CN108968995A - A kind of bone positioning film and bone localization method - Google Patents
A kind of bone positioning film and bone localization method Download PDFInfo
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- CN108968995A CN108968995A CN201810947273.5A CN201810947273A CN108968995A CN 108968995 A CN108968995 A CN 108968995A CN 201810947273 A CN201810947273 A CN 201810947273A CN 108968995 A CN108968995 A CN 108968995A
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- film
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- ray
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- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 51
- 238000000034 method Methods 0.000 title claims abstract description 21
- 230000004807 localization Effects 0.000 title claims abstract description 16
- 239000010408 film Substances 0.000 claims description 139
- 238000004806 packaging method and process Methods 0.000 claims description 22
- 238000012856 packing Methods 0.000 claims description 13
- 239000000463 material Substances 0.000 claims description 10
- 239000013039 cover film Substances 0.000 claims description 4
- 238000002594 fluoroscopy Methods 0.000 claims description 4
- 239000010409 thin film Substances 0.000 claims description 3
- 239000003292 glue Substances 0.000 claims 1
- 230000003287 optical effect Effects 0.000 claims 1
- 239000000126 substance Substances 0.000 claims 1
- 238000003384 imaging method Methods 0.000 description 8
- 239000011248 coating agent Substances 0.000 description 5
- 238000000576 coating method Methods 0.000 description 5
- 230000000694 effects Effects 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 238000009455 aseptic packaging Methods 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- IAYPIBMASNFSPL-UHFFFAOYSA-N Ethylene oxide Chemical compound C1CO1 IAYPIBMASNFSPL-UHFFFAOYSA-N 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 210000000577 adipose tissue Anatomy 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000002745 epiphysis Anatomy 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 238000012946 outsourcing Methods 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/50—Clinical applications
- A61B6/505—Clinical applications involving diagnosis of bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3904—Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
- A61B2090/3916—Bone tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3966—Radiopaque markers visible in an X-ray image
Abstract
The present invention relates to location of operation technical fields, and in particular to a kind of bone positioning film and bone localization method.Including film ontology, the film ontology includes the anti-exposure layer, polaroid film layer and anti-exposure layer stacked gradually, at least one anti-exposure layer can pass through X-ray.As long as film ontology is attached on human skin, X-ray is issued in the other side of human body, film ontology receives X-ray, the anti-exposure layer of permeable X-ray is attached on the skin, then X-ray can pass through anti-exposure layer arrival polaroid film layer and is imaged, and another anti-exposure layer then plays the role of preventing polaroid film layer exposure.Film ontology need to be only attached at the position to be treated of human body by above-mentioned bone positioning film, can be positioned without adjusting position, easy to operate.Solve it is existing in the prior art need to locator and operation centrum relative position be adjusted and locator could be used to position, inconvenient problem.
Description
Technical field
The present invention relates to location of operation technical fields, and in particular to a kind of bone positioning film and bone localization method.
Background technique
In recent years, with the proposition of minimally invasive theory, more and more operations are in minimally invasive lower completion.Minimally Invasive Surgery has been current
The maximum bright spot that various big hospital attracts patient to go to a doctor.The implementation of orthopaedics Minimally Invasive Surgery nearly all be unable to do without x-ray to the accurate of bone
Positioning.Currently, to rely primarily on C-arm in preoperative X-ray film and art (a kind of art in x-ray display instrument) fixed for the positioning in bone surgery
Position, but this body surface that is located in does not have any apparent label, is mainly judged according to image, anatomic landmark and experience after irradiation
The purpose position of operation, such as encounters that body surface anatomic landmark is unobvious or lesion is smaller, is difficult accurate judgement purpose position, leads to art
In need prolonged incison or the halfway phenomenon of focal cleaning to happen occasionally.Especially children, adipose tissue is more, body surface mark
Will is unobvious, if being easy to damage epiphysis leaning on juxtaepiphysial position position inaccurate, causes skeleton development abnormal, causes limb
Body developmental deformity or cripetura.Localization method is inaccurate, it is also possible to new wound, especially cervical vertebra and thoracic vertebrae hand are brought to patient
Art is cut if notch is caused accidentally to cut or leak in art, is brought bigger wound, amount of bleeding to patient, is extended the surgery anesthesia time, increases
Operation risk may bring life threat for the elderly.In addition, with the progress of minimally invasive spine surgical technology, interverbebral disc
The extensive application of mirror, foramen intervertebrale lens, to preoperative positioning, more stringent requirements are proposed.
It discloses that a kind of spinal operation is preoperative, Intraoperative position device application No. is the application of CN201410405745.6, and has
Body discloses: locator is made of the grid that can develop, and locator is attached to skin surface, is had an X-rayed using X-ray machine, is seen
The relative position of need to perform the operation centrum and locator, selection operation centrum are examined, and is marked in location hole with marking pen.Remove positioning
Device, and mark point is linked to be line, complete operative incision label.The accuracy of this method is dependent on patient to centrum and locator phase
The accuracy of accuracy and marking pen label to position observation.Cumbersome, accuracy is not easy to hold, and this method is only capable of
Single label, once locator is removed, can not mark again.Due to being marked using marking pen, the bone information marked is limited.
Summary of the invention
Just in order to solve it is existing in the prior art need to locator and operation centrum relative position be adjusted and can make
It is positioned with locator, inconvenient problem, the present invention proposes that a kind of bone positions film and bone localization method, solves
Above-mentioned technical problem.Technical scheme is as follows:
A kind of bone positioning film, including film ontology, the film ontology include the anti-exposure layer stacked gradually, show
Film layers and anti-exposure layer, at least one anti-exposure layer can pass through X-ray.
Film is positioned by the bone of above-mentioned setting, itself can be imaged, as long as film ontology is so attached to human body skin
On skin, X-ray is issued in the other side of human body, film ontology receives X-ray, the anti-exposure layer of permeable X-ray attached on the skin,
Then X-ray, which can pass through anti-exposure layer and reach polaroid film layer, is imaged, and another anti-exposure layer then plays prevents polaroid film layer
Exposure effect.Film ontology need to be only attached at the position to be treated of human body by above-mentioned bone positioning film, without adjusting
Position can be positioned, easy to operate.
Further, the anti-exposure layer is black thin film.
Further, the film ontology further includes adhered layer, and the adhered layer is layered in the anti-exposure of permeable X-ray
The side of the separate polaroid film layer of photosphere.
Further, the film ontology further includes cover film, and the cover layer is stacked in the separate anti-of the adhered layer
The side of exposure layer.
Further, further include packaging bag for accommodating film ontology, the packaging bag includes packing inside bag and outsourcing
Pack, the film ontology are built in packing inside bag, and the packing inside bag is built in outer packaging bag.
A kind of bone localization method positions film using bone, includes the following steps:
S1, the side setting signal emitter at the position to be treated of human body, in the another of the position to be treated of human body
Film ontology is attached on the skin of side;
S2, open signal emitter issue the position to be treated of x-ray fluoroscopy human body;
S3, film ontology receive X-ray signal and are imaged.
By above-mentioned localization method, in the film ontology direct imaging for being attached at human skin, by film ontology
Polaroid film layer on image be that may know that the bone distribution situation at position to be treated, can facilitate and patient is controlled
It treats, and the bone distribution situation at position to be treated has been shown in detail in the image on polaroid film layer, can meet well
The demand of skeletal landmarks.
Further, in step S1, film ontology is attached on the other side skin at the position to be treated of human body and is specifically wrapped
It includes: taking out film ontology in packaging bag, film ontology is attached on the skin at position to be treated of human body;The film sheet
It can pass through X-ray close to the anti-exposure layer of human body in body.
Further, in the step S3, film ontology receives X-ray signal and is imaged and specifically includes: film ontology receives X
After light, its inner material is unfolded with drum presses film ontology, the film ontology after inner material expansion can be imaged.
It further, further include step S4, the anti-exposure layer for throwing off separate human body on film ontology.
Based on the above-mentioned technical proposal, the technical effect achieved by the present invention are as follows:
1. bone of the invention positions film, X-ray can effectively be received by setting polaroid film layer and be imaged, two sides are prevented
Exposure layer prevents the influence of ambient, be further arranged at least one anti-exposure layer can pass through X-ray and can not be through can
Light-exposed, when in use, X-ray can pass through this anti-exposure layer arrival polaroid film layer and is imaged, and such bone positioning film can
Itself imaging, the bone distribution situation at the position to be treated of patient has been shown in detail in image-forming information, facilitate patient accurately into
Row treatment, when treatment, can also repeatedly be marked;
2. bone of the invention positions film, by the way that adhered layer and the rationally position of setting adhered layer is arranged, make film sheet
Body is adopted to be attached on human skin in the method for paste, and opposite fortune is not easy to produce between the film ontology and human body after stickup
It is dynamic;Convenient to protect to adhered layer by the coating outside setting adhered layer, after throwing off coating, adhered layer just can be with
It is pasted;
3. bone of the invention positions film, packaging is sealed to film ontology by the way that two layers of packaging bag is arranged, into one
Step improves the cleannes of film ontology, further uses aseptic packaging, ensure that the wholesomeness and safety of bone positioning film
Property;
4. bone localization method of the invention, as long as film ontology is attached on human skin, in the other side of human body
X-ray is issued, film ontology receives X-ray and is imaged, and method is simple, and the relative position without adjusting film ontology, film ontology
Documented image-forming information be also extremely shown in detail patient position to be treated bone distribution situation, facilitate patient quasi-
It really is treated, when treatment can repeatedly be marked;
5. bone localization method of the invention attaches the anti-exposure layer of permeable X-ray close to human skin, such X-ray
It can pass through anti-exposure layer arrival polaroid film layer to be imaged;The anti-exposure layer far from human skin is thrown off at the time of surgery,
Observe the image on polaroid film layer, the image that patient only needs control to print can operate, very square
Just.
Detailed description of the invention
Fig. 1 is the structural schematic diagram for the film ontology that bone of the invention positions film;
In figure: 1- polaroid film layer;The anti-exposure layer of 2-;3- adhered layer.
Specific embodiment
The contents of the present invention are further described with reference to the accompanying drawings of the specification.
As shown in Figure 1, present embodiments providing a kind of bone positioning film, including film ontology and packaging bag, film sheet
Body is contained in packaging bag.
Film ontology is multilayered structure, and film ontology includes the anti-exposure layer 2, polaroid film layer 1, anti-exposure stacked gradually
Layer 2, adhered layer 3 and cover film (not shown).Polaroid film layer 1 is used to receive the X-ray through position to be treated and imaging,
By the image on observation polaroid film layer 1 you can learn that the bone image at position to be treated.Polaroid film layer 1 is in rectangle
The autography type polaroid film of card shape, polaroid film layer 1 close to adhered layer 3 one side be plane of exposure, polaroid film layer 1 it is remote
One side from adhered layer 3 is viewing surface.Plane of exposure is the face that image is recorded by exposure, and viewing surface is the figure that observation is recorded
The face of picture.Polaroid film layer 1 is internally provided with the accommodating chamber for accommodating developing materials, when in use, by squeezing polaroid film
Layer 1 can carry out development imaging after the developing materials in its inner containment chamber are unfolded.The selection of polaroid film layer 1 is common on the market
Common polaroid film.
The two sides of polaroid film layer 1 are provided with anti-exposure layer 2, and anti-exposure layer 2 is to prevent the injection of light from causing to show
The unnecessary exposure of film layers 1.X-ray line, settable two anti-exposure layers can be effectively received in order to facilitate polaroid film layer 1
2 be permeable X-ray, impermeable visible light, in this way, other light can not reach polaroid film layer 1 through anti-exposure layer 2, only X
Light is reachable, then will not influence the imaging effect of polaroid film layer 1;It is anti-between also settable polaroid film layer 1 and adhered layer 3
Exposure layer 2 is that can pass through X-ray, impermeable visible light, and another anti-exposure layer 2 is that any light is impermeable.Such film
When ontology is attached on human skin by adhered layer 3, X-ray can be through the anti-exposure between polaroid film layer 1 and adhered layer 3
Layer 2 reaches polaroid film layer 1 and is imaged.Preferably, polaroid film layer 1 is black thin film.Preferably, far from adhered layer 3
Anti- exposure layer 2 can conveniently be taken off, in this way, can take the skeletal graph on the anti-observation of exposure layer 2 polaroid film layer 1 off after imaging
Picture.
Setting adhered layer 3 can facilitate film ontology to paste on human skin, since adhered layer 3 directly connects with human skin
Touching, adhered layer 3 can be one layer of gum, and gum uses harmless material.The settable one layer of coating in the outside of adhered layer 3, is being not necessarily to
When using film, coating is covered on adhered layer 3, avoids adhered layer 3 from being exposed to outer.
Packaging bag includes packing inside bag and outer packaging bag, and packing inside bag is built in outer packaging bag, and film ontology is built in
In packing inside bag.Preferably, packing inside bag and outer packaging bag are sealing bags, and packing inside bag and outer packaging bag are through epoxy
Ethane sterilizing is aseptic packaging, and such film ontology takes out out of packaging bag can be used, without being sterilized again.
The bone of above structure positions film, when in use, first takes out from packaging bag, throws off coating, pass through stickup
Film ontology is pasted the position to be treated of human body by layer 3, and X-ray ready to receive is imaged, and after imaging, throws off outermost
Anti- exposure layer 2 be that image on polaroid film layer can be observed, bone positioning is carried out according to image.
The present embodiment additionally provides a kind of bone localization method, positions film using above-mentioned bone, includes the following steps:
S1, the side setting signal emitter at the position to be treated of human body, in the another of the position to be treated of human body
The film ontology of bone positioning film is attached on the skin of side;
S2, open signal emitter issue the position to be treated of x-ray fluoroscopy human body;
S3, film ontology receive X-ray signal and are imaged.
Wherein, film ontology is attached in step S1 on the other side skin at the position to be treated of human body to specifically include:
Film ontology is taken out in packaging bag, and film ontology is attached on the skin at position to be treated of human body;In the film ontology
Anti- exposure layer close to human body can pass through X-ray.Further, in step S1 on the other side skin at the position to be treated of human body
It attaches film ontology to specifically include: taking out the packing inside bag that film ontology is housed in outer packaging bag, then taken from packing inside bag
Film ontology out throws off the cover film of film ontology, so logical by the skin contact of adhered layer 3 and the position to be treated of human body
Adhered layer 3 is crossed to be pasted to film ontology on the skin at human body position to be treated.
In step S2, the vertical directive human body of X-ray that sender unit issues is treated therapentic part and is had an X-rayed.It is preferred that
Ground, the coverage area of film ontology are greater than the x-ray fluoroscopy range of sender unit.
In step S3, film ontology receives X-ray signal and is imaged and specifically includes: after film ontology receives X-ray, being squeezed with round roller
Its inner material is unfolded in moulding piece ontology, and the film ontology after inner material expansion can be imaged.The inside object of film ontology
Matter is the developing materials inside polaroid film layer, and the developing materials expansion only inside polaroid film layer, polaroid film layer is
It can carry out development imaging.
Further, bone localization method further includes step S4, the anti-exposure layer for throwing off separate human body on film ontology
2.After the anti-exposure layer 2 for throwing off the separate human body on film ontology, the viewing surface of polaroid film layer is exposed, and patient can be straight
The bone image being imaged on observation polaroid film layer is connect, is positioned and is performed the operation according to bone image.
Embodiments of the present invention are explained in detail above in conjunction with attached drawing, but the present invention is not limited to above-mentioned implementations
Mode within the knowledge of a person skilled in the art can also be in the premise for not departing from spirit of the invention
Under make a variety of changes.
Claims (9)
1. a kind of bone positions film, which is characterized in that including film ontology, the film ontology includes the anti-exposure stacked gradually
Photosphere (2), polaroid film layer (1) and anti-exposure layer (2), at least one anti-exposure layer (2) can pass through X-ray.
2. a kind of bone as described in claim 1 positions film, which is characterized in that the anti-exposure layer (2) is black thin film.
3. a kind of bone as claimed in claim 1 or 2 positions film, which is characterized in that the film ontology further includes pasting
Layer (3), the adhered layer (3) are layered in the side of the separate polaroid film layer (1) of the anti-exposure layer (2) of permeable X-ray.
4. a kind of bone as claimed in claim 3 positions film, which is characterized in that the film ontology further includes cover film,
The cover layer is stacked in the side far from anti-exposure layer (2) of the adhered layer (3).
5. such as claim 1-2,4 described in any item a kind of bone positioning films, which is characterized in that further include for accommodating glue
The packaging bag of piece ontology, the packaging bag include packing inside bag and outer packaging bag, and the film ontology is built in packing inside bag,
The packing inside bag is built in outer packaging bag.
6. a kind of bone localization method, which is characterized in that film is positioned using bone as described in any one in claim 1-5,
Include the following steps:
S1, the side setting signal emitter at the position to be treated of human body, the other side skin at the position to be treated of human body
Film ontology is attached on skin;
S2, open signal emitter issue the position to be treated of x-ray fluoroscopy human body;
S3, film ontology receive X-ray signal and are imaged.
7. a kind of bone localization method as claimed in claim 6, which is characterized in that in step S1, in the portion to be treated of human body
Film ontology is attached on the other side skin of position to specifically include: taking out film ontology in packaging bag, film ontology is attached to
On the skin at the position to be treated of human body;It can pass through X-ray close to the anti-exposure layer of human body in the film ontology.
8. a kind of bone localization method as claimed in claim 6, which is characterized in that in the step S3, film ontology receives X
Optical signal and be imaged specifically include: film ontology receive X-ray after, with drum presses film ontology make its inner material be unfolded, it is interior
Film ontology after the expansion of portion's substance can be imaged.
9. such as a kind of described in any item bone localization methods of claim 6-8, which is characterized in that further include step S4, throw off
The anti-exposure layer of separate human body on film ontology.
Priority Applications (1)
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CN201810947273.5A CN108968995A (en) | 2018-08-20 | 2018-08-20 | A kind of bone positioning film and bone localization method |
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CN201810947273.5A CN108968995A (en) | 2018-08-20 | 2018-08-20 | A kind of bone positioning film and bone localization method |
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CN201810947273.5A Pending CN108968995A (en) | 2018-08-20 | 2018-08-20 | A kind of bone positioning film and bone localization method |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113456092A (en) * | 2021-05-14 | 2021-10-01 | 赵胜 | Intraoperative spinal column crown state balance assessment tool |
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