CN108078635A - A kind of CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies breathing positioner and its application method - Google Patents
A kind of CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies breathing positioner and its application method Download PDFInfo
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- CN108078635A CN108078635A CN201710102507.1A CN201710102507A CN108078635A CN 108078635 A CN108078635 A CN 108078635A CN 201710102507 A CN201710102507 A CN 201710102507A CN 108078635 A CN108078635 A CN 108078635A
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- support plate
- laser lamp
- transparent panel
- breathing
- positioner
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- 238000001574 biopsy Methods 0.000 title claims abstract description 26
- 230000029058 respiratory gaseous exchange Effects 0.000 title claims abstract description 20
- 238000000034 method Methods 0.000 title claims abstract description 9
- 230000003902 lesion Effects 0.000 claims description 11
- 230000000241 respiratory effect Effects 0.000 claims description 8
- 210000000038 chest Anatomy 0.000 claims description 6
- 241000252254 Catostomidae Species 0.000 claims description 3
- 210000001015 abdomen Anatomy 0.000 claims description 3
- 238000005452 bending Methods 0.000 claims description 3
- 230000004807 localization Effects 0.000 claims description 3
- 239000000463 material Substances 0.000 claims description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 3
- 210000002417 xiphoid bone Anatomy 0.000 claims description 3
- 230000005855 radiation Effects 0.000 abstract description 2
- 238000005516 engineering process Methods 0.000 description 4
- 210000004072 lung Anatomy 0.000 description 4
- 206010058467 Lung neoplasm malignant Diseases 0.000 description 2
- 238000003745 diagnosis Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000011156 evaluation Methods 0.000 description 2
- 201000005202 lung cancer Diseases 0.000 description 2
- 208000020816 lung neoplasm Diseases 0.000 description 2
- 235000014653 Carica parviflora Nutrition 0.000 description 1
- 241000243321 Cnidaria Species 0.000 description 1
- 206010036790 Productive cough Diseases 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000013276 bronchoscopy Methods 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 238000012258 culturing Methods 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000003912 environmental pollution Methods 0.000 description 1
- 238000012333 histopathological diagnosis Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 210000004224 pleura Anatomy 0.000 description 1
- 201000003144 pneumothorax Diseases 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 208000023504 respiratory system disease Diseases 0.000 description 1
- 238000012216 screening Methods 0.000 description 1
- 210000003802 sputum Anatomy 0.000 description 1
- 208000024794 sputum Diseases 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 238000012549 training Methods 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
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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
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
-
- 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)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Pathology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
Abstract
The invention discloses a kind of CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies breathing positioner and its application methods, positioner includes holder part and human identification part, holder part includes being equipped with the A-frame of fixed slip bar, is slidably installed on fixed slip bar and is useful for the laser lamp fixing bracket of fixed laser lamp；The human identification part includes support plate, and support plate lower part is set there are two geometrical clamp, and the corner of support plate is mounted on sucker, and the transparent panel for setting scale is equipped in support plate；In use, adjusting laser lamp its laser point is highly made to fall on transparent panel, control of breathing situation is punctured according to location determination of laser point during breathing on transparent panel, ensures to be accurate to preset level into biopsy needle；It reduces scanning dose of radiation and repeatedly punctures the complication risk brought, greatly reduce operative failure risk, improve puncture success rate；At low cost, operation difficulty is small, has very big clinical value and economic results in society.
Description
Technical field
The present invention relates to a kind of medical auxiliary apparatus, are specifically a kind of CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies breathing positioning dress
It puts and its application method.
Background technology
With industrial development, environmental pollution getting worse, while aging of population, respiratory disease, which has become, influences people
People's health principal element, particularly lung cancer morbidity rate rise year by year, some patients with lung cancer have been middle and advanced stages when finding, lose root
Chance is controlled, therefore is early diagnosed extremely critical；However some lesion lists can not be obtained from image and Sputum culturing, bronchoscopy
Accurate Diagnosis is, it is necessary to histopathological diagnosis, and conventional method is by opening the work of chest biopsy or B ultrasound Guided Percutaneous Transthoracic Needle Aspiration Biopsy
Art, although the former obtains, tissue specimen is big, and wound is big, costly；The latter, which can only be directed to, is located at subpleural lesion, is applicable in few
Some patientss, CT guided biopsies are a kind of Minimal Invasive Biopsy technologies for rapidly developing and promoting in recent years, domestic at present
Outer technique is quite ripe.
The Lesions that Pulmonary nodular lesion core is located at lung peripheral region, close pleura or the wall of the chest are more difficult, utilize
CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies art can carry out lump clinical etiologic diagnosis, formulate therapeutic scheme and prognosis；Institute before puncture
There is patient to make conventional Enhanced CT, it is preoperative to look into bleeding and cotting time and platelet count etc.；Stringent screening idicatio, contraindication,
Puncture is made to determine；CT guided biopsies are preoperative and Intraoperative position is successful surgery key, general using training patient
It holds one's breath and body surface coral column positioning mode, the domestic provincial Grade A hospital of small part introduces external auxiliary system laser positioning using external,
The equipment price is expensive, Difficulty, using twice sweep in art, is operated after whether evaluation breathing is consistent and is divided to two
Footwork carries out inserting needle, increases inserting needle accuracy and biopsy success rate, mentions breathing whether unanimously carry out two in technical operation twice
Secondary scanning, but be difficult often to judge that whether unanimously thorax rises and falls before and after judging to breathe by naked eyes in real work, patient
Itself feel to be also to be difficult to control, particularly under tense situation, frequently encounter that control of breathing is bad to cause lung in clinical position
Inner disease foci is shifted, it is necessary to reposition multiple scanning and puncture again, the generation of pneumothorax complication is greatly increased, so as to cause operation
Risk of failure；In clinical position, the reason for puncture failure is most direct is exactly that patient respiratory cooperation is bad, when lesion is less than<3cm is then
Easily influenced by breathing, special two lobi inferiors lesion because diaphram participate in breathing up and down shift range it is big, therefore two lower lung lesions by
Breathing influences maximum；It is domestic at present for control of breathing is punctured still in the subjective judgement stage, without objective evaluation standard, it is necessary to
Design and research and develop it is a kind of can accurate judgement breathing degree, it is accurate positioning, at low cost, convenient for contributing to of popularizing under CT guides
The device of aspiration biopsy positioning, to fill up current technology blank.
The content of the invention
A kind of CT Guided Percutaneous lungs it is an object of the invention to provide simple in structure, simple operation, accurate positioning are worn
Biopsy breathing positioner and its application method are pierced, to solve the problems mentioned in the above background technology.
To achieve the above object, the present invention provides following technical solution：
A kind of CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies breathe positioner, including holder part and human identification part；Institute
Stating holder part includes A-frame, fixed slip bar, laser lamp fixing bracket and laser lamp；Clamping is set on the A-frame
Seat, clamping seat top are equipped with fixed slip bar, and screw thread is provided on fixed slip bar, are slided on fixed slip bar and are provided with laser lamp and consolidate
Fixed rack is equipped with laser lamp on laser lamp fixing bracket；The human identification part includes support plate, sucker and transparent panel,
Support plate is made of flexible material, has bending, and the corner of support plate is mounted on sucker, and the midline position of support plate is vertical
Transparent panel is installed, transparent panel on the supporting plate, is provided with scale by two geometrical clamp installations on transparent panel.
As further scheme of the invention：The A-frame includes three supporting legs, and one end of three supporting legs is fixed
On clamping seat, the other end of three supporting legs is mounted on plastic mattress.
As further scheme of the invention：Rotary switch is installed on the laser lamp fixing bracket.
As further scheme of the invention：The use of the CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies breathing positioner
Method comprises the following steps：
1) operation principle：Judge patient respiratory amplitude, normal person, which breathes thorax and abdomen, fluctuating, and fluctuating size description is exhaled
Inhale the depth, if rise and fall unanimously illustrate to breathe the front and rear depth it is the same.
2) human identification part is put on patient body first, support plate is horizontally fixed on human body sword by 4 suckers
Under prominent；
3) it is cradle portion is discrete beside patient, open laser lamp；
4) the support bracket fastened height of laser lamp is adjusted by rotation turn switch so that laser point is incident upon on transparent panel；
5) laser point is moved up and down with the patient respiratory depth, and laser point of holding one's breath after air-breathing twice is located at same on transparent panel
Position, judgement hold one's breath that position is the same, and intrapulmonary lesion front and back position is constant twice, realize into biopsy needle Needle localization to default water
It is flat.
Compared with prior art, the beneficial effects of the invention are as follows：The configuration of the present invention is simple, manufacturing cost are low, are easy to use,
In use, only human identification part need to be put on patient body, support plate is horizontally fixed on by sucker under human body xiphoid-process, will
Cradle portion is discrete beside patient, opens laser lamp, and the support bracket fastened height of laser lamp is adjusted through rotation turn switch so that
Laser point is incident upon on transparent panel, and laser point is moved up and down with the patient respiratory depth, if holding one's breath laser point position after air-breathing twice
In same position on transparent panel, illustrating to hold one's breath twice, position is the same, and intrapulmonary lesion front and back position is constant, and it is accurate into biopsy needle to ensure
It is easy to operate to preset level, visual result；It is of the invention objective to judge whether the front and rear breathing of patient is consistent, is swept so as to reduce
It retouches dose of radiation and repeatedly punctures the complication risk brought, greatly reduce operative failure risk, the present invention thoroughly solves
Breathing influence problem greatly improves puncture success rate, reduces complication rate, and due at low cost, operation difficulty is small, energy
Quickly popularization and application, have very big clinical value and economic results in society.
Description of the drawings
Fig. 1 is the structure diagram of holder part in the present invention.
Fig. 2 is the structure diagram of human identification part in the present invention.
Specific embodiment
The technical solution of this patent is described in more detail With reference to embodiment.
- 2 are please referred to Fig.1, a kind of CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies breathe positioner, including holder part and human body
Identification division；The holder part includes A-frame, fixed slip bar 4, laser lamp fixing bracket 6 and laser lamp 7；The triangle
Stent includes three supporting legs 2, and clamping seat 3 is set on A-frame, and one end of three supporting legs 2 is fixedly mounted on clamping seat 3, and three
The other end of a supporting leg 2 is mounted on plastic mattress 1, and 3 top of clamping seat is equipped with fixed slip bar 4, spiral shell is provided on fixed slip bar 4
Line slides on fixed slip bar 4 and is provided with laser lamp fixing bracket 6, rotary switch 5, laser are equipped on laser lamp fixing bracket 6
Laser lamp 7 is installed on lamp fixing bracket 6；The human identification part includes support plate 9, sucker 8 and transparent panel 11, support plate
9 support for flexible material, have bending, and the corner of support plate 9 is mounted on sucker 8, and the midline position of support plate 9 is pacified vertically
Equipped with transparent panel 11, transparent panel 11 is mounted on by two geometrical clamps 10 in support plate 9, and scale 12 is provided on transparent panel 11.
The application method of the CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies breathing positioner, comprises the following steps：
1) operation principle：Judge patient respiratory amplitude, normal person, which breathes thorax and abdomen, fluctuating, and fluctuating size description is exhaled
Inhale the depth, if rise and fall unanimously illustrate to breathe the front and rear depth it is the same.
2) human identification part is put on patient body first, support plate 9 is horizontally fixed on human body by 4 suckers 8
Under xiphoid-process；
3) it is cradle portion is discrete beside patient, open laser lamp 7；
4) height of laser lamp fixing bracket 6 is adjusted by rotation turn switch 5 so that laser point is incident upon transparent panel 11
On；
5) laser point is moved up and down with the patient respiratory depth, and laser point of holding one's breath after air-breathing twice is located on transparent panel 11 together
One position, judgement hold one's breath that position is the same, and intrapulmonary lesion front and back position is constant twice, realize into biopsy needle Needle localization to default water
It is flat.
The better embodiment of this patent is explained in detail above, but this patent is not limited to above-mentioned embodiment party
Formula, can also be on the premise of this patent objective not be departed from the knowledge that one skilled in the relevant art possesses
It makes a variety of changes.
Claims (4)
1. a kind of CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies breathe positioner, including holder part and human identification part；It is special
Sign is：The holder part includes A-frame, fixed slip bar (4), laser lamp fixing bracket (6) and laser lamp (7)；It is described
Clamping seat (3) is set on A-frame, and clamping seat (3) top is equipped with fixed slip bar (4), and fixed slip bar is provided with spiral shell on (4)
Line slides on fixed slip bar (4) and is provided with laser lamp fixing bracket (6), and laser lamp fixing bracket is equipped with laser lamp on (6)
(7)；The human identification part includes support plate (9), sucker (8) and transparent panel (11), and support plate (9) is flexible material branch
Support has bending, and the corner of support plate (9) is mounted on sucker (8), and the midline position of support plate (9) is vertically-mounted to be had
Isotropic disk (11), transparent panel (11) are mounted on by two geometrical clamps (10) in support plate (9), and transparent panel is provided with scale on (11)
(12)。
2. CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies according to claim 1 breathe positioner, which is characterized in that described three
Angle support includes three supporting legs (2), and one end of three supporting legs (2) is fixedly mounted on clamping seat (3), three supporting legs (2) it is another
One end is mounted on plastic mattress (1).
3. CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies according to claim 1 breathe positioner, which is characterized in that described to swash
Rotary switch (5) is installed on light lamp fixing bracket (6).
4. the application method of positioner is breathed according to any CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies of claim 1-3,
It is characterised in that it includes following steps：
1) operation principle：Judge patient respiratory amplitude, normal person breathes thorax and abdomen has fluctuating, and the breathing of fluctuating size description is deep
It is shallow, if rise and fall unanimously illustrate to breathe the front and rear depth it is the same.
2) human identification part is put on patient body first, support plate (9) is horizontally fixed on human body by 4 suckers (8)
Under xiphoid-process；
3) it is cradle portion is discrete beside patient, open laser lamp (7)；
4) height of laser lamp fixing bracket (6) is adjusted by rotation turn switch 5 so that laser point is incident upon transparent panel (11)
On；
5) laser point is moved up and down with the patient respiratory depth, and laser point of holding one's breath after air-breathing twice is located at same on transparent panel (11)
Position, judgement hold one's breath that position is the same, and intrapulmonary lesion front and back position is constant twice, realize into biopsy needle Needle localization to default water
It is flat.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710102507.1A CN108078635A (en) | 2017-02-24 | 2017-02-24 | A kind of CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies breathing positioner and its application method |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710102507.1A CN108078635A (en) | 2017-02-24 | 2017-02-24 | A kind of CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies breathing positioner and its application method |
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| Publication Number | Publication Date |
|---|---|
| CN108078635A true CN108078635A (en) | 2018-05-29 |
Family
ID=62170721
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710102507.1A Pending CN108078635A (en) | 2017-02-24 | 2017-02-24 | A kind of CT Guided Percutaneous Transthoracic Needle Aspiration Biopsies breathing positioner and its application method |
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| Country | Link |
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| CN (1) | CN108078635A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109620303A (en) * | 2018-11-26 | 2019-04-16 | 苏州朗开医疗技术有限公司 | A kind of lung's aided diagnosis method and device |
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| JP2000201922A (en) * | 1999-01-14 | 2000-07-25 | Natl Inst Of Radiological Sciences | Respiration synchronizing control device and respiration synchronizing control medical equipment |
| JP2002360543A (en) * | 2001-06-12 | 2002-12-17 | Sangaku Renkei Kiko Kyushu:Kk | Method for deciding synchronizing point in breathing phase and breathing phase monitoring device to be used for it |
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| Publication number | Priority date | Publication date | Assignee | Title |
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