CN107174349A - A kind of stereotactic surgery body surface otch indicator and its application process in operation of opening cranium - Google Patents
A kind of stereotactic surgery body surface otch indicator and its application process in operation of opening cranium Download PDFInfo
- Publication number
- CN107174349A CN107174349A CN201710210605.7A CN201710210605A CN107174349A CN 107174349 A CN107174349 A CN 107174349A CN 201710210605 A CN201710210605 A CN 201710210605A CN 107174349 A CN107174349 A CN 107174349A
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- indicator
- body surface
- stereotactic surgery
- line
- transparent base
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- General Health & Medical Sciences (AREA)
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- Apparatus For Radiation Diagnosis (AREA)
Abstract
The present invention discloses a kind of stereotactic surgery body surface otch indicator and its application process in operation of opening cranium, indicator includes transparent base, developing line and adhesive layer, developing line is arranged in transparent base, and adhesive layer is arranged on below transparent base, and application process comprises the steps：（1）Stereotactic surgery body surface otch indicator described above is attached to patient's scalp surface fixed position；（2）Allow wear indicator patient carry out head CT continuous scanning, on surgery planning system it can be seen that on scalp three-dimensional reconstruction indicator image；（3）According to the diverse location of surgery planning system puncture needle on the indicator, the inlet point of puncture needle is determined on the true scalp of patient.When can make neurosurgeon's stereotactic surgery using the present invention, the corresponding scalp location of cortex point of puncture is accurately positioned, the situation appearance forbidden with target position of intracranialing hemorrhage that surgical errors are caused is reduced.
Description
Technical field
The present invention discloses a kind of fixed-course detector and its application process, and particularly a kind of stereotactic surgery body surface otch refers to
Show device and its application process in operation of opening cranium, belong to neurosurgery relevant device technical field.
Background technology
Operation of opening cranium, also known as craniotomy, are one kind of skull surgical operation, refer to and open patient's skull by plant equipment,
So as to carry out some nonroutine treatments, for some special diseases, such as Parkinson's, epilepsy, implementing operation of opening cranium treatment is
Necessary.Due to the high risk of operation of opening cranium, slightly deviation will cause very serious consequence to patient, therefore open
In cranium operation, the correct operation for being positioned to help doctor in surgical procedure to affected part just seems most important.At present,
Conventional localization method be carry out stereotactic surgery when, usually can be by the preoperative head magnetic without wearing stereoscopic orientation frames
Resonance image is merged with the head CT image with stereotactic frame, then calculates operation on scalp, skull, gyrus
Puncture access point with puncture target operation pathway, be operated according to these result of calculations, however, these plan
All virtually carry out on image data, doctor can be allowed by the skin on the otch on image and actual patient head without device
Skin is mapped, so as to be easily caused the error that there is incision site, gently then doctor can try one's best error according to rich experience
Eliminate, it is heavy then can slightly have influence to the health of patient.
The content of the invention
During for stereotactic surgery in the prior art mentioned above, on image data it is virtual carry out puncture access point with
The shortcoming of the calculating plan of the operation pathway of target is punctured, the present invention provides a kind of stereotactic surgery body surface otch and indicated
Device and its application process in operation of opening cranium, it is when patient does head CT, and the indicator of placement positioning, makes on scalp
When making the plan, it will be appreciated that the relative position of otch and indicator, thus help doctor according to the position of indicator and
The relative position relation of otch and indicator, the polarizing slot on patient's scalp.
The present invention solve its technical problem use technical scheme be：A kind of stereotactic surgery body surface otch indicator,
Indicator includes transparent base, developing line and adhesive layer, and developing line is arranged in transparent base, and adhesive layer is arranged on transparent base
Lower section.
A kind of application process of stereotactic surgery body surface otch indicator described above in operation of opening cranium, this method bag
Include following step：
（1）Stereotactic surgery body surface otch indicator described above is attached to patient's scalp surface fixed position；
（2）The patient for wearing indicator is allowed to carry out the continuous scanning of head CT, it can be seen that on scalp on surgery planning system
The indicator image of three-dimensional reconstruction；
（3）According to the diverse location of surgery planning system puncture needle on the indicator, determine to puncture on the true scalp of patient
The inlet point of pin.
The technical scheme that the present invention solves the use of its technical problem further comprises：
Described transparent base is made of overlay.
Described transparent base includes top layer, intermediate layer and bottom, and three layers are attached to each other together, and top layer, which is one layer, not to be had
The transparent membrane of viscosity, bottom is layer of transparent film, and adhesive layer is attached on bottom, and intermediate layer is provided with openwork part, is shown
Hachure is set on the intermediate layer.
Transparent base and adhesive layer of the described developing line both sides provided with setting width, other parts are openwork part.
Described developing line includes coordinate line and reference pattern line.
Described coordinate line is " one " font, " ten " font or " rice " font.
Described reference pattern line is circular, square or triangle.
Described reference pattern line is provided with more than two layers, and the center of each layer reference pattern line is the coordinate original of coordinate line
Point.
The beneficial effects of the invention are as follows：It is accurate fixed when can make neurosurgeon's stereotactic surgery using the present invention
The corresponding scalp location of position cortex point of puncture, reduces the situation about being forbidden with target position of intracranialing hemorrhage that surgical errors cause and
It is existing.
Below in conjunction with the drawings and specific embodiments, the present invention will be further described.
Brief description of the drawings
Fig. 1 is the structural representation of the embodiment of the present invention one.
Fig. 2 is the structural representation of the embodiment of the present invention two.
Fig. 3 is the present invention in the Shi Jishiyong schematic diagram of patient's scalp surface.
Fig. 4 is using the striograph one in the surgery planning system of the invention after CT three-dimensional reconstructions（Left part）.
Fig. 5 is using the striograph two in the surgery planning system of the invention after CT three-dimensional reconstructions（Right part）.
In figure, 1- developing lines, 2- openwork parts.
Embodiment
The present embodiment is the preferred embodiment for the present invention, and other all its principle and basic structure are identical or near with the present embodiment
As, within the scope of the present invention.
Refer to accompanying drawing 1 and accompanying drawing 2, the stereotactic surgery body surface otch indicator in the present invention include transparent base,
Developing line 1 and adhesive layer, developing line 1 are arranged in transparent base, and adhesive layer is arranged on below transparent base, when in use, can
The present invention is fixedly attached to by patient's scalp surface by adhesive layer.In the present embodiment, transparent base uses overlay system
Into, when it is implemented, it can also be made of other flexible and transparent materials, transparent base includes top layer, intermediate layer and bottom,
Three layers are attached to each other together, and top layer is one layer and does not have sticking transparent plastic film, and bottom is the layer of transparent close to scalp
Plastic film layers, adhesive layer is attached on bottom, bottom is had viscosity, can be adhered on patient's scalp, developing line 1 is set
On intermediate layer, in the present embodiment, developing line 1 weaves or constituted certain pattern in intermediate layer, during implementation, can be by developing line 1
Fixed on the intermediate layer according to form interspersed up and down（Similar to the interspersed mode of line when being sew the clothes with pin）, specific implementation
When, it would however also be possible to employ other modes are fixed, in the present embodiment, and developing line 1 includes coordinate line and reference pattern line, refer to accompanying drawing
1, in the present embodiment, coordinate line is in cruciform pattern, and reference pattern line is the concentric circles using coordinate line crosspoint as the center of circle, this reality
Apply in example, reference pattern line is two concentric circles, and inner circle radius is 1.0cm, and exradius is 2.0cm, when it is implemented, also may be used
It also can according to actual needs be set with the radius justified using multiple concentric circles, each layer, or square or triangle can also be used
Or other geometries are used as reference pattern line.It refer in accompanying drawing 2, the present embodiment, coordinate line is in " rice " herringbone pattern, reference
Pattern lines are with coordinate line crosspoint（That is the origin of coordinates of coordinate line）For the concentric circles in the center of circle, in the present embodiment, reference pattern
Line is two concentric circles, and inner circle radius is 1.0cm, and exradius is 2.0cm, when it is implemented, can also be using multiple concentric
The radius of round, each layer circle can also be set according to actual needs, or can also use square or triangle or other geometries
As reference pattern line, using other forms reference pattern when, the center of reference pattern is also the origin of coordinates of coordinate line, tool
When body is implemented, coordinate line can also use other forms, such as linear or three lines.In the present embodiment, the both sides of developing line 1 are each
It is provided with one fixed width（In the present embodiment, the width of the transparent base of the both sides of developing line 1 can be set according to actual needs, generally
It may be set to 1 ~ 5mm）Transparent base, the transparent base and adhesive layer of other parts carry out hollow out, to facilitate in openwork part 2
Place is marked using marking pen.
In the present embodiment, developing line 1 uses X-ray developing line, and it uses braiding or other method formation pattern, is arranged on
In transparent base.
In the present embodiment, off-style paper layer is additionally provided with below adhesive layer, for being played a protective role to adhesive layer.
The application method of above-mentioned stereotactic surgery body surface otch indicator, i.e. its application process bag in operation of opening cranium
Include following step：
（1）Accompanying drawing 3 is refer to, above-mentioned stereotactic surgery body surface otch indicator is attached to patient's scalp surface fixed position；
（2）The patient for wearing indicator is allowed to carry out the continuous scanning of head CT, so that it can be seen that head on surgery planning system
The indicator image of three-dimensional reconstruction on skin；
（3）Accompanying drawing 4 and accompanying drawing 5 are refer to, according to the diverse location of surgery planning system puncture needle on the indicator, patient's
The inlet point of puncture needle is determined on true scalp.
The present invention is woven into reference pattern using X-ray developing line and is attached between overlay, as three-dimensional in CT
The visible indicator of image of reconstruction, the pattern midpoint of indicator is 0 point of plane right-angle coordinate, can be carried out according to pattern
Accurate puncture point orientation.
When can make neurosurgeon's stereotactic surgery using the present invention, the corresponding head of cortex point of puncture is accurately positioned
Skin position, reduces the situation appearance forbidden with target position of intracranialing hemorrhage that surgical errors are caused.
Claims (9)
1. a kind of stereotactic surgery body surface otch indicator, it is characterized in that：Described indicator includes transparent base, developing line
And adhesive layer, developing line is arranged in transparent base, and adhesive layer is arranged on below transparent base.
2. stereotactic surgery body surface otch indicator according to claim 1, it is characterized in that：Described transparent base is adopted
It is made of overlay.
3. stereotactic surgery body surface otch indicator according to claim 1, it is characterized in that：Described transparent base bag
Top layer, intermediate layer and bottom are included, three layers are attached to each other together, top layer is one layer and does not have sticking transparent membrane, and bottom is one
Layer transparent membrane, adhesive layer is attached on bottom, and intermediate layer is provided with openwork part, and developing line is set on the intermediate layer.
4. stereotactic surgery body surface otch indicator according to claim 1, it is characterized in that：Described developing line both sides
Transparent base and adhesive layer provided with setting width, other parts are openwork part.
5. stereotactic surgery body surface otch indicator according to claim 1, it is characterized in that：Described developing line includes
Coordinate line and reference pattern line.
6. stereotactic surgery body surface otch indicator according to claim 5, it is characterized in that：Described coordinate line is
" one " font, " ten " font or " rice " font.
7. stereotactic surgery body surface otch indicator according to claim 5, it is characterized in that：Described reference pattern line
For circular, square or triangle.
8. stereotactic surgery body surface otch indicator according to claim 7, it is characterized in that：Described reference pattern line
Provided with more than two layers, the center of each layer reference pattern line is the origin of coordinates of coordinate line.
9. a kind of stereotactic surgery body surface otch indicator as claimed in any of claims 1 to 8 in one of claims is in operation of opening cranium
In application process, it is characterized in that：Described method comprises the steps：
（1）Stereotactic surgery body surface otch indicator as claimed in any of claims 1 to 7 in one of claims is attached to patient's scalp
Surface fixed position；
（2）The patient for wearing indicator is allowed to carry out the continuous scanning of head CT, it can be seen that on scalp on surgery planning system
The indicator image of three-dimensional reconstruction；
（3）According to the diverse location of surgery planning system puncture needle on the indicator, determine to puncture on the true scalp of patient
The inlet point of pin.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710210605.7A CN107174349A (en) | 2017-03-31 | 2017-03-31 | A kind of stereotactic surgery body surface otch indicator and its application process in operation of opening cranium |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710210605.7A CN107174349A (en) | 2017-03-31 | 2017-03-31 | A kind of stereotactic surgery body surface otch indicator and its application process in operation of opening cranium |
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| Publication Number | Publication Date |
|---|---|
| CN107174349A true CN107174349A (en) | 2017-09-19 |
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ID=59830539
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710210605.7A Pending CN107174349A (en) | 2017-03-31 | 2017-03-31 | A kind of stereotactic surgery body surface otch indicator and its application process in operation of opening cranium |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108451652A (en) * | 2018-03-21 | 2018-08-28 | 西安交通大学医学院第二附属医院 | A kind of mammary gland benign tumor operative incision band G- Design applies and application method |
| CN110432996A (en) * | 2019-08-29 | 2019-11-12 | 南宁市疏微医学研究有限公司 | A kind of positioner for intracranial hematoma puncture and its localization method |
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| CN204520952U (en) * | 2015-03-18 | 2015-08-05 | 青岛大学附属医院 | A kind of preoperative orientation tool |
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| CN205073038U (en) * | 2015-09-01 | 2016-03-09 | 广东体达康医疗科技有限公司 | Adhesive film used for locating focus |
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| CN201179063Y (en) * | 2008-03-24 | 2009-01-14 | 赵新刚 | CT puncture positioner |
| CN102125462A (en) * | 2011-03-11 | 2011-07-20 | 四川大学华西医院 | Tool for positioning surgical incision in combination with fluoroscopy |
| CN201977943U (en) * | 2011-03-11 | 2011-09-21 | 四川大学华西医院 | Tool for positioning surgical incision in combination with fluoroscopy |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108451652A (en) * | 2018-03-21 | 2018-08-28 | 西安交通大学医学院第二附属医院 | A kind of mammary gland benign tumor operative incision band G- Design applies and application method |
| CN108451652B (en) * | 2018-03-21 | 2023-12-26 | 西安交通大学医学院第二附属医院 | Mammary gland benign tumor operation incision tape map design application and use method |
| CN110432996A (en) * | 2019-08-29 | 2019-11-12 | 南宁市疏微医学研究有限公司 | A kind of positioner for intracranial hematoma puncture and its localization method |
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Application publication date: 20170919 |
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