CN106137390A - A kind of flexible lumbar vertebra compression fracture micro-invasive operation locator - Google Patents

A kind of flexible lumbar vertebra compression fracture micro-invasive operation locator Download PDF

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Publication number
CN106137390A
CN106137390A CN201510171293.4A CN201510171293A CN106137390A CN 106137390 A CN106137390 A CN 106137390A CN 201510171293 A CN201510171293 A CN 201510171293A CN 106137390 A CN106137390 A CN 106137390A
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China
Prior art keywords
identification rings
chain
silk
lumbar vertebra
located lateral
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CN201510171293.4A
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Chinese (zh)
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罗亚平
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Shanghai Jiading Nanxiang Hospital
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Shanghai Jiading Nanxiang Hospital
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Priority to CN201510171293.4A priority Critical patent/CN106137390A/en
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Abstract

A kind of flexible lumbar vertebra compression fracture micro-invasive operation locator, relate to operation or instrument, apparatus or the adnexa of diagnosis, particularly relate to a kind of special equipment for lumbar vertebra compression fracture Minimally Invasive Surgery location, including located lateral chain and longitudinal register chain connect and compose can x-ray development locating, linked the most in length and breadth by identification rings, constitute the flexible locating that can fit tightly the concavo-convex change of human waist and back physiologic radian;Identification rings possesses can the outer contour shape distinguished of x-ray development: same located lateral chain configures the identification rings of identical outer contour shape, the identification rings of two neighbouring differently configured outer contour shapes of located lateral chain.This localizer can reduce the error produced because of grid lines and body surface spacing at fluoroscopy images, utilization can the identification rings of the fractal shape of x-ray development zone and mark area under control subnetting ruling, can differentiate rapidly in fluoroscopy images, determine the sites of the pedicle of vertebral arch planning to implement operation, locating accuracy is high, can the desmopyknosis prelocalization time.

Description

A kind of flexible lumbar vertebra compression fracture micro-invasive operation locator
Technical field
The present invention relates to operation or instrument, apparatus or the adnexa of diagnosis, particularly relate to a kind of for lumbar vertebra compression fracture Wicresoft The special equipment of location of operation.
Background technology
Minimally invasive spine surgical, the accurate status of preoperative body surface, mark skin incision (screw entrance point) position for Carrying out of operation is particularly significant.Location advantageously reduces wound, shortens operating time, minimizing medical personnel and trouble accurately Person's x-ray radiation amount.Spinal operation localization method the most conventional has: free-hand crista iliaca positioning mode, Kirschner wire position Method and wire netting, frame positioning mode etc..Free-hand crista iliaca positioning mode is easy quickly, but accuracy rate is low, it is impossible to determine Wicresoft's hands Pedicle of vertebral arch entry point needed for art;Kirschner wire positioning mode is the method using more determination operative region clinically at present, The method needs repeatedly to move " C " arm machine and Kirschner wire just can determine that operative site, and positioning time is longer;Wire netting, frame Positioning mode can reduce " C " arm machine perspective number of times, reduces medical personnel and patient's x-ray radiation amount, but, due to existing Wire netting, frame be hard, can only in one plane realize being accurately positioned, the physiologic curve of the concavo-convex change of human waist and back Degree, makes to there is different distances at different parts between wire netting, frame and body surface, thus it is corresponding to cause fluoroscopy images to produce Error, affect the precision of location of operation.
Chinese utility model patent " Thoracolumbar disk operation body surface locator " (utility model patent number: ZL 201320840150.4 Authorization Notice No.: CN 203777051U) disclose a kind of Thoracolumbar disk operation body surface locator, including a rectangular shaped rim chi, Multiple located lateral chains, multiple longitudinal register chain and three to five vertebral body side instruction chains;Rectangular shaped rim chi by It is all provided with graduated two long limits and two broadside compositions;Located lateral chain one end is fixing with wherein long limit described in be connected, The other end is fixing with another long limit to be connected, and multiple located lateral chains are arranged in parallel in rectangular shaped rim chi;Longitudinal register chain One end of bar is magnetic-type with a wherein broadside to be connected or is slidably connected, and the other end is magnetic-type with another broadside to be connected or slides even Connecing, multiple longitudinal register chains are arranged parallel in rectangular shaped rim chi, with this, located lateral chain and longitudinal register Chain constitutes grid;One end of vertebral body side instruction chain is magnetic-type with long limit to be connected or is slidably connected, and the other end is outstanding Empty.This Thoracolumbar disk operation body surface locator utilizes the chain grid in the scale on rectangular shaped rim chi, and rectangular shaped rim chi, Make a mark on body surface in conjunction with X-ray image, it is achieved the body surface location of surgical site.But, owing to this Thoracolumbar disk is performed the operation Body surface locator uses metal rectangular frame chi to connect horizontal and vertical location chain, equally exists human body back of can not fitting The problem of the concavo-convex change of portion's physiologic radian, additionally, due to the scale on rectangular shaped rim chi can not image in X-ray image, Lack diacritics between adjacent chain grid lines, X-ray image images shape identical, it is easy to because of adjacent The error in judgement of grid causes Wrong localization.
Summary of the invention
It is an object of the invention to provide a kind of flexible lumbar vertebra compression fracture micro-invasive operation locator, existing Thoracolumbar disk hands can be solved Art body surface locator can not be fitted the concavo-convex change of human waist and back physiologic radian, and adjacent grid lines lacks diacritics, Easily produce position error or because grid error in judgement causes the technical problem of Wrong localization.
The present invention solves above-mentioned technical problem and be the technical scheme is that
A kind of flexible lumbar vertebra compression fracture micro-invasive operation locator, connects including m root located lateral chain and n root longitudinal register chain Constitute can x-ray development locating, it is characterised in that: described m root located lateral chain and n root longitudinal register chain Cross point, is linked the most in length and breadth by m × n identification rings, and it is concavo-convex that composition can fit tightly human waist and back physiologic radian The flexible locating of change;Described identification rings possess at least two can x-ray development distinguish outer contour shape: be in N identification rings on one horizontal line time is by the series connection link of n-1 section lateral connection silk, the located lateral chain described in formation;With A piece located lateral chain configures the identification rings of identical outer contour shape, outside two neighbouring located lateral chains are differently configured The identification rings of contour shape;M the identification rings being on same ordinate, passes sequentially through m-1 section longitudinally connected silk serial chain Connect, the longitudinal register chain described in formation, wherein, m=4~10, n=6~8.
The one preferably technical scheme of the flexible lumbar vertebra compression fracture micro-invasive operation locator of the present invention, it is characterised in that described The stainless steel silk that lateral connection silk is diameter 0.8~1.2mm, described longitudinally connected silk is that diameter is less than 0.3mm not Rust steel wire, the outside of described longitudinally connected silk is cased with mark pipe;Described mark pipe is divided at least according to x-ray image density Two groups, same longitudinal register chain configures the mark pipe that image density is identical, the adjacent two longitudinal register chains in left and right are joined Put the mark pipe that image density is different.
A kind of superior technique scheme of the flexible lumbar vertebra compression fracture micro-invasive operation locator of the present invention, it is characterised in that described Flexible locating connected and composed the most in length and breadth by 5 located lateral chains and 7 longitudinal register chains, the length of each grid Degree is 40mm, and width is 30mm, and described lateral connection silk 1 is diameter 1mm stainless steel silk, described longitudinally connected silk 2 is diameter 0.2mm stainless steel silk.
The technical scheme of a kind of improvement of the flexible lumbar vertebra compression fracture micro-invasive operation locator of the present invention, it is characterised in that described Identification rings possess two kinds can the outer contour shape distinguished of x-ray development, the most hexagonal first identification rings and circular Second identification rings.
The technical scheme of a kind of further improvement of the flexible lumbar vertebra compression fracture micro-invasive operation locator of the present invention, its feature exists It is divided into two groups according to x-ray image density, respectively the first mark pipe and metal of macromolecular material in described mark pipe Second mark pipe of material.
The invention has the beneficial effects as follows:
1, the flexible lumbar vertebra compression fracture micro-invasive operation locator of the present invention, has flexibility, with skin compared with existing localizer Skin concave-convex surface changes and changes, and is close to skin surface, can reduce because the grid lines of localizer is being had an X-rayed with body surface spacing The error that image produces, locating accuracy is high, and its softness is without injured skin.
2, the flexible lumbar vertebra compression fracture micro-invasive operation locator of the present invention, utilize can the fractal shape of x-ray development zone identification rings and Mark area under control subnetting ruling, can differentiate rapidly in fluoroscopy images, accurately determine the body surface position of the pedicle of vertebral arch planning to implement operation Put, the desmopyknosis prelocalization time, reduce medical personnel and patient's x-ray radiation amount.
Accompanying drawing explanation
Fig. 1 is the structural representation of the flexible lumbar vertebra compression fracture micro-invasive operation locator of the present invention;
Fig. 2 is the Thoracolumbar disk fluoroscopy images of the Fold additon location grid using the localizer of the present invention to obtain.
The label of each parts in figure: 10-located lateral chain, 1-lateral connection silk, 20-longitudinal register chain, 2-is longitudinally connected Silk, 2x-identify pipe, and 21-first identifies pipe, and 22-the second mark is managed, 3y-identification rings, 31-the first identification rings, 32-the Two identification rings.
Detailed description of the invention
For better understanding of the technique scheme of the present invention, carry out the most detailed with embodiment below in conjunction with the accompanying drawings Thin description.
Fig. 1 is an embodiment of the flexible lumbar vertebra compression fracture micro-invasive operation locator of the present invention, including m root located lateral Chain 10 and n root longitudinal register chain 20 connect and compose can x-ray development locating, as it is shown in figure 1, described m root The cross point of located lateral chain 10 and n root longitudinal register chain 20, is linked the most in length and breadth by m × n identification rings 3y, Composition can fit tightly the flexible locating of the concavo-convex change of human waist and back physiologic radian;Described identification rings 3y possess to Few two kinds can the outer contour shape distinguished of x-ray development: n the identification rings 3y being on same horizontal line passes sequentially through n-1 section Lateral connection silk 1 series connection link, the located lateral chain 10 described in formation;Same located lateral chain 10 configures identical foreign steamer The identification rings 3y of profile shape, the identification rings 3y of two neighbouring differently configured outer contour shapes of located lateral chain 10; M the identification rings 3y being on same ordinate, passes sequentially through the series connection link of m-1 section longitudinally connected silk 2, indulging described in formation To location chain 20, wherein, m=4~10, n=6~8.
The embodiment of the flexible lumbar vertebra compression fracture micro-invasive operation locator according to the present invention, described lateral connection silk 1 is straight The stainless steel silk in footpath 0.8~1.2mm, described longitudinally connected silk 2 is less than the stainless steel silk of 0.3mm for diameter, described vertical It is cased with to the outside of connecting filament 2 identifying pipe 2x;Described mark pipe 2x is divided at least two groups according to x-ray image density, with Configure the mark pipe 2x that image density is identical on a piece longitudinal register chain 20, the adjacent two longitudinal register chains 20 in left and right are joined Put the mark pipe 2x that image density is different.
One embodiment of the flexible lumbar vertebra compression fracture micro-invasive operation locator according to the present invention, described flexible locating Connected and composed in length and breadth mutually by 5 located lateral chains 10 and 7 longitudinal register chains 20, a length of 40mm of each grid, Width is 30mm.Described lateral connection silk 1 is diameter 1mm stainless steel silk, and described longitudinally connected silk 2 is diameter 0.2mm Stainless steel silk.
The embodiment of the flexible lumbar vertebra compression fracture micro-invasive operation locator according to the present invention shown in Fig. 1, described identification rings 3y possess two kinds can the outer contour shape distinguished of x-ray development, the most hexagonal first identification rings 31 and circular second Identification rings 32.In the embodiment shown in fig. 1, the described rustless steel hexagonal that the first identification rings 31 is across flats 8mm Nut, the described rustless steel plain washer that the second identification rings 32 is external diameter 8mm.
The embodiment of the flexible lumbar vertebra compression fracture micro-invasive operation locator according to the present invention shown in Fig. 1, described mark pipe 2x is divided into two groups according to x-ray image density, respectively the first mark pipe 21 and the second of metal material of macromolecular material Mark pipe 22, it is preferable that the first described mark pipe 21 uses diameter 4mm infusion tube, the second described mark pipe 22 use diameter 4mm stainless steel tube.
The using method of the flexible lumbar vertebra compression fracture micro-invasive operation locator of the present invention:
1, patient lies prone position, is placed in patient's lower back by the localizer of the present invention centered by hindering vertebra so that it is raw with lower back The concavo-convex change laminating human waist and back of reason radian;
2, use C arm machine to carry out position perspective before and after hindering centered by vertebra, obtain the Thoracolumbar disk perspective view of Fold additon location grid Picture, as shown in Figure 2;
3, combine difform identification rings and mark pipe in locating fluoroscopy images, differentiate and determine the vertebra planning to implement operation The accurate sites that nut is corresponding, makes a mark on body surface, it is achieved the body surface location of surgical site;
If 4 make the localizer side of the present invention naturally droop with psoas muscle edge, it is also possible to use C arm machine to carry out position, side simultaneously Perspective, further according to position, the side fluoroscopy images of Fold additon location grid, determines and labelling vertebral body and pedicle of vertebral arch direction.
Those of ordinary skill in the art is it should be appreciated that above embodiment is intended merely to illustrate the skill of the present invention Art scheme, and it is not used as limitation of the invention, any connotation based on the present invention is to embodiment described above The change made, modification, all will fall in the scope of the claims of the present invention.

Claims (5)

1. a flexible lumbar vertebra compression fracture micro-invasive operation locator, connects including m root located lateral chain and n root longitudinal register chain Constitute can x-ray development locating, it is characterised in that: described m root located lateral chain and n root longitudinal register The cross point of chain, is linked the most in length and breadth by m × n identification rings, and it is raw that composition can fit tightly human waist and back The flexible locating of the reason concavo-convex change of radian;Described identification rings possess at least two can x-ray development distinguish foreign steamer Profile shape: n the identification rings being on same horizontal line time, by the series connection link of n-1 section lateral connection silk, forms institute The located lateral chain stated;Same located lateral chain configures the identification rings of identical outer contour shape, and two neighbouring The identification rings of the differently configured outer contour shape of located lateral chain;M the identification rings being on same ordinate, successively Linked by the series connection of m-1 section longitudinally connected silk, the longitudinal register chain described in formation, wherein, m=4~10, n=6~8.
Flexible lumbar vertebra compression fracture micro-invasive operation locator the most according to claim 1, it is characterised in that described laterally connects Connecing the stainless steel silk that silk is diameter 0.8~1.2mm, described longitudinally connected silk is that diameter is less than the stainless of 0.3mm Steel wire, the outside of described longitudinally connected silk is cased with mark pipe;Described mark pipe according to x-ray image density be divided into Few two groups, same longitudinal register chain configures the mark pipe that image density is identical, adjacent two longitudinal registers in left and right The mark pipe that image density is different is configured on chain.
Flexible lumbar vertebra compression fracture micro-invasive operation locator the most according to claim 1 and 2, it is characterised in that described is soft Property locating is connected and composed the most in length and breadth by 5 located lateral chains and 7 longitudinal register chains, the length of each grid Degree is 40mm, and width is 30mm, and described lateral connection silk 1 is diameter 1mm stainless steel silk, described longitudinal direction Connecting filament 2 is diameter 0.2mm stainless steel silk.
Flexible lumbar vertebra compression fracture micro-invasive operation locator the most according to claim 1 and 2, it is characterised in that described mark Know ring possess two kinds can the outer contour shape distinguished of x-ray development, the most hexagonal first identification rings and circular Second identification rings.
Flexible lumbar vertebra compression fracture micro-invasive operation locator the most according to claim 1 and 2, it is characterised in that described mark Knowing pipe and be divided into two groups according to x-ray image density, respectively the first mark of macromolecular material is managed and metal material Second mark pipe.
CN201510171293.4A 2015-04-13 2015-04-13 A kind of flexible lumbar vertebra compression fracture micro-invasive operation locator Pending CN106137390A (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107468314A (en) * 2017-08-01 2017-12-15 三亚市中医院 A kind of multi-functional Thoracolumbar disk body surface locator system
CN108309336A (en) * 2018-03-05 2018-07-24 常州瑞神安医疗器械有限公司 A kind of soft positioning plate of radiography
CN108524013A (en) * 2017-12-04 2018-09-14 翟延荣 A kind of Minimally Invasive Surgery flexible stereo positioning device
CN109091229A (en) * 2018-09-13 2018-12-28 上海逸动医学科技有限公司 The flexible positioning device and air navigation aid to navigate suitable for robotic surgery under X-ray

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101690669A (en) * 2009-10-22 2010-04-07 贺石生 Spinal surgical positioning device
CN103637816A (en) * 2013-12-26 2014-03-19 王琪 Thoracolumbar pedicle perspective positioning plate for thoracolumbar preoperative positioning
CN103845116A (en) * 2014-03-24 2014-06-11 王卫国 Percutaneous vertebral pedicle positioner
CN104146775A (en) * 2014-08-19 2014-11-19 中国人民解放军第四军医大学 Locator used before and during spinal operation
CN204562396U (en) * 2015-04-13 2015-08-19 上海市嘉定区南翔医院 A kind of flexible lumbar vertebra compression fracture micro-invasive operation locator

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101690669A (en) * 2009-10-22 2010-04-07 贺石生 Spinal surgical positioning device
CN103637816A (en) * 2013-12-26 2014-03-19 王琪 Thoracolumbar pedicle perspective positioning plate for thoracolumbar preoperative positioning
CN103845116A (en) * 2014-03-24 2014-06-11 王卫国 Percutaneous vertebral pedicle positioner
CN104146775A (en) * 2014-08-19 2014-11-19 中国人民解放军第四军医大学 Locator used before and during spinal operation
CN204562396U (en) * 2015-04-13 2015-08-19 上海市嘉定区南翔医院 A kind of flexible lumbar vertebra compression fracture micro-invasive operation locator

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107468314A (en) * 2017-08-01 2017-12-15 三亚市中医院 A kind of multi-functional Thoracolumbar disk body surface locator system
CN108524013A (en) * 2017-12-04 2018-09-14 翟延荣 A kind of Minimally Invasive Surgery flexible stereo positioning device
CN108309336A (en) * 2018-03-05 2018-07-24 常州瑞神安医疗器械有限公司 A kind of soft positioning plate of radiography
CN109091229A (en) * 2018-09-13 2018-12-28 上海逸动医学科技有限公司 The flexible positioning device and air navigation aid to navigate suitable for robotic surgery under X-ray

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Application publication date: 20161123