CN108742732A - It is a kind of to be used for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery - Google Patents
It is a kind of to be used for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery Download PDFInfo
- Publication number
- CN108742732A CN108742732A CN201810613668.1A CN201810613668A CN108742732A CN 108742732 A CN108742732 A CN 108742732A CN 201810613668 A CN201810613668 A CN 201810613668A CN 108742732 A CN108742732 A CN 108742732A
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- Prior art keywords
- sinus
- dish
- minimally invasive
- invasive surgery
- transverse slat
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00491—Surgical glue applicators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
Abstract
It being used for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery, including ring-shaped guide rail and the holder being arranged in the middle part of ring-shaped guide rail the invention discloses a kind of, further includes circumference driving device, radial adjustment device, elastic leak-proof device and feeding device；The radial adjustment device includes along the movable rotation transverse slat of ring-shaped guide rail radial direction, the inner rotation of rotation transverse slat is connected with screw rod, the adjustable plate being stuck in inside rotation transverse slat is connected on screw rod, and adjustable plate is with screw rod rotation band dynamic elasticity leak-proof device straight reciprocating motion, the elasticity leak-proof device includes the skull support plate being set at the top of adjustable plate, the skull support plate is equipped with fluid injection chamber and extrusion chamber, the extrusion chamber is internally provided with arc pressuring plate, and the side both sides of arc pressuring plate are provided with air bag.Reasonable design of the present invention, can multi-faceted quick adjusting repair position, reduce operating difficulty, and dual-plugging and be bonded at skull wound, prevent repair liquid from leaking outside, improve the quality performed the operation through cranium.
Description
Technical field
The present invention relates to technical field of medical equipment more particularly to it is a kind of be used for the cranium through dish sinus pituitary adenoma Minimally Invasive Surgery
Bottom repair apparatus.
Background technology
Over nearly more than 20 years, popularizing for surgery for pituitary adenoma by transphenoidal approach art makes the ratio performed the operation through cranium gradually decrease, but by
It is grown in hypophysoma and the difference of propagation direction, the whole hardly possible of both approaches replaces mutually and respectively have value existing for it.According to Guiot
（1973）Report, in 563 hypophysomas of its people operation, only 28% patient is absolutely suitable for transsphenoidal approach, and 10.5%
Absolutely it is suitable for through cranium approach, remaining 61.5% patient can obtain satisfied control using any one of above two approach
Therapeutic effect.But the death rate due to performing the operation at that time through cranium and disability rate are finally mostly used through sphenoid sinus compared with Trans-sphenoid surgery425 height
Operation.In recent years, with the development of Micro-neurosurgical technology, though expanded on saddle using transsphenoidal approach for resection there are many author
The Huge Pituitary Adenoma of exhibition achieves prodigious achievement, or using the monitoring of intraoperative ultrasound wave, scope auxiliary and Use of Neuronavigation technology
（Elias, 1999）Deng, but through open surgery under encephalic microscope, can more clearly appear in tumour in pole and optic nerve, neck
The relationship of artery and stalk hypophysial can more cut off the tumour extended on saddle to contribute to the protection of above structure.
But the defect of larger basis cranii sclerotin, endocranium and visual area local soft tissue often occurs after cutting off lesion, increase
The postoperative possibility that the complication such as leakage of cerebrospinal, meningitis, pneumoencephalos and Naoning tablet occur.In order to reduce complication, after operation
It must carry out skull base defects to be repaired, expand at present to treating inside basis cranii through sphenoid sinus due to operative incision, when
Surgery location is complicated, if by sphenoid sinus entrance, needs to be enlarged entrance to it and perform the operation to inside, when surgery location with
Sphenoid sinus entrance farther out when, operating difficulty increases, and widened sphenoid sinus entrance is repaired it is complicated, when there are the operations such as aneurysm
When, if performed the operation using through slope brain bottom, operation pathway will be shortened, become apparent from what art area exposed, but due to slope position
The repairing of basis cranii can not be carried out after the completion of operation compound, it may appear that encephalic outer fissure cavity gap, the phenomenon that leakage of cerebrospinal, nothing
Method repairs basis cranii, and there are significant limitations when practical operation.Therefore, we have proposed one kind for through dish sinus hypophysis
The basis cranii repair apparatus of adenoma Minimally Invasive Surgery is for solving the above problems.
Invention content
It is big based on operating difficulty existing for background technology, cerebrospinal fluid leakiness, and lead to not the skill repaired to basis cranii
Art problem, the present invention propose a kind of for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery.
It is proposed by the present invention a kind of for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery, including ring-shaped guide rail
Further include circumference driving device, radial adjustment device, elastic leak-proof device and charging with the holder being arranged in the middle part of ring-shaped guide rail
Device；
The radial adjustment device includes the inner rotation company that transverse slat is rotated along the movable rotation transverse slat of ring-shaped guide rail radial direction
It is connected to screw rod, the adjustable plate being stuck in inside rotation transverse slat is connected on screw rod, and adjustable plate is anti-as screw rod rotates band dynamic elasticity
Leakage device straight reciprocating motion, the elasticity leak-proof device includes the skull support plate being set at the top of adjustable plate；
The skull support plate is equipped with fluid injection chamber and extrusion chamber, and the extrusion chamber is internally provided with arc pressuring plate, arc pressure
The side both sides of plate are provided with air bag, and air bag pushes fluid injection chamber to be close to skull, and feeding device is set to skull support plate side, passes through
Pneumatic form injects patching material in fluid injection chamber.
Preferably, a middle side part of the arc pressuring plate is provided with fixed block, and the both sides of fixed block are rotatably connected to work
Turn bar, on side inner wall of the extrusion chamber far from fluid injection chamber setting there are two opposed locating piece, two locating pieces it
Between be connected with litter, there are two elastic pushing blocks for setting on litter, and two elastic pushing blocks correspond to one end with two movable bull sticks
Rotation connection.
Preferably, the skull support plate is arcuate structure, and the shape of litter and arc pressuring plate is bonded skull branch respectively
The shape of fagging, the length of the litter are more than the total length of two movable bull sticks, and the elasticity pushing block is slidably connected with litter.
Preferably, spring is arranged on the litter, and spring is located at two mutually separate sides of elastic pushing block.
Preferably, the holder is made of support portion and interconnecting piece, and the interconnecting piece is set to support portion and ring-shaped guide rail
Between.
Preferably, the circumference driving device is set to the top of support portion, and the circumference driving device includes fixed branch
Frame, support bracket fastened top are equipped with first motor, are connected with shaft on the bottom output shaft of first motor, and one end of shaft with
Rotation transverse slat is fixedly connected with drive rotation transverse slat rotation.
Preferably, the inside of the rotation transverse slat is additionally provided with the second motor, and the output shaft of the second motor is connect with screw rod.
Preferably, the rotation transverse slat is provided with movable block far from a support bracket fastened side bottom, and movable block is in annular
Guide rail inner periphery slides.
Preferably, the feeding device includes liquid storage box, and the side of the liquid storage box is connected with hose, and one end of hose is prolonged
Fluid injection intracavitary is extended to, the top of the liquid storage box is equipped with liquid injection port, and liquid storage box is internally provided with piston, and the side of piston is connected with
Push rod, and one end of push rod extends to the outside of liquid storage box.
Compared with prior art, the beneficial effects of the invention are as follows：
1, radial adjustment device circular-rotation is driven by circumference driving device, the position of elastic leak-proof device can be adjusted on a large scale
It sets, while using the power of screw rod rotation and under the limit of adjustable plate itself, it being capable of the anti-neglected loading of small-scale adjusting elasticity
The radial position set, the convenient different location to skull carry out Rapid-Repair, reduce operating difficulty, and easy to operate；
2, by the way that air bag is arranged inside elastic leak-proof device and squeezes the elastic construction of arc pressuring plate, dual-plugging is simultaneously bonded cranium
At bone wound, plugging effect is notable, and repair liquid is effectively prevent to leak outside, and improves the quality performed the operation through cranium.
Layout of the present invention is reasonable, easy to operate, can multi-faceted quick adjusting repair position, reduce operating difficulty,
And dual-plugging and be bonded at skull wound, it prevents repair liquid from leaking outside, improves quality perform the operation through cranium, be suitble to popularization.
Description of the drawings
Fig. 1 is a kind of vertical view knot for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery proposed by the present invention
Structure schematic diagram；
Fig. 2 is a kind of anti-neglected loading of elasticity for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery proposed by the present invention
The side structure schematic view set；
Fig. 3 is a kind of anti-neglected loading of elasticity for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery proposed by the present invention
The side view set dissects structural schematic diagram；
Fig. 4 is a kind of anti-neglected loading of elasticity for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery proposed by the present invention
The overlooking structure diagram set.
In figure：1 ring-shaped guide rail, 2 fixing brackets, 3 skull support plates, 4 liquid storage boxes, 11 support portions, 12 interconnecting pieces, 13 activities
Block, 21 first motors, 22 shafts, 23 rotation transverse slats, 24 screw rods, 25 adjustable plates, 31 fluid injection chambers, 32 extrusion chambers, 33 arc pressuring plates,
34 fixed blocks, 35 air bags, 36 movable bull sticks, 37 locating pieces, 38 litter, 39 elastic pushing blocks, 40 springs, 41 hoses, 42 liquid injection ports,
43 pistons, 44 push rods.
Specific implementation mode
The present invention is made further to explain with reference to specific embodiment.
Embodiment one
Referring to Fig.1-4, a kind of to be used for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery, including ring-shaped guide rail 1 and set
The holder at 1 middle part of ring-shaped guide rail is set, further includes circumference driving device, radial adjustment device, elastic leak-proof device and charging dress
It sets；
Radial adjustment device includes rotating the inner rotation of transverse slat 23 along the movable rotation transverse slat 23 of 1 radial direction of ring-shaped guide rail
It is connected with screw rod 24, the adjustable plate 25 being stuck in inside rotation transverse slat 23 is connected on screw rod 24, and adjustable plate 25 is with screw rod 24
Rotation band dynamic elasticity leak-proof device straight reciprocating motion, elastic leak-proof device include the skull support for being set to 25 top of adjustable plate
Plate 3；
Skull support plate 3 is equipped with fluid injection chamber 31 and extrusion chamber 32, and extrusion chamber 32 is internally provided with arc pressuring plate 33, arc pressure
The side both sides of plate 33 are provided with air bag 35, and air bag 35 pushes fluid injection chamber 31 to be close to skull, and feeding device is set to skull support plate 3
Side is injected patching material in fluid injection chamber 31 by pneumatic form.
In the present embodiment, a middle side part of arc pressuring plate 33 is provided with fixed block 34, the both sides company of rotation of fixed block 34
It is connected to movable bull stick 36, setting is there are two opposed locating piece 37 on side inner wall of the extrusion chamber 32 far from fluid injection chamber 31, and two
It is connected with litter 38 between a locating piece 37, there are two elastic pushing blocks 39 for setting on litter 38, and two elastic pushing blocks 39 correspond to
It is rotatablely connected with one end of two movable bull sticks 36, skull support plate 3 is arcuate structure, and the shape of litter 38 and arc pressuring plate 33
Shape is bonded the shape of skull support plate 3 respectively, and the length of litter 38 is more than the total length of two movable bull sticks 36, elastic pushing block 39
It is slidably connected with litter 38, spring 40 is arranged on litter 38, and spring 40 is located at two mutually separate sides of elastic pushing block 39.
By the way that air bag 35 is arranged inside elastic leak-proof device and squeezes the elastic construction of arc pressuring plate 33, two elastic pushing blocks 39 are in bullet
, can be free to slide on litter 38 under the elastic effect of spring 40, and the movable bull stick 36 of synchronous promotion two is rotated in diagonal,
Under the side power-assisted for assisting air bag 35, the direction of arc pressuring plate 33 towards injection repair liquid is squeezed jointly, dual-plugging simultaneously pastes
It closes at skull wound, and plugging effect is notable, prevents repair liquid in surgical procedure from leaking outside, in order to note during medical treatment
Enter repair liquid conveniently, the reverse elasticity active force of spring 40 can be utilized, arc pressuring plate 33 is reversely pushed, as long as there are gaps
It does not influence repair liquid normally to inject, repair liquid can be artificial dura mater, improve the quality performed the operation through cranium.
Feeding device includes liquid storage box 4, and the side of liquid storage box 4 is connected with hose 41, and one end of hose 41 extends to fluid injection
In chamber 31, the top of liquid storage box 4 is equipped with liquid injection port 42, and liquid storage box 4 is internally provided with piston 43, and the side of piston 43, which is connected with, to push away
Bar 44, and one end of push rod 44 extends to the outside of liquid storage box 4.Now repair liquid is gone out to import in liquid storage box 4 from liquid injection port 42
Portion pushes 44 extrusion piston 43 of push rod according to the skull hurt demand of sufferer, under the effect of the pressure by repair liquid from hose 41
In squeeze into fluid injection chamber 31, one or more rows being connected to 31 inner cavity of fluid injection chamber can be opened in the outer end face of skull support plate 3
Liquid mouth facilitates repair liquid normally to flow out and is repaired to sufferer skull.
Holder is made of support portion 11 and interconnecting piece 12, and interconnecting piece 12 is set between support portion 11 and ring-shaped guide rail 1, circle
All driving devices are set to the top of support portion 11, and circumference driving device includes fixing bracket 2, and the top of fixing bracket 2 is equipped with
First motor 21 is connected with shaft 22 on the bottom output shaft of first motor 21, and one end of shaft 22 and rotation transverse slat 23 are solid
Determine the rotation of connect band turn motion plate 23, the inside of rotation transverse slat 23 is additionally provided with the second motor, and the output shaft of the second motor with
Screw rod 24 connects, and a rotation side bottom of the transverse slat 23 far from fixing bracket 2 is provided with movable block 13, and movable block 13 is led in annular
1 inner periphery of rail slides.Shaft 22 is driven to rotate by the first motor 21 of circumference driving device so that radial adjustment device turns
The circular-rotation therewith of motion plate 23, movable block 13 also can be free to slide in ring-shaped guide rail 1 in rotation process, can be a wide range of
The position of elastic leak-proof device is adjusted, while being rotated using the second electric motor driven screw 24, either-rotation motor can be used in the second motor,
So that under adjustable plate 25 limit of itself and under the rotary power of screw thread, can along the length direction reciprocating movement of screw rod 24,
The radial position of elastic leak-proof device small-scale can be adjusted, the convenient different location to skull carries out Rapid-Repair, reduces
Operating difficulty, and it is easy to operate.
Embodiment two
It rotates and is additionally provided with regulation handle outside the side of transverse slat 23, and regulation handle is fixedly connected with one end of screw rod 24, it can hand
Dynamic rotation regulation handle drives screw rod 24 to rotate, and then 25 activity of adjustable plate is driven under the rotary power of screw thread, realizes and adjusts
The purpose of 3 different location of skull support plate, it is not only cost-effective, and Rapid-Repair, drop conveniently are carried out to the different location of skull
Low operating difficulty.
The foregoing is only a preferred embodiment of the present invention, but scope of protection of the present invention is not limited thereto,
Any one skilled in the art in the technical scope disclosed by the present invention, according to the technique and scheme of the present invention and its
Inventive concept is subject to equivalent substitution or change, should be covered by the protection scope of the present invention.
Claims (9)
1. a kind of being used for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery, including ring-shaped guide rail（1）With setting in ring
Shape guide rail（1）The holder at middle part, which is characterized in that further include circumference driving device, radial adjustment device, elastic leak-proof device and
Feeding device；
The radial adjustment device includes along ring-shaped guide rail（1）The movable rotation transverse slat of radial direction（23）, rotate transverse slat（23）
Inner rotation be connected with screw rod（24）, screw rod（24）On be connected with and be stuck in rotation transverse slat（23）Internal adjustable plate（25）, and
Adjustable plate（25）With screw rod（24）Rotation band dynamic elasticity leak-proof device straight reciprocating motion, the elasticity leak-proof device includes setting
It is placed in adjustable plate（25）The skull support plate at top（3）；
The skull support plate（3）It is equipped with fluid injection chamber（31）And extrusion chamber（32）, the extrusion chamber（32）Be internally provided with
Arc pressuring plate（33）, arc pressuring plate（33）Side both sides be provided with air bag（35）, air bag（35）Push fluid injection chamber（31）It is close to
Skull, feeding device are set to skull support plate（3）Patching material is injected fluid injection chamber by side by pneumatic form（31）In.
2. according to claim 1 a kind of for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery, feature
It is, the arc pressuring plate（33）A middle side part be provided with fixed block（34）, fixed block（34）Both sides be rotatably connected to
Movable bull stick（36）, the extrusion chamber（32）Far from fluid injection chamber（31）Side inner wall on setting there are two opposed locating piece
（37）, two locating pieces（37）Between be connected with litter（38）, litter（38）There are two elastic pushing blocks for upper setting（39）, and two
Elastic pushing block（39）Corresponding and two movable bull sticks（36）One end rotation connection.
3. according to claim 2 a kind of for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery, feature
It is, the skull support plate（3）For arcuate structure, and litter（38）And arc pressuring plate（33）Shape be bonded skull branch respectively
Fagging（3）Shape, the litter（38）Length be more than two movable bull sticks（36）Total length, it is described elasticity pushing block（39）
With litter（38）It is slidably connected.
4. according to claim 3 a kind of for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery, feature
It is, the litter（38）On be arranged with spring（40）, and spring（40）Positioned at two elastic pushing blocks（39）Mutually separate side.
5. according to claim 1 a kind of for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery, feature
It is, the holder is by support portion（11）And interconnecting piece（12）Composition, the interconnecting piece（12）It is set to support portion（11）And ring
Shape guide rail（1）Between.
6. according to claim 5 a kind of for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery, feature
It is, the circumference driving device is set to support portion（11）Top, the circumference driving device includes fixing bracket（2）,
Fixing bracket（2）Top be equipped with first motor（21）, first motor（21）Bottom output shaft on be connected with shaft（22）, and
Shaft（22）One end with rotation transverse slat（23）It is fixedly connected with drive rotation transverse slat（23）Rotation.
7. according to claim 6 a kind of for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery, feature
It is, the rotation transverse slat（23）Inside be additionally provided with the second motor, and the output shaft and screw rod of the second motor（24）Connection.
8. according to claim 6 a kind of for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery, feature
It is, the rotation transverse slat（23）Far from fixing bracket（2）A side bottom be provided with movable block（13）, and movable block（13）?
Ring-shaped guide rail（1）Inner periphery slides.
9. according to claim 1 a kind of for the basis cranii repair apparatus through dish sinus pituitary adenoma Minimally Invasive Surgery, feature
It is, the feeding device includes liquid storage box（4）, the liquid storage box（4）Side be connected with hose（41）, hose（41）One
End extends to fluid injection chamber（31）It is interior, the liquid storage box（4）Top be equipped with liquid injection port（42）, liquid storage box（4）Be internally provided with work
Plug（43）, piston（43）Side be connected with push rod（44）, and push rod（44）One end extend to liquid storage box（4）Outside.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810613668.1A CN108742732B (en) | 2018-06-14 | 2018-06-14 | Skull base repairing device for minimally invasive surgery of pituitary adenoma through sphenoidal sinus |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810613668.1A CN108742732B (en) | 2018-06-14 | 2018-06-14 | Skull base repairing device for minimally invasive surgery of pituitary adenoma through sphenoidal sinus |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108742732A true CN108742732A (en) | 2018-11-06 |
| CN108742732B CN108742732B (en) | 2020-02-18 |
Family
ID=64022598
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810613668.1A Active CN108742732B (en) | 2018-06-14 | 2018-06-14 | Skull base repairing device for minimally invasive surgery of pituitary adenoma through sphenoidal sinus |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108742732B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110292400A (en) * | 2019-07-05 | 2019-10-01 | 浙江大学 | A kind of transnaso-sphenoidal approach hypophysoma positioning device based on supersonic blood detection guidance |
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| CN204971383U (en) * | 2015-09-14 | 2016-01-20 | 西安东澳生物科技有限公司 | Device is repaired to basis cranii of evacuation structure |
| CN105496470A (en) * | 2016-01-24 | 2016-04-20 | 哈尔滨理工大学 | Mammary gland intervention mechanism for nuclear magnetic surgery |
| CN106668935A (en) * | 2016-11-22 | 2017-05-17 | 大博医疗科技股份有限公司 | Expanded polytetrafluoroethylene artificial dura mater and preparation technique thereof |
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| US20050288795A1 (en) * | 2004-06-23 | 2005-12-29 | Bagga Charanpreet S | Shapeable bone graft substitute and instruments for delivery thereof |
| US20120265312A1 (en) * | 2011-04-01 | 2012-10-18 | Shawn Burke | System and Method for Manufacture of a Cranial Repair Implant and a Cranial Repair Implant Produced Thereby |
| CN103505254A (en) * | 2013-10-05 | 2014-01-15 | 王学建 | Skull base coloboma reestablishment device |
| CN204971383U (en) * | 2015-09-14 | 2016-01-20 | 西安东澳生物科技有限公司 | Device is repaired to basis cranii of evacuation structure |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN108742732B (en) | 2020-02-18 |
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