CN111150498A - Accurate positioning method and positioning film for affected part in CT scanning and minimally invasive surgery - Google Patents
Accurate positioning method and positioning film for affected part in CT scanning and minimally invasive surgery Download PDFInfo
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- CN111150498A CN111150498A CN201911100481.2A CN201911100481A CN111150498A CN 111150498 A CN111150498 A CN 111150498A CN 201911100481 A CN201911100481 A CN 201911100481A CN 111150498 A CN111150498 A CN 111150498A
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/101—Computer-aided simulation of surgical operations
- A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
- A61B2034/107—Visualisation of planned trajectories or target regions
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- 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
- A61B2090/3908—Soft tissue, e.g. breast tissue
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- 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
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- 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
- A61B2090/3983—Reference marker arrangements for use with image guided surgery
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Abstract
The invention relates to a positioning film for CT scanning and surgery, which is characterized by comprising a protective film, a release film and a base film, wherein the protective film is adsorbed on one side of the base film through static electricity, an easy-to-tear strip is adhered to one end of the protective film, an adhesive is adhered to the other side of the base film, a mark point is arranged on the base film, the release film is adhered to the adhesive, and two release films are adhered to the adhesive.
Description
Technical Field
The invention relates to the field of medical auxiliary products, in particular to a method for accurately positioning an affected part in CT scanning and minimally invasive surgery.
Background
With the progress of science and technology, in order to relieve the pain of people and accelerate the postoperative recovery of patients, the minimally invasive surgery technology is developed, and the minimally invasive surgery is the minimally invasive surgery as the name suggests. Refers to an operation performed by using modern medical instruments such as laparoscope, thoracoscope and the like and related equipment. But can not fine fix a position at present in the operation process, in order to solve this problem, invented a large-scale accurate positioning equipment now, the location operation is complicated, be unfavorable for the operation to use, and propose a body surface location subsides among the prior art in order to solve this problem, present clinical application is comparatively extensive various body surface location subsides, all obtained certain effect on the accuracy of solving internal focus body surface location, but the method that they adopted simply can only carry out a rough positioning, influence later stage doctor and carry out the affected part location, thereby influence the operation position of wicresoft and confirm. Moreover, the protective film provided by the existing patent is only a simple grid membrane, the sanitary condition of the protective film cannot be guaranteed, the hollowed-out grid can be pulled when a patient does not pay attention to the protective film, the grid is damaged, and the affected part is positioned by a doctor.
Disclosure of Invention
The invention mainly aims to provide a simple and convenient method for positioning a minimally invasive surgery after CT scanning, and relates to a method for accurately positioning an affected part of the CT scanning and the minimally invasive surgery, which comprises the following specific steps:
firstly, selecting a positioning film according to the position of a patient needing CT, then uncovering a fixing strip, tearing off a release film, sticking a basic film on the position of the patient, and then tearing off a protective film through an easy-to-tear strip to enable the basic film to be completely attached to the position of pathological changes of the patient;
secondly, the patient lies on the back on the examination bed, and a GE 64-layer Optima CT scanner is applied. Scanning parameters are as follows: the tube voltage is 120kV, the tube current is 500mA, and the scanning layer thickness is 0.625 mm. And scanning the lesion position of the patient, further determining the accurate position of the lesion of the patient, and after the scanning is finished. And performing bone window and standard window reconstruction on the original data. And transmitting the reconstructed data to an ADW4.6 workstation for post-processing, wherein VR adopts bone algorithm condition reconstruction, and SSD adopts soft tissue algorithm condition reconstruction. The accurate position of the fracture is determined through VR bone algorithm three-dimensional reconstruction, the accurate position of the fracture is marked by an image diagnostician, then the accurate position of the fracture is reconstructed through SSD soft tissue algorithm conditions, the bone algorithm reconstruction is performed through adjusting contrast and algorithm conditions, namely through adopting a volume reproduction technology VR, a surface covering technology SSD displays body surface fat and a basic membrane shape of a patient, at the moment, the marked position and the basic membrane are both developed on a reconstructed image, and reference measurement is performed on the fracture position through basic membrane pane division on a horizontal and vertical coordinate relative to a basic membrane pane division point, so that the accurate positioning of the fracture is obtained.
Thirdly, according to the steps, the position relation between the bone injury and the fat skin of the patient can be obtained by an operator, the position relation is stored by the operator and is sent to an attending doctor, the attending doctor marks the affected part of the patient according to the position relation on the picture, the attending doctor observes the bone injury position of the patient during marking, determines a positioning mark hole closest to the bone injury position and marks the bone injury position by a recording pen through the positioning mark hole, the basic film is torn off after marking is finished, and the injury position of the patient is marked on the skin of the patient;
and fourthly, between minimally invasive surgeries, the main doctor analyzes the injury position of the patient according to the marks, analyzes the optimal operation wound position, then obviously marks the optimal operation wound position, and after the marks are finished, the main doctor performs the minimally invasive surgery on the lesion position according to the marks.
The positioning film for CT scanning and surgery is characterized by comprising a protective film, a release film and a base film, wherein the protective film is adsorbed on one side of the base film through static electricity, an easy-to-tear strip is bonded at one end of the protective film, an adhesive is bonded on the other side of the base film, a mark point is arranged on the base film, the release film is bonded on the adhesive, the release film is divided into two pieces, two contact ends of the release film are of a folding structure, two contact ends of the release film are bonded with a fixing strip, a positioning mark hole is formed in the base film, and the base film is a 3M film material.
The base membrane comprises a sticking membrane and a shadow forming layer, the shadow forming layer is fixed on the sticking membrane through an adhesive, the shadow forming layer comprises a positioning line and mark points, the positioning line is of a grid structure, the mark points are arranged on the positioning line and are letters, a groove is formed in the adhesive, and the shadow forming layer is arranged in the groove. The imaging layer and the adhesive are on the same plane.
The basic film is a grid formed by stickers, and letter mark points are arranged among the grids.
And scales are respectively arranged in the transverse and vertical directions of the left side of the basic film.
The positioning wire and the mark point are both made of metal wires, the metal wires are adhered in the grooves, the outer sides of the metal wires are wrapped with protective layers, and the diameters of the metal wires are 1-3 mu m.
The protective layer is a protein fiber layer.
The positioning lines and the mark points are made of metal powder, the metal powder is adhered in the grooves, and the positioning lines and the mark points are made of pigment with metal powder through adhesion.
The invention has the beneficial effects that: the invention is improved on the existing film, the main body of the invention is a basic film with a shadow layer, and the two sides of the basic film are respectively stuck with a protective film and a release film, so that the basic film can be well protected, the cleanliness of the invention is ensured, and the invention is more suitable for medical detection. The foundation membrane of this application is 3M membrane material, and 3M membrane material has good close skin nature, can be with becoming firm pasting on patient's skin in shadow layer, even the patient has the gross action and can not make the foundation membrane carry out offset, and this application all closely laminates at patient's skin always, ensures that the doctor later stage carries out the affected part accuracy according to CT scanning picture and confirms. According to the invention, the grooves are formed in the adhesive of the basic film, the metal wires and the like are fixed in the grooves, the metal wires and the like can block and absorb X rays during CT, so that artifacts are avoided, grid coordinates are formed on the body of a patient, an operator can conveniently and accurately position the lesion position of the patient, a doctor can conveniently determine the optimal operation wound, the operation of the doctor during the operation is reduced, the pain of the patient is also reduced, the wound of the minimally invasive operation is reduced, and the recovery time is shortened. This application changes fretwork grid diaphragm into the basic membrane that has the location mark hole, like this when not influencing the mark with can avoid dragging, has ensured the integrality of this application. The marking point that this application was in the locating wire intermediate position, the contrast below with the mark of side make things convenient for operating personnel to take notes more, make things convenient for medical personnel to carry out position determination.
The 3M membrane material of this application has good moulding nature, and when positions such as user's patient chest, can be complete paste dress in the patient position, can not take place phenomenons such as limit, guaranteed completely that basic membrane is complete to explain patient's health shape, makes things convenient for medical personnel to detect, fix a position.
The utility model provides a shadow layer upside parcel has the protein fiber layer, and when it pasted on one's body at the patient, can not cause patient's uncomfortable sensation, has also avoided the patient to produce the allergy to it, has improved user's comfort level.
Drawings
FIG. 1 is a schematic view of the structure of the present invention.
FIG. 2 is a schematic view of a grid formed by stickers as the imaging layer of the present invention.
FIG. 3 is a side cross-sectional view of a base film of the present invention.
FIG. 4 is a schematic view of the structure of the base film of the present invention.
FIG. 5 is a schematic view of the structure of the base film of the present invention.
FIG. 6 is a schematic view of the structure of the base film of the present invention.
FIG. 7 is a schematic view of a release film structure according to the present invention.
FIG. 8 is a CT fat display of ribs according to the present invention.
FIG. 9 is a diagram of the bones corresponding to the rib CT of the present invention.
FIG. 10 is a schematic view of rib positioning according to the present invention.
FIG. 11 is a CT fat display of the thoracic cavity of the present invention.
FIG. 12 is a diagram of the bones corresponding to the thoracic CT of the present invention.
In the figure: the film comprises a protective film 1, a release film 2, a base film 3, an adhesive 4, an adhesive film 3-1, a film forming layer 3-2, a positioning line 3-3, a mark point 3-4 and a groove 3-5.
Detailed Description
Example 1
The application relates to a positioning film for CT scanning and surgery, which comprises a protective film, a release film and a basic film, wherein the protective film is adsorbed on one side of the basic film through static electricity, an easy-to-tear strip is bonded on one end of the protective film, an adhesive is bonded on the other side of the basic film, a mark point is arranged on the basic film, the adhesive is bonded with the release film, the release film is divided into two pieces, two pieces are of a folding structure from the contact end of the release film, two pieces are bonded with a fixing strip from the contact end of the release film, a positioning mark hole is formed in the basic film, and the basic film is. The basic film comprises a sticking film and a film forming layer, the film forming layer is fixed on the sticking film through an adhesive, the film forming layer comprises a positioning line and mark points, the positioning line is of a grid structure, the mark points are arranged on the positioning line and are letters, a groove is formed in the adhesive, and the film forming layer is arranged in the groove. The imaging layer and the adhesive are on the same plane. The base film is a photo-forming layer, the photo-forming layer is grids formed by stickers, and letter mark points are arranged among the grids. The horizontal and vertical directions on the left side of the basic film are respectively provided with a scale. The positioning line and the mark point are both made of metal wires, the metal wires are adhered in the grooves, and the outer sides of the metal wires are wrapped with protective layers. The protective layer is a protein fiber layer. The positioning lines and the mark points are made of metal powder, the metal powder is adhered in the grooves, and the positioning lines and the mark points are made of pigment with the metal powder through adhesion.
Example 2
When the patient is injured on the spine
When the injured position of a patient is on the spine, selecting a long-strip-shaped basic film, then uncovering a fixing strip, tearing off a release film, sticking the basic film on the position of the patient, and then tearing off a protective film through an easy-to-tear strip to enable the basic film to be completely attached to the pathological change position of the patient;
secondly, scanning the lesion position of the patient by utilizing CT, further determining the accurate lesion position of the patient, carrying out three-dimensional reconstruction on the patient by an imaging technology during CT scanning, reconstructing body fat and bones of the patient, then enabling an operator to display the bones of the patient through changing a window frame and displayed options of CT equipment, marking the damaged parts of the bones on a screen by utilizing scanning equipment by utilizing the operator, changing a window by the operator after marking to change the fat options of the patient, displaying the fat of the patient on the screen of the CT equipment at the moment, absorbing and blocking X-rays due to a shadow layer on a basic film at the moment, avoiding the phenomenon that the X-rays are displayed on the screen of the CT equipment while generating artifacts, and enabling the marking and the shadow layer to coincide at the moment, and enabling medical care personnel to clearly judge which part of the spine is damaged;
thirdly, according to the steps, the position relation between the bone injury and the fat skin of the patient can be obtained by an operator, the position relation is stored by the operator and is sent to an attending doctor, the attending doctor marks the affected part of the patient according to the position relation on the picture, the attending doctor observes the bone injury position of the patient during marking, determines a positioning mark hole closest to the bone injury position and marks the bone injury position by a recording pen through the positioning mark hole, the basic film is torn off after marking is finished, and the injury position of the patient is marked on the skin of the patient;
and fourthly, between minimally invasive surgeries, the main doctor analyzes the injury position of the patient according to the marks, analyzes the optimal operation wound position, then obviously marks the optimal operation wound position, and after the marks are finished, the main doctor performs the minimally invasive surgery on the lesion position according to the marks.
Example 3
When the patient is injured at the rib
When the rib of the chest of a patient is damaged, selecting a large piece of basic film capable of covering the chest of the patient, then uncovering the fixing strip, tearing off the release film, sticking the basic film to the position of the patient, and then tearing off the protective film through the easy-to-tear strip to enable the basic film to be completely attached to the position of the lesion of the patient;
secondly, scanning the lesion position of the patient by utilizing CT (computed tomography), further determining the accurate lesion position of the patient, firstly carrying out three-dimensional reconstruction on the patient by an imaging technology during CT scanning, reconstructing body fat and bones of the patient, then enabling an operator to display the bones of the patient through changing a window frame and displayed options of CT equipment to enable a three-dimensional view, marking the bone injury position on a screen by utilizing scanning equipment by utilizing the operator, changing a window by the operator after marking to change the fat option of the patient, displaying the fat of the patient on the screen of the CT equipment at the moment, absorbing and blocking X-rays due to a shadow layer on a basic film at the moment, avoiding the phenomenon of generating artifacts and simultaneously displaying on the screen of the CT equipment, and enabling the marking and the shadow layer to coincide at the moment;
thirdly, according to the steps, the operator can obtain the position relation between the bone injury and the fat skin of the patient, the operator stores the position relation and sends the position relation to the main doctor, the patient exits from the CT examination room at the moment, even if the action of the patient changes, the basic membrane can not shift completely, and only when the main doctor positions, the action of the patient is the same as that of the patient during CT detection. The main doctor marks the affected part of the patient according to the position relation on the picture, the main doctor observes the bone injury position of the patient during marking, determines a positioning mark hole closest to the affected part, marks the affected part by using a recording pen through the positioning mark hole, and tears off the basic film after marking, and the injury position of the patient is marked on the skin of the patient at the moment;
and fourthly, between minimally invasive surgeries, the main doctor analyzes the injury position of the patient according to the marks, analyzes the optimal operation wound position, then obviously marks the optimal operation wound position, and after the marks are finished, the main doctor performs the minimally invasive surgery on the lesion position according to the marks.
The foregoing shows and describes the general principles and broad features of the present invention and advantages thereof. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.
Claims (10)
1. A method for accurately positioning an affected part in CT scanning and minimally invasive surgery comprises the following specific steps:
firstly, selecting a positioning film according to the position of a patient needing CT, then uncovering a fixing strip, tearing off a release film, sticking a basic film on the position of the patient, and then tearing off a protective film through an easy-to-tear strip to enable the basic film to be completely attached to the position of pathological changes of the patient;
secondly, the patient lies on the examination bed, medical staff scans the affected part of the patient by using a GE 64-layer Optima CT scanner, scans the position of the lesion of the patient, further determines the accurate position of the lesion of the patient, and reconstructs a bone window and a standard window of original data after the scanning is finished;
thirdly, according to the steps, the position relation between the bone injury and the fat skin of the patient can be obtained by an operator, the position relation is stored by the operator and is sent to an attending doctor, the attending doctor marks the affected part of the patient according to the position relation on the picture, the attending doctor observes the bone injury position of the patient during marking, determines a positioning mark hole closest to the bone injury position and marks the bone injury position by a recording pen through the positioning mark hole, the basic film is torn off after marking is finished, and the injury position of the patient is marked on the skin of the patient;
and fourthly, between minimally invasive surgeries, the main doctor analyzes the injury position of the patient according to the marks, analyzes the optimal operation wound position, then obviously marks the optimal operation wound position, and after the marks are finished, the main doctor performs the minimally invasive surgery on the lesion position according to the marks.
2. A CT scanning and minimally invasive surgery affected part accurate positioning method is characterized in that the reconstruction of a bone window and a standard window is carried out on original data, and the specific method comprises the following steps: the reconstructed data is transmitted to an ADW4.6 workstation for post-processing, VR adopts bone algorithm condition reconstruction, SSD adopts soft tissue algorithm condition reconstruction, the accurate position of fracture is determined through VR bone algorithm three-dimensional reconstruction, then the accurate position of fracture is marked by an image diagnostician, after the marking is finished, the accurate position of fracture is reconstructed through SSD soft tissue algorithm condition, the bone algorithm reconstruction is carried out by adjusting contrast and algorithm conditions, namely adopting volume reproduction technology VR, surface covering technology SSD displays the body fat and the shape of a basal membrane of a patient, at the moment, the marked position and the basal membrane are both developed on a reconstructed image, the horizontal and vertical coordinates of the fracture position can be subjected to benchmark measurement relative to a basal membrane pane division point through basal membrane pane division, and thus the accurate positioning of fracture is obtained.
3. A method for accurately positioning an affected part in CT scanning and minimally invasive surgery is characterized in that the scanning parameters are that the tube voltage is 120kV, the tube current is 500mA, and the scanning layer thickness is 0.625 mm.
4. The positioning film for CT scanning and surgery is characterized by comprising a protective film, a release film and a base film, wherein the protective film is adsorbed on one side of the base film through static electricity, an easy-to-tear strip is bonded at one end of the protective film, an adhesive is bonded on the other side of the base film, a mark point is arranged on the base film, the release film is bonded on the adhesive, the release film is divided into two pieces, two contact ends of the release film are of a folding structure, two contact ends of the release film are bonded with a fixing strip, a positioning mark hole is formed in the base film, and the base film is a 3M film material.
5. The positioning film for CT scanning and surgery as claimed in claim 1, wherein the base film comprises a film and an imaging layer, the imaging layer is fixed on the film by an adhesive, the imaging layer comprises positioning lines and marking points, the positioning lines are in a grid structure, the positioning lines are provided with the marking points, the marking points are letters, the adhesive is provided with grooves, and the imaging layer is arranged in the grooves. The imaging layer and the adhesive are on the same plane.
6. The positioning film for CT scanning and operation as claimed in claim 1, wherein the base film is a imaging layer, the imaging layer is a grid formed by stickers, and the grids are provided with letter mark points.
7. The positioning film for CT scanning and operation as claimed in claim 1, wherein the base film is provided with scales in the vertical and horizontal directions on the left side.
8. The positioning film for CT scanning and operation as claimed in claim 2, wherein the positioning wires and the marking points are made of metal wires, the metal wires are adhered in the grooves, the outer sides of the metal wires are wrapped with the protective layer, and the diameter of the metal wires is 1-3 μm.
9. The CT scanning, surgical positioning film of claim 5, wherein the protective layer is a protein fiber layer.
10. The positioning film for CT scanning and operation as claimed in claim 2, wherein said positioning wires and said marking points are made of metal powder, said metal powder is adhered in said grooves, and said positioning wires and said marking points are made of pigment with metal powder.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911100481.2A CN111150498A (en) | 2019-11-12 | 2019-11-12 | Accurate positioning method and positioning film for affected part in CT scanning and minimally invasive surgery |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201911100481.2A CN111150498A (en) | 2019-11-12 | 2019-11-12 | Accurate positioning method and positioning film for affected part in CT scanning and minimally invasive surgery |
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| CN111150498A true CN111150498A (en) | 2020-05-15 |
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| CN201911100481.2A Pending CN111150498A (en) | 2019-11-12 | 2019-11-12 | Accurate positioning method and positioning film for affected part in CT scanning and minimally invasive surgery |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN113274145A (en) * | 2021-06-30 | 2021-08-20 | 吴安乐 | Method for manufacturing tumor positioning table |
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| CN113274145A (en) * | 2021-06-30 | 2021-08-20 | 吴安乐 | Method for manufacturing tumor positioning table |
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Application publication date: 20200515 |
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