CN107212932A - Intracranial hematoma orientation film and positioner - Google Patents
Intracranial hematoma orientation film and positioner Download PDFInfo
- Publication number
- CN107212932A CN107212932A CN201710599268.5A CN201710599268A CN107212932A CN 107212932 A CN107212932 A CN 107212932A CN 201710599268 A CN201710599268 A CN 201710599268A CN 107212932 A CN107212932 A CN 107212932A
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- basal layer
- intracranial hematoma
- orientation film
- positioner
- index aperture
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- 206010059491 Intracranial haematoma Diseases 0.000 title claims abstract description 51
- 240000007594 Oryza sativa Species 0.000 claims 1
- 235000007164 Oryza sativa Nutrition 0.000 claims 1
- 238000002372 labelling Methods 0.000 claims 1
- 235000009566 rice Nutrition 0.000 claims 1
- 210000004761 scalp Anatomy 0.000 abstract description 13
- 210000002615 epidermis Anatomy 0.000 abstract description 3
- 239000010410 layer Substances 0.000 description 55
- 238000000034 method Methods 0.000 description 10
- 238000002591 computed tomography Methods 0.000 description 8
- 210000003128 head Anatomy 0.000 description 8
- 230000000694 effects Effects 0.000 description 6
- 239000002184 metal Substances 0.000 description 4
- 239000011241 protective layer Substances 0.000 description 4
- 238000010276 construction Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 238000007917 intracranial administration Methods 0.000 description 2
- 230000004807 localization Effects 0.000 description 2
- 206010018852 Haematoma Diseases 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000001815 facial effect Effects 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 238000002406 microsurgery Methods 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000033912 thigmotaxis Effects 0.000 description 1
Classifications
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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
-
- 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
- A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
-
- 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
-
- 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
- A61B2090/3983—Reference marker arrangements for use with image guided surgery
Landscapes
- 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)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Apparatus For Radiation Diagnosis (AREA)
Abstract
The invention discloses a kind of intracranial hematoma orientation film and positioner, the positioner includes basal layer, rule, which is provided with many index apertures, the index aperture, on the basal layer is provided with CT marks, and density of the index aperture on the basal layer is every square centimeter more than 0.7.Intracranial hematoma orientation film and positioner that the present invention is provided, basal layer is fitted on the corresponding patient's epidermis of hemotoncus, the accurate relative position of hemotoncus and basal layer is obtained by CT, and then suitable target label hole is selected on basal layer by the relative position and marked on patient's scalp, the target label hole as puncturing hole so obtained.It is not only simple in structure, operation is also relatively easy to, and can be accurately positioned.
Description
Technical field
The present invention relates to intracranial puncture technology, and in particular to a kind of intracranial hematoma orientation film and positioner.
Background technology
For intracranial hematoma, treatment method main at present includes hematoma clearance under microsurgery removing, ventriculoscope
And puncture drainage, wherein, puncture drainage because its wound is small, recover fast, determined curative effect and obtain most commonly used make
With in puncture drainage, the positioning of point of puncture position is to determine one of key factor of operation success or failure in puncture process.
The Needle localization of puncture drainage mainly has in the following manner in the prior art：
1st, stereotactic apparatus, such as Application No. 201610335720.2, publication date is 2016.08.10, entitled " a kind of
What the application for a patent for invention of 3 D stereo positioning numerical control operation device " was provided is exactly such positioner, and it is filled by fixed
Put, puncture needle mechanism, laser projector and numerical control machine are realized and the intelligence of intracranial hematoma are accurately positioned.
2nd, locating rack is positioned, such as Application No. 201420450233.7, and publication date is 2014.12.31, entitled " a kind of
What the application for a patent for invention of stereotaxis intracranial puncture positioning head frame " was provided is exactly such positioner, its by guide rail, calmly
The structures such as position bar realize the positioning to intracranial hematoma.
3rd, metal flag thing is punctured under CT positioning, and a metal flag thing is carried out phase by it with patients head in CT images
To position versus to determine the position of intracranial hematoma.
It is in place of the deficiencies in the prior art, stereotactic apparatus is expensive, complicated, cumbersome；Locating rack is difficult
To be accurately positioned, the probability for larger error occur is excessive；Metal flag thing is during CT scan, if timebase inclines
Hemotoncus center cannot be tiltedly accurately positioned, even and if mark it is accurate after, after the metal flag thing that also needs to tear, then use marker pen
It is marked, it is impossible to be marked in real time.
The content of the invention
It is of the prior art above-mentioned to solve it is an object of the invention to provide a kind of intracranial hematoma orientation film and positioner
Weak point.
To achieve these goals, the present invention provides following technical scheme：
Rule is provided with many index apertures, the mark on a kind of intracranial hematoma orientation film, including basal layer, the basal layer
CT marks are provided with note hole, density of the index aperture on the basal layer is every square centimeter more than 0.7.
Mucigel is provided with above-mentioned intracranial hematoma orientation film, a side of the basal layer, the index aperture is passed through
Wear the mucigel.
It is connected with above-mentioned intracranial hematoma orientation film, the basal layer at least one tag block, the tag block
Center portion position is provided with the index aperture, and the tag block marks for the CT.
Above-mentioned intracranial hematoma orientation film, when the tag block has two or more, the profile of each tag block is endless
It is exactly the same.
Above-mentioned intracranial hematoma orientation film, in addition to multiple positioning strips, multiple positioning strips are along in the basal layer
Spaced and parallel arrangement successively.
Above-mentioned intracranial hematoma orientation film, each positioning strip is arranged to have identification mark.
Locating piece is provided with above-mentioned intracranial hematoma orientation film, the edge-corner of the basal layer.
Above-mentioned intracranial hematoma orientation film, density of the index aperture on the basal layer is 1 every square centimeter
Above-mentioned intracranial hematoma orientation film, the appearance and size of the basal layer is N × Mcm, and it is flat that the index aperture is occupied
Facial contour is (N-1) × (M-1) cm.
The embodiment of the present invention also provides a kind of intracranial hematoma positioner, including：
Above-mentioned intracranial hematoma orientation film；
CT machines, it is used to scan the patients head for being fitted with the basal layer；
Processing mechanism, it is used to determine basal layer and the accurate relative location of hemotoncus according to the image that CT machines are scanned.
3dslicer softwares, the 3dslicer are provided with above-mentioned intracranial hematoma positioner, the processing mechanism
Software is used for the three-dimensional reconstruction to the basal layer and hemotoncus.
A kind of intracranial hematoma localization method, comprises the following steps：
Estimate the regional location that hemotoncus is located at encephalic；
Above-mentioned basal layer is fitted on the scalp corresponding with the regional location；
CT scan is carried out to the head for posting the basal layer；
Basal layer and the accurate relative location of hemotoncus are determined according to the image of CT scan；
Target label hole is selected on basal layer according to the accurate relative location；
The target label hole is made a mark.
Above-mentioned intracranial hematoma positioner, the image according to CT scan determines the accurate relative of basal layer and hemotoncus
In the step of position, the basal layer and the three-dimensional reconstruction of hemotoncus are carried out by 3dslicer softwares.
On intracranial hematoma positioner, the basal layer be above-mentioned basal layer, the base that claim 1 is provided
Plinth layer is fitted in the step on the scalp corresponding with the regional location：
The positioning strip is perpendicular to reid baselines.
In the above-mentioned technical solutions, the intracranial hematoma positioner that the present invention is provided, hemotoncus correspondence is fitted to by basal layer
Patient's epidermis on, the accurate relative position of hemotoncus and basal layer is obtained by CT, and then by the relative position in basal layer
The upper suitable target label hole of selection is simultaneously marked, the target label hole as puncturing hole so obtained on patient's scalp.Not only
Simple in construction, operation is also relatively easy to, and can be accurately positioned.
Because above-mentioned intracranial hematoma positioner has above-mentioned technique effect, the application method of the intracranial hematoma positioner
Also there should be corresponding technique effect.
Brief description of the drawings
, below will be to institute in embodiment in order to illustrate more clearly of the embodiment of the present application or technical scheme of the prior art
The accompanying drawing needed to use is briefly described, it should be apparent that, drawings in the following description are only one described in the present invention
A little embodiments, for those of ordinary skill in the art, can also obtain other accompanying drawings according to these accompanying drawings.
The top view for the intracranial hematoma orientation film that Fig. 1 provides for one embodiment of the invention；
Fig. 2 is the side view of intracranial hematoma orientation film provided in an embodiment of the present invention；
The top view for the intracranial hematoma orientation film that Fig. 3 provides for another embodiment of the present invention；
Fig. 4 is the use state figure of intracranial hematoma orientation film provided in an embodiment of the present invention.
Description of reference numerals：
1st, basal layer；2nd, tag block；3rd, mucigel；4th, protective layer；5th, index aperture；6th, positioning strip；7th, locating piece.
Embodiment
In order that those skilled in the art more fully understands technical scheme, below in conjunction with accompanying drawing to this hair
It is bright to be further detailed.
As Figure 1-4, a kind of intracranial hematoma orientation film provided in an embodiment of the present invention, including basal layer 1, the basis
Rule, which is provided with many index apertures 5, the index aperture 5, on layer 1 is provided with CT marks, and the index aperture 5 is in the basal layer 1
On density be more than 0.7 it is every square centimeter.
Specifically, basal layer 1 is a laminated structure, multiple index apertures 5 are offered thereon, the density of each index aperture 5 is more than
0.7 every square centimeter, is provided with least seven index aperture 5 on the basal layer 1 of such as ten planes centimetre, each index aperture 5 is according to one
Fixed rule is arranged, and is such as divided into multiple row, the constant distance of each column, the constant distance of adjacent two index aperture 5 of each column, again
Or other array arrangement forms.CT marks are provided with each index aperture 5, CT marks refer to what can be recognized by CT machines
Structure, the transmitting of CT machines for x-ray, i.e., all kinds of structures that can be recognized by x-ray can be used as CT marks, and CT marks are arranged at
The hole wall side of index aperture 5, or arranged around index aperture 5.The intracranial hematoma orientation film that the present invention is provided, its application method bag
Include following steps：
101st, the regional location that hemotoncus is located at encephalic is estimated；Doctor asks according to advance diagnostic result such as CT scan, medical history
Inquiry and other diagnosis etc. can obtain the Position Approximate that hemotoncus is located at encephalic in advance, and the Position Approximate is a region, should
Regional location can be completely covered or cover most hemotoncus.
102nd, above-mentioned basal layer 1 is fitted on the scalp corresponding with the regional location；The hair of patient is shaved only,
Basal layer 1 is fitted on the scalp of patient again, and causes the covering above-mentioned zone of basal layer 1 position, now basal layer 1 is general
Rate completely covers whole hemotoncus, or covering at least most of hemotoncus.
103rd, CT scan is carried out to the head for posting the basal layer 1；By CT machines to sticking patient's head after basal layer 1
Portion carries out CT scan, is thusly-formed CT images.
104th, basal layer 1 and the accurate relative location of hemotoncus are determined according to the image of CT scan；Due to being set in index aperture 5
There are CT marks, such CT images can show hemotoncus and CT marks, namely the relative position for hemotoncus and index aperture 5 shown
Put, it is more preferred, three-dimensional can be carried out to the CT images of acquisition by all kinds of medical modeling softwares such as 3dslicer softwares and built
Mould, three-dimensional modeling can obtain more three-dimensional and intuitively patients head's profile, hemotoncus position and orientation film position, so
The accurate relative position of basal layer 1 and hemotoncus can be obtained.
105th, target label hole 5 is selected on basal layer 1 according to the accurate relative location；According to CT images or three-dimensional
Modeling data obtain accurate relative location, selected from all index apertures 5 with hemotoncus just to index aperture 5, these mark
Hole 5 is target label hole 5, and target label hole 5 is to prepare the puncturing hole as puncturing.
106th, the target label hole 5 is made a mark.Select after target hole, paintbrush is penetrated from target label hole 5, entered
And made a mark on the scalp of patient.The point of puncture that this mark is as subsequently punctured.
Intracranial hematoma positioner provided in an embodiment of the present invention, the corresponding patient's epidermis of hemotoncus is fitted to by basal layer 1
On, the accurate relative position of hemotoncus and basal layer 1 is obtained by CT, and then select by the relative position conjunction on basal layer 1
Suitable target label hole 5 is simultaneously marked on patient's scalp, and the target label hole 5 so obtained is puncturing hole.Not only structure letter
Single, operation is also relatively easy to, and can be accurately positioned.
In the present embodiment, further, mucigel 3, the index aperture 5 are provided with a side of the basal layer 1
Through the mucigel 3, mucigel 3 is used for the scalp for pasting patient, so that what orientation film can be consolidated accurately
On scalp fixed to patient.Further, a protective layer 4 can also be set, and protective layer 4, which is arranged on mucigel 3, to deviate from
The side of basal layer 1, it is used to protect mucigel 3, protective layer 4 is torn when using, is fixed basal layer 1 by mucigel 3
Onto the scalp of patient.
In the present embodiment, further, at least one tag block 2 is connected with the basal layer 1, the tag block 2
Centre is provided with the index aperture 5, and the tag block 2 marks for the CT, i.e., tag block 2 is around index aperture 5, such CT
The through hole for the central area of tag block 2 observed on image is index aperture 5, accurately can intuitively find out index aperture 5.
In the present embodiment, further, when the tag block 2 has two or more, the profile of each tag block 2 is not
Identical, more preferred, tag block 2 is arranged according to region or ranks, the phase of tag block 2 of each region and ranks
Together, a class index aperture 5 can be positioned faster so on CT images, and then facilitate the selection in target label hole 5.
In the present embodiment, further, in addition to multiple positioning strips 6, multiple positioning strips 6 are along on the basis
The spaced and parallel arrangement successively of layer 1, positioning strip 6 has two effects, one for when fitting on patient's scalp, positioning strip 6 and
Reid baselines (line of external auditory meatus to socket of the eye lower edge) perpendicular setting, can accurately read out hemotoncus so in 3dslicer
Position, if perpendicular to orbitomeatal line (OML) or giving a tongue-lashing tramline (CML), be likely to occur and misread when reading, design the positioning strip 6
So that any unit accurate can be positioned, even if bad scanning aspect, it can also pass through the estimation scan of positioning strip 6
Angle of inclination.Another is as then to aid in quick telltale mark hole 5, and which bar positioning strip 6 target label hole 5 is located near,
It is more highly preferred to, each positioning strip 6 is arranged to have identification mark, and identification is labeled as certain positioning strip 6 and other positioning
The different features that bar 6 can be identified on CT images, such as shape facility, each profile of positioning strip 6 is different, or numeral mark
There is different numeral marks on note, each positioning strip 6, can be quick with a step by positioning strip 6 and the Dual positioning of tag block 2
Target label hole 5 is navigated to, the time that target label hole 5 is found on scalp is reduced.
In the present embodiment, further, locating piece 7 is provided with the edge-corner of the basal layer 1, as in cuboid
One locating piece 7 is respectively set at four edge-corners of basal layer 1, and ct can scan the locating piece when scanning, and on ct
Solid construction is shown as, so as the means of auxiliary positioning, and inclining for scanning is calculated by the combination of locating piece and positioning strip
Rake angle.
In the present embodiment, further, density of the index aperture 5 on the basal layer 1 is 1 every square centimeter,
The appearance and size of the basal layer 1 is N × Mcm, and the planar profile that the index aperture 5 is occupied is (N-1) × (M-1) cm, i.e. base
One circle at 1 edge of plinth layer is blank, and this region is not provided with index aperture 5, so prevents having gauffer when marginal portion from using and send out
Change shape, so as to judge by accident.
The embodiment of the present invention also provides a kind of intracranial hematoma positioner, including above-mentioned intracranial hematoma orientation film, CT machines
And processing mechanism, CT machines, which are used to scan, is fitted with the patients head of the basal layer 1；Processing mechanism is used to be scanned according to CT machines
Image determine basal layer 1 and the accurate relative location of hemotoncus.As described above, realizing point of puncture by intracranial hematoma positioner
Positioning, it is preferred that be provided with 3dslicer softwares in the processing mechanism, the 3dslicer softwares are used for the basis
The three-dimensional reconstruction of layer 1 and hemotoncus.
In the above-mentioned technical solutions, because above-mentioned intracranial hematoma positioner has above-mentioned technique effect, the intracranial hematoma
The application method of positioner should also have corresponding technique effect.
Some one exemplary embodiments of the present invention are only described by way of explanation above, undoubtedly, for ability
The those of ordinary skill in domain, without departing from the spirit and scope of the present invention, can be with a variety of modes to institute
The embodiment of description is modified.Therefore, above-mentioned accompanying drawing and description are inherently illustrative, should not be construed as to the present invention
The limitation of claims.
Claims (10)
1. a kind of intracranial hematoma orientation film, including basal layer, it is characterised in that rule is provided with all multiple labelings on the basal layer
CT marks are provided with hole, the index aperture, density of the index aperture on the basal layer is more than 0.7 every square li
Rice.
2. intracranial hematoma orientation film according to claim 1, it is characterised in that set on a side of the basal layer
There is mucigel, the index aperture runs through the mucigel.
3. intracranial hematoma orientation film according to claim 1, it is characterised in that be connected with least one on the basal layer
Tag block, the centre of the tag block is provided with the index aperture, and the tag block marks for the CT.
4. intracranial hematoma orientation film according to claim 3, it is characterised in that when the tag block has two or more,
The profile of each tag block is incomplete same.
5. intracranial hematoma orientation film according to claim 1, it is characterised in that also including multiple positioning strips, multiple described
Positioning strip spaced and parallel arrangement successively on the basal layer.
6. intracranial hematoma orientation film according to claim 5, it is characterised in that each positioning strip, which is arranged to have, to be distinguished
Recognize mark.
7. intracranial hematoma orientation film according to claim 6, it is characterised in that set at the edge-corner of the basal layer
There is locating piece.
8. intracranial hematoma orientation film according to claim 7, it is characterised in that the appearance and size of the basal layer be N ×
Mcm, the planar profile that the index aperture is occupied is (N-1) × (M-1) cm.
9. a kind of intracranial hematoma positioner, it is characterised in that including：
Intracranial hematoma orientation film described in claim any one of 1-8；
CT machines, it is used to scan the patients head for being fitted with the basal layer；
Processing mechanism, it is used to determine basal layer and the accurate relative location of hemotoncus according to the image that CT machines are scanned.
10. intracranial hematoma positioner according to claim 8, it is characterised in that be provided with the processing mechanism
3dslicer softwares, the 3dslicer softwares are used for the three-dimensional reconstruction to the basal layer and hemotoncus.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
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| CN201710599268.5A CN107212932A (en) | 2017-07-21 | 2017-07-21 | Intracranial hematoma orientation film and positioner |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710599268.5A CN107212932A (en) | 2017-07-21 | 2017-07-21 | Intracranial hematoma orientation film and positioner |
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| CN107212932A true CN107212932A (en) | 2017-09-29 |
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| CN201710599268.5A Pending CN107212932A (en) | 2017-07-21 | 2017-07-21 | Intracranial hematoma orientation film and positioner |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
| CN111150498A (en) * | 2019-11-12 | 2020-05-15 | 天津市天津医院 | Accurate positioning method and positioning film for affected part in CT scanning and minimally invasive surgery |
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| CN111150498A (en) * | 2019-11-12 | 2020-05-15 | 天津市天津医院 | Accurate positioning method and positioning film for affected part in CT scanning and minimally invasive surgery |
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| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| TA01 | Transfer of patent application right | ||
| TA01 | Transfer of patent application right |
Effective date of registration: 20200306 Address after: Room 3208-3209, floor 3, building 8, No.9, Guangping street, Daxing Economic Development Zone, Beijing 102600 Applicant after: Beisaiwei (Beijing) science and Trade Co.,Ltd. Address before: 475000 No. 3, building 2, building 71, Yingbin Road, Gulou District, Kaifeng City, Henan, 401 Applicant before: Lv Ranbo Applicant before: Lv Yang |
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| CI02 | Correction of invention patent application | ||
| CI02 | Correction of invention patent application |
Correction item: Applicant|Address Correct: Beisaiwei (Beijing) Technology Co.,Ltd.|102600 Room 3208-3209, floor 3, building 8, No. 9, Guangping street, Daxing Economic Development Zone, Beijing False: Beisaiwei (Beijing) science and Trade Co.,Ltd.| 102600 Room 3208-3209, floor 3, building 8, No. 9, Guangping street, Daxing Economic Development Zone, Beijing Number: 13-02 Volume: 36 |
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| WD01 | Invention patent application deemed withdrawn after publication | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20170929 |