CN111557678A - Breast cancer sentinel lymph node body surface positioning film and positioning suit - Google Patents
Breast cancer sentinel lymph node body surface positioning film and positioning suit Download PDFInfo
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- CN111557678A CN111557678A CN202010244328.3A CN202010244328A CN111557678A CN 111557678 A CN111557678 A CN 111557678A CN 202010244328 A CN202010244328 A CN 202010244328A CN 111557678 A CN111557678 A CN 111557678A
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- 210000005005 sentinel lymph node Anatomy 0.000 title claims abstract description 47
- 206010006187 Breast cancer Diseases 0.000 title claims abstract description 26
- 208000026310 Breast neoplasm Diseases 0.000 title claims abstract description 26
- 206010002091 Anaesthesia Diseases 0.000 claims abstract description 36
- 230000037005 anaesthesia Effects 0.000 claims abstract description 34
- 239000000463 material Substances 0.000 claims abstract description 15
- 230000001070 adhesive effect Effects 0.000 claims abstract description 6
- 229920000742 Cotton Polymers 0.000 claims description 10
- 230000005251 gamma ray Effects 0.000 claims description 9
- 239000007788 liquid Substances 0.000 claims description 8
- 238000002955 isolation Methods 0.000 claims description 5
- 239000002344 surface layer Substances 0.000 claims description 3
- 230000003902 lesion Effects 0.000 claims description 2
- 238000001574 biopsy Methods 0.000 abstract description 12
- 239000002313 adhesive film Substances 0.000 abstract description 6
- 239000012788 optical film Substances 0.000 abstract description 5
- 239000000853 adhesive Substances 0.000 abstract description 3
- 208000014674 injury Diseases 0.000 abstract description 3
- 230000008733 trauma Effects 0.000 abstract description 2
- 238000001356 surgical procedure Methods 0.000 abstract 1
- 210000000481 breast Anatomy 0.000 description 9
- 239000011505 plaster Substances 0.000 description 8
- 230000003444 anaesthetic effect Effects 0.000 description 6
- 239000010408 film Substances 0.000 description 5
- 238000003384 imaging method Methods 0.000 description 5
- 210000002751 lymph Anatomy 0.000 description 5
- 239000002674 ointment Substances 0.000 description 5
- 238000010254 subcutaneous injection Methods 0.000 description 5
- 239000007929 subcutaneous injection Substances 0.000 description 5
- 239000002872 contrast media Substances 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 230000036407 pain Effects 0.000 description 4
- 238000002347 injection Methods 0.000 description 3
- 239000007924 injection Substances 0.000 description 3
- 239000000243 solution Substances 0.000 description 2
- 208000019901 Anxiety disease Diseases 0.000 description 1
- 201000004569 Blindness Diseases 0.000 description 1
- 208000032544 Cicatrix Diseases 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000036506 anxiety Effects 0.000 description 1
- 210000004883 areola Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000002591 computed tomography Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000008451 emotion Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000009206 nuclear medicine Methods 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 230000002285 radioactive effect Effects 0.000 description 1
- 239000011435 rock Substances 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 230000037387 scars Effects 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
- A61B6/03—Computed tomography [CT]
- A61B6/032—Transmission computed tomography [CT]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/08—Auxiliary means for directing the radiation beam to a particular spot, e.g. using light beams
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/48—Diagnostic techniques
- A61B6/481—Diagnostic techniques involving the use of contrast agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/50—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
- A61B6/502—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for diagnosis of breast, i.e. mammography
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M19/00—Local anaesthesia; Hypothermia
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/04—Liquids
- A61M2202/0468—Liquids non-physiological
- A61M2202/048—Anaesthetics
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Radiology & Medical Imaging (AREA)
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Abstract
The invention discloses a body surface positioning adhesive film and a positioning suit for sentinel lymph nodes of breast cancer, and particularly relates to the technical field of medical instruments. According to the body surface positioning adhesive film and the positioning kit for the sentinel lymph nodes of breast cancer, provided by the invention, through designing a fixing adhesive, a grid, an application patch and an anesthesia patch, the application patch is a square application patch, the grids with marks are arranged on the left side and the upper side, the grid is made of developing materials, the anesthesia patch is connected to the lower left corner of the application patch, and the fixing adhesive is connected to the four sides of the application patch; compared with the prior art, the sentinel lymph node focus of the patient is positioned after the shooting is finished, namely the sentinel lymph node of the patient can be found according to the contrast of the shot optical film, the sentinel lymph node focus is accurately determined, and dislocation during biopsy is reduced and surgical trauma is relieved during surgical treatment.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a body surface positioning adhesive film for sentinel lymph nodes of breast cancer and a positioning suit.
Background
At present, CT lymph imaging (CT-LG), nuclide sentinel lymph node imaging technology and the like all need to inject a contrast agent by means of breast tumor periphery or areola subcutaneous injection. To avoid the local pain to the patient from the increased volume and tension of the contrast agent during subcutaneous injection, a dose of anesthetic is typically injected subcutaneously prior to the injection of the contrast agent.
Sentinel lymph nodes can be identified by CT lymph imaging (CT-LG) or nuclear medicine images, but to determine their properties, sentinel lymph nodes are eventually removed by sentinel lymph node biopsy and sent to pathological examination. Therefore, sentinel lymph nodes identified on the image need to be marked and positioned at corresponding positions on the body surface, so that blindness in biopsy operation incision selection can be avoided, and further the problems of large operation scars, overlong healing time and the like of a patient caused by overlarge biopsy incision are avoided. At present, the sentinel lymph node is mainly located by CT-LG, the approximate position of the sentinel lymph node on the body surface is determined by a CT laser guidance system, and sentinel lymph node biopsy is carried out after marking. However, many hospitals, especially primary hospitals, are not equipped with CT laser guidance systems, so that the hospitals are difficult to carry out CT-LG examination on breast cancer patients.
The problems existing at present are as follows:
1. however, many hospitals, especially primary hospitals, are not equipped with CT laser guidance systems, so that the hospitals are difficult to carry out CT-LG examination on breast cancer patients.
2. After the shooting is finished, marks need to be made on the body surface of the focus of the patient, sentinel lymph nodes of the patient need to be found in contrast according to the shot optical film, and the error is large. Once dislocation occurs during biopsy, the surgical scope needs to be enlarged to search sentinel lymph nodes, which increases surgical trauma to patients.
3. Injection anesthesia is needed before biopsy, patients can feel pain in different degrees when receiving subcutaneous injection of anesthetic, biopsy puncture is affected, and the pain can increase the stress and anxiety of the patients, so that normal progress of lymph imaging is affected.
4. When a patient shoots a medical film, the existing positioning grating is not well fixed, particularly, the position of a sentinel lymph node is special, and once the body of the patient shakes, later-stage marking can be affected, and the grating does not have regional identification, so that medical staff are difficult to confirm the position of a focus.
Disclosure of Invention
Aiming at the problems in the prior art, the invention provides a body surface positioning adhesive film for sentinel lymph nodes of breast cancer and a positioning suit, and the problems are solved by designing a fixing paste, a grid, a plaster and an anesthesia paste.
In order to achieve the technical purpose and achieve the technical effect, the invention is realized by the following technical scheme:
a body surface positioning film and positioning suit for sentinel lymph nodes of breast cancer comprises a fixing paste, grids, a paste and an anesthesia paste, wherein the paste is a square paste, the grids with marks are arranged on the left side and the upper side of the paste, the grids are made of gamma ray detection instrument developing materials, the anesthesia paste is connected to the lower left corner of the paste, and the fixing pastes are connected to the four sides of the paste.
The grid comprises vertical pole, horizontal pole, vertical sign, horizontal pole is welded in turn, forms a plurality of square direction location check, promptly through the location check, can be after CT develops the picture, pinpoint the position of sentinel lymph node.
The horizontal pole of the top of grid, weld respectively on the longitudinal rod of leftmost have horizontal mark, vertical mark, and the operation doctor can be according to horizontal mark, vertical mark, accurate focus mark to patient in the direction location check.
The length of the positioning grid formed by the transverse rods and the longitudinal rods in a staggered mode is 10mm, and the width of the positioning grid formed by the transverse rods and the longitudinal rods is 10 mm.
The longitudinal mark is a numerical mark and is sequentially marked from the number '1' to the number '15' from top to bottom.
The horizontal marks are capital letter marks and are sequentially marked from the letter "A" to the letter "T" from left to right respectively. Through the positioning grid with the marks formed by the transverse marks and the longitudinal representations, the body of a patient can be positioned according to the marks such as 4A and a medical film, so that a sentinel lymph node focus is positioned, namely a guide target position of biopsy is positioned.
The transverse rod, the longitudinal rod, the transverse mark code and the longitudinal mark code material are made of developing materials of a gamma ray detector, and the developing materials can be shot by the gamma ray detector and developed on an optical film.
One side of the anesthesia patch is connected with the protruded anesthesia cotton, medical anesthesia liquid can be injected into the anesthesia cotton, after the anesthesia cotton is attached to the breast of a patient, the anesthesia liquid can be diffused along with the anesthesia patch, and the anesthesia liquid can be fully diffused to the breast and the periphery of the breast of the patient.
The fixing paste is air-permeable, one side of the fixing paste has adhesive property, and the surface layer of the fixing paste is covered by the isolation oilpaper.
The invention has the beneficial effects that: the body surface positioning adhesive film and the positioning suit for the sentinel lymph nodes of breast cancer, which are designed by the invention, are characterized in that through designing a fixing adhesive, a grid, an application paste and an anesthesia paste,
1. compared with the prior art, the method has the advantages that the radioactive nuclide method is adopted, the sentinel lymph node focus can be located by using the existing gamma ray detector of the hospital, the sentinel lymph node of a patient can be found according to the contrast of an optical film shot by the gamma ray detector, the gamma ray detector is low in price, and all hospitals are equipped, so that the popularization is facilitated. When in operation treatment, the dislocation during biopsy is reduced, and the injury to patients is reduced.
2. The patient can be locally anesthetized outside the breast before biopsy, so that the patient does not need to receive anesthetic subcutaneous injection, pain of the patient during anesthetic injection is avoided, biopsy puncture is facilitated, nervous and anxious emotions of the patient are reduced, and lymph imaging is facilitated.
3. Let the positioning grid can be equipped with the sentinel lymph node, can fix the positioning grid in patient's breast, armpit equipotential promptly, and rock when patient's health, can not influence the body surface mark in later stage, and the grating is equipped with regional discernment, lets medical personnel more high-efficient, convenient, accurate when confirming sentinel lymph node focus.
It is another object of the present invention to provide a method for superficial localization of sentinel nodes of breast cancer.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic structural view of a body surface positioning patch and a positioning suit for sentinel lymph nodes of breast cancer;
FIG. 2 is a schematic view of the structure of the grid of the present invention;
fig. 3 is a cross-sectional view a-a of fig. 1.
In the drawings, the components represented by the respective reference numerals are listed below:
1-fixed paste, 101-oil isolation paper, 2-grid, 201-longitudinal mark, 202-longitudinal rod, 203-positioning grid, 204-transverse rod, 3-application paste, 4-anesthesia paste and 401-anesthesia cotton.
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 derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
As shown in fig. 1-3
A body surface positioning film and positioning suit for sentinel lymph nodes of breast cancer comprises a fixing paste 1, grids 2, a paste 3 and an anesthesia paste 4, wherein the paste 3 is a square paste, the grids 2 with marks are arranged on the left side and the upper side of the paste, the grids 2 are made of gamma ray detector developing materials, the anesthesia paste 4 is connected to the lower left corner of the paste 3, and the fixing paste 4 is connected to the four sides of the paste 4.
The grid 2 is composed of longitudinal rods 202, transverse rods 204, longitudinal marks 201 and transverse marks 205, and the transverse rods 204 and the longitudinal rods 205 are welded alternately to form a plurality of square guide positioning grids 203.
The transverse rod 204 at the uppermost side and the longitudinal rod 202 at the leftmost side of the grid 2 are respectively welded with a transverse code 205 and a longitudinal code 201, and an operator can accurately mark the focus of a patient in the guide positioning grid 203 according to the transverse code 205 and the longitudinal code 205.
The positioning grid 203 formed by the transverse rods 205 and the longitudinal rods 204 in a staggered mode is 10mm long and 10mm wide.
The vertical mark 201 is a numerical mark, and is sequentially marked from the number "1" to the number "15" from top to bottom.
The horizontal marks 202 are capital letters, and are sequentially marked from left to right from the letter "A" to the letter "T".
The transverse rod, the longitudinal rod, the transverse mark and the longitudinal mark material are made of CT developing materials, and the CT developing materials can be shot and developed on an optical film by CT.
One side of the anesthesia patch 4 is connected with a protruding anesthesia cotton 401, medical anesthesia liquid can be added into the anesthesia cotton 401, after the breast of a patient with the anesthesia cotton 401 is attached, the anesthesia liquid can be diffused along with the anesthesia patch, namely, the anesthesia liquid can be fully diffused to the breast and the periphery of the breast of the patient, and then effective breast anesthesia is carried out on the patient.
The fixing paste 1 has adhesive property on the breathable side, and the surface layer is covered by the isolation oilpaper.
The technical scheme of the invention is explained by combining the specific embodiment as follows:
example 1
The utility model provides a breast cancer sentinel lymph node body surface location pad pasting and location suit, includes fixed 1, grid 2, applies ointment or plaster 3, anesthesia subsides 4, it is square applying ointment or plaster to apply ointment or plaster 3, left side and upside are equipped with the grid 2 that has the sign, grid 2 material is the development material, applies ointment or plaster 3 lower left corner and has connect anesthesia subsides 4, applies ointment or plaster 4's four sides and has connect fixed 4.
Example 2
The grid 2 is composed of longitudinal rods 202, transverse rods 204, longitudinal marks 201 and transverse marks 205, and the transverse rods 204 and the longitudinal rods 205 are welded alternately to form a plurality of square guide positioning grids 203.
The transverse rod 204 at the uppermost side and the longitudinal rod 202 at the leftmost side of the grid 2 are respectively welded with a transverse code 205 and a longitudinal code 201, and an operator can accurately mark the focus of a patient in the guide positioning grid 203 according to the transverse code 205 and the longitudinal code 205.
Example 3
Based on embodiments 1 and 2, the application of the body surface positioning adhesive film and the positioning suit for sentinel lymph nodes of breast cancer in body surface positioning of sentinel lymph lesions of breast cancer of a patient is as follows:
in the specific implementation, after a patient receiving CT examination lies on a CT scanning bed, the isolation oilpaper 101 applied on the surface of the plaster 3 is torn off, the device is pasted on the corresponding part of the body surface of the patient, and one side of the fixing plaster 1 is fixed on the body surface: after the subcutaneous injection site of the radionuclide method contrast agent is determined, anesthetic liquid is injected into the anesthetic cotton 401; pulling the other side fixing patch 1 to make the grid cling to the skin surface of the patient, and sticking the other side fixing patch 1 to the body surface of the patient. After sentinel lymph nodes are identified by an image obtained by a gamma ray detector, the positions of the sentinel lymph nodes on the image in the positioning grids are determined, and the coordinates of the sentinel lymph nodes on the image in the positioning grids are read out through the transverse mark 205 and the longitudinal mark 201, wherein the coordinates are the positions of the focus on the body surface. Based on the body surface location, the surgical incision at which the sentinel lymph node is biopsied can be determined and the sentinel lymph node can be successfully biopsied there.
In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The preferred embodiments of the invention disclosed above are intended to be illustrative only. The preferred embodiments are not intended to be exhaustive or to limit the invention to the precise embodiments disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The embodiments were chosen and described in order to best explain the principles of the invention and the practical application, to thereby enable others skilled in the art to best utilize the invention. The invention is limited only by the claims and their full scope and equivalents.
Claims (10)
1. The utility model provides a breast cancer sentinel lymph node body surface location pad pasting and location suit which characterized in that: the patch comprises a fixed patch, grids, a patch and an anesthesia patch, wherein the patch is a square patch, the grids with marks are arranged on the left side and the upper side of the patch, the grid is made of a gamma ray detector developing material, the anesthesia patch is connected to the lower left corner of the patch, and the fixed patch is connected to the four sides of the patch.
2. The breast cancer sentinel lymph node body surface positioning patch and positioning kit of claim 1, wherein: the grid consists of longitudinal rods, transverse rods, longitudinal marks and transverse marks, and the transverse rods and the longitudinal rods are welded alternately to form a plurality of square guiding and positioning grids.
3. The breast cancer sentinel lymph node body surface positioning patch and positioning kit of claim 1, wherein: and transverse marks and longitudinal marks are welded on the transverse rod at the uppermost side and the longitudinal rod at the leftmost side of the grid respectively.
4. The breast cancer sentinel lymph node body surface positioning patch and positioning kit of claim 1, wherein: the length of the positioning grid formed by the transverse rods and the longitudinal rods in a staggered mode is 10mm, and the width of the positioning grid formed by the transverse rods and the longitudinal rods is 10 mm.
5. The breast cancer sentinel lymph node body surface positioning patch and positioning kit of claim 1, wherein: the longitudinal mark is a numerical mark and is sequentially marked from the number '1' to the number '15' from top to bottom.
6. The horizontal marks are capital letter marks and are sequentially marked from the letter "A" to the letter "T" from left to right respectively.
7. The breast cancer sentinel lymph node body surface positioning patch and positioning kit of claim 1, wherein: the transverse rod, the longitudinal rod and the transverse mark are made of CT developing materials.
8. The breast cancer sentinel lymph node body surface positioning patch and positioning kit of claim 1, wherein: one side of the anesthesia paster is connected with a protruding anesthesia cotton, and medical anesthesia liquid can be injected into the anesthesia cotton.
9. The breast cancer sentinel lymph node body surface positioning patch and positioning kit of claim 1, wherein: the fixing paste 1 has adhesive property on the breathable side, and the surface layer is covered by the isolation oilpaper.
10. The breast cancer sentinel lymph node body surface positioning patch and positioning suit according to any one of claims 1-9, for use in sentinel lymph node lesion location puncture for a patient.
Priority Applications (1)
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CN202010244328.3A CN111557678A (en) | 2020-03-31 | 2020-03-31 | Breast cancer sentinel lymph node body surface positioning film and positioning suit |
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CN202010244328.3A CN111557678A (en) | 2020-03-31 | 2020-03-31 | Breast cancer sentinel lymph node body surface positioning film and positioning suit |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113813026A (en) * | 2021-09-22 | 2021-12-21 | 贾旭东 | CT guiding positioning net |
Citations (3)
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CN102028550A (en) * | 2011-01-05 | 2011-04-27 | 武汉维斯第医用科技有限公司 | Clinical medicinal patch with developing coordinates |
CN206183387U (en) * | 2016-08-26 | 2017-05-24 | 王秋虎 | A pad pasting that is used for breast cancer CT lymph video picture sentinel lymph node body surface location |
CN209437378U (en) * | 2018-03-12 | 2019-09-27 | 上海长海医院 | Sentinel lymph nodes of breast cancer body surface location pad pasting and positioning suit |
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Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102028550A (en) * | 2011-01-05 | 2011-04-27 | 武汉维斯第医用科技有限公司 | Clinical medicinal patch with developing coordinates |
CN206183387U (en) * | 2016-08-26 | 2017-05-24 | 王秋虎 | A pad pasting that is used for breast cancer CT lymph video picture sentinel lymph node body surface location |
CN209437378U (en) * | 2018-03-12 | 2019-09-27 | 上海长海医院 | Sentinel lymph nodes of breast cancer body surface location pad pasting and positioning suit |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN113813026A (en) * | 2021-09-22 | 2021-12-21 | 贾旭东 | CT guiding positioning net |
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