CN107348997B - Positioning device for intracranial hematoma cavity drainage - Google Patents
Positioning device for intracranial hematoma cavity drainage Download PDFInfo
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- CN107348997B CN107348997B CN201710458074.3A CN201710458074A CN107348997B CN 107348997 B CN107348997 B CN 107348997B CN 201710458074 A CN201710458074 A CN 201710458074A CN 107348997 B CN107348997 B CN 107348997B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3407—Needle locating or guiding means using mechanical guide means including a base for support on the body
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- External Artificial Organs (AREA)
- Apparatus For Radiation Diagnosis (AREA)
Abstract
A positioning device for intracranial hematoma cavity drainage and a puncture positioning method thereof belong to the technical field of medical appliances, solve the technical problem of brain tissue damage caused by inaccurate puncture positioning direction and repeated positioning, and have the following solutions: the intersection of the locating frames is arranged at the top of the brain shell, and a locating scale is detachably arranged above the intersection of the locating frames; the warp direction locating bandage is hinged to the crossing of the locating frame, the weft direction locating bandage fixes and ties the locating frame and the tail end of the warp direction locating bandage outside the brain, the puncture director is detachably arranged on the weft direction locating bandage and slides back and forth along the weft direction locating bandage, the puncture director comprises a rotating rod, and the rotating rod is parallel to the rotating part. In the positioning process, the optimal puncture layer and puncture angle of the intracranial hematoma cavity are determined according to the brain CT image of the patient, and then the accurate positioning of the puncture position of the intracranial hematoma cavity is completed according to the positioning scale of the device and the indication direction of the puncture positioner. The invention has accurate puncture positioning and wider popularization value.
Description
Technical Field
The invention belongs to the technical field of medical appliances, and particularly relates to a positioning device for intracranial hematoma cavity drainage and a puncture positioning method thereof.
Background
The existing hypertensive cerebral hemorrhage (HICH) has the characteristics of urgent onset, rapid progress and serious threat to human health. The existing commonly used intracranial hematoma minimally invasive removal method is a positive minimally invasive surgery treatment method for treating hypertensive cerebral hemorrhage, and has the advantages of good curative effect, small trauma, safety, simplicity in operation and the like, is widely applied at present, and has the non-disputed advantage compared with the conservative treatment of internal medicine and the craniotomy of surgery.
The technology is mature, and the principle is that a YL-I type disposable intracranial hematoma smashing puncture needle is used for puncturing an intracranial hematoma cavity at a lesion part to drill a skull, one end of a drainage tube is arranged and repeatedly washed at a subdural focus, the other end of the drainage tube is fixed on a scalp and connected with a drainage bag to lower and continuously conduct closed drainage, a biochemical enzyme hematoma liquefying technology is used for liquefying hematoma, and the subdural hematoma effusion is led to be drained outside the drainage tube by virtue of brain fluctuation, and is pulled out after being placed for a plurality of days. However, the reliability and the accuracy of the positioning are not yet available at present, so that a patient needs to puncture for multiple times, repeatedly position and damage brain tissues.
Disclosure of Invention
In order to overcome the defects in the prior art and solve the technical problems that the puncture positioning direction in the prior art lacks reliability and accuracy and the brain tissue is damaged due to repeated positioning, the invention provides the positioning device for the intracranial hematoma cavity drainage operation and the puncture positioning method thereof, which have the advantages of simple structure, convenient use and accurate positioning.
The invention is realized by the following technical scheme.
A positioner for intracranial hematoma cavity drainage art, it includes location scale, locating frame, location bandage and puncture director, the location bandage includes warp direction location bandage and latitudinal direction location bandage, wherein: the positioning frame is arranged in a crisscross shape, the intersection of the positioning frame is arranged at the top of the brain shell, and a positioning scale is detachably arranged above the intersection of the positioning frame; the positioning scale comprises a fixed part and a rotating part, the fixed part is also arranged in a crisscross shape, the projection positions of the positioning frame relative to the fixed part are overlapped, and the rotating part rotates around the circumference of the intersection of the fixed part; the warp positioning binding belt is hinged at the intersection of the positioning frames, the projection positions of the warp positioning binding belt relative to the rotating part are overlapped, 11 positioning protrusions are arranged on the outer side face of the warp positioning binding belt from top to bottom, the positions of the positioning protrusions correspond to the number of scanning layers of the brain CT image, and the interval between the adjacent positioning protrusions is 10mm; the weft positioning binding belt fixedly binds the tail ends of the positioning frame and the warp positioning binding belt outside the brain along the weft direction of the brain, and positioning holes are formed in the weft positioning binding belt at positions corresponding to the positioning protrusions; the puncture director detachably sets up on latitudinal direction location tie and along latitudinal direction location tie reciprocal slip, puncture director includes the base plate, is provided with the observation hole on the base plate, the observation hole coincides with the locating hole position mutually, and it is provided with the horizontal pole to span the observation hole, and the horizontal pole middle part articulates there is the rotary rod, and 180 degrees rotary motion are done around articulated department to the rotary rod, rotary rod and rotary part are parallel to each other.
Further, a handle is arranged on the upper surface of the fixing part perpendicular to the positioning scale.
Further, 11 protruding points are also arranged on the outer side face of the positioning frame from top to bottom, the positions of the protruding points correspond to the scanning layer number of the brain CT image, the interval between the adjacent protruding points is 10mm, and the diameter of each protruding point is 2mm.
Further, the diameter of the positioning protrusion on the warp positioning binding belt is 4mm.
Further, the weft positioning strap is an elastic strap.
Further, the positioning frame and the warp positioning straps are made of silica gel materials.
Further, the substrate is made of a transparent material.
The puncture positioning method of the positioning device for intracranial hematoma cavity drainage surgery comprises the following steps in sequence:
a. determining the optimal puncture layer and puncture angle of the intracranial hematoma cavity according to the brain CT image of the patient;
b. firstly, placing a positioning scale on the optimal puncture layer determined in the step a, and rotating a rotating part to enable the rotating part to be the same as the optimal puncture angle determined in the step a; then, vertically setting the puncture director on the CT image to make the basal plate tangent to the cortex of brain on the brain CT image and make the rotating rod have the same angle with the rotating part;
c. the positioning scale is arranged on the positioning frame, the puncture director is arranged on the latitudinal positioning binding belt, the positioning frame is arranged at the top of the brain shell, the angle of the positioning frame is adjusted, the projection position of the positioning frame relative to the fixed part is overlapped, the angle of the longitudinal positioning binding belt is adjusted, and the projection position of the longitudinal positioning binding belt relative to the rotating part is overlapped;
d. and d, according to the optimal puncture layer determined in the step a, setting the weft positioning binding band at the position of the positioning bulge corresponding to the optimal puncture layer, fixing and binding the positioning frame and the tail end of the warp positioning binding band outside the brain shell, setting the puncture director at the intersection of the warp positioning binding band and the weft positioning binding band, enabling the positions of the positioning bulge, the positioning hole and the observation hole to coincide, and enabling the pointing position of the rotating rod to be the optimal puncture position.
Further, the method for determining the optimal puncture layer of the intracranial hematoma cavity by CT image in the step a comprises the following steps: the area of the hematoma cavity on the CT image is the largest; the method for determining the optimal puncture angle of the intracranial hematoma cavity through CT images in the step a comprises the following steps: hematoma cavities span the largest along the radius of the brain.
Compared with the prior art, the invention has the beneficial effects that: the puncture director ensures more accurate positioning and can accurately puncture the hematoma cavity. The brain tissue injury caused by repeatedly adjusting the cannula position in the current operation is avoided; simplifying the positioning process without the need of a doctor to measure the angle value in the CT slice. The method avoids the steps that the doctor can only mark the CT film with ruler marking angle and mark the patient head with iodine, and the use of the silica gel strip is more convenient than that of the iodophor. Compared with the prior art, the technical scheme has wider popularization and application values.
Drawings
FIG. 1 is a schematic top view of a scale on a brain CT image;
fig. 2 is a schematic top view of the overall structure of the present invention.
Detailed Description
The invention is described in further detail below with reference to the drawings and examples.
As shown in fig. 1-2, a positioning device for intracranial hematoma cavity drainage surgery comprises a positioning scale 1, a positioning frame 2, a positioning strap and a puncture director 3, wherein the positioning strap comprises a warp positioning strap 4 and a weft positioning strap 5, wherein: the positioning frame 2 is arranged in a crisscross shape, the intersection of the positioning frame 2 is arranged at the top of the brain shell, and a positioning scale 1 is detachably arranged above the intersection of the positioning frame 2; the positioning scale 1 comprises a fixed part 11 and a rotating part 12, the fixed part 11 is also arranged in a crisscross shape, the projection positions of the positioning frame 2 relative to the fixed part 11 are overlapped, and the rotating part 12 rotates around the circumferential direction of the intersection of the fixed part; the warp direction positioning binding belt 4 is hinged at the intersection of the positioning frame 2, the projection positions of the warp direction positioning binding belt 4 relative to the rotating part 12 are overlapped, 11 positioning bulges 6 are arranged on the outer side surface of the warp direction positioning binding belt 4 from top to bottom, the positions of the positioning bulges 6 correspond to the scanning layer number of the brain CT image, and the interval between the adjacent positioning bulges 6 is 10mm; the weft positioning binding belt 5 fixedly binds the tail ends of the positioning frame 2 and the warp positioning binding belt 4 outside the brain along the weft direction of the brain, and a positioning hole 7 is formed in the weft positioning binding belt 5 and corresponds to the positioning bulge 6 in position; the puncture director 3 is detachably arranged on the weft positioning bandage 5 and slides back and forth along the weft positioning bandage 5, the puncture director 3 comprises a base plate 31, an observation hole 32 is formed in the base plate 31, the observation hole 32 coincides with the positioning hole 7 in position, a cross rod 33 is arranged across the observation hole 32, a rotating rod 34 is hinged to the middle of the cross rod 33, the rotating rod 34 rotates 180 degrees around the hinged position, and the rotating rod 34 is parallel to the rotating part 12.
Further, a handle 13 is provided perpendicularly to the upper surface of the fixed portion 11 of the positioning scale 1.
Further, 11 bumps 21 are also disposed on the outer side surface of the positioning frame 2 from top to bottom, the positions of the bumps 21 correspond to the number of scanning layers of the brain CT image, the interval between adjacent bumps 21 is 10mm, and the diameter of each bump 21 is 2mm.
Further, the diameter of the positioning protrusion 7 on the warp positioning strap 4 is 4mm.
Further, the weft positioning strap 5 is an elastic strap.
Further, the positioning frame 2 and the warp positioning straps 4 are made of silica gel materials.
Further, the substrate 31 is made of a transparent material.
The puncture positioning method of the positioning device for intracranial hematoma cavity drainage surgery comprises the following steps in sequence:
a. determining the optimal puncture layer and puncture angle of the intracranial hematoma cavity according to the brain CT image of the patient;
b. first, the positioning scale 1 is placed on the optimal puncture layer determined in step a, and the rotating part 12 is rotated so that the rotating part 12 is the same as the optimal puncture angle determined in step a; then, the puncture orientator 3 is vertically erected on the CT image, the base plate 31 is tangent to the cortex of the brain on the brain CT image, and the rotating rod 34 and the rotating part 12 have the same angle;
c. the positioning scale 1 is arranged on the positioning frame 2, the puncture director 3 is arranged on the latitudinal positioning bandage 5, the positioning frame 2 is arranged at the top of the brain, the angle of the positioning frame 2 is adjusted to enable the projection position of the positioning frame 2 relative to the fixed part 11 to be overlapped, the angle of the longitudinal positioning bandage 4 is adjusted to enable the projection position of the longitudinal positioning bandage 4 relative to the rotating part 12 to be overlapped;
d. according to the optimal puncture layer determined in the step a, the weft positioning bandage 5 is arranged at the position of the positioning bulge 6 corresponding to the optimal puncture layer, the tail ends of the positioning frame 2 and the warp positioning bandage 4 are fixedly bound outside the brain, the puncture director 3 is arranged at the intersection of the warp positioning bandage 4 and the weft positioning bandage 5, the positions of the positioning bulge 6, the positioning hole 7 and the observation hole 32 are overlapped, and the pointing position of the rotating rod 34 is the optimal puncture position.
Further, the method for determining the optimal puncture layer of the intracranial hematoma cavity by CT image in the step a comprises the following steps: the area of the hematoma cavity on the CT image is the largest; the method for determining the optimal puncture angle of the intracranial hematoma cavity through CT images in the step a comprises the following steps: hematoma cavities span the largest along the radius of the brain.
The foregoing is merely illustrative of the present invention, and the present invention is not limited thereto, and any changes or substitutions easily contemplated by those skilled in the art within the scope of the present invention should be included in the scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.
Claims (7)
1. A positioner for intracranial hematoma cavity drainage art, it includes location scale (1), locating frame (2), location bandage and puncture director (3), the location bandage includes warp direction location bandage (4) and latitudinal direction location bandage (5), its characterized in that: the positioning frame (2) is arranged in a crisscross shape, the intersection of the positioning frame (2) is arranged at the top of the brain shell, and a positioning scale (1) is detachably arranged above the intersection of the positioning frame (2); the positioning scale (1) comprises a fixed part (11) and a rotating part (12), wherein the fixed part (11) is also arranged in a crisscross shape, the projection positions of the positioning frame (2) relative to the fixed part (11) are overlapped, and the rotating part (12) performs rotary motion around the circumferential direction of the intersection of the fixed part; the warp-direction positioning binding band (4) is hinged at the intersection of the positioning frame (2), the projection positions of the warp-direction positioning binding band (4) relative to the rotating part (12) are overlapped, 11 positioning bulges (6) are arranged on the outer side surface of the warp-direction positioning binding band (4) from top to bottom, the positions of the positioning bulges (6) correspond to the scanning layer number of the brain CT image, and the interval between the adjacent positioning bulges (6) is 10mm; the weft positioning binding belt (5) is used for fixedly binding the tail ends of the positioning frame (2) and the warp positioning binding belt (4) outside the brain along the weft direction of the brain, and positioning holes (7) are formed in positions, corresponding to the positioning protrusions (6), of the weft positioning binding belt (5); puncture director (3) detachably sets up on latitudinal direction location bandage (5) and follows latitudinal direction location bandage (5) reciprocal slip, puncture director (3) include base plate (31), are provided with on base plate (31) and observe hole (32), observe hole (32) and locating hole (7) position coincidence mutually, span observe hole (32) and be provided with horizontal pole (33), and horizontal pole (33) middle part articulates there is rotary rod (34), and 180 degrees rotary motion are done around articulated department to rotary rod (34), rotary rod (34) are parallel to each other with rotary part (12).
2. The positioning device for intracranial hematoma cavity drainage according to claim 1, wherein: a handle (13) is arranged on the upper surface of the fixing part (11) perpendicular to the positioning scale (1).
3. The positioning device for intracranial hematoma cavity drainage according to claim 1, wherein: 11 convex points (21) are also arranged on the outer side surface of the positioning frame (2) from top to bottom, the positions of the convex points (21) correspond to the scanning layer number of the brain CT image, the interval between the adjacent convex points (21) is 10mm, and the diameter of the convex points (21) is 2mm.
4. The positioning device for intracranial hematoma cavity drainage according to claim 1, wherein: the diameter of the positioning bulge (6) on the warp-direction positioning bandage (4) is 4mm.
5. The positioning device for intracranial hematoma cavity drainage according to claim 1, wherein: the weft positioning binding band (5) is an elastic binding band.
6. The positioning device for intracranial hematoma cavity drainage according to claim 1, wherein: the positioning frame (2) and the warp positioning binding belt (4) are both made of silica gel materials.
7. The positioning device for intracranial hematoma cavity drainage according to claim 1, wherein: the substrate (31) is made of a transparent material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710458074.3A CN107348997B (en) | 2017-06-16 | 2017-06-16 | Positioning device for intracranial hematoma cavity drainage |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710458074.3A CN107348997B (en) | 2017-06-16 | 2017-06-16 | Positioning device for intracranial hematoma cavity drainage |
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| CN107348997A CN107348997A (en) | 2017-11-17 |
| CN107348997B true CN107348997B (en) | 2023-09-12 |
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| CN201710458074.3A Active CN107348997B (en) | 2017-06-16 | 2017-06-16 | Positioning device for intracranial hematoma cavity drainage |
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Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN107898490B (en) * | 2017-12-07 | 2024-05-28 | 无锡圣诺亚科技有限公司 | Universal puncture locator |
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| CN203555817U (en) * | 2013-11-07 | 2014-04-23 | 马辉福 | Simple puncture locator for intracranial hematoma |
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| CN207693658U (en) * | 2017-06-16 | 2018-08-07 | 薛宇龙 | A kind of positioning device for intracranial hematoma chamber drainage |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB0905352D0 (en) * | 2009-03-30 | 2009-05-13 | Barking Havering And Redbridge | Device |
| US20120203236A1 (en) * | 2011-02-04 | 2012-08-09 | Mamourian Alexander C | Surgical guide |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2395705Y (en) * | 1999-10-29 | 2000-09-13 | 涂明义 | Puncture position finder for intracranial hematoma |
| CN2555796Y (en) * | 2002-07-30 | 2003-06-18 | 吴新立 | Helmet position finder for craniocerebral microwound puncture |
| CN200951090Y (en) * | 2006-07-14 | 2007-09-26 | 孟昭民 | Craniocerebral puncture orienting device |
| AU2007322982A1 (en) * | 2006-10-23 | 2008-05-29 | Hirdesh Sahni | An image guided whole body stereotactic needle placement device with falling arc |
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| CN202051739U (en) * | 2011-04-29 | 2011-11-30 | 李红 | CT-guided percutaneous transthoracic needle biopsy positioning system |
| CN203555817U (en) * | 2013-11-07 | 2014-04-23 | 马辉福 | Simple puncture locator for intracranial hematoma |
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