CN107374754B - 用于脑瘫sdr的脊椎定位标尺 - Google Patents

用于脑瘫sdr的脊椎定位标尺 Download PDF

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CN107374754B
CN107374754B CN201710801098.4A CN201710801098A CN107374754B CN 107374754 B CN107374754 B CN 107374754B CN 201710801098 A CN201710801098 A CN 201710801098A CN 107374754 B CN107374754 B CN 107374754B
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positioning
sdr
cerebral palsy
nerve root
positioning hole
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CN107374754A (zh
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张海石
牛金民
张秀琴
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Shanghai Guangyunda Digital Medical Technology Co ltd
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    • 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
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • B—PERFORMING OPERATIONS; TRANSPORTING
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    • B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2068—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis using pointers, e.g. pointers having reference marks for determining coordinates of body points
    • 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

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Abstract

一种用于脑瘫SDR的脊椎定位标尺，涉及医疗器材技术领域，所解决的是减少手术时间及降低手术风险的技术问题。该定位标尺包括基板，及固定在基板正面的手柄；所述基板的背面是与手术目标区域的体表面互补的曲面，基板上开设有用于卡住人体髂骨的左右各一个髂骨定位孔，及用于卡住人体脊椎上的棘突的棘突定位孔，及多个神经根定位孔，各个神经根定位孔分别开设在各个手术目标神经的神经根位置。本发明提供的定位标尺，适用于脑瘫SDR手术。

Description

用于脑瘫SDR的脊椎定位标尺
技术领域
本发明涉及医疗器材技术，特别是涉及一种用于脑瘫SDR的脊椎定位标尺的技术。
背景技术
脑瘫SDR手术（选择性脊神经后根切断术）是神经外科治疗脑瘫的经典手术方式，从多节段的椎板切开发展到单椎板切开，可以最大程度地实现微创理念；术中电生理监测技术的应用，可以更好地实现降低目标肌肉或肌群痉挛状态、保护脊神经功能的作用。术后康复团队早期床旁康复，可以有效防止患儿卧床时间过长造成的关节僵硬与肌肉萎缩。
现有的SDR手术方式主要是开放手术，开放手术创伤大，手术风险高，手术时间较长，术中出血量相对较高，容易出现各种副损伤；术中为了显影，会给病人注射造影剂，影像病人健康；术中为了定位神经根位置，需要多次对病人进行C臂机透视，病人和医生的身体都会受到危害。
发明内容
针对上述现有技术中存在的缺陷，本发明所要解决的技术问题是提供一种能减少手术时间，降低手术风险的用于脑瘫SDR的脊椎定位标尺。
为了解决上述技术问题，本发明所提供的一种用于脑瘫SDR的脊椎定位标尺，其特征在于：包括基板，及固定在基板正面的手柄；
所述基板的背面是与手术目标区域的体表面互补的曲面，基板上开设有用于卡住人体髂骨的左右各一个髂骨定位孔，及用于卡住人体脊椎上的棘突的棘突定位孔，及多个神经根定位孔，各个神经根定位孔分别开设在各个手术目标神经的神经根位置。
本发明提供的用于脑瘫SDR的脊椎定位标尺，通过基板上的髂骨定位孔、棘突定位孔、手柄及基板背面的配合，可以将基板紧贴病人皮肤不发生相对位移，通过基板上的各个神经根定位孔可以在病人体表预先标定手术位置及切口大小，从而实现术前规划、切口可控，能减少手术时间，降低手术风险，能减少对于病人和医生不必要的照射。
附图说明
图1是本发明实施例的用于脑瘫SDR的脊椎定位标尺的结构示意图。
具体实施方式
以下结合附图说明对本发明的实施例作进一步详细描述，但本实施例并不用于限制本发明，凡是采用本发明的相似结构及其相似变化，均应列入本发明的保护范围，本发明中的顿号均表示和的关系。
如图1所示，本发明实施例所提供的一种用于脑瘫SDR的脊椎定位标尺，其特征在于：包括基板1，及固定在基板1正面的手柄2；
所述基板1的背面是与手术目标区域的体表面互补的曲面，基板1上开设有用于卡住人体髂骨的左右各一个髂骨定位孔3，及用于卡住人体脊椎上的棘突的棘突定位孔4，及多个神经根定位孔5，各个神经根定位孔5分别开设在各个手术目标神经的神经根位置。
本发明实施例中，所述髂骨定位孔为条形孔，棘突定位孔为矩形孔，神经根定位孔为圆形孔。
本发明实施例的适用于脑瘫SDR手术，其工作原理如下：
根据术前拍摄的病人CT，获取目标椎体的棘突和椎间孔位置，从而确定棘突定位孔4及各个神经根定位孔5的开设位置，再使用3D打印技术设计并制作脊椎定位标尺；手术时将基板安置在手术目标区域，基板的背面与病人体表贴合，并通过两个髂骨定位孔3卡住病人髂骨，通过棘突定位孔4卡住人体脊椎上的棘突，并轻按手柄2，使得基板紧贴病人皮肤不发生相对位移，然后再通过各个神经根定位孔5在病人体表标注各个手术目标神经的神经根位置，标注完成之后取走本标尺，即可根据标注进行下一步手术操作。

Claims (1)

1.一种用于脑瘫SDR的脊椎定位标尺，其特征在于：包括基板，及固定在基板正面的手柄；
所述基板的背面是与手术目标区域的体表面互补的曲面，基板上开设有用于卡住人体髂骨的左右各一个髂骨定位孔，及用于卡住人体脊椎上的棘突的棘突定位孔，及多个神经根定位孔，各个神经根定位孔分别开设在各个手术目标神经的神经根位置。
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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103932755A (zh) * 2014-05-09 2014-07-23 陆声 一种能够准确定位的截骨导航装置及其制备方法
CN104739501A (zh) * 2015-03-31 2015-07-01 首都医科大学附属北京友谊医院 3d打印的颈椎椎弓根螺钉导向植入板及其制备方法
CN204562351U (zh) * 2015-03-12 2015-08-19 谢友军 用于髋臼骨折的内固定解剖型接骨板
CN205698132U (zh) * 2016-04-29 2016-11-23 南方医科大学第三附属医院 骨盆周围恶性肿瘤切除后的局部组织结构个性化重建机构
CN206151634U (zh) * 2016-07-08 2017-05-10 北京大学人民医院 骶骨修复体

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060054171A1 (en) * 2004-09-15 2006-03-16 Bruce Dall Method and apparatus of approaching a joint
KR101137991B1 (ko) * 2009-09-30 2012-04-20 전남대학교산학협력단 영상기반의 환자 맞춤 의료형 척추 보형물의 제조방법 및 그 척추 보형물
EP2502582B1 (en) * 2011-03-25 2016-11-30 National Cheng Kung University Guiding assembly for spinal drilling operation
US9066734B2 (en) * 2011-08-31 2015-06-30 Biomet Manufacturing, Llc Patient-specific sacroiliac guides and associated methods
AU2014274748B2 (en) * 2013-06-07 2018-03-01 George Frey Patient-matched apparatus and methods for performing surgical procedures

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103932755A (zh) * 2014-05-09 2014-07-23 陆声 一种能够准确定位的截骨导航装置及其制备方法
CN204562351U (zh) * 2015-03-12 2015-08-19 谢友军 用于髋臼骨折的内固定解剖型接骨板
CN104739501A (zh) * 2015-03-31 2015-07-01 首都医科大学附属北京友谊医院 3d打印的颈椎椎弓根螺钉导向植入板及其制备方法
CN205698132U (zh) * 2016-04-29 2016-11-23 南方医科大学第三附属医院 骨盆周围恶性肿瘤切除后的局部组织结构个性化重建机构
CN206151634U (zh) * 2016-07-08 2017-05-10 北京大学人民医院 骶骨修复体

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