CN111467029B - Supraorbital foramen puncture fixing frame and puncture method - Google Patents
Supraorbital foramen puncture fixing frame and puncture method Download PDFInfo
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- CN111467029B CN111467029B CN202010301736.8A CN202010301736A CN111467029B CN 111467029 B CN111467029 B CN 111467029B CN 202010301736 A CN202010301736 A CN 202010301736A CN 111467029 B CN111467029 B CN 111467029B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
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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
- A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00321—Head or parts thereof
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00589—Coagulation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
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Abstract
The invention relates to the technical field of puncture, in particular to an supraorbital foramen puncture fixing frame and a puncture method. According to the supraorbital foramen puncture fixing frame and the puncture method, the supraorbital foramen puncture fixing frame is arranged, the supraorbital foramen and the corresponding body surface skin puncture point are determined firstly, the body surface puncture point is marked, then the puncture fixing ring is pushed, the puncture fixing ring pushes the marked puncture point to the position, the radio frequency needle is placed into the puncture fixing hole for puncture, the needle body can be stably fixed, the puncture frequency is reduced, the first positioning bulge and the second positioning bulge are formed, the puncture fixing ring is limited and fixed through the first positioning bulges on two sides and the second positioning bulges on two sides, the puncture fixing ring is positioned, the puncture frequency is reduced, and therefore the risks of CT radiation and accidental injury of other tissues are reduced.
Description
Technical Field
The invention relates to the technical field of puncture, in particular to an supraorbital foramen puncture fixing frame and a puncture method. Which comprises the following steps.
Background
Trigeminal neuralgia is the most common type of facial neuralgia, the annual incidence rate is 4.5-28.9 persons/10 ten thousand, and the average age of onset is 48-57 years. The CT-guided supraorbital puncture radio frequency thermosetting treatment technology is a commonly used operation treatment method at present. Studies have reported that the supraorbital foramen is generally located at the inner 1/3 junction in the superior orbital margin, including the supraorbital nerve. However, the supraorbital foramen anatomy of different people not only has different positions, but also has various types.
Due to the difference of anatomy of different people, under the background of precise medical technology, CT-guided inferior supraorbital foramen puncture radio frequency therapy is the best scheme for treating trigeminal supraorbital neuralgia at present. During treatment, a patient needs to be subjected to CT positioning scanning, a corresponding puncture scheme is made on a CT image according to the specific position and shape of the supraorbital foramen, and then a body surface marker pen is adopted to mark the body surface puncture position of the patient. Then, the patient is put on a conventional sterile drape on the supraorbital part and punctured by a radio frequency needle. Finally, the position of the needle point is confirmed to be positioned at the supraorbital foramen by CT scanning again, and the nerve radio frequency therapy is carried out. However, the minimum size length of the needle body for the current nerve puncture treatment is 5 cm. Anatomically, the skin thickness on the supraorbital foramen surface is less than 1 cm, and does not provide a good fixation for the puncture needle. In the current treatment process, medical adhesive tapes are often used for fixing, but the fixing effect is very little, the puncture needle can be displaced by slight eyelid movement of a patient, the puncture needle position and the CT positioning need to be adjusted repeatedly to confirm the needle tip position, and the risk of injuring eyeballs by mistake exists.
Disclosure of Invention
The invention aims to provide an supraorbital foramen puncture fixing frame and a puncture method, so as to solve the problems in the background technology.
In order to achieve the above purpose, on one hand, the invention provides an orbital foramen puncture fixing frame which comprises a pair of circular mirror frames, wherein the two mirror frames are connected through a bridge, mirror legs are installed on the outer walls of the mirror frames, the mirror frames comprise an outer frame and an inner frame, the outer frame and the inner frame are concentrically arranged, the diameter of the inner frame is smaller than that of the outer frame, a sliding groove is reserved between the outer frame and the inner frame, a puncture fixing ring is connected to the inside of the sliding groove in a sliding mode, puncture fixing holes are formed in the puncture fixing ring, a plurality of connecting columns are installed between the outer frame and the inner frame, and the connecting columns are distributed in an annular array mode.
Preferably, the inner wall of the outer frame is provided with a first positioning groove, the cross-sectional dimension of the puncture fixing ring is matched with that of the first positioning groove, and the puncture fixing ring is connected with the first positioning groove in a sliding manner.
Preferably, the outer wall of the inner frame is provided with a second positioning groove, the cross-sectional size of the puncture fixing ring is matched with that of the second positioning groove, and the puncture fixing ring is connected with the second positioning groove in a sliding manner.
Preferably, a plurality of first positioning bulges are distributed in the first positioning groove at equal intervals, and a first limiting groove for limiting the puncture fixing ring is formed between every two adjacent first positioning bulges.
Preferably, a plurality of second positioning bulges are distributed in the second positioning groove at equal intervals, and a second limiting groove for limiting the puncture fixing ring is formed between every two adjacent second positioning bulges.
Preferably, one end of each glasses leg is hinged to the outer wall of the outer frame, the other end of each glasses leg is integrally formed with a corner, and a clamping groove is formed between each corner and each glasses leg.
In another aspect, the present invention further provides an supraorbital foramen puncturing method, including any one of the above-mentioned supraorbital foramen puncturing fixtures, the method including the steps of:
s1, a patient takes a supine position, and a skull scanning mode is adopted in CT scanning to scan the position of an upper orbital foramen;
s2, determining supraorbital foramen and corresponding body surface skin puncture points according to the CT images of the patient, and marking the body surface puncture points;
s3, disinfecting the supraorbital position of the patient, locally anaesthetizing the body surface puncture point, wearing the supraorbital hole puncture fixing frame, adjusting the puncture fixing ring to the puncture point position, and paving the towel;
s4, placing the radio frequency needle into the puncture fixing hole for puncture;
s5, performing CT scanning again, and determining that the needle tip is positioned at the supraorbital aperture according to the CT image;
s6, placing the radio frequency thermosetting electrode into a radio frequency needle for radio frequency thermosetting treatment.
Compared with the prior art, the invention has the following beneficial effects:
1. according to the supraorbital puncture fixing frame and the puncture method, the supraorbital puncture fixing frame is arranged, the supraorbital puncture and the corresponding body surface skin puncture point are determined firstly, the body surface puncture point is marked, then the puncture fixing ring is pushed, the puncture fixing ring is pushed to the marked puncture point position, the radio frequency needle is placed into the puncture fixing hole for puncture, the needle body can be stably fixed, and the puncture times are reduced.
2. According to the supraorbital foramen puncture fixing frame and the puncture method, the puncture fixing ring is limited and fixed through the first positioning bulges on two sides and the second positioning bulges on two sides at the first positioning bulges and the second positioning bulges on two sides, so that the puncture fixing ring is positioned, the puncture frequency is reduced, and the risks of CT radiation and accidental injury of other tissues are reduced.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic plan view of the eyeglass frame of the present invention;
FIG. 3 is a schematic view of a puncture fixation ring structure according to one embodiment of the present invention;
FIG. 4 is a second schematic view of a piercing fixation ring of the present invention;
FIG. 5 is a third schematic view of a puncture fixation ring structure of the present invention;
FIG. 6 is a fourth schematic view of the puncture fixing ring structure of the present invention;
FIG. 7 is a schematic view of the present invention.
The various reference numbers in the figures mean:
1. a mirror frame; 11. an outer frame; 12. an inner frame; 13. a chute; 14. puncturing the fixing ring; 141. puncturing the fixing hole; 15. connecting columns;
16. a first positioning groove; 161. a first positioning projection; 162. a first limit groove;
17. a second positioning groove; 171. a second positioning projection; 172. a second limit groove;
2. a nose bridge;
3. temples; 31. a corner; 32. a clamping groove.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be obtained by a person skilled in the art without making any creative effort based on the embodiments in the present invention, belong to the protection scope of the present invention.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", and the like, indicate orientations and positional relationships based on those shown in the drawings, and are used only for convenience of description and simplicity of description, and do not indicate or imply that the equipment or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be considered as limiting the present invention.
Furthermore, the terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of that feature. In the description of the present invention, "a plurality" means two or more unless specifically defined otherwise.
Referring to fig. 1-7, the present invention provides a technical solution:
the invention provides an supraorbital foramen puncture fixing frame which comprises a pair of circular frame 1, wherein the two frame 1 are connected through a nose bridge frame 2, the outer wall of the frame 1 is provided with a temple 3, the frame 1 comprises an outer frame 11 and an inner frame 12, the outer frame 11 and the inner frame 12 are concentrically arranged, the outer frame 11 and the inner frame 12 are concentric circles, the distance between any point between the outer frame 11 and the inner frame 12 is convenient to be equal, the diameter of the inner frame 12 is smaller than that of the outer frame 11, a sliding groove 13 is convenient to be reserved between the outer frame 11 and the inner frame 12, a puncture fixing ring 14 is slidably connected inside the sliding groove 13, the position of the puncture fixing ring 14 inside the frame 1 can be continuously adjusted through sliding of the puncture fixing ring 14 inside the sliding groove 13, and meanwhile, a puncture fixing hole 141 is formed inside the puncture fixing ring 14, so that a puncture needle can be conveniently inserted into the puncture fixing hole 141, and the fixing of a radio frequency needle is realized.
Meanwhile, a plurality of connecting columns 15 are arranged between the outer frame 11 and the inner frame 12, the connecting columns 15 are distributed in an annular array, and the number of the connecting columns 15 is preferably four, and the connecting columns are symmetrically distributed around the space between the outer frame 11 and the inner frame 12, so that the outer frame 11 and the inner frame 12 are installed.
When the puncture fixing device is used, a patient is firstly subjected to CT scanning, a skull scanning mode is adopted in the CT scanning, the position of an supraorbital hole is scanned, the supraorbital hole and a corresponding body surface skin puncture point are determined according to a CT image of the patient, the body surface puncture point is marked, at the moment, the patient wears the supraorbital hole puncture fixing frame and pushes the puncture fixing ring 14, the puncture fixing ring 14 slides in the sliding groove 13, the puncture fixing ring 14 pushes the puncture fixing ring to the marked puncture point position, and a radio frequency needle is placed into the puncture fixing hole 141 for puncture.
It should be noted that the shape and size of the puncture fixing hole 141 can be customized according to the shape and size of the rf needle, so that the rf needle can be inserted into the puncture fixing hole 141 to complete the fixing of the rf needle.
In this embodiment, first positioning groove 16 has been seted up to the inner wall of frame 11, the cross-sectional dimension of the solid fixed ring of puncture 14 and the cross-sectional dimension looks adaptation of first positioning groove 16 to in the solid fixed ring of puncture 14 card go into first positioning groove 16 inside, prevent that the solid fixed ring of puncture 14 from dropping, simultaneously, the solid fixed ring of puncture 14 and the solid fixed ring of first positioning groove 16 sliding connection of puncture, the solid fixed ring of puncture 14 slides in first positioning groove 16 inside being convenient for.
Specifically, second constant head tank 17 has been seted up to the outer wall of inside casing 12, and the cross-sectional dimension of the solid fixed ring 14 of puncture and the cross-sectional dimension looks adaptation of second constant head tank 17 to in the solid fixed ring 14 card of puncture blocked in second constant head tank 17, prevent that the solid fixed ring 14 of puncture from dropping, simultaneously, the solid fixed ring 14 of puncture and second constant head tank 17 sliding connection, the solid fixed ring 14 of puncture of being convenient for slides in second constant head tank 17 is inside.
It is worth to say that, equidistant distribution has a plurality of first location archs 161 in the first positioning groove 16, first location archs 161 preferably adopts the rubber material to make, its material has good toughness, the plasticity is strong, and frictional force is big, be convenient for carry on spacingly to spacing fixed ring 14 of puncturing, form the first spacing groove 162 that is used for spacing fixed ring 14 of puncturing between two adjacent first location archs 161, carry out spacing fixed to fixed ring 14 of puncturing through the first location archs 161 of both sides, realize fixed ring 14's location of puncturing.
In addition, a plurality of second positioning bulges 171 are distributed in the second positioning groove 17 at equal intervals, the second positioning bulges 171 are preferably made of rubber, the material of the second positioning bulges has good toughness, the plasticity is strong, the friction force is large, the limiting puncture fixing ring 14 is convenient to limit, a second limiting groove 172 used for limiting the puncture fixing ring 14 is formed between two adjacent second positioning bulges 171, the puncture fixing ring 14 is limited and fixed through the second positioning bulges 171 on two sides, and the positioning of the puncture fixing ring 14 is realized.
Specifically, one end of each glasses leg 3 is hinged to the outer wall of the outer frame 11, a corner 31 is formed at the other end of each glasses leg 3 in an integrated mode, and a clamping groove 32 is formed between the corner 31 and each glasses leg 3, so that the glasses legs 3 can be clamped at the ears, and the orbital trepanning fixing frame can be prevented from sliding off.
In another aspect, the present invention further provides an supraorbital foramen puncturing method, including any one of the above-mentioned supraorbital foramen puncturing fixtures, the method including the steps of:
s1, a patient takes a supine position, and a skull scanning mode is adopted in CT scanning to scan the position of an upper orbital foramen;
s2, determining supraorbital foramen and corresponding body surface skin puncture points according to the CT images of the patient, and marking the body surface puncture points;
s3, disinfecting the supraorbital position of the patient, locally anaesthetizing the puncture point on the body surface, wearing the supraorbital puncture fixing frame, adjusting the puncture fixing ring 14 to the puncture point position, and paving a towel;
s4, placing the radio-frequency needle into the puncture fixing hole 141 for puncture;
s5, performing CT scanning again, and determining that the needle tip is positioned at the supraorbital aperture according to the CT image;
s6, placing the radio frequency thermosetting electrode into a radio frequency needle for radio frequency thermosetting treatment.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, and the preferred embodiments of the present invention are described in the above embodiments and the description, and are not intended to limit the present invention. The scope of the invention is defined by the appended claims and equivalents thereof.
Claims (1)
1. The utility model provides an orbital foramen puncture mount, includes a pair of circular shape picture frame (1), two connect through nose bridge frame (2) between picture frame (1), mirror leg (3), its characterized in that are installed to the outer wall of picture frame (1): the glasses frame (1) comprises an outer frame (11) and an inner frame (12), the outer frame (11) and the inner frame (12) are concentrically arranged, the diameter of the inner frame (12) is smaller than that of the outer frame (11), a sliding groove (13) is reserved between the outer frame (11) and the inner frame (12), a puncture fixing ring (14) is connected to the inside of the sliding groove (13) in a sliding mode, a puncture fixing hole (141) is formed in the puncture fixing ring (14), a plurality of connecting columns (15) are installed between the outer frame (11) and the inner frame (12), and the connecting columns (15) are distributed in an annular array;
the inner wall of the outer frame (11) is provided with a first positioning groove (16), the cross-sectional size of the puncture fixing ring (14) is matched with that of the first positioning groove (16), and the puncture fixing ring (14) is connected with the first positioning groove (16) in a sliding manner;
a second positioning groove (17) is formed in the outer wall of the inner frame (12), the cross section size of the puncture fixing ring (14) is matched with that of the second positioning groove (17), and the puncture fixing ring (14) is connected with the second positioning groove (17) in a sliding mode;
a plurality of first positioning bulges (161) are distributed in the first positioning groove (16) at equal intervals, and a first limiting groove (162) for limiting the puncture fixing ring (14) is formed between every two adjacent first positioning bulges (161);
a plurality of second positioning protrusions (171) are distributed in the second positioning groove (17) at equal intervals, and a second limiting groove (172) for limiting the puncture fixing ring (14) is formed between two adjacent second positioning protrusions (171);
one end of each glasses leg (3) is hinged to the outer wall of the outer frame (11), a corner (31) is integrally formed at the other end of each glasses leg (3), and a clamping groove (32) is formed between each corner (31) and each glasses leg (3).
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| Application Number | Priority Date | Filing Date | Title |
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| CN202010301736.8A CN111467029B (en) | 2020-04-16 | 2020-04-16 | Supraorbital foramen puncture fixing frame and puncture method |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202010301736.8A CN111467029B (en) | 2020-04-16 | 2020-04-16 | Supraorbital foramen puncture fixing frame and puncture method |
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| CN111467029A CN111467029A (en) | 2020-07-31 |
| CN111467029B true CN111467029B (en) | 2022-12-09 |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| WO2004021911A1 (en) * | 2002-09-06 | 2004-03-18 | Hiroyuki Tai | Simplified stereotaxic brain surgery device, and band used for determining position at which such device is mounted on patient head |
| CN204890779U (en) * | 2015-05-27 | 2015-12-23 | 王志国 | Children are with puncture assistor |
| CN205234943U (en) * | 2015-11-11 | 2016-05-18 | 温州市久章艾灸研究所 | Eye moxibustion appearance |
| CN105607310A (en) * | 2016-01-04 | 2016-05-25 | 京东方科技集团股份有限公司 | Panel detection device |
| CN209136797U (en) * | 2018-05-14 | 2019-07-23 | 广州雪利昂生物科技有限公司 | A kind of intracranial puncture needle applied to medicine naked eye 3D technology field |
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