11 and rear portion 12, and guide member 1 rear portion 12 is threaded with handle 2.In guide member 1 anterior 11, be provided with one and connect forward cavity.The inlet hole 14 and outlet opening 13 that are communicated with cavity are arranged on anterior 11, and inlet hole 14 is arranged on an end that is connected with rear portion 11, and outlet opening 13 is arranged on the end away from anterior 11.Materials 15 such as the scroll saw that uses in the operation process, metal wire get in the guide member 1 anterior 11 from inlet hole 14, pass cavity and from outlet opening 13, stretch out.Guide member 1 anterior 11 tops are sharp mouth shape, are convenient to guide and place in the body.Guide member 1 anterior 11 is a U-shaped, and the spacing of anterior 11 both sides of U-shaped is 6 cm.U-shaped anterior 11 and rear portion 12 are on the same straight line.
On handle 2, be provided with fixing hole 21, fixing hole 21 prevents that as the fixing point in the guide operation guide is shifted.In fixing hole 21, be provided with sleeve pipe 22, static line passes sleeve pipe 22 guide is fixed.
The guide that present embodiment is described is used for the bone that cuts of sacroiliac joint.
Embodiment 3
Like Fig. 5 and shown in Figure 6, pelvic tumor provided by the invention cuts bone to be made up of handle 2 and guide member 1 with guide, and guide member 1 is divided into continuous front portion 11 and rear portion 12, and guide member 1 rear portion 12 is fixedly connected with handle 2.In guide member 1 anterior 11, be provided with one and connect forward cavity.The inlet hole 14 and outlet opening 13 that are communicated with cavity are arranged on anterior 11, and inlet hole 14 is arranged on an end that is connected with rear portion 11, and outlet opening 13 is arranged on the end away from anterior 11.Materials 15 such as the scroll saw that uses in the operation process, metal wire get in the guide member 1 anterior 11 from inlet hole 14, pass cavity and from outlet opening 13, stretch out.Guide member 1 anterior 11 tops are sharp mouth shape, are convenient to guide and place in the body.Guide member 1 anterior 11 is 90 ° of circular arcs, and the diameter of circular arc anterior 11 is 6 cm.Circular arc anterior 11 and rear portion 12 are on the same straight line.
On handle 2, be provided with fixing hole 21, fixing hole 21 prevents that as the fixing point in the guide operation guide is shifted.In fixing hole 21, be provided with sleeve pipe 22, static line passes sleeve pipe 22 guide is fixed.
The guide that present embodiment is described is used for the bone that cuts at ala of ilium greater sciatic formaen place.
Earlier guide is inserted when guide among above-mentioned each embodiment uses and cuts the bone zone, use fluoroscopic apparatus confirm osteotomy site accurately.Metal materials such as scroll saw are inserted in hole through on the guide, take out guide at last.When guide provided by the invention can avoid metal material such as scroll saw to get in the body adjacent tissue is produced damage, guarantee to cut the accuracy of bone simultaneously.
At present pelvic tumor surgical operation difficulty is big, and the hospital that carries out is less, the position that its main cause is pelvis deeply and to close on internal organs many, be prone to cause corresponding secondary damage, be the key point in the art wherein for the amputation after the complete exposure of tumor.The present invention provides comparatively safe guide, before cutting bone, in advance guide is inserted the suitable bone zone of cutting, and guarantees that scroll saw inserts process and can not damage adjacent organ and blood vessel, nerve, and through the perspective of the X line in art location, confirms the accurate of osteotomy site.Simple to operate and efficient, keep scroll saw and osteotomy site behind the taking-up passage, slowly spur scroll saw, thus the amputation bone tumor.
More than specific embodiment of the present invention is described in detail, but it is just as example, the present invention is not restricted to the specific embodiment of above description.To those skilled in the art, any equivalent modifications that the present invention is carried out with substitute also all among category of the present invention.Therefore, not breaking away from impartial conversion and the modification of being done under the spirit and scope of the present invention, all should contain within the scope of the invention.
Claims (10)
1. a pelvic tumor cuts bone and uses guide; Comprise handle (2) and guide member (1), it is characterized in that guide member (1) is divided into continuous front portion (11) and rear portion (12); Said front portion (11) is hook-shaped; Rear portion (12) is type linearly, and rear portion (12) one ends connect anterior (11), and the other end connects handle (2); Be provided with the cavity of a perforation anterior (11) in the said guide member (1) anterior (11); The inlet hole (14) and the outlet opening (13) that are communicated with cavity are arranged on the said front portion (11), and inlet hole (14) is arranged on an end that is connected with rear portion (11) or is arranged on the rear portion (12), and outlet opening (13) is arranged on the end away from anterior (11).
2. guide according to claim 1 is characterized in that, said guide member (1) anterior (11) is most advanced and sophisticated away from the top of rear portion (12).
3. guide according to claim 1 is characterized in that, the angle between said front portion and the plane, place, rear portion is 20 ° ~ 40 °.
4. guide according to claim 1 is characterized in that, said guide member (1) anterior (11) is circular arc or U-shaped.
5. according to claim 1 or 4 described guides, it is characterized in that said front portion (11) and junction, rear portion (12) form 120 ° ~ 180 ° angles.
6. guide according to claim 4 is characterized in that, said circular arc anterior (11) be 90 ° ~ 270 ° circular-arc.
7. guide according to claim 4 is characterized in that, the diameter of said circular arc anterior (11) is 4 ~ 6 cm.
8. guide according to claim 4 is characterized in that, the spacing of anterior (11) both sides of said U-shaped is 5 ~ 8 cm.
9. guide according to claim 1 is characterized in that, adopts between said handle (2) and the guide member (1) to be threaded.
10. a pelvic tumor that comprises three kinds of guides as claimed in claim 1 cuts bone and uses tool kit, it is characterized in that,
First guide is made up of handle and guide member; Said guide member is divided into continuous 270 ° of circular-arc front portions (11) and linear type rear portion (12); Rear portion (12) one ends connect anterior (11); The other end connects handle (2), is provided with the cavity of a perforation anterior (11) in the said guide member (1) anterior (11), and the inlet hole (14) and the outlet opening (13) that are communicated with cavity are arranged on said front portion (11); Inlet hole (14) is arranged on an end that is connected with rear portion (11); Outlet opening (13) is arranged on the end away from anterior (11), and anterior (11) and junction, rear portion (12) form 120 ° ~ 180 ° angles, and the angle between the plane, anterior (11) and rear portion (12) place is 20 ° ~ 40 °;
Second guide is made up of handle and guide member; Said guide member is divided into continuous U-shaped anterior (11) and linear type rear portion (12); Rear portion (12) one ends connect anterior (11), and the other end connects handle (2), are provided with the cavity of a perforation anterior (11) in the said guide member (1) anterior (11); The inlet hole (14) and the outlet opening (13) that are communicated with cavity are arranged on the said front portion (11); Inlet hole (14) is arranged on an end that is connected with rear portion (11), and outlet opening (13) is arranged on the end away from anterior (11), and the spacing of anterior (11) both sides of U-shaped is 5 ~ 8 cm;
The 3rd guide is made up of handle and guide member; Said guide member is divided into continuous 90 ° of circular-arc front portions (11) and linear type rear portion (12); Rear portion (12) one ends connect anterior (11), and the other end connects handle (2), are provided with the cavity of a perforation anterior (11) in the said guide member (1) anterior (11); The inlet hole (14) and the outlet opening (13) that are communicated with cavity are arranged on the said front portion (11); Inlet hole (14) is arranged on an end that is connected with rear portion (11), and outlet opening (13) is arranged on the end away from anterior (11), and anterior (11) are in the same plane with rear portion (12).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2012102776925A CN102764148A (en) | 2012-08-07 | 2012-08-07 | Guiding device for pelvic tumor osteotomy and application thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2012102776925A CN102764148A (en) | 2012-08-07 | 2012-08-07 | Guiding device for pelvic tumor osteotomy and application thereof |
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| Publication Number | Publication Date |
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| CN102764148A true CN102764148A (en) | 2012-11-07 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2012102776925A Pending CN102764148A (en) | 2012-08-07 | 2012-08-07 | Guiding device for pelvic tumor osteotomy and application thereof |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106388898A (en) * | 2016-03-09 | 2017-02-15 | 中国人民解放军成都军区总医院 | Thoracoscopic rib wire saw guiding and locating kit |
| CN114209386A (en) * | 2021-08-13 | 2022-03-22 | 北京积水潭医院 | Visual wire saw guide operation system and method for orthopedic surgery |
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| CN201157402Y (en) * | 2008-02-04 | 2008-12-03 | 王卫星 | Steel wire guiding device |
| CN201295261Y (en) * | 2008-10-17 | 2009-08-26 | 冯大鹏 | Wire saw penetrating device used for vertebra osteotomy |
| CN201727560U (en) * | 2010-08-04 | 2011-02-02 | 高全文 | Retraced protective vessel forceps |
| CN202235656U (en) * | 2011-09-29 | 2012-05-30 | 张相恒 | Surgical steel wire guider |
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Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101304694A (en) * | 2005-11-08 | 2008-11-12 | 斯恩蒂斯有限公司 | Long direction transplantation in medulla |
| CN201157402Y (en) * | 2008-02-04 | 2008-12-03 | 王卫星 | Steel wire guiding device |
| CN201295261Y (en) * | 2008-10-17 | 2009-08-26 | 冯大鹏 | Wire saw penetrating device used for vertebra osteotomy |
| CN201727560U (en) * | 2010-08-04 | 2011-02-02 | 高全文 | Retraced protective vessel forceps |
| CN202235656U (en) * | 2011-09-29 | 2012-05-30 | 张相恒 | Surgical steel wire guider |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106388898A (en) * | 2016-03-09 | 2017-02-15 | 中国人民解放军成都军区总医院 | Thoracoscopic rib wire saw guiding and locating kit |
| CN106388898B (en) * | 2016-03-09 | 2019-02-12 | 中国人民解放军成都军区总医院 | A kind of thoracoscope rib cage scroll saw guiding positioning suit |
| CN114209386A (en) * | 2021-08-13 | 2022-03-22 | 北京积水潭医院 | Visual wire saw guide operation system and method for orthopedic surgery |
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Application publication date: 20121107 |