CN108784795A - Puncturing operation targeting guide plate - Google Patents
Puncturing operation targeting guide plate Download PDFInfo
- Publication number
- CN108784795A CN108784795A CN201810345622.6A CN201810345622A CN108784795A CN 108784795 A CN108784795 A CN 108784795A CN 201810345622 A CN201810345622 A CN 201810345622A CN 108784795 A CN108784795 A CN 108784795A
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- needle
- ultrasonic
- probe
- panel
- guide plate
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- 230000008685 targeting Effects 0.000 title claims abstract description 57
- 239000000523 sample Substances 0.000 claims abstract description 61
- 238000004519 manufacturing process Methods 0.000 claims abstract description 22
- 238000002604 ultrasonography Methods 0.000 claims abstract description 21
- 238000000034 method Methods 0.000 claims description 4
- 239000007787 solid Substances 0.000 claims description 2
- 230000000694 effects Effects 0.000 abstract description 3
- 238000013461 design Methods 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 1
- 238000002679 ablation Methods 0.000 description 1
- 238000013329 compounding Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000013139 quantization Methods 0.000 description 1
- 238000012795 verification Methods 0.000 description 1
Classifications
-
- 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
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3413—Needle locating or guiding means guided by ultrasound
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
Abstract
A kind of puncturing operation targeting guide plate, which is characterized in that including basic panel (1) and needle pole panel (2), the fixed card slot (11) of Ultrasonic-B probe is provided on the basic panel (1)；The needle pole panel (2) is provided with needle column (21), and the needle column (21) is provided with into needle passageway (22).The puncturing operation targeting guide plate of the present invention can carry out mass production or personalized customization according to the use demand of practical puncturing operation.Targeting guide plate using the present invention carries out B ultrasound guided puncture operation, and easy to operate, inserting needle is accurate, and a people can the operation of complete independently B ultrasound guided puncture；B ultrasound guided puncture operating time is shortened, the workload of doctor and the pain of patient are reduced, improves efficiency, effect can more reach preoperative expection.
Description
Technical field
The present invention relates to medical instruments, and in particular to a kind of puncturing operation targeting guide plate.
Background technology
With the development of 3D technology, precisely medical treatment is more and more easy to implement.B ultrasound guided puncture is medical field one
The common technology of item.Mainly have manually to puncture at present and be punctured with conventional puncture supporter auxiliary.It manually punctures often because of human factor,
It is inaccurate to puncture entry point, inserting needle needs to adjust, unstable, can not accurately reach target position.Moreover, if puncturing target
Volume is too small, is unable to ensure primary success, needs repeated puncture, increases patient suffering, while increasing puncturing operation again
Time.Existing routine puncture supporter, puncture angle fixes, and entry point can not be close to Ultrasonic-B probe, and blind into having on needle passageway
Area cannot ensure inserting needle safety.Moreover, because puncture angle is fixed, when practical operation, with regard to nothing when puncture angle variation is excessive
Method uses.It manually punctures and conventional puncture supporter auxiliary punctures and is required to two doctor compounding practices, a personal responsibility punctures, one
People checks whether inserting needle circuit is safe by observing B ultrasound display.In the case where current medical resource is very in short supply, people is increased
Power is born.
Invention content
It is of the existing technology the present invention is directed to overcome the problems, such as, a kind of puncturing operation targeting guide plate is provided.Using the target
B ultrasound guided puncture operation is carried out to guide plate, it is easy to operate, needling length is known in advance, can accurately reach target position, inserting needle
More precisely, stablize, a people can complete independently B ultrasound guided puncture operation, shorten B ultrasound guided puncture operating time, reduce
The workload of doctor and the pain of patient, improve efficiency, effect can more reach preoperative expection.
One aspect of the present invention provides a kind of puncturing operation targeting guide plate, which is characterized in that including basic panel and needle column
Panel is provided with the fixed card slot of Ultrasonic-B probe on the basic panel；The needle pole panel is provided with needle column, and the needle column is set
It is equipped with into needle passageway.
The Ultrasonic-B probe fixed card slot can be designed according to Ultrasonic-B probe apparent size, can securely fix B ultrasound spy
Head.The internal diameter into needle passageway is according to the specifications design of needle used in inserting needle.
Preferably, needle column and the position into fixed card slot position of the orientation of needle passageway based on basic panel and puncture target
It determines.
Preferably, using the fixed card slot bottom center of basic panel as three-dimensional coordinate origin, according to the coordinate for puncturing target
It determines based on the geometrical principle of two points one lines with the coordinate of entry point and needle column and the orientation into needle passageway is set.
Preferably, the needle pole panel is provided with 2 or more needle columns.
Preferably, the basic panel is provided with several location holes.
Preferably, the basic panel is provided with several equidistant location holes on the same line.
Preferably, the basic panel is detachably fixed with the needle pole panel and connect.
Preferably, it is provided on the basic panel and agrees with slot or agree with pin, be provided in the needle pole panel and agree with pin
Or agree with slot；The basic panel and the needle pole panel are agreed with slot and are agreed with pin to be mutually clamped realization detachable solid by described
Fixed connection.
The present invention above-mentioned puncturing operation use targeting guide plate can as the targeting guide plate that the operation of B ultrasound Conducted Puncture uses,
Or B ultrasound guides targeting guide plate that tumour ablation operation uses down etc. and punctures relevant targeting guide plate.
Another aspect of the present invention provides a kind of manufacturing method of puncturing operation targeting guide plate, which is characterized in that including：
Using any point as three-dimensional coordinate origin, the position of fixed card slot is determined, according to different puncture target section models at a distance from body surface
It encloses, sets one or more point different from fixed card slot relative position, using the coordinate data of the location point as puncture
Target Coordinate Data；One or more inserting needle position coordinates is set, is sat according to puncture Target Coordinate Data and into pin position
Mark data, one or more needle column and the bearing data into needle passageway for determining needle pole panel, based on the data obtained,
Manufacture puncturing operation targeting guide plate；Preferably, in the fixed card slot bottom surface using the central point in Ultrasonic-B probe face as basic panel
The heart, using it as three-dimensional coordinate origin, according to different puncture target interval ranges at a distance from body surface, Ultrasonic-B probe towards
It is different that one or more is set on direction (preferably by Ultrasonic-B probe face central point and the line vertical from Ultrasonic-B probe face)
Location point, using the coordinate data of the location point as puncture Target Coordinate Data；One or more is set to sit into pin position
Mark, according to Target Coordinate Data and inserting needle position coordinate data is punctured, determine needle pole panel one or more needle column and
Into the bearing data of needle passageway, based on the data obtained, manufacture puncturing operation targeting guide plate.
The puncturing operation of above method manufacture of the present invention is had the following advantages with targeting guide plate：By presetting puncture mesh
Target coordinate range increases the needle column quantity in needle pole panel as needed, and needle column and inserting needle with different direction is arranged and leads to
Road, prefabricated puncturing operation targeting guide plate, realizes the general targeting guide plate of mass production, reduces cost.
It is above-mentioned can mass production puncturing operation with targeting guide plate, it is preferable that can be provided in the basic panel
Several location holes, it is highly preferred that being provided with several equidistant location holes on the same line.In puncturing operation in actual use,
Ultrasonic-B probe is installed on targeting guide plate in puncturing operation, suitable entry point is found in body surface.It is enterprising in body surface by location hole
Then line flag moves a certain distance Ultrasonic-B probe, it is preferable that along the straight of each equidistant location hole on same straight line
Line direction, the distance between two location holes are moved by Ultrasonic-B probe, observe inserting needle circuit by Ultrasonic-B probe, it is ensured that inserting needle circuit
Safety after, puncturing operation is moved back to targeting guide plate by original position according to the label on body surface, is punctured.Thus, it is possible to realize
In advance check whether can safe inserting needle, further avoid the presence of inserting needle blind area, ensure that the safety of puncturing operation.
Another aspect of the present invention provides a kind of manufacturing method of puncturing operation targeting guide plate, including：Ultrasonic-B probe is existed
Body surface movement carries out B ultrasound and searches puncture target, and Ultrasonic-B probe face (preferably, is centrally located in puncture by Ultrasonic-B probe positioning
The position that line of the target vertical in body surface face intersects with body surface face), using the central point in Ultrasonic-B probe face as the bottom of basic panel
Face center obtains the actual position coordinate data for puncturing target using it as three-dimensional coordinate origin, as puncture coordinates of targets
Data；Inserting needle position coordinates are set, according to Target Coordinate Data and inserting needle position coordinate data is punctured, determine the needle of needle pole panel
Column and bearing data into needle passageway, based on the data obtained, manufacture puncturing operation targeting guide plate.The method manufacture
Puncturing operation is had the following advantages with targeting guide plate：By obtain in advance puncture target actual position coordinate data, set into
Pin position coordinate determines the needle column of needle pole panel and the bearing data into needle passageway, and based on the data obtained, manufacture punctures hand
Art targeting guide plate, realizes personalized customization, further increases the precision of puncturing operation.
Optionally, puncturing operation of the present invention is detachably fixed company with the basic panel of targeting guide plate with the needle pole panel
It connects, in this way, can also realize that different needle pole panels shares the same basic panel, the manufacturing method includes：It makes first
Ultrasonic-B probe is fixed on Ultrasonic-B probe fixed card slot by basic panel, and the Ultrasonic-B probe in basic panel is moved in body surface
It carries out B ultrasound and searches puncture target, and Ultrasonic-B probe face (preferably, is centrally located in puncture target vertical by Ultrasonic-B probe positioning
The position that line in body surface face intersects with body surface face), using the central point in Ultrasonic-B probe face as the bottom center of basic panel,
Using it as three-dimensional coordinate origin, the actual position coordinate data for puncturing target are obtained, as puncture Target Coordinate Data, if
Determine inserting needle position coordinates, according to Target Coordinate Data and inserting needle position coordinate data is punctured, determine needle pole panel needle column and into
The bearing data of needle passageway makes needle pole panel based on the data obtained.
Preferably, the basic panel is provided with several location holes, it is highly preferred that being provided on the same line several etc.
Away from location hole；The manufacturing method further comprises：(preferably, determine by Ultrasonic-B probe face center after positioning Ultrasonic-B probe
Positioned at puncture target vertical behind the position that the line in body surface face intersects with body surface face), it is carried out in body surface by equidistant location hole
Label；After the needle column for determining needle pole panel and bearing data into needle passageway, Ultrasonic-B probe is moved a certain distance, it is preferable that
Along the rectilinear direction of each equidistant location hole on same straight line, Ultrasonic-B probe is moved into the distance between two location holes,
Inserting needle circuit is observed by Ultrasonic-B probe, it is ensured that the inserting needle line security of manufactured puncturing operation targeting guide plate.As a result, may be used
With realize check whether in advance can safe inserting needle, further avoid the presence of inserting needle blind area, ensure customized puncture hand
The safety in utilization of art targeting guide plate.
To sum up, puncturing operation of the invention targeting guide plate can be criticized according to the use demand of practical puncturing operation
Quantization production or personalized customization.Puncturing operation using the present invention carries out B ultrasound guided puncture operation, operation letter with targeting guide plate
It is single, needling length is known in advance, can accurately reach target position, inserting needle is more accurate, stablizes, and a people can complete independently
B ultrasound guided puncture is performed the operation, and is shortened B ultrasound guided puncture operating time, is reduced the workload of doctor and the pain of patient, is improved
Efficiency, effect can more reach preoperative expection.
Description of the drawings
Fig. 1 is the stereogram of basic panel 1 in puncturing operation targeting one specific implementation mode of guide plate of the present invention.
Fig. 2 is the stereogram of needle pole panel 2 in puncturing operation targeting one specific implementation mode of guide plate of the present invention.
Fig. 3 is the stereogram of puncturing operation targeting guide plate of the present invention.
Fig. 4 is that puncturing operation of the present invention is set with needle column in targeting one specific implementation mode of guide plate and into the orientation of needle passageway
Set figure.
Fig. 5, Fig. 6 are the puncturing operation of the present invention uses that body surface location is carried out in targeting one specific implementation mode of guide plate
Figure.
Fig. 7 is puncturing operation of the present invention verification inserting needle circuit peace of shifting one's position in targeting one specific implementation mode of guide plate
Full use figure.
Fig. 8, Fig. 9 are the puncturing operation of the present invention uses for reset puncture in targeting one specific implementation mode of guide plate
Figure.
Figure 10 is the stereogram of puncturing operation targeting guide plate another kind specific implementation mode of the present invention.
Figure 11 is the stereogram of puncturing operation targeting guide plate another kind specific implementation mode of the present invention.
In Fig. 6 and 7, shown dotted line indicates the rectilinear direction where each equidistant location hole 12.
Reference sign：
Basic panel 1；Fixed card slot 11；Location hole 12；Agree with slot 13；Needle pole panel 2；Needle column 21；Into needle passageway 22；Contract
Dowel pin 23；Puncture target location 3；Into pin position 4；Inserting needle route 5.
Specific implementation mode
The specific implementation mode of the present invention is described in detail below in conjunction with attached drawing.
As shown in figs 1-9, in a specific implementation mode of the invention, puncturing operation targeting guide plate includes basic panel
1 and needle pole panel 2；The fixed card slot 11 of Ultrasonic-B probe is provided on the basic panel 1, the basic panel 1 is in same straight line
On be provided with several equidistant location holes 12；The size of the fixed card slot of the Ultrasonic-B probe can just securely fix Ultrasonic-B probe；
The needle pole panel 2 is provided with the needle column 21 of 3 different needle angles；The needle column 21 is provided with into needle passageway 22, it is described into
The internal diameter of needle passageway 22 is according to the specifications design of needle used；It is provided on the basic panel 1 and agrees with slot 13, the needle pole panel
It is provided on 2 and agrees with pin 23；The basic panel 1 agrees with slot 13 described in the needle pole panel 2 and agrees with pin 23 mutually
Engaging, which is realized, is detachably fixed connection.
When making puncturing operation targeting guide plate, basic panel 1 is made first；Ultrasonic-B probe is fixed on Ultrasonic-B probe
Fixed card slot 11 on, the Ultrasonic-B probe in basic panel 1 is moved in body surface and carries out B ultrasound and search to puncture target, and by B
Super probe face, which is centrally located in, punctures the position that line of the target vertical in body surface face intersects with body surface face, with Ultrasonic-B probe face
Bottom center of the central point as basic panel 1 obtains the actual position coordinate number for puncturing target using it as three-dimensional coordinate origin
According to, as puncture Target Coordinate Data, set inserting needle position coordinates, according to puncture target location 3 coordinate data and into
The coordinate data of pin position 4 determines the needle column 21 of needle pole panel 2 and the bearing data into needle passageway 22.As shown in figure 4, to wear
Figure is arranged with the needle column of targeting guide plate and into the orientation of needle passageway in needle-holding hand art.Ultrasonic-B probe face is being centrally located in puncture target
In the case of the position that the line in body surface face intersects with body surface face, it is marked in body surface by equidistant location hole 12,
As shown in Figure 5 and Figure 6, the use figure of body surface location is carried out with targeting guide plate for puncturing operation.In the needle column for determining needle pole panel 2
21 and into after the bearing data of needle passageway 22, along the rectilinear direction of each equidistant location hole 12 on same straight line, by B ultrasound
The distance between mobile two location holes of probe, observe inserting needle circuit, it is ensured that manufactured puncturing operation target by Ultrasonic-B probe
To the inserting needle line security of guide plate, as shown in fig. 7, being shifted one's position with targeting guide plate for puncturing operation verifies inserting needle line security
Use figure；The data are finally based on, needle pole panel 2 is made.
Then, the basic panel 1 made and needle pole panel 2 are agreed with slot described in and agrees with pin and be mutually clamped realization
It is detachably fixed connection；In use, Ultrasonic-B probe is securely fastened on the fixed card slot 11 of Ultrasonic-B probe, pass through equidistant location hole
12 and patient body-surface telltale mark, so that Ultrasonic-B probe and puncture is targeted guide plate and resets.The peace of puncturing operation is verified by B ultrasound
After full property and accuracy, puncturing operation is carried out, as shown in Figure 8 and Figure 9, reset puncture is carried out with targeting guide plate for puncturing operation
Use figure.
The preferred embodiment of the present invention is described in detail above in association with attached drawing, still, the present invention is not limited to above-mentioned realities
The detail in mode is applied, in the range of the technology design of invention, technical scheme of the present invention can be carried out a variety of simple
Modification, this simple variant all belong to the scope of protection of the present invention.For example, in actual use, puncturing operation target of the present invention
It can be just like simple variant shown in Figure 10, Figure 11, as needed to guide plate, thus it is possible to vary the number of needle column 21 and location hole 12
Amount changes the shape of basic panel 1.
Claims (10)
1. a kind of puncturing operation targeting guide plate, which is characterized in that described basic including basic panel (1) and needle pole panel (2)
The fixed card slot (11) of Ultrasonic-B probe is provided on panel (1)；The needle pole panel (2) is provided with needle column (21), the needle column
(21) it is provided with into needle passageway (22).
2. puncturing operation according to claim 1 targeting guide plate, which is characterized in that needle column (21) and into needle passageway (22)
Orientation be based on basic panel (1) fixed card slot (11) position and puncture target location determination；Preferably, with basic panel
(1) fixed card slot (11) bottom center is that three-dimensional coordinate origin is based on according to the coordinate for the coordinate and entry point for puncturing target
The geometrical principle of two points one lines determines and needle column (21) and the orientation into needle passageway (22) is arranged.
3. puncturing operation according to claim 1 or 2 targeting guide plate, which is characterized in that needle pole panel (2) setting
There are 2 or more needle columns (21).
4. according to claim 1-3 any one of them puncturing operations targeting guide plate, which is characterized in that the basic panel
(1) several location holes (12) are provided with, it is preferable that be provided with several equidistant location holes (12) on the same line.
5. according to claim 1-4 any one of them puncturing operations targeting guide plate, which is characterized in that the basic panel
(1) it is detachably fixed and connect with the needle pole panel (2).
6. puncturing operation according to claim 5 targeting guide plate, which is characterized in that be arranged on the basic panel (1)
Have and agree with slot (13) or agree with pin (23), is provided on the needle pole panel (2) and agrees with pin (23) or agree with slot (13)；The base
This panel (1) and the needle pole panel (2) are agreed with slot (13) and are agreed with pin (23) to be mutually clamped realization detachable solid by described
Fixed connection.
7. claim 1-6 any one of them puncturing operations manufacturing method of targeting guide plate, which is characterized in that including：With
Any point is three-dimensional coordinate origin, the position of fixed card slot (11) is determined, according to different puncture targets section at a distance from body surface
Range sets one or more point different from fixed card slot (11) relative position, is made with the coordinate data of the location point
To puncture Target Coordinate Data；One or more inserting needle position coordinates is set, according to puncture Target Coordinate Data and inserting needle
Position coordinate data, one or more needle column (21) and the bearing data into needle passageway (22) for determining needle pole panel (2),
Based on the data obtained, manufacture puncturing operation targeting guide plate；Preferably, using the central point in Ultrasonic-B probe face as basic side
Fixed card slot (11) bottom center of plate (1), using it as three-dimensional coordinate origin, according to the different distance regions for puncturing target and body surface
Between range, Ultrasonic-B probe towards direction (preferably by Ultrasonic-B probe face central point and the line vertical with Ultrasonic-B probe face)
Upper one or more different location point of setting, using the coordinate data of the location point as puncture Target Coordinate Data；Setting
One or more inserting needle position coordinates determines needle cylinder according to Target Coordinate Data and inserting needle position coordinate data is punctured
One or more needle column (21) of plate (2) and the bearing data into needle passageway (22), based on the data obtained, manufacture is worn
Needle-holding hand art targeting guide plate.
8. manufacturing method according to claim 7, which is characterized in that including：Ultrasonic-B probe is moved in body surface and carries out B ultrasound
It searches and punctures target, and Ultrasonic-B probe positioning (preferably, Ultrasonic-B probe face is centrally located in and punctures target vertical in body surface face
The position intersected with body surface face of line), using the central point in Ultrasonic-B probe face as the bottom center of basic panel (1), be with it
Three-dimensional coordinate origin obtains the actual position coordinate data for puncturing target, as puncture Target Coordinate Data；Set inserting needle
Position coordinates, according to Target Coordinate Data and inserting needle position coordinate data is punctured, determine needle pole panel (2) needle column (21) and into
The bearing data of needle passageway (22), based on the data obtained, manufacture puncturing operation targeting guide plate.
9. manufacturing method according to claim 8, which is characterized in that the basic panel of puncturing operation targeting guide plate
(1) it is detachably fixed and connect with the needle pole panel (2), the manufacturing method includes：
Basic panel (1) is made first, and Ultrasonic-B probe is fixed on Ultrasonic-B probe fixed card slot (11), basic panel will be mounted in
(1) Ultrasonic-B probe in is moved in body surface carries out B ultrasound lookup puncture target, and Ultrasonic-B probe is positioned (preferably, by Ultrasonic-B probe
Face, which is centrally located in, punctures the position that line of the target vertical in body surface face intersects with body surface face), with the central point in Ultrasonic-B probe face
As the bottom center of basic panel (1), using it as three-dimensional coordinate origin, the actual position coordinate data for puncturing target are obtained,
As Target Coordinate Data is punctured, inserting needle position coordinates are set, according to puncture Target Coordinate Data and inserting needle position coordinates
Data determine the needle column (21) of needle pole panel (2) and the bearing data into needle passageway (22), based on the data obtained, make
Needle pole panel 2.
10. according to claim 8-9 any one of them manufacturing methods, which is characterized in that the basic panel (1) is if be provided with
Dry location hole (12), it is preferable that be provided with several equidistant location holes (12) on the same line；
The method further includes：After positioning Ultrasonic-B probe, it is marked in body surface by equidistant location hole (12)；
After the needle column (21) for determining needle pole panel (2) and bearing data into needle passageway (22), Ultrasonic-B probe is moved into a spacing
From, it is preferable that along the rectilinear direction of each equidistant location hole (12) on same straight line, Ultrasonic-B probe is moved two and is determined
The distance between position hole inserting needle circuit is observed by Ultrasonic-B probe, it is ensured that manufactured puncturing operation is logical with the inserting needle of targeting guide plate
The safety in road.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810345622.6A CN108784795A (en) | 2018-04-17 | 2018-04-17 | Puncturing operation targeting guide plate |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810345622.6A CN108784795A (en) | 2018-04-17 | 2018-04-17 | Puncturing operation targeting guide plate |
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| CN108784795A true CN108784795A (en) | 2018-11-13 |
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ID=64094342
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| CN201810345622.6A Pending CN108784795A (en) | 2018-04-17 | 2018-04-17 | Puncturing operation targeting guide plate |
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| 官卫 等: "简易经额部入路定向穿刺术治疗基底节区脑出血初步经验", 中华临床医师杂志(电子版), vol. 09, no. 04, pages 698 - 700 * |
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