CN109833561A - A kind of shaping seeds implanted 3D guide template - Google Patents
A kind of shaping seeds implanted 3D guide template Download PDFInfo
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- CN109833561A CN109833561A CN201910291331.8A CN201910291331A CN109833561A CN 109833561 A CN109833561 A CN 109833561A CN 201910291331 A CN201910291331 A CN 201910291331A CN 109833561 A CN109833561 A CN 109833561A
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- air bag
- pin
- shaping
- seeds implanted
- guide template
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Abstract
The invention discloses a kind of shaping seeds implanted 3D guide templates comprising contact pin area is provided with pin board in contact pin area, opens up pin hole on pin board;It is connected between per adjacent two pieces of pin boards by the first air bag, the periphery in contact pin area is provided with second air bag of circle, and the second air bag is connect with pin board;It is provided with isolation strip between second air bag and the first air bag, the through-hole of air guide is offered on isolation strip;Several moulding pearls are filled in first air bag and the second air bag;It is provided with tracheae on second air bag, is provided with valve on tracheae.Shaping seeds implanted 3D guide template of the invention is used for auxiliary radiation particle therapy tumour, effectively evade risk organs according to the different real-time mouldings of body surface curve convenient for the tumour of particle needle insertion patient, keep the distribution of particle needle more scientific, the radiological dose of tumour is more evenly.
Description
Technical field
The present invention relates to tumour radiotherapy technical fields, and in particular to a kind of shaping seeds implanted 3D guide template.
Background technique
Radioactive particle treats existing more than 100 years history of tumour, and radioactive particle is carried out under percutaneous puncture, to target
It is additional that area or danger zone can carry out in due course particle in art, and risk organs position or position can effectively evade, really real
It is higher tumor target dosage is showed, normal surrounding tissue damages smaller radiotherapy theory.Preliminary Practice proof can achieve
Good salvage treatment target, side reaction can receive.Presently, there are the problem of be: 1. plain CT guides lower radioactive particle to plant
Enter more according to personal experience ingredient, due to rib cage or dissection destructing interference, particle needle transplanting arrangement is caused to be extremely difficult to
It is complete parallel;2. seeds implanted is to be carried out according to preoperative therapy plan, and patient body position in actual operation, respiratory movement or go out
Blood, pneumothorax etc. can cause seeds implanted and preoperative plan in art to there is very large deviation;3. patient body-surface form is different, same
The each body surface of patient is also different, is entirely capable of and the matched seeds implanted guide template of body surface without one kind.
Summary of the invention
For the above-mentioned deficiency of the prior art, the present invention provides a kind of accurate positionings, the accurate shaping of seeds implanted
Seeds implanted 3D guide template.
To achieve the above object of the invention, the technical scheme adopted by the invention is as follows:
A kind of shaping seeds implanted 3D guide template is provided comprising contact pin area, be provided in contact pin area it is several uniformly
The pin board of arrangement offers several equally distributed pin holes on each pin board;By the between adjacent two pieces of pin boards
The connection of one air bag, the periphery in contact pin area is provided with second air bag of circle, and the second air bag is connect with pin board;Second air bag and
It is provided with isolation strip between one air bag, the through-hole of air guide is offered on isolation strip;It is filled in first air bag and the second air bag
Several moulding pearls, moulding pearl are the sphere of rubber material, and the channel of several air guides is offered on moulding pearl;It is arranged on second air bag
There is tracheae, is provided with valve on tracheae.
Further, the distance being spaced between adjacent two pieces of pin boards is 0.5cm, be spaced between two neighboring pin hole away from
From for 1cm.
Further, positioning galvanized wire is provided between adjacent two pieces of pin boards, positioning galvanized wire is arranged in the first air bag.
Further, the pin board of four pieces of squarelys arrangement is provided in contact pin area.
Further, the diameter of moulding pearl is 0.3cm.
Further, the diameter of pin hole is 1.4mm, and pin board is solid hard plate.
The invention has the benefit that shaping seeds implanted 3D guide template of the invention is used for auxiliary radiation tumour
Treatment, convenient for the lesion of particle needle insertion patient;Guide template is placed on the body surface of patient's lesion by operation consent, passes through vacuum pump
It is connect with tracheae, the air in the first air bag and the second air bag is extracted out, during vacuumizing, the first air bag and the second gas
Capsule is gradually compressed, and guide template is made to be fitted in patient body-surface, moulding at body surface shape;Particle needle passes through inserting on pin board
Particle needle is inserted into focal zone in hole, carries out seeds implanted, so that particle needle is evenly distributed, and makes during seeds implanted
Particle needle is fixed.
Isolation strip separates the second air bag and the first air bag, prevents the moulding pearl in the second air bag and the first air bag from mutually flowing
It is dynamic, prevent moulding pearl agglomerating;Moulding pearl uses the sphere of rubber material, and it is more comfortable to make to be fitted in patient body-surface, and moulding
Through-hole on pearl facilitates ventilation, makes guide template molding faster;After seeds implanted success, valve is opened, guide template restores former
Shape takes out it from the patient's body surface.
Galvanized wire X-ray opaque in CT scan is positioned, telltale mark line is played the role of, medical staff is helped to refer to focal zone
The position of tumour, convenient for the puncture of particle needle;The internal diameter of pin hole is 1.4mm, and the particle needle that can permit 18G passes through, and again
Particle needle can be fixed.Seeds implanted is carried out using guide template of the invention, according to the different real-time mouldings of body surface curve,
Convenient for the tumour of particle needle insertion patient, effectively evades risk organs, keep the distribution of particle needle more scientific, the radiological agent of tumour
Amount is more evenly;And entire operation process is simple, and operation is time-consuming short, reduces the chance that complication for patients occurs.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of shaping seeds implanted 3D guide template.
Fig. 2 is the structural schematic diagram of plastotype pearl.
Wherein, the 1, second air bag, 2, pin hole, 3, pin board, 4, isolation strip, 5, valve, 6, tracheae, 7, moulding pearl, 8, logical
Road, 9, through-hole, the 10, first air bag, 11, positioning galvanized wire.
Specific embodiment
A specific embodiment of the invention is described below, in order to facilitate understanding by those skilled in the art this hair
It is bright, it should be apparent that the present invention is not limited to the ranges of specific embodiment, for those skilled in the art,
As long as various change is in the spirit and scope of the present invention that the attached claims limit and determine, these variations are aobvious and easy
See, all are using the innovation and creation of present inventive concept in the column of protection.
As depicted in figs. 1 and 2, shaping seeds implanted 3D guide template includes contact pin area, is provided in contact pin area several
At evenly arranged pin board 3, offered on each pin board 3 several at equally distributed pin hole 2;Per adjacent two pieces of contact pins
It is connected between plate 3 by the first air bag 10, the periphery in contact pin area is provided with second air bag of circle 1, and the second air bag 1 and pin board
3 connections;It is connected between second air bag 1 and the first air bag 10 by isolation strip 4, the through-hole 9 of air guide is offered on isolation strip 4;The
Several moulding pearls 7 are filled in one air bag 10 and the second air bag 1, moulding pearl 7 is the sphere of rubber material, is opened on moulding pearl 7
Channel 8 equipped with several air guides;It is provided with tracheae 6 on second air bag 1, valve 5 is provided on tracheae 6.
The shaping seeds implanted 3D guide template of this programme is used for auxiliary radiation oncotherapy, is inserted into convenient for particle needle
The lesion of patient;Guide template is placed on the body surface of patient's focal zone by operation consent, is connect by vacuum pump with tracheae 6, by
Air extraction in one air bag 10 and the second air bag 1, during vacuumizing, the first air bag 10 and the second air bag 1 gradually by
Compression makes guide template be fitted in patient body-surface, moulding at body surface shape;Particle needle passes through the jack on pin board 3 to disease
Stove area is inserted into particle needle, carries out seeds implanted, so that particle needle is evenly distributed, and particle needle obtains during seeds implanted
It is fixed to effective.
Isolation strip 4 separates the second air bag 1 and the first air bag 10, prevents the moulding in the second air bag 1 and the first air bag 10
Pearl 7 is mutually flowed, and prevents moulding pearl 7 agglomerating;Moulding pearl 7 is made to be fitted in patient body-surface and is more relaxed using the sphere of rubber material
It is suitable, and the channel 8 on moulding pearl 7 facilitates ventilation, makes guide template molding faster;After seeds implanted success, valve 5 is opened,
Second air bag 1 and the first air bag 10 restore to the original state, it is taken out from the patient's body surface.
This programme is preferably 0.5cm per the distance being spaced between adjacent two pieces of pin boards 3, between each adjacent two pin hole 2
The distance at interval is 1cm;Positioning galvanized wire 11 is provided between per adjacent two pieces of pin boards 3, positioning galvanized wire 11 is arranged in the first gas
In capsule 10;The pin board 3 of 4-8 block squarely arrangement is preferably provided in contact pin area;The diameter of moulding pearl 7 is 0.3cm, pin hole 2
Diameter is 1.4mm, and pin board 3 is solid hard plate, prevents particle needle from shaking in operation.
The X-ray opaque in CT scan of galvanized wire 11 is positioned, telltale mark line is played the role of, medical staff is helped to refer to lesion
The position of area's tumour, convenient for the puncture of particle needle;The internal diameter of pin hole 2 is 1.4mm, and the particle needle that can permit 18G passes through, 18G
The needle tubing outer diameter of particle needle be 1.2mm, particle needle can be fixed in pin hole 2.
With the shaping seeds implanted 3D guide template of this programme seeds implanted method the following steps are included:
S1: carrying out disinfection processing to guide template, be then placed on the body surface projection position of patient tumors lesion, and
It is bonded guide template with the body surface of patient;
S2: patient body position remains stationary, and tracheae 6 is controlled to a vacuum pump and is vacuumized, during vacuumizing, doctor
Shield personnel constantly press the first air bag 10 and the second air bag 1 on guide template, form guide template gradually, and ensure to guide
Template is bonded with patient body-surface completely;
S3: after guide template molding, CT scan is carried out to the affected area of patient, CT images picture is obtained, positions galvanized wire 11
It is shown on CT images picture;
S4: determining the relative position of tumour according to the position of positioning galvanized wire 11, the therapeutic scheme before drafting seeds implanted, really
Determine the orientation of particle pin puncture;
S5: according to the therapeutic scheme drafted, carrying out particle pin puncture by pin board 3, intermittent during puncture
Carry out CT scan, it is ensured that particle needle reaches scheduled position;
S6: 125I seeds implanted is carried out by puncturing the particle needle completed, and is controlled repeatedly with what is drafted in the whole process
Treatment scheme is compared;
Particle needle is extracted after S7:125I seeds implanted, and CT scan is carried out again to the focal zone of patient, obtains CT
Image picture, the plan verifying after carrying out seeds implanted.
Seeds implanted is carried out using guide template of the invention, according to the different real-time mouldings of body surface curve, is convenient for particle needle
It is inserted into the tumour of patient, effectively evades risk organs, keeps the distribution of particle needle more scientific, the radiological dose of tumour is more evenly;
And entire operation process is simple, and operation is time-consuming short, reduces the chance that complication for patients occurs.
Claims (6)
1. a kind of shaping seeds implanted 3D guide template, which is characterized in that including contact pin area, if being provided in the contact pin area
It does evenly arranged pin board (3), several equally distributed pin holes (2) is offered on each pin board (3);Adjacent two pieces are inserted
It is connected between needle plate (3) by the first air bag (10), the periphery in the contact pin area is provided with second air bag of circle (1), and second
Air bag (1) is connect with pin board (3);It is provided with isolation strip (4) between second air bag (1) and the first air bag (10), it is described
The through-hole (9) of air guide is offered on isolation strip (4);Several modelings are filled in first air bag (10) and the second air bag (1)
Shape pearl (7), the moulding pearl (7) are the sphere of rubber material, and the channel (8) of several air guides is offered on the moulding pearl (7);
It is provided with tracheae (6) on second air bag (1), is provided with valve (5) on the tracheae (6).
2. shaping seeds implanted 3D guide template according to claim 1, which is characterized in that adjacent two pieces of pin boards
(3) distance being spaced between is 0.5cm, and the distance being spaced between two neighboring pin hole (2) is 1cm.
3. shaping seeds implanted 3D guide template according to claim 1, which is characterized in that adjacent two pieces of pin boards
(3) positioning galvanized wire (11) is provided between, positioning galvanized wire (11) setting is in the first air bag (10).
4. shaping seeds implanted 3D guide template according to claim 1, which is characterized in that be arranged in the contact pin area
The pin board (3) for thering is 4-8 block squarely to arrange.
5. shaping seeds implanted 3D guide template according to claim 1, which is characterized in that the moulding pearl (7)
Diameter is 0.3cm.
6. shaping seeds implanted 3D guide template according to claim 1, which is characterized in that the pin hole (2) it is straight
Diameter is 1.4mm, and the pin board (3) is solid hard plate.
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CN201910291331.8A CN109833561A (en) | 2019-04-11 | 2019-04-11 | A kind of shaping seeds implanted 3D guide template |
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CN201910291331.8A CN109833561A (en) | 2019-04-11 | 2019-04-11 | A kind of shaping seeds implanted 3D guide template |
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Citations (7)
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CN101366674A (en) * | 2007-08-15 | 2009-02-18 | 石锦 | Ala auris reforgering device |
US20140094643A1 (en) * | 2012-09-28 | 2014-04-03 | Mevion Medical Systems, Inc. | Controlling Particle Therapy |
CN106237546A (en) * | 2016-08-26 | 2016-12-21 | 张福君 | A kind of based on 3D printing can compensate for implants precision seeds implanted guiding die plate |
CN205831985U (en) * | 2016-05-25 | 2016-12-28 | 无锡市人民医院 | From moulding neck brace |
CN206325116U (en) * | 2016-10-21 | 2017-07-14 | 北京启麟科技有限公司 | A kind of 3D printing guide plate for Minimally Invasive Surgery |
CN208481895U (en) * | 2017-12-28 | 2019-02-12 | 中国人民解放军陆军军医大学第二附属医院 | Polylactic acid patch applied to local accurate radiotherapy |
CN209809300U (en) * | 2019-04-11 | 2019-12-20 | 新疆医科大学第三附属医院 | 3D guide template for plastic particle implantation |
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2019
- 2019-04-11 CN CN201910291331.8A patent/CN109833561A/en active Pending
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN101366674A (en) * | 2007-08-15 | 2009-02-18 | 石锦 | Ala auris reforgering device |
US20140094643A1 (en) * | 2012-09-28 | 2014-04-03 | Mevion Medical Systems, Inc. | Controlling Particle Therapy |
CN205831985U (en) * | 2016-05-25 | 2016-12-28 | 无锡市人民医院 | From moulding neck brace |
CN106237546A (en) * | 2016-08-26 | 2016-12-21 | 张福君 | A kind of based on 3D printing can compensate for implants precision seeds implanted guiding die plate |
CN206325116U (en) * | 2016-10-21 | 2017-07-14 | 北京启麟科技有限公司 | A kind of 3D printing guide plate for Minimally Invasive Surgery |
CN208481895U (en) * | 2017-12-28 | 2019-02-12 | 中国人民解放军陆军军医大学第二附属医院 | Polylactic acid patch applied to local accurate radiotherapy |
CN209809300U (en) * | 2019-04-11 | 2019-12-20 | 新疆医科大学第三附属医院 | 3D guide template for plastic particle implantation |
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