CN112022423B - Urinary incontinence sling evaluation system and image evaluation method - Google Patents
Urinary incontinence sling evaluation system and image evaluation method Download PDFInfo
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- CN112022423B CN112022423B CN202010914195.6A CN202010914195A CN112022423B CN 112022423 B CN112022423 B CN 112022423B CN 202010914195 A CN202010914195 A CN 202010914195A CN 112022423 B CN112022423 B CN 112022423B
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- sling
- urinary incontinence
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- 206010046543 Urinary incontinence Diseases 0.000 title claims abstract description 52
- 238000011156 evaluation Methods 0.000 title abstract description 24
- 230000005291 magnetic effect Effects 0.000 claims abstract description 95
- 230000006698 induction Effects 0.000 claims abstract description 62
- 230000008859 change Effects 0.000 claims abstract description 25
- 230000004044 response Effects 0.000 claims abstract description 21
- 230000000694 effects Effects 0.000 claims abstract description 18
- 230000007613 environmental effect Effects 0.000 claims abstract description 17
- 230000005298 paramagnetic effect Effects 0.000 claims abstract description 10
- 230000035882 stress Effects 0.000 claims description 16
- 230000006353 environmental stress Effects 0.000 claims description 3
- 238000004891 communication Methods 0.000 claims description 2
- 210000003903 pelvic floor Anatomy 0.000 abstract description 10
- 230000002980 postoperative effect Effects 0.000 abstract description 7
- 210000003932 urinary bladder Anatomy 0.000 abstract description 6
- 210000003205 muscle Anatomy 0.000 abstract description 4
- 210000001519 tissue Anatomy 0.000 abstract description 4
- 230000002180 anti-stress Effects 0.000 abstract description 3
- 230000006835 compression Effects 0.000 abstract description 3
- 238000007906 compression Methods 0.000 abstract description 3
- 230000005426 magnetic field effect Effects 0.000 abstract description 3
- 238000000034 method Methods 0.000 abstract description 3
- 210000003708 urethra Anatomy 0.000 description 6
- 238000012937 correction Methods 0.000 description 4
- 239000000463 material Substances 0.000 description 3
- 210000002700 urine Anatomy 0.000 description 3
- 206010066218 Stress Urinary Incontinence Diseases 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 238000011205 postoperative examination Methods 0.000 description 2
- 230000003068 static effect Effects 0.000 description 2
- 206010011224 Cough Diseases 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000005182 global health Effects 0.000 description 1
- 210000001624 hip Anatomy 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000003449 preventive effect Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
- A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
- A61F2/0045—Support slings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/055—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01V—GEOPHYSICS; GRAVITATIONAL MEASUREMENTS; DETECTING MASSES OR OBJECTS; TAGS
- G01V3/00—Electric or magnetic prospecting or detecting; Measuring magnetic field characteristics of the earth, e.g. declination, deviation
- G01V3/08—Electric or magnetic prospecting or detecting; Measuring magnetic field characteristics of the earth, e.g. declination, deviation operating with magnetic or electric fields produced or modified by objects or geological structures or by detecting devices
Abstract
The invention provides a urinary incontinence sling evaluation system and an image evaluation method, wherein the system comprises a urinary incontinence sling and a response magnetic pole device, the urinary incontinence sling comprises a sling main body and an induction magnetic pole device, and the induction magnetic pole device is provided with a sensor, a magnetic induction switch and a magnetic induction module which are sequentially connected, and further comprises a control chip; the control chip judges whether the environmental change reaches a preset standard, and the magnetic induction module and the response magnetic pole device form a paramagnetic fixing effect so as to fix the position of the sling main body. The system and the method can maintain the curative effect of the urinary incontinence sling to the greatest extent, avoid losing the anti-stress effect due to the structural deformation of the sling, ensure the urinary bladder control function, simultaneously reduce the compression on tissues to the greatest extent, reduce the pain of patients and improve the postoperative life quality. In addition, the magnetic field effect is utilized during the examination, the change condition of the fixed position under the condition of pressure change can be checked, and the relationship between the change of the sling stress and the pelvic floor muscles is known.
Description
Technical Field
The invention relates to the technical field of medical treatment, in particular to a urinary incontinence sling evaluation system and an image evaluation method.
Background
Urinary incontinence is a global health problem, most commonly female adult urinary incontinence, due to the relaxation of the anterior basin, resulting in a large swing of the bladder neck and proximal urethra, and thus uncontrolled and leaking of urine when externally applied to the bladder, such as coughing, laughing, and even rapid walking. The current clinical treatment of moderate to severe stress urinary incontinence (stress urinary incontinence, SUI) is mainly surgical correction, with the most important being the implantation of synthetic tape, including the most common being the mid-urethral suspension correction TVT/TVT-O, etc. It uses a guiding handle to implant the sling under the urethra, between the anterior vaginal wall gap. The urethral swing is corrected and reduced, the implanted reticular sling is supported in a suspending way, and is similar to a hammock, and the relative fixation achieves a certain degree of anatomic reduction. The urinary incontinence sling can fix the proximal urethra of the bladder neck, reduce swing and pelvic floor relaxation, but the tissue is aged and relaxed continuously after the operation, so that the urinary incontinence and relaxation recurrence and even the disease aggravate easily occur, and the current lack of effective examination and monitoring means can not reliably evaluate the maintenance conditions after the sling operation and the follow-up, thereby seriously affecting the measures such as timely evaluation and preventive intervention on patients.
Disclosure of Invention
The invention provides a urinary incontinence sling assessment system, which comprises a urinary incontinence sling and a response magnetic pole device, wherein the urinary incontinence sling comprises a sling main body and an induction magnetic pole device arranged on the sling main body, and the induction magnetic pole device is provided with a sensor, a magnetic induction switch and a magnetic induction module which are sequentially connected; the control chip is connected with the sensor, the magnetic induction switch and the magnetic induction module; the sensor is used for sensing environmental changes; the control chip judges whether the environmental change reaches a preset standard or not, and the magnetic induction switch is turned on when the environmental change reaches the preset standard; the magnetic induction switch is conducted so as to start the magnetic induction module, and the magnetic induction module and the response magnetic pole device form a paramagnetic fixing effect so as to fix the position of the sling main body.
In an improved scheme, when the magnetic induction module and the response magnetic pole device form paramagnetic fixing effect, the control chip controls the magnetic induction module and the response magnetic pole device to disconnect the magnetic induction switch when reaching a magnetic balance state, so that the sling main body is fixed to the current position.
In a refinement, the sensor is used to sense vibrations; the sensor turns on the magnetic induction switch when the environmental vibration reaches a preset frequency value.
In a refinement, the sensor is used to sense pressure; the sensor turns on the magnetic induction switch when the ambient pressure reaches a preset pressure value.
In a refinement, the sensor is used to sense stress; and the sensor conducts the magnetic induction switch when the environmental stress reaches a preset stress value.
In a refinement, the sensor is used to sense the pressure; and the sensor conducts the magnetic induction switch when the ambient pressure reaches a preset pressure value.
In a modified version, the response magnetic pole device is arranged outside or inside the human body; the urinary incontinence sling evaluation system also includes a display device and an operating device in communicative connection with the responsive magnetic pole device.
In a further development, the operating device is used for switching a display interface of the display device; the display device is used for displaying the position state of the sling main body before the environment changes and the position state after the environment changes.
The invention also provides a urinary incontinence sling image evaluation method which is applied to the urinary incontinence sling evaluation system and comprises the following steps:
the sensor senses environmental changes;
the control chip judges whether the environmental change reaches a preset standard or not, and the magnetic induction switch is turned on when the environmental change reaches the preset standard;
starting the magnetic induction module;
the magnetic induction module and the response magnetic pole device form a paramagnetic fixing effect so as to fix the position of the sling main body;
the display device displays the position state of the sling body before the environment changes and the position state after the environment changes
After the sling according to the present invention is implanted in the body, medical staff can check whether the positional relationship between the structure of the sling and the loose pelvic floor and urethra is correct or not when performing postoperative examination or follow-up examination, particularly when performing magnetic resonance examination, and thereby evaluate whether the structural characteristics such as the extensibility of the sling are normal or not. In addition, under certain pressure rise conditions, such as those in which abdominal pressure rise induces urinary incontinence, pelvic floor laxity and urethral swing are exacerbated, and medical personnel at this point observe changes in sling configuration, and can assess sling correction capability and extensibility. Medical staff can set and adjust the magnetic field range according to actual needs, and the state of the sling structure change caused by stress is fixed by combining with the local temperature control effect, and then the sling and the local anatomy evaluation MRI can be carried out, and the fixed state of the sling is released after the MRI is completed, so that the state before the sling is restored to the stress. During further analysis, medical staff sets a magnetic field to induce a magnetic field on the sling with paramagnetic effect according to the overall condition and deformation condition of the sling in static and dynamic states, such as extension condition, stress deformation resistance condition, urethral relaxation swing resistance capability and the like, evaluates the structural extension and stress resistance characteristics of the sling, provides accurate and objective evidence for postoperative change of urinary incontinence, and improves the treatment effect of the postoperative urinary incontinence sling better. Medical staff can also correct the internal structural arrangement by changing the material of the urinary incontinence sling, and enhance the extensibility and rigidity and flexibility characteristics of the urinary incontinence sling. The urinary incontinence sling evaluation system and the image evaluation method can maintain the curative effect of the urinary incontinence sling to the greatest extent, avoid losing the anti-stress effect due to the deformation of the sling structure, ensure the urinary bladder urine control function, simultaneously reduce the compression on tissues to the greatest extent, reduce the pain of patients and improve the postoperative life quality. In addition, the magnetic field effect is utilized during the examination, the change condition of the fixed position under the condition of pressure change can be checked, and the relationship between the change of the sling stress and the pelvic floor muscles is known.
Drawings
FIG. 1 is a schematic diagram of a urinary incontinence sling evaluation system of embodiment one;
FIG. 2 is a schematic diagram of a urinary incontinence sling evaluation system of embodiment one;
fig. 3 is a schematic view of an application scenario of the urinary incontinence sling evaluation system according to the first embodiment.
Detailed Description
The invention will be described in further detail below with reference to the drawings by means of specific embodiments. Wherein like elements in different embodiments are numbered alike in association. In the following embodiments, numerous specific details are set forth in order to provide a better understanding of the present invention. However, one skilled in the art will readily recognize that some of the features may be omitted, or replaced by other elements, materials, or methods in different situations. In some instances, related operations of the present invention have not been shown or described in the specification in order to avoid obscuring the core portions of the present invention, and may be unnecessary to persons skilled in the art from a detailed description of the related operations, which may be presented in the description and general knowledge of one skilled in the art.
Furthermore, the described features, operations, or characteristics of the description may be combined in any suitable manner in various embodiments. Also, various steps or acts in the method descriptions may be interchanged or modified in a manner apparent to those of ordinary skill in the art. Thus, the various orders in the description and drawings are for clarity of description of only certain embodiments, and are not meant to be required orders unless otherwise indicated.
The numbering of the components itself, e.g. "first", "second", etc., is used herein merely to distinguish between the described objects and does not have any sequential or technical meaning. The term "coupled" as used herein includes both direct and indirect coupling (coupling), unless otherwise indicated.
Embodiment one:
the urinary incontinence sling evaluation system of the present embodiment, as shown in fig. 1 and 2, comprises a urinary incontinence sling and a response pole arrangement 3, and further comprises a display device 5 and an operating device 4 in communication with the response pole arrangement 3. When the urinary incontinence sling is used, the urinary incontinence sling needs to be implanted into a human body, the urinary incontinence sling comprises a sling main body 1 and an induction magnetic pole device 2 arranged on the sling main body 1, and a sensor 11, a magnetic induction switch 12 and a magnetic induction module 13 which are sequentially connected are arranged on the induction magnetic pole device 2; also comprises a control chip 10 connected with the sensor 11, the magnetic induction switch 12 and the magnetic induction module 13. Fig. 3 is a schematic view of an application scenario of the urinary incontinence sling evaluation system of the present embodiment, wherein a female patient is treated, and the principle of the urinary incontinence sling image evaluation method of the present embodiment is as follows, with reference to fig. 1 to 3:
s1, sensing environmental change by the sensor 11.
S2, the control chip 10 judges whether the environmental change reaches a preset standard, and the magnetic induction switch 12 is turned on when the environmental change reaches the preset standard.
S3, the magnetic induction switch 12 is conducted so as to start the magnetic induction module 13, a magnetic field is generated between the magnetic induction module 13 and the response magnetic pole device 3, the magnetic induction module 13 and the response magnetic pole device 3 have different magnetic poles, and the magnetic induction module 13 and the response magnetic pole device 3 form a paramagnetic fixing effect so as to fix the position of the sling main body 1. When the magnetic induction module 13 and the response magnetic pole device 3 form a paramagnetic fixing effect, the control chip 10 controls the magnetic induction module 13 and the response magnetic pole device 3 to disconnect the magnetic induction switch 12 when reaching a magnetic balance state, thereby fixing the sling body 1 to a current position.
S4, the display device 5 displays the position state of the sling body 1 before the environment changes and the position state after the environment changes, and the sling is fixed through the deformation under the magnetic field, so that a basis is provided for medical staff to evaluate the looseness condition of the urethra and the pelvic floor. When the medical staff performs the contrast analysis, the display interface of the display device 5 can be switched by the operation device 4.
The sensor 11 may be a vibration sensor device, which turns on the magnetic induction switch 12 when the environmental vibration reaches a preset frequency value. Alternatively, the sensor 11 may employ a pressure sensor device for sensing pressure, which turns on the magnetic induction switch 12 when the ambient pressure reaches a preset pressure value. Alternatively, the sensor 11 may employ a stress sensor, and the magnetic induction switch 12 is turned on when the environmental stress reaches a preset stress value. Alternatively, sensor 11 may employ a pressure sensor device that turns on magnetic induction switch 12 when the ambient pressure reaches a preset pressure value. Other types of sensors may also be selected as desired by those skilled in the art.
The response pole device 3 may be provided outside the human body or inside the human body. When the device is arranged outside a human body, the device can be attached to the surface of the human body (such as the waist) or separated from the human body.
After the sling according to the present invention is implanted in the body, medical staff can check whether the positional relationship between the structure of the sling and the loose pelvic floor and urethra is correct or not when performing postoperative examination or follow-up examination, particularly when performing magnetic resonance examination, and thereby evaluate whether the structural characteristics such as the extensibility of the sling are normal or not. In addition, under certain pressure rise conditions, such as those in which abdominal pressure rise induces urinary incontinence, pelvic floor laxity and urethral swing are exacerbated, and medical personnel at this point observe changes in sling configuration, and can assess sling correction capability and extensibility. Medical staff can set and adjust the magnetic field range according to actual needs, and the state of the sling structure change caused by stress is fixed by combining with the local temperature control effect, and then the sling and the local anatomy evaluation MRI can be carried out, and the fixed state of the sling is released after the MRI is completed, so that the state before the sling is restored to the stress. During further analysis, medical staff sets a magnetic field to induce a magnetic field on the sling with paramagnetic effect according to the overall condition and deformation condition of the sling in static and dynamic states, such as extension condition, stress deformation resistance condition, urethral relaxation swing resistance capability and the like, evaluates the structural extension and stress resistance characteristics of the sling, provides accurate and objective evidence for postoperative change of urinary incontinence, and improves the treatment effect of the postoperative urinary incontinence sling better. Medical staff can also correct the internal structural arrangement by changing the material of the urinary incontinence sling, and enhance the extensibility and rigidity and flexibility characteristics of the urinary incontinence sling. The urinary incontinence sling evaluation system and the image evaluation method can maintain the curative effect of the urinary incontinence sling to the greatest extent, avoid losing the anti-stress effect due to the deformation of the sling structure, ensure the urinary bladder urine control function, simultaneously reduce the compression on tissues to the greatest extent, reduce the pain of patients and improve the postoperative life quality. In addition, the magnetic field effect is utilized during examination, the change condition of the fixed position under the condition of pressure change can be checked, the relation between the change of the sling and pelvic floor muscles during stress is known, namely, during scanning, the deformation condition of the sling, which is adapted to the whole pelvic floor muscles or pelvic organs, can be seen during the change response.
The foregoing description of the invention has been presented for purposes of illustration and description, and is not intended to be limiting. Several simple deductions, modifications or substitutions may also be made by a person skilled in the art to which the invention pertains, based on the idea of the invention.
Claims (8)
1. A urinary incontinence sling assessment system, wherein,
comprising a urinary incontinence sling and a response magnetic pole device (3), the urinary incontinence sling comprises a sling body (1) and a device
An induction magnetic pole device (2) arranged on the sling main body (1), wherein the induction magnetic pole device (2) is provided with a plurality of induction magnetic poles which are sequentially connected
A magnetic induction switch (12), a magnetic induction module (13); also comprises a sensor (11) and magnetic induction
A switch (12) and a control chip (10) connected with the magnetic induction module (13);
the sensor (11) is used for sensing environmental changes;
the control chip (10) judges whether the environmental change reaches a preset standard or not, and the environmental change reaches the preset standard
On time, a magnetic induction switch (12) is turned on;
the magnetic induction switch (12) is turned on to start the magnetic induction module (13), and the magnetic induction module (13)
Forming a paramagnetic fixing effect with said responsive pole means (3) to fix the position of said sling body (1).
2. The urinary incontinence sling assessment system of claim 1 wherein,
when the magnetic induction module (13) and the response magnetic pole device (3) form paramagnetic fixation effect, the control
The chip (10) controls the magnetic induction module (13) and the response magnetic pole device (3) to achieve a magnetic balance state
The magnetic induction switch (12) is turned off in a state, so that the sling main body (1) is fixed to the current position.
3. The urinary incontinence sling assessment system of claim 2 wherein,
the sensor (11) is used for sensing vibration;
the sensor (11) turns on the magnetic induction switch (12) when the environmental vibration reaches a preset frequency value.
4. The urinary incontinence sling assessment system of claim 2 wherein,
the sensor (11) is used for sensing pressure;
the sensor (11) turns on the magnetic induction switch (12) when the ambient pressure reaches a preset pressure value.
5. The urinary incontinence sling assessment system of claim 2 wherein,
the sensor (11) is used for sensing stress;
the sensor (11) turns on the magnetic induction switch (12) when the environmental stress reaches a preset stress value.
6. The urinary incontinence sling assessment system of claim 2 wherein,
the sensor (11) is used for sensing pressure;
the sensor (11) turns on the magnetic induction switch (12) when the ambient pressure reaches a preset pressure value.
7. The urinary incontinence sling assessment system of any one of claims 1-6 wherein,
the response magnetic pole device (3) is arranged outside or inside the human body;
the urinary incontinence sling assessment system further comprises a display device in communication with the responsive magnetic pole apparatus (3)
A device (5) and an operating device (4).
8. The urinary incontinence sling assessment system of claim 7 wherein,
the operating device (4) is used for switching the display interface of the display device (5);
the display device (5) is used for displaying the position state of the sling main body (1) before the environment changes and the position state of the sling main body before the environment changes
The position state after the environmental change.
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| Application Number | Priority Date | Filing Date | Title |
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| CN202010914195.6A CN112022423B (en) | 2020-09-03 | 2020-09-03 | Urinary incontinence sling evaluation system and image evaluation method |
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| CN202010914195.6A CN112022423B (en) | 2020-09-03 | 2020-09-03 | Urinary incontinence sling evaluation system and image evaluation method |
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| CN112022423B true CN112022423B (en) | 2024-03-08 |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN113303799B (en) * | 2021-05-21 | 2023-09-22 | 上海微创医疗机器人（集团）股份有限公司 | Basin bottom detection equipment based on non-contact switch |
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| US9314322B2 (en) * | 2010-05-12 | 2016-04-19 | The Board Of Trustees Of The University Of Illinois | Device and method for measuring pressure exerted on a surface |
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| US6302840B1 (en) * | 1998-09-21 | 2001-10-16 | Theodore V. Benderev | Surgical monitor |
| US7395822B1 (en) * | 1999-04-30 | 2008-07-08 | Uromedica, Inc. | Method and apparatus for adjustable sling for treatment of urinary stress incontinence |
| US6702827B1 (en) * | 2000-10-06 | 2004-03-09 | American Medical Systems | Sling adjustment and tensioning accessory |
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| CN112022423A (en) | 2020-12-04 |
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