CN107684440A - The detection method and its device of a kind of thrombus - Google Patents
The detection method and its device of a kind of thrombus Download PDFInfo
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- CN107684440A CN107684440A CN201711057176.0A CN201711057176A CN107684440A CN 107684440 A CN107684440 A CN 107684440A CN 201711057176 A CN201711057176 A CN 201711057176A CN 107684440 A CN107684440 A CN 107684440A
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- thrombus
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
- A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
- A61B8/0833—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures
- A61B8/085—Detecting organic movements or changes, e.g. tumours, cysts, swellings involving detecting or locating foreign bodies or organic structures for locating body or organic structures, e.g. tumours, calculi, blood vessels, nodules
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Abstract
The invention discloses a kind of detection method of thrombus and its device, it is characterised in that including:One fixed part, is fixed on the distal end in thrombus portion to be checked, and winding is closely buckled in human body to block blood backflow;One charging portion, it is connected by pipeline with fixed part, fixed part is kept the state tightened up or loosened by way of inflation;One supersonic detection device, to carry out ultrasound detection to thrombus portion to be checked;The present invention is detected using blocked method to phlebothrombosis, compared with existing extrusion, has more preferable security and recall rate.
Description
Technical field:
The invention discloses a kind of detection method of thrombus and its device, in particular to using blocked method detection thrombus method and
Device.
Background technology:
Thrombus is the fritter that blood flow is formed on the surface of cardiovascular system blood vessel inner face exfoliation or mend.
Thrombus detection mainly has two kinds of chemical examination and PE, and color doppler flow imaging instead of substantially at present
Phlebography, turn into the preferred inspection method of thrombus detection.It has the advantages that inspection operation is easy, noninvasive, inexpensive, and instrument
It is removable can be by bed or emergency ward inspection, diagnostic result are more reliable compared with phlebography.
Existing more report in thrombus ultrasound document.Although because of instrument, personal gimmick and each mechanism
Performance has some differences, but relatively unified.Vascular ultrasound is generally recommended with 5 ~ 7.5MHz linear array probes, dorsal position or
Semireclining position scanning, when above-mentioned position check still Bu can Que Ding popliteal vein the problem of when can use erect position or semireclining position.Ultrasound Instrument
Device regulation is appropriate make colorful blood full more plentiful and without ' overflow ', when Deep venou colorful blood can not clearly show that, Ying Shi
When the two peacekeeping colored hair radio frequency rates that reduce.
Even if in this way, for the thrombus of early stage, thrombus ultrasound shadow can not be still clearly showed that using ultrasonic examination
Picture, therefore, often need to be by means of householder method.At present, conventional householder method mainly has extrusion, uses the above method, though
Contribute to color doppler flow imaging, still, confirmed by putting into practice, thrombus breaks loose is likely to result in using extrusion simultaneously,
So as to further result in more serious consequence.
The content of the invention:
The first aspect of the present invention purpose is to provide a kind of thrombus detection dress simple to operate, detection is accurate and without any side effects
Put.
The technical scheme that the present invention takes is as follows:
A kind of detection means of thrombus, it is characterised in that including:
One fixed part, is fixed on the distal end in thrombus portion to be checked, and winding is closely buckled in human body to block blood backflow;
One charging portion, it is connected by pipeline with fixed part, fixed part is kept the shape tightened up or loosened by way of inflation
State;
One supersonic detection device, to carry out ultrasound detection to thrombus portion to be checked.
The second aspect of the present invention purpose is to provide a kind of detection method of thrombus, it is characterised in that using blocked method pair
Phlebothrombosis is detected, and specifically includes following steps:
(1), by patient keep lateral position posture;
(2), fixed part is fixed on to the centimeters of distal end 5~10 in thrombus portion to be checked;
(3), by pressing/release charging portion, fixed part is kept deflation/relaxation state,
(4), imaged for portion to be checked using supersonic detection device, while by adjusting charging portion, control the pressure of fixed part
Try hard to keep and hold 0.03~0.08MPA, prevent blood backflow, obtain ultrasonic image.
Further it is provided in:
The supersonic detection device is color doppler flow imaging instrument.
Using phlebothrombosis phlebothrombosis, right side gastrocnemius flesh above-mentioned detection method popliteal phlebothrombosis, left side flesh
Detected.
Fixed part is fixed on to the centimeters of distal end 5 in thrombus portion to be checked, to prevent blood backflow when carrying out ultrasonoscopy.
When carrying out ultrasonoscopy, the pressure of fixed part keeps 0.05~0.06MPA.
Beneficial effects of the present invention are as follows:
1st, detection method is compared with existing extrusion:
Security:For the present invention without extruding thrombi, effectively prevent extrusion causes the danger of thrombus breaks loose, peace
Full property is higher;
Image definition:Using the blocked method detection method and device of the present invention, compared with prior art, it is higher clear to have
Degree, and operate more easy.
Testing result:The recall rate of existing extrusion is 60%, and blocked method recall rate of the present invention is 100%.
2nd, the influence of detection method, different pressures and distance for ultrasound detection.
The present invention is detected using blocked method to phlebothrombosis, and its influence factor is mainly distance and occluding pressure.Through
Clinical trial, which is summarized, to be found:Chosen distance portion to be checked(At thrombosis)During 5cm, occluding pressure scope is in 0.05~0.06MPA
When, the Color Doppler Flow image of formation is the most clear.
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 detection means of the present invention;
Fig. 2-1 is that detection method detects left side deep veins of lower limb(Popliteal vein hypomere)Thrombotic two dimensional image;
Fig. 2-2 is that detection method detects left side deep veins of lower limb(Popliteal vein hypomere)The colored displays of thrombotic CDFI
Image;
Fig. 3 is the ultrasonic image that vein acquisition between the flesh of left side is detected using detection method;
Fig. 4-1 is the bidimensional image obtained on the left of detection method detects between flesh during vein 0.05MPA pressure;
Fig. 4-2 is the colored display ultrasounds of the CDFI obtained on the left of detection method detects between flesh during vein 0.05MPA pressure
Image;
Fig. 4-3 is that detection method detects vein between the flesh of left side(When at 10cm)When the bidimensional image that obtains;
Fig. 4-4 is that detection method detects vein between the flesh of left side(When at 10cm)When the CDFI that obtains is colored shows ultrasonic shadow
Picture;
Fig. 5 is the colored displays of the CDFI obtained on the right side of detection method detects between gastrocnemius flesh during vein 0.03MPA pressure
Ultrasonic image;
Fig. 6 is the colored displays of the CDFI obtained on the right side of detection method detects between gastrocnemius flesh during vein 0.08MPA pressure
Ultrasonic image;
Fig. 7 is the ultrasonic image that vein acquisition between the flesh of left side is detected using existing extrusion.
Embodiment:
Embodiment 1:
As shown in figure 1, a kind of detection means of thrombus, including:
One fixed part 1, is fixed on to be checked(Thrombus)The distal end in portion 5, winding are closely buckled in human body to block blood backflow;
One charging portion 2, it is connected by pipeline 3 with fixed part 1, makes fixed part 1 keep tightening up or loosening by way of inflation
State.
One supersonic detection device 4, to to be checked(Thrombus)Portion 5 carries out ultrasound detection.
Above-mentioned thrombus detection means is used below, different parts phlebothrombosis is detected respectively, and count it respectively
Effect.
Embodiment 2:Popliteal phlebothrombosis detects:
1st, patient is kept into lateral position posture;
2nd, fixed part is fixed on portion to be checked(Popliteal vein)The centimeters of distal end 5;
3rd, by pressing/release charging portion, fixed part is made to keep deflation/relaxation state,
4th, using supersonic detection device(Color doppler flow imaging)Image for portion to be checked, while inflated by adjusting
Portion, control the pressure of fixed part to keep 0.03MPA, adjust color doppler flow imaging readability;
5th, left side deep veins of lower limb is obtained(Popliteal vein hypomere)Thrombosis two dimension and CDFI color display images, such as Fig. 2-1, figure
Shown in 2-2.
Embodiment 3:Phlebothrombosis detects between the flesh of left side:
1st, patient is kept into lateral position posture;
2nd, fixed part is fixed on portion to be checked(Phlebothrombosis between the flesh of left side)The centimeters of distal end 5;
3rd, start charging portion, make fixed part keep loosening or deflated state,
4th, use(Color doppler flow imaging)Supersonic detection device images for portion to be checked, while is inflated by adjusting
Portion, the pressure of fixed part is controlled to keep 0.03MPA, to adjust color doppler flow imaging readability.
5th, it is as shown in Figure 3 to obtain clear Color Doppler Flow image.
Embodiment 4:
With embodiment 3, difference is detection method:
By adjusting charging portion, control the pressure of fixed part in 0.05MPA, obtain two dimension and CDFI color display images such as Fig. 4-
1st, shown in Fig. 4-2.
Adjust the centimeters of distal end 10 in position to the portion to be checked of fixed part;Two dimension and CDFI color display images are obtained as schemed
Shown in 4-3, Fig. 4-4.
Embodiment 5:Phlebothrombosis detects between the gastrocnemius flesh of right side:
1st, patient is kept into lateral position posture;
2nd, fixed part is fixed on portion to be checked(Phlebothrombosis between the gastrocnemius flesh of right side)The centimeters of distal end 5;
3rd, start charging portion, make fixed part keep loosening or deflated state,
4th, use(Color doppler flow imaging)Supersonic detection device images for portion to be checked, while is inflated by adjusting
Portion, the pressure of fixed part is controlled in 0.03MPA, to adjust color doppler flow imaging readability.
5th, it is as shown in Figure 5 to obtain clear Color Doppler Flow image.
Embodiment 6:
With embodiment 5, difference is detection method:
By adjusting charging portion, the pressure of fixed part is controlled to obtain clear Color Doppler Flow image such as Fig. 6 in 0.08MPA
It is shown.
Comparative example:Quiet thrombus the flesh of left side is detected using existing extrusion.
1st, patient is kept into lateral position posture;
2nd, under normal condition, use(Color doppler flow imaging)Supersonic detection device images for portion to be checked.
3rd, by directly extruding portion to be checked, and use(Color doppler flow imaging)Supersonic detection device for
Portion to be checked is imaged, and it is as shown in Figure 7 to obtain Color Doppler Flow image.
Comparative analysis:
1st, detection method compares with existing extrusion:
Security:For the present invention without extruding thrombi, effectively prevent extrusion causes the danger of thrombus breaks loose, peace
Full property is higher;
Image definition:Blocked method detection method and device using the present invention can be seen that by Fig. 3, Fig. 7, with existing skill
Art is compared, and has higher definition, and operate more easy.
Testing result:The recall rate of existing extrusion is 60%, and blocked method recall rate of the present invention is 100%.
2nd, the influence of detection method, different pressures and distance for ultrasound detection.
2-6 can be seen that in conjunction with the embodiments:Phlebothrombosis is detected using blocked method, its influence factor mainly away from
From and occluding pressure.
Distance:It is typically chosen apart from portion to be checked(At thrombosis)5-10cm is preferred, especially apart from portion 5cm to be checked when,
The Color Doppler Flow image of formation is the most clear.
Occluding pressure:In conjunction with the embodiments control as can be seen that optimal occluding pressure scope in 0.03~0.08MPA, especially
It is pressure value in 0.05~0.06MPA, obtained Color Doppler Flow image is the most clear.
Summarize:
Through Summary of Clinical Research, phlebothrombosis detection is carried out using the blocked method of the present invention, by patient's thrombus distal end 5-10
Centimetre it is fixed, pressure is then adjusted by charging portion, by the way that different clear journeys to changing in Hemodynamics, can be obtained
The Color Doppler Flow image of degree, is counted after testing:Thrombus recall rate is 100%.
Claims (6)
- A kind of 1. detection means of thrombus, it is characterised in that including:One fixed part, is fixed on the distal end in thrombus portion to be checked, and winding is closely buckled in human body to block blood backflow;One charging portion, it is connected by pipeline with fixed part, fixed part is kept the shape tightened up or loosened by way of inflation State;One supersonic detection device, to carry out ultrasound detection to thrombus portion to be checked.
- 2. a kind of detection method of thrombus, it is characterised in that detected, specifically included following to phlebothrombosis using blocked method Step:(1), by patient keep lateral position posture;(2), fixed part is fixed on to the centimeters of distal end 5~10 in thrombus portion to be checked;(3), by pressing/release charging portion, fixed part is kept deflation/relaxation state,(4), imaged for portion to be checked using supersonic detection device, while by adjusting charging portion, control the pressure of fixed part Try hard to keep and hold 0.03~0.08MPA, prevent blood backflow, obtain ultrasonic image.
- A kind of 3. detection method of thrombus according to claim 2, it is characterised in that:The supersonic detection device is colored more General Le blood flow display instrument.
- A kind of 4. detection method of thrombus according to claim 2, it is characterised in that:Using above-mentioned detection method Dui popliteal veins Phlebothrombosis is detected between phlebothrombosis, right side gastrocnemius flesh between thrombus, left side flesh.
- A kind of 5. detection method of thrombus according to claim 2, it is characterised in that:Fixed part is fixed on thrombus portion to be checked The centimeters of distal end 5, to prevent blood backflow when carrying out ultrasonoscopy.
- A kind of 6. detection method of thrombus according to claim 2, it is characterised in that:When carrying out ultrasonoscopy, fixed part Pressure keeps 0.05~0.06MPA.
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN109124688A (en) * | 2018-10-09 | 2019-01-04 | 南昌航空大学 | A kind of wearable ultrasonic thrombus detection device |
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CN103230255A (en) * | 2013-03-27 | 2013-08-07 | 周辉 | Device and method for diagnosing blood vessel blockage part |
WO2014052311A1 (en) * | 2012-09-25 | 2014-04-03 | The Board Of Trustees Of The University Of Arkansas | Sonolysis with biodegradable nanoparticles |
CN204723129U (en) * | 2015-05-27 | 2015-10-28 | 徐州医学院 | Distal limb extruding instrument |
CN205041437U (en) * | 2015-09-29 | 2016-02-24 | 洛阳康立医疗器械有限公司 | Supersound cerebral thrombus disappears and dissolves appearance with difunctional compound sound head of diagnoses and treatment |
KR20170093378A (en) * | 2016-02-05 | 2017-08-16 | 전북대학교산학협력단 | Plaque Detection System and Method |
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Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2014052311A1 (en) * | 2012-09-25 | 2014-04-03 | The Board Of Trustees Of The University Of Arkansas | Sonolysis with biodegradable nanoparticles |
CN103230255A (en) * | 2013-03-27 | 2013-08-07 | 周辉 | Device and method for diagnosing blood vessel blockage part |
CN204723129U (en) * | 2015-05-27 | 2015-10-28 | 徐州医学院 | Distal limb extruding instrument |
CN205041437U (en) * | 2015-09-29 | 2016-02-24 | 洛阳康立医疗器械有限公司 | Supersound cerebral thrombus disappears and dissolves appearance with difunctional compound sound head of diagnoses and treatment |
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CN109124688A (en) * | 2018-10-09 | 2019-01-04 | 南昌航空大学 | A kind of wearable ultrasonic thrombus detection device |
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Application publication date: 20180213 |