CN108742635A - In-vivo length measuring method and device for measuring physical length of in-vivo cavity and guide wire ruler thereof - Google Patents

In-vivo length measuring method and device for measuring physical length of in-vivo cavity and guide wire ruler thereof Download PDF

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Publication number
CN108742635A
CN108742635A CN201810666942.1A CN201810666942A CN108742635A CN 108742635 A CN108742635 A CN 108742635A CN 201810666942 A CN201810666942 A CN 201810666942A CN 108742635 A CN108742635 A CN 108742635A
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CN
China
Prior art keywords
contrast agent
seal wire
salient point
length
cavity
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Pending
Application number
CN201810666942.1A
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Chinese (zh)
Inventor
李鹏超
吕强
顾民
曹强
杨潇
成功
邓夏珩
程义东
陶俊
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
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Priority to CN201810666942.1A priority Critical patent/CN108742635A/en
Publication of CN108742635A publication Critical patent/CN108742635A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1076Measuring physical dimensions, e.g. size of the entire body or parts thereof for measuring dimensions inside body cavities, e.g. using catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/20Measuring for diagnostic purposes; Identification of persons for measuring urological functions restricted to the evaluation of the urinary system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6851Guide wires
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852Catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/48Diagnostic techniques
    • A61B6/481Diagnostic techniques involving the use of contrast agents

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Physiology (AREA)
  • Urology & Nephrology (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Apparatus For Radiation Diagnosis (AREA)

Abstract

A method for measuring the physical length of internal cavity channel includes such steps as inserting the guide ruler with convex points whose density is greater than that of contrast medium into urethra, inserting the catheter to the section to be measured of urethra, injecting contrast medium into urethra, filling contrast medium in urethra, stopping injection of contrast medium, directly acquiring the total number of convex points on urethra, and obtaining the physical length of urethra. The device comprises a catheter and a guide wire ruler, wherein the catheter is used for injecting contrast agent into the urethra and guiding the guide wire ruler into the urethra. The thread guide ruler comprises an elastic thread rod, wherein salient points are arranged on the elastic thread rod, and the distance between each pair of adjacent salient points is equal. The invention can accurately acquire the length parameter in an intuitive mode.

Description

It is a kind of for measure internal cavity physical length the long method, apparatus of survey in vivo and its Seal wire ruler
Technical field
The present invention relates to a kind of length measurement method, measuring motion and measuring appliances, more particularly to one kind is for measuring body The long method, apparatus of survey in vivo and its seal wire ruler of interior cavity physical length.
Background technology
Currently, measurement of length mainly uses the equipment such as gage, length measuring instrument, since these long methods of survey or instrument are It is directly measured from the outside of measurand, however, urethra is located in the bodies such as human body, animal, due to bodies such as human body, animals Blocking leads to not the length for the measurand surveyed using equipment such as existing gage, length measuring instruments, it is, therefore, desirable to provide A kind of measurement method and measuring device can obtain human body, animal body using or by this measurement method and measuring device The physical parameter of urethral length, the length of vessel of equal internal bodies etc..
Internal cavity includes urethra, blood vessel etc..Ankylurethria is one of Urology Surgery common disease, long section ankylurethria Processing is one of Urology Surgery problem, and although ankylurethria measurement of length is not belonging to operative treatment, but need root due to preoperative Determine operation plan according to the length of ankylurethria, less than 1cm it is narrow can otomy in row cystoscope ankylurethria, for super Crossing the narrow of 1cm needs open surgery, length to be more than the ankylurethria of 3cm or even need that buccal mucosa or periglottis is taken to be transplanted to On narrow section urethra bed, therefore, preoperative physical parameter i.e. its narrow length for being necessary to accurately measure ankylurethria.Face at present The length for assessing ankylurethria on bed using the method for urethrography estimates ankylurethria segment length, nothing using X-ray examination It is required to the x-ray radiation by larger dose by medical staff and patient, currently without dedicated for internal cavity physical length Device, can only be tended to out without reference to object as scale by means of other instruments, the narrow segment length of "ball-park" estimate Now estimate the situation to go wrong, for long section ankylurethria, even more can not accurately calculate ankylurethria length, or even influence hand The formulation of art scheme needs to change operation plan in art, increases the wound to patient, reduces the success rate of operation, made to patient At great pain.
Invention content
The present invention, which provides, a kind of can accurately, intuitively measure internal cavity narrow length and easy to operate for measuring The long method, apparatus of survey in vivo and its seal wire ruler of internal cavity physical length.
The present invention uses following technical solution:
A kind of long method of survey in vivo for measuring urethra physical length of the present invention:Prepare a conduit, a seal wire ruler and Contrast agent, the seal wire ruler include elastic filament bar, and salient point is equipped on elastic filament bar, and the density of salient point material therefor is more than Contrast agent, and each spacing between adjacent salient point is equal, and conduit and seal wire ruler are then inserted to be measured section of internal cavity, then Contrast agent is injected into cavity using conduit, after contrast agent is full of to be measured section of cavity, stops contrast agent injection, simultaneously by x-ray Using density more than the to be measured section of cavity that the salient point and contrast agent of contrast agent are shown, directly read to be measured on seal wire ruler The salient point sum measured between origin and destination for measuring section cavity, finally uses the salient point of the spacing and to be measured section of cavity between salient point total Number obtains the physical length of to be measured section of cavity.
A kind of internal measuring motion for measuring internal cavity physical length of the present invention, including conduit and seal wire Ruler, the conduit are used to inject contrast agent to urethra, and the seal wire ruler includes elastic filament bar, are equipped on elastic filament bar convex The density of point, salient point material therefor is more than contrast agent, and each spacing between adjacent salient point is equal.
A kind of seal wire ruler used in the internal survey for measuring internal cavity physical length is long of the present invention, packet Elastic filament bar is included, salient point is equipped on elastic filament bar, the density of salient point material therefor is more than contrast agent, and each to adjacent convex Spacing between point is equal.
Compared with prior art, the invention has the advantages that:
(1)The present invention can accurately obtain length parameter with intuitive way, and it is long that the present invention can not only measure linear cavity Degree, can accurately more measure the cavity bending length of bending.
The present invention is higher than the seal wire ruler of contrast agent using density, and seal wire ruler is being inserted to ankylurethria section and is injecting contrast agent Afterwards, it is easily achieved the coincidence of the salient point and cavity start position to be measured of the head end of seal wire ruler under X-ray examination, avoids seeking repeatedly Cavity starting point to be measured is looked for, the complete display image being inserted in seal wire ruler in ankylurethria section can be obtained by x-ray, thereby clearly Clear complete image, internal linear measure longimetry is converted to macroscopic externally measured, and the outside for realizing internal length is intuitively surveyed Amount, and it is made to be converted into the simple measurement method such as common ruler.
In complete display image, salient point clearly indicates in the picture, and can accurately and directly read and fall The salient point sum of ankylurethria section to be measured, through simple computation, i.e. ankylurethria section to be measured can be obtained by being multiplied by spacing with salient point sum Length, therefore, the present invention can obtain accurate internal length parameter.
The present invention can accurately measure the cavity bending length of bending.The seal wire ruler of the present invention is inserted into the chamber to be measured of bending Behind road, as shown in figure 8, seal wire ruler bends therewith, and is presented the curved shape to match with the cavity to be measured of bending, to So that the length shown on seal wire ruler is equal to the bending length that chamber is surveyed in bending, behind clearly to be measured section of origin and destination, so that it may with Accurately measures bending line or be bent the length of curve of cavity containing bending line.
(2)Conduit is equipped with graduation mark and can directly be surveyed when seal wire ruler to be inserted to the starting point of to be measured section of internal cavity The beginning or end of to be measured section of internal cavity is measured at a distance from cavity, such as:Ankylurethria length is measured when using the present invention When, so that it may directly to measure the beginning or end of ankylurethria section the distance between to orificium urethrae externum.
(3)Contrast agent is injected by the conduit of the present apparatus, contrast agent enters cavity to be measured, such as:It is narrow for measuring urethra When narrow section of length, the urethra of narrow section is entered by the trepanning of body portion front end, specifies narrow section proximally and distally, passes through meter Number narrow section urethra proximally and distally between steel wire segment number to calculate the length of narrow section urethra.
Description of the drawings
Fig. 1 is the structural diagram of the present invention.
Fig. 2 is the seal wire schematic diagram of device of the present invention.
Fig. 3 is the axial sectional view of the conduit of device of the present invention.
Fig. 4 is the conduit side view of device of the present invention.
Fig. 5 is the conduit cross section schematic diagram of device of the present invention.
Fig. 6 is the guide-tube structure schematic diagram of device of the present invention.
Fig. 7 is the schematic diagram that ankylurethria segment length is measured using the present invention.
Fig. 8 is that the schematic diagram for being bent cavity length is measured using the present invention.
Specific implementation mode
Embodiment 1
A kind of long method of survey in vivo for measuring internal cavity physical length,
Prepare a conduit 7, a seal wire ruler 1 and contrast agent, the seal wire ruler 1 includes elastic filament bar, is set on elastic filament bar There is salient point 3, the density of 3 material therefor of salient point is more than contrast agent, and each spacing between adjacent salient point is equal, then, will lead Pipe and seal wire ruler are inserted to be measured section of internal cavity, reuse conduit 7 and contrast agent is injected cavity, when contrast agent is full of to be measured After section cavity, stop contrast agent injection, is shown more than the salient point 3 and contrast agent of contrast agent by x-ray and using density The X-ray image of the complete display of to be measured section of cavity is directly read to be measured on seal wire ruler in the X-ray image of complete display The salient point sum of section cavity measured between origin and destination, finally uses the salient point sum of the spacing and to be measured section of cavity between salient point Obtain the physical length of to be measured section of cavity.In the present embodiment, with reference to Fig. 2, painting is covered with outside the elastic filament bar of seal wire Layer 2, so that the outer smooth of elastic filament bar, facilitates disengaging urethra.
Embodiment 2
A kind of internal measuring motion for measuring internal cavity physical length, including conduit 7 and seal wire ruler 1, the conduit 7 are used In injecting contrast agent to urethra, the seal wire ruler 1 includes elastic filament bar, and salient point 3,3 institute of salient point are equipped on elastic filament bar It is more than contrast agent with the density of material, and each spacing between adjacent salient point is equal.In the present embodiment, it with reference to Fig. 2, is leading It is covered with coating 2 outside the elastic filament bar of silk, so that the outer smooth of elastic filament bar, facilitates disengaging urethra.With reference to Fig. 3, Fig. 4 And Fig. 5, conduit 7 include tube body, and contrast agent transport entrance is equipped on tube body and is gone out equipped with contrast agent in one end of tube body Mouth 4, is additionally provided with an interval 5 in tube body, and silk guide passage 6 is equipped in an interval 5.Length gauge is equipped on tube body Amount graduation mark 8 and the length metering graduation mark 8 start from the end face of described tube body one end.
Embodiment 3
It is a kind of to survey the seal wire ruler 1 used in length, including elasticity for measuring the internal of internal cavity physical length with reference to Fig. 2 Filament bar, is equipped with salient point 3 on elastic filament bar, and the density of 3 material therefor of salient point is more than contrast agent, and it is each to adjacent salient point it Between spacing it is equal.In the present embodiment, it is covered with coating 2 outside the elastic filament bar of seal wire, so that elastic filament bar is outer Portion is smooth, facilitates disengaging urethra.
The use of device of the present invention is carried out below in conjunction with the accompanying drawings as described below:
As one kind for measuring intracoelomic cavity road length, i.e., to measure ankylurethria length device when, conduit can be selected Conduit 7 is inserted into urethra as shown in fig. 7, with after the paraffin oil lubrication present apparatus, is hampered by narrow remote end, is leading by silica gel pipeline The tube wall of pipe 7 is equipped with graduation mark 8, directly measures distance of the narrow section apart from orificium urethrae externum first.Pass through the side of the present apparatus Three-way connection 10 on pipeline 9 injects contrast agent, and contrast agent enters the urethra of narrow section by the trepanning 4 of body portion front end, clear Narrow section urethra proximally and distally, stops injection contrast agent, and the threeway for closing side liquid injecting pipeline keeps contrast agent not leak outside, X-ray shooting determination is narrow proximally and distally.Silk guide passage 6 of the seal wire ruler 1 in conduit 7 is inserted into, conduit 7 guides seal wire ruler 1 passes through narrow section, and x-ray shooting can be confirmed that the head end of seal wire ruler 1 is kept straight on and enter bladder by narrow section.Due to being led under x-ray Silk density be higher than contrast agent, at this time the seal wire ruler of narrow section shown in radiography, by count narrow section proximally and distally it Between the segment number of steel wire thus can be calculated since the length of the steel wire 3 at each section of thickness interval can be preset as 2mm The length of narrow section urethra.Narrow for multistage, the seal wire ruler 1 of the present apparatus can equally pass sequentially through multiple narrow sections, use Same method measures the length of each narrow section respectively, embodies the excellent place of the present apparatus.The seal wire ruler of the present apparatus can also To measure ureterostenosis.Under cystoscope, ureteral catheter is inserted into ureter, is hampered by narrow location, injects radiography Agent, perspective is shown in contrast agent retention in the top of narrow section, seal wire ruler 1 is inserted into ureteral catheter at this time, defeated by narrow section Urinary catheter has an X-rayed visible seal wire ruler 1 and the development of narrow section ureter again, the section of the steel wire between counting narrow section proximally and distally Hop count is to calculate the length of narrow section ureter.When measuring cavity length using the present invention, it can also be first inserted into seal wire ruler, then Conduit 7 is inserted under the guiding of seal wire ruler.

Claims (9)

1. a kind of long method of survey in vivo for measuring internal cavity physical length, which is characterized in that prepare a conduit, a seal wire Ruler and contrast agent, the seal wire ruler include elastic filament bar, and salient point, the density of salient point material therefor are equipped on elastic filament bar More than contrast agent, and each spacing between adjacent salient point is equal, then, it is to be measured that conduit and seal wire ruler is inserted to internal cavity Section, reuses conduit and contrast agent is injected cavity, after contrast agent is full of to be measured section of cavity, stops contrast agent injection, by X Line and the salient point and to be measured section of cavity showing of contrast agent for being more than contrast agent using density, are directly read on seal wire ruler The salient point sum of to be measured section of cavity measured between origin and destination finally uses the convex of spacing between salient point and to be measured section of cavity Point sum obtains the physical length of to be measured section of cavity.
2. the survey in vivo long method according to claim 1 for measuring internal cavity physical length, which is characterized in that It is covered with coating outside the elastic filament bar of seal wire, so that the outer smooth of elastic filament bar, facilitates disengaging urethra.
3. the survey in vivo long method according to claim 1 for measuring internal cavity physical length, which is characterized in that will Seal wire ruler is inserted to the starting point of to be measured section of internal cavity.
4. a kind of for measuring the internal measuring motion of internal cavity physical length, which is characterized in that including conduit and seal wire ruler, The conduit is used to inject contrast agent to urethra, and the seal wire ruler includes elastic filament bar, and salient point is equipped on elastic filament bar, The density of salient point material therefor is more than contrast agent, and each spacing between adjacent salient point is equal.
5. device according to claim 4, which is characterized in that it is covered with coating outside the elastic filament bar of seal wire, so that The outer smooth of elastic filament bar facilitates disengaging urethra.
6. device according to claim 4, which is characterized in that conduit includes tube body, and contrast agent is equipped on tube body Input port is simultaneously exported in one end of tube body equipped with contrast agent, and an interval is additionally provided in tube body, is set in an interval There is silk guide passage.
7. device according to claim 6, which is characterized in that be equipped with length metering graduation mark and the length on tube body Degree measurement scale line starts from the end face of described tube body one end.
8. a kind of surveying the seal wire ruler used in length for measuring the internal of internal cavity physical length, which is characterized in that including Elastic filament bar is equipped with salient point on elastic filament bar, and the density of salient point material therefor is more than contrast agent, and each to adjacent salient point Between spacing it is equal.
9. seal wire ruler according to claim 8, which is characterized in that it is covered with coating outside the elastic filament bar of seal wire, with The outer smooth for making elastic filament bar facilitates disengaging urethra.
CN201810666942.1A 2018-06-26 2018-06-26 In-vivo length measuring method and device for measuring physical length of in-vivo cavity and guide wire ruler thereof Pending CN108742635A (en)

Priority Applications (1)

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CN201810666942.1A CN108742635A (en) 2018-06-26 2018-06-26 In-vivo length measuring method and device for measuring physical length of in-vivo cavity and guide wire ruler thereof

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Application Number Priority Date Filing Date Title
CN201810666942.1A CN108742635A (en) 2018-06-26 2018-06-26 In-vivo length measuring method and device for measuring physical length of in-vivo cavity and guide wire ruler thereof

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109820526A (en) * 2019-02-27 2019-05-31 杨小华 A kind of measuring method for urinating line F value

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US5397302A (en) * 1992-05-11 1995-03-14 Arrow Precision Products, Inc. Method of using a dual lumen biliary catheter
CN2232771Y (en) * 1995-12-07 1996-08-14 朱世华 Net prop hole of prostate and urethra measuring device
US20080255447A1 (en) * 2007-04-16 2008-10-16 Henry Bourang Diagnostic catheter
CN102123758A (en) * 2008-06-17 2011-07-13 安东尼·特鲁比亚诺 Catheter device for the control of liquid discharge from the urinary bladder by a user person
CN103656843A (en) * 2012-09-04 2014-03-26 杭州朗佑医疗科技有限公司 Targeted dilatation forming balloon catheter
US20160151615A1 (en) * 2013-07-17 2016-06-02 Overtoom Limited Catheter system for delivery of a ureteral catheter
CN205494667U (en) * 2016-03-15 2016-08-24 焦德超 Two -chamber structure radiotherapy associated drainage catheter
CN205683082U (en) * 2016-05-16 2016-11-16 张山河 A kind of prostate and urethrometry conduit
CN206424410U (en) * 2016-11-09 2017-08-22 南京微创医学科技股份有限公司 A kind of seal wire of measurable narrow segment length
CN107376099A (en) * 2017-08-18 2017-11-24 游道锋 A kind of guide wire type urethral sound
CN209032365U (en) * 2018-06-26 2019-06-28 江苏省人民医院(南京医科大学第一附属医院) Internal length measuring device for measuring physical length of internal cavity and guide wire ruler

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5397302A (en) * 1992-05-11 1995-03-14 Arrow Precision Products, Inc. Method of using a dual lumen biliary catheter
CN2232771Y (en) * 1995-12-07 1996-08-14 朱世华 Net prop hole of prostate and urethra measuring device
US20080255447A1 (en) * 2007-04-16 2008-10-16 Henry Bourang Diagnostic catheter
CN102123758A (en) * 2008-06-17 2011-07-13 安东尼·特鲁比亚诺 Catheter device for the control of liquid discharge from the urinary bladder by a user person
CN103656843A (en) * 2012-09-04 2014-03-26 杭州朗佑医疗科技有限公司 Targeted dilatation forming balloon catheter
US20160151615A1 (en) * 2013-07-17 2016-06-02 Overtoom Limited Catheter system for delivery of a ureteral catheter
CN205494667U (en) * 2016-03-15 2016-08-24 焦德超 Two -chamber structure radiotherapy associated drainage catheter
CN205683082U (en) * 2016-05-16 2016-11-16 张山河 A kind of prostate and urethrometry conduit
CN206424410U (en) * 2016-11-09 2017-08-22 南京微创医学科技股份有限公司 A kind of seal wire of measurable narrow segment length
CN107376099A (en) * 2017-08-18 2017-11-24 游道锋 A kind of guide wire type urethral sound
CN209032365U (en) * 2018-06-26 2019-06-28 江苏省人民医院(南京医科大学第一附属医院) Internal length measuring device for measuring physical length of internal cavity and guide wire ruler

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109820526A (en) * 2019-02-27 2019-05-31 杨小华 A kind of measuring method for urinating line F value

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